Tag: Fittest City

2018 American Fitness Index Overview Infographic

According to the 2018 ACSM American Fitness Index, the top 10 fittest cities in the U.S. are:

  1. Arlington, VA
  2. Minneapolis, MN
  3. Washington, D.C.
  4. Madison, WI
  5. Portland, OR
  6. Seattle, WA
  7. Denver, CO
  8. St. Paul, MN
  9. San Jose, CA
  10. Boise, ID

Share this infographic and the Fitness Index with your city officials and local leaders to start a conversation on making your city a healthier place for all residents.

Download a PDF of the Infographic here.

10th Annual American Fitness Index Reveals Minneapolis-St. Paul as the Newest “Fit City”

Half of metro areas saw scores improve

Indianapolis (May 16) – The twin cities of Minneapolis-St. Paul edged Washington, D.C. in the 10th annual American Fitness Index (Fitness Index) rankings released by the American College of Sports Medicine (ACSM) and the Anthem Foundation, the philanthropic arm of Anthem, Inc.  The nation’s capital held the top spot for the past three years and improved its score in 2017, but Minneapolis-St. Paul still finished on top despite the challenges of being a northern state with hard winters. (Link – View the rankings and individual metro data here or at the chart below.)

San Francisco-Oakland finished third this year, Seattle-Tacoma fourth, San Jose fifth, Boston sixth and Denver seventh. The top seven cities in the 2017 Fitness Index are between 4-13 percentage points ahead of the rest of the pack, principally related to lower rates of smoking and cardiovascular disease deaths and higher reported physical activity, consumption of fruits and vegetables, and per capita park expenditures in their communities.

Nationally, there were some remarkable positive shifts during the last year:

  • 16.0% increase in the percent who met the recommendations for aerobic and strength in the last 30 days
  • 10.5% drop in the percent with diagnosed angina or coronary heart disease
  • 3.9% increase in walkability scores
  • 3.9% increase in the percent who live within a 10-minute walk to a park
  • 3.7% increase in the total park expenditures per capita
  • 4.0% increase in the number of recreation centers per 20,000 residents

Metropolitan Statistical Areas (MSA) with the greatest improvement in their rankings since last year included San Jose, Los Angeles, Miami, Buffalo, Orlando and Las Vegas.

The 2017 Fitness Index rankings also revealed some shortcomings over the past year:

  • 11.7% increase in the rate of diabetes deaths
  • 6.3% reduction in the percent of residents biking or walking to work
  • 6.2% decrease in the percent of individuals eating the recommended number of servings of fruit
  • 4.6% reduction in the number of tennis courts per 10,000 residents

MSAs experiencing the largest drop in their rankings this year included Virginia Beach, Richmond, Providence, Philadelphia, Kansas City, New Orleans and Charlotte.

Against the backdrop of its 10th anniversary,  the Fitness Index offers some insightful long-term trends:

    • Smoking rates have declined (18.7% to 16.7%)
    • Drops in the death rates for diabetes (24.0/100,000 to 18.7/100,000) and cardiovascular diseases (223.0/100,000 to 174.6/100,000)
    • The number of farmers’ markets have increased (11.0/1,000,000 to 19.8/1,000,000)
    • Increases in the percent of residents using public transportation to work doubled (2.1% to 4.4%)
    • Residents biking or walking to work doubled (1.3% to 2.9%)
    • Total park expenditures per capita increased ($100 to $106)

Conversely, the 10-year comparison of Fitness Index indicators uncovered some challenges:

    • The percent categorized as obese increased (25.4% to 28.7%)
    • The percent self-reporting as having excellent or very good health declined (55.6% to 52.1%)
    • The percent diagnosed with asthma increased (8.2% to 9.0%), as did the percent with diabetes (8.0% to 10.7%)

The ACSM American Fitness Index provides evidence-based data and a number of valuable resources that help cities promote healthy lifestyles.  To aid communities in promoting physical activity and enhancing quality of life, ACSM and Anthem Foundation developed and released  the Community Action Guide offering an overview of the critical decisions and factors related to effective community action:  https://americanfitnessindex.org/community-action-guide/

“Our ultimate goal is to offer individuals, families and communities trusted resources that can help them assess, plan and implement policies that promote positive health outcomes,” said Walter R. Thompson, Ph.D., FASCM, who chairs the Fitness Index Advisory Board and is president-elect of ACSM. “Ten years of evidence-based data offers these cities and their citizens valuable insights into how to substantively improve elements leading to healthier lives and reduced health care costs.”

“As the American Fit Index celebrates its 10th year, it’s a great opportunity to celebrate the efforts of communities and their leaders who have effectively used the data to make measurable changes that are helping improve the health and wellness of their residents,” said Craig Samitt, MD, chief clinical officer, Anthem, Inc. “While the improvements we are seeing are worth celebrating, we know there is still more that can be done. We are proud of our foundation’s work and collaboration with ACSM to offer science and evidence for communities to create a culture of healthy lifestyles.”

At the community level, the Fitness Index has been used as an assessment and evaluation tool to educate community leaders on the importance of key indicators of physical activity. Leaders can then focus on policy, systems and environmental change strategies that are evidence-based and create sustainability for the community.

The 2017 ACSM American Fitness Index rankings are as follows:

2017 Rank2016 RankMetropolitan Area2017 Score
12Minneapolis-St. Paul-Bloomington, MN-WI80.2
21Washington-Arlington-Alexandria, DC-VA-MD-WV79.2
35San Francisco-Oakland-Hayward, CA73.3
46Seattle-Tacoma-Bellevue, WA72.2
511San Jose-Sunnyvale-Santa Clara, CA71.6
67Boston-Cambridge-Newton, MA-NH71.5*
73Denver-Aurora-Lakewood, CO71.5*
84Portland-Vancouver-Hillsboro, OR-WA67.7
98Salt Lake City, UT66.3
1010San Diego-Carlsbad, CA65.6
1113Sacramento–Roseville–Arden-Arcade, CA63.3
1215.5±Austin-Round Rock, TX61.2
139Hartford-West Hartford-East Hartford, CT60.5
1415.5±Raleigh, NC58.6
1512Chicago-Naperville-Elgin, IL-IN-WI58.4
1629Los Angeles-Long Beach-Anaheim, CA55.7
1714Atlanta-Sandy Springs-Roswell, GA55.0
1822New York-Newark-Jersey City, NY-NJ-PA54.5
1926Tampa-St. Petersburg-Clearwater, FL54.1
2017Baltimore-Columbia-Towson, MD54.0
2120Milwaukee-Waukesha-West Allis, WI53.9*
2223Cincinnati, OH-KY-IN53.9*
2332Miami-Fort Lauderdale-West Palm Beach, FL52.6
2435Buffalo-Cheektowaga-Niagara Falls, NY52.5
2543Orlando-Kissimmee-Sanford, FL52.3
2628Saint Louis, MO-IL51.6
2719Virginia Beach-Norfolk-Newport News, VA-NC50.7
2825Cleveland-Elyria, OH50.0
2927Pittsburgh, PA49.0
3018Richmond, VA48.9
3121Providence-Warwick, RI-MA48.4*
3224Philadelphia-Camden-Wilmington, PA-NJ-DE-MD48.4*
3334Phoenix-Mesa-Scottsdale, AZ47.3*
3441Las Vegas-Henderson-Paradise, NV47.3*
3531Jacksonville, FL46.0
3630Kansas City, MO-KS45.0
3736Riverside-San Bernardino-Ontario, CA44.5
3837Dallas-Fort Worth-Arlington, TX43.2
3933New Orleans-Metairie, LA41.7
4040Houston-The Woodlands-Sugar Land, TX39.0
4138Columbus, OH37.4
4246Nashville-Davidson–Murfreesboro–Franklin, TN36.8
4342Detroit-Warren-Dearborn, MI35.8
4445San Antonio-New Braunfels, TX34.7
4547Memphis, TN-MS-AR33.2
4644Birmingham-Hoover, AL31.2
4739Charlotte-Concord-Gastonia, NC-SC30.3
4850Indianapolis-Carmel-Anderson, IN29.9
4949Oklahoma City, OK29.4
5048Louisville/Jefferson County, KY-IN23.1

±There was a tie in the ranking between the MSAs.

*The scores shown have been rounded to the nearest tenth of a point resulting in some apparent ties; however, the rankings are based on the full calculated score values that were not equal in those cases.


ACSM, the Indiana University School of Family Medicine and a panel of 26 health and physical activity experts developed the methodology to analyze U.S. Census data; data from the U.S. Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System (BRFSS); The Trust for the Public Land City Park Facts; and other existing research data in order to give a scientific, accurate snapshot of the health and fitness status at a metropolitan level.

ACSM is a global leader in promoting the benefits of physical activity and advocates for legislation that helps government and the health community make it a priority. ACSM encourages Congress to support continued funding of parks, trails and safe routes to school, as well as the need for all Americans to meet the prescribed physical activity recommendations included in the National Physical Activity Guidelines, and the need for the guidelines to be regularly updated every 10 years.

The data is made up of personal health, community and environmental indicators. Visit the online newsroom at www.AmericanFitnessIndex.org for a complete list of the data components.

About the American College of Sports Medicine

The American College of Sports Medicine is the largest sports medicine and exercise science organization in the world. More than 50,000 international, national and regional members are dedicated to advancing and integrating scientific research to provide educational and practical applications of exercise science and sports medicine.   More details can be found at http://www.acsm.org/

About Anthem Foundation

The Anthem Foundation is the philanthropic arm of Anthem, Inc. and through charitable contributions and programs, the Foundation promotes the inherent commitment of Anthem, Inc. to enhance the health and well-being of individuals and families in communities that Anthem, Inc. and its affiliated health plans serve. The Foundation focuses its funding on strategic initiatives that address and provide innovative solutions to health care challenges, as well as promoting the Healthy Generations Program, a multi-generational initiative that targets specific disease states and medical conditions. These disease states and medical conditions include: prenatal care in the first trimester, low birth weight babies, cardiac morbidity rates, long term activities that decrease obesity and increase physical activity, diabetes prevalence in adult populations, adult pneumococcal and influenza vaccinations and smoking cessation. The Foundation also coordinates the company’s year-round Associate Giving program which provides a 50 percent match of associates’ pledges, as well as its Volunteer Time Off and Dollars for Doers community service programs. To learn more about the Anthem Foundation, please visit http://www.anthem.foundation and its blog at http://anthemfoundation.tumblr.com.

Infographic: 2017 ACSM American Fitness Index

According to the 2017 ACSM American Fitness Index, the top 10 fittest cities in the U.S. are:

  1. Minneapolis, MN
  2. Washington, DC
  3. San Francisco, CA
  4. Seattle, WA
  5. San Jose, CA
  6. Boston, MA
  7. Denver, CO
  8. Portland, OR
  9. Salt Lake City, UT
  10. San Diego, CA

Share this infographic and the Fitness Index with your local leaders to start a conversation on making your city a healthier place for all residents.

Today Show Looks to ACSM for America’s Healthiest City

To help kick off 2014, The Today Show looked at where in America you should go if you want to be “healthy, wealthy and wise”.

In their search for evaluating America’s healthiest cities, the show’s producers examined a number sources and ultimately settled on the ACSM American Fitness Index®. For the past three years Minneapolis/St. Paul has earned the highest ranking.

ACSM and the Fitness Index Advisory Board are honored to be considered as the best measure of a “healthiest” city. It’s a testament to the research and planning that went into creating the Fitness Index and the work to update the rankings each year since 2008.

For the segment on The Today Show, journalist Craig Melvin spoke with runners and bikers using the city’s expansive trails and paths, highlighted Minneapolis’ robust park and recreation system, and featured a healthy food program called Urban Roots.

The segment also included a portion of an interview with Fitness Index Advisory Board Chair Dr. Walt Thompson.

Check out the segment and read the story on The Today Show website. The 2014 report will be released in May ahead of the ACSM Annual Meeting.

Visit NBCNews.com for breaking news, world news, and news about the economy

Spotlight on Washington D.C. – Health and Fitness in our Nation’s Capitol

Today’s post looks at the metropolitan statistical area of Washington D.C.-Arlington-Alexandria, which spans from southern Maryland to northern Virginia. From 2008-2010, DC Metro ranked at the top of the American College of Sports Medicine’s (ACSM) American Fitness Index® (), which evaluates the 50 most populous city areas and identifies the healthiest and fittest places in the United States.

This year, Minneapolis-St. Paul edged DC Metro out of the number one spot. According to the 2011 data report, D.C. took the number two spot with a score of 76.8 out of a possible 100 points.

Washington D.C. dropped to 2nd this year for several reasons. It showed an increase in smokers from 12.3% in 2010, to 13.6% in 2011. The area also showed a slight increase in the number of residents reporting that they have diabetes. In 2010, the report showed 6.7% with diabetes, and in 2011 a small increase to 7.1%. However, even with these changes Washington D.C. still ranks first in personal health indicators with a score of 83.1. This is highly influenced by the 4 out of 5 people who report exercising regularly and a high percentage of citizens reporting to be in excellent or very good health (64.1%).

Washington D.C. and its surrounding areas rank 3rd for community and environmental indicators related to health. The area increased its number of farmer’s markets per million residents to 18.6 indicating an increase in healthier eating, and has an above average number of primary health care providers per 100,000 residents at 105.2. While the area reduced park related expenditures this year ($259 per capita), its still the highest amount among the 50 areas measured. And the area’s percentage of parkland is still well above average at 19.4%.

Recreational facilities are plentiful in the nation’s capitol, but getting a tee time might prove difficult — the number of golf courses per 100,000 residents is 0.5.

For a complete list of metro area’s strengths and challenges, plus a breakdown of the components that helped make up its score, please visit the website and download the Washington D.C. report at www.americanfitnessindex.org/report.htm.

The Capitol Building