The American College of Sports Medicine’s (ACSM) seventh annual American Fitness Index (AFI) ranks Washington, D.C., at the top with a score of 77.3 (out of 100), followed by Minneapolis-St. Paul (73.5), Portland, Oregon (72.1) Denver (71.7) and San Francisco (71). New York City ranked 21 with a score of 54.1. Overall, metro areas in 25 states scored 50 or above; the two lowest-ranking hovered near 25 points.

“The AFI data report is a snapshot of the state of health in the community and an evaluation of the infrastructure, community assets and policies that encourage healthy and fit lifestyles. These measures directly affect quality of life in our country’s urban areas,” says Walter Thompson, Ph.D., chair of the AFI advisory board.

Find the complete report at AmericanFitnessIndex.org.