Pittsburgh ranks 16th among the 50 largest metropolitan areas in health and community fitness in the annual survey conducted by the American College of Sports Medicine.
With a score of 59.9 (out of 100) on ACSM's American Fitness Index, Pittsburgh fell a spot from last year's survey.
A panel of 26 experts ranks communities on the health behaviors of the individuals in them, health care access, and the community resources devoted to encouraging healthy and fit lifestyles.
Pittsburgh ranked fifth on community measures such as access to health care, spending on parks and recreational facilities, and physical education requirements in schools -- but just 29th on personal health behaviors.
Leading the list for the third consecutive year were the twin cities of Minneapolis and St. Paul, with a score of 78.2. The others in the top five were Washington, D.C.; Portland, Ore.; San Francisco; and Denver.
At the end of the list with a score of just 31.2 was Oklahoma City. The others in the bottom five were Detroit; San Antonio, Texas; Louisville, Ky.; and Memphis, Tenn.