These Are the Healthiest (and Unhealthiest) Cities in America

For the second year running Washington, D.C., tops the American Fitness Index (AFI) ranking as the healthiest metropolitan area in the U.S.

The nation’s capital can credit an above average access to public infrastructure for the top spot, according to the eighth annual report.

Minneapolis–St.Paul, Minn., came in second and three California metro areas — San Diego, the Bay Area and Sacramento — rounded out the top five.

“Our goal is to provide communities and residents with resources that help them assess, respond and achieve a better, healthier life,” said Walter Thompson, chair of the AFI advisory board, in a press release.

Indianapolis came in last place as it failed to reach the target goal in nearly all of the 32 health indicators measured. Memphis and Oklahoma City also ranked near the bottom.

The AFI used publicly available data points that are measured routinely and can be changed through community effort (so climate cannot be considered a health indicator).

Below you can find a list of the top-10 healthiest metro areas, according to the AFI:

1. Washington, D.C.
2. Minneapolis
3. San Diego
4. San Francisco
5. Sacramento, Calif.
6. Denver
7. Portland
8. Seattle
9. Boston
10. San Jose, Calif.

Contact us at editors@time.com.