Based on more than 200 million app store ratings and reviews, the average quality score for mobile apps—66.5 out of 100— is lacking with only a passing grade.

That is among the findings of a new report, The 2015 State of The U.S. Health & Fitness Apps Economy, commissioned by app quality analysis vendor Applause. For its report, 39 health/fitness and 28 medical apps were included in the company’s inaugural quality index.

“So many apps populate Google Play and Apple App Store for each category that it is nearly impossible to know what is quality and what is merely mediocre,” states the report, which seeks to “help people understand what the best apps are for tracking their health & fitness and medical goals” as well as help companies determine where they stand in terms of quality vis-à-vis their competitors.

The quality of the apps was analyzed using Applause Analytics, a mobile app analytics tool that crawls every rating and review from the top apps stores, including Google Play and Apple App Store. The average app quality scores as defined by customers based on a scale of 0 to 100—Poor (0 to 39), Fair (40 to 59), Good (60 to 69), Excellent (70 to 89 ), and Winning (90 to 100)—were “remarkably similar” across the health/fitness and medical categories.

According to the report, the best and below-average apps for quality include:

*Four popular apps achieved elite app quality status: Calorie Counter by MyFitnessPal, Lose It! by FitNow, MapMyRun by MapMyFitness and RunKeeper by FitnessKeeper. Each of these apps earned average app quality scores higher than 70 that stood the test of more than 50,000 user reviews.

*Three apps achieved Android app quality scores of 80 or higher across more than 20,000 reviews: Period Calendar/Tracker by ABISHKKING, Period Tracker by GP Apps, and Calorie Counter by MyFitnessPal.

*Five apps achieved iOS app quality scores of 80 or higher across more than 20,000 reviews: Calorie Counter by MyFitnessPal, Lose It! by FitNow, Sleep Cycle alarm clock by Northcube AB, MapMyRun by MapMyFitness, and MapMyWalk also by MapMyFitness.

*Two popular fitness brands need to do more for their app users than simply live up to average: Weight Watchers Mobile and Fitbit. These brands earned an average app quality score of 54 (versus 66.7 for the category) from more than 20,000 reviews per app.

“Due to their large number of users, both firms can capture new marketshare and mindshare by further refining their apps,” states the report. “If they can advance beyond merely working, and deliver flawless, reliable and intuitive experiences, they have the opportunity to make significant leaps.”

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