The Centers for Disease Control and Prevention and the American College of Sports Medicine have issued a recommendation for physical activity to achieve health promotion and disease prevention. The recommendation signals a shift in the exercise-fitness paradigm to emphasize the relationship between physical activity and health. A distinction is made between scheduled vigorous exercise and Intermittent moderate physical activity. Moderate physical activity, which can include occupational, household, and recreational activity, is recommended for all Americans. Contrary to previous beliefs, one no longer needs to adhere to a rigid schedule of vigorous exercise to achieve health benefit. Through the promotion of physical activity, primary care practitioners have an opportunity to significantly impact the nation's public health. Strategies to help clients achieve the desired activity levels are needed. Careful assessments and creative strategies will help clients meet the physical activity objective.