Does your city rank among the nation's fittest?

Story highlights

  • Washington tops the list for the third year in a row
  • Indianapolis is at the bottom of the list of 50 metropolitan areas

For the third year in a row, Washington, D.C., has nabbed the top spot in the annual American Fitness Index (PDF), which ranks the 50 biggest metropolitan areas in the country.

The AFI report, which is put out by the American College of Sports Medicine, takes into account factors including residents' mental health, diet, mortality rate, and more. It also looks at the resources available to locals, like walking trails, rec centers, and farmer's markets.
    Washington D.C. finds itself at no. 1 thanks to a low smoking rate, high activity levels (especially among commuters that tend to, say, bike or walk to work), and the easy access the city offers to a multitude of recreational facilities and parks.
    Rounding out the top five after the nation's capital are Minneapolis-St. Paul, Denver, Portland (Oregon), and San Francisco.
    Dead last? Indianapolis, due to low activity levels, a high smoking rate, and high instances of chronic and mental health issues.
    Where does your city rank? Check out the full list:
    1. Washington-Arlington-Alexandria, DC-VA-MD-WV
    2. Minneapolis-St. Paul-Bloomington, MN-WI
    3. Denver-Aurora-Lakewood, CO
    4. Portland-Vancouver-Hillsboro, OR-WA
    5. San Francisco-Oakland-Hayward, CA
    6. Seattle-Tacoma-Bellevue, WA
    7. Boston-Cambridge-Newton, MA-NH
    8. Salt Lake City, UT
    9. Hartford-West Hartford-East Hartford, CT
    10. San Diego-Carlsbad, CA
    11. San Jose-Sunnyvale-Santa Clara, CA
    12. Chicago-Naperville-Elgin, IL-IN-WI
    13. Sacramento-Roseville-Arden-Arcade, CA
    14. Atlanta-Sandy Springs-Roswell, GA
    15.5 (tie) Austin-Round Rock, TX
    15.5 (tie) Raleigh, NC
    17. Baltimore-Columbia-Towson, MD
    18. Richmond, VA
    19. Virginia Beach-Norfolk-Newport News, VA-NC
    20. Milwaukee-Waukesha-West Allis, WI
    21. Providence-Warwick, RI-MA
    22. New York-Newark-Jersey City, NY-NJ-PA
    23. Cincinnati, OH-KY-IN
    24. Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
    25. Cleveland-Elyria, OH
    26. Tampa-St. Petersburg-Clearwater, FL
    27. Pittsburgh, PA
    28. Saint Louis, MO-IL
    29. Los Angeles-Long Beach-Anaheim, CA
    30. Kansas City, MO-KS
    31. Jacksonville, FL
    32. Miami-Fort Lauderdale-West Palm Beach, FL
    33. New Orleans-Metairie, LA
    34. Phoenix-Mesa-Scottsdale, AZ
    35. Buffalo-Cheektowaga-Niagara Falls, NY
    36. Riverside-San Bernardino-Ontario, CA
    37. Dallas-Fort Worth-Arlington, TX
    38. Columbus, OH
    Join the conversation

    See the latest news and share your comments with CNN Health on Facebook and Twitter.

    39. Charlotte-Concord-Gastonia, NC-SC
    40. Houston-The Woodlands-Sugar Land, TX
    41. Las Vegas-Henderson-Paradise, NV
    42. Detroit-Warren-Dearborn, MI
    43. Orlando-Kissimmee-Sanford, FL
    44. Birmingham-Hoover, AL
    45. San Antonio-New Braunfels, TX
    46. Nashville-Davidson-Murfreesboro-Franklin, TN
    47. Memphis, TN-MS-AR
    48. Louisville/Jefferson County, KY-IN
    49. Oklahoma City, OK
    50. Indianapolis-Carmel-Anderson, IN
    This article originally appeared on Health.com.