Spoonbridge and Cherry by Claes Oldenburg and Coosje van Bruggen at the Minneapolis Sculpture Garden.
Spoonbridge and Cherry by Claes Oldenburg and Coosje van Bruggen at the Minneapolis Sculpture Garden. Owaki-Kulla / Corbis

While healthy living is a personal choice, where you live can help or hinder you from achieving your fitness goals. In 2011, the American College of Sports Medicine (ACSM) compiled a list of the fittest cities in America based on the American Fitness Index (AFI).

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American cities with the fittest residents encourage good health through a variety of factors — by providing public parks, enacting smoking bans, promoting farmers markets and offering easy access to medical care. Here are the five healthiest cities in America based on ACSM’s findings.

Minneapolis-St. Paul, Minnesota

The Twin Cities rank No. 1 on the ACSM list. The percentage of local parkland is higher here than most cities on average — Minneapolis alone has 22 lakes. Parkland stretches on both banks of the Mississippi River as it snakes its way between the two cities. According to the ACSM, residents here have a higher overall percentage of physical activity.

Minneapolis is one of the first cities in the nation to build biking trails and enact strict nonsmoking ordinances. The metropolitan area has low asthma and diabetes rates, and a high percentage of its population has health insurance. Although Minneapolis may not have many well-known medical institutions, Hennepin County Medical Center is highly respected within the medical community.