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

This place is in dire need of some exercise, according to the American College of Sports Medicine.

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We all want to be as physically fit and healthy as possible. But, 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 score of health behaviors, health outcomes, community infrastructure, and local policies that support a physically active lifestyle. They they calculate each city's score on two levels—personal health, and community and environment—before determining a final ranking.

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 the fittest city in the United States. What major metropolis landed on the opposite end of the spectrum? Here are the 50 most out-of-shape cities in America, counting down from bad to worst. 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.

50
Cincinnati, Ohio

cincinnati ohio skyline
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Personal Health Rank: 74

Community and Environment Rank: 22

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

49
Philadelphia, Pennsylvania

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Personal Health Rank: 83

Community and Environment Rank: 8

48
Baltimore, Maryland

baltimore skyline
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Personal Health Rank: 78

Community and Environment Rank: 15

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

47
Glendale, Arizona

Glendale, happiest cities, fittest cities, healthiest cities, worst singles scenes, best sports fans
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Personal Health Rank: 48

Community and Environment Rank: 54

46
Reno, Nevada

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Personal Health Rank: 39

Community and Environment Rank: 66

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.

45
Dallas, Texas

dallas texas skyline
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Personal Health Rank: 53

Community and Environment Rank: 50

44
Cleveland, Ohio

Cleveland Ohio in the winter
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Personal Health Rank: 89

Community and Environment Rank: 13

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43
Tucson, Arizona

Tucson, Arizona, USA downtown skyline with Sentinel Peak at dusk. (Mountaintop "A" for "Arizona")
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Personal Health Rank: 68

Community and Environment Rank: 44

42
Riverside, California

riverside california, most common town names
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Personal Health Rank: 41

Community and Environment Rank: 80

41
Greensboro, North Carolina

greensboro north carolina skyline
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Personal Health Rank: 50

Community and Environment Rank: 62

40
Nashville, Tennessee

Nashville Tennessee TN Drone Skyline Aerial Panorama.
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Personal Health Rank: 42

Community and Environment Rank: 81

39
Hialeah, Florida

Hialeah Florida
tome213/Shutterstock.com

Personal Health Rank: 69

Community and Environment Rank: 45

38
Chandler, Arizona

Chandler, happiest cities, longest-living cities, fittest cities, healthiest cities, worst singles scenes, best cities to buy a mansion
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Personal Health Rank: 43

Community and Environment Rank: 84

37
Scottsdale, Arizona

scottsdale arizona
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Personal Health Rank: 44

Community and Environment Rank: 88

36
Stockton, California

Stockton, happiest cities, worst singles scenes, longest commutes, best job opportunities
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Personal Health Rank: 62.5

Community and Environment Rank: 60

35
Garland, Texas

Garland Texas aerial view
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Personal Health Rank: 51

Community and Environment Rank: 85

34
Charlotte, North Carolina

skyline of downtown charlotte north carolina
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Personal Health Rank: 37

Community and Environment Rank: 97

33
Mesa, Arizona

Mesa, happiest cities, worst singles scenes, rent, property
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Personal Health Rank: 45

Community and Environment Rank: 94

32
Houston, Texas

Houston Texas
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Personal Health Rank: 58

Community and Environment Rank: 78

31
Winston-Salem, North Carolina

Winston-Salem, drunkest cities, fattest cities, longest-living cities, house flip
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Personal Health Rank: 59

Community and Environment Rank: 79

30
Phoenix, Arizona

downtown phoenix arizona
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Personal Health Rank: 47

Community and Environment Rank: 95

29
St. Louis, Missouri

St. Louis, Missouri, USA downtown skyline from above.
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Personal Health Rank: 98

Community and Environment Rank: 9

28
Irving, Texas

Irving, happiest cities, worst singles scenes, best cities to buy a mansion, worst drinking water
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Personal Health Rank: 65

Community and Environment Rank: 69

27
Columbus, Ohio

columbus ohio
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Personal Health Rank: 75

Community and Environment Rank: 51

26
Chesapeake, Virginia

Chesapeake, happiest cities, longest-living cities, healthiest cities, singles scenes, best cities to buy a mansion
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Personal Health Rank: 66

Community and Environment Rank: 72

25
Fresno, California

fresno california sleepless cities, worst drinking water
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Personal Health Rank: 54

Community and Environment Rank: 90

24
El Paso, Texas

el paso texas
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Personal Health Rank: 71

Community and Environment Rank: 59

23
Baton Rouge, Louisiana

Baton Rouge
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Personal Health Rank: 90

Community and Environment Rank: 37

22
Kansas City, Missouri

kansas city missouri skyline
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Personal Health Rank: 88

Community and Environment Rank: 40

21
Gilbert, Arizona

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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Personal Health Rank: 46

Community and Environment Rank: 100

20
Toledo, Ohio

fattest cities, drunkest cities, best singles scenes, sleepless cities
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Personal Health Rank: 94

Community and Environment Rank: 38

19
Jacksonville, Florida

Aerial view of Jacksonville, Florida, city airports quiz
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Personal Health Rank: 84

Community and Environment Rank: 52

18
Laredo, Texas

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Personal Health Rank: 86

Community and Environment Rank: 53

17
San Antonio, Texas

the san antonio riverwalk at night
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Personal Health Rank: 73

Community and Environment Rank: 86

16
Corpus Christi, Texas

drunkest cities corpus christi
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Personal Health Rank: 92

Community and Environment Rank: 48.5

15
Lexington, Kentucky

Lexington, Kentucky
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Personal Health Rank: 76

Community and Environment Rank: 76

14
Henderson, Nevada

henderson nevada, fastest growing cities
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Personal Health Rank: 82

Community and Environment Rank: 75

13
Las Vegas, Nevada

Las Vegas sign on the strip
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Personal Health Rank: 81

Community and Environment Rank: 82

12
Louisville, Kentucky

Louisville, KY skyline
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Personal Health Rank: 80

Community and Environment Rank: 83

11
Fort Worth, Texas

fort worth texas skyline
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Personal Health Rank: 77

Community and Environment Rank: 93

10
Wichita, Kansas

wichita kansas
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Personal Health Rank: 87

Community and Environment Rank: 87

9
Fort Wayne, Indiana

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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Personal Health Rank: 93

Community and Environment Rank: 73

8
Arlington, Texas

movie theater in Arlington Texas closed with sign asking people to wash hands and social distance
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Personal Health Rank: 79

Community and Environment Rank: 96

7
Indianapolis, Indiana

Downtown Indianapolis skyline with the Depew Memorial Fountain, Obelisk, park, and the Indiana World War Memorial in the foreground.
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Personal Health Rank: 91

Community and Environment Rank: 92

6
Detroit, Michigan

Detroit Aerial Panorama during sunset
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Personal Health Rank: 99

Community and Environment Rank: 56

5
Memphis, Tennessee

Memphis Tennessee American Cities Vacation Destinations
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Personal Health Rank: 96

Community and Environment Rank: 71

4
Tulsa, Oklahoma

tulsa oklahoma skyline
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Personal Health Rank: 97

Community and Environment Rank: 70

3
North Las Vegas, Nevada

North Las Vegas, happiest cities, worst singles scenes
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Personal Health Rank: 85

Community and Environment Rank: 98

2
Bakersfield, California

Bakersfield California street view
Richard Thornton/Shutterstock.com

Personal Health Rank: 100

Community and Environment Rank: 91

1
Oklahoma City, Oklahoma

iStock

Personal Health Rank: 95

Community and Environment Rank: 99

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