When it comes to health-related research, the South tends to get a bad rap for everything from obesity to tobacco use. But three Virginia metro areas recently ranked among the nation’s fittest cities—including Richmond; the Virginia Beach, Norfolk, and Newport News area; and the Washington, Arlington, Alexandria area.

The Washington, Arlington, Alexandria area fared best, securing the #2 spot in the U.S., behind only the Minneapolis, St. Paul, Bloomington area in Minnesota and Wisconsin—which has been ranked #1 for the past three years in a row.

The Virginia Beach, Norfolk, and Newport News area ranked #18. And the Richmond area ranked #20.

The rating is part of the American Fitness Index, an annual ranking by the American College of Sports Medicine, and evaluates the nation’s 50 largest urban areas. The rankings include personal health indicators—like amount of physical activity, smoking habits, and the incidence of chronic disease—as well as environmental factors like parkland, farmer’s markets, and school physical education requirements.

Rounding out the top 5 are Portland, Oregon, in the #3 spot; San Francisco, California, at #4; and Denver, Colorado, at #5. The lowest-ranked city was Oklahoma City, Oklahoma, at #50.