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Global Wellness Institute Research Ranks 150 Countries by Wellness Market Size

The US ($1.2 trillion), China ($683 billion) and Japan ($304 billion) are the world’s largest wellness economies; Switzerland, Iceland and the US rank first for wellness spending per capita–where consumers spend over $3,600 a year

Miami, FL – February 8, 2022 The nonprofit Global Wellness Institute (GWI) has released “The Global Wellness Economy: Country Rankings,” the first research to measure the wellness economies of 150 nations. It’s packed with information on national wellness markets from average wellness spend per capita to the wellness market’s contribution to each nation’s overall economy. The research was presented today at the first Global Wellness News™ broadcast in New York City.


The report is a companion to GWI’s recently-released “The Global Wellness Economy: Looking Beyond COVID,” a complete global update on all 11 sectors of the wellness market, finding that the world wellness economy is worth $4.4 trillion and forecast to reach $7 trillion by 2025.

“This last year, the GWI generated country-level data for all 11 wellness sectors. So now, for the first time, we can answer the question everyone asks: How big is the total wellness market for each country and who ranks highest?” said Ophelia Yeung, GWI senior research fellow. “Which nations are growing, which are shrinking? How do national wellness markets differ and why? This report is the first to answer these questions.”

The Top 20 Wellness Markets 

US:                     $1.2 trillion
China:               $683 billion
Japan:               $304 billion
Germany:         $224 billion
UK:                     $158 billion
France:              $133 billion
Canada:             $95 billion
South Korea:     $94 billion
Italy:                    $92 billion
Australia:            $84 billion
Brazil:                  $83 billion
India:                   $78 billion
Russia:                $71 billion
Spain:                  $63 billion
Mexico:                $46 billion
Netherlands:      $41 billion
Taiwan:                $38 billion
Switzerland:        $38 billion
Indonesia:           $36 billion
Turkey:                $35 billion

It’s no surprise the world’s most populous countries (e.g., China, India, Indonesia, Brazil, Russia), or the wealthiest (e.g., Switzerland, Australia, Netherlands), or countries that combine size with wealth (e.g., the US, Japan, Germany, the UK, etc.), spend the most on wellness.

The US is by far the largest market, at $1.2 trillion–nearly double the size of the second-largest market, China, at $683 billion. In fact, the US accounts for 28% of the entire global wellness market, while the top ten markets represent 71% of the world total.

The report provides granular data on national wellness markets, from growth rates in the pre-pandemic years of 2017-2019 to how the pandemic has impacted each market.

Where Do Consumers Spend the Most on Wellness? (Wellness Spending Per Capita)

Switzerland:     $4,372
Iceland:             $3,728
US:                      $3,685
Austria:              $3,568
Norway:             $3,346
Australia:            $3,771
New Zealand:    $2,969
Denmark:           $2,958
Hong Kong:       $2,943
Aruba:                 $2,792

Consumers in the very wealthiest economies spend the most each year on wellness. The report provides data on how much the wellness market contributes to national GDP (what percentage of the economy it represents). Globally, the wellness economy represents 5.1% of total GDP, roughly 1 in every 20 “dollars” spent by consumers worldwide is on wellness.

For Small, Tourism-Dependent Countries, Wellness Is an Outsized Percentage of Their Economy

It may seem surprising to see Aruba rank in the top 10 for consumer spend on wellness, as it’s not as wealthy as the other ranked countries. This is the tourism effect, where high-spending inbound wellness tourists represent a disproportionate part of the wellness market. The report ranks countries by the ratio of the size of their wellness economy to the size of their total GDP/economy, and the small, tourism-dependent countries really stand out. For those top five nations, the wellness market represents an eye-opening percentage of total GDP: Seychelles (16.5%), Maldives (14.5%), Aruba (11.9%), Costa Rica (11.4%), and St. Lucia (10%). This is a window into the powerful contribution that wellness tourism brings to their economies, but also shows how in these small countries wellness is more of an “export industry” and for the most part out of reach of locals.

The Sectors That Define National Wellness Markets Vary Dramatically

The report reveals how different wellness sectors dominate in different nations. Both worldwide and in most countries, the wellness market is concentrated in three sectors: 1) healthy eating, nutrition, and weight loss; 2) personal care and beauty; and 3) physical activity. These three segments account for more than 60% of the total wellness market.

There is however a wide national and regional variance. In Japan, personal care/beauty represents a much bigger share of wellness spending than in most countries; for China, India, Indonesia, Russia, and Turkey, it’s traditional/complementary medicine; in Germany, it’s wellness tourism, spas and thermal/mineral springs; while in Sub-Saharan Africa, public health and prevention spending dominates.

“These new rankings reveal the countries that spend the most on wellness–important information for governments and businesses. But the size of a wellness market does not necessarily capture which countries are most ‘well’: which nations have the best health outcomes or fair access to wellness,” said Katherine Johnston, GWI senior research fellow. “There’s much research to do. Who is benefitting from the growth of the wellness economy in each country, and who is not? What’s the relationship between the wellness market and the health and well-being of a nation’s population? What can governments and policymakers do to bring more wellness to more people? This will be the focus of our November 2022 report on wellness and policy to be released at the Global Wellness Summit in Tel Aviv.”


About the Global Wellness Institute: The Global Wellness Institute (GWI), a nonprofit 501(c)(3), is considered the leading global research and educational resource for the global wellness industry and is known for introducing major industry initiatives that bring together leaders to chart the future. GWI positively impacts global health and wellness by educating public institutions, businesses and individuals on how they can work to prevent disease, reduce stress and enhance the overall quality of life. Its mission is to empower wellness worldwide.