Parks, farmer’s markets, bike commuting, golf courses and swimming pools: these are just a few of the characteristics that contribute to a city’s fitness.
And those are just environmental factors. Of course, you can’t judge the health status of a city without taking its inhabitants into consideration.
In the fittest cities, it’s more common that a large percentage of the population meets CDC physical activity guidelines, eats the recommended amount of fruits and vegetables daily and has low rates of health issues like heart disease, diabetes and asthma.
And these are just a few of the overall factors that the American College of Sports Medicine (ACSM) takes into account when ranking the 50 largest metropolitan statistical areas (MSAs) by measure of health and fitness.
When we say “just a few,” it’s not an exaggeration. In creating their American Fitness Index (AFI) each year, ACSM uses a wide range of large data sources, all of which were evaluated and scored by a panel of 26 health and physical activity experts in 2008 when the AFI was first introduced.
The organization feels that city cores and the surrounding suburban areas act as components of a greater whole, each working together to “support the wellness efforts of the area’s residents." This is why ASCM chooses to create its AFI based on MSAs, instead of simply evaluating metropolitan cities.
The ACSM 2015 American Fitness Index report details the entirety of the organization’s rigorous methodology.
In presenting their ranked list of the 50 fittest MSAs, ASCM made a point to note that each’s city’s rank is in relativity to other’s on the list. Just because a city’s overall score is low, doesn’t necessarily mean that it’s “unhealthy,” just that it’s less healthy compared to the other 49 cities that were evaluated. Additionally, just because a city ranked highly doesn’t mean that it scored highly for all of the factors considered.
For this reason, in highlighting the 10 fittest and “least fit” cities from this year’s AFI, we chose to highlight each city’s top point-earning categories as well as the categories that reflected the most need for improvement.
And while taking a look at the different factors that helped to define each city’s rank, we noticed a few patterns, particularly in the lower-scoring cities. It seems the lowest ranking cities need to most work on improving the consistency and frequency of both their aerobic and strength training activities and incorporating more fruits and vegetables into their daily diets: two habits we know have the power to make significant health and fitness improvements.
Ultimately, as ACSM notes, the cities that ranked highest “have more strengths that support healthy living and fewer challenges that hinder it.” The opposite is true for the cities that ranked lowest, but all are commended for their areas of excellence and are encouraged to place future focuses on developing the areas where improvements are needed most.
Curious to see where your city landed on the list? For 2015, these are America’s 10 fittest cities.
(You can view a list of America’s 10 Least Fit Cities in the slideshow widget above.)
#10 San Jose, Calif.
Score: 65.9/ 100
Top Point-Earning Categories: Large percentage of population eats three or more vegetables per day; low percentage of population that currently smokes; low obesity rates; low percentage of population reporting poor health in the past 30 days; low rates of heart disease related deaths
Needs Work On: Asthma rates; diabetes rates; rates of diabetes related deaths; percentage of baseball parks, golf courses, park units, swimming pools and tennis courts per capita
#9 Boston, Mass.
Score: 68.1/ 100
Top Point-Earning Categories: Low rates of heart disease related deaths; low rates of diabetes related deaths; large percentage of city parkland; farmer’s markets per capita; large percentage of population using public transportation to get to work
Needs Work On: Asthma rates; diabetes rates; parkland acreage per capita; percentage of dog parks, golf courses, recreation centers and swimming pools per capita