San Francisco and San Jose have been ranked as two of the country's fittest cities in a new report.
The cities are ranked number four and number 10, respectively, in the top 50 cities cited in the 2015 American Fitness Index.
The report, created by the American College of Sports Medicine (ACSM), notes that San Francisco and San Jose both have "areas of excellence" including many farmers markets per capita, a low percentage of citizens who smoke cigarettes, and a high percent of people who bike or walk to work. "Improvement priority areas" include high rates of asthma and diabetes.
These are just a fraction of the health indicators measured by the Index; others factors measured include number of recreation centers, amount of parkland, and daily consumption of vegetables.
Washington, D.C. is the top ranked city in the Index, followed by St. Louis and San Diego. Indianapolis was ranked last on the list.