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A Qualitative Study of the Benefits and Challenges of Fitness Testing and Activity Monitoring in School; Interviews with School Staff in Southern California

Margaret Schneider, Amanda Woodworth, Allyson Reeds & Trent D. Brown

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Physical inactivity is a behavioral pandemic (Hall et al., 2021; Pratt et al., 2020) that begins during childhood and adolescence (World Health Organization, 2022), and an analysis of 1.6 million students across the globe in 2016 found that 81% did not meet physical activity (PA) guidelines (Guthold et al., 2020). Although a comparable global estimate of youth meeting PA guidelines has not been issued since 2020, a report on the Global Matrix 4.0 Physical Activity Report Card (Aubert et al., 2022), published in 2022, concluded that “the average grades calculated for the 10 PA common indicators were all between D and C+, indicating that we are not succeeding at promoting PA among children and adolescents globally” (p. 709). To address this problem, there is a compelling need to improve adolescent physical activity surveillance (van Sluijs et al., 2021).

Historically, PA surveillance has been accomplished through self-report. The Youth Behavioral Risk Surveillance System (YRBSS) in the United States, conducted by the Centers for Disease Control and Prevention every 3 years, provides estimates of the proportion of high school youth meeting PA guidelines, and data from 2023 (Centers for Disease Control and Prevention, 2025b; Michael et al., 2023) found that only 25% high school students met recommended PA guidelines. Data from 2019 (the most recent date for which Californiaspecific data are available) show that 38.7% California high school students met PA guidelines (Centers for Disease Control and Prevention, 2025a). While useful as a periodic indicator of the health of the nation, such sample- based surveillance systems do not facilitate the evaluation of interventions or enable identification of effective local policies. To afford these evaluative functions, data are needed at the local community level.

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