The purpose of this study was to determine the prevalence and characteristics of health-related fitness (HRF) and physical activity (PA) courses at U.S. institutions of higher learning. Data were obtained from 116 two- and four-year colleges and universities. The results show that health-related fitness courses were offered at many 2-year (89.2%) and 4-year institutions (82.0%), while physical activity courses were also widely available with 86.5% of 2-year schools and 87.2% of 4-year schools offering such courses. There was no significant association between the type of institutions and the prevalence of HRF or PA courses, and there were more similarities than differences between 2-year and 4-year institutions regarding other aspects of HRF and PA courses. It was found, however, that a large portion of both 2-year and 4-year institutions provided HRF courses involving the use of the Internet. The results also indicate that the prevalence of HRF courses has increased at U.S. institutions in the past 10 years. (Contains 6 tables.)