Research Summary
Analyzed using Evidence Intelligence™

Walking and cycling improve physical activity in prediabetic adults.

Last updated August 25, 2026

Key finding

The 'increased walking' cluster showed the greatest increase in PAL.

The study examined the impact of a lifestyle intervention on physical activity behaviors, revealing significant increases in walking and cycling levels.

Quick read

Study at a glance

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

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

The study examined the impact of a lifestyle intervention on physical activity behaviors, revealing significant increases in walking and cycling levels.

Clinical relevance

Understanding how lifestyle interventions affect physical activity behaviors is crucial for designing effective health programs. The findings suggest that while certain activities can be increased, overall sedentary behavior and moderate-to-vigorous activity may require different strategies to address. This knowledge can help healthcare providers tailor interventions to improve patient outcomes.

Keep in mind

Effectiveness of the intervention remains unclear due to ambiguous evidence. No significant changes in sedentary time and moderate-to-vigorous activity limit the findings. The study's population characteristics may affect generalizability.

Published in

Journal Reference

Publication details and source links for this paper.

Leon K, Gareth S, Kelly AM, et al. Combining self-report and device-based measures provides better insights into the behaviours that change during an intervention. PLOS ONE. 2024;19(3):e0300646. doi:10.1371/journal.pone.0300646

Main Effects

The 'increased walking' cluster showed a significant increase in physical activity level (1.5 units, p=0.001).

The 'increased cycling' cluster accumulated the highest amount of light physical activity (2 units, p=0.002).

No significant differences in sedentary time were found between clusters.

No significant differences in moderate-to-vigorous physical activity were observed after 12 months.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Lifestyle intervention for prediabetes and Average light activity in minutes per day, Physical activity level (MET-minutes per week), Reduced sedentary time.

Primary intervention

Lifestyle intervention for prediabetes

Primary outcomes

  • Average light activity in minutes per day
  • Physical activity level (MET-minutes per week)
  • Reduced sedentary time

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

3
Evidence pairs
3
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

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.

Moderate contributionModerate confidenceNetwork score: 68

3

Related topics

3

Evidence pairs

364

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Prediabetes

matched_intervention_and_outcome

Related evidence

Evidence topic

Physical Activity Levels

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Average light activity in minutes per day

Lifestyle intervention for prediabetes → Average light activity in minutes per day

Lifestyle intervention for prediabetes → Average light activity in minutes per day

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Physical activity level (MET-minutes per week)

Lifestyle intervention for prediabetes → Physical activity level (MET-minutes per week)

Lifestyle intervention for prediabetes → Physical activity level (MET-minutes per week)

Evidence Intelligence™
EvidenceScore™
75
Strong
ImpactScore™
90
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Reduced sedentary time

Lifestyle intervention for prediabetes → Reduced sedentary time

Lifestyle intervention for prediabetes → Reduced sedentary time

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Physical activity level increased significantly in the walking cluster (1.5 units, p=0.001).
  • Light physical activity was highest in the cycling cluster (2 units, p=0.002).
  • No significant changes were noted in sedentary time or moderate-to-vigorous activity.
who this applies

Who this applies to

  • Participants engaged in lifestyle interventions aimed at increasing physical activity.
  • Individuals looking to improve their walking and cycling habits.
keep in mind

Keep in Mind

  • The study's findings may not apply to populations outside the trial.
  • Long-term effects of the intervention were not assessed beyond 12 months.
  • Further research is needed to clarify the effectiveness of lifestyle interventions on sedentary behavior.
between the lines

Between the Lines

  • Effectiveness of the intervention remains unclear due to ambiguous evidence.
  • No significant changes in sedentary time and moderate-to-vigorous activity limit the findings.
  • The study's population characteristics may affect generalizability.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Lifestyle intervention for prediabetes and Physical Activity Levels, Lifestyle intervention for prediabetes and Average light activity in minutes per day.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Lifestyle intervention for prediabetes improve physical activity level (met-minutes per week)?

Strong Evidence

Lifestyle intervention for prediabetes appears to improve Physical activity level (MET-minutes per week).

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Physical activity level (MET-minutes per week)

    EvidenceScore™ Strong | EvidenceScore™ 75.4 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Lifestyle intervention for prediabetes improve average light activity in minutes per day?

Emerging Evidence

Lifestyle intervention for prediabetes appears to improve Average light activity in minutes per day.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Average light activity in minutes per day

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Lifestyle intervention for prediabetes improve reduced sedentary time?

Emerging Evidence

Current evidence does not show a clear benefit of Lifestyle intervention for prediabetes for Reduced sedentary time.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Reduced sedentary time

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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