![](https://americanfitnessindex.org/wp-content/uploads/2020/08/afi-blog_eating-healthy-2020-150x150.png)
The ACSM American Fitness Index, supported by the Anthem Foundation, ranks the 100 largest cities in America on a variety of personal and community health indicators, including number of farmers markets and fruit & vegetable consumption. The 2020 rankings revealed that these cities average 18.7 farmers markets per 1,000,000 residents, with Washington, D.C., topping the …