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In 2004, the American Podiatric Medical Association conducted its third annual “Best Walking City Competition.” This study improved on the 2002 and 2003 studies by increasing the number of cities competing for the title of “Best Walking City” and by including a variety of new measures of walking activities to provide a more comprehensive and equitable basis for comparing cities. The top 20 best walking cities in 2004 were identified from among the 200 largest cities across the United States. Lists of top cities were also developed by city population size and geographic region and by three different types of walking activities prevalent in each city. (J Am Podiatr Med Assoc 95(4): 414–420, 2005)