Physical, intellectual, social, emotional, and spiritual fitness are included in... A. Health-related fitness. B. Fitness-related fitness. C. Skill-related fitness. D. Recreational fitness.

I think it's A

Explanation:

Physical, intellectual, social, emotional, and spiritual fitness are all the things that are included in health-related fitness. Doing something physical helps with blood flow, health. Intellectual fitness helps to feed the mind, health. Social fitness helps for your health also. Emotion fitness helps for your health. Emotions can affect your health. Spiritual fitness, like meditating, can be health-related, depending on what you're meditating about.