A new report released by the US Centers for Disease Control and Prevention places Huntington, West Virginia at the bottom of the list when it comes to health. The report says nearly half of the adults in the five-county metropolitan area are obese and Huntington leads in heart disease, diabetes and elderly people who have lost their teeth. About 31 percent of Huntington residents don’t exercise, 22 percent have heart disease and 13 percent have diabetes. Almost half of those older than 65 have lost their natural teeth.

At the top of the list is Burlington, Vt., the healthiest city in the United States. The report says 92 percent of the Burlington residents are in good or great health. The city is among the best in exercise and lowest in obesity and diabetes. When it comes to the age of its residents, Burlington is younger, with an average age of 37, compared to 40 in Huntington. Also, Burlington is better off financially, a situation that could explain the great health of its residents. Having enough money to eat healthy and look for health care when it is needed are two reasons that surely improve someone’s life. Also, education seems to play a central role in searching appropriate health care. About 8 percent of Burlington’s residents are living at the federal poverty level, compared to 19 percent in Huntington, the report shows.

When it comes to physical activity, “there’s this norm of a lot of activity” in Burlington, said Chris Finley, Vermont’s deputy health commissioner, who works in Burlington. Residents here are used to bicycling, hiking, skiing and other exercises, activities that make them more vivid and relaxed with their daily lives.