This paper takes on a different address to youth fitness testing from previous literature by applying a cross-cultural comparison of youth fitness testing in both the US and China. Utilizing a modified version of Bronfenbrenner's Ecological Model, the chronosystem (historical evolution over time), and macrosystem (social and cultural vantage…

Statewide physical fitness testing is gaining popularity in the United States because of increased childhood obesity levels, the relations between physical fitness and academic performance, and the hypothesized relations between adult characteristics and childhood physical activity, physical fitness, and health behaviors. Large-scale physical…

To curb the epidemic of obesity in the United States, revised Medicare policy allows support for efficacious obesity treatments. This review summarizes the evidence from rigorous randomized trials (9 lifestyle trials, 5 drug trials, and 2 surgical trials) on the efficacy and risk-benefit profile of lifestyle, drug, and surgical interventions aimed…

The current state of physical fitness in American youth is unknown. While evidence exists that obesity levels are increasing in children and youth, data on declines in physical fitness measures (i.e., cardiorespiratory and musculoskeletal fitness) are lacking. Tracking of physical fitness components has been poorly done. Surveillance of behaviors…

Overweight children would not be the first thing a visitor to Grafton, West Virginia, would think of when seeing the small farms that cling to steep hillsides and cultivate the bottomland along the Tygart River as one drives into town. Like most of the state, the landscape around this village nods to pastoral enterprise, suggesting a place where…