Each year the American College of Sports Medicine puts together a really big survey and study to help determine the most fit cities in the nation. Check it out the top ten healthiest cities below to see if your home town is listed.

I am sad to say that Charleston didn't make the list (which ranked 50 cities). Boo.

?How were the cities ranked? Based on what it offers outside of gyms. The number of parks, bike paths, outdoor recreation, etc. Other factors that played a part in the ranking system included life style, disease rates, and the amount of healthy food consumed.

The Winner:

1. Washington, D.C.

The Runners Up

2. Minneapolis-St. Paul

3. Denver

4. Boston

5. San Francisco

6. Seattle

7. Portland

8. San Diego

9. Austin, Texas

10. Virginia Beach, Va.

I know this is a top ten, but I want to give you the chance to see if you city made the overall list so look below to see the rest:

11. Hartford, Conn.

12. Sacramento, Calif.

13. San Jose, Calif.

14. Cincinnati

15. Atlanta

16. Pittsburgh

17. Milwaukee, Wis.

18. Buffalo, N.Y.

19. Baltimore

20. Raleigh, N.C.

21. Kansas City, Mo./Kan.

22. New York

23. Tampa, Fla.

24. Cleveland

25. Chicago

26. Nashville, Tenn.

27. Philadelphia

28. Jacksonville, Fla.

29. Columbus, Ohio

30. Los Angeles

31. Miami

32. Phoenix

33. St. Louis

34. Charlotte, N.C.

35. Dallas

36. Indianapolis

37. Memphis, Tenn.

38. Louisville, Ky.

39. San Antonio

40. Riverside, Calif.

41. Houston

42. Las Vegas

43. Birmingham, Ala.

44 . Detroit

45. Oklahoma City, Okla.

Five cities: Orlando, Fla.; Providence, R.I.; Richmond, Va.; Rochester, N.Y.; and Salt Lake City -- weren't rated because of a lack of community/environmental data. 

To read the full report: http://www.americanfitnessindex.org/images/cities/report2010B.jpg