Urban 8th- and 11th-grade students reported the lowest prevalence of PA. Suburban or rural schools were significantly more likely than their urban counterparts to report higher school-based sports team participation in 8th graders; higher vigorous PA and strengthening exercise in 11th-grade boys; and higher physical education attendance in 4th and 11th graders. The researchers observed few significant geographic differences in prevalence of television watching and video game playing.