[1] The measure is a composite of indicators for personal health and community resources available for physical activity.
The first report, completed in May 2008, ranked the 15 most populous metropolitan areas in the nation, along with Greater Indianapolis (where the ACSM is based).
[3] The Fitness Index's goal is to provide local policy-makers with the information necessary to improve the health, fitness, and quality of life of community residents by promoting healthier lifestyles and physical activity.
[4] Ranks and scores are assigned by weighing various indicators and rewarding or penalizing the city as appropriate.
These indicators are classified into two broad categories: Personal Health, which measures the health habits and outcomes for city residents, including their physical activity, diet, and chronic health problems, and Community and Environment, which includes scores to measure the walkability, bikeability, availability and convenience of local parks, community recreation facilities like pools, tennis courts, and baseball diamonds, and presence of local policies like Complete Streets and physical education requirements in schools.