Objectives: The purpose of this study was to examine the effects of child health program on body composition, body balance, physical fitness, health promotion behavior in obese elementary school. Methods: They ranged from the third to fith grade with over 20% body fat ratio. The subjects consisted of 20 obese elementary school children who participated in child health program. The contents of the program for 12 weeks from contained obese education, counseling and music rope jump twice a week. The program lasted from Sep. 3 to Nov. 30, 2007. The data were analysed with SAS 8.2. Results: Muscle mass(z=2.86, p=0.028), skeletal muscle mass(z=2.56, p=0.008), and fat free mass(z=2.57. p=0.006) in body composition were significantly increased. right arm balance(z=4.12. p=0.001), left arm balance(z=2.96, p=0.010), and trunk balance(z=3.70, p=0.001), right leg balance(z=2.42 p=0.013) in body balance were also significantly increased. endurance(z=2.61. p=0.028), agility(z=3.43, p=0.006), flexibility(z=4.37, p=0.000), power(z=6.94, p=0.000) in physical fitness were significantly increased. Health promotion and behaviors were significantly increased(z=2.21. p=0.012). Conclusions: Child health promotion seemed to be useful for body composion, body balance. physical fitness and health promotion behavior.