Brownsville, Texas - despite having one of the most affordable medical costs - followed by Laredo, Texas.
Seattle, Washington; Portland, Oregon; San Diego, California; and Washington DC, rounded out the top five healthy states in the US.
Brownsville, Texas, which was the second least healthy city in the US last year, is now the most unhealthy city this year, and is one of the states with fewer green space areas.
The bottom five cities, which are located in the south, also included Laredo, Texas, Augusta, Georgia; Shreveport, Lousiana; and Gulfport, Mississippi.
for aerobic activity and muscle strengthening, according to The State of Obesity report released in 2017.