America’s healthiest cities are … where?

The American College of Sports Medicine changes its annual evaluation to comparatively evaluate cites rather than metropolitan areas.

For the past decade, the American College of Sports Medicine has issued its annual American Fitness Index® report that identifies America’s healthiest urban areas.

Until this year, the index included America’s 50 largest metropolitan statistical areas (MSAs), but the decision was made in 2018 to switch to incorporated cities. The new Index covers the 100 largest such entities.

Why was the change made? According to the ACSM, the older approach “provided important and valuable general messages, but limited the ability to provide targeted assistance to city and community leaders that need specific data at the local level.”

In addition to allowing more localized data to be studied, the new approach enables cities in states that weren’t represented at all in previous years to be included.

As for the various health measures comparatively studied, they remain the same – 33 indicators available from up-to-date, publicly accessible sources.

To build the ranking, the 33 indicators were combined to create sub-scores for “personal health” and “community and environment categories. Individual indicators were weighted relative to their impact on community fitness, and then combined to create the ultimate ranking.

The personal health indicators consisted of behaviors like eating habits, exercise and smoking as well as outcomes like health conductions (incidence of obesity, diabetes, heart disease, asthma, etc.)

Community/environment indicators covered factors like the built environment (parkland as a percent of city geographic size, walking/bicycle trails, etc.), recreational facilities (playgrounds, swimming pools, tennis courts, etc.), and policy and funding factors.

Putting it all together, America’s healthiest city achieves a 77.7 overall score (out of a possible 100.0 points). Shown below is the Top Ten ranking among America’s 100 largest cities for the ASCM’s American Fitness Index:

#1. Arlington, VA

#2. Minneapolis, MN

#3. Washington, DC

#4. Madison, WI

#5. Portland, OR

#6. Seattle, WA

#7. Denver, CO

#8. St. Paul, MN

#9. San Jose, CA

#10. Boise, ID

Notice the propensity of cities located in the northern reaches of the United States. Several of these I know first-hand, having lived and worked in the Twin Cities of Minneapolis-St. Paul.  I completely understand that the ACSM’s report means when it cites the following factors for #2-rank Minneapolis:

“Building culture of physical activity isn’t done overnight. Minneapolis, MN reaps the rewards of early planning to set aside important parklands and establish a semiautonomous parks board to maintain and protect the lands, featuring over 6,800 acres in the park system and 102 miles of biking and walking paths.” 

A Minneapolis lake — two miles from downtown.

[It doesn’t hurt that Minneapolis has seven good-sized natural lakes plus a 20-mile meandering creek within the city limits; what else would one do but put parks, green spaces and trails around them?  That would be a no-brainer decision even a century ago, when “fitness” wasn’t quite the same universally accepted aspirational goal.]

Commenting on Arlington as being the #1-ranked city, the ACSM’s report noted:

“Arlington, VA is home to the Pentagon, Arlington National Cemetery, Civil War battlefields, great local parks, as well as many people living healthy lifestyles.”

Arlington, VA: Hugging the Potomac River just south of Washington, DC.

When we dip into the next group of 10 cities on the listing, we do see the appearance of several located in the southern portions of the country:

#11. Oakland, CA

#12. Plano, TX

#13. Irvine, CA

#14. San Francisco, CA

#15. Boston, MA

#16. San Diego, CA

#17. Lincoln, NE

#18. Raleigh, NC

#19. Fremont, CA

#20. Atlanta, GA

Who’s at the bottom of the heap? Some of the cities might not surprise you, but a few seem curious to me.  How can it be that the two largest cities in Oklahoma end up at or near the bottom?  And what’s up with Indianapolis and Louisville?

#91. Tulsa, OK

#92. North Las Vegas, NV

#93. Gilbert, AZ

#94. Fresno, CA

#95. Wichita, KS

#96. Toledo, OH

#97. Detroit, MI

#98. Louisville, KY

#99. Indianapolis, IN

#100. Oklahoma City, OK

Oklahoma City: “Hey, let’s hit the streets for a jog!”

If any readers have insights they can share about these “bottom of the barrel” cities, we’re all ears.

To find out how each of the 100 largest cities ranked in the 2018 ASCM evaluation — along with seeing details on the 33 indicators studied to build the American Fitness Index, click here.

When it comes to city parklands, the Twin Cities of Minneapolis-St. Paul rule.

Minneapolis, Minnesota

Although I lived in five states prior to going away to college, I spent the most time in those formative years of my life residing in the Twin Cities of Minneapolis and St. Paul in Minnesota.

The city parks in both towns are major amenities. Indeed, you could say that the entire fabric of life in the two cities is interwoven with the park systems; they’re that special.  And my family was no exception in taking advantage of everything the parks had to offer.

So it wasn’t much of a surprise to find that both cities are at the very top of the list of U.S. cities with the best parks.

The evaluation is done annually by The Trust for Public Land, and covers the 100 most populous cities in the United States.

The major metric studied is the percent of city residents who live within a 10-minute walk of a park — although other characteristics are also analyzed, such as park size and investment, the number of playgrounds, dog parks and recreation centers in relation to city population, and so on.

In the 2017 evaluation, Minneapolis topped the list of 100 cities, helped by superior park access across all ages and income levels, as well as achieving top scores in park investment as well as the number of senior and recreation centers, plus dog parks.

In total, an incredible 15% of Minneapolis’ entire square mileage is dedicated to park space.

St. Paul was right behind Minneapolis in the #2 slot out of 100 cities evaluated. As visitors to the Twin Cities know, Minneapolis is blessed with seven natural lakes within its borders, whereas next-door St. Paul has just two.  Nevertheless, its commitment to parkland is nearly as strong.

Here’s how the Top 10 list of cities shakes out:

  • #1 Minneapolis, MN
  • #2 St. Paul, MN
  • #3 San Francisco, CA
  • #4 Washington, DC
  • #5 Portland, OR
  • #6 Arlington, VA
  • #7 (tie) Irvine, CA and New York, NY
  • #9 Madison, WI
  • #10 Cincinnati, OH

Several of these cities shine in certain attributes. San Francisco, for instance, scores highest for park access, with nearly every resident living within a 10-minute walk of a park.

Three cities (Arlington, Irvine and Madison), achieved Top 10 ranking for only the second time (all three first made it into the Top 10 ranking in 2016).

What about cities that appear at the bottom of the Trust for Public Land list? They tend to be “car-dominated” cities, where parks aren’t easily accessible by foot for many residents.  For the record, here are the cities that rank lowest in the rankings:

  • #90 (tie) Fresno, CA, Hialeah, FL and Jacksonville, FL
  • #93 (tie) Laredo, TX and Winston-Salem, NC
  • #95 Mesa, AZ
  • #96 Louisville, KY
  • #97 Charlotte, NC
  • #98 (tie) Fort Wayne, IN and Indianapolis, IN
Bottom dweller: A crumbling structure in a padlocked park in Indianapolis, Indiana.

Interestingly, one of these cities – Charlotte – leads all others in median park size (~16 acres). Of course, this likely means that residents’ access to them suffers because there are fewer small parks scattered around the city.

To see the full rankings as well as each city’s score by category evaluated, you can view a comparative chart here.

Based on your experience, do any of the city rankings surprise you? Is there a particular city that you think should be singled out for praise (or pan) about their parklands?