Lithuania’s 2018 Report Card on Physical Activity for Children and Youth Arunas Emeljanovas1, Brigita Mieziene1, Rita Gruodyte-Raciene1, Saulius Sukys1, Renata Rutkauskaite1, Laima Trinkuniene1, Natalija Fatkulina2, Inga Gerulskiene3, Tomas Daukantas4, Vita Balsyte5, Tatjana Zabolotnaja6 1Lithuanian Sports University; 2Vilnius University; 3Department of Physical Education and Sports; 4Ministry of Education and Science; 5National Olympic Committee of Lithuania; 6Ministry of Health Purpose of the study was to examine, present and describe core physical activity and fitness indicators on school-age children in Lithuania. Methods The 2018 Report Card included the 10 core PA indicators, which represents behaviors (Overall PA, Organized Sport and PA, Active Play, Active Transportation, and Sedentary Behaviors), settings and sources of social influences (Family and Peers, School, and Community and Environment), strategies and investments (Government) and health related Physical Fitness. Data from multiple sources were used to inform the grades in accordance with common benchmarks. Results Conclusions/recommendations Many PA indicators in Lithuanian children and youth show that actions need to be taken to improve the current situation. National recommendations for increasing PA and reducing sedentary behavior are also still missing. Attention should be focused on strengthening physical fitness at the national level. Finally, municipality level strategies and actions to encourage schools, communities, families and neighborhoods to get more involved in exercise and PA are needed. Overal Physical Activity C- Organized Sport Participation C Active Transportation Physical Fitness C+ Sedentary Behaviours Family and Peers D School Community and Environment Government