Chicago dropped eight spots from last year's ranking of 25th.
Washington, D.C., is the fittest for the third year in a row. Boston comes in second and Minneapolis-St. Paul is third.
What held Chicago back? More smokers -- about 21-percent of Chicagoans smoke compared to the 18-percent average in other cities. And, Chicagoans are slightly more obese and has more deaths from heart disease.
But Chicago did get a few good marks for the way commuters get to work- more take the train or ride bicycles. Also, the city has more farmers' markets than average.
Rank of of 50 metro areas
1.
Washington, D.C.
2.
Boston, Mass.
3.
Minneapolis-St. Paul, Minn.
4.
Seattle, Wash.
5.
Portland, Ore.
6.
Denver, Colo.
7.
Sacramento, Calif.
8.
San Francisco, Calif.
9.
Hartford, Conn.
10.
Austin, Texas
11.
Richmond, Va.
12.
Cincinnati, Ohio
13.
San Diego, Calif.
14.
San Jose, Calif.
15.
Salt Lake City, Utah
16.
Atlanta, Ga.
17.
Virginia Beach, Va.
18.
Providence, R.I.
19.
Orlando, Fla.
20.
Baltimore, Md.
21.
New York, N.Y.
22.
Raleigh, N.C.
23.
Pittsburgh, Pa.
24.
Jacksonville, Fla.
25.
Cleveland, Ohio
26.
Philadelphia, Pa.
27.
Milwaukee, Wisc.
28.
Buffalo, N.Y.
29.
Kansas City, Mo.
30.
Tampa, Fla.
31.
Nashville, Tenn.
32.
Phoenix, Ariz.
33.
Chicago, Ill.
34.
Charlotte, N.C.
35.
Columbus, Ohio
36.
Riverside, Calif.
37.
St. Louis, Mo.
38.
Los Angeles, Calif.
39.
Miami, Fla.
40.
Dallas, Texas
41.
New Orleans, La.2
42.
Houston, Texas
43.
San Antonio, Texas
44.
Indianapolis, Ind.
45.
Las Vegas, Nev.
46.
Louisville, Ky.
47.
Detroit, Mich.
48.
Memphis, Tenn.
49.
Birmingham, Ala.
50.
Oklahoma City, Okla.
Click here for the report from the American College of Sports Medicine.
