The ACSM American Fitness Index Program (Fitness Index) is an initiative of the American College of Sports Medicine that aims to quantitatively measure the overall health and fitness level of the 100 largest cities by population in American. The measure is a composite of indicators for personal health and community resources available for physical activity. The first report, completed in May 2008, ranked the 15 most populous metropolitan areas in the nation, along with Greater Indianapolis (where the ACSM is based). Today, the 100 most populous cities are ranked annually. As of 2019 , Arlington, VA was ranked as the fittest city in America; Oklahoma City, OK ranked as the least fit city  . External links 2019 American Fitness Index Rankings
The ACSM American Fitness Index Program (Fitness Index) is an initiative of the American College of Sports Medicine that aims to quantitatively measure the overall health and fitness level of the 100 largest cities by population in American. The measure is a composite of indicators for personal health and community resources available for physical activity. The first report, completed in May 2008, ranked the 15 most populous metropolitan areas in the nation, along with Greater Indianapolis (where the ACSM is based). Today, the 100 most populous cities are ranked annually. As of 2020 , Arlington, VA was ranked as the fittest city in America; Oklahoma City, OK ranked as the least fit city , both for the second year in a row . External links 2020 American Fitness Index Rankings
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