When I meet people from the Midwest that have relocated to San Francisco, they always seem to remark on the amount of time they can spend outdoors compared to their places of origin. The moderate climate of the Bay Area allows residents to spend more time outside of the house, and thus, more time exercising, which permits us to be more health conscious, more physically active, and less susceptible to seasonal mood swings.
The best type of exercise suited for San Francisco for people of all ages, athletic backgrounds, and capabilities is definitely walking. You can walk the entire width of San Francisco in a few hours and there are plenty of scenic routes to take. Most people would probably follow the route of the Bay to Breakers marathon, but there are many alternatives.
I would recommend starting at the top of Market Street and making your way down to Pier One. Hang a left, and walk along the piers until you get to Fisherman's Wharf and Pier 39. Walk up Columbus Avenue, through the North Beach and Chinatown and head back toward the Financial District. You'll cover a lot of ground and see a lot of interesting places to stop.
I imagine you'd have to be in decent physical shape to make this trek, but don't forget, if you get tired, there are plenty of public transit options at any point. Don't forget to stay hydrated, because even on those foggy days, you will still break a sweat with all those hills.
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