International Comparisons ACSM’s Worldwide Survey of Fitness TrendsKercher, Vanessa M., Ph.D., SSC, M.Ed., BESSACSM's Health & Fitness Journal: November/December 2018 - Volume 22 - Issue 6 - p 24–29 doi: 10.1249/FIT.0000000000000431 Features Abstract Author InformationAuthors Article MetricsMetrics Apply It! From this article, the reader should understand the following concepts: Identify top 20 trends for United States, China, and Spain survey respondents. Recognize similarities and differences between the U.S. fitness trends top 20 compared with China and Spain. Explore demographic relationships between fitness trend survey respondents in United States, China, and Spain. Vanessa M. Kercher, Ph.D., SSC, M.Ed., BESS, specializes in the science, study, and measurement of behavior as a psychometrician at Kalispell Regional Healthcare for The Summit Medical Fitness Center. Dr. Kercher is responsible for the design, development, and evaluation of new and existing measures to characterize dimensions related to health behaviors for clinical and performance programs at The Summit. Her research passion focuses on helping individuals optimize their physical activity experiences to promote sustainable, positive health behaviors. The author declares no conflict of interest and does not have any financial disclosures. © 2018 American College of Sports Medicine.