The American College of Sports medicine, which published the results, looked at federal reports and past studies to determine ranking. Health indicators that helped determine the scores included health behaviors (smoking, diet, exercise), chronic health problems (obesity, diabetes, heart disease), recreational facilities (playgrounds, sports centers), and physical environment (parks, public transportation). The last two health indicators were the main culprit behind Houston, Dallas, and San Antonio’s rankings. While Austin boasts an abundance of parkland and swimming pools, the other three cities fell below the target goal for number of public spaces where its citizens can keep fit.
The top five fittest cities were Washington, D.C., Minneapolis, Portland, Denver, and San Francisco. See where your closest metropolitan area ranks.