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.
RELATED: How Healthy is Your State? All 50, Ranked From First to Worst
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.
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
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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.
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