The verdicts are in, and for the third year in a row the American College of Sports Medicine (ACSM) has declared Washington D.C. the fittest city in the United States, based on a mix of personal health indicators (exercise, diet, healthful habits) and community environmental indicators (parks, bike commuters, farmers markets). Washington is followed by Minneapolis, Denver, Portland, Oregon and San Francisco. And the losers, those at the bottom of the 50-city list, are Indianapolis, Oklahoma City, and Louisville, Kentucky. See the complete list, and the reasons for the ACSM ratings, here.