PMID- 36729308 OWN - NLM STAT- MEDLINE DCOM- 20230403 LR - 20230421 IS - 1432-5233 (Electronic) IS - 0940-5429 (Print) IS - 0940-5429 (Linking) VI - 60 IP - 5 DP - 2023 May TI - Compensatory mechanisms from different exercise intensities in type 2 diabetes: a secondary analysis of a 1-year randomized controlled trial. PG - 645-654 LID - 10.1007/s00592-023-02038-7 [doi] AB - AIMS: This investigation aimed to determine the effect of different intensities of training on non-exercise physical activity (NEPA) and estimated thermogenesis (NEAT) from a 1-year exercise randomized controlled trial (RCT) in individuals with type 2 diabetes mellitus (T2DM) on non-training days. Additionally, changes in NEPA and estimated NEAT in those who failed (low-responders) or succeeded (high-responders) in attaining exercise-derived clinically meaningful reductions in body weight (BW) and fat mass (FM) (i.e., 6% for FM and 3% for BW) was assessed. METHODS: Individuals with T2DM (n = 80) were enrolled in a RCT with three groups: resistance training combined with moderate-intensity continuous training (MICT) or high-intensity interval training (HIIT) and a control group. Of the 80 participants, 56 (completed data) were considered for this secondary analysis. NEPA and estimated NEAT were obtained by accelerometry and body composition through dual-energy X-ray absorptiometry. RESULTS: After adjustments, no time*group interactions were found for estimated NEAT in the MICT (beta = - 5.33, p = 0.366) and HIIT (beta = - 5.70, p = 0.283), as well as for NEPA in the MICT (beta = - 452.83, p = 0.833) and HIIT (beta = - 2770.76, p = 0.201), when compared to controls. No compensatory changes in NEPA and estimated NEAT were observed when considering both low-responders and high-responders to FM and BW when compared to controls. CONCLUSIONS: Both MICT and HIIT did not result in any compensatory changes in estimated NEAT and NEPA with the intervention on non-training days. Moreover, no changes in estimated NEAT and NEPA were found when categorizing our participants as low-responders and high-responders to FM and BW when compared to controls. Trial registration clinicaltrials.gov ID. NCT03144505. CI - (c) 2023. The Author(s). FAU - Correia, Ines R AU - Correia IR AD - Faculdade de Motricidade Humana, Exercise and Health Laboratory, CIPER, Universidade de Lisboa Estrada da Costa, 1499-002, Cruz-Quebrada, Portugal. FAU - Hetherington-Rauth, Megan AU - Hetherington-Rauth M AD - Faculdade de Motricidade Humana, Exercise and Health Laboratory, CIPER, Universidade de Lisboa Estrada da Costa, 1499-002, Cruz-Quebrada, Portugal. FAU - Magalhaes, Joao P AU - Magalhaes JP AD - Faculdade de Motricidade Humana, Exercise and Health Laboratory, CIPER, Universidade de Lisboa Estrada da Costa, 1499-002, Cruz-Quebrada, Portugal. FAU - Judice, Pedro B AU - Judice PB AD - Faculdade de Motricidade Humana, Exercise and Health Laboratory, CIPER, Universidade de Lisboa Estrada da Costa, 1499-002, Cruz-Quebrada, Portugal. AD - CIDEFES - Centro de Investigacao Em Desporto, Educacao Fisica E Exercicio E Saude, Universidade Lusofona, Lisbon, Portugal. FAU - Rosa, Gil B AU - Rosa GB AD - Faculdade de Motricidade Humana, Exercise and Health Laboratory, CIPER, Universidade de Lisboa Estrada da Costa, 1499-002, Cruz-Quebrada, Portugal. FAU - Henriques-Neto, Duarte AU - Henriques-Neto D AD - Faculdade de Motricidade Humana, Exercise and Health Laboratory, CIPER, Universidade de Lisboa Estrada da Costa, 1499-002, Cruz-Quebrada, Portugal. FAU - Manas, Asier AU - Manas A AD - GENUD Toledo Research Group, University of Castilla-La Mancha, Toledo, Spain. AD - CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain. FAU - Ara, Ignacio AU - Ara I AD - GENUD Toledo Research Group, University of Castilla-La Mancha, Toledo, Spain. FAU - Silva, Analiza M AU - Silva AM AD - Faculdade de Motricidade Humana, Exercise and Health Laboratory, CIPER, Universidade de Lisboa Estrada da Costa, 1499-002, Cruz-Quebrada, Portugal. FAU - Sardinha, Luis B AU - Sardinha LB AUID- ORCID: 0000-0002-6230-6027 AD - Faculdade de Motricidade Humana, Exercise and Health Laboratory, CIPER, Universidade de Lisboa Estrada da Costa, 1499-002, Cruz-Quebrada, Portugal. lsardinha@fmh.ulisboa.pt. LA - eng SI - ClinicalTrials.gov/NCT03144505 GR - UIDB/00447/2020/Fundacao para a Ciencia e a Tecnologia/ GR - SFRH/BD/149394/2019/Fundacao para a Ciencia e a Tecnologia/ GR - SFRH/BD/ 85742/2012/Fundacao para a Ciencia e a Tecnologia/ GR - SFRH/BPD/115977/2016/Fundacao para a Ciencia e a Tecnologia/ GR - 2020.07856.BD/Fundacao para a Ciencia e a Tecnologia/ GR - 2020/Fundacao para a Ciencia e a Tecnologia/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20230202 PL - Germany TA - Acta Diabetol JT - Acta diabetologica JID - 9200299 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/therapy MH - Exercise MH - Body Composition MH - Body Weight PMC - PMC10063485 OTO - NOTNLM OT - Compensation OT - Diabetes mellitus OT - HIIT OT - NEAT OT - NEPA OT - Spontaneous activity COIS- The authors report there are no conflicts of interest to declare. EDAT- 2023/02/03 06:00 MHDA- 2023/04/03 06:42 PMCR- 2023/02/02 CRDT- 2023/02/02 11:22 PHST- 2022/11/03 00:00 [received] PHST- 2023/01/17 00:00 [accepted] PHST- 2023/04/03 06:42 [medline] PHST- 2023/02/03 06:00 [pubmed] PHST- 2023/02/02 11:22 [entrez] PHST- 2023/02/02 00:00 [pmc-release] AID - 10.1007/s00592-023-02038-7 [pii] AID - 2038 [pii] AID - 10.1007/s00592-023-02038-7 [doi] PST - ppublish SO - Acta Diabetol. 2023 May;60(5):645-654. doi: 10.1007/s00592-023-02038-7. Epub 2023 Feb 2.