Evidence from national fitness assessments of school children indicates a clear trend of decline in various indicators of physical fitness over a 20-year period, with increased levels of body mass index (BMI). 10 A leveling-off of the early declining trend in fitness was reported in 2010 and 2014, but an increase in BMI continued. 11 , 12 However, given the recent negative trends in low physical activity 13 , 14 , 15 and rates of obesity 16 , 17 among children and adolescents, the need for monitoring and tracking school children's physical fitness remains as a high public health priority.
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Prevalence of physical fitness in Chinese school-aged children: Findings from the 2016 Physical Activity and Fitness in China-The Youth Study.
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