Forces Driving Change in the US Exercise Industry Today

In this commentary three issues for reader consideration are presented which the author believes have a dominant influence on the health fitness industry today - issues that will continue to markedly influence opportunities and performance expectations for practitioners in the years ahead. While several scholarly and opinion articles are cited, this viewpoint is rooted in the principal author's 45-year experience in developing and evaluating clinical exercise services, competency-based certification, related standards and guidelines for professional organizations, and extensive service as an expert witness in exercise injury litigation. While some influencers have been transitory and short-lasting, others have been persistent and likely to have even greater impact in the future.