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With roughly one in eight Americans now using GLP-1 medications for weight loss, their rapid adoption is shaping up to be one of the most consequential behavioral shifts in recent memory – with wide-ranging implications for businesses tied to how people spend their time and money.
We analyzed the data to understand how GLP-1 usage may be influencing real-world retail and dining foot traffic. How is grocery store visitation changing? What’s happening in limited-service dining? And which other categories are gaining from a heightened focus on health and wellness – further accelerating trends that began to take hold after the pandemic?
Groceries Get a Health Makeover
Research from Cornell University shows that GLP-1 users reduce household grocery spending by an average of 5.3% within six months of starting a medication, with the most significant pullbacks concentrated in calorie-dense, processed categories. At the same time, a handful of health-oriented foods – including yogurt, fresh fruit, nutrition bars, and meat snacks – are seeing increased spend.
And foot traffic data points to a parallel shift in where consumers are shopping, with a growing share of grocery visits flowing toward fresh-format stores like Trader Joe’s and Sprouts Farmers Market that emphasize high-quality perishables, curated health-oriented assortments, and an elevated in-store experience. While this pivot has been underway for several years, reflecting a broader post-pandemic focus on health and wellness, its recent acceleration coincides with the rise in GLP-1 use.
From Q1 2022 to Q1 2026, these chains steadily expanded their share of overall grocery foot traffic, with momentum accelerating beginning in Q1 2024, even as some experienced per-store softness amid a challenging consumer environment. Over the same period, the median household income within fresh-format chains’ captured markets, which had remained largely stable through early 2024, began to decline. This trend suggests a broadening customer base, as households across income brackets increasingly prioritize higher-quality food and allocate a larger share of their grocery trips to fresh formats.
Dining Traffic Realigns Around Health
The reallocation of spending also extends beyond the grocery aisle. Foot traffic data points to a meaningful reordering of food-away-from-home visits over the past three years, with healthier dining segments outperforming more indulgent ones – underscoring a broader shift toward more nutritious options that GLP-1 adoption may be helping to reinforce.
Frozen yogurt chains outpaced ice cream shops in year-over-year visit growth in both 2024 and 2025, as consumers gravitated toward lighter frozen treats. Smoothie and juice chains also captured growing demand, buoyed by expanding footprints from brands like Tropical Smoothie Cafe, Smoothie King, and Playa Bowls, while fast-casual similarly pulled ahead of QSR.
Gym Visits Are Getting More Frequent
Fitness participation has been on the rise since the pandemic, and the data suggests gym habits are becoming more consistent over time – a trend that GLP-1 users, who often incorporate structured exercise into their routines, may be helping to reinforce.
Between Q1 2023 and Q1 2026, the share of visitors to leading gyms stopping by at least three times in an average month rose from 44.8% to 46.8%, while the share visiting at least four times rose from 37.3% to 39.1%. For a growing segment of the population, going to the gym has become a regular part of the weekly routine – with implications for fitness brands and the broader ecosystem of health-oriented businesses competing for this newly routine-driven consumer.
Apparel Pulls Away From Discretionary Retail
As consumers deepen their focus on health and fitness, the body transformations associated with GLP-1 use are also reshaping apparel demand. Alongside a growing need for wardrobe replenishment, GLP-1 users are investing more in their appearance and rediscovering the experience of shopping for clothes.
And this trend aligns with recent foot traffic data. Even as discretionary spending continues to face headwinds in a challenging macroeconomic environment, clothing retailers are seeing consistent year-over-year visit growth, driven in large part by the off-price sector – with each year outpacing the broader discretionary retail category by a widening margin. Apparel is pulling away from the pack, likely driven in part by a consumer whose relationship with their body – and with shopping – has fundamentally changed.
A Behavioral Shift Worth Watching
The GLP-1 era is still in its early stages – but as programs like Amazon’s new GLP-1 management program expand access, these drugs are likely to continue reshaping shopping behavior in the months and years ahead. The data points to a consumer who is eating differently, moving more, and spending in ways that reflect a new set of priorities, further amplifying the focus on health and wellness that has emerged over the past several years.
For more data-driven retail and dining insights, visit Placer.ai/anchor.
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