A popular men's magazine this week ranked Cincinnati 75th of 101 cities for men's health.

The Queen City earned a D overall for men's health and — no surprise to many experts — an F for fitness from Men's Health.

Honolulu earned top marks, with A's across the board. Atlanta came in last, with F's in overall health, environment and fitness.

The magazine did give Cincinnati top marks for its parks system, citing the many city golf courses and public pools.

We just need to use them more often, “especially when you figure in the fitness grade,” says Matt Marion, health editor for the magazine.

Cleveland is lower

There is some consolation: The magazine ranked Cleveland 81st.

Rankings were based on several factors, Mr. Marion says, including cancer mortality (overall, lung, prostate and colon), heart disease rates, stroke rates, body mass index, diabetes and hypertension, along with physical activity and overall environment, which included parks, air quality, physician accessibility, vehicle accidents and homicide rates.

Data were gleaned from the Centers for Disease Control and Prevention.

Lung cancer mortality, stroke risk, hypertension, diabetes and, again, physical inactivity did in Cincinnati, Mr. Marion says.

The city got fair marks as far as its men getting screened for prostate and colon cancer, physician accessibility, motor vehicle accident deaths and homicide deaths among men, and a B for overall environment.

“The city's got the tools there and has the environment there to lead healthy lives,” Mr. Marion says. “Men just need to take more of an active role: eating better, exercising more, getting more regular checkups and getting the screenings they need for cancer.”

Dr. Randy Schultz, a family practitioner with Alliance Primary Care in Evendale, wasn't surprised by Cincinnati's low grade. He routinely counsels male patients about smoking, obesity and physical inactivity.

“I do think men here are more unhealthy than in other cities I've visited, Dr. Schultz says. “I think a lot of it is bad habits. It seems like in other parts of the country, people are more exercise-minded and fitness-oriented.”

The city rankings are featured in Men's Health for November, which hits newsstands this week.

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