The school setting allows an opportunity to positively influence child health because most children attend school for approximately 7 h, 5 d•wk −1 . Most of the U.S. school day is spent sedentary (~64%) and indoors (~92%) while focusing on academic subjects (~95%) in a structured classroom setting (1). By contrast, recess is an unstructured break that affords time for physical activity (PA), socialization, creative and risky play, and outdoor experiences and serves as a respite from academic pressures and the expectations of adults.Much research has focused on recess as an opportunity for PA (2). Positive associations between recess and children's cardiometabolic or bone health may occur through this increased opportunity for PA or alternative pathways like stress reduction. Recess or unstructured PA has been related to lower blood pressure and improved high-density lipoprotein cholesterol (3). Although they have not been studied directly, recess PA may be particularly well suited to benefit bone development because they are vigorous in intensity, intermittent, weight bearing, or include unusual strain distributions, all of which have been shown to improve bone mineral content (4). Recess is primarily held outdoors so children may also receive other potential benefits (or detriments) from sun exposure, like increases in vitamin D levels (5), or exposure to natural elements like greenery that leads to reductions in blood pressure (6) or stress-related biomarkers like C-reactive protein. Despite support for the established and potential benefits of recess overall, only limited research is available on the association of the amount of recess provided ("recess provision") with these or other outcomes (7-9).Recess provision varies among schools because scheduling decisions are often made at the school level. Specifically, an analysis of U.S. surveillance data from 2014 indicated that most elementary schools provided regularly scheduled recess, but the amount ranged from 5 to 65 min•d −1 (10). Although little research has aimed to identify the optimal recess provision to accrue psychosocial, cognitive, or physical health benefits