A man riding a bicycle on a trail in City Heights. Courtesy SANDAG

San Diego was ranked the third healthiest city in America, trailing only San Francisco and Seattle, in a new analysis by WalletHub.

The Wasington, DC-based financial information company compared 174 of the most populous U.S. cities across 42 key indicators of good health. The data analyzed ranged from the cost of a medical visit to fruit and vegetable consumption to fitness clubs per capita.

San Diego ranked very high on healthy food and fitness, but less well on green space and health care. But it turns out that staying fit and eating properly are particularly important to health.

“If you look at the leading causes of death in the United States and the risk factors for those causes, both a poor diet and sedentary behavior are significant problems,” said Kristin Hocevar, an assistant professor at Southern Oregon University.

The three cities at the bottom of the list were Brownsville and Laredo in Texas and Gulfport in Mississippi.

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