Global Wellness Economy: Country Rankings (2019-2024 data)

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Selected Key Findings

• The five largest wellness markets in 2024 are: the United States ($2.1 trillion), China ($950 billion), Germany ($281 billion), Japan ($262 billion), and the United Kingdom ($261 billion). The list of countries ranking in the top five has not changed since 2019.
• The global wellness economy is very concentrated in North America, Asia-Pacific, and Europe. The top five largest wellness markets represent nearly 58% of the global wellness economy, while the top 25 represent 86%. The United States alone accounted for nearly 32% of the entire global wellness economy in 2024.
• The top 25 list has changed very little from 2019-2024, but a few countries have made notable increases in their rankings (Saudi Arabia, UAE, India, Australia, Poland, and the Netherlands).
• Among the top 25 markets, only three did not experience a pandemic-related decline in 2020 (Saudi Arabia, the Netherlands, and Taiwan). Since 2020, nearly all of the 25 largest wellness markets have resumed a robust growth trajectory. When we compare the size of the national wellness economies in 2024 versus 2019, all but one of the top 25 markets (Japan) have surpassed their pre-pandemic size when their markets are measured in U.S. dollar terms, and all of the top 25 markets have fully recovered when measured in their local currencies.
• Among the top 25 markets, nine stand out for their especially strong growth trends (exceeding the global average of 6.2% annual growth 2019-2024): Saudia Arabia and India (>11% annual growth); Mexico and Poland (>9% annual growth); and the United Kingdom, the Netherlands, Canada, the United States, and Australia (7.5%-8.5% annual growth).
• Among all countries, the ten countries with the strongest five-year annual growth rates (2019-2024) are: the United Arab Emirates (14.3%); Saudi Arabia (12.2%); India, Croatia, and Cuba (10.5%-11.5%); and Romania, Mexico, Costa Rica, Kazakhstan, and Poland (9%-10%).
• Currency depreciation has affected the measurements of several major wellness economies in Asia (Japan, India, South Korea, Thailand, Indonesia, and the Philippines), as well as Brazil and many European countries. In these countries, the performance of the wellness economy is stronger when measured in their local currencies.
• Four wellness sectors are responsible for much of the wellness economy growth in the largest and fastest-growing markets: wellness real estate; wellness tourism; personal care & beauty; and healthy eating, nutrition, & weight loss.
• Per capita spending on wellness is highest in wealthy countries (Iceland, Switzerland, the United States, Austria, and Australia) and in countries that are highly dependent on tourism (Aruba and the Seychelles, plus Iceland). All of these countries had per capita wellness spending higher than $5,000 in 2024, as compared to $831 globally

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Thank You to These Geography of Wellness Partners

ALDAR

Aldar is the leading real estate developer, manager and investor in Abu Dhabi, with a growing presence across the UAE, MENA, and Europe. Its two core business segments are Aldar Development and Aldar Investment. Aldar Development is a master developer with a 62 million square meters strategic landbank, creating thriving communities across Abu Dhabi, Dubai and Ras Al Khaimah. Its developments are managed by Aldar Projects, also a key partner in the Abu Dhabi government housing and infrastructure projects. Internationally, Aldar owns UK real estate developer London Square and has a majority stake in Egyptian real estate development company, SODIC. Aldar Investment manages a $13 billion portfolio of real estate assets diversified across retail, residential, commercial, logistics and hospitality segments, overseeing four core platforms: Investment Properties, Hospitality, Education and Estates. Visit www.aldar.com.

ANYTIME FITNESS

Anytime Fitness is Australia’s largest fitness community, with more than 585 clubs nationwide. Their mission is simple: to make health and wellness accessible to more Australians, while inspiring healthier lives through genuine support, the power of movement, and a community where everyone feels they belong. Visit www.anytimefitness.com.au.

APEE – ASSOCIAÇÃO PORTUGUESA DE ÉTICA EMPRESARIAL

APEE is an association that has been active in the fields of ethics, social responsibility and sustainability since 2002, constituting itself as the Sectoral Standardization Body, qualified by the Portuguese Institute of Quality. Currently, APEE coordinates the development of standards in the areas of ethics, social responsibility and sustainability, gender equality, ESG (Environmental, Social, and Governance), ethics and integrity in sport and social responses and integrated continuing care. Visit www.apee.pt.58 | Global Wellness Institute

BDMS WELLNESS CLINIC

Thailand has gained international recognition in preventive medical treatments for its quality services at an accessible price. As Thailand’s largest private healthcare network, Bangkok Dusit Medical Services (BDMS) provides advanced medical-based wellness services at the flagship wellness center, BDMS Wellness Clinic. Building on 50 years of tertiary level medical experience from its network of 54 hospitals, BDMS group extends its strengths and medical expertise to help consumers improve their wellness through a wide range of programs specifically focused on the early detection and prevention of disease. Visit www.bdmswellness.com.

BLUEPRINT GLOBAL

Blueprint Global is a distinguished international leader, renowned for its unparalleled track record in successfully crafting, structuring, and bringing to market some of the world’s most exceptional real estate developments. Their unique, fully integrated project planning and execution services, marketing expertise and distribution platform have consistently delivered success in realizing a multitude of complex urban, recreational, and mixed-use real estate projects for their valued clients and partners. Blueprint Global’s impact extends to diverse landscapes, including mountain resorts, beach destinations, vibrant urban centers, wellness-focused developments, and cutting-edge retail spaces, as well as unparalleled golf retreats. As global leaders in luxury real estate, they bring a wealth of experience and innovation to every project, ensuring success, and each development becomes a masterpiece that defines sophistication and lifestyle. Visit www.blueprint.global.

GREEN WELLNESS MALAYSIA

Since 2012, Green Wellness Malaysia has been helping businesses thrive by providing sustainable, toxin-free wellness solutions. Whether it’s through expert nutrition advisory, premium product distribution, or industry-leading platforms like the International Wellness Expo (IWE), Green Wellness equips the community with the tools to inspire healthier, more sustainable lifestyles. Visit www.greenwellnessmalaysia.com.

ITALCARES FEDETERME

Italcares is a digital platform promoting Italy’s health, wellness, and thermal tourism, offering integrated medical treatments, spa services, and lifestyle programs via thermal waters, specialized clinics, and wellness retreats, focusing on quality Italian care, prevention, and longevity. It connects international patients with Italy’s best health facilities, from thermal spas and medical centers to personalized longevity programs, ensuring guided access and high-quality experiences. Visit www.italcares.it.The Global Wellness Economy: Country Rankings (2019-2024) | 59

NATIONAL ACADEMY OF SPORTS MEDICINE

For over 35 years, the National Academy of Sports Medicine (NASM) has earned its reputation as the gold standard in fitness education with best-in-class evidence-based programs in personal training, nutrition coaching, wellness coaching, sports performance, and more. Above and beyond any other certification provider, NASM trainers work at every level of organized sport while NASM wellness coaches inspire lasting change in their clients and co-workers across fitness, healthcare, pharmaceutical, and human resource organizations. Visit www.nasm.org.

THE PHILIPPINES DEPARTMENT OF TOURISM

The Philippines Department of Tourism has embraced the growing trend of wellness tourism, recognizing the potential for the country’s natural beauty and diverse landscapes to serve as a holistic destination. With a focus on promoting health and wellbeing, the department has strategically positioned the Philippines as an ideal location for rejuvenation and relaxation. From pristine beaches to lush mountains, the country offers a variety of settings for wellness activities such as spa retreats, yoga, and eco-friendly adventures. Visit www.tourism.gov.ph.

THE SINGAPORE TOURISM BOARD

The Singapore Tourism Board (STB) is a statutory board under the Ministry of Trade and Industry of Singapore. It champions the development of Singapore’s tourism sector, one of the country’s key service sectors and economic pillars, and undertakes the marketing and promotion of Singapore as a tourism destination. Singapore has actively promoted wellness tourism through various initiatives, leveraging its reputation as a global business and travel hub. The city-state strategically combines its modern infrastructure with green spaces and cultural offerings to attract wellness-conscious travelers. Singapore’s commitment to providing a diverse range of wellness experiences aligns with the growing global interest in health and wellbeing. Visit www.stb.gov.sg.