The 2021 ACSM American Fitness Index has named Arlington, VA, the "Fittest City in America" for the fourth year running.
Launched in 2008, the annual ranking of the fittest U.S. cities is a collaboration between the American College of Sports Medicine and the Anthem Foundation. The index ranks the country's 100 largest cities by 34 variables broken down into two categories: personal health, which measures the health of the community's residents, and community/environment, which examines not only infrastructure and policies that promote healthy outcomes but also the degree to which the environment nurtures those outcomes.
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