Frisco residents are among the healthiest in America, even if the city's rank does not show it at first glance. In the 2026 ACSM American Fitness Index released this month, Frisco placed 32nd overall out of the nation's 100 largest cities, but ranked ninth in the country on the index's personal health measures.
That ninth-place personal health score, which reflects residents' physical activity, chronic disease rates and overall health outcomes, puts Frisco in the company of cities like Arlington, Virginia and Seattle.
What pulled the overall rank down was the community and environment score, which measures assets such as park acreage, walkability, transit and air quality; Frisco ranked 94th on that side of the ledger, a common pattern for fast-growing suburbs whose infrastructure is still catching up to their populations.
The index, published for the 19th year by the American College of Sports Medicine with the Elevance Health Foundation, scores the 100 largest U.S. cities on personal health measures, such as physical activity, chronic disease and health outcomes, and on community and environment measures like parks, walkability and air quality.
Frisco was one of seven North Texas cities in the top 100, trailing only Plano, which led all of Texas at No. 12. Dallas ranked 43rd, Fort Worth 69th, Garland 72nd, Arlington 78th and Irving 86th.
