When it comes to your health, where you live could make more of a difference than you think. Every year, the American College of Sports Medicine (ACSM) releases a report of the healthiest and unhealthiest big cities in America. The attributes of these cities could make them healthier — or less healthy — places to live.
The ACSM first gathered a list of the 100 largest cities in America. To rank the fitness level of each city, the organizations took into account 33 health indicators. They looked at individuals’ health behaviors, such as fruit and vegetable consumption, and exercise and health outcomes, such as reported mental health issues and incidences of disease. They also assessed factors relating to the community as a whole, including the city’s built environment (parks, farmers markets, etc.), recreational facilities (dog parks, playgrounds, etc.), and policies or funding efforts. Each city was given a score based on these factors combined and ranked based on their perceived levels of fitness.
The full results can be found on the 2018 American Fitness Index. But according to their ranking, these were the 15 healthiest and 15 unhealthiest cities in America.