San Francisco Healthiest City

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healthiest metropolitan area

Study Finds

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Health

Urban Wellness Rankings: San Francisco Tops List of America’s Healthiest Cities in 2025

Summary

Nutrition label

86% Informative

WalletHub ’s annual “ Healthiest & Unhealthiest Cities in America ” report examines factors ranging from healthcare access to green space availability to obesity rates.

San Francisco secured its position at the top of the rankings largely due to having the second -lowest share of obese adults in the country.

Honolulu secured the second position, with particular strength in addressing mental health needs.

Seattle stands out for having the highest physical activity rates nationwide.

Brownsville , Texas , ranked as America ’s least healthy city ( 182nd ), preceded by Gulfport , Mississippi , and Shreveport , Louisiana .

Other cities in the bottom ten include Laredo , Texas ( 178th ); Columbus , Georgia ( 179th ); Huntington , West Virginia ( 177th ); Corpus Christi , Texas ; and Fort Smith , Arkansas ( 175th ).