Abstract: Based on the 11 years' experience of American College of Sports Medicine (ACSM) in Worldwide Fitness Trend Survey, this study utilized on-line questionnaire to conduct a survey on the fitness trend in China.Results indicated that the top 20 fitness trends in China for 2018, were strength training, wearable technology, youth sport, body weight training, outdoor activities, core training, group training, integration of exercise and medicine, educated, certified, and experienced fitness professionals, fitness walking, boutique fitness studios, licensure for fitness professionals, mobile phone exercise Apps, children and exercise for the treatment/prevention, yoga, exercise nutrition guidance, personal training, fitness social clubs, exercise for weight loss, and outcome measurements.2018 China Fitness Trends and 2018 Worldwide Fitness Trends shared 11 trends.Among the 9 different trends between the two surveys, 3 were the newly-added trends in the China Fitness Survey, which were youth sport, fitness walk, and exercise nutrition guidance, and one substitute trend in the China Fitness Survey, which was integration of exercise and medicine.It is suggested that the fitness professionals, as well as the corresponding bodies of public health and sport management in China, should fully consider the consistency and difference between the China fitness trend and worldwide fitness trend, develop the China-specific fitness industry, and promote the implementation of the policy of Health China 2030.