The article "School Medical Service: Strategies to Promote Psycho-Physiological Well-Being" by Francesco Tafuri and Francesca Latino discusses the importance of physical activity in schools, particularly in primary schools, for promoting psycho-physiological well-being among students. The authors emphasize that schools are ideal settings for educating children about active lifestyles, not only from a health perspective but also from psycho-pedagogical and social perspectives. They highlight the need to integrate physical activity into school routines, especially during class hours, breaks, and before and after lessons, to foster cognitive development, inclusiveness, and socio-relational factors. The review covers the current state of school medical services in Italy and their role in promoting health and preventing neuropsychological disorders. It also discusses the concept of physical literacy and its importance in health education programs. The authors argue that physical activity in schools can enhance emotional control, self-esteem, socialization, and autonomy skills, contributing to overall well-being. The article reviews various strategies for promoting physical activity in schools, including active breaks (ABs) and physically active classes. ABs are short periods of physical activity integrated into regular classroom activities, which have been shown to increase physical activity levels, improve cognitive functions, and enhance academic performance. The authors also discuss the benefits of physical activity on cognitive functions, attention, concentration, and memory, as well as its positive impact on school results and the general well-being of children and teachers. The review highlights the importance of involving multiple stakeholders, such as teachers, students, and families, in the implementation of these strategies. It also emphasizes the need for a multidisciplinary approach that considers the transversal needs and skills of children. The authors conclude by discussing the challenges and future directions for promoting physical activity in schools, particularly in Italy, and provide examples of successful multi-component projects from around the world.The article "School Medical Service: Strategies to Promote Psycho-Physiological Well-Being" by Francesco Tafuri and Francesca Latino discusses the importance of physical activity in schools, particularly in primary schools, for promoting psycho-physiological well-being among students. The authors emphasize that schools are ideal settings for educating children about active lifestyles, not only from a health perspective but also from psycho-pedagogical and social perspectives. They highlight the need to integrate physical activity into school routines, especially during class hours, breaks, and before and after lessons, to foster cognitive development, inclusiveness, and socio-relational factors. The review covers the current state of school medical services in Italy and their role in promoting health and preventing neuropsychological disorders. It also discusses the concept of physical literacy and its importance in health education programs. The authors argue that physical activity in schools can enhance emotional control, self-esteem, socialization, and autonomy skills, contributing to overall well-being. The article reviews various strategies for promoting physical activity in schools, including active breaks (ABs) and physically active classes. ABs are short periods of physical activity integrated into regular classroom activities, which have been shown to increase physical activity levels, improve cognitive functions, and enhance academic performance. The authors also discuss the benefits of physical activity on cognitive functions, attention, concentration, and memory, as well as its positive impact on school results and the general well-being of children and teachers. The review highlights the importance of involving multiple stakeholders, such as teachers, students, and families, in the implementation of these strategies. It also emphasizes the need for a multidisciplinary approach that considers the transversal needs and skills of children. The authors conclude by discussing the challenges and future directions for promoting physical activity in schools, particularly in Italy, and provide examples of successful multi-component projects from around the world.