Health organizations recommend children get 60 minutes of daily physical activity. Research has shown that children in the United States of America are coming up well short of this number and are struggling with a variety of mental health and physical health issues while their academics are decreasing. These issues have been magnified by the pandemic that lasted from 2019-2022. The structure of instruction in the classroom and the school day can help increase the amount of physical activity a child receives. The purpose of the study was to see if a relationship existed between Ohio elementary principals' knowledge of the benefits of physical activity and the amount students receive daily. The implications of the findings can be used to increase the amount of daily physical activity of elementary students while at school, so they can reap the benefits. The results of the survey found that most elementary principals were aware of the numerous benefits of physical activity for their students; however, a significant difference was noted between understanding and ensuring students were getting 60 minutes of daily physical activity in their buildings. A variety of barriers to implementation were stated by principals for a lack of implementation. There was a stronger awareness by principals of the mental health benefits when compared to the awareness of the academic benefits. Principals were able to list a variety of benefits provided by regular physical activity. Attention and focus were mentioned as the greatest benefits of physical activity by principals. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]