Healthcare and Fitness Initiatives and Projects

Insurance Companies, Fitness Facilities, and Other Companies Involved in Medical Fitness Programs

In the context of an aging population and escalating healthcare and long-term care costs, the government has accelerated its shift toward preventive medicine. With national healthcare costs surpassing 48 trillion yen and the total number of patients with lifestyle diseases reaching 31 million, there is a growing demand for fitness facilities to provide preventive medicine and long-term care rather than leisure services.
These changes suggest growing market opportunities and increased competitiveness, affecting not only fitness service providers, but also medical institutions, long-term care providers, insurers, and other companies entering this sector from other industries. However, the practical information remains fragmented. Which business model is effective for market entry? How can municipalities collaborate with insurance companies? Who are the competitors? This report systematically summarizes the overall structure of the fitness market and its role in healthcare and preventive medicine.
This comprehensive resource consolidates policy trends, market data, business model analysis, player trends, and the current state of collaboration with municipalities.

I. Positioning of the Fitness Market as Preventive Medicine

1. Overview of Market Structure
   1) The Background Behind the Need for Preventive Medicine and Preventive Long-Term Care
   2) Social Roles of Fitness Facilities
   3) National Health Promotion Initiatives Related to Fitness Facilities
   4) Relationship Diagram Between Fitness Operators, Healthcare Providers, Insurers, and Municipalities
2. Trends in Fitness Facilities
   1) Number of Fitness Facilities
   2) Trends by Business Type
   3) Market Size of Fitness Facilities
3.  User Trends
   1) Fitness Participation Rates and Intentions
   2) Fitness Participation Rates and Intentions by Gender and Age Group
   3) Trends in Fitness Facility Usage

II. Trends in Market Entry into the Healthcare & Fitness Sector

1. Medical Fitness Business Models and Services
   1) Business Models for Medical Fitness Facilities
   2) Business Models for Programs in Partnership with Insurance Providers
   3) Municipal Initiatives for Preventive Medicine and Preventive Long-Term Care
   4) Others
2. Collaboration Patterns with Municipalities, Medical Institutions, and Insurance Companies, and Representative Case Studies
   1) Collaboration with Municipalities
   2) Collaboration with Insurance Companies
   3) Collaboration with Medical Institutions
   4) Player Positioning Map

III. The Status and Challenges of Municipal Initiatives Aligned with Fitness Facilities

1. Status of Health Promotion Initiatives
   1) Questionnaire Regarding Municipality-Led Health Promotion Projects
   2) Status of Municipalities in Addressing Health Promotion
   3) Status of Alignment Between Municipalities and Fitness Facilities
2. Challenges Regarding Municipality-Led Health Promotion Projects
   1) Challenges Regarding Municipality-Led Health Promotion Projects
   2) No Clear Targets
   3) Structural Limitations in Labor and Budgets
   4) The Complex Challenges of Measuring Effectiveness
   5) Potential of Alignment with Fitness Businesses
   6) Directions Toward Solving the Challenges

IV. Examples of Initiatives in Healthcare & Fitness Services

1. Medical Fitness Facility Models
   1) Medical Institution-Operated Models
2. Insurer-Aligned Programs
   1) SUMITOMO LIFE INSURANCE COMPANY
   2) Meiji Yasuda Life Insurance Company
   3) Sompo Japan Insurance Inc.
3. Municipality-Led Health Promotion Projects
   1) Obihiro, Hokkaido
   2) Shiki-shi, Saitama Prefecture
   3) Shimizu-cho, Shizuoka Prefecture

V. Company Profiles

• CURVES HOLDINGS Co., Ltd.
• CENTRAL SPORTS CO., LTD
• Fast Fitness Japan Inc.
• Renaissance Inc.
• YAMAUCHI Co., Ltd.
• RIZAP, Inc.
• caname Inc.
• JR East Sports Co.,Ltd.
• Tipness Ltd.
• Tokyo Athletic Club Co., Ltd.
• Nomura Real Estate Life & Sports Co., Ltd.
• LAVA International, Inc.
• WORLDFIT Inc.