GP Physical Activity Advice

A larger share of patients received only one or two 3As components rather than the full set. Just over one-third of adults with self-reported ischaemic heart disease and GP contact reported receiving comprehensive GP physical activity advice covering all three 3As elements. Nearly one in ten patients with ischaemic heart disease received no physical activity advice from their GP at all. Among patients who received any 3As advice, only about half also received the Assist component involving practical recommendations. The findings indicate that guideline implementation for physical activity advice in German primary care remains incomplete. The Disease Management Programme for ischaemic heart disease in Germany mandates lifestyle counselling including physical activity advice, yet practice falls short.