Gorgeous natural settings encourage outdoor recreation. There's no shortage of healthy things to do. Tied for No. 2 with Honolulu. The moderately cool climate is ideal for outdoor pursuits. Mountains, redwood forests, beaches, grassy hills and rocky shores are within an easy drive.
People get out and do things year-round, rain or shine.
Smoking isn't popular, although alcohol and junk food are. Perhaps Pike Place Market, with stand after stand of fresh fish and produce, exerts a positive influence. The climate is the worst among the 20 fittest cities. Weather aside, the setting is stellar, with 22 lakes and 11 beaches within its limits. Many homes are close to parks.