People exercise outside the National City Christian Church on Thomas Circle in Washington. (Nicholas Kamm/AFP/Getty Images)

The Washington region dropped to second place on a new list of the most fit cities in the country.

The area got knocked out of the top spot by Minneapolis-St. Paul in an annual analysis called the American Fitness Index. The D.C. region had held the top spot for the past three years.

Officials involved in the study said the Washington area dropped a notch because it didn’t make as big of an investment in its park system, including parkland, ball diamonds and playgrounds.

The ranking covers the country’s 50 largest metro areas and is conducted by the Anthem Foundation and the American College of Sports Medicine.

A detailed look at how the D.C. region ranks in terms of being a fit city. It came in second. (ACSM American Fitness Index)

The report looks at several health-related areas, including money invested in parks and playgrounds, the number of farmers markets, and rates of heart disease, obesity, smoking, diabetes and asthma. It takes data mainly from the U.S. Centers for Disease Control and Prevention.

The D.C. region scored a 79.2 and was said to have more farmers markets per capita and a higher percentage of people who walked or biked to work. It also stood out for having more recreation centers, dog parks, basketball hoops and pools per capita. And it had lower percentages of people who smoke and people with heart disease.

The top fittest cities are:

  1. Minneapolis-St. Paul
  2. Washington, D.C.
  3. San Francisco
  4. Seattle
  5. San Jose
  6. Boston
  7. Denver
  8. Portland, Ore.
  9. Salt Lake City
  10. San Diego

The three cities at the bottom of the list were Indianapolis, Oklahoma City and Louisville.