WASHINGTON — Detroit has been touted as being “America’s Comeback City” by some since declaring bankruptcy in 2013, but a 2017 study does The Motor City no favors in its revitalization efforts. According to WalletHub, Detroit is the unhealthiest city in America, as opposed to San Francisco, which got the top grade in a study of the country’s 150 most populated cities.

To reach their findings, WalletHub graded each city using 34 categories as metrics along with a specific weight for each category. The categories were split among four groups that accounted for 25 points each: health care, food, fitness, and green space. The higher the score, the healthier the city.

Categories considered in the study included mental health counselors per capita, cost of medical visit, and quality of public hospitals for health care; healthy restaurants per capita, share of obese residents, and produce consumption for categories under food; fitness clubs per capita, weight loss centers per capital, and share of residents who engage in any physical activity for categories in fitness; and quality of parks, bike score, and walking trails per capita among the categories for green space.

The top five healthiest cities in America were (1-5): San Francisco, Calif.; Salt Lake City, Utah; Scottsdale, Ariz.; Seattle, Wash.; Portland, Ore.

The unhealthiest cities were (146-150): Shreveport, La.; Laredo, TX; Memphis, Tenn.; Brownsville, TX; Detroit, Mich.

The full list from WalletHub.com:

Overall Rank	City	Total Score	‘Health Care’ Rank	‘Food’ Rank	‘Fitness’ Rank	‘Green Space’ Rank
1	San Francisco, CA	68.06	29	1	37	3
2	Salt Lake City, UT	67.50	27	3	3	17
3	Scottsdale, AZ	67.14	20	16	1	15
4	Seattle, WA	67.08	31	4	7	6
5	Portland, OR	65.16	49	2	18	10
6	Irvine, CA	63.96	5	11	12	14
7	Huntington Beach, CA	63.23	12	10	13	16
8	Honolulu, HI	62.67	8	5	53	11
9	Washington, DC	60.24	13	9	73	9
10	Santa Clarita, CA	59.67	10	38	44	1
11	Tempe, AZ	58.92	48	15	5	49
12	Fort Lauderdale, FL	58.87	45	17	14	21
13	Fremont, CA	58.82	21	14	35	18
14	Boise, ID	58.36	18	47	23	12
15	Minneapolis, MN	58.19	6	22	63	13
16	Rancho Cucamonga, CA	57.72	76	77	6	4
17	Denver, CO	57.65	38	13	22	27
18	Lincoln, NE	57.03	3	51	40	20
19	Madison, WI	56.99	16	33	38	19
20	Orlando, FL	56.44	94	8	19	55
21	Atlanta, GA	56.42	110	30	2	46
22	Glendale, CA	56.26	40	39	49	2
23	Santa Rosa, CA	56.25	92	20	50	5
24	Plano, TX	55.96	9	37	24	42
25	Overland Park, KS	55.76	1	88	16	95
26	Vancouver, WA	55.54	80	34	4	73
27	Tampa, FL	55.50	62	35	10	45
28	Sacramento, CA	54.66	67	12	66	22
29	San Diego, CA	54.61	53	23	41	25
30	Oakland, CA	54.41	82	6	81	39
31	Boston, MA	54.06	33	28	51	31
32	Austin, TX	53.82	30	21	56	33
33	San Jose, CA	53.78	4	18	75	64
34	Richmond, VA	53.56	52	41	28	43
35	Raleigh, NC	53.55	11	44	15	84
36	Peoria, AZ	53.46	64	106	25	7
37	Reno, NV	53.17	113	19	29	36
38	St. Louis, MO	53.02	108	49	20	28
39	Tallahassee, FL	53.01	56	119	34	8
40	Sioux Falls, SD	52.76	2	120	21	93
41	Springfield, MO	52.56	15	123	26	37
42	Miami, FL	52.46	105	7	84	51
43	Virginia Beach, VA	52.28	24	66	45	35
44	Pittsburgh, PA	51.71	23	45	33	72
45	Spokane, WA	51.64	78	48	47	29
46	St. Paul, MN	51.50	19	60	61	38
47	Gilbert, AZ	51.44	22	75	8	80
48	Chandler, AZ	51.27	32	63	11	100
49	Garden Grove, CA	51.23	36	25	88	67
50	Long Beach, CA	51.07	51	24	80	40
51	Pembroke Pines, FL	50.56	25	71	27	123
52	Rochester, NY	50.40	107	29	72	30
53	Durham, NC	50.32	58	58	36	62
54	Cincinnati, OH	50.28	119	26	31	68
55	Colorado Springs, CO	50.14	28	82	57	44
56	Chesapeake, VA	50.08	35	98	68	23
57	Worcester, MA	49.73	68	68	39	70
58	St. Petersburg, FL	49.72	66	65	30	66
59	Anaheim, CA	49.69	41	27	71	76
60	Aurora, CO	49.63	34	52	60	65
61	Las Vegas, NV	49.23	135	43	9	90
62	Oceanside, CA	49.13	73	93	32	83
63	Grand Rapids, MI	49.10	14	59	97	56
64	Henderson, NV	49.05	101	118	17	48
65	Tacoma, WA	48.96	109	54	42	77
66	Albuquerque, NM	48.52	42	56	69	58
67	Buffalo, NY	48.25	77	40	77	58
68	Anchorage, AK	47.82	100	55	99	26
69	Yonkers, NY	47.52	37	57	104	53
70	Omaha, NE	47.06	17	89	67	92
71	Glendale, AZ	46.79	79	87	86	41
72	Knoxville, TN	46.40	128	86	64	34
73	Little Rock, AR	46.23	57	122	52	63
74	Modesto, CA	46.20	122	104	54	50
75	Los Angeles, CA	45.95	70	32	109	78
76	Des Moines, IA	45.76	7	114	92	98
77	Mesa, AZ	45.66	71	78	46	112
78	Providence, RI	45.58	134	74	78	32
79	Chicago, IL	44.78	60	69	130	47
80	Tucson, AZ	44.68	121	70	65	81
81	Charlotte, NC	44.30	46	109	55	119
82	Norfolk, VA	44.15	98	79	110	54
83	Jersey City, NJ	44.15	55	31	136	94
84	Baltimore, MD	44.01	125	53	120	52
85	Phoenix, AZ	44.00	96	85	91	75
86	Port St. Lucie, FL	43.97	91	131	48	125
87	Newport News, VA	43.77	75	90	103	87
88	Huntsville, AL	43.72	123	117	70	60
89	Santa Ana, CA	43.63	95	50	119	91
90	Philadelphia, PA	43.42	126	46	131	57
91	New Orleans, LA	43.13	146	121	87	24
92	Aurora, IL	43.10	44	94	124	88
93	Irving, TX	42.91	103	72	111	99
94	Fontana, CA	42.90	133	95	83	86
95	Lexington-Fayette, KY	42.75	26	113	98	108
96	New York, NY	42.65	85	36	146	61
97	Riverside, CA	42.50	124	76	74	104
98	Garland, TX	42.50	81	62	106	114
99	Nashville, TN	42.42	54	105	101	96
100	Greensboro, NC	42.39	72	132	85	71
101	Fort Wayne, IN	42.11	47	135	62	101
102	Lubbock, TX	42.06	63	130	58	113
103	Chula Vista, CA	41.88	65	110	90	116
104	Milwaukee, WI	41.65	61	81	138	85
105	Oxnard, CA	41.55	111	80	135	79
106	Kansas City, MO	41.52	39	108	113	106
107	Ontario, CA	41.36	136	64	128	110
108	Akron, OH	41.05	74	99	132	89
109	Grand Prairie, TX	40.50	90	83	144	105
110	Arlington, TX	40.26	86	97	100	129
111	Dallas, TX	39.95	104	67	118	134
112	Jacksonville, FL	39.84	129	101	96	117
113	Cape Coral, FL	39.69	118	136	76	109
114	Columbus, OH	39.66	83	107	116	118
115	Louisville, KY	39.22	115	96	112	121
116	Wichita, KS	39.11	59	129	82	131
117	Fayetteville, NC	39.10	120	145	59	140
118	Moreno Valley, CA	39.03	137	100	142	74
119	Birmingham, AL	38.89	141	102	95	130
120	Stockton, CA	38.41	112	73	127	126
121	Houston, TX	38.37	87	103	114	138
122	Cleveland, OH	38.27	139	61	141	103
123	Amarillo, TX	38.15	88	138	121	82
124	Fort Worth, TX	37.88	106	91	108	146
125	Winston-Salem, NC	37.72	99	144	122	97
126	Columbus, GA	37.51	138	134	126	69
127	Jackson, MS	37.41	50	139	93	148
128	San Antonio, TX	37.34	84	112	115	142
129	Montgomery, AL	37.08	131	141	89	128
130	Tulsa, OK	36.97	89	125	102	136
131	Fresno, CA	36.92	132	111	123	122
132	Chattanooga, TN	36.91	144	147	79	102
133	Hialeah, FL	36.88	102	42	150	141
134	Indianapolis, IN	36.85	93	115	125	135
135	San Bernardino, CA	36.60	147	92	134	115
136	Bakersfield, CA	36.40	127	116	105	139
137	Oklahoma City, OK	35.78	69	126	129	137
138	Mobile, AL	35.61	149	148	43	149
139	El Paso, TX	35.29	116	137	117	124
140	Baton Rouge, LA	35.18	145	140	94	107
141	Augusta, GA	34.32	140	124	107	150
142	Toledo, OH	33.92	97	127	139	143
143	Newark, NJ	33.28	143	84	147	133
144	North Las Vegas, NV	32.69	142	133	145	111
145	Corpus Christi, TX	32.56	130	143	133	132
146	Shreveport, LA	32.44	114	149	137	147
147	Laredo, TX	30.65	43	146	149	127
148	Memphis, TN	29.77	150	128	140	144
149	Brownsville, TX	28.54	117	150	143	145
150	Detroit, MI	28.37	148	142	148	120

The WalletHub.com list also included a breakdown of best and worst cities for several of the categories, including the cities with the highest and lowest costs of medical care, highest and lowest premature death rates, and highest and lowest costs of memberships to fitness centers. They also break down the weighted values per category to fully explain their methodology.