1. American Academy of Pediatrics; Committee on Sports Medicine and Fitness. Assessing physical activity and fitness in the office setting. Pediatrics. 93: 686-689, 1994.

2. American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD). Physical best: A physical fitness education & assessment program. Reston, VA: AAHPERD, 1988.

3. American Association for Health, Physical Education, and Recreation (AAHPER). AAHPER youth fitness test manual. Washington, DC: AAHPER, 1958.

4. American College of Sports Medicine. Opinion statement on physical fitness in children and youth. Med. Sci. Sports Exerc. 20: 422-423, 1988.

5. Atkins, C.J., K. Senn, J. Rupp, R.M. Kaplan, et al. Attendance at health promotion programs: baseline predictors and program outcomes. Health Ed. Q. 17: 417-428, 1990.

6. Blair, S.N. Are American children and youth fit? The need for better data. Res. Q. Exerc. Sport. 63: 120-123, 1992.

7. Blair, S.N., H.W. Kohl III, R.S. Paffenbarger, D.G. Clark, K.H. Cooper, and L.W. Gibbons. Physical fitness and all-cause mortality. JAMA 262: 2395-2401, 1989.

8. Butcher, A.H., G.C. Frank, D.W. Harsha, D.C. Serpas, et al. Heart Smart: A school health program meeting the 1990 objectives for the nation. Health. Ed. Q. 5: 17-34, 1988.

9. Carey W.B., R.L. Hegvik, and S.C. McDevitt. Temperamental factors associated with rapid weight gain and obesity in middle childhood. Dev. Behav. Pediatr. 9: 194-198, 1988.

10. Centers for Disease Control and Prevention. Vigorous physical activity among high school students - United States, 1990. Morbidity and Mortality Weekly Report. 41: 33-35, 1992.

11. Centers for Disease Control and Prevention. Physical activity and the prevention of coronary heart disease. Morbidity and Mortality Weekly Report. 42: 669-672, 1993.

12. Centers for Disease Control and Prevention. Health-risk behaviors among persons aged 12-21 years - United States, 1992. Morbidity and Mortality Weekly Report. 43: 231-233, 1994.

13. Corbin, C.B., and R.P. Pangrazi. Are American children and youth fit? Res. Q. Exerc. Sport. 63: 96-106, 1992.

14. Dennison, B.A., J.H. Straus, E.D. Mellits, and E. Charney. Childhood physical fitness tests: Predictor of adult physical activity levels? Pediatrics 82: 324-330, 1988.

15. Dietz, W.H., Jr. Childhood obesity: Susceptibility, cause, and management. J. Pediatr. 61: 813-819, 1983.

16. DuRant, R.H., T. Baranowski, T. Rhodes, B. Gutin, et al. Association among serum lipid and lipoprotein concentrations and physical activity, physical fitness, and body composition in young children. J. Pediatr. 123: 185-192, 1993.

17. Fletcher, G.F., S.N. Blair, J. Blumenthal, C. Caspersen, et al. Statement on exercise; Benefits and recommendations for physical activity programs for all Americans. Circulation. 86: 340-344, 1992.

18. Freedson, P.S. Physical activity among children and youth. Can. J. Sport Sci. 17: 280-283, 1992.

19. Gibbons, L.W., S.N. Blair, K.H. Cooper, and M. Smith. Association between coronary heart disease risk factors and physical fitness in healthy adult women. Circulation 67: 977-983, 1983.

20. Godin, G., and R.J. Shephard. Normative beliefs of school children concerning regular exercise. J. Sch. Health. 54: 443-445, 1984.

21. Gortmaker, S.L., W.H. Dietz, Jr., A.M. Sobol, and C.A. Wehler. Increasing pediatric obesity in the United States. Am. J. Dis. Child. 141: 535-540, 1987.

22. Greene, L., and M. Adeyanju. Exercise and fitness guidelines for elementary and middle school children. Elem. Sch. J. 91: 437-444, 1991.

23. Institute for Aerobics Research. Fitnessgram. Dallas: Institute for Aerobics Research, 1988.

24. Jensen, M.D., and J.M. Miles. The roles of diet and exercise in the management of patients with insulin dependent diabetes mellitus. Mayo Clin. Proc. 61: 813-819, 1986.

25. Killen, J.F., M.J. Telch, T.N. Robinson, N. Maccoby, B. Taylor, and J.W. Farquhar. Cardiovascular disease risk reduction for tenth graders. JAMA 260: 1728-1733, 1988.

26. Klesges R.C., L.H. Eck, C.L. Hanson, C.K. Haddock, and L.M. Klesges. Effects of obesity, social interactions, and physical environment on physical activity in preschoolers. Health Psych. 9: 435-449, 1990.

27. Kolbe, L.J. An epidemiological surveillance system to monitor the prevalence of youth behaviors that most affect health. Health Education 21: 44-48, 1990.

28. Koplan, J.P., C.J. Caspersen, and K.E. Powell. Physical activity, physical fitness, and health: Time to act. (Editorial) JAMA 262: 2437, 1989.

29. Krahenbuhl, G.S., J.S. Skinner, and W.M. Kohrt. Developmental aspects of maximal aerobic power in children. Exerc. Sport. Sci. Rev. 13: 503-538, 1985.

30. Kraus, H., and R.P. Hirschland. Minimum muscular fitness tests in school children. Res. Q. 25: 178-188, 1954.

31. Kuntzleman C.T. Childhood fitness: What is happening? What needs to be done? Prevent. Med. 22: 520-532, 1993.

32. Kuntzleman C.T. University of Michigan Dept. of Movement Science. Personal Communication.

33. Kuntzleman, C.T., and G.G. Reiff. The decline in American children's fitness levels. Res. Q. Exerc. Sport. 63: 107-111, 1992.

34. Lenfant, C. Physical activity and cardiovascular health: special emphasis on women and youth. Med. Sci. Sports Exerc. 24 (Suppl): S191, 1992.

35. Linder, C.W., and R.H. DuRant. Exercise, serum lipids, and Cardiovascular disease-risk factors in children. Pediatr. Clin. North Am. 29: 1341-1354, 1982.

36. Marwick, C. Pondering how to squeeze fitness programs into schools' budgetary, time constraints. JAMA 267: 616-621, 1992.

37. McGinnis, J.M., and P.R. Lee. Healthy people 2000 at mid decade. JAMA 273: 1123-1129, 1995.

38. Michigan Association for Health, Physical Education, Recreation, and Dance (MAHPERD). Physical Education: A Blueprint for the 1990's. A POSITION STATEMENT by MAHPERD, 1989.

39. Michigan Department of Public Health. Michigan: A View of Health Care. Division of Policy and Planning / Office of Policy, Planning, and Evaluation / Michigan Department of Public Health / Sept 23, 1993.

40. Michigan Department of Public Health. Michigan Health Statistics 1992. Michigan Department of Public Health / Office of the State Registrar and Division for Health Statistics/ Dec, 1993.

41. Moore, L.L., D.A. Lombardi, M.J. White, J.L. Campbell, S.A. Oliveria, and R.C. Ellison. Influence of parents' physical activity levels on activity levels of young children. J. Pediatr. 118: 215-219, 1991.

42. Morrison, J.A., C.J. Glueck. Pediatric risk factors for adult coronary heart disease: Primary atherosclerosis prevention. Cardiovasc. Rev. Rep. 2: 1269-1281, 1981.

43. Morrow, J.R., Jr., and P.S. Freedson. Relationship between habitual physical activity and aerobic fitness in adolescents. Pediatr. Exerc. Sci. 6: 315-329, 1994.

44. Must, A., P.F. Jacques, G.E. Dallal, C.J. Bajema, and W.H. Dietz. Long-term morbidity and mortality of overweight adolescents. N. Engl. J. Med. 327: 1350-1355, 1992.

45. Nixon, P.A., D.M. Orenstein, S.F. Kelsey, and C.F. Doershuk. The prognostic value of exercise testing in patients with cystic fibrosis. N. Engl. J. Med. 327: 1785-1788, 1992.

46. Orenstein, D.M., P.A. Nixon, E.A. Ross, and R.M. Kaplan. The quality of well-being in cystic fibrosis. Chest 95: 344-347, 1989.

47. Paffenbarger Jr., R.S., R.T. Hyde, A.L. Wing, and C.-C. Hsieh. Physical activity, all-cause mortality, longevity of college alumni. N. Engl. J. Med. 314: 605-614, 1986.

48. Pate, R.R. Physical activity assessment in children and adolescents. Crit. Rev. Food Sci. Nutr. 33: 321-326, 1993.

49. Pate R.R., M. Dowda, and J.G. Ross. Associations between physical activity and physical fitness in American children. AJDC 144: 1123-1129, 1990.

50. Pate, R.R., M. Pratt, S.N. Blair, W.L. Haskell, et al. Physical activity and public health. JAMA 273: 402-407, 1995.

51. Pate, R.R., and J.G. Ross. Factors associated with health-related fitness. JOPERD. 58: 93-96, 1987.

52. Payne V.G., and J.R. Morrow, Jr. The effect of physical training on prepubescent VO_2max: A meta-analysis. Res. Q. Exerc. Sport. 64: 305-313, 1993.

53. Perry, C.L., E.J. Stone, G.C. Parcel, R.C. Ellison, et al. School-based cardiovascular health promotion: The child and adolescent trial for cardiovascular health (CATCH). J. Sch. Health 60: 406-413, 1990.

54. Raitakari, O.T., K.V.K. Porkka, S. Taimela, R. Telama, L. Rasanen, and J.S.A. Viikari. Effects of persistent physical activity and inactivity on coronary risk factors in children and young adults. Am. J. Epidemiol. 140: 195-205, 1994.

55. Roccini, A.P., V. Katch, J. Anderson, J. Hinderliter, et al. Blood pressure in obese adolescents: Effect of weight loss. Pediatrics 82: 16-23, 1988.

56. Ross J.G., and R.R. Pate. The national children and youth fitness study II. A summary of findings. JOPERD. 58: 51-56, 1987.

57. Rowland, T.W. Exercise and Children. Champaign, IL: Human Kinetics Publishers, Inc., 1990.

58. Sallis, J.F. Epidemiology of physical activity and fitness in children and adolescents. Crit. Rev. Food Sci. Nutr. 33: 403-408, 1993.

59. Sallis, J.F., and K. Patrick. Physical activity guidelines for adolescents: consensus statement. Pediatr. Exerc. Sci. 6: 302-314, 1994.

60. Shear, C.L., D.S. Freedman, G.L. Burke, D.W. Harsha, L.S. Webber, and G.S. Berenson. Secular trends of obesity in early life: The Bogalusa heart study. Am. J. Pub. Health. 78: 75-77, 1988.

61. Simons-Morton, B.G., G.S. Parcel, T. Baranowski, R. Forthofer, and N.M. O'Hara. Promoting physical activity and a healthful diet among children: Results of a school-based intervention study. Am. J. Pub. Health. 81: 986-991, 1991.

62. Strong, W.B. Physical activity and children. Circulation. 81: 1697-1701, 1990.

63. Symons, C.W., J.L. Gascoigne. The nation's health objectives--A means to school-wide fitness advocacy. JOPERD 61: 59-63, 1990.

64. Tappe, M.K., J.L. Duda, and P.M. Ehrnwald. Perceived barriers to exercise among adolescents. J. Sch. Health. 59: 153-155, 1989.

65. Tell, G.S., and O.D. Vellar. Physical fitness, physical activity, and Cardiovascular disease risk factors in adolescents: The Oslo youth study. Prevent. Med. 17: 12-24, 1988.

66. Treiber, F.A., W.B. Strong, F.W. Arensman, and M. Gruber. Relationships between habitual physical activity and cardiovascular responses to exercise in young children. In, Children and Exercise XIII, S.C. Oseid and K.H. Carlson (Eds.) Champaign, IL: Human Kinetics Publishers, 1989, pp. 285-294.

67. Updyke, W.F. In search of relevant and credible physical fitness standards for children. Res. Q. Exerc. Sport. 63: 112-119, 1992.

68. U.S. Department of Health Human Services. Healthy Children 2000. Washington, DC: U.S. Department of Health Human Services, Public Health Service; 1991, pp. 10-16.

69. Webber, L.S., J.L. Cresanta, A.W. Voors, and G.S. Berenson. Tracking of cardiovascular disease risk factor variables in school-age children. J. Chron. Dis. 36: 647-660, 1983.

70. Whitehead, J.R., C.L. Pemberton, and C.B. Corbin. Perspectives on the physical fitness testing of children: The case for a realistic educational approach. Pediatr. Exerc. Sci. 2: 111-123, 1990.

71. Williams, D.P., S.B. Going, T.G. Lohman, D.W. Harsha, et al. Body fatness and risk for elevated blood pressure, total cholesterol, and serum lipoprotein ratios in children and adolescents. Am. J. Public Health. 82: 358-363, 1992.