American Heart Association Statement Highlights: Physical activity is the optimal first treatment choice for adults with mild to moderately elevated blood pressure and blood cholesterol who otherwise have low heart disease risk. About 21% of adults in the U.S. with mild to moderately raised blood pressure and 28-37% of those with mild to moderate elevated cholesterol levels may be best served by a prescription for lifestyle-only treatment, which includes increasing physical activity. Doctors can promote physical activity with their patients by asking them about activity levels at every visit, as well as providing resources and referrals to help them begin and continue regular physical activity.