According to the ASCM: “Cities with the highest scores are considered to have strong community fitness, a concept analogous to individuals having strong personal fitness. Cities that rank near the top of the Fitness Index have more strengths and resources that support healthy living and fewer challenges that hinder it. The opposite is true for cities near the bottom of the rankings.” In 2020, the ACSM named Arlington, Virginia the fittest city in the United States. What major metropolis landed on the opposite end of the spectrum? Here are the 50 most out-of-shape cities in America, counting down from bad to worst. And for the places you may not be quite as safe as you’d like to be, check out This Is the Most Dangerous State in the U.S. Personal Health Rank: 74 Community and Environment Rank: 22 And for the places in the U.S. to mind your surroundings, check out The 100 Most Dangerous Cities in America. Personal Health Rank: 83 Community and Environment Rank: 8 Personal Health Rank: 78 Community and Environment Rank: 15 And for more on the cost of certain states, check out This Is the State Where Your Money Is Worth the Least. Personal Health Rank: 48 Community and Environment Rank: 54 Personal Health Rank: 39 Community and Environment Rank: 66 And for more on how your state stacks up in terms of residents’ well-being, check out Every U.S. State Ranked From Healthiest to Unhealthiest. Personal Health Rank: 53 Community and Environment Rank: 50 Personal Health Rank: 89 Community and Environment Rank: 13 And for more helpful information delivered straight to your inbox, sign up for our daily newsletter. Personal Health Rank: 68 Community and Environment Rank: 44 Personal Health Rank: 41 Community and Environment Rank: 80 Personal Health Rank: 50 Community and Environment Rank: 62 Personal Health Rank: 42 Community and Environment Rank: 81 Personal Health Rank: 69 Community and Environment Rank: 45 Personal Health Rank: 43 Community and Environment Rank: 84 Personal Health Rank: 44 Community and Environment Rank: 88 Personal Health Rank: 62.5 Community and Environment Rank: 60 Personal Health Rank: 51 Community and Environment Rank: 85 Personal Health Rank: 37 Community and Environment Rank: 97 Personal Health Rank: 45 Community and Environment Rank: 94 Personal Health Rank: 58 Community and Environment Rank: 78 Personal Health Rank: 59 Community and Environment Rank: 79 Personal Health Rank: 47 Community and Environment Rank: 95 Personal Health Rank: 98ae0fcc31ae342fd3a1346ebb1f342fcb Community and Environment Rank: 9 Personal Health Rank: 65 Community and Environment Rank: 69 Personal Health Rank: 75 Community and Environment Rank: 51 Personal Health Rank: 66 Community and Environment Rank: 72 Personal Health Rank: 54 Community and Environment Rank: 90 Personal Health Rank: 71 Community and Environment Rank: 59 Personal Health Rank: 90 Community and Environment Rank: 37 Personal Health Rank: 88 Community and Environment Rank: 40 Personal Health Rank: 46 Community and Environment Rank: 100 Personal Health Rank: 94 Community and Environment Rank: 38 Personal Health Rank: 84 Community and Environment Rank: 52 Personal Health Rank: 86 Community and Environment Rank: 53 Personal Health Rank: 73 Community and Environment Rank: 86 Personal Health Rank: 92 Community and Environment Rank: 48.5 Personal Health Rank: 76 Community and Environment Rank: 76 Personal Health Rank: 82 Community and Environment Rank: 75 Personal Health Rank: 81 Community and Environment Rank: 82 Personal Health Rank: 80 Community and Environment Rank: 83 Personal Health Rank: 77 Community and Environment Rank: 93 Personal Health Rank: 87 Community and Environment Rank: 87 Personal Health Rank: 93 Community and Environment Rank: 73 Personal Health Rank: 79 Community and Environment Rank: 96 Personal Health Rank: 91 Community and Environment Rank: 92 Personal Health Rank: 99 Community and Environment Rank: 56 Personal Health Rank: 96 Community and Environment Rank: 71 Personal Health Rank: 97 Community and Environment Rank: 70 Personal Health Rank: 85 Community and Environment Rank: 98 Personal Health Rank: 100 Community and Environment Rank: 91 Personal Health Rank: 95 Community and Environment Rank: 99