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McKinsey Report: demand still outstripping supply in the US$2 trillion global wellness industry

Published 2 days ago9 minute read

While Gen Z makes up just more than a third of the adult population in the US (36 per cent), they are the driving force behind more than 41 per cent of annual wellness spend

The authors of the report suggest younger generations are prioritising wellness more because they are self-reporting higher levels of burnout and worse overall health compared to older people

Gen Zers and millennials rank sleep and health as their top two wellness priorities

More than 9,000 consumers in China, Germany, the UK and the US were surveyed

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Millennials and Gen Zers are redefining the wellness landscape, according to the recently released McKinsey Future of Wellness 2024 research report.

In the fourth annual edition of this research, the authors found that younger consumers view wellness as a daily, personalised practice – rather than a set of occasional activities or purchases – and that wellness is showing up in new spaces.

The research surveyed more than 9,000 consumers across China, Germany, the UK and the US. They were asked about six dimensions of wellness, including health, sleep, nutrition, fitness, appearance and mindfulness.

Younger generations are increasingly prioritising wellness

The researchers estimate that in the US, wellness represents more than US$500 billion in annual spend, growing at 4-5 per cent each year. Eighty-four per cent of US consumers say wellness is a “top” or “important” priority – compared to 79 per cent in the UK and 94 per cent in China.

While Gen Zers (people born between 1997 and 2012) make up just more than a third of the adult population in the US (36 per cent), they are the driving force behind more than 41 per cent of annual wellness spend.

Consumers who are aged 58 and older – 35 per cent of the population – represent only 28 per cent of wellness spending.

The data suggests nearly 30 per cent of Gen Zers and millennials (born between 1981 and 1996) in the US report prioritising wellness “a lot more” compared to one year ago – in contrast with 23 per cent of older generations. The authors of the report suggest this is due to younger generations self-reporting higher levels of burnout and worse overall health compared to older people. The effect of health-related content on social media is also cited as a reason for younger generations being influenced to make wellness-related purchases.

Gen Zers and millennials rank sleep and health as their top two wellness priorities (but in a different order) and the younger group say “better appearance” is their next concern – compared to millennials who care more about mindfulness.

Despite the wellness sector’s growth in recent years, consumers across all demographics report some of their needs are unmet – including those relating to cognitive health, mindfulness, mental health and longevity. Older consumers are also interested in an expanded definition of wellness and they still represent meaningful opportunities for wellness players, especially in advanced markets with ageing populations.

Eric Falardeau, head of the fitness and health group at McKinsey said: "Consumers remain highly focused on their health and wellness, with 84 per cent ranking it as a top priority.

"That number is high compared with other discretionary categories, which is fuelling a lot of the tailwinds for this broadly-defined sector.

"This ranking has also been increasing over the last five years and that's testament to this macro trend of consumers increasingly spending time and money on taking care of themselves and also due to the definition of this 'taking care' being broader and broader."

Falardeau highlighted heart health and cognitive function as major areas of interest from consumers and said there's still a huge unmet need for wellness services in terms of supply and demand, while the delivery of quality services and the availability of 'proof of efficacy' are both key drivers for consumers when choosing services.

Six wellness subcategories that are due to grow

Trends identified in previous years remain relevant today, according to the report. These include a growing focus on women’s health, health at home and biomonitoring. New pockets of growth include functional nutrition, healthy ageing, appearance and aesthetics, in-person wellness services, weight management and mindfulness.

1. Functional nutritionDemand for food and beverage products that claim to deliver health benefits is expanding. In the US, UK and Germany, about half of consumers and two-thirds of Gen Z and millennials. The most sought-after benefits from supplements include energy, gut health, immunity, muscle, bone and joint support. Taste and texture are very important and the report’s authors predict the most successful products will be those at the intersection between supplements and food.

2. Beauty

The overlap between beauty and wellness is increasing. For example, a growing number of beauty products feature active ingredients that have health benefits, while more consumers say they're interested in using ingestible beauty supplements that promote wellness (collagen gummies for skin, hair and nails, for example). Spending on cosmetic procedures also grew in the past year – with 46 per cent of US consumers (and 53 per cent of Gen Z consumers) reporting they spend more on cosmetic procedures in 2024 than 2023.

3. LongevityDemand for longevity-focused products and services continues to grow, with up to 60 per cent of consumers across markets reporting that healthy ageing is a “top” or “very important” priority. Solutions that have emerged include supplements that claim to slow cellular ageing, epigenetic age-testing kits and virtual physical therapy services. Younger consumers are also seeking preventative proactive solutions in this market and are looking for short term benefits as well as longer term ones.

4. In-person experiences and wellness travel

Across all the markets surveyed, the researchers found consumers purchasing more in-person services in 2024 compared to 2023, including boutique fitness, wellness retreats and IV treatments. Net purchase intent for boutique fitness and wellness retreats for these offerings was 30 per cent. Travelling for two hours or more to these experiences was not offputting for 56 per cent of US consumers. Nearly 60 per cent of consumers who travelled for these services said they expected to do the same in 2025. The report authors suggested programming could offer consumers ways to learn skills that they can use beyond their stay (meditation and nutrition plans) as well as “edutainment” – retreats that teach something to participants about their health.

5. Weight managementWhile exercise remains the most common weight management intervention across markets, nutritionist-led weight management programmes, meal plans and prescription weight loss medications are rising in popularity.

6. Mental health

Young people across markets report having worse mental health than older generations, but the research shows 42 per cent of Gen Z and millennials in the US are actively seeking solutions. Younger consumers are making unexpected purchases and adopting behaviours to help them (buying skincare products, socialising, focusing on sleep hygiene) compared to older generations who tend to tie mental health solutions to explicit treatment such as talk therapy. The authors warn that competition in the mindfulness and mental health space is steep and barriers to entry are low when it comes to digital solutions, such as apps – which makes scale difficult to achieve.

The five wellness consumer segments

The report authors found that consumers fall into five different wellness segments: maximalist optimisers, confident enthusiasts, health traditionals, health strugglers and wellness shirkers.

Maximalist optimisersGen Zers and millennials are more likely to be maximalist optimisers. This means they are digitally savvy, experimental when it comes to health and wellness products and they research what works for them. This segment represents 25 per cent of wellness consumers and more than 40 per cent of market spend. This segment is most likely to be influenced by social media, even if they also seek out science-backed medical advice. They are twice as likely as the overall population to use natural and alternative products as well as digital technologies and health-tracking devices. Quality is the main factor for a purchase, over price.

Confident enthusiasts

These consumers prioritise wellness but are more self-assured than maximalist optimisers. They're described in the report as fitness-obsessed, purchasing wellness solutions and sticking to what works for them when they find it. They represent the smallest share of wellness consumers (11 per cent) and 15 per cent of market spend.

The authors suggest companies targeting the above segments should prioritise communicating the science behind their products and services in an accessible way, building a strong presence via video channels, digital customer reviews and social media.

Health traditionalistsThese are older consumers who prioritise simplicity and practicality, making up 20 per cent of wellness consumers and 13 per cent of market spend. Less open to experimentation or novel technologies, this group is focused on healthy eating, taking vitamins, supplements and maintaining an exercise plan.

Health strugglers and Wellness shirkers

These groups place a lower priority on health and wellness solutions, making up 24 per cent and 20 per cent of consumers respectively – and 22 per cent and 10 per cent of market spend. Strugglers spend more on wellness than health traditionalists but tend to feel stressed about their health and struggle with motivation. Shirkers are less interested in monitoring their health, buy only the essentials and are very price sensitive.

ResilienceThe researchers also asked questions to determine the resilience of the spa and wellness industry. It found that certain segments were more volatile than others when consumers were faced with a hypothetical economic downturn. In this scenario, the top services that consumers said they’d cut from their spending were subscription meal services (52 per cent), period and fertility tracking apps (49 per cent), spa and aesthetic treatments (48 per cent).

The report highlighted that health and wellness players can insulate themselves from an economic downturn through diversified portfolios, incorporating more resilient categories. These areas, where consumers would be less likely to cut spending, include menstrual care products (58 per cent), infant care products (45 per cent), corrective eyewear (45 per cent) contraception products (30 per cent) and supplements (27 per cent).

Access the full report at this link: https://www.mckinsey.com

Eric Falardeau, partner at McKinsey and Company Montreal, led this research and unveiled it during an online discussion hosted by World Wellness Weekend – led by Jean-Guy de Gabriac.

See Eric Falardeau and Dominika Kampa from McKinsey speaking at the HCM Summit 2024 here.

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