MINNEAPOLIS - According to the American College of Sports Medicine's most recent American Fitness Index, the Twin Cities tops the list when it comes to most healthy and fit.

The study states that Twin Cities residents participate in healthy behaviors, keep levels of chronic disease low and back policies that support physical activity.

Bre Johnson, of Lifetime Fitness, says that Twin Cities residents value good health. She thinks that's why you see brave and hearty souls continuing to bike and run outdoors despite the cold.

"There's a different sport for every season," she said. "Maybe in the summer they're a marathon runner? In the winter, they're a cross country skier. They always have something to look forward to."

Minneapolis topped Washington, D.C., Boston, San Francisco and Hartford, Conn. For the full list, go to www.americanfitnessindex.org.