This Is the Most Out-Of-Shape City in the U.S.


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We all want to be as physically fit and healthy as possible—especially as we get older. And according to research, our ability to do so is often dependent on where we live. That’s why each year, the American College of Sports Medicine (ACSM) releases The Fitness Index, a ranking of America’s 100 largest cities based on a composite of health behaviors, health outcomes, community infrastructure, and local policies that support a physically active lifestyle.

According to the ASCM: “Cities with the highest scores are considered to have strong community fitness, a concept analogous to individuals having strong personal fitness. Cities that rank near the top of the Fitness Index have more strengths and resources that support healthy living and fewer challenges that hinder it. The opposite is true for cities near the bottom of the rankings.” In 2020, the ACSM named Arlington, Virginia as the fittest city in the United States. What major metropolis landed on the opposite end of the spectrum? Read on to find out. Here are the 50 most out-of-shape cities in America. And for the places you may not be quite as safe as you’d like to be, check out This Is the Most Dangerous State in the U.S.

cincinnati ohio skyline
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Rank: 50

And for the places in the U.S. to mind your surroundings, check out The 100 Most Dangerous Cities in America.

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Rank: 49

baltimore skyline
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Rank: 48

And for more on the cost of certain states, check out This Is the State Where Your Money Is Worth the Least.

Glendale, happiest cities, fittest cities, healthiest cities, worst singles scenes, best sports fans
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Rank: 47

reno nevada
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Rank: 46

And for more on how your state stacks up in terms of residents’ well-being, check out Every U.S. State Ranked From Healthiest to Unhealthiest.

dallas texas skyline
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Rank: 45

Cleveland Ohio in the winter
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Rank: 44

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Tucson, Arizona, USA downtown skyline with Sentinel Peak at dusk. (Mountaintop
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Rank: 43

riverside california, most common town names
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Rank: 42

greensboro north carolina skyline
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Rank: 41

Nashville Tennessee TN Drone Skyline Aerial Panorama.
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Rank: 40

Hialeah Florida
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Rank: 39

Chandler, happiest cities, longest-living cities, fittest cities, healthiest cities, worst singles scenes, best cities to buy a mansion
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Rank: 38

scottsdale arizona
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Rank: 37

Stockton, happiest cities, worst singles scenes, longest commutes, best job opportunities
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Rank: 36

Garland Texas aerial view
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Rank: 35

skyline of downtown charlotte north carolina
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Rank: 34

Mesa, happiest cities, worst singles scenes, rent, property
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Rank: 33

Houston Texas
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Rank: 32

Winston-Salem, drunkest cities, fattest cities, longest-living cities, house flip
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Rank: 31

downtown phoenix arizona
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Rank: 30

St. Louis, Missouri, USA downtown skyline from above.
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Rank: 29

Irving, happiest cities, worst singles scenes, best cities to buy a mansion, worst drinking water
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Rank: 28

columbus ohio
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Rank: 27

Chesapeake, happiest cities, longest-living cities, healthiest cities, singles scenes, best cities to buy a mansion
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Rank: 26

fresno california sleepless cities, worst drinking water
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Rank: 25

El Paso, Texas
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Rank: 24

Baton Rouge
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Rank: 23

kansas city missouri skyline
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Rank: 22

Gilbert, happiest cities, fittest cities, longest-living cities, healthiest cities, worst singles scenes, best cities to buy a mansion, longest commutes, commute
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Rank: 21

fattest cities, drunkest cities, best singles scenes, sleepless cities
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Rank: 20

Aerial view of Jacksonville, Florida, city airports quiz
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Rank: 19

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Rank: 18

the san antonio riverwalk at night
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Rank: 17

drunkest cities corpus christi
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Rank: 16

Lexington, Kentucky
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Rank: 15

henderson nevada, fastest growing cities
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Rank: 14

Las Vegas sign on the strip
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Rank: 13

Louisville, KY skyline
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Rank: 12

fort worth texas skyline
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Rank: 11

wichita kansas
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Rank: 10

Fort Wayne, Indiana / United States - June 26 2017: Martin Luther King Jr. colorful bridge leading you to the center of town
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Rank: 9

movie theater in Arlington Texas closed with sign asking people to wash hands and social distance
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Rank: 8

Downtown Indianapolis skyline with the Depew Memorial Fountain, Obelisk, park, and the Indiana World War Memorial in the foreground.
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Rank: 7

Detroit Aerial Panorama during sunset
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Rank: 6

Memphis Tennessee American Cities Vacation Destinations
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Rank: 5

tulsa oklahoma skyline
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Rank: 4

North Las Vegas, happiest cities, worst singles scenes
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Rank: 3

Bakersfield California street view
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Rank: 2

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Rank: 1



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