A new study looking at America's 100 largest cities ranks Oklahoma City as the unhealthiest.

How do Oklahoma City and Tulsa rank?

An annual study examining the fitness of 100 of the largest cities in the United States ranked Oklahoma City in 100th place and Tulsa at 90th.

The American College of Sports Medicine (ACSM) published the 2025 American Fitness Index on July 22, which looked at how cities support healthy and active lifestyles and pinpointed ways city officials can improve residents’ quality of life.

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This year’s index weighed a city’s health, in terms of residents’ personal health and community assets, environment and its encouragement of healthy behaviors, including:

Health behaviors: e.g., percent

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