Washington D.C. topped this list of America’s fittest cities for three years in a row until now. The nation’s Capital has been dethroned by the Twin Cities.
Despite cold temperatures, Minnesotans bundle up and head outside to ski, sled, job or do whatever it takes to be physically active.
"I like to walk even outside in the winter cuz it's gorgeous even here in the winter," says Minneapolis resident Rumen Hulmequist.
Minneapolis and St. Paul rank at the top of the list of the 50 “Fittest Cities” according to the American College of Sports Medicine and the Anthem Foundation.
The annual report looks at heart disease and diabetes rates, smoking, availability of farmer’s markets and whether cities are investing in natural areas where residents can exercise.
"Washington, DC didn't pay as much attention to its parks. Not enough of an investment there,” says Dr. Pamela Peeke of the American College of Sports Medicine.
That’s one reason the Twin Cities pushed Washington D.C. down to the number 2 spot this year.
San Francisco, Seattle and San Jose round out the top five.
Compared to last year, 16 percent more people nationwide are getting enough aerobic exercise and there was a 10 percent drop in diagnosed chest pain or heart disease.
But obesity has risen as have deaths from diabetes. And fewer people say they’re in “optimal” health.
"This is a time to be able to be much more mindful of every mouthful -- and every step," Dr. Peeke says.
At the bottom of the list is Indianapolis, Oklahoma City and Lousville.
© 2017 NBCNEWS.COM