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Melita M. Nasca, PhD, MS

Arch Pediatr Adolesc Med. 2007;161(5):522.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The article by Dr Pate and colleagues¹ fills in a long overdue gap in contemporary US youth cardiorespiratory fitness evaluation. It also confirms what those of us directly involved in youth fitness and performance have known for many years: a majority of contemporary American youth is physically unfit. As pointed out by the authors, the association between low youth cardiorespiratory fitness and a plethora of cardiometabolic risk factors has been well documented in the literature. Unfortunately, while much has been said and written about the causes, few real-life, sustained solutions have been identified so far. Therefore, immediate and specific action to improve US youth cardiorespiratory fitness is urgently needed.

Ideally, age-appropriate cardiorespiratory fitness programs should be readily available to virtually all American youth, regardless of age, sex, race/ethnicity, socioeconomic status, or geographic location. They should be cost-effective and sustained year round in an adult-supervised, safe, . . . [Full Text of this Article]

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US Youth Cardiorespiratory Fitness Levels: Challenges and Solutions—Reply
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Arch Pediatr Adolesc Med. 2007;161(5):522-523.
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