Boston is among the top 10 fittest cities in America, according to a new study by the American College of Sports Medicine and the Anthem foundation.

The study, released in the American Fitness Index, used 33 health behaviors, chronic diseases, and community infrastructure indicators to rank 100 cities.

Cities with the highest scores are considered to have strong community fitness, a concept analogous to individuals having strong personal fitness, the city states. Cities that rank near the top of the Fitness Index have more strengths and resources that support healthy living and fewer challenges that hinder it.

Boston came in at number 10, cracking the top 10 list for the first time, according to WCVB. Arlington, Virginia was named the fittest city in the country for the third time in a row.

With the health care costs of physical inactivity exceeding $117 billion yearly, increasing physical activity has never been more important to the nations health and economic outcomes, the study states.

Boston residents were the most likely to bike or walk to work and was only one of two cities to have all residents living within a 10-minute walk to a park, the study states.

Massachusetts was also recently named the best state for health care in the United States, according to WalletHub.

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Boston is among Americas top fittest cities, new study says; ranked as most likely to bike or walk to work - MassLive.com