The American College of Sports Medicine — the largest sports medicine and exercise science organization in the world with nearly 50,000 regional, national and international members of certified fitness professionals — has released its list of the 100 fittest cities in the United States. Four Nevada cities made the list.

But which one is the fittest in the state?

Here's a look at how ACSM made the ranking, which Nevada city made the top spot in the state and how Nevada cities rank nationally.

What does the American College of Sports Medicine do?

ACSM supports sports medicine education, clinical practice and scientific research through multiple initiatives, including hosting national and international professional meetings, providing education and certification and funding research in

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