Studies revealed that the physical activity level of Chinese children and youth in Hong Kong are less than the US counterparts (Adab & Macfarlane, 1998; Hui, 2004). Limited studies were found to compare the physical fitness level between Chinese and American children. It is reported that 70-80% of US children and youth passed the FITNESSGRAM health-related fitness standards. However, no data is found to report the passing rates for Chinese children according to the FITNESSGRAM standards. The purpose of the present study was to evaluate the passing rates of Chinese children according to the FITNESSGRAM standards, and to compare with previously reported passing rates of the US counterparts. A total of 10,805 Chinese children and youth (age 9 to 19 years) participated in a citywide health-related fitness survey including the 1-mile run, push-up, sit-and-reach (SR), triceps & calf skinfolds, and body mass index (BMI) measurements. Age and gender specific passing rates were computed using the health-related cut-off criteria published by FITNESSGRAM. Results revealed that, for both gender, the 1-mile run, push-up, and SR performance improved steadily in S-shape as age increase. Sum of skinfold did not change much across age levels for boys, but reflected an inverted-U trend across age levels for girls (highest at age 15). Age and gender specific passing rates for the FITNESSGRAM ranged from 50% to 97%. However, the passing rates changes across age did not match with the patterns of fitness performance. When selected passing rates were compared with the US general children age 10 to 18 years (Looney & Plowman, 1990), US Asian & Pacific Islander youth age 10-13 years (Bungum et al., 1998), and US Hispanic youth (Weiller, 1994), the Chinese girls in Hong Kong demonstrated 5-18% lower passing rates in 1-mile run, 33% lower passing in SR, similar passing rates in skinfolds, but 6 to 23% higher passing rates in BMI. The Chinese boys in Hong Kong demonstrated 9-12% lower passing rates in 1-mile run, 19% lower passing in SR, 11% lower passing in push-up, similar passing rates in BMI, but 9% lower passing in skinfolds. In conclusion, the passing rates analysis suggests that the fitness levels of Chinese children and youth were lower than the US counterparts in general. It is also suggested that the health-related criteria proposed by FITNESSGRAM be reviewed in order to provide standards that are applicable to different cultural population. Keyword(s): assessment, measurement/evaluation, performance