Lila Margalit

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. 

Lapping a Strong Q1 2025

Sprouts Farmers Market entered 2026 expecting a challenging quarter – and Q1 foot traffic trends bore that out. Against a Q1 2025 comparison where comps surged 11.7% year over year (YoY), the company guided Q1 2026 comparable sales to decline between -3.0% and -1.0%, citing both the tough lap and continued pressure on grocery shoppers from elevated food prices. And same-store visits also dropped, falling between -3.0% and -6.0% YoY in Q1.

Still, overall foot traffic rose 1.8%, supported by the 37 stores opened in fiscal 2025 and additional locations added in early 2026, which helped offset softness at existing stores.

The Road Ahead

Against this backdrop, Sprouts is making several forward-looking investments that could support a traffic recovery later this year. Continued expansion, a new loyalty program launched in 2025, and ongoing merchandising innovation – alongside its transition to self-distribution for fresh meat – all position the company to compete on both quality and value as macro conditions evolve.

Will Sprouts return to same-store visit growth in Q2? 

Visit Placer.ai/anchor to find out.

Placer.ai leverages a panel of tens of millions of devices and utilizes machine learning to make estimations for visits to locations across the US. The data is trusted by thousands of industry leaders who leverage Placer.ai for insights into foot traffic, demographic breakdowns, retail sale predictions, migration trends, site selection, and more.

After a strong Q4 2025 that delivered record single-day sales and one of the largest digital acquisition events in McDonald's history, Q1 2026 posed a harder test. Severe weather, pressure on lower-income consumers, and rising gas prices all weighed on the QSR category. So how did McDonald’s perform in Q1? We dove into the data to find out. 

Value, Marketing, and Menu 

Q1 2026 visits to McDonald’s rose 0.6% year over year (YoY), with average visits per location essentially flat at 0.1%. Given Winter Storm Fern’s outsized impact on January traffic and a consumer environment that grew more selective as the quarter progressed, finishing Q1 in positive territory is a meaningful result.

That resilience reflects momentum built in Q4 2025, when McDonald’s delivered across all three of the pillars the company has identified as central to the brand's recovery: value, marketing, and menu. The September 2025 relaunch of Extra Value Meals helped reestablish McDonald’s value positioning, while MONOPOLY – returning to U.S. restaurants for the first time in nearly a decade – became one of the brand’s largest digital customer acquisition events ever. Meanwhile, the December 2025 Grinch Meal, featuring Dill Pickle McShaker Fries and collectible holiday socks, drove the highest single sales day in company history.

McDonald’s carried that strategy into Q1, bringing back the Shamrock Shake in February and launching the Big Arch Burger nationally in March. But in a quarter shaped by weather disruption and more cautious consumer spending, these initiatives generated more muted traffic responses than Q4’s record-setting activations.

A Stop Start Quarter

The chart below illustrates McDonald’s uneven performance throughout the quarter. January same-store visits fell 1.3% YoY, due in part to Winter Storm Fern, which swept across more than 30 states late in the month, disrupting operations and driving temporary restaurant closures. February rebounded to +3.8% YoY, supported by pent-up demand and the return of the Shamrock Shake, which delivered a modest but discernable lift during its launch week. March, however, slipped back to -1.2% – reflecting the Big Arch Burger's more muted traffic response and possibly also the tightening of consumer purse strings in the face of rising gas prices.  

K Pop Collab Cuts Through the Noise

But despite this consumer caution, the response to McDonald's latest pop-culture collab shows that even in a more demanding environment, the right promotion can still cut through.

On March 31 – the launch date of McDonald's collaboration with Netflix's Oscar-winning animated film KPop Demon Hunters – Tuesday visits reached 11.1% above the year-to-date Tuesday average, the highest single Tuesday reading of the entire first quarter. The promotion featured two dueling adult meals inspired by the film's rival groups, HUNTR/X and the Saja Boys, along with limited-time Korean-inspired items like Ramyeon McShaker Fries. And traffic stayed elevated in the days that followed, contributing to the chain's busiest week of the year so far.

Momentum Requires More Than One Lever

Q1 data shows that McDonald’s can still drive traffic at scale, even in a softer environment. But success increasingly depends on executing consistently across value, marketing, and menu – while also delivering the kind of culturally relevant moments that give consumers a compelling reason to visit. How will the chain perform in Q2 as it rolls out its revamped McValue menu? 

Follow Placer.ai/anchor to find out. 

Placer.ai leverages a panel of tens of millions of devices and utilizes machine learning to make estimations for visits to locations across the US. The data is trusted by thousands of industry leaders who leverage Placer.ai for insights into foot traffic, demographic breakdowns, retail sale predictions, migration trends, site selection, and more.

In a macroeconomic environment that continues to challenge dining chains, Shake Shack’s performance offers a clear signal of what consumers prioritize in 2026 – familiarity, convenience, and affordable indulgences.

Stacked and Scaling

Over the past several years, Shake Shack has expanded its footprint while maintaining solid performance at existing locations. In Q4 2025, total revenue rose nearly 22% year over year, while same-store sales increased 2.1%, driven primarily by pricing alongside a modest (+0.5%) lift in traffic – marking the brand’s 20th consecutive quarter of positive comparable growth. Restaurant-level margins also improved, pointing to stronger execution at the unit level.

And that momentum carried into Q1 2026. Overall visits rose 19.9% YoY, with average visits per location increasing in every month except January, when severe weather – including Winter Storm Fern – likely contributed to a slight 0.4% YoY dip.