The report measures the 50 most populous metro areas in the U.S. Each city is given a score and ranking that take into account "a composite of preventive health behaviors, levels of chronic disease conditions, health care access, and community resources and policies that support physical activity."
This year, Austin received a score of 54.2, down from last year's score of 60.6. According to the 2015 report, we need to improve on our higher percent of obese residents, as well as those with asthma and diabetes.
The report also denotes areas of excellence. "Austin’s total score has ranked among the top 20 metropolitan areas since 2009. Strengths include a high amount of acres of parkland, a low death rate for cardiovascular disease, as well as a high percent of parkland as city land area."
It appears we're still in much better shape than our Lone Star neighbors. At No. 47, San Antonio is one of the least fit cities in the report. Houston and Dallas fare only slightly better, at Nos. 39 and 41.
With an overall score of 79.6, Washington, D.C. is the fittest city in America.