Whether you're fit or fat may depend on where you live.

The American College of Sports Medicine ranks U.S. cities every year on the health of residents and how well the community environment supports better health.

The annual Fitness Index report looks at both personal health indicators -- meaning what people are doing individually to get and stay healthy -- as well as the built environment like parks, playgrounds, and recreation centers that offer opportunities for better health.

The personal health indicators in the rankings include the percent of residents who:

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  • got any exercise in the past 30 days,
  • met aerobic activity guidelines
  • consumed three or more vegetables a day and two or more fruits a day
  • smoke
  • get more than seven hours sleep
  • have diabetes, asthma, high blood pressure or other health issues.

The community and environment indicators include the city's Walk Score, percent of parkland per 1,000 residents, how many people bike or walk to work, farmers markets, and the number of recreational facilities, such as dog parks, ball parks, and swimming pools.

Cities with the highest scores are considered to have strong community fitness, a concept analogous to individuals having strong personal fitness, the report says. Cities that rank near the top of the Fitness Index have more strengths and resources that support healthy living and fewer challenges that hinder it. The opposite is true for cities near the bottom of the rankings.

These are the healthiest cities in the U.S.