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We included eight randomised trials with 1175 women. Lifestyle programmes, improved pregnancy rates (RR 1.43, CI 95% 1.02 to 2.01; I2=60%; 8 RCTs; N=1098) but had no impact on live births (RR 1.39, CI 95% 0.90 to 2.14; I2=64%; 7RCTs; N=1034). Our findings suggest that women participating in lifestyle interventions had an increased risk of miscarriage (RR 1.50, CI 95% 1.04 to 2.16; I2=0; 6RCTs; N=543). We rated the quality of evidence for these outcomes as the moderate-to-low. Lifestyle interventions slightly increased th