FORT WAYNE, Ind. (WOWO) – Fort Wayne was ranked 135 out of the top 174 Healthiest and Unhealthiest Cities in America, according to WalletHub.

Fort Wayne also ranked 111 in Health Care, 150 in Food, 85 in Fitness and 144 in Green Space.

The city placed fourth overall in the Lowest Average Monthly Cost of Fitness-Club Membership.

Rankings were determined based on the following categories:

• Health Care
  • Premature-Death Rate
  • Mental Health
  • Physical Health
  • Family Doctors per Capita
  • Cost of Medical Visit
  • Cost of Dental Visit
  • Quality of Public Hospital System
  • Hospital Beds per Capita
  • Adult Health-Insurance Coverage
  • Youth Health-Insurance Coverage
  • Share of Adults Who Visited a Doctor or a Dentist in the Past Year
  • Share of Adults who Checked their Cholesterol in the Past 5 Years
  • Mammography Screenings Among Women Aged 50-74 Years
  • Share of Women and Men Aged 65 and Older Who Received Core Preventive Services
• Food
  • Fruit and Vegetable Consumption
  • Farmer’s Markets per Capita
  • Healthy Restaurants per Capita
  • Dietitians and Nutritionists per Capita
  • Share of Residents Who Say They Eat Healthy
  • Share of Obese Residents
  • Limited Access to Healthy Foods
• Fitness
  • Share of Adults Who Engage in Any Physical Activity
  • Fitness Clubs per Capita
  • Average Cost of Fitness-Club Membership
  • Recreational Leagues per Capita
  • Weight-Loss Centers per Capita
  • Fitness Trainers and Aerobics Instructors per Capita
• Green Space
  • Parkland Acres per Capita
  • Quality of Parks
  • Hiking Trails per Capita
  • Running Trails per Capita
  • Walking Trails per Capita
  • Walk Score
  • Bike Score
  • Physical-Activity Access
  • City “Greenness”
  • Recreation Access

The top five healthiest cities nationwide include San Francisco, Seattle, Portland, San Diego and Washington, D.C.

The lowest-ranking city is Brownsville, Texas.