Background: A school-based obesity prevention study (Medical College of Georgia FitKid Project) started in the fall of 2003 in 18 elementary schools. Half of the schools were randomized to an after-school program that included moderate-to-vigorous physical activity, healthy snacks, homework assistance, and academic enrichment. All third graders…

Already in childhood, (a) high general and visceral fatness and poor cardiovascular (CV) fitness are linked with dyslipidemia, elevated blood pressure, and insulin resistance; (b) higher fatness is associated with low amounts of vigorous physical activity (PA) and relatively "low" energy intake; (c) higher CV fitness is more clearly associated…