Today, health status is determined more by one's personal behaviors rather than advances in medical technology, availability of health services, or other factors; and research demonstrates that education in schools can influence the health-related behaviors of students.

Healthful Living is a combination of health education and physical education. The two courses should complement each other. Students should experience a sequential educational program that will involve learning a variety of skills that enhance a person's quality of life.

Research continues to support the need for comprehensive sequential instruction to reduce risk-taking behaviors and encourage health-promoting behaviors among youth.

A minimum of 1 credit of Healthful Living, which reflects both Health Education and Physical Education, is required for graduation from a North Carolina public high school.