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The American College of Sports Medicine recently released its American Fitness Index. The index ranks the largest 50 metropolitan areas by analyzing health behaviors and environmental factors such smoking, obesity and chronic disease rates and access to recreational areas.

Discover what cities made the top 15 of the list.

See how all 50 cities ranked here.

15 Raleigh, N.C.
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Total score: 60.3

14 San Diego, Calif.
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Total score: 61.3

13 Cincinnati, Ohio
Associated Press

Total score: 61.4

12 Salt Lake City, Utah
Johanna Workman, Deseret News

Total score: 62.5

11 Austin, Texas
Associated Press

Total score: 63.6

10 San Jose, Calif.
Associated Press

Total score: 66.4

9 Hartford, Conn.
Associated Press

Total score: 66.6

8 Seattle, Wash.
Associated Press

Total score: 66.7

7 Sacramento, Calif.
Associated Press

Total score: 66.8

6 Boston, Mass.
Associated Press

Total score: 67.1

5 Denver, Colo.
Associated Press

Total score: 68.1

4 San Francisco, Calif.
Associated Press

Total score: 68.7

3 Portland, Ore.
Associated Press

Total score: 69.8

2 Washington D.C.
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Total Score: 77.7

1 Minneapolis, Minn.
Associated Press

Total score: 78.2