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Reply(1) The index rankings consider 34 health behaviors, chronic diseases and community infrastructure indicators, including smoking rates, the percent of people who bike or walk to work, fruit and vegetable consumption and sleep hours. (Getty Images) CALIFORNIA The 2021 American Fitness Index has been released, with 16 Golden State cities ranking among the 100 largest cities the American College of Sports Medicine included in its annual study. The index rankings consider 34 health behaviors, chronic diseases and community infrastructure indicators, including smoking rates, the percent of people who bike or walk to work, fruit and vegetable consumption and sleep hours. The highest-ranking California city was Irvine, No. 8. The city ranks No. 6 in personal health and No. 24 in community health, the index states. The second highest was Oakland, No. 11. The Bay Area city ranks No. 9 in personal health and No. 31 in community health.

United statesChula vistaSan diegoOklahoma citySan franciscoLong beachOrange countyLos angelesLas vegasEnvironmental protection agencyUs census bureau american communityAmerican college of sports medicineGetty imagesFitness indexAmerican collegeSports medicine