With more than 200 miles of bike paths in the city San Francisco has ranked No. 4 according to the AFI 2015. They have a low percentage of residents who smoke and suffer from obesity. Their commuters prefer walking to work, over public transportation and they have a low death rate for diabetes and cardiovascular disease. Stay fit year-round at San Francisco’s most reliable surf spot, Ocean Beach. They are also known for their parks and recreation. Residents rent kayaks and head to Angel Island state park to explore 13 miles of trails of wildlife by foot or bike. They also enjoy visiting the famous Golden Gate Park, also known as San Francisco’s largest outdoor attraction.