Tuesday, May 21, 2019 America's 'Fittest Cities' Ranked Live in or near Arlington, Virginia? Congratulations: you reside in the nation's most fit city, according to results of a new study that ranks cities across the United States. The rankings are part of the 2019 American College of Sports Medicine's (ACSM) "Fitness Index," a project that analyzed health and environmental data to arrive at an overall fitness score. Health data included exercise prevalence, the percentage of residents meeting aerobic and strength activity guidelines, diet, and levels of conditions such as obesity, diabetes, and hypertension. Environmental data took in factors including air quality, access to recreational facilities, and walkability. ACSM received assistance from the Anthem Foundation in creating the report. In the end, Arlington came out on top of the 100-city list and earned first place rankings in both the health and environmental subscores. Seattle came in second, followed by Minneapolis, San Francisco, and Madison, Wisconsin. The 5 lowest-ranked cities were Indianapolis; Toledo, Ohio; Tulsa, Oklahoma; North Las Vegas, Nevada; and Oklahoma City, Oklahoma. The report provides a detailed accounting of the study's methodology, and ACSM also offers an online tool to compare statistics on as many as 3 individual cities. APTA and ACSM have a history of collaboration, and earlier this year the 2 organizations entered into a formal partnership. Visit APTA's prevention and wellness webpage for resources on how physical therapists and physical therapist assistants can help individuals become more physically active, and share the latest PA information from APTA's consumer-focused MoveForwardPT.com with your patients, clients, and others interested in the benefits of exercise and movement. Want to connect with others interested in physical therapy's role in improving health? Join APTA's Council on Prevention, Health Promotion, and Wellness.