**Background:** Physical fitness (PF) is a critical health marker in adolescence, associated with cardiovascular health, metabolic risk, and even cognitive performance. While objective field tests exist, self-reported fitness assessments offer a time-efficient alternative for large groups. The Visual Analogue Fitness Perception Scale for Adolescents (FP VAS A) is one such tool. Previous research suggests sex differences in self-perceived PF, with boys generally scoring higher, but evidence on the influence of school location (rural vs. urban) and correlations with age and BMI is limited and sometimes contradictory. This study aimed to analyze self-reported PF in secondary school students and investigate differences by sex and center location, as well as correlations with age and BMI.
**Methods:** A cross-sectional study was conducted between September and December 2022. Using convenience sampling, 961 secondary education students (mean age 14.71 years, SD = 1.58; mean BMI 20.61, SD = 3.36) from public schools in Extremadura, Spain were recruited. The sample was gender-balanced (48.8% boys, 51.2% girls). Schools in towns with <20,000 inhabitants were classified as rural (31.9%), those with >20,000 as urban (68.1%). Participants completed the FP VAS A, a 5-item scale assessing general physical fitness, cardiorespiratory endurance, muscular strength, speed-agility, and flexibility on a 1–10 Likert scale. The instrument showed satisfactory reliability (Cronbach's alpha = 0.77 in this study). Due to non-normal distribution (Kolmogorov-Smirnov test), non-parametric tests were used: Mann-Whitney U for group comparisons, Spearman's Rho for correlations, and Hedges' g for effect sizes.
**Key Results:** Boys scored significantly higher than girls on all FP VAS A items except flexibility: overall physical fitness (boys: M=7.30, SD=1.75; girls: M=6.47, SD=2.07; p<0.001, g=0.431), cardiorespiratory endurance (boys: M=7.32, SD=2.13; girls: M=6.32, SD=2.41; p<0.001, g=0.438), muscular strength (boys: M=7.17, SD=1.81; girls: M=6.05, SD=2.16; p<0.001, g=0.560), and speed-agility (boys: M=7.68, SD=1.93; girls: M=6.30, SD=2.30; p<0.001, g=0.647). Girls scored significantly higher on flexibility (boys: M=5.47, SD=2.43; girls: M=6.35, SD=2.40; p<0.001, g=0.336). The overall FP VAS A score was significantly higher for boys (M=6.98, SD=1.43) than girls (M=6.29, SD=1.69; p<0.001, g=0.438). No statistically significant differences were found by center location on any item, though rural students scored slightly higher on most items. Regarding correlations with age, significant inverse associations were found for cardiorespiratory endurance (ρ=-0.138, p<0.001), movement speed (ρ=-0.076, p=0.009), and muscular strength (ρ=-0.062, p=0.035). BMI showed significant inverse correlations with overall physical fitness (ρ=-0.202, p<0.001), cardiorespiratory endurance (ρ=-0.226, p<0.001), movement speed (ρ=-0.268, p<0.001), and flexibility (ρ=-0.063, p=0.033). The overall FP VAS A score correlated inversely with both age (ρ=-0.092, p=0.002) and BMI (ρ=-0.197, p<0.001).
**Clinical Implications:** The findings confirm significant sex-based disparities in self-perceived PF, with boys consistently rating themselves higher except in flexibility. This aligns with prior research linking self-perception to actual PA levels and physical self-concept. The lack of significant rural-urban differences suggests school location may not be a major determinant of fitness perception in this population. The inverse correlations between BMI and self-perceived PF across multiple domains underscore the potential psychological impact of overweight on adolescents' body image and physical self-esteem. These results support the need for targeted educational interventions—particularly for girls—to promote PA, improve fitness perceptions, and combat sedentary lifestyles. The authors recommend active teaching methodologies, active breaks, and cross-curricular PA integration. Limitations include the cross-sectional design (preventing causal inference), regional specificity to Extremadura, and reliance on self-report. Future research should explore causal pathways and extend to other regions.