US Department of Health and Human Services. School Health Guidelines to Promote Healthy Eating and Physical Activity. Centers for Disease Control and Prevention. Dietary and Physical Activity Behaviors Among High School Students - Youth Risk Behavior Survey, United States, 2019. Merlo CL, Jones SE, Michael SL, et al. Data Resource Center for Child and Adolescent Health 2016. 2016 National Survey of Childrens Health. The Child & Adolescent Health Measurement Initiative (CAHMI). Sedentary behavior and physical activity in youth with recent onset of type 2 diabetes. Kriska A Delahanty L Edelstein S et al. Scandinavian Journal of Medicine & Science in Sports. Combined influence of healthy diet and active lifestyle on cardiovascular disease risk factors in adolescents. Cuenca-Garcia M Ortega FB Ruiz JR et al. Association of concurrent healthy eating and regular physical activity with cardiovascular disease risk factors in US youth. Loprinzi PD, Lee I, Andersen RE, Crespo CJ, Smit E. Washington, DC: National Physical Activity Plan Alliance, 2018. The 2018 United States Report Card on Physical Activity for Children and Youth. National Physical Activity Plan Alliance. Washington, DC: US Department of Health and Human Services 2018. Physical Activity Guidelines for Americans, 2nd edition. Washington, DC: US Dept of Health and Human Services 2018. 
2018 Physical Activity Guidelines Advisory Committee Scientific Report.
Physical Activity Guidelines Advisory Committee. 10–12 This approach is called Comprehensive School Physical Activity Programs. The national recommendation for schools is to have a comprehensive approach for addressing physical education and physical activity in schools. 
These guidelines state that children and adolescents be provided opportunities and encouragement to participate in physical activities that are appropriate for their age, that are enjoyable, and that offer variety.
Bone-strengthening: As part of their 60 minutes or more of daily physical activity, children and adolescents should include bone-strengthening physical activity on at least 3 days a week. Muscle-strengthening: As part of their 60 minutes or more of daily physical activity, children and adolescents should include muscle-strengthening physical activity on at least 3 days a week. 
Aerobic: Most of the 60 minutes or more per day should be either moderate- or vigorous-intensity aerobic physical activity and should include vigorous-intensity physical activity on at least 3 days a week.
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