The 25 'fittest' cities in America, per the American College of Sports Medicine

Orthopedic

Arlington, Va., topped the list of the "fittest" cities in the U.S. compiled by the American College of Sports Medicine and the Elevance Health Foundation, the philanthropic arm of Elevance Health. 

The Fitness Index is based on 33 evidence-based indicators, including environmental indicators, personal health indicators, smoking rates and nightly sleep, according to a July 22 news release from the ACSM. Read more about the methodology here

The fittest cities in America, per the ACSM: 

1. Arlington, Va.

2. Washington, D.C. 

3. Seattle 

4. San Francisco

5. Madison, Wis.

6. Minneapolis 

7. Denver

8. Atlanta 

9. Irvine, Calif. 

10. St. Paul, Minn. 

11. San Diego 

12. Portland

13. Miami

14. Boston

15. Honolulu

16. St. Petersburg, Fla. 

17. Pittsburgh

18. Chicago

19. Oakland, Calif. 

20. Spokane, Wash. 

21. San Jose, Calif. 

22. Plano, Texas 

23. Lincoln, Neb.

24. Raleigh, N.C.

25. Albuquerque, N.M.

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