This article seeks to advance our understanding of the convergence of physical activity and public health through a novel theorization drawing upon, applying and developing figurational sociological principles of Norbert Elias. More specifically, we focus on four core aspects of Elias' theoretical corpus: interdependencies; forethought (as an aspect of civilizing processes); the interaction of "fact" and emotion in socially determining knowledge; and the hinge. As such, we argue that contemporary interest in physical activity health promotion (PAHP) can be attributed to the amalgamation of: distinctive figurations of interdependency ties; an associated development in the internalization of human self-control; conceptions of 'truth' which derive from a combination of scientific evidence, ideological desires, and the gratification brought from the 'holding' of such beliefs; and the intersection of social and biological processes on the human body. This paper advances existing figurationally-informed theoretical analyses of health and medicine, in highlighting the essential interconnectivity of Elias's key ideas. This approach is, in turn, more faithful to Elias' advocacy of a radically relational sociological perspective. The result is both an original conceptualization of this increasingly significant social phenomenon, and a more explicit elucidation of the distinctive Eliasian framework through which future theoretically-informed empirical research into contemporary health and medicine can be developed.