About the ACSM American Fitness Index®

The ACSM American Fitness Index® is a Scientific Snapshot of the State of Health and Fitness at the Metropolitan Level.


In 2008, the American College of Sports Medicine (ACSM) launched the ACSM American Fitness Index®, in partnership with the Anthem Foundation. The Fitness Index ranks the largest metropolitan areas in the United States on a composite of preventive health behaviors, levels of chronic diseases, community infrastructure, and local policies that support a physically active lifestyle. With the help of the Fitness Index, municipalities, community groups, health organizations, and individual citizens can assess factors contributing to their metro’s level of fitness, health, and quality of life.

The ACSM American Fitness Index® offers tailored guidance to local officials and community leaders that are ready to make their city one of the healthiest cities in America. This assistance focuses on strategies and policies with the best evidence for improving health, increasing physical activity, and that does the most good for the most residents – with a high priority on under-served populations.

The ACSM American Fitness Index® is honored to have assisted city officials in Cincinnati, Indianapolis, Las Vegas, Miami, and Oklahoma City, and Miami with:

  • understanding their city’s Fitness Index rankings,
  • identifying actionable areas for improvement, and
  • focusing on the highest local priorities.


The ACSM American Fitness Index® Advisory Board, managed by ACSM’s Director of Strategic Health Programs, is a standing board separate from the ACSM Board of Trustees. With the help of ACSM staff, the Advisory Board is committed to a strong link and communications with the ACSM Board of Trustees, membership, and existing strategic initiatives.

Chair: Barbara E. Ainsworth, Ph.D., M.P.H., FACSM, FNAK (Arizona State University)

Steven N. Blair, P.E.D., FACSM (University of South Carolina)

John M. Jakicic, Ph.D., FACSM (University of Pittsburgh)

Liz Joy, M.D., M.P.H., FACSM (Intermountain Healthcare/University of Utah School of Medicine)

NiCole R. Keith, Ph.D., FACSM (Indiana University, Regenstrief Institute, Inc.)

Roseann M. Lyle, Ph.D., FACSM (Purdue University)

Melinda M. Manore, Ph.D., R.D., FACSM (Oregon State University)

Kenneth E. Powell, M.D., M.P.H., FACSM (Epidemiologic and Public Health Consultant)

Angela Smith, M.D., FACSM (Nemours/Alfred I duPont Hospital for Children)

Walter R. Thompson, Ph.D., FACSM (Georgia State University)

Stella Lucia Volpe, Ph.D., R.D., LDN, FACSM (Drexel University)

Kathleen Watson, PhD (U.S. Centers for Disease Control and Prevention)