Twin Cities Ranks 2nd In Annual Fit City IndexThe American College of Sports Medicine released its Fit City Index on Wednesday and once again the Twin Cities is among the most fit regions in the country. But it's not at the top spot in the seventh annual survey. The report shows of the 50 largest metropolitan areas in the country, Minneapolis/St. Paul came in at No. 2 nationally with 73.5 out of a possible 100 points.