Last updated September 3, 2026
Key finding
No time*group interactions were found for estimated NEAT in the MICT (β = -5.33, p = 0.366).
This study examined the effects of different exercise intensities on non-exercise physical activity and thermogenesis in individuals with Type 2 diabetes over one year. Results indicated no significant changes in estimated NEAT or NEPA across exercise groups.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This study examined the effects of different exercise intensities on non-exercise physical activity and thermogenesis in individuals with Type 2 diabetes over one year. Results indicated no significant changes in estimated NEAT or NEPA across exercise groups.
Understanding the impact of exercise intensity on daily activity levels and calorie expenditure is crucial for managing Type 2 diabetes. This study suggests that simply increasing exercise intensity may not lead to improvements in non-exercise physical activity or thermogenesis, which are important for overall health and diabetes management.
The study did not find significant effects, limiting conclusions about exercise intensity benefits. Results may not be generalizable to all individuals with Type 2 diabetes. The sample size and characteristics may restrict the applicability of findings.
Published in
Publication details and source links for this paper.
Inês RC, Megan H, João PM, et al. Effects of Different Exercise Intensities on Non-Exercise Physical Activity and Estimated Thermogenesis in Individuals with Type 2 Diabetes: A 1-Year RCT. Acta Diabetologica. 2023;60(5):645-654. doi:10.1007/s00592-023-02038-7
No significant change in estimated NEAT for MICT (β = -5.33, p = 0.366).
No significant change in NEPA for MICT (β = -452.83, p = 0.833).
No significant change in estimated NEAT for HIIT (β = -5.70, p = 0.283).
No significant change in NEPA for HIIT (β = -2770.76, p = 0.201).
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to High-intensity interval exercise, Moderate continuous exercise and Estimated Non-Exercise Activity Thermogenesis (NEAT), Physical activity level (MET-minutes per week).
This study contributes evidence to
Primary intervention
High-intensity interval exercise
Primary outcomes
Evidence topics
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
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Evidence pairs
173
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Contributes evidence
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Contributes evidence
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Contributes evidence
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Primary evidence
Evidence relationship
Related evidence
Evidence topic
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Evidence topic
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Core evidence
The primary outcomes reported in this study.
High-intensity interval exercise → Estimated Non-Exercise Activity Thermogenesis (NEAT)
High-intensity interval exercise → Estimated Non-Exercise Activity Thermogenesis (NEAT)
High-intensity interval exercise → Physical activity level (MET-minutes per week)
High-intensity interval exercise → Physical activity level (MET-minutes per week)
Moderate continuous exercise → Estimated Non-Exercise Activity Thermogenesis (NEAT)
Moderate continuous exercise → Estimated Non-Exercise Activity Thermogenesis (NEAT)
Moderate continuous exercise → Physical activity level (MET-minutes per week)
Moderate continuous exercise → Physical activity level (MET-minutes per week)
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on High-intensity interval exercise and Estimated Non-Exercise Activity Thermogenesis (NEAT), High-intensity interval exercise and Physical Activity Levels.
This study contributes to the evidence on the following intervention-outcome relationships.
Physical Activity
Physical Activity
Curated evidence collections and hubs this study is part of.
All studies measuring Estimated Non-Exercise Activity Thermogenesis (NEAT)
Measures Estimated Non-Exercise Activity Thermogenesis (NEAT) as a key outcome.
All studies on High-intensity interval exercise
Contributes to High-intensity interval exercise evidence base.
All studies measuring Physical Activity Levels
Measures Physical Activity Levels as a key outcome.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Current evidence does not show a clear benefit of Aerobic Exercise for physical activity levels.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Physical activity level (MET-minutes per week)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of High-intensity interval exercise for estimated non-exercise activity thermogenesis (NEAT).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Estimated Non-Exercise Activity Thermogenesis (NEAT)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of High-intensity interval exercise for physical activity level (met-minutes per week).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Physical activity level (MET-minutes per week)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Moderate continuous exercise for estimated non-exercise activity thermogenesis (NEAT).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Estimated Non-Exercise Activity Thermogenesis (NEAT)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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