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These are the fittest big cities in the U.S. - KSBY.com | San Luis Obispo and Santa Barbara Area News

These are the fittest big cities in the U.S.

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Minneapolis-St. Paul is the fittest city in America according to the American College of Sports Medicine and the Anthem Foundation. (NBC photo) Minneapolis-St. Paul is the fittest city in America according to the American College of Sports Medicine and the Anthem Foundation. (NBC photo)

Washington, D.C. topped the list of America's fittest cities for three years in a row, until now.

Minneapolis-St. Paul now ranks at the top of the list of the 50 fittest metropolitan areas in the U.S. according to the American College of Sports Medicine and the Anthem Foundation.

Putting the cold aside, Minnesotans simply bundle up and head outside to ski, sled, and jog, whatever it takes to be physically active.

"I like to walk, even outside in the winter because it's gorgeous, even here, in the winter," says Minneapolis resident Rumen Hulmequist.

The annual report looks at heart disease and diabetes rates, smoking, availability of farmer's markets, and whether cities are investing in natural areas where residents can exercise.

That's one reason the Twin Cities pushed Washington down to the #2 spot this year. 

"Washington, D.C. didn't pay as much attention to its parks," says Dr. Pamela Peeke of the American College of Sports Medicine. "Not enough of an investment there."

San Francisco, Seattle, and San Jose round out the top five.

Compared to last year, 16 percent more people nationwide are getting enough aerobic exercise, and there was a 10 percent drop in diagnosed chest pain or heart disease.

Still, obesity has risen, as have deaths from diabetes, and fewer people say they're in "optimal" health.

At the bottom of the list were Indianapolis, Oklahoma City, and Louisville. 

Click here to see the full report.

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