Houstonians are more fit than they used to be, but the city still needs to hit the gym. The Bayou City ranks in the middle of the pack in a ranking of America's fittest cities.

This year’s American Fitness Index puts Houston at No. 44 among the country’s 100 most populated cities, up from 49th place last year. Houston ranks 26th in the personal health category and a disappointing 64th in the community and environment category.

The index shows 74 percent of Houston residents had exercised in the previous month, 57 percent had met aerobic activity guidelines, and 33 percent had met aerobic and strength activity guidelines. The first two of those numbers are below the 100-city averages.

The Elevance Health Foundation and the American College of Sports Medicine (ACSM) produce the annual index, which they say combines measures of personal health behavior, chronic disease outcomes, community infrastructure, and environmental factors “to provide a comprehensive picture of how well cities promote fitness and well-being.”

Arlington, Virginia, tops the index, followed by Washington, D.C.; Minneapolis; Seattle; and Denver. The Dallas suburb of Plano takes the top Texas spot at No. 12 nationally.

“The cities that consistently rank at the top aren’t succeeding because of one program or one investment,” Stella Volpe, past president of ACSM and chair of the Fitness Index Advisory Board, says in a press release. “They’ve built systems that support healthier living over time. They are the ones creating environments where physical activity can easily become a part of everyday routines.”

One thing helping Houston is its strong network of parks. In May, Houston landed at No. 10 in Texas and 69th in the U.S. in the annual ParkScore Index. That was down slightly from 2025.

Every year, land conservation nonprofit The Trust for Public Land rates park systems in the 100 biggest American cities on accessibility, equity, acreage, investment, and amenities.

Among other Texas cities appearing in the American Fitness index are:

• No. 28 Austin, down from No. 21 last year.
• No. 43 Dallas, up from 46th last year.
• No. 69 Fort Worth, up from 80th last year.
• No. 80 San Antonio, up from No. 94 last year.

“Where you live increasingly determines how healthy you are,” Volpe says. “The healthiest cities don’t just encourage exercise — they make movement part of daily life through infrastructure, transportation, and community design.”