text: Health Related Physical Fitness and Activity in Homeschool A Systematic Review With Implications for Return to Public School The purpose of this systematic review is to summarize what is known about health related physical fitness cardiovascular endurance muscular strength and endurance flexibility and body composition and physical activity among homeschool youth Findings from this study have implications for all American youth as they return to public school from mandated schooling at home during the COVID 19 pandemic Database engines identified over 22 000 articles with 82 abstracts screened for further review Of these 18 full text articles were additionally screened with 10 cross sectional articles included in the final review Articles were condensed into a standard review template and findings were summarized by topic Cardiovascular endurance findings were inconsistent Abdominal but not upper body muscular strength and endurance were significantly lower in homeschool students There were no reports on flexibility Body composition was generally healthy in homeschool students and no differences in physical activity were seen Research on health related physical fitness in homeschool youth is limited and descriptive Further testing and potential remediation may be needed for cardiovascular endurance muscular strength and endurance and flexibility in homeschool youth and their public school counterparts as they return to campus However existing literature supports healthy body composition and physical activity in this population 