Bottom of the class?

Unfit? That’s how the American College of Sports Medicine has diagnosed San Antonio in a new ranking of fittest cities.

San Antonio ranked 45th out of the 50 largest U.S. metropolitan areas in a new report that includes “preventive health behaviors, levels of chronic disease conditions, and community resources and policies that support physical activity.”

Washington D.C. was ranked the fittest metro area, while Memphis came in last.

Of course, we know a few people might disagree with our low ranking, given the effort that’s gone into making San Antonio more fit. What do you think?

Here are the rankings:

1. Washington, D.C.

2.  Minneapolis-St. Paul, Minn.

3. Portland, Ore.

4. Denver, Colo.

5. San Francisco, Calif.

6. San Jose, Calif.

7. Seattle, Wash.

8. San Diego, Calif.

9. Boston, Mass.

10. Sacramento, Calif.

11. Salt Lake City, Utah

12. Hartford, Conn.

13. Raleigh, N.C.

14. Austin, Texas

15. Chicago, Ill.

16. Atlanta, Ga.

17. Pittsburgh, Pa.

18. Cincinnati, Ohio

19. Los Angeles, Calif.

20. Philadelphia, Pa.

21. Richmond, Va.

22. Virginia Beach, Va.

23. Providence, R.I.

24. New York, N.Y.

25. Baltimore, Md.

26. Miami, Fla.

27. Charlotte, N.C.

28. Riverside, Calif.

29. Buffalo, N.Y.

30. Jacksonville, Fla.

31. Tampa, Fla.

32. Milwaukee, Wis.

33. Cleveland, Ohio

34. Kansas City, Mo.

35. Houston, Texas

36. Phoenix, Ariz.

37. Las Vegas, Nev.

38. Dallas, Texas

39. New Orleans, La.

40. Columbus, Ohio

41. St. Louis, Mo.

42. Orlando, Fla.

43. Detroit, Mich.

44. Birmingham, Ala.

45. San Antonio, Texas

46. Nashville, Tenn.

47. Indianapolis, Ind.

48. Oklahoma City, Okla.

49. Louisville, Ky.

50. Memphis, Tenn.