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The American College of Sports Medicine fitness index ranks the country’s 100 largest cities based on a mix of factors, including health behaviors and local policies.
Arlington, Virginia is the fittest large city in America, while Oklahoma City is the least fit, according to the American College of Sports Medicine's 2018 fitness index.
The index, now in its 10th year, ranks the country’s 100 largest cities based on a mix of factors, including health behaviors, health outcomes, community infrastructure and local policies that support a physically active lifestyle for residents.
Arlington ranked first for achieving a “balance of both healthy behaviors and community infrastructure” as well as placing in the top 10 in 13 of the group’s 33 ranking indicators, according to the 2018 index report.
The report also found that 63.9 percent of Arlington residents are in “very good” or “excellent” health (compared to the 100-city average of 51.9 percent), and that the city had the lowest rate of smoking—5.9 percent—among the cities surveyed.
By contrast, 48.1 percent of Oklahoma City residents are in “very good" or “excellent” health, and the city’s smoking rate clocks in at 17.9 percent.
Find out how your city ranks and compare metrics here.
Kate Elizabeth Queram is a Staff Correspondent for Government Executive’s Route Fifty and is based in Washington, D.C.