Tulsa has once again landed near the bottom of a nationwide ranking of the country’s healthiest cities, according to a new report from the American College of Sports Medicine.

The annual American Fitness Index evaluates the 100 largest U.S. cities on how well they support active, healthy lifestyles. While Tulsa ranked low overall—coming in at No. 90—experts say the data also show areas where the city is making progress.

What the study measures

The Fitness Index considers 35 factors to determine a city's overall ranking. These include:

Walkability

Air quality

Food access and insecurity

Mental and physical health statistics

Public recreation resources like trails, splash pads and pickleball courts

Researchers say the index is meant to gauge “community fitness,” a term they compare t

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