Status on blood glucose/pressure/lipids		Physical activity (activity of daily living/exercise)		Exercise		Physical fitness (physical endurance)
Health checkup results are within the reference range	≥ 65 years	Physical activity of any intensity for 40 min/day (10 METs·hour/week)	Increase even if slightly more than the current activity level (e.g., additional 10 min of walking)	-	Try to establish exercise habits (≥ 30 min for ≥ 2 days/week)	-
	18–64 years	Physical activity of ≥ 3 METs intensity3) for 60 min/day (23 METs·hour/week)		Exercise of ≥ 3 METs intensity for 60 min/ week (4 METs·hour/week)		Can continue exercise of intensity specified for sex/age range for approximately 3 min
	< 18 years	-		-		-
Any of the blood glucose/pressure/lipids levels are at the recommended health guidance levels		Help the subject to assess his or her own physical condition before and during exercise; then, provide proactive exercise instructions as a part of health guidance if the subject is not visiting a medical institution and is confirmed to not have any risk according to “Screening sheet for physical activity risks.”
Those with multiple risks or requiring immediate medical consultation		Patients with lifestyle-related diseases should consult their primary physicians before commencing active exercise because safety considerations are particularly important.

Adapted/modified from: Ministry of Health, Labour and Welfare “Japanese official physical activity guidelines for health promotion 2013 (outline)”