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Human settlements are categorized as rural or urban areas on the basis of the density of population and human formed structures in a particular area. Urban areas consist of towns and cities while rural areas contain villages and hamlets. The area of residence and environmental conditions might have an effect on anthropometric characteristics and physical fitness parameters of individuals residing in their respective places. Area of residence and environmental factors may be related to the disparities in activity patterns, diet, eating attitudes, availability of sports facilities, and chances for physical fitness activities. Anthropometric characteristics and body composition also affect physical fitness components. Understanding of body build and body composition is important in the assessment of human performance, health, motor characteristics, and physical fitness of the children. The present book provides information on anthropometric and physical fitness characteristics of children living in rural and urban areas. The children are analyzed and compared on anthropometric and physical fitness characteristics between rural and urban settings.