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.

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
Shutterstock

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
iStock

Personal Health Rank: 83

Community and Environment Rank: 8

48
Baltimore, Maryland
iStock

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
Shutterstock

Personal Health Rank: 48

Community and Environment Rank: 54

46
Reno, Nevada
Shutterstock

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
Shutterstock

Personal Health Rank: 53

Community and Environment Rank: 50

44
Cleveland, Ohio
Shutterstock

Personal Health Rank: 89

Community and Environment Rank: 13

And for more helpful information delivered straight to your inbox, sign up for our daily newsletter.

43
Tucson, Arizona
Shutterstock

Personal Health Rank: 68

Community and Environment Rank: 44

42
Riverside, California
Shutterstock

Personal Health Rank: 41

Community and Environment Rank: 80

41
Greensboro, North Carolina
Shutterstock

Personal Health Rank: 50

Community and Environment Rank: 62

40
Nashville, Tennessee
iStock

Personal Health Rank: 42

Community and Environment Rank: 81

39
Hialeah, Florida
tome213/Shutterstock.com

Personal Health Rank: 69

Community and Environment Rank: 45

38
Chandler, Arizona
Shutterstock

Personal Health Rank: 43

Community and Environment Rank: 84

37
Scottsdale, Arizona
Shutterstock

Personal Health Rank: 44

Community and Environment Rank: 88

36
Stockton, California
Shutterstock

Personal Health Rank: 62.5

Community and Environment Rank: 60

35
Garland, Texas
Shutterstock

Personal Health Rank: 51

Community and Environment Rank: 85

34
Charlotte, North Carolina
Shutterstock

Personal Health Rank: 37

Community and Environment Rank: 97

33
Mesa, Arizona
Shutterstock

Personal Health Rank: 45

Community and Environment Rank: 94

32
Houston, Texas
Shutterstock

Personal Health Rank: 58

Community and Environment Rank: 78

31
Winston-Salem, North Carolina
Shutterstock

Personal Health Rank: 59

Community and Environment Rank: 79

30
Phoenix, Arizona
Shutterstock

Personal Health Rank: 47

Community and Environment Rank: 95

29
St. Louis, Missouri
iStock

Personal Health Rank: 98

Community and Environment Rank: 9

28
Irving, Texas
Shutterstock

Personal Health Rank: 65

Community and Environment Rank: 69

27
Columbus, Ohio
Sean Pavone / Shutterstock

Personal Health Rank: 75

Community and Environment Rank: 51

26
Chesapeake, Virginia
Shutterstock

Personal Health Rank: 66

Community and Environment Rank: 72

25
Fresno, California
Shutterstock

Personal Health Rank: 54

Community and Environment Rank: 90

24
El Paso, Texas
Shutterstock

Personal Health Rank: 71

Community and Environment Rank: 59

23
Baton Rouge, Louisiana
Shutterstock

Personal Health Rank: 90

Community and Environment Rank: 37

22
Kansas City, Missouri
Shutterstock

Personal Health Rank: 88

Community and Environment Rank: 40

21
Gilbert, Arizona
Shutterstock

Personal Health Rank: 46

Community and Environment Rank: 100

20
Toledo, Ohio
Shutterstock

Personal Health Rank: 94

Community and Environment Rank: 38

19
Jacksonville, Florida
Shutterstock

Personal Health Rank: 84

Community and Environment Rank: 52

18
Laredo, Texas
Shutterstock

Personal Health Rank: 86

Community and Environment Rank: 53

17
San Antonio, Texas
Shutterstock

Personal Health Rank: 73

Community and Environment Rank: 86

16
Corpus Christi, Texas
Shutterstock

Personal Health Rank: 92

Community and Environment Rank: 48.5

15
Lexington, Kentucky
Shutterstock

Personal Health Rank: 76

Community and Environment Rank: 76

14
Henderson, Nevada
Shutterstock

Personal Health Rank: 82

Community and Environment Rank: 75

13
Las Vegas, Nevada
Shutterstock

Personal Health Rank: 81

Community and Environment Rank: 82

12
Louisville, Kentucky
Shutterstock

Personal Health Rank: 80

Community and Environment Rank: 83

11
Fort Worth, Texas
Shutterstock

Personal Health Rank: 77

Community and Environment Rank: 93

10
Wichita, Kansas
iStock

Personal Health Rank: 87

Community and Environment Rank: 87

9
Fort Wayne, Indiana
Shutterstock

Personal Health Rank: 93

Community and Environment Rank: 73

8
Arlington, Texas
iStock

Personal Health Rank: 79

Community and Environment Rank: 96

7
Indianapolis, Indiana
iStock

Personal Health Rank: 91

Community and Environment Rank: 92

6
Detroit, Michigan
iStock

Personal Health Rank: 99

Community and Environment Rank: 56

5
Memphis, Tennessee
Shutterstock

Personal Health Rank: 96

Community and Environment Rank: 71

4
Tulsa, Oklahoma
Shutterstock

Personal Health Rank: 97

Community and Environment Rank: 70

3
North Las Vegas, Nevada
Shutterstock

Personal Health Rank: 85

Community and Environment Rank: 98

2
Bakersfield, California
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

Subir