The American College of Sports Medicine (ACSM) and the Anthem Foundation will release the 2019 American Fitness Index® that ranks America’s 100 largest cities. The Fitness Index evaluates cities using 33 health behaviors, chronic diseases and community infrastructure indicators that support a physically active lifestyle. Four new health indicators were added this year.

At the community level, the ACSM/Anthem Fitness Index is used as an assessment and evaluation tool to educate community leaders on the importance of key indicators of physical activity. Leaders can then focus on policy, systems and environmental change strategies that are evidence-based and create sustainability for their community.

ACSM and Anthem launched the Fitness Index in 2008.


The rankings will be released at 7:00 a.m. EDT on May 14, 2019.


The American College of Sports Medicine is the largest sports medicine and exercise science organization in the world. More than 50,000 international, national and regional members are dedicated to advancing and integrating scientific research to improve educational and practical applications of exercise science and sports medicine. ACSM is a global leader in promoting the benefits of physical activity and advocates for legislation that helps government and the health community make it a priority. More details can be found at www.acsm.org.

The Anthem Foundation is the philanthropic arm of Anthem, Inc. Through charitable contributions and programs, the Foundation promotes the inherent commitment of Anthem, Inc. to enhance the health and well-being of individuals and families in communities that Anthem, Inc. and its affiliated health plans serve. The Foundation focuses its funding on strategic initiatives that make up its Healthy Generations Program, a multi-generational initiative that targets maternal health, diabetes prevention, cancer prevention, heart health and healthy, active lifestyles, behavioral health efforts and programs that benefit people with disabilities. More details at www.anthem.foundation.


For an embargoed news release and/or to interview ACSM and/or Anthem spokespersons about the Fitness Index, contact Lisa Ramage, ACSM media relations manager, at lramage@acsm.org.

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