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Health and Wellness Trends Report™ (HWTR) 9th ed

Published by: Natural Marketing Institute

Published: Apr. 1, 2008 - 300 Pages


Table of Contents



CHAPTER 1: TOP TEN TRENDS & INDUSTRY SALES

Introduction

U.S. Health and Wellness Industry Sales

Projected Five-Year Health and Wellness Industry Growth

TREND #1 The Dual Society

TREND #2 Generation Zzzzzz

TREND #3 STOP - I Want Off!

TREND #4 Dr. Me

TREND #5 The Culture of Sustainability

TREND #6 Golden Opportunities

TREND #7 The New Immunity

TREND #8 Giving is the New Taking

Trends

CHAPTER 2: WHO’S SHOPPING? CONSUMER SEGMENTS DEFINED

NMI’s Health and Wellness Segments

NMI Health and Wellness Segmentation Methodology

Segmentation Model Overview

WELL BEINGS

WELL BEINGS at a Glance

FOOD ACTIVES

FOOD ACTIVES at a Glance

MAGIC BULLETS

MAGIC BULLETS at a Glance

FENCE SITTERS

FENCE SITTERS at a Glance

EAT, DRINK & BE MERRYS

EAT, DRINK & BE MERRYS at a Glance

Summary Characteristics of the Five NMI Consumer Segments

Health Concerns: A Driving Motivation

Leisure and Lifestyle Activities of the Five NMI Segments

Healthy and Natural Spending Patterns among the NMI Segments

The Challenges of Eating Healthy

Food Selection Drivers

Healthy Diet Choices

New Product Trial and Early Adoption

Health Proactivity for Self and Family

Environmental Stewardship

Barriers to Organic Use

Organic Savvy and the Desire for Organic Benefits and Features

Importance of Organic

Natural and Organic Product Use and Corporate Influence

Trends in Organic Food and Beverage Use

Supplement Brand Loyalty and the Quality versus Cost Trade-off

Consumer Confidence in Supplement Efficacy

Popular Supplement Usage By Segment

CHAPTER 3: MOTIVATION, BRANDING AND INFLUENCE

Motivations to Start Leading a Healthier Lifestyle

Motivations to Start Leading a Healthier Lifestyle by Segment

Key Reasons for Continuing to Lead a Healthy Lifestyle

Importance of Sustainability

Biotechnology Disclosure

Environmental-Based Purchase Influence

Environmentally-Conscious Purchase Decisions

Regional versus National versus Store Brands

Brand Loyalty, Image & Appetite for New Products

New Product Adoption

Peer Influence

Price-Driven Purchase Decision

Sources of Influence

Sources of Influence by Segment

CHAPTER 4: NUTRITION & HEALTHY LIFESTYLES

Importance of a Healthy Lifestyle

Changes toward a More Healthy Lifestyle

Motivations to Maintain a Healthy Lifestyle

Motivations toward Health vis a vis Age

Healthy Lifestyle Regimens

Healthy Lifestyle Trends

Boomers: Nutrition and Healthy Lifestyles

Healthy Eating Attitudes

Healthy Eating Behaviors

Food Labels and Selection Criteria

Positive Food Trends: Fortified and Functional Food

Role of Vegetarian Diets

Exercise as a Factor in Healthy Living

Eating at Home: Importance to Healthy Living

Stress and the Desire to Simplify

The Role of Energy in a Healthy Lifestyle

Food and Beverage Usage for Prevention and Treatment

Supplement Usage for Prevention and Treatment across Generations

Awareness of Health-Related Terms - Part I: Primary

Awareness of Health-Related Terms - Part II: Secondary

Perceived Dietary Deficiencies - Part I: Food Based

Perceived Dietary Deficiencies - Part II: Vitamins, Minerals & Supplements

CHAPTER 5: INGREDIENTS, HEALTH CLAIMS, SWEETENERS

Most Important Criteria for Food/Beverage Selections

Checking the Label

Food Purity and Environmental/Social Concerns

The Desire for Healthy Ingredients

Attitudes toward Sugar

Avoidance of High Fructose Corn Syrup

Trended Attitudes toward Artificial Sweeteners

Usage of Artificial Sweeteners

Alternatives to Artificial Sweeteners

Glycemic Index: Awareness and Usage

Boomers: Usage and Avoidance Trends

Primary Health Benefit of Key Ingredients

Top Three Nutrient Health Associations - Part I

Top Three Nutrient Health Associations - Part II

Top Health Associations among Emerging New Ingredients

Emerging Functional Nutrients - Barriers to Awareness

Trend toward Avoidance of Fats

Heart Healthy Attitudes and Behaviors

Prebiotics, Probiotics and Intestinal Irregularity

Usage of Soy Food and Beverages

Whole Grain and Fiber - Usage and Shifting Benefits

Allergen Free Food

Ingredient Driven New Product Introductions

Claim Driven New Product Introductions

CHAPTER 6: FEMALES, MALES, FAMILIES & KIDS

Male Primary Grocery Shoppers

Gender Motivations to a Healthier Lifestyle

Gender Functional Drivers of a Healthy Lifestyle

Gender Understanding of Healthy Ingredients/Benefits

Gender Purchase Criteria

Gender Healthy Category Spending

Natural/Organic Gender Purchases

Increases in Organics Usage and Spending by Gender

Gender Dynamics of Organic Selection

Family Dynamics of Organic Attitudes and Selection

Family Price and Brand Selection Criteria

Challenges and Trade-Offs in the Family Diet

Family Concerns about Sweeteners

Children’s Supplement Usage

Family Stress and Leisure

Family Meal Preparation

Ethnic Differences in Preparing Meals at Home

Families Dining Out

CHAPTER 7: ALTERNATIVE HEALTHCARE

Alternative Healthcare Usage Trends

Alternative Healthcare Usage Shows Lifetime Value

Importance of Alternative Healthcare in a Healthy Lifestyle

Consumer Attitudes toward Controlling Their Own Health

Alternative Healthcare Users Show High Membership in “Self-Care” Segments

Primary Ways to Promote Healthy Aging

Use of Nutrition as a Means to Manage Health

Initial Drivers of Supplement Use Reveal Strong Self Management Tendencies

Supplement and Medicine Use as a Means to Manage Health

Alternative Healthcare: Mainstreaming versus Access/Availability

Usage of Alternative Therapy for Specific Conditions

Practitioners Used by Alternative Healthcare Users

Management of Medical Conditions by Alternative Healthcare Users

Physicians’ Role for Less Serious Medical Conditions

The Costs of Losing Sleep

Effects of Stress on Quality of Life

Combined Effects of Lack of Energy, Stress and Sleeplessness

Heart Condition Managers: Lifestylers versus Rx Treaters

Heart Condition Lifestyler versus Rx Treater: Attitudes and Behaviors

Diabetes/Blood Sugar Managers: Lifestylers versus Rx Treaters

Diabetes/Blood Sugar Lifestyler versus Rx Treater: Attitudes and Behaviors

CHAPTER 8: HEALTHY SHOPPING & DINING DYNAMICS

Expenditures for Healthy and Natural Goods

Shopping Channels for Healthy and Natural Products

Shopping Channel Trends 1999-2007

Segment Shopping Channel Patterns

Healthy Spending and Shopping by Ethnicity

Retail Shopping

Segment Retail Shopping

Shopping for Organic Food and Beverages

Segment Shopping for Organic Food and Beverages

Support for Local Farmers

Support for Local Farmers by Product Type

Supplement Shopping

Supplement Shopping by User Group

Internet Shopping

Internet Research and Shopping Trends by Segment

Eco-Conscious Consumerism

Product Introductions with “Ethical” Claims 2002-2007

Importance of Having Meals at Home

Importance of Having Meals at Home by Ethnicity

Frequency of Home-Cooked Meals by Ethnicity

Eating Away From Home

Eating Away From Home by Segment

Fast Food Frenzy

Frequency of Visits to McDonald’s

CHAPTER 9: FOOD & BEVERAGES

Food Choice Paramount to Healthy Lifestyles

Demographics and Healthy Food Consumption

Top Entry Drivers across Natural and Organic

Health Issue Drivers Key for Older Generations

Safety of Meat and Poultry - Growing Concern

Food and Water Concern among U.S. Consumers

Usage of Healthy Food and Beverages: Nine Year Trends

Usage of Free-Low Food

Growth of Free-Low Food

Generational Acceptance of Vegetarianism

Vegetarian Preferences among Ethnic Groups

Vegetarian Introductions

Soy Food and Beverages Growth and Drivers

Usage and Awareness Connection of Soy Benefits

Trended Fortified/Functional Benefits and Understanding

Functional and Fortified Food Usage

Impact of Age on Functional Food Usage

Frequency and Longevity of Fortified/Functional Food Use

Comparative Entry Drivers into Fortified and Functional Food

Functional and Fortified Food/Beverage Introductions

Growth Opportunity among Mainstream Brands

Natural Opportunities for Mainstream and Organic

Cross Marketing Opportunities

CHAPTER 10: ORGANIC TRENDS

Organic Household Penetration

U.S. Organic Industry Sales

Total U.S. and Global Organic Product Introductions

Total Global Organic Product Introductions by Region

Summary of U.S. Organic Product Introductions

Organic Segment Breakout

DEVOTEDS

DEVOTEDS at a Glance

TEMPERATES

TEMPERATES at a Glance

DABBLERS

DABBLERS at a Glance

RELUCTANTS

RELUCTANTS at a Glance

Organic Spending Comparisons across Organic Segments

Frequency, the Key to Organic Growth

Entry Drivers and Pathways to Organic Usage

Organic Benefits and Understanding

Trended Organic Benefits and Understanding Dynamics

Organic Trust and Understanding

Organic Credibility

Other Barriers to Trial

Price Resistance

Food Monitoring among Organic Segments

Mainstreaming Organic Attitudes

The Wal-Mart/Target Effect

Organic Category Cross Usage

Usage of Natural and Organic Personal Care Products

Opportunities in Organic Supplements

Organic Brand Usage

CHAPTER 11: DIETARY SUPPLEMENTS

U.S. and Global Vitamin/Supplement Introductions

Vegetarian and Other VMHS Claim Trends

VMHS Usage Trends

Increased VMHS Usage

VMHS Usage by Segments

Monthly Spending Levels on VMHS

Ethnic Spending on Vitamins/Minerals/Herbals/ Dietary Supplements

Monthly Spending Levels on VMHS by Segments

New versus Core Users and Monthly Spending by Segment Designation

Channels Shopped Most Often for VMHS

Channels Shopped Most Often for VMHS by Segments

Longevity of Vitamin/Mineral and Herbal Supplement Use

Frequency of VMHS Usage by Channel Shopper

Self-Reported Nutrient Deficiencies

Perceived Deficiencies Driving Supplementation

Vitamin and Mineral Category Entry Drivers

Motivations to Use VMHS

VMHS Beliefs, Concerns, and Behaviors

VMHS Users’ Motivators of a Healthy Lifestyle

Purchase Influences of New and Core Users

Regulation and Certification

Consumer Perceptions of VMHS Health Claims

Clinical Research and Specific VMHS Claims

Ingredient Source Preferences

Trended Desire for Emerging Nutritional Supplement Forms

VMHS Brand Value: Price versus Brand Loyalty

Usage Levels of VMHS Brands

Supplement Usage Patterns to Prevent and Treat Health Issues

Multivitamin: Overview and Opportunity

Household Penetration of Specific VMHS Products (10% or More)

Household Penetration of Specific VMHS Products (Less Than 10%)

Condition Specific Usage

Condition Specific Supplements Used

Herbal Supplement Use

Usage of Sports Nutrition Drinks and Bars

Usage of Specific Sports Nutrition Products

CHAPTER 12: WEIGHT MANAGEMENT & EXERCISE

Weight Management Market Size

Vanity Rules: Managing Weight for Health versus Appearance

Importance of Maintaining Proper Weight

Concern with Obesity/Being Overweight

Managing Weight via Lifestyle and System Approaches

Managing Weight via Product Usage

Brand Users’ Approach to Managing Weight

Carbohydrate Watching

Fiber and Weight Management

Concern versus Usage of Artificial Sweeteners by BMI

Weight Loss Product Usage

Weight Loss Product Usage Increases

Beyond Weight Loss: Reasons for Weight Loss Product Usage

Weight Loss Brand Usage

Trends in Exercise Frequency

Consumers in Denial

Health Conditions of the Obese

Healthy Eating Attitudes by BMI

Purchase Criteria

Label Reading

Weight Loss Managers’ Sources of Influence

Weight Management Internet Tools

Weight Management Web site Traffic

APPENDIX I

Measure Definitions

Channels

Product and Service Demand Measures

Product Usage Categories

Sources of Influence

Brands

Health Issues and Medical Conditions

Lifestyle and Leisure Activities

APPENDIX II

Demographics Measures

Geographic Regions

Market Size

Age of Respondent

Household Income

Household Size

Respondent Education


Abstract

Health and Wellness Trends Report™ (HWTR), our annual report on the health and wellness marketplace and its consumers. This year’s report includes a new expansion of the consumer data across each chapter and 50% more content overall. There is a plethora of information to report on the many dynamics within healthy categories and we’ve expanded the coverage of target groups within each category examined. Twelve chapters cover industry trends: who’s shopping and where; their motivations; attitudes and beliefs toward nutrition, diet, and healthy lifestyles; and the desire for specific ingredients and avoidance issues. In addition, entire chapters have been devoted to females, males, families and kids; alternative healthcare; and an update on key organic trends. As always, three separate chapters provide analysis across the specifics of food and beverages, dietary supplements, and weight management and exercise. This compilation of nine years of annual comprehensive surveys includes trended consumer data gathered from over 26,000 consumers across 20 shopping channels and over 100 product categories.

An overriding theme appeared this year as we considered the top trends affecting the marketplace ¯ The Dual Society. The bifurcation of our American society across numerous issues was apparent as we gathered data about each trend. It has manifested itself in consumer attitudes toward health with two polar opposite consumer segments that we have been tracking now for 7 years: the WELL BEINGS and EAT, DRINK & BE MERRYS. These two segments drive opposite attitudes toward each trend. As a result, you will note that we have included a “countertrend” within the treatise of each one. Whether we discuss The Culture of Sustainability, Dr. Me, Stop ¯ I Want Off, or The New Immunity, today’s trends can only be understood by examining those consumers who actively influence each one and those consumers who have chosen an opposite path. We have provided additional background and data as means of explanation and to promote understanding. Included at the end of chapter one are market implications for each trend. We’re confident that you’ll find much “food for thought” here as you consider how these trends will affect your business over the next few years.

Within the health and wellness consumer segmentation, now in its seventh year of tracking, we saw an increase in the number of MAGIC BULLETS, now 19% of the population. This group of consumers will be influential to the wellness marketplace this year, particularly driven by their preferences for supplements and functional foods. They have increased their consumption and overall are becoming more similar to the healthiest segment, the WELL BEINGS. As one-fourth of the general population, WELL BEINGS continue to explore, experiment and adopt new health products and services and their positive attitudes and values influence can be seen across the spectrum from increased usage of healthy categories and alternative healthcare to their influence on environmental issues. The FOOD ACTIVES, who are driven by balance, have continued to revert back to the basics of healthy nutrition, while the FENCE SITTERS, the segment most driven by family dynamics, are seeking more health convenience and are experimenting with new options in healthy foods that taste good too. Lastly, the EAT, DRINK & BE MERRYS continue to be driven by taste and vanity. Regardless of your position in the marketplace ¯ food marketer, supplement supplier, healthcare provider or other ¯ understanding the psychographic profiles of these segments will be key to making them believe in the benefits of your product or service.

Brand relationships are undergoing a metamorphosis from that of typical icon brand communications to one of a cultural values experience. Consumers want to relate increasingly on their terms. They want information available to them in easily understood messages that are available at their fingertips when they want it - and not before. The concerns of war and economy have continued to drive some consumers into less consumptive patterns, as they are seeking a simpler lifestyle, less concerns and meaningful relationships. These desires will drive the need for a more creative suite of marketing communication tools. In addition, as marketers appear to be moving the product/idea lifecycle ever faster, the caution will be the discernment of consumers for authenticity. Consumers are researching brand activities at an increasing rate; as they desire to know what brands are doing to protect the environment and their health, they are more discerning.

Chapter six, Females, Males, Families & Kids, contains a new treatise on gender differences across health and wellness issues. As marketers are looking for new opportunities, the attitudinal differences and needs across females and males are sure to present new ideas. Chapter ten, Organic Trends, presents key updates to our 2007 Organic Consumer Trends Report. For anyone in the organic sector, these two treatises provide essential insights into what will drive the organic market in hard economic times. We noted changes in the organic consumer segmentation in chapter ten, including the slight increase in the most integrated organic consumer segment ¯ the DEVOTEDS. Combined with a decrease in the size of the DABBLERS segment, the implications are good. However, do not miss our data and discussion on frequency and its possible effect on individual categories as we project the trade-offs that could happen in a recession.

Consumers continue to seek multiple ways to enhance their health to prevent disease, and to promote healthy aging. All of these drivers will continue to present opportunities for health and wellness marketers. Categories such as supplements, sports nutrition, and weight management will continue to experience growth through specificity as consumers are seeking products that answer their individual nutritional needs. As such, customization of products and programs will continue to grow. Consumers have also integrated wellness across their lifestyles and are driving new sustainable industries as seen in our LOHAS (Lifestyles of Health and Sustainability) research.

This ninth edition of the HWTR is an essential tool for opportunity analysis, new product development, marketing communications, and overall strategic planning as it seeks to analyze the many changes across consumers and the marketplace. NMI’s most comprehensive report on health and wellness, the HWTR, will assist ingredient suppliers, manufacturers, brands, retailers, healthcare providers and others in understanding the interrelationship between drivers of health and wellness, sources of influence, health and medical conditions, health-related attitudinal measures, lifestyle factors, shopping patterns, product usage patterns, and brand purchase patterns, among other topics. Every page offers unique insight with the presentation of charts, graphs, or tables, accompanied by analysis and commentary on associated market elements and key opportunities.

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