It has been two years since First Lady Michelle Obama's Let's Move! initiative prompted families, individuals and organizations to take their health into their own hands. The campaign has given American families the motivation to live a healthier life through physical activity and nutrition, and continue the fight against childhood obesity.

Along with Let's Move!, the National Physical Activity Plan, Exercise is Medicine^(R)(EIM), Childhood Obesity Awareness Month and countless other initiatives are strengthening the movement. Each of these initiatives brings something unique. Exercise is Medicine Month in May is the special recognition month for EIM and a time for everyone to idenfity, emphasize and celebrate the valuable health benefits of exercise on a national scale.

In 2012, American College of Sports Medicine (ACSM) members were involved in the Let's Move Faith & Communities' Communities on the Move Video Challenge. The popular choice award went to a video called "100 Citizens: Role Models for the Future." 100 Citizens promotes the message that ending childhood obesity begins at home with the family.

USA Today's Family Fitness Challenge, which launched this month, paired six families with fitness experts to help them reach their health goals within four months. While sharing stories about their progress, they will also provide tips, tools and guidance everyone can use to start living a healthier life.

Along with these programs and initiatives, we continue to learn more every day from new research about exercise, nutrition, physiology and motivation. Our programs and policies are more effective than ever because of our growing base of information. From molecular-level, basic science to studies of group interaction and epidemiology, new knowledge is providing a solid base of evidence to underpin our efforts.

How do your efforts complement the work of Let's Move!, the National Physical Activity Plan and other initiatives?

The First Lady's Let's Move! initiative has been embraced by individuals and organizations across the country, and has helped to raise awareness of the importance of healthy behaviors like physical activity and healthy eating. It has also generated additional engagement across all sectors - public and private - in making commitments to help ensure that this generation of children, and those that follow, grow up in environments where the healthy choice is the easy choice. Through the impact of the initiative, we see that Mrs. Obama's role as the First Lady has truly allowed her to influence the daily lives of thousands.

YMCAs across the nation work every day to support the principles of Let's Move!. This work is in the DNA of our organization as a nonprofit committed to youth development, healthy living and social responsibility. For example, traditional Y programs like youth sports, camps and aquatics all engage children in physical activity and contribute to meeting the Physical Activity Guidelines for Americans. Other programs and activities, such as YMCA's Healthy Kids Day and Healthy Family Home, send healthy messages home with families. The two programs are similar to the Let's Move! initiative in that they support children and families in a variety of ways,including encouraging families to play each day, get outside, eat healthier, and connect with each other.

In addition, Ys across the country are working with other leaders to drive strategies that ensure communities are rich in opportunities for physical activity and healthy eating. The Y's Healthier Communities Initiatives - REACH and Community Transformation Grants (funded by CDC) and Statewide Pioneering Healthier Communities (funder by the Robert Wood Johnson Foundation) - now reach more than 200 communities nationwide. As a result of this work, many more communities have safe places for kids to play, more miles of walking trails, safe routes for children to bike to school, and policies to support physical activity and healthy eating throughout the school day.

Ys are also transforming their own their own environments to support healthy behaviors. Just over a year ago, we made a committment to the First Lady and Partnership for a Healthier America to adopt healthy eating and physical activity standards in Y early childhood and afterschool programs over the next five years; Ys are working toward that goal now. Many Ys are also adopting similar guidelines in other programs including sports, aquatics, membership, camps, and family programs.

All of these initiatives within the Y support the Physical Activity Guidelines for Americans, as well as Let's Move! goals. This year's anniversary of Let's Move! is a good time to reflect on how we are contributing to the effort to improve the health of our nation's children. What are you doing or your organization doing to improve healthy behaviors among kids?

This past month, the President's Council on Fitness, Sports & Nutrition (PCFSN) unveiled its new Presidential Youth Fitness Program. At first blush, it may seem like simply an update of the youth test familiar to generations of Americans. But that impression would represent a profound misunderstanding of the intent and content of the new test.

In fact, the Presidential Youth Fitness Program marks a fundamental shift in our national discourse on youth fitness.

As described in the PCFSN program materials, "The Presidential Youth Fitness Program places emphasis on the value of living a physically active and healthy lifestyle - in school and beyond."

Furthermore, Dr. Jayne Greenberg, a member of the PCFSN and school district administrator in Miami-Dade County Public Schools, notes that the program will "focus primarily on assessing health versus athleticism for America's youth."

So, basically, the test is no longer a tool for determining which kids won the athletic gene pool lottery. Now it's about assessing and tracking the health of American children. We at IHRSA wholeheartedly, unequivocally, and most enthusiastically applaud this new approach.

The need for this new test is urgent. While we celebrate the launch of the test, policymakers must also grapple with the "F as in Fat Report" released this month by the Trust for America's Health, which suggests that adult obesity rates could reach 60% in 13 states by 2030. All 50 states, according to the report, could experience obesity rates over 44% within 20 years.

We know that the causes of sedentary, unhealthy behaviors are varied and highly individualized, but surely the stigmatization of being labeled "unathletic" at an early age lingers destructively for many older Americans. In this new era of the Presidential Youth Fitness Program, young Americans will learn that physical activity is more than just a pull-up test or rope climb. They will learn that it's a gateway to a happier, healthier, and more productive life, regardless of one's ability to complete 60 sit-ups in one minute.

At IHRSA, we are committed to elevating and celebrating the best health club-based youth programs.

In a recent segment of IHRSA's "Ask an Industry Leader" series, we asked, "In a time when childhood obesity is at the forefront, what are good strategies for children/teen programming to get youth in my community more active and engaged in the club?"

Bill Parisi, Founder and CEO of Parisi Speed School, responded:

Youth fitness is all about motivation and engagement. Kids are noth thinking health and longevity, they want to have fun, be competitive, and most importantly, be accepted by their peers." [I also encourage clubs to] make your program inviting to the non-athlete by hiring staff who truly loves kids. The program itself does not have to be overly complicated, but it should be professional. You should have a respected youth performance brand, credible staff, and an environment that is motivating and professional.

What are some other successful strategies for creating effective youth programming?