Bostonians have not been keeping pace.

The Greater Boston area was named the third healthiest city in America, according to the annual American Fitness Index released today by the American College of Sports Medicine. However, the area ranked No. 2 last year.

So what happened to Boston’s health?


According to the index, which measures various health factors, the percent of people in the region who reported being physically active at least moderately fell from 51.3 percent last year to 47.5 percent this year.

The percent of people who reported easting at least five servings of fruits or vegetables per day also fell by more than 2 percent.

Chronic health problems like obesity and asthma increased by about 1 percent.

This year, Boston ranked just behind Minneapolis-St. Paul and Washington, D.C.

Oklahoma City ranked last for at least the fourth year in a row.