Minnesota has slipped to number two in a ranking of the nation's healthiest states.
The 18th annual edition of America's Health Rankings shows Vermont knocking Minnesota out of the top spot.
Hawaii, New Hampshire and Connecticut round out the top five.
Mississippi and Louisiana are ranked as the least healthiest states. Arkansas, Oklahoma and Tennessee round out the bottom five.
The report finds that the nation's overall health declined over the past year, despite modest gains in reducing the rates of cancer and cardiovascular mortality.
The United Health Foundation produces the annual report in partnership with the American Public Health Association and Partnership for Prevention.