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These outcomes are related to all 4 sectors of the health and fitness industry (commercial for-revenue clubs, clinical or medical fitness programs, company wellness applications, and neighborhood-primarily based not-for-revenue fitness programs). Worksite health promotion and workplace properly-being programs. This is a pattern toward a variety of programs and services provided by employers to improve the health and wellness of employees built-in with techniques to support the evaluation of and reporting on the effect on well being, costs, and productiveness. Previous surveys restricted this development to worksite well being promotion. For the 2019 survey, workplace nicely-being programs had been added to the outline. Worksite health promotion was the no. 16 trend in 2017 before dropping out of the highest 20 in 2018 however enhancing to no. 15 in 2019.