. Author manuscript; available in PMC: 2020 Dec 14.

Published in final edited form as: Circulation. 2019 Mar 17;140(11):e596–e646. doi: 10.1161/CIR.0000000000000678

Recommendations for Exercise and Physical Activity.

Referenced studies that support recommendations are summarized in Online Data Supplements 6 and 7

COR	LOE	Recommendations
I	B-R	1. Adults should be routinely counseled in healthcare visits to optimize a physically active lifestyle.^{S3.2-1,S3.2-2}
I	B-NR	2. Adults should engage in at least 150 minutes per week of accumulated moderate-intensity or 75 minutes per week of vigorous-intensity aerobic physical activity (or an equivalent combination of moderate and vigorous activity) to reduce ASCVD risk.^{S3.2-3–S3.2-8}
IIa	B-NR	3. For adults unable to meet the minimum physical activity recommendations (at least 150 minutes per week of accumulated moderate-intensity or 75 minutes per week of vigorous-intensity aerobic physical activity), engaging in some moderate- or vigorous-intensity physical activity, even if less than this recommended amount, can be beneficial to reduce ASCVD risk.^{S3.2-5,S3.2-6}
IIb	C-LD	4. Decreasing sedentary behavior in adults may be reasonable to reduce ASCVD risk.^{S3.2-3,S3.2-9–S3.2-11}