The cognitive component of Health-Related Fitness (HRF) is particularly important for the student population and plays a significant role in promoting a healthy lifestyle and physical activity. This research aims to analyze the level of HRF knowledge of fifth and sixth-grade elementary school students in relation to gender, grade, and participation in sports. The sample consisted of 222 fifth and sixth grade students at elementary school of both sexes (110 girls), selected at random from different classes of the four elementary schools. The HRF knowledge assessment was done with a questionnaire having 28 questions with four answer options, one of which was correct. Students achieved 40.14% correct responses (Mean=11.24±3.39). A statistically significant difference in the HRF test was found between students of different grades (p=0.038) and different levels of participation in sports (p=0.001). The cluster analysis based on the HRF questionnaire identified two characteristic clusters of students. The first cluster consisted of students with an average score of 8.57±1.83 points (30.6% correct answers). This cluster contained a higher proportion of students who were predominantly male, attended the fifth grade, and relatively more represented non-participate in sports. The second cluster consisted of students with an average score of 14.17±1.91 (50.6% correct answers), who participated in sports and were predominantly female. These results are a cause for concern and indicate the necessity of focusing more intently on the acquisition of the necessary knowledge about HRF among elementary school-age students and their greater involvement in sports activities.
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