The American College of Sports Medicine has tallied the statistics to rank 15 of America's largest metropolitan cities. Which cities were deemed the fittest? Which fell at the bottom, and why?

The goal of the fitness index is to give a quick glimpse of the health status of America's metropolitan areas. Ultimately the ACSM hopes to help cities achieve a higher level of physical activity and healthy eating habits. The reports about each city include strategies for improvement. The top five cities were:

• San Francisco, CA
• Seattle, WA
• Boston, MA
• Washington D.C.
• Atlanta, GA

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