Increasing Non-Exercise Activity Thermogenesis: A NEAT Way to Increase Energy Expenditure in your Patients


In humans, chronic caloric excess has resulted in overweight and obesity becoming epidemic in developed
countries and emerging as a major health problem in
middle-income countries and even in low-income ones.
Evidence is mounting that the energy expended in daily
activities called “Non-exercise activity thermogenesis”
(NEAT) is important in human fat gain and obesity. In this
paper we describe a synthesis of current behavior modification approaches directed towards increasing NEAT. The acronym that describes this approach is STRIPE (S =
select activity, T = targeted goals, R = reward, I = identify
barriers, P = plan, and E = evaluate). STRIPE provides a
behavioral framework around which NEAT interventions
can be employed and evaluated.

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James A Levine, Mark W Vander Weg, and Robert C. Klesges