The nutritional status and health behaviors of fourth grade students in Virginia were studied using a survey and collection of anthropometric data. A total of 904 students were surveyed to determine nutrition and physical activity behaviors. The surveys were conducted in a classroom setting using the Child and Adolescent Trial for Cardiovascular Health (CATCH) survey tool. Selection was based on a random sample representing the overall demographics of Virginia. Using standardized protocols, nutritionists administered the survey. In addition, they collected each child's height, weight, and date of birth. Following the survey and measurements, the nutritionist conducted a ''heart healthy'' lesson for each class. The findings show that one-third (33.7%) of the students were identified as either overweight or obese based on BMI measurements. Although the children indicated on the survey that they were knowledgeable about which foods are most nutritious, their food selections were not consistent with their knowledge. The children surveyed also reported that they engage in sedentary activities such as television, videos, or computers for an average of three (3) hours per day. In conclusion, overweight has been identified as a significant problem in Virginia. As professionals, we need to identify ways to encourage parents and children to engage in healthy behaviors, especially related to nutrition and physical activity.