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The World's Healthiest Cities

Which Cities Are the Best for Healthy Living?

We make decisions that affect our health every single day. Whether they’re related to food, sleep or exercise, these small choices shape the way we feel about ourselves. But there’s one key thing that we forget to consider: the city that we’re living in.


It's easier to stay healthy in a city with healthy social habits – places where clean air, fresh food and high-quality exercise facilities are valued. But it's much harder in cities with high levels of pollution, too many fast-food restaurants and not enough green space.


So what exactly is a healthy city? At Spotahome, we decided to find out. We created a healthy city index that scores over 80 locations across the world. Each city is ranked based on how well it performs across 10 distinct, health related factors. If you’re curious about our research process, please refer to the methodology.


Average Gym Rating

Annual Sunshine Hours

Life Expectancy at Birth

Fast-Food Outlets

Obesity in Adults

Annual Vacation
Days

Work-Life Balance

Air and Water
Quality

Green Space

Electric Car Charging Points

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Healthiest Cities Index

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Healthiest Cities index

Average Gym Rating

Annual Sunshine Hours

Life Expectancy at Birth

Fast-Food Outlets

Obesity in Adults

Annual Vacation Days

Work-Life Balance

Air and Water Quality

Green Spaces

Electric Car Charging Points

information icon
Total
Health
Food
Work
Environment
Rank
City
Country
1
Amsterdam
Netherlands
6.97
6.75
1.82
8.19
6.73
2.67
8.07
9.91
7.8
8.13
9.63
2
Oslo
Norway
6.61
4.81
1.84
8.42
8.34
2.58
6.37
9.1
8.5
9.36
6.82
3
Munich
Germany
6.60
6.62
2.01
7.91
9.07
2.87
7.2
8.68
9.17
9
3.51
4
Rotterdam
Netherlands
6.60
5.84
1.66
8.19
9.39
2.67
4.33
9.91
8.29
6.99
8.73
5
Berlin
Germany
6.52
4.81
1.66
7.91
8.6
2.87
7.03
8.68
6.45
8.94
8.24
6
Tallinn
Estonia
6.36
10
2.32
6.09
8.32
3.06
7.63
9.25
8.8
7.51
0.62
7
Vienna
Austria
6.31
5.58
2.75
8.28
9.08
3.35
6.17
8.03
9.14
9.35
1.4
8
Adelaide
Australia
6.31
8.7
6.45
8.6
9.06
1.38
4.33
6.12
8.88
9.42
0.15
9
Helsinki
Finland
6.30
5.58
2.64
8
8.62
2.65
7.23
8.88
9.74
8.89
0.75
10
Perth
Australia
6.30
7.14
8.4
8.6
9.41
1.38
4.33
6.12
8.19
8.98
0.41
11
Brisbane
Australia
6.27
8.31
7.31
8.6
8.58
1.38
4.33
6.12
8.65
9.39
0.02
12
Stockholm
Sweden
6.21
2.99
2.48
8.51
8.46
2.94
6.33
9.72
9.36
9.57
1.78
13
Hamburg
Germany
6.20
2.6
1.37
7.91
9.35
2.87
4.33
8.68
7.65
10
7.2
14
Canberra
Australia
6.15
7.79
6.66
8.6
7.3
1.38
4.33
6.12
9.76
9.45
0.06
15
Valencia
Spain
6.12
5.71
6.01
8.37
8.62
1.94
7.52
8.69
6.32
7.74
0.28
16
Gothenburg
Sweden
6.06
2.21
2.91
8.51
9.09
2.94
6
9.72
8.99
8.9
1.29
17
Ljubljana
Slovenia
6.03
9.09
2.03
6.74
7.36
3
5.37
8.72
8.18
9.48
0.37
18
Lisbon
Portugal
6.02
6.1
6.62
7.26
7.43
2.73
5.1
7.61
7.05
6.54
3.76
19
Copenhagen
Denmark
6.00
4.03
1.3
7.3
8.34
3.13
7.23
9.39
8.61
9.3
1.38
20
Wellington
New Zealand
5.93
9.48
3.48
8.14
7.7
1.17
4.33
5.58
10
9.29
0.13
21
Montreal
Canada
5.87
5.32
3.45
8.42
7.94
1.46
3.93
8.94
7.28
8.92
3.08
22
Singapore
Singapore
5.86
6.49
3.33
9.95
9.44
7.67
0
~
7.34
8.38
0.13
23
Geneva
Switzerland
5.84
6.36
2.51
8.74
5.37
3.35
5.97
7.99
7.97
9.61
0.56
24
Mangalore
India
5.84
6.62
6.28
2.33
9.53
10
1.67
~
8.43
7.72
0
25
Zurich
Switzerland
5.84
5.19
1.41
8.74
7.04
3.35
6.63
7.99
9.49
7.89
0.67
26
Luxembourg
Luxembourg
5.84
7.14
1.68
8.6
7
2.5
7.67
8.93
~
8.93
0.06
27
Lyon
France
5.77
5.45
3.54
8.42
7.99
2.35
7.17
7.74
6.06
7.89
1.12
28
Frankfurt
Germany
5.77
5.06
1.82
7.91
8.09
2.87
7.23
8.68
6.53
7.89
1.59
29
Melbourne
Australia
5.74
5.97
4.76
8.6
8.99
1.38
4.33
6.12
8.08
9.07
0.09
30
Bratislava
Slovakia
5.69
9.09
3.41
6.28
8.35
2.98
6.43
8.55
6.36
4.89
0.52
31
Vancouver
Canada
5.61
5.97
2.97
8.42
5.5
1.46
3.75
8.94
8.41
9.59
1.12
32
Vilnius
Lithuania
5.61
8.96
1.5
5.21
8.67
2.33
5.83
~
8.01
9.74
0.22
33
Muscat
Oman
5.60
4.81
9.51
5.53
9.83
1.75
5.00
~
6.20
7.77
0.00
34
San Francisco
United States
5.57
4.55
7.7
7.53
9.57
0.73
1.68
6.64
7.41
7.96
1.89
35
Auckland
New Zealand
5.55
6.88
3.25
8.14
8.25
1.17
4.33
5.58
8.03
9.4
0.49
36
Rome
Italy
5.55
5.45
6.91
8.6
7.1
2.54
5.43
8.89
3.28
5.86
1.46
37
Seoul
South Korea
5.55
5.84
3.51
8.54
9.6
7.96
2.4
3.85
6.57
7.22
0
38
Dublin
Ireland
5.55
8.7
0.94
7.95
4.97
2.13
4.9
8.66
7.18
8.35
1.68
39
Zagreb
Croatia
5.54
9.48
2.87
5.72
8.88
2.33
5.77
~
7.11
7.5
0.22
40
London
United Kingdom
5.53
2.08
1.69
7.91
7.16
1.54
6
6.27
4.23
8.41
10
41
Abu Dhabi
United Arab Emirates
5.52
3.12
10
6.47
9.61
0.75
7.67
~
5.25
6.77
0.09
42
Tel Aviv
Israel
5.52
8.57
8.75
8.7
5.76
1.42
3.03
5.57
5.75
7.6
0.06
43
Porto
Portugal
5.51
5.71
5.2
7.26
6.89
2.73
5.17
7.61
6.73
7.24
0.6
44
Madrid
Spain
5.51
1.56
6.47
8.37
8.52
1.94
6.7
8.69
4.82
6.48
1.55
45
Chicago
United States
5.51
7.4
5.37
7.53
7.98
0.73
2.33
6.64
6.74
8.83
1.48
46
Moscow
Russia
5.47
7.92
2.82
3.35
8.32
2.81
8.77
10
3.86
6.74
0.13
47
Toronto
Canada
5.47
6.1
3.52
8.42
7.78
1.46
3.57
8.94
6.88
7.4
0.65
48
Sydney
Australia
5.43
3.12
5.91
8.6
9.04
1.38
4.1
6.12
7.8
8.12
0.15
49
Tokyo
Japan
5.36
3.9
2.72
10
8.69
8.56
3.83
3.56
5.78
5.65
0.9
50
Budapest
Hungary
5.31
8.44
2.93
5.72
7.87
1.94
5.7
9.14
4.85
4.6
1.91
51
Warsaw
Poland
5.27
5.19
1.43
6.51
9.35
2.58
6.2
8.06
4.8
8.13
0.47
52
Barcelona
Spain
5.25
2.99
5.44
8.37
6.26
1.94
8.33
8.69
3
4.14
3.33
53
Prague
Czech Republic
5.25
5.84
1.84
7.29
4.63
1.81
6.7
8.33
6.99
7.92
1.14
54
New York
United States
5.24
4.75
5.49
7.53
8.48
0.73
1.68
6.64
4.53
7.02
5.51
55
Marseille
France
5.20
3.9
6.75
8.42
8.9
2.35
6
7.74
3.86
3.79
0.28
56
Brussels
Belgium
5.16
3.9
1.33
8.05
8.12
2.35
6.53
8.77
3.79
7.31
1.44
57
Hong Kong
China
5.14
6.88
2.55
8.93
9.44
7.58
2.63
~
3.21
4.45
0.6
58
Belgrade
Serbia
5.05
9.61
3.71
5.53
8.81
2.81
4.33
~
4.17
6.37
0.15
59
Reykjavik
Iceland
4.97
9.09
0.4
8.98
0
2.42
5.67
5.57
9.76
7.27
0.54
60
Cape Town
South Africa
4.97
7.27
7.84
0
9.84
3.44
2.67
4.49
6.54
7.58
0
61
Milan
Italy
4.96
3.38
2.88
8.6
7.16
2.54
5.73
8.89
3.68
4.14
2.62
62
Dubai
United Arab Emirates
4.96
3.64
9.58
6.47
6.31
0.75
7.67
~
4.95
4.95
0.3
63
Houston
United States
4.96
7.27
5.67
7.53
8.5
0.73
1.68
6.64
4.7
5.99
0.84
64
Paris
France
4.91
2.47
1.82
8.42
6.68
2.35
7.67
7.74
3.43
5.33
3.18
65
Athens
Greece
4.90
5.45
6.8
7.86
9.37
1.81
5.2
7.88
3.86
0.65
0.11
66
Cork
Ireland
4.85
9.61
0.82
7.95
0.52
2.13
4.9
8.66
7.18
6.19
0.49
67
Los Angeles
United States
4.83
4.29
8.51
7.53
8.29
0.73
1.03
6.64
4.32
4.96
2.02
68
Leeds
United Kingdom
4.73
7.92
0.05
7.91
4.85
1.54
6
6.27
4.79
7.05
0.88
69
Doha
Qatar
4.72
3.21
9.23
7.02
9.47
0
8.33
~
2.94
2.33
0
70
Lille
France
4.71
5.19
1.63
8.42
6.85
2.35
6
7.74
~
3.97
0.22
71
Edinburgh
United Kingdom
4.68
2.21
0.83
7.91
2.69
1.54
6
6.27
8.99
9.24
1.1
72
Bursa
Turkey
4.61
5.25
8.44
5.21
9.09
0.94
5.57
0
3.33
8.28
0
73
Bangkok
Thailand
4.59
6.88
5.88
3.12
9.56
7.52
1.77
~
2.34
3.24
1.01
74
Buenos Aires
Argentina
4.59
5.06
5.44
6.28
9.73
1.73
2.9
~
4.55
5.6
0.02
75
Santiago
Chile
4.50
2.69
6.63
7.02
9.09
1.65
3.77
7.05
2.84
4.24
0.04
76
Bucharest
Romania
4.46
5.97
3.71
5.4
9.37
2.69
5.6
~
2.73
4.52
0.17
77
Riyadh
Saudi Arabia
4.38
1.17
8.39
5.44
9.83
0.38
10
~
2.72
1.53
0
78
Lima
Peru
4.34
8.7
0
4.74
9.87
2.73
7.67
~
1.02
4.32
0
79
Chennai
India
4.33
5.45
6.44
2.33
9.05
10
1.67
~
1.69
2.39
0
80
Kuala Lumpur
Malaysia
4.32
3.12
4.08
5.15
10
5.62
3.5
~
2.93
4.4
0.11
81
Manchester
United Kingdom
4.26
7.01
0.78
7.91
2.49
1.54
6
6.27
4.91
3.91
1.76
82
Cairo
Egypt
3.91
4.75
9.72
3.5
9.94
1.58
5.67
~
0
0
0
83
Izmir
Turkey
3.79
5.97
3.37
5.21
8.01
0.94
5.57
0
3.86
4.9
0.02
84
Bogotá
Colombia
3.75
5.84
0.41
5.63
9.54
2.44
2.47
~
2.71
4.65
0.06
85
Mexico City
Mexico
3.73
3.74
5.57
5.72
9.79
1.31
4
1.28
1.13
3.83
0.95
86
São Paulo
Brazil
3.66
4.81
3.25
4.74
2.09
2.92
7.1
7.92
1.48
2.29
0
87
Shanghai
China
3.53
0
2.29
5.53
9.36
7.58
1.57
~
1.34
3.64
0.45
88
Istanbul
Turkey
3.46
5.84
4.15
5.21
8.34
0.94
5.57
0
3.11
1.32
0.11
89
Casablanca
Morocco
3.25
1.69
7.12
4.05
9.51
2.17
2.67
~
1.48
0.57
0.02
Show all results

methodology

Each category consists of the latest data available from reputable sources, and is standardised using minmax normalisation:

This results in a score between 0 and 10 for each data point, and each country is ranked accordingly based on its overall average score.


The index is created using both city and country-level data. In the instance of country level data, the country score is applied to each city within it. For example, if France has a score of 8.42 for Life Expectancy at Birth, then Paris, Lyon and Marseille all receive 8.42.


In order to further refine the list, cities that are missing more than 1 data point (due to no data available) have been removed, leaving a list of 89 cities.

Average Gym Rating

Looks at the average rating of up to 60 randomly selected gyms within a city centre.

Google Places API
Data related to
City

Annual Sunshine Hours

The average annual duration of sunshine in each city.

Local Government Sites / Weather Hubs

Data related to
City

Work-Life Balance

Looks at the amount of employees who work very long hours (more than 50 per week).

OECD Better Life Index
Data related to
Country

Life Expectancy at Birth

Compares the average number of years that a newborn is expected to live, if current mortality rates remain constant.

Central Intelligence Agency World Factbook
Data related to
Country

Annual Vacation Days

Vacation days are those considered as paid vacation, excluding legal holidays. A number of professions were surveyed and averaged for each city.

UBS Global Cities Ranking 2018
Data related to
City

Green Space

Crowdsourced data on the quality of green space and parks within a city.

Numbeo Pollution Index 2018
Data related to
City

Fast-Food Outlets

The number of outlets tagged as ‘fast food’ on TripAdvisor per 100,000 citizens in each city. A higher number of fast food outlets results in more accessibility and temptation.

TripAdvisor
Data related to
City

Obesity in Adults

Looks at the prevalence of overweight adults (age 18+).

World Health Organisation
Data related to
Country

Air and Water Quality

Crowdsourced data looking at the overall pollution levels in a city, particularly for air and water.

Numbeo Pollution Index 2018
Data related to
City

Electric Car Charging Points

The number of electric car charging points within a 5 mile radius of the city centre.

Open Charge Map
Data related to
City
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