The Trust for America's Health ranked Texas 15th highest in adult obesity, with 27.2 percent of the state's population measured as obese. The 2008 Men's Health obesity survey ranked four Texas cities among the top 25 fattest cities in America; Houston ranked 6th, Dallas 7th, El Paso 8th, and Arlington 14th. Texas had only one city (Austin, ranked 21st) in the top 25 among the "fittest cities" in America. The same survey has evaluated the state's obesity initiatives favorably with a "B+". The state is ranked forty-second in the percentage of residents who engage in regular exercise according to a 2007 study.