About the ACSM American Fitness Index®

The ACSM American Fitness Index® Data Report 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® program (AFI), in partnership with the Anthem Foundation. The AFI program revolves around an annual data report published in May and near the date of the ACSM Annual Meeting.

The AFI data report measures the 50 most populous metropolitan areas in the United States and provides a score and ranking reflecting a composite of preventive health behaviors, levels of chronic disease conditions, health care access, and community resources and policies that support physical activity. Included in the report are benchmarks for each data indicator to highlight areas that need improvement.

With the help of this report, municipalities, community groups, health organizations and individual citizens can assess factors contributing to their metro area’s level of fitness, health and quality of life. The report is also an evaluation tool for measuring progress at the community level.

As a program, AFI also provides resources to help communities focus their efforts and assist communities in connecting with health promotion partners.

In 2011, ACSM received a grant from the Anthem Foundation to pilot technical assistance projects in Indianapolis and Oklahoma City. By translating key data from the AFI report, ACSM assists locally driven health improvement efforts.

This programmatic effort identifies actionable areas with the best evidence for improving health, focuses on doing the most good for the most residents – with a high priority on underserved populations – and works to make a community-wide impact quickly. The technical assistance project is an integral part of an overall evaluation plan for AFI to determine what key health indicators for communities can be effectively modified.

Beginning in 2014, ACSM expanded its technical assistance to the metro areas of Cincinnati, Las Vegas and Miami.

How does the AFI Data Report Compare to Similar Reports?


The ACSM American Fitness Index® Advisory Board is a standing board separate from the ACSM Board of Trustees. It is managed by Senior Director, Strategic Health Programs, Brenda Chamness.

We are committed to a strong link and communications between the AFI Advisory Board and ACSM Board of Trustees, as well as existing ACSM public health programs. ACSM staff will also ensure ongoing communication with ACSM membership.


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)