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The American College of Sports Medicine just released their annual "American Fitness Index," ranking the health and community fitness levels of the 50 largest metropolitan areas in the United States, as defined by the U.S. Office of Management and Budget. And Cincinnati is ranked 13, beating out more stereotypically health-conscious cities such as San Diego, LA and Miami. (Who needs a beach and when you have so many hills?) 

The index was calculated by compiling data on each city's preventative health behaviors, levels of chronic disease, health care access and community resources/policies that support physical activity based on publicly available info from studies and federal reports, including the Behavioral Risk Factor Surveillance System survey by the U.S. Center for Disease Control and Prevention. 

According to the ACSM, "Communities with the highest AFI scores are considered to have strong community fitness, a concept analogous to individuals having strong personal fitness." 

And now for the rankings:

1. Minneapolis-St. Paul, Minn.: 78.2
2. Washington, D.C.: 77.7
3. Portland, Ore.: 69.8
4. San Francisco, Calif.: 68.7
5. Denver, Colo.: 68.1
6. Boston, Mass.: 67.1
7. Sacramento, Calif.: 66.8
8. Seattle, Wash.: 66.7
9. Hartford, Conn.: 66.6
10. San Jose, Calif.: 66.4
11. Austin, Texas: 63.6 
12. Salt Lake City, Utah: 62.5
13. Cincinnati, Ohio: 61.4
14. San Diego, Calif.: 61.3
15. Raleigh, N.C.: 60.3
16. Pittsburgh, Pa.: 59.9
17. Baltimore, Md.: 59.5
18. Virginia Beach, Va.: 58.3
19. Cleveland, Ohio: 55.1
20. Richmond, Va.: 55.1
21. Atlanta, Ga.: 53.6
22. Providence, RI: 53.5
23. Buffalo, NY: 53.2
24. New York-Northern New Jersey, Long Island: 52.1
25. Philadelphia, Pa.: 51.2
26. Milwaukee, Wisc.: 51.2
27. Chicago, Ill.: 50.8
28. Kansa City, Miss.: 50.4
29. Los Angeles, Calif.: 48.3
30. Columbus, Ohio: 48.1
31. Saint Louis, Miss.: 47.1
32. Nashville, Tenn.: 44.5
33. Phoenix, Ari.: 44.0
34. Orlando, Fla.: 42.5
35. Riverside, Calif.: 42.5
36. Charlotte, N.C.: 42.2
37. Jacksonville, Fla.: 41.8
38. New Orleans, La.: 41.6
39. Las Vegas, Nev.: 41.6
40. Tampa, Fla.: 40.1
41. Birmingham, Ala.: 39.0
42. Miami, Fla.: 38.4
43. Houston, Texas: 38.3
44. Dallas, Texas: 37.4
45. Indianapolis, Ind.: 36.8
46. Memphis, Tenn.: 36.0
47. Louisville, Ky.: 35.2
48. San Antonio, Texas: 35.1
49. Detroit, Mich.: 33.6
50. Oklahoma City, Okla.: 31.2