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The prescription of exercise for individuals with and without cardiovascular disease CVD should be scientifically-based yet adapted to the patient. This scientific statement reviews the clinical and physiologic basis for the prescription of exercise, with specific reference to the volume of physical activity PA and level of cardiorespiratory fitness CRF that confer significant and optimal cardioprotective benefits.

In addition, we discuss the rationale for and value of exercise training programs for patients with peripheral artery disease, diabetes mellitus, and heart failure. In this scientific statement Part II , we expand on previous review articles and guidelines and those topics covered in Part I [3] , with specific reference to CRF and PA as distinct risk factors, how to prescribe exercise, including the intensity, frequency, duration, and type of training activity, as well as the concept of MET-minutes per week.

Finally, we discuss the rationale for and value of exercise training programs for individuals with peripheral artery disease PAD , type 2 diabetes mellitus DM , and heart failure HF , or combinations thereof. Because physical inactivity and low CRF are modifiable risk factors, clinicians should routinely assess and prescribe structured exercise and increased lifestyle PA to the patients they counsel.