AN UPDATE ON HFA’S EFFORTS ACROSS THE GLOBE

HFA Joins Global Coalition Calling for Physical Activity to Be Central to Obesity Medication Treatments

Joint position statement unites six organizations across five countries in a call for integrated care models.

A landmark global coalition is calling on governments and health-system providers to ensure that physical activity and nutrition are embedded as essential elements of care for those prescribed obesity medications, such as GLP-1 treatments.

Released March 31, 2026, the joint position statement was issued by HFA and five other organizations: World Obesity Federation, AUSactive, Exercise New Zealand, Fitness Industry Council of Canada, and ukactive. Together, they represent thousands of fitness facilities, exercise professionals, and public health advocates across North America, Europe, Australia, New Zealand, and beyond.

Mike Goscinski

HFA CHIEF OF STAFF

mgoscinski@healthandfitness.org

The statement arrives at a pivotal moment. With nearly 3 billion adults worldwide currently overweight or living with obesity—a figure projected to climb to 4 billion by 2035—the organizations acknowledge that GLP-1 treatments and similar medications represent meaningful progress in the global battle against obesity. But the statement from these groups is clear on one essential point: Medication alone is not enough.

What the Coalition Seeks

The statement outlines key actions for global policymakers and health-system leaders, including:

• Embedding obesity medications within integrated care models that include funded access to physical activity and nutrition support;

• Protecting and expanding investment in prevention infrastructure and community-based programs;

• Ensuring equitable access to both treatment and supportive services;

• Measuring outcomes beyond weight, including functional health and long-term maintenance; and

• Aligning health and economic policy to recognize the value of prevention.

A statement from the organizations said: "Obesity is a complex, chronic disease that requires a comprehensive and coordinated response. Medications can play an important role, but they are not a stand-alone solution. Their success will depend on whether they are integrated into systems that support prevention, long-term behavior change, and overall well-being."

The statement warns that relying on pharmacological treatment alone without lifestyle intervention risks a cascade of unintended consequences—including loss of muscle mass, diminished functional capacity, and widening health inequalities if access to supportive services remains unequal. In response, the coalition calls for a "wraparound" approach that pairs medication with sustained investment in physical activity, nutrition, and supportive environments.

Beddie

Griffin

Ralston

Johanna Ralston, CEO of the World Obesity Federation, was direct about what is at stake.

“GLP-1 therapies are an important advance in obesity care, but they cannot succeed in isolation,” she said. “People with obesity demand and deserve access to good nutrition and physical activity support and advice, to support lasting rather than short-term health improvements. Governments must ensure these treatments are embedded within comprehensive, person-centered systems of care.”

Ken Griffin, CEO of AUSactive, framed the rollout of obesity medications as an active test of government priorities.

“If wraparound supports are provided, these medications can deliver long-term health benefits," he said. “Governments must now decide whether they treat obesity in the short-term or invest to deliver enduring health outcomes. Physical activity and nutrition supports are essential, not optional, and the exercise and active health sector is ready to play its role as an essential partner to safely improve population health.”

Richard Beddie, CEO of Exercise New Zealand, pointed to the specific risks of deploying medication without structured physical support.

“It's clear GLP-1 therapies can be a significant tool in addressing obesity," he said. “However, if it's not paired with strength training and other lifestyle changes, the result will be increased long-term health costs for the health system and worse health outcomes for individuals. We have the opportunity to build a safe and effective intervention, but it needs to be holistic.”

See here for the full joint position statement. HFB will have much more on GLP-1 and similar treatments in the May issue.

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Health & Fitness Business (HFB) is the leading health and fitness industry publication. Published monthly by the Health & Fitness Association (HFA) and distributed free to the industry, HFB offers analysis of the opportunities, challenges, issues, and news that impact the industry.

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