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NICE – Preventing cardiovascular disease

  • Encourage adults to increase their physical activity even if they do not lose weight as a result, because of the other health benefits physical activity can bring (for example, reduced risk of type 2 diabetes and cardiovascular disease). Encourage adults to do at least 30 minutes of moderate or greater intensity physical activity on 5 or more days a week. The activity can be in 1 session or several sessions lasting 10 minutes or more.​
  • Advise that to prevent obesity, most people may need to do 45–60 minutes of moderate-intensity activity a day, particularly if they do not reduce their energy intake. Advise people who have been obese and have lost weight that they may need to do 60–90 minutes of activity a day to avoid regaining weight.
  • Encourage adults to build up to the recommended activity levels for weight maintenance, using a managed approach with agreed goals.
  • Recommend types of physical activity, including:​
  • activities that can be incorporated into everyday life, such as brisk walking, gardening or cycling (see the NICE pathway on walking and cycling)
  • supervised exercise programmes
  • other activities, such as swimming, aiming to walk a certain number of steps each day, or stair climbing.
  • Take into account the person's current physical fitness and ability for all activities. Encourage people to also reduce the amount of time they spend inactive, such as watching television, using a computer or playing video games.
  • Please also see NICE pathways on smoking prevention and cessation and on diet.
    In addition, when developing CVD prevention programmes please also refer to recommendations made in the NICE pathway on behaviour change.
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