By Cedric X. Bryant, Ph.D., FACSM
Millions of people worldwide resolved to embrace healthier lifestyles in the year ahead. For 2025, there’s more reason than ever to be optimistic about achieving those goals. A recent study revealed that obesity rates in the United States have dropped for the first time in a decade. Experts attribute this milestone to several factors, including the increased availability of innovative GLP-1 medications like Ozempic and Wegovy. This turning point offers an opportunity to reflect on how far we’ve come in addressing obesity—and how much work remains to be done.
A Decade of Progress
The American Medical Association (AMA) made headlines in 2013 when it officially recognized obesity as a chronic disease. Scientists now recognize it as a complex, multifactorial condition influenced by genetics, behavior, the environment, and metabolic factors. Over the past decade, groundbreaking developments have emerged. Pharmacological breakthroughs include the identification of hormonal regulators like leptin, ghrelin, and GLP-1 as key players in appetite control and weight regulation, which paved the way for targeted interventions (e.g., semaglutide, tirzepatide). Advancements in bariatric surgery techniques and the proliferation of digital health tools, such as mobile apps and wearable devices, have made sustainable weight management more accessible. Meanwhile, public health initiatives, including sugar-tax policies and efforts to reduce food deserts, have further contributed to creating healthier environments.
Yet despite these strides, barriers exist, and obesity continues to affect millions worldwide. Access to care remains unequal, and weight stigma continues to discourage individuals from seeking help. Moreover, while anti-obesity medications and surgeries provide critical tools, they are not silver bullets. Sustainable lifestyle changes—including regular physical activity—remain essential for long-term success.
The Role of the Health and Fitness Industry
The health and fitness industry is uniquely positioned to bridge the gap between medical treatment and sustainable lifestyle changes. Organizations like the American Council on Exercise (ACE) have already taken steps to address obesity by participating in multi-sector collaborations such as the National Academies of Sciences, Engineering, and Medicine’s Obesity Solutions Roundtable. Additionally, ACE introduced the first weight loss management education certification in the early 2000s, has partnered with organizations focused on size inclusivity such as the Size Inclusive Training Academy, and recently released educational courses designed to support people taking GLP-1 medications. These efforts highlight the industry’s potential, but there is still more to be done to tackle this complex issue.
Shift Perception
More exercise professionals and health coaches must view obesity as a chronic disease rather than a character flaw. Empathy and evidence-based approaches should guide their work, ensuring clients feel supported rather than judged. Training programs should focus on understanding the physical and emotional challenges faced by individuals with obesity.
Collaboration With Healthcare Providers
Integrated care plans that combine medical treatment with tailored exercise programs can significantly improve outcomes. For instance, exercise professionals can help post-surgery patients rebuild strength and support those on weight-loss medications with exercise regimens that enhance their progress.
Increasing Accessibility
Fitness facilities should offer affordable and inclusive programs designed for people of all body sizes and abilities. Partnering with community organizations can help break down socioeconomic barriers and provide more opportunities for physical activity. At the same time, the industry must address weight stigma by fostering supportive environments and celebrating “non-scale” victories, such as improved mobility, increased energy levels, and enhanced overall quality of life.
Looking Ahead
The drop in obesity rates offers a glimmer of hope for the future, but the work is far from over. As we enter 2025, let’s resolve to build on this progress by fostering inclusive, supportive, and evidence-based approaches to health and fitness. The new year offers a fresh start—and a chance to make meaningful strides in the fight against obesity.
About the Author
Cedric X. Bryant, PhD, FACSM is president and CEO of the American Council on Exercise (ACE). For more information, visit www.acefitness.org.