Introduction: The prevalence of physical inactivity, affecting both children and adults, stands out as a paramount public health challenge in the 21st century. Physical inactivity is one of the major risk factors for diseases linked to obesity and cardiovascular disease. Physical activity in children emerges as a catalyst not just for enhancing their physical well-being but also for bolstering self-esteem, nurturing social skills, and shaping behavior which can contribute to the cultivation of a positive and enduring lifestyle throughout their lives.

Objective: To assess the fitness levels of elementary school students in Kamrup Metro, Assam, using the FitnessGram test.

Methods: A cross-sectional study was conducted among 468 students aged 7–11 years. Four FitnessGram tests (1-mile walk test, sit-and-reach, trunk lift, and curl-up) were administered to assess aerobic capacity, muscular strength, flexibility, and endurance. Descriptive statistics were done using the SPSS statistical tool.

Results: The results showed that boys demonstrated a significantly higher average aerobic capacity (VO2 max) than girls (p < 0.05). This superior performance by boys was consistently noted across other fitness measures, specifically the Sit-and-Reach, Curl-Up, and Trunk Lift assessments.

Conclusion: This research evaluated the physical fitness of elementary school children in Kamrup Metro, Assam, highlighting that boys exhibited significantly superior physical fitness as compared to girls in gender specific tests and contributions (significant at p < 0.001). Thus, the present study reveals the direct relationship of physical fitness (aerobic capacity, muscular strength and flexibility and endurance) among elementary school students using the FitnessGram test. As regular physical activity improves the physical fitness of an individual, adding various activities to the daily routine will not only help to improve fitness level but also to maintain a healthy lifestyle.

Prarthana Phukan is an academic professional and clinician in the field of physiotherapy. She completed her undergraduate education, earning a bachelor of physiotherapy from Assam Downtown University. Furthering her specialization, she pursued her postgraduate studies, obtaining a Master's degree in cardiorespiratory disorders in the year 2024. A dedicated researcher, Ms. Phukan has contributed to the academic literature with a total of four publications: two in international journals and two in Indian National Journals. Her research focuses primarily on areas related to rural & community health, childhood, and cardiovascular health. She is currently utilizing her expertise in her role as an assistant professor at the Shantha Group of Institutions, Karnataka.