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Russell R. Pate, PhD

Arch Pediatr Adolesc Med. 2007;161(5):522-523.

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

In reply

We agree with Dr Nasca that too many American youths fail to meet accepted standards for cardiorespiratory fitness; our study¹ found that about one third of boys and girls in the United States failed to meet such standards. We also agree with her fundamental point that large-scale public health initiatives are needed to promote physical activity in America's children and youth.

The youth track and field programs cited by Dr Nasca are well-established national networks that provide enjoyable athletic opportunities for thousands of youths each year. Clearly, organized sports programs can and do provide a sizeable fraction of American adolescents with meaningful amounts of physical activity. The Centers for Disease Control and Prevention's most recent Youth Risk Behavior Survey² shows that 56% of high school students participate in school sports teams and/or community-based sports programs. However, our experience and research findings suggest that a . . . [Full Text of this Article]

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