This Is the US City Where People Live the Longest: A Ranking of the Top 50

A life well-lived is determined by the person living it. While some want to live fast and die young, others are working to break the Guinness World Record for the longest lifespan.

Several factors play into how long a person lives. While genetics serve as a blueprint, life choices impact health and longevity.

The International Childhood Cardiovascular Cohorts Consortium Outcomes Study confirms that lifestyles in childhood and teenage years impact health in adult and senior life stages. The study collected data between the 1970s and 1990s to identify five risk factors impacting long-term cardiovascular health (and lifespan). They include body mass index (BMI), systolic blood pressure, total cholesterol value, triglyceride level, and whether participants smoked in their youth.

Similarly, the data below shows how smoking, inactivity, and poor sleep all contribute to average life expectancy. According to the National Institutes of Health (NIH), a single cigarette takes 11 minutes from your life. Inactivity also shaves time off your life. The World Health Organization (WHO) shares that people who are not sufficiently active have a “20% to 30% increased risk of all-cause mortality” when compared to people who are moderately active.

A sedentary lifestyle also contributes to a higher BMI, higher blood pressure, and higher cholesterol and triglyceride levels, which are risk factors that impact cardiovascular health.

There is a time for rest and sleep is also a factor that affects lifespan. The American College of Cardiology conducted a study that shows how low-sleep risk factors impact longevity. On average, life expectancy was 4.7 years longer for women and 2.4 years longer for men when they reported a high sleep quality score.

Although death can occur at any moment, lifestyle choices play an integral role in overall life expectancy. (Click here for the states with the shortest life expectancy.)

To determine the cities where people live the longest, 24/7 Tempo reviewed data on life expectancy in U.S. metropolitan areas from County Health Rankings & Roadmaps, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Additional data on smoking rate, physical inactivity, and insufficient sleep also came from the 2023 CHR.

50. Yuma, AZ

• Life expectancy: 80.48 years
• People who don’t exercise regularly: 29.4% — #32 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 36.6% — #81 out of 384 metro areas
• Adults who smoke regularly: 16.4% — #256 out of 384 metro areas

49. Portland-Vancouver-Hillsboro, OR-WA

• Life expectancy: 80.51 years
• People who don’t exercise regularly: 16.6% — #369 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 28.4% — #369 out of 384 metro areas
• Adults who smoke regularly: 13.6% — #348 out of 384 metro areas

48. Port St. Lucie, FL

• Life expectancy: 80.59 years
• People who don’t exercise regularly: 26.7% — #99 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 36.2% — #99 out of 384 metro areas
• Adults who smoke regularly: 18.5% — #156 out of 384 metro areas

47. Sebastian-Vero Beach, FL

• Life expectancy: 80.68 years
• People who don’t exercise regularly: 24.2% — #173 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 34.8% — #173 out of 384 metro areas
• Adults who smoke regularly: 19.5% — #115 out of 384 metro areas

46. Mankato, MN

• Life expectancy: 80.76 years
• People who don’t exercise regularly: 20.6% — #292 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 30.2% — #337 out of 384 metro areas
• Adults who smoke regularly: 17.8% — #195 out of 384 metro areas

45. Minneapolis-St. Paul-Bloomington, MN-WI

• Life expectancy: 80.79 years
• People who don’t exercise regularly: 17.4% — #363 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 27.0% — #377 out of 384 metro areas
• Adults who smoke regularly: 14.4% — #330 out of 384 metro areas

44. Raleigh-Cary, NC

• Life expectancy: 80.81 years
• People who don’t exercise regularly: 17.6% — #360 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 31.2% — #316 out of 384 metro areas
• Adults who smoke regularly: 12.9% — #354 out of 384 metro areas

43. New York-Newark-Jersey City, NY-NJ-PA

• Life expectancy: 80.82 years
• People who don’t exercise regularly: 24.2% — #177 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 34.9% — #167 out of 384 metro areas
• Adults who smoke regularly: 12.8% — #356 out of 384 metro areas

42. Punta Gorda, FL

• Life expectancy: 80.84 years
• People who don’t exercise regularly: 25.6% — #122 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 34.4% — #192 out of 384 metro areas
• Adults who smoke regularly: 19.7% — #104 out of 384 metro areas

41. Ann Arbor, MI

• Life expectancy: 80.89 years
• People who don’t exercise regularly: 16.6% — #368 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 33.8% — #219 out of 384 metro areas
• Adults who smoke regularly: 13.8% — #346 out of 384 metro areas

40. Boston-Cambridge-Newton, MA-NH

• Life expectancy: 80.92 years
• People who don’t exercise regularly: 18.6% — #343 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 30.4% — #336 out of 384 metro areas
• Adults who smoke regularly: 11.9% — #365 out of 384 metro areas

39. Santa Fe, NM

• Life expectancy: 80.98 years
• People who don’t exercise regularly: 18.5% — #345 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 28.6% — #366 out of 384 metro areas
• Adults who smoke regularly: 12.2% — #361 out of 384 metro areas

38. Bellingham, WA

• Life expectancy: 81.02 years
• People who don’t exercise regularly: 16.3% — #372 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 28.3% — #370 out of 384 metro areas
• Adults who smoke regularly: 15.6% — #284 out of 384 metro areas

37. Burlington-South Burlington, VT

• Life expectancy: 81.03 years
• People who don’t exercise regularly: 15.2% — #379 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 27.0% — #378 out of 384 metro areas
• Adults who smoke regularly: 13.0% — #353 out of 384 metro areas

36. Madison, WI

• Life expectancy: 81.06 years
• People who don’t exercise regularly: 16.1% — #374 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 26.6% — #381 out of 384 metro areas
• Adults who smoke regularly: 13.2% — #349 out of 384 metro areas

35. Charlottesville, VA

• Life expectancy: 81.07 years
• People who don’t exercise regularly: 19.0% — #336 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 32.4% — #279 out of 384 metro areas
• Adults who smoke regularly: 14.2% — #334 out of 384 metro areas

34. Logan, UT-ID

• Life expectancy: 81.07 years
• People who don’t exercise regularly: 17.3% — #365 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 30.0% — #344 out of 384 metro areas
• Adults who smoke regularly: 9.9% — #378 out of 384 metro areas

33. Seattle-Tacoma-Bellevue, WA

• Life expectancy: 81.08 years
• People who don’t exercise regularly: 16.5% — #370 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 29.9% — #347 out of 384 metro areas
• Adults who smoke regularly: 11.6% — #369 out of 384 metro areas

32. Wenatchee, WA

• Life expectancy: 81.08 years
• People who don’t exercise regularly: 21.0% — #280 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 28.5% — #368 out of 384 metro areas
• Adults who smoke regularly: 15.5% — #286 out of 384 metro areas

31. Austin-Round Rock-Georgetown, TX

• Life expectancy: 81.13 years
• People who don’t exercise regularly: 20.1% — #305 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 31.1% — #317 out of 384 metro areas
• Adults who smoke regularly: 12.8% — #355 out of 384 metro areas

30. Ithaca, NY

• Life expectancy: 81.3 years
• People who don’t exercise regularly: 18.4% — #347 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 30.1% — #341 out of 384 metro areas
• Adults who smoke regularly: 14.7% — #326 out of 384 metro areas

29. North Port-Sarasota-Bradenton, FL

• Life expectancy: 81.37 years
• People who don’t exercise regularly: 22.0% — #248 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 35.1% — #147 out of 384 metro areas
• Adults who smoke regularly: 16.7% — #243 out of 384 metro areas

28. Ames, IA

• Life expectancy: 81.42 years
• People who don’t exercise regularly: 20.2% — #304 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 28.1% — #374 out of 384 metro areas
• Adults who smoke regularly: 14.9% — #316 out of 384 metro areas

27. Miami-Fort Lauderdale-Pompano Beach, FL

• Life expectancy: 81.52 years
• People who don’t exercise regularly: 29.0% — #41 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 37.0% — #69 out of 384 metro areas
• Adults who smoke regularly: 15.5% — #287 out of 384 metro areas

26. Los Angeles-Long Beach-Anaheim, CA

• Life expectancy: 81.67 years
• People who don’t exercise regularly: 21.3% — #268 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 33.5% — #232 out of 384 metro areas
• Adults who smoke regularly: 10.5% — #376 out of 384 metro areas

25. Bend, OR

• Life expectancy: 81.69 years
• People who don’t exercise regularly: 15.8% — #376 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 28.6% — #365 out of 384 metro areas
• Adults who smoke regularly: 14.0% — #341 out of 384 metro areas

24. Fort Collins, CO

• Life expectancy: 81.69 years
• People who don’t exercise regularly: 13.6% — #383 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 25.9% — #383 out of 384 metro areas
• Adults who smoke regularly: 13.0% — #352 out of 384 metro areas

23. Washington-Arlington-Alexandria, DC-VA-MD-WV

• Life expectancy: 81.71 years
• People who don’t exercise regularly: 18.6% — #341 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 33.4% — #240 out of 384 metro areas
• Adults who smoke regularly: 11.1% — #374 out of 384 metro areas

22. Santa Maria-Santa Barbara, CA

• Life expectancy: 81.75 years
• People who don’t exercise regularly: 21.3% — #271 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 29.8% — #352 out of 384 metro areas
• Adults who smoke regularly: 11.7% — #367 out of 384 metro areas

21. San Diego-Chula Vista-Carlsbad, CA

• Life expectancy: 81.79 years
• People who don’t exercise regularly: 20.3% — #301 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 35.0% — #156 out of 384 metro areas
• Adults who smoke regularly: 10.9% — #375 out of 384 metro areas

20. Rochester, MN

• Life expectancy: 81.79 years
• People who don’t exercise regularly: 17.9% — #353 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 27.2% — #376 out of 384 metro areas
• Adults who smoke regularly: 15.2% — #305 out of 384 metro areas

19. San Luis Obispo-Paso Robles, CA

• Life expectancy: 81.8 years
• People who don’t exercise regularly: 17.9% — #355 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 31.7% — #298 out of 384 metro areas
• Adults who smoke regularly: 11.6% — #368 out of 384 metro areas

18. St. George, UT

• Life expectancy: 81.82 years
• People who don’t exercise regularly: 15.6% — #378 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 30.5% — #333 out of 384 metro areas
• Adults who smoke regularly: 9.3% — #380 out of 384 metro areas

17. Hilton Head Island-Bluffton, SC

• Life expectancy: 81.84 years
• People who don’t exercise regularly: 20.7% — #288 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 34.6% — #188 out of 384 metro areas
• Adults who smoke regularly: 15.5% — #288 out of 384 metro areas

16. Santa Rosa-Petaluma, CA

• Life expectancy: 81.95 years
• People who don’t exercise regularly: 18.5% — #346 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 29.4% — #359 out of 384 metro areas
• Adults who smoke regularly: 11.8% — #366 out of 384 metro areas

15. Bridgeport-Stamford-Norwalk, CT

• Life expectancy: 82.06 years
• People who don’t exercise regularly: 17.1% — #366 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 31.6% — #303 out of 384 metro areas
• Adults who smoke regularly: 10.5% — #377 out of 384 metro areas

14. Napa, CA

• Life expectancy: 82.07 years
• People who don’t exercise regularly: 18.8% — #340 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 31.3% — #310 out of 384 metro areas
• Adults who smoke regularly: 11.1% — #372 out of 384 metro areas

13. Iowa City, IA

• Life expectancy: 82.12 years
• People who don’t exercise regularly: 20.9% — #284 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 30.2% — #339 out of 384 metro areas
• Adults who smoke regularly: 14.0% — #339 out of 384 metro areas

12. Salinas, CA

• Life expectancy: 82.17 years
• People who don’t exercise regularly: 24.9% — #151 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 31.1% — #321 out of 384 metro areas
• Adults who smoke regularly: 12.4% — #359 out of 384 metro areas

11. Oxnard-Thousand Oaks-Ventura, CA

• Life expectancy: 82.27 years
• People who don’t exercise regularly: 20.5% — #294 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 30.6% — #331 out of 384 metro areas
• Adults who smoke regularly: 11.1% — #373 out of 384 metro areas

10. Cape Coral-Fort Myers, FL

• Life expectancy: 82.36 years
• People who don’t exercise regularly: 23.8% — #187 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 32.1% — #282 out of 384 metro areas
• Adults who smoke regularly: 17.3% — #217 out of 384 metro areas

9. Urban Honolulu, HI

• Life expectancy: 82.38 years
• People who don’t exercise regularly: 19.8% — #312 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 42.3% — #2 out of 384 metro areas
• Adults who smoke regularly: 12.0% — #363 out of 384 metro areas

8. State College, PA

• Life expectancy: 82.51 years
• People who don’t exercise regularly: 20.9% — #283 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 35.0% — #157 out of 384 metro areas
• Adults who smoke regularly: 17.2% — #224 out of 384 metro areas

7. Boulder, CO

• Life expectancy: 82.61 years
• People who don’t exercise regularly: 12.9% — #384 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 23.8% — #384 out of 384 metro areas
• Adults who smoke regularly: 11.3% — #371 out of 384 metro areas

6. Santa Cruz-Watsonville, CA

• Life expectancy: 82.66 years
• People who don’t exercise regularly: 19.1% — #334 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 30.1% — #342 out of 384 metro areas
• Adults who smoke regularly: 11.4% — #370 out of 384 metro areas

5. Kahului-Wailuku-Lahaina, HI

• Life expectancy: 82.9 years
• People who don’t exercise regularly: 16.3% — #373 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 35.6% — #116 out of 384 metro areas
• Adults who smoke regularly: 14.0% — #342 out of 384 metro areas

4. Corvallis, OR

• Life expectancy: 83.09 years
• People who don’t exercise regularly: 15.9% — #375 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 26.7% — #380 out of 384 metro areas
• Adults who smoke regularly: 12.7% — #357 out of 384 metro areas

3. San Francisco-Oakland-Berkeley, CA

• Life expectancy: 83.28 years
• People who don’t exercise regularly: 17.6% — #362 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 30.0% — #346 out of 384 metro areas
• Adults who smoke regularly: 9.5% — #379 out of 384 metro areas

2. San Jose-Sunnyvale-Santa Clara, CA

• Life expectancy: 84.56 years
• People who don’t exercise regularly: 18.6% — #342 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 28.8% — #363 out of 384 metro areas
• Adults who smoke regularly: 8.5% — #383 out of 384 metro areas

1. Naples-Marco Island, FL

• Life expectancy: 86.11 years
• People who don’t exercise regularly: 24.9% — #152 out of 384 metro areas
• Adults who get fewer than 7 hrs of sleep: 31.6% — #302 out of 384 metro areas
• Adults who smoke regularly: 15.2% — #307 out of 384 metro areas