22. California

California residents are active, according to the rankings, and it might be paying off: They are the third-least sedentary citizens in the county with the fifth-lowest obesity rate.

The report suggests they could be healthier if the state's environment improved: California ranked worst in the country for air pollution levels. And while smoking rates are among the lowest in terms of population percentage (2nd), 3.9 million Californians still smoke.

Last year: 22

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