The 25 healthiest cities in America in 2026, ranked

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lazyllama // Shutterstock

Health isn't shaped only at the doctor's office. The places people call home can make an everyday difference, from having room to exercise and spend time outdoors to finding medical care when it's needed. Across the country, some cities make those healthy choices noticeably easier to work into daily life.

So, which places are doing especially well? To find out, Stacker turned to Niche's 2026 Healthiest Cities in America ranking, which looks at factors including smoking, alcohol abuse, obesity, and access to health care, mental health providers, and fitness centers. Rather than treating wellness as a single statistic, the ranking brings several pieces of the health puzzle together to show where residents have stronger conditions for staying well.

Picturesque Boston waterfront with sailing boats and cityscape, Massachusetts, USA

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1 / 25

#25. Boston

  • State: Massachusetts
  • Population: 666,442

Boston pairs a first-rate health care system with a layout that rewards moving on foot. The Emerald Necklace and the Charles River Esplanade turn a daily walk or run into scenery rather than a chore, and the city's density means many errands don't require a car at all. Add one of the country's deepest concentrations of hospitals and specialists, and Boston checks nearly every box the health rankings look for.

Trail on Telecommunication hill, San Jose, California

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2 / 25

#24. San Jose

  • State: California
  • Population: 990,138

Silicon Valley's largest city isn't only tech campuses and traffic. Alum Rock Park and the trail network along the Guadalupe River give cyclists, runners, and hikers a way to log miles without leaving town, and the mild South Bay climate keeps those trails usable most of the year. A large, well-resourced health system across the metro area rounds out the picture.

Brilliant autumn trees along a highway in Kent, Washington.

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3 / 25

#23. Kent

  • State: Washington
  • Population: 135,603

Set between Seattle and Tacoma, Kent leans suburban but doesn't skimp on ways to stay active. Swimmers and paddlers use Lake Meridian Park, while cyclists and runners have the Green River Trail running the length of the Kent Valley — a rare advantage for a city this size.

Minneapolis Minnesota at Sunset on the Mississippi River

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4 / 25

#22. Minneapolis

  • State: Minnesota
  • Population: 427,246

Minneapolis wraps its health-conscious reputation around its lakes. Loops around Bde Maka Ska and Lake Harriet, paired with an extensive bike network and park system, keep recreation within reach even when winter narrows the calendar. Residents consistently point to the city's greenery, walking paths, and cycling infrastructure as everyday perks — not just seasonal ones.

Washington DC cityscape aerial panoramic view, US Capitol and the mall view, capital of USA

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5 / 25

#21. Washington, D.C.

  • State: District of Columbia
  • Population: 681,294

Much of Washington, D.C. can be explored without a car, which puts casual exercise within reach of daily errands. Beyond the National Mall, Rock Creek Park and trails along the Potomac give locals room to run or cycle through a dense urban core, adding real green space to a famously walkable city.

Drone photo over the City of Oakland with San Francisco and the Bay Bridge in the background.

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6 / 25

#20. Oakland

  • State: California
  • Population: 439,418

Oakland's spot between the hills and the bay opens up two very different kinds of exercise. Lake Merritt draws steady foot traffic for walks and runs, while Redwood Regional Park offers wooded trails just past the city limits — a combination that keeps outdoor activity close no matter which one a resident prefers.

Elevated view of the Lakeside golf club in Burbank, with Verdugo Mountains in the distance

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7 / 25

#19. Burbank

  • State: California
  • Population: 104,546

Best known for its studios, Burbank also has a strong outdoor side. The Verdugo Mountains give hikers a real climb, Johnny Carson Park offers a gentler option, and walkable pockets around Downtown Burbank let residents fold movement into errands rather than saving it for the gym.

Afternoon sunlight shines on the downtown urban core of Glendale.

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8 / 25

#18. Glendale

  • State: California
  • Population: 190,748

The San Rafael Hills give Glendale a built-in fitness advantage in the middle of Los Angeles County. Trails around Brand Park and the Verdugo Mountains support hiking and outdoor workouts, and Southern California's weather keeps those spaces usable nearly year-round — no separate trip required to gain some elevation.

Palm framed view of downtown Costa Mesa, California, USA.

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9 / 25

#17. Costa Mesa

  • State: California
  • Population: 110,330

Consistent outdoor weather works in Costa Mesa's favor, especially for people who would rather train outside than in a gym. Fairview Park supplies trails and open space, and proximity to Newport Beach makes coastal cycling, running, and water sports easy weekend additions — fitness here extends well past a traditional rec center.

People jogging and bicycling along the Willamette River among flowering cherry trees with downtown Portland in the background.

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10 / 25

#16. Portland

  • State: Oregon
  • Population: 641,165

Cycling is practically part of Portland's identity, but bikes are only one piece of it. Forest Park puts miles of wooded trail remarkably close to downtown, and paths along the Willamette River leave room for running and walking, too — a combination that keeps the city active without sacrificing urban convenience.

A gorgeous spring landscape along the Chattahoochee River with lush green trees, grass and plants and colorful flowers with powerful clouds at sunset at Ray’s on the River in Sandy Springs, Georgia.

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#15. Sandy Springs

  • State: Georgia
  • Population: 107,087

The Chattahoochee River forms a natural playground along Sandy Springs' western edge. Locals hike near the river, visit Morgan Falls Overlook Park, or use neighborhood green spaces such as Hammond Park and Ridgeview Park. Niche reviewers specifically call out the range of parks and recreational amenities in this Atlanta suburb.

Sunset view of the historic skyline and bridges of downtown Pasadena, California, USA.

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#14. Pasadena

  • State: California
  • Population: 136,969

With the San Gabriel Mountains rising behind it, Pasadena makes it hard to ignore the outdoors. Arroyo Seco supplies walking and running routes, nearby foothill trails offer tougher hikes, and city-run parks and recreation programs round things out for families — exercise here can be a neighborhood stroll or a serious climb, depending on the day.

A Seating Area at Quarry Lake in Naperville near the Riverwalk.

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13 / 25

#13. Naperville

  • State: Illinois
  • Population: 150,692

The Naperville Riverwalk turns the DuPage River into one of the city's most popular places to walk, jog, or simply spend time outside. Parks and trails elsewhere connect residential areas of this Chicago suburb, giving locals recreational options without a drive downtown, and several neighborhoods put shops and restaurants within walking distance.

People dining at outdoor tables outside restaurants on King Street, which is the town's main street.

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14 / 25

#12. Alexandria

  • State: Virginia
  • Population: 156,976

Alexandria's historic streets pull double duty as tourist draws and an invitation to walk. Old Town is especially pedestrian-friendly, and the Mount Vernon Trail follows the Potomac toward Washington, D.C., giving runners and cyclists a scenic through-route. Waterfront parks nearby add still more options for active recreation.

Business center in downtown San Francisco in USA during the day.

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15 / 25

#11. San Francisco

  • State: California
  • Population: 830,235

San Francisco's famous hills may turn a grocery run into accidental cardio, but the city also has purpose-built places to exercise. Golden Gate Park, the Presidio, and waterfront routes along the bay offer miles for walking, running, and cycling, and dense, walkable neighborhoods make a car-free routine realistic for a lot of residents.

City of Arlington in Northern Virginia skyscrapers view from Washington bridge, capital of USA.

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16 / 25

#10. Arlington

  • State: Virginia
  • Population: 236,254

Arlington's compact layout lets fitness happen between destinations instead of only during scheduled workouts. The Washington & Old Dominion and Mount Vernon trails connect a highly walkable, transit-oriented community, and residents specifically praise the area's pedestrian-friendly character — getting around Northern Virginia can mean plenty of built-in movement.

Palm framed view of the downtown skyline of Torrance, California, USA.

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17 / 25

#9. Torrance

  • State: California
  • Population: 142,130

Torrance offers a quieter version of the Southern California outdoor lifestyle. City parks provide room for walking, sports, and family recreation; Wilson Park is among the best-known of them, and the nearby South Bay coastline extends the possibilities for beach running and cycling. Residents also cite easy park access as part of everyday life here.

Campus of Santa Clara University, a private university in Santa Clara, Silicon Valley, San Francisco Bay Area on a sunny day

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18 / 25

#8. Santa Clara

  • State: California
  • Population: 130,256

At the heart of Silicon Valley, Santa Clara balances its tech-heavy economy with parks and recreational space spread across the city. Central Park supplies trails, sports facilities, and open space, and mostly flat terrain keeps walking and cycling approachable for most residents. Locals specifically cite clean neighborhoods, sunny weather, and nearby parks among the city's quality-of-life strengths.

Aerial view of a suburban neighborhood in Sunnyvale, California near S Mathilda Ave.

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19 / 25

#7. Sunnyvale

  • State: California
  • Population: 154,236

Sunnyvale's flat South Bay terrain suits cycling and walking well, a real plus for residents trying to fit activity into a busy Silicon Valley schedule. Baylands Park opens onto trails and wetlands near San Francisco Bay, while smaller neighborhood parks create closer-to-home opportunities to get outside.

Morning sunrise photo of Boulder, Colorado.

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20 / 25

#6. Boulder

  • State: Colorado
  • Population: 106,433

Few American cities make outdoor fitness as unavoidable as Boulder does. Chautauqua Park leads directly toward the Flatirons, the Boulder Creek Path draws runners and cyclists through town, and an extensive trail network starts almost at the city's doorstep. Colorado's hiking culture isn't just nearby here — it's built into how Boulder residents move through their week.

Afternoon light illuminates the landscape at the Irvine Orange County Great Park.

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21 / 25

#5. Irvine

  • State: California
  • Population: 311,690

Irvine was planned with green space woven through its residential communities, giving locals an unusually broad network of parks and trails. The San Diego Creek Trail serves cyclists and runners, and Bommer Canyon offers hiking and open-space recreation away from Orange County's busier corridors. Clean neighborhoods and ample outdoor options complement the city's strong health-and-fitness ranking.

Seattle city skyline with Mt Rainier at sunset with urban office buildings viewed from Kerry Park.

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22 / 25

#4. Seattle

  • State: Washington
  • Population: 754,195

Water, hills, and greenery surround Seattle, giving residents plenty of reasons to exercise outside whenever the drizzle cooperates. Green Lake remains one of the city's classic running and walking loops; Discovery Park offers miles of trail, and the Burke-Gilman Trail carries cyclists across North Seattle. Locals also point to scenic walks as one of the city's everyday draws.

Bellevue Washington Aerial View of Meydenbauer Bay Whalers Cove

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#3. Bellevue

  • State: Washington
  • Population: 151,847

Across Lake Washington from Seattle, Bellevue pairs dense development with surprisingly easy access to nature. Mercer Slough Nature Park threads trails through wetlands close to downtown, and Bellevue Downtown Park offers a convenient loop for walkers and runners. Those green spaces give this fast-growing King County city room to move despite its rapid development.

Aerial view of Berkeley and north Oakland on a sunny day; downtown Oakland in the background.

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24 / 25

#2. Berkeley

  • State: California
  • Population: 120,257

Berkeley's famously walkable streets are just the start of its active lifestyle. The Ohlone Greenway supports walking and cycling through the East Bay, and Tilden Regional Park supplies hiking trails in the hills just beyond the city. With UC Berkeley adding a large pedestrian population, movement is baked into how people get around here.

Harvard University Eliot House and tower viewed across the Charles River in Cambridge, Massachusetts

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25 / 25

#1. Cambridge

  • State: Massachusetts
  • Population: 118,796

Cambridge takes the top spot with a setting where walking and cycling fit naturally into daily life. Paths along the Charles River, neighborhood parks, bike-friendly streets, and compact areas around Harvard and MIT give residents multiple ways to stay moving, and the surrounding Boston area supplies some of the country's deepest medical and health resources. Even visitors single out the parks, river, and walkable neighborhoods as defining features of the city.

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