National health statistics highlight a serious problem in adolescent girls and boys. Too many teenagers are sedentary, unfit, overweight, and prone to related health consequences (Fagot-Campagna, Pettit, Engelgau, Burrows, & Geiss, 2000; Flegal, 1999; Ogden, Flegal, Carroll, & Johnson, 2002; Troiano & Flegal, 1998). Ethnic teens have been less well studied, even though data clearly show a high prevalence of cardiovascular disease and risk factors in African American and Latino adults (U.S. Department of Health and Human Services [USDHHS], Centers for Disease Control and Prevention [CDC], & National Center of Health Statistics, 2003). The purpose of this article is to bring attention to an important public health problem in urban teenagers, to present a unique physical education program that was developed to address the problem, and to provide recommendations for increased emphasis on health-based physical education in teacher preparation programs. (Contains 3 tables and 3 figures.)