
Jim Schmaltz EDITOR-IN-CHIEF HEALTH & FITNESS BUSINESS
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Health Is Wealth
The global health and fitness industry is embracing its essential role in healthcare infrastructure, and HFA is leading the way.
The phrase “Exercise is medicine” was coined and trademarked by the American College of Sports Medicine (ACSM) in 2007, a prescient move that presaged the evolution of the global health and fitness industry to where it is today.
Back in the aughts, ACSM’s message wasn’t exactly an industry rallying cry. In those days, mottos like “Feel the burn” and “No pain, no gain” were central to the marketing of athletic apparel, sports beverages, and, yes, gyms. CrossFit was ascendant and fitness influencers were beginning to find a foothold in social media, promoting six-pack abs, toned muscles, and, for some reason, duck lips.
Meanwhile, the attention of exercise researchers were in sync with ACSM and the concept of physical activity as preventive health. In 2009, Dr. Steven Blair wrote in the British Journal of Sports Medicine that “physical inactivity is the biggest public health problem of the 21st century.”
Blair’s main source of data was culled from the Aerobics Center Longitudinal Study, a project launched in 1970 by Dr. Kenneth Cooper, the legendary father of aerobics who was inducted into the HFA Hall of Fame in 2025. Cooper’s massive project included more than 122,000 participants and 354,000 clinic visits.
What impressed Blair was the reduction in all-cause mortality in those who engaged in regular physical activity. Moderately fit subjects were found to live six years longer than unfit subjects, and poor fitness levels accounted for about 16% of all deaths in study subjects. Other data in the study confirmed across-the-board benefits of exercise for health and longevity.
Today, research databases contain hundreds of meta-analyses drawing on thousands of individual trials that demonstrate the health benefits of exercise. Many of them have been covered in this magazine.
In this issue, we provide an overview of just how far the global industry has moved away from the “body beautiful” pitch to its true core service as an essential part of the healthcare continuum.
The global industry, under the HFA banner, has shown it’s a trusted partner to groups like the American Cancer Society and the World Obesity Federation.
An Industry Aware of Its Place in Healthcare Infrastructure
Of course, many in the industry over the last few decades understood the role their services played in improving population health, but it wasn’t selling memberships.
Two things changed. First, more research emerged strongly confirming the conclusions of pioneer studies like Dr. Cooper’s research. That means more members of the medical establishment and nonprofit organizations that monitored diseases recognized that physical activity could reduce disease risk and improve quality of life for those in treatment.
Second, the pandemic changed consumer awareness of the importance of exercise for health. Authors of a study in the European Journal of Translational Myology wrote that Covid “affected negatively the population physical activity behavior and increased awareness about the importance of exercise as a health strategy.” The study also noted that these newly aware subjects were interested in “professional advice” instead of advice from unaccredited influencers.
This is a shift in consumer behavior that’s been evident in surveys inside and outside the industry. People still want to look good, but their primary goal is to feel good. Consumers of all demographics are seeking longevity and quality of life (health span over life span) instead of surface appearance.
The Opportunity Is Upon Us
As we report in this issue, HFA has now partnered with the American Cancer Society and the Alzheimer’s Association to help coordinate physical activity programming for those affected by these diseases.
On a different track, the fitness industry is integrating telehealth services into their value proposition, especially in support of GLP-1 treatments but also to offer medically approved hormone therapy.
Moving into this space is a great opportunity, but aligning with healthcare providers needs to be handled responsibly. To take its rightful place as an integral part of population health infrastructure, the global fitness industry must build on its growing reputation as a trusted collaborator with the medical establishment, exemplified by HFA’s new partnerships.
An article in The New York Times on July 21 reported that social media is now plagued with hundreds of AI-generated health “experts” and wellness influencers set up to sell products, mostly nutritional supplements. If we know anything about AI trends, this one is likely to accelerate and expand into other health- and exercise-related subject matter.
We’re here to counter this misinformation. The global industry, under the HFA banner, has shown it’s a trusted partner to groups like the American Cancer Society and the World Obesity Federation. HFA will continue to build on these alliances in the future, further enhancing the reputation of the industry.
The science supports the industry and will continue to do so. As HFA Chief of Staff Mike Goscinski writes: “As the evidence supporting physical activity continues to grow, so does the opportunity for our industry to help shape the future of healthcare.”
Contributors

Patricia Amend
Patricia Amend, who holds an M.A. in journalism from New York University, has been a writer, editor, and author for 30+ years. She took up long-distance running, which piqued her interest in healthy lifestyles and the fitness industry. She also specializes in financial health—small business and personal finance.
In addition to writing some 600 articles about the industry—mostly for HFA—Ms. Amend served as Executive Editor of Health & Fitness Business (formerly Club Business International) and Managing Editor of Club Business Europe, and she produced research reports, newsletters, program guides, and marketing materials for HFA.
Other stories have appeared in Club Industry, ACE Fitness Matters, USA Today, Inc. Magazine, Money.com, AARP.org, and AARP The Magazine. One of her books, The 30-Minute Fitness Solution, published by Harvard University Press, received an Award of Excellence from the American Medical Writers Association. She can be reached at patriciaamend2@gmail.com.

Sean Callahan
Sean Callahan is a writer and reporter whose career has included stops at LinkedIn, Innovid, Bizo, Crain Communications, and GeezerJock Magazine (RIP). His freelance journalism has appeared in The New York Times, The Washington Post, Salon.com, and Notre Dame Magazine. He is the author of five children's books, including Voting With a Porpoise. He strives to work out six days a week.

Jon Feld
Jon Feld has been writing for four decades. He has a diverse and varied background: editor for Club Industry magazine, publications director at Boston University, director of Content Development at Inc. Magazine, media business owner, and more. One thread has been a near constant for most of his career: He’s been writing for HFA since 1987. He can be contacted at jfeld@oncoremedia.net.

Julie King
Julie King is a freelance writer with more than 30 years of experience in the fitness industry. She’s worked as a content creator, personal trainer, group fitness instructor, fitness director, fitness/wellness coordinator, and health club manager. Since 2002, King has been a contributing writer to Health & Fitness Business. Her work has also appeared in the Journal on Active Aging, Club Solutions, Recreation Management, Campus Recreation, National Fitness Trade Journal, and Fitness Management. Holding a B.S. in journalism and an M.S. in kinesiology, King was a contributing author to The Fitness Handbook, published by Stairmaster Sports/Medical Products. She can be contacted at julie.king1@comcast.net.
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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