SAN FRANCISCO (KRON) — When it comes to being fit, people in the nation’s capital are at the top of the list.  Tuesday morning the American Fitness Index released their annual report of the healthiest cities in America.

While D.C. took the top spot, three California cities made the top 5.  Among them, San Diego at number 3, San Francisco at number 4, and Sacramento at number 5.

Who bottomed out as least healthy city in America? Indianapolis, Indiana.

The results are based off of community health rank and personal health rank which comprises overall health rank.  Factors for healthy cities include access to trails for jogging, walking and biking and funding for parks and recreation.  Unhealthy cities have unusually high rates of obesity, heart disease and smoking.