Fort Worth placed 69th among the nation's 100 largest cities in the 2026 ACSM American Fitness Index released this month, fourth among the seven North Texas cities that made the list.
The city's residents scored better than its infrastructure did: Fort Worth ranked 45th on the index's personal health measures, which track physical activity and health outcomes, while its community and environment score, covering parks, walkability, transit and air quality, came in at 97th, near the bottom of the 100 cities evaluated.
The gap suggests the region's active residents are working with fewer of the community assets the index rewards.
The index, published for the 19th year by the American College of Sports Medicine with the Elevance Health Foundation, scores the 100 largest U.S. cities on personal health measures, such as physical activity, chronic disease and health outcomes, and on community and environment measures like parks, walkability and air quality.
Plano led Texas at No. 12, followed in North Texas by Frisco at No. 32 and Dallas at No. 43. Garland (No. 72), Arlington (No. 78) and Irving (No. 86) rounded out the region's showing.
