The objective of the study was to determine whether heat stress (HS) effects in pigs were caused directly by heat exposure (regardless of feeding level and pattern) or indirectly due to the reduction of feed intake, and to determine if splitting heat increments via increasing feeding frequency can improve pig response to HS. A total of 48 female pigs (66.1 ± 1.7 kg) were allotted to 4 groups in 3 replicates. After 7 d in thermoneutral conditions (TN; 22°C; P1), pigs were placed in either TN or HS (32°C) conditions for 20 d (P2). The diet was provided either ad libitum (AL; 2 distributions/d) or pair-fed (PF8; 8 distributions/d) using HS-AL pigs as the reference group. Thus, the 4 experimental groups were TN-AL, HS-AL, TN-PF8, and HS-PF8. Daily ration of PF8 pigs was distributed at every 90-min intervals from 09h00 to 19h30. Data was analyzed using the PROC MIXED procedure with replicate (n=3), experimental group (n=4), and their interactions as fixed effects and the REPEATED statement was used to for repeated measures data. Pigs had similar ADFI during P1 (P>0.05), while HS-AL and PF8 pigs had lower ADFI (-19%), ADG (-25%), and final BW (-6.1 kg) than TN-AL pigs (P<0.01) during P2. TN-AL pigs had thicker backfat than TN-PF8 pigs (P<0.05) while the HS pigs had intermediate results. HS pigs had higher perirenal fat percentage based on the contrast analysis between PF8 pigs (P<0.05). Thermoregulatory responses of pigs increased with HS exposure but did not differ between HS nor between TN groups (P>0.05). Muscle temperature (Tmuscle) variation depended on feeding and physical activity for TN pigs while Tmuscle gradually increased throughout the day for HS pigs. Increase in Tmuscle for each meal was lower in HS-PF8 than TN-PF8 (P<0.05). Exposure to HS decreased plasma T3 and T4 (P<0.05), and increased plasma creatinine (P<0.05). Between the PF8 groups, HS pigs also had a transient increase in plasma insulin on d 8 (P<0.05). The effect of HS on feed intake decreased growth rate of pigs but there are heat-induced effects such as altered physiological responses which might explain direct HS effects seen in other literature especially in terms of increased adiposity. The increased feed provision frequency in the present study did not improve HS response of pigs.