Recommendation-Specific Supportive Text 1. Physical activity assessment and counseling in the healthcare setting have important comple- mentary roles in promoting increased physical Ascertaining physical activity pat- terns during a standard clinical visit is the first step toward effective counseling and can be accomplished through several available simple The results of these tools can be recorded in the electronic health record, along with parameters such as weight and BP.S3.2-16 Physical activity counseling by clinicians can result in modest improvements in physical activity lev- els, with a number needed to counsel as low as 12 for an individual to achieve recommended physical activity levels.S3.2-1,S3.2-2 This counseling might include an exercise prescription that con- sists of recommended frequency, intensity, time (duration), and type of exercise. 2. There is a consistent, strong, inverse dose response relationship between the amount of moderate to vigorous physical activity and inci- dent ASCVD events and death.S3.2-3 S3.2-8,S3.2-12 The shape of the dose response relationship is curvilinear, with significant benefit observed when comparing those engaging in little or no physical activity with those performing moderate CLINICAL STATEMENTS AND GUIDELINES All adults should engage in at least 150 minutes per week of accumulated moderate-intensity aerobic physical activity or 75 minutes per week of vigorous-intensity aerobic physical activity (or an equivalent combination of moderate and vigorous activity) to lower ASCVD risk (Table 4). These recommendations are in line with those of other health organizations.S3.2-26 Shorter durations of exercise seem to be as ben- eficial as longer ones (eg, 10-minute bouts),S3.2- and thus the focus of physical activity counseling should be on the total accumulated amount. 