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.
Nasca MM. US Youth Cardiorespiratory Fitness Levels: Challenges and Solutions. Arch Pediatr Adolesc Med. 2007;161(5):522-523. doi:10.1001/archpedi.161.5.522-a