“…School is an appropriate setting where young people can improve their health and well-being [19]. It has been well documented that school-age children's physical fitness (i.e., cardiorespiratory endurance, muscular fitness, flexibility, and body composition) benefits from various types of school-based physical activity programs, such as classroombased active video game [15], comprehensive school physical activity program [5], physical education curriculum [16]. Specifically, Fu et al [15] reported that, after participating an 18-week active video game program in their classroom, a group of 6th grade school children improved cardiorespiratory endurance relative to the comparison group who did not play the active video game.…”