ACSM American Fitness Index
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View the Rankings

The ACSM American Fitness Index ranks America’s 100 largest cities on their ability to support healthy, active lifestyles for residents.

Access Resources

The Fitness index supplies numerous blogs, infographics, guides and other resources to support healthy lifestyles for communities and individuals.

Download the Report

Download the full report of the 2024 rankings.

In 2008, the American College of Sports Medicine (ACSM) launched the ACSM American Fitness Index (Fitness Index), in partnership with the Elevance Health Foundation. The Fitness Index ranks America’s 100 largest cities on a composite of health behaviors, health outcomes, community infrastructure, and local policies that support a physically active lifestyle. With the help of the Fitness Index, local officials, community groups, health organizations, and individual residents can assess factors contributing to their city’s fitness, health, and quality of life.

The Fitness Index offers tailored guidance to local officials and community leaders that are ready to make their city one of the healthiest cities in America. This assistance focuses on strategies and policies with the best evidence for improving health, increasing physical activity, and that does the most good for the most residents – with a priority on under-served populations.

  • ACSM American Fitness Index Advisory Board

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For all media and information inquiries, contact ACSM Chief Communications Officer Paul Branks.