During the past twenty years much attention has been given to a condition of impaired health during the period of growth and development. This has been designated as malnutrition, its most constant sign being underweight.
The markedly overweight also present clinical signs of impaired health; therefore, the term physical unfitness, which includes both groups and also a smaller number who are unfit for other reasons, seems to be the most useful designation to describe the large group of students who, though not sick, have impaired health to a greater or less degree.
In attempting to determine the extent of physical unfitness in the preparatory school, the problem in two situations has been studied: (1) the health of graduates of the preparatory schools when they enter college; (2) the health of undergraduates during their four years in preparation for college.
THE HEALTH OF PREPARATORY SCHOOL GRADUATES ON ADMISSION TO COLLEGE
EMERSON WRP. PHYSICAL UNFITNESS IN THE PREPARATORY SCHOOL. Am J Dis Child. 1932;44(3):509-523. doi:10.1001/archpedi.1932.01950100026004