The American Fitness Pressure Report SODALEMON RESEARCH

SODALEMON RESEARCH The American Fitness Pressure Report

How working Americans manage their health in 2026, and why many
now turn to algorithms in place of professionals.

american_fitness_pressure_report cover Sodalemon research

Introduction

Staying healthy in the United States is getting more expensive as the average annual premium for employer-sponsored family coverage has reached $26,993, a 6% rise in a single year, with workers paying $6,850 of that out of their own pockets. At the same time, artificial intelligence has moved into everyday health decisions at an unusual speed. A 2026 West Health and Gallup study estimated that millions of Americans now consult AI before, after, and sometimes instead of seeing a doctor. Sodalemon ran this survey to understand what sits behind those headlines, asking working Americans how they are managing their health, what they cut back on when money is tight, and what happens when a chatbot begins to stand in for a doctor or a trainer.

What the survey found does not match the story the wellness industry tells about itself. Americans still name a doctor as the person they trust most with their health, yet a growing number no longer act on that trust. Many now take their health questions to AI tools they openly say they do not fully believe, and the fitness tracker on their wrist appears to have taught them the habit. Sitting beneath that pattern are the ordinary pressures that help explain it, from the time and money it takes to stay active to a social feed that motivates and unsettles in equal measure.

This report is based on a survey of 502 employed US adults aged 25 to 54. Because these respondents are working, digitally engaged, and squarely in midlife, they reach for these tools more readily than the population as a whole. Most surveys on this topic ask about a specific window, such as whether someone has done something in the past month or past year. But this survey asked whether people had ever done something at all, with no timeframe attached, which is part of why its figures run higher than comparable national polls. Its figures, therefore, run above national rates and are best read as an early signal of where behavior is heading, not as a population estimate. The report opens with AI, then works back through the everyday pressures that surround it. Every relationship it describes is an association within this sample, not proof that one thing causes another.

Who we asked

The survey reached 502 US adults aged 25 to 54, every one of them in full-time or part-time employment, recruited through the Prolific research panel rather than drawn from self-selected social media respondents. Two of them withdrew consent for their demographic details only. They are counted in every question but appear as 'not stated' in the breakdown that follows.

Group

Number

Share of sample

Women

250

49.80%

Men

248

49.40%

Aged 25 to 29

69

13.75%

Aged 30 to 34

96

19.12%

Aged 35 to 39

90

17.93%

Aged 40 to 44

77

15.34%

Aged 45 to 54

166

33.07%

Working full-time

377

75.10%

Working part-time

121

24.10%

White

340

67.73%

Black

78

15.54%

Mixed

32

6.37%

Asian

28

5.58%

 

A few things to know. Headline figures use the full sample of 502. Subgroup figures use the relevant subgroup denominator, stated alongside each finding. This is a convenience panel, directional rather than nationally representative. The two respondents who withdrew consent for their demographics are included in every question-level figure but sit outside the demographic cuts. 67.73% of the sample is White, so ethnicity comparisons lean on White respondents and smaller groups are treated as indicative.

AI has become a routine source of health advice

The report begins with the behavior that draws the most attention and is least often measured among ordinary working adults, rather than among early adopters. Asked whether they had used an AI tool for fitness or health guidance in the past year, 61.16% of respondents said they had.

Six in ten used Al for fitness or health guidance this year
Using AI today is very common, so the more telling question is how far people take it. Among those who use it, 91.86% have at some point used AI in place of a professional because it was cheaper, quicker, or easier to reach, and 76.55% do so at least sometimes. For most of them, AI is no longer a second opinion laid on top of a doctor's advice; it has become the first place they turn, and often the only one.

The national trend points the same way, though less sharply. KFF found in 2025 that about one in three US adults had used an AI chatbot for health, and that 42% of them never followed up with a clinician afterward. These figures sit higher because the panel is working, digitally engaged, and aged 25 to 54, and the answers consistently point in a single direction.

A single headline figure hides a lot of variety, because people bring very different kinds of questions to a chatbot. Some carry almost no risk if the answer is wrong, while others sit much closer to the work of a clinician. Sorting the questions by what is at stake shows how far this reliance actually extends.
what_respondents_use_ai_for

Most of what people bring to AI are low-stakes questions, the kind of question where a wrong answer costs very little. Meal and nutrition ideas top the list at 67.10%, followed by workout guidance at 60.91%, and stress or general well-being support at 34.53%. For questions like these, a chatbot is a convenient and largely harmless helper, which goes a long way toward explaining how quickly the habit has spread.

The same list, though, reaches into territory where the stakes are far higher. 28.01% have asked AI about pain, an injury, or a symptom, the kind of question that can carry a real health cost and often calls for a trained eye rather than a generated answer. When a share this large is willing to take clinical questions to a chatbot, it is the first sign of a wider tension. It also sets up the question at the heart of the next section, which is whether people trust AI as much as their behavior suggests they do.

americans_trust_ai_plan_dinner_not_read_symptoms

The distance between what people use AI for and what they trust it for defines this section. For low-stakes tasks, the confidence is high, with 78.09% willing to trust AI at least somewhat for meal ideas, and 76.29% for a workout plan. As the stakes of the question rise, trust in AI starts to fade, and by the time the question is a medical symptom, more people distrust AI (55.18%) than trust it (40.24%), the only one of the eight tasks where distrust comes out ahead. 

People have, in effect, worked out where the safe line sits, and it falls close to where a doctor would draw it. That is what makes the findings hard to square, because a real share of users takes AI to exactly these high-stakes questions, the ones they trust it with least, and cross that line anyway.

National polling shows the same wariness, with most Americans still saying they would rather get health advice from a person than AI, and their trust in AI health tools is slipping rather than growing. The puzzle is why people hand AI a doctor's job when they clearly understand the risks, and the reason has less to do with AI than with a habit formed elsewhere.

ai_affect_fitness_wellness_professionals

Their expectations for the technology are measured rather than alarmed. 36.45% think AI will mainly support fitness and wellness professionals over the next five years, 38.45% expect it to take over some routine guidance, and only 5.58% believe it will replace most of them. People are not forecasting the end of the expert, even as many of them already lean on AI in the expert's place.

The caution is genuine, and the expectations are sober, and still the behavior runs ahead of both. Something is quietly pushing people past their own better judgment, and it comes not from the chatbot but from the device on their wrist.

Wearable tech opens the door to AI

The device on the wrist proves to be the clearest link the survey uncovered, and the pattern is less about percentages than about a habit. What matters is whether someone has already learned to let a machine make a call about their own body, because those are the people who go on to let a chatbot do the same.

health_tracking_Respondents who act on health tracking scores turn to Al far more

Consider the people who have changed a workout, a meal, or their bedtime routine because a wearable told them to. 75.47% of them have also used AI in place of a professional at some point. Among those who have never once acted on a device score, that share falls to 49.34%. The nearly 26-point gap is one of the largest and most reliable differences in the study, and the reading is straightforward. People who are used to trusting the verdict of a tracking device are the same people most willing to trust a chatbot's.

Each habit has been studied on its own before, but what this survey adds is watching the two sit together with the same people. The first habit is already widespread, as 42.23% of those surveyed have changed something because a score told them to, and for anyone already in that habit, taking the next step to AI is not very difficult.

how_far_people_go_with_ai_health_advice

Laid out as a funnel, the escalation is easy to follow. 61.16% have used AI for health, 56.18% have used it in place of a professional, 25.10% do so often or very often, and 17.13% have used it for pain, injury, or symptoms.

Each question reveals a category of people who are a smaller and more committed group than the one above it, and together they show how deeply reliance on AI now runs. 

The rest of the report traces the everyday conditions surrounding the shift, starting with something far more basic than any app, which is how much Americans actually move and what gets in their way.

How much Americans exercise, and what holds them back

This reliance on AI and wearables grows out of something much older and simpler - the daily effort of trying to stay active, so it is worth seeing that effort clearly before going further. Most of this sample is active, though only up to a point, because a genuinely daily habit turns out to be the exception rather than the rule.

how_often_americans_intentionally_exercise

64.34% of respondents exercise at least three days a week, with 37.25% managing three or four days and 27.09% reaching five to seven. That is a healthier pattern than the country as a whole reports, since the CDC found in 2024 that 47% of US adults met the federal aerobic-activity guidelines, with women (42%) trailing men (52%). By that national benchmark, the people here are doing well, and most of them are moving in some form most weeks of the year.

The more useful question is not whether they exercise but why they do not do more, because very few describe themselves as completely inactive. An answer built on willpower alone does not fit a group that is already this active. It points instead toward the practical obstacles that get in the way of doing more, and those obstacles, rather than any lack of effort, are what the next question brings into focus.

what_makes_it_hardest_to_exercise

Asked what makes exercising hardest, respondents describe lives that are already full rather than a lack of interest. Lack of time leads at 57.57%, followed closely by lack of energy at 48.61% and lack of motivation at 46.81%, three barriers that tend to travel together in busy working households. Money is a smaller factor here, named by 11.75%, though it connects directly to the cost pressures the report examines shortly.

What stands out is that the leading barriers have little to do with willpower. Time, energy, and motivation are the predictable casualties of demanding jobs and family schedules. When time is the resource in shortest supply, people usually cut something out of their routine. The survey shows exactly what tends to go first, because the same pressure that pushes out exercise also forces a series of harder daily trade-offs between rest, food, and work.

How often work or time pressure forced each trade-off-work_time_pressure_trade_offs

Those trade-offs show how work and time pressure quietly turn into health costs. Asked how often the time crunch forced specific sacrifices over the past three months, 45.62% said they exercised less than they intended, often or very often, and 42.23% said they slept less than they needed, at the same frequency, with skipping meals and working through recovery not far behind.

These sacrifices rarely happen in isolation. Sleeping less and working instead of resting appear in the same people, moving together with a correlation of 0.57, suggesting they are symptoms of a single overloaded schedule rather than separate choices. The pattern is consistent and telling. When the week gets tight, rest and recovery are the first things these adults give up, well before they cut back on work itself. For many households, the time pressure does not stop there, because the next thing to come under strain is the budget, and money shapes health in a completely different way.

What the rising cost of health forces people to cut

Money works much the same way as time. When time runs short, rest is the first thing to go, and when money runs short, it is the cost of staying healthy that gets trimmed. On the basic question of how much room they have to begin with, the sample divides almost exactly down the middle.

afford_staying_active_chart How easy or difficult it is to afford staying active

The first cost question simply asked how easily people can afford to stay active, and the sample splits almost evenly. 37.65% find it somewhat or very difficult to afford what they need, including 12.35% who find it very difficult, compared with 40.83% who find it easy. For roughly four in ten adults here, staying active is already a financial strain rather than something they can take for granted.

That strain does not stay contained to the gym floor. The harder a respondent finds it to afford staying active, the more often cost shuts them out of professional guidance too, and the two move closely together, with a correlation of -0.60. Money that runs short in one part of a healthy life tends to run short across all of it. When budgets tighten, people rarely trim a little from everything at once. They drop whichever expense is largest and most visible first, and the responses point clearly to fitness: gym memberships, classes, and sports. 

gym_first_thing_to_go_chart

That expense is almost always the gym. Looking across the wider group, the gym stands out as the clear casualty, with 57.56% of them dropping a gym membership, fitness classes, or a sport, far ahead of food, supplements, or workout gear. When something has to go, the recurring monthly membership is first on the list.

The same cost pressure extends beyond memberships into care itself. Across the whole sample, 34.66% say cost blocks them from professional guidance often or very often, which lines up almost exactly with KFF's 2025 finding that 36% of US adults skipped or postponed needed care because of cost.

There is an apparent contradiction in all this, because the fitness industry is booming even as individual households pull back, and the Health and Fitness Association reported a record 77 million US fitness-facility members in 2024. The two facts sit together once you see that they describe different budgets, a healthy national total on one side and, on the other, the family that starts canceling the recurring expenses the moment money is tight. Cost clearly decides what people give up. Whether it also decides who they turn to for advice is a separate question, and the answer is not obvious.

cost_does_not_decide_who_turns_to_ai

The obvious assumption is that people turn to AI because they cannot afford a professional, but the data does not support that. Respondents who are frequently priced out of professional care turn to AI at a rate of 57.47%, while those who are rarely or never blocked by cost do so slightly more often, at 65.77%. The gap runs in the opposite direction to the cost theory.

What that means is easy to miss but important. Reaching for AI is happening right across the income range, not just among the people shut out of care, so making professional guidance cheaper would not pull many of them back from the chatbot. Money still matters because it decides what people can afford to keep in their lives. It simply does not decide who they listen to for advice. That decision is shaped far more by habit and by what people see every day, which points straight to the feed that fills most of their screens.

How wellness content shapes what people feel and do

For almost everyone in this sample, the social feed is a constant presence, and its effect works both ways at once. Seeing fitness and wellness content is close to universal here, and the same stream that keeps people informed and motivated is, for many, a steady source of pressure.

wellness_content_social_media_frequency How often respondents view wellness content on social media

The starting point for the feed is simply how often people see it, and the answer is almost constantly. 65.94% view fitness or wellness content on social media at least several times a week, including 6.97% who see it multiple times a day, while only 5.98% never see it at all. For a clear majority, this content is not something they go looking for once in a while, but a routine part of daily life.

That level of exposure runs well ahead of the national picture. KFF found in 2025 that 55% of US adults turn to social media for health information at least occasionally, and this employed, tech-savvy sample sits above that, which fits the rest of the survey. The more important point is what a stream of constantly available health and fitness content actually does. It becomes the everyday backdrop against which people measure their own bodies and habits, and the verdict it hands back is far from one-sided. It informs and motivates many of them while quietly unsettling others, sometimes on the same day.

How wellness content on social media makes respondents feel

Asked how that content leaves them feeling, the two most common reactions are positive. 45.42% feel better informed, and 44.82% are motivated. The strains follow immediately behind as 32.87% worry they are not doing enough, 29.48% feel guilty about their habits, and 22.71% feel pressured about their bodies or appearance.

The picture is genuinely double-sided rather than simply good or bad. The same feed that informs and motivates a large share of people also leaves nearly a third feeling inadequate or guilty, and in many cases, these are the very same users on different days. That mixed emotional effect is only part of the story, because for many people, the content does something more specific than just shift their mood. It makes them anxious about their health.

How often online content made respondents worry about a health problem

Beyond how it makes people feel about their habits, the feed can also make them anxious about their physical health. Among the respondents who regularly see fitness and wellness content, 75.42% say it has, at least occasionally, made them worry that they had or might develop a health problem, while only 23.09% say it never has. 
In other words, roughly three in four viewers have been unsettled about their own health by something they scrolled past.

This is a worry people describe, not a diagnosis any doctor has confirmed, so it says more about the feed's emotional pull than about anyone's actual health. An effect this widespread is worth taking seriously because health anxiety changes what people search for, buy, and act on. But not every kind of content causes this worry equally. A great deal depends on the specific kind of content a person tends to see, and some categories weigh on people far more heavily than others.

Which content types create the most pressure

The pressure is heaviest wherever the content is about bodies. Weight-loss or body-transformation content is named the single biggest source of pressure at 38.05%, ahead of diet and clean eating at 29.68% and workout challenges at 26.49%, while only 13.15% feel no pressure from any of it. The theme is consistent in its appearance-focused content, not niche wellness advice, which weighs on people most.

This is more than a passing discomfort. A 2025 study in Frontiers in Psychology found that simply seeing fitness posts measurably lowered women's body esteem by prompting them to scrutinize their own bodies more closely, the same appearance-and-guilt strain that runs through this survey, too. But this pressure doesn’t stay private for long, and tends to spill over into behavior, and the feed's real influence becomes clearest in what people do once they close the app.

What respondents have done because of wellness content chart

The feed does not stop at feelings; it visibly changes behavior. The most common response is to start or change an exercise routine (38.45%), followed by buying vitamins or supplements (33.67%) and changing a diet (32.87%). Further down the list, 20.12% started tracking a health or fitness metric, and the same share, 20.12%, searched online for symptoms after consuming any kind of wellness-related content.

Some of this is clearly healthy, and some is a passing trend that people later drop, but the direction is unmistakable. Content routinely moves people to act on their own bodies, from workouts and diets to self-diagnosis. That makes the next question uncomfortable, because if the feed is driving this much behavior, it is fair to ask whether people actually trust the sources they are acting on. The answer, it turns out, is that they mostly do not, and that mismatch is the sharpest tension the survey uncovers.

The gap between who people trust and who they act on

This mismatch between action and trust runs through the whole survey, and it is clearest here. People act readily on what the feed shows them, yet it sits near the bottom of the list when they are asked who they actually trust with their health.

trusted_most_acted_on_least_chart

The clearest way to understand it is to line up what people do against what they say they trust. Because of something they saw on social media, 38.45% started or changed an exercise routine, 33.67% bought supplements, 32.87% changed their diet, and 23.90% took a health or fitness question to an AI tool. Only 5.38% went and spoke to a qualified professional about it.

That is roughly seven people acting on the feed for everyone who acts on professional advice, a great deal of influence for a source most people do not rate highly. AI shows the very same split. The 23.90% who have asked a question are far more than the 16.33% who name a general AI assistant among their most-trusted sources, so people are acting on AI far more readily than they claim to trust it. 

Across the board, action runs well ahead of stated trust, and the full trust rankings make that gap starker still, showing just how low these popular and heavily used sources actually sit.

who_americans_trust_for_fitness_guidance

Asked whom they trust most for guidance, 61.75% name a healthcare professional and 46.41% a personal trainer or nutrition professional, far ahead of the 17.13% who name a social media influencer. Read the other way, though: about a quarter of the sample, 25.90% name neither a doctor nor a trainer among their most-trusted sources, leaving a sizable group leaning on less qualified voices.

This wariness toward the feed is both earned and widely shared. KFF found in 2025 that fewer than one in ten social-media users trust most of the health information they see, and that 61% of people who follow health influencers believe those influencers are mostly financially motivated. The result is a strange but consistent habit. People know the feed is compromised, act on it anyway, and reserve their stated trust for professionals that they rarely reach. The devices on their wrists sit in exactly the same double-edged place, relied upon daily and doubted at the same time, and that is where the report turns next.

The upsides and hidden costs of self-tracking

Wearables and tracking apps do more than steer people toward AI. For most people, they have become a constant companion, glanced at throughout the day and frequently acted on, quietly shaping how they judge their own progress. That makes it worth asking what all that measuring actually does to the people who live by it, because the effects run in both directions at once.

How often respondents track fitness with an app or device

Tracking has quietly become a normal part of daily life. Reading the frequency answers together, 25.90% of respondents track their health daily, and another 9.36% check multiple times a day, and once the 22.51% who look several times a week are added in, 57.77% are tracking at least weekly. Only 21.31% do not track their health at all.

That is a striking amount of self-measurement, and it runs well ahead of simple device ownership. A 2025 Rock Health survey found US wearable ownership at nearly 57%. The takeaway is that tracking is now an everyday, mainstream habit rather than something only dedicated athletes do. And once measuring becomes routine, the real question is no longer what people track but what all that data does to them, for better or worse.

What respondents experience because of tracking

For most people who track, the balance comes out positive. Among those who regularly use an app or device, 54.43% say it has left them better informed, 42.28% more motivated, and 41.27% more in control, which is exactly what these products promise and, for a great many users, exactly what they deliver.

The tool that reassures people can also worry them, and many trackers feel the worry very clearly. 27.85% have felt pressure to reach a target, and 23.54% have felt guilty after missing one. Taken together, half of all the people who actively track their health (49.62%) report at least one of these harms, so the strain is far from a fringe experience. It is rarely all bad, since 77.04% of those who report a harm also report a benefit, but it is common enough that it now has a clinical name. Sleep specialists have begun warning about orthosomnia, an anxiety-driven fixation on perfect sleep data that can end up worsening the very sleep it is meant to improve. A tracking device does not simply record how someone is doing. It quietly tells them, day after day, how they ought to feel about it, and that verdict is only ever as trustworthy as the numbers behind it.

Worried about a metric they did not fully understand

That last point matters because a number only reassures when the person understands it. Among the people who track their health, 43.04% have at some point worried about a metric they did not fully understand, while 48.61% have not. For many people, the very data meant to give them clarity has instead handed them a new source of worry.

A reading with no context can unsettle someone just as easily as it can calm them, and that kind of worry rarely sits still. It tends to send people looking for an explanation, and then for something to do in response. What they do next follows the same pattern the report keeps returning to, because more often than not, the action they take is the one the device itself prompts.

changed_activity_because_app_wearable_score

The response is common and often repeated. 53.67% of the people who get recommendations from an app or wearable have changed a workout, a meal, or their bedtime because of them, and 32.66% have done so more than once. Acting on a device's prompt is not a rare event but a regular habit for most of the people who track.

This is the same readiness to follow a score that the report identified at the very start as the strongest predictor of turning to AI, only here it is aimed at the device itself. The behavior is now woven into how a large share of working adults run their days. However, it does not weigh equally on everyone. Who feels these pressures most, and who leans hardest on these tools, depends a great deal on gender and stage of life, and that is where the final section of findings turns.

Who feels the pressure most across gender and age?

So far, the report has dealt in averages, and averages hide who is actually carrying the weight. Once the data is broken down by gender and age, a consistent pattern appears. The pressure lands hardest on women, and by age, it lands somewhere most people would not expect.

women_carry_fitness_pressure_load

The clearest divide is between women and men. Women report greater strain across all measures. They are more likely than men to feel pressured by weight loss and body image (26.40% vs. 18.55%), more likely to worry they are not doing enough, more likely to feel guilty about their habits, and more likely to find it hard to afford to stay active.

Where women and men look almost identical is in their use of AI. Women use AI for health at 61.60%, and men at 60.48%; they turn to it in place of a professional at 55.20% and 56.85%, gaps small enough to count as the same. That combination is the real finding. Both groups hand these tools the same share of their decisions, yet women carry far more of the worry and guilt that feeds on it. It is a reminder that the emotional cost of all this falls unevenly, and that a clearer, less pressuring design would help women most. Age divides the sample too, though not in the direction most people assume.

ai_reliance_midlife_age_band_chart

By age, the pattern overturns the usual assumption that young people lead every digital trend. Reliance on AI is heaviest not among the young adults but among midlife adults. The 35 to 44 group uses AI for health (69.46%) and turns to it in place of a professional (64.67%), well above both the 25 to 34s (61.21% and 56.36%) and the 45 to 54s (52.41% and 46.99%). That fits a stage of life short on time and heavy with caregiving, reaching for the quickest answer within reach.

Body-image pressure runs the other way, heaviest among the 25 to 34s (30.91%) and easing steadily with age, to 18.56% of the 35 to 44s and 18.07% of the 45 to 54s. One last group stands out, and it is not the one most people would expect. Part-time workers, rather than full-timers, are the most likely to give up exercise, sleep, meals, and rest all at once, at 19.83% against 9.81%. The likely driver is insecure, unpredictable work rather than long hours, which suggests that precarity, not overwork, is the sharper health risk here. Across gender, age, and employment type, some groups carry far more of this burden than others - women, midlife adults, and part-time workers most of all. A response built only on the average will miss exactly them. 

What it adds up to

Step back from the individual numbers, and a single picture comes into focus. For a large share of working American adults, the everyday business of staying healthy now runs through a screen. They ask an AI tool the questions they once saved for a doctor, they take their cues from a feed they only half-believe, and they let the device on their wrist set the terms of a good day. This pattern does not reflect a lack of awareness. Respondents trust AI least in exactly the tasks where the stakes are highest, they rate the feed as one of their least-trusted sources even while acting on it, and they still name a human professional as the person they trust most. The consistent finding across this survey is a gap between stated trust and actual behavior, with convenience more often determining the outcome than belief. 

What widens that gap is rarely a single dramatic decision. It is the quiet accumulation of small, practical habits. A tracker teaches someone to act on a number, and once acting on a number feels normal, handing the next question to a chatbot feels normal too. Cost plays its part in the background, deciding which gym membership or professional gets cut first, but it is not what tips people toward AI, since that shift is happening evenly across the income range, which means cheaper care alone will not reverse it. The pull toward the machine is about ease and habit far more than money.

The weight of all this does not land evenly, and that is where any response should begin. Women carry more of the emotional weight of the feed while turning to AI at the same rate as men. Reliance on AI is heaviest not among the youngest adults but in midlife, when time and caregiving demands are at their peak. And it is insecure, part-time work, rather than long hours, that most often crowds out exercise, sleep, meals, and rest. Averages hide these groups, and breaking the data down by gender, age, and employment status shows exactly where the pressure falls. 

Looking ahead, the overall trajectory is not really in doubt. AI tools and wearables are only going to become more capable and more woven into daily health, and what this survey shows is likely a preview of where the rest of the country is headed. 

AI did not create the pressure described in this report. It arrived into a working population already short on time, already stretched on money, and already used to letting a device on the wrist make small daily calls for them. Handing the next question to a chatbot was not a leap; it was the same habit extending one step further. What this survey actually measures is capacity; whether there is enough time, money, and attention left over for health once the day has claimed its share of all three. 

Methodology

This study is based on a survey of 502 US adults aged 25 to 54, every one of them in full-time or part-time employment, recruited via the Prolific research panel and fielded in June 2026. It is a convenience sample, directional rather than nationally representative. Two of the 502 respondents withdrew consent for their demographic information only, and because their survey answers are complete, all 502 are included in the question-level findings, appearing as 'not stated' wherever the data is broken down by demographics. The survey covered exercise and its barriers, the affordability of staying active, the effect of social media content, self-tracking, and attitudes toward using AI for health.

  • Denominators. Headline figures use the full base of 502. Skip-logic bases vary and are stated inline: AI substitution among the 307 AI users, tracking experiences among the 395 who track, and the wearable gateway among the 364 who answered the recommendation question.
  • Significance. Subgroup gaps are tested with two-proportion z-tests. Significance is noted in plain language in the text, and exact p-values, with Cohen's h for the headline mechanism, are shown in the charts.
  • Correlational. This is cross-sectional data, so every relationship described is an association and not evidence that one thing causes another.
  • Self-report and skew. All results are self-reported. Because the panel is employed, digitally engaged and aged 25 to 54, AI and tracking figures run above national rates and should not be read as population estimates.

Sources

KFF, one in three adults have used AI chatbots for health advice (2025) 
West Health and Gallup, Americans consulting AI instead of a doctor (2026)
CIDRAP, Americans still prefer providers to AI for health advice (2025)
CDC NCHS, aerobic physical activity among US adults (2024)
KFF, Americans' challenges with health care costs (2025)
KFF, employer health benefits survey, family premiums (2025)
Health and Fitness Association, record US fitness membership (2025)
KFF, health information and advice on social media (2025)
Frontiers in Psychology, fitness posts and female body esteem (2025)
Rock Health, US wearable ownership (2025)
Sleep Foundation, orthosomnia (2025)

Prepared from the Sodalemon Fitness Pressure Survey. Significance-tested, source-verified.

Data appendix

Full distributions for every survey question, grouped by theme. Shares are to two decimal places against the base noted for each question.

Theme: activity, barriers and cost

Q1. How often respondents intentionally exercise

Base: 502.

Response

n

Share

5-7 days a week

136

27.09%

3-4 days a week

187

37.25%

1-2 days a week

118

23.51%

1-3 times a month

38

7.57%

Less often

14

2.79%

Never

9

1.79%

 

Q2. What makes it hardest to exercise

Base: 502; more than one answer allowed.

Response

n

Share

Lack of time

289

57.57%

Lack of energy

244

48.61%

Lack of motivation

235

46.81%

Family or caring responsibilities

150

29.88%

Stress or poor mental wellbeing

118

23.51%

Work pressure

97

19.32%

A health condition or physical limitation

63

12.55%

Lack of money

59

11.75%

Feeling self-conscious

49

9.76%

Lack of facilities or support

43

8.57%

Nothing currently prevents me

37

7.37%

Other

5

1.00%

Not sure

1

0.20%

 

Q3. Trade-offs forced by work or time pressure (past three months)

Base: 502.

Exercise less than intended

Response

n

Share

Never

34

6.77%

Rarely

57

11.35%

Sometimes

182

36.25%

Often

133

26.49%

Very often

96

19.12%

Sleep less than needed

Response

n

Share

Never

40

7.97%

Rarely

97

19.32%

Sometimes

153

30.48%

Often

141

28.09%

Very often

71

14.14%

Skip or delay a meal

Response

n

Share

Never

81

16.14%

Rarely

131

26.10%

Sometimes

153

30.48%

Often

91

18.13%

Very often

46

9.16%

Work instead of resting or recovering

Response

n

Share

Never

46

9.16%

Rarely

86

17.13%

Sometimes

175

34.86%

Often

115

22.91%

Very often

80

15.94%


Q4. Reduced or stopped paying because of cost

Base: 502.

Response

n

Share

Yes, more than one

29

5.78%

Yes, one

109

21.71%

I considered it but did not

67

13.35%

No

175

34.86%

I do not pay for these products or services

122

24.30%

 

Q5. What was reduced, stopped or considered

Base: the 205 who cut or considered cutting; more than one answer allowed.

Response

n

Share

Gym membership, fitness classes or sports

118

57.56%

Healthier or higher-cost food

80

39.02%

Vitamins or supplements

80

39.02%

Workout clothing or exercise equipment

63

30.73%

Fitness or wellness apps

57

27.80%

Recovery or relaxation services

26

12.68%

Mental wellbeing support

25

12.20%

Personal training or coaching

21

10.24%

Other

2

0.98%

 

Q6. How often each factor blocked professional guidance

Base: 502.

Cost

Response

n

Share

Never

57

11.35%

Rarely

58

11.55%

Sometimes

107

21.31%

Often

89

17.73%

Very often

85

16.93%

I did not want professional guidance

106

21.12%

Lack of time

Response

n

Share

Never

31

6.18%

Rarely

41

8.17%

Sometimes

136

27.09%

Often

108

21.51%

Very often

83

16.53%

I did not want professional guidance

103

20.52%

 

Q7. How easy or difficult to afford staying active

Base: 502.

Response

n

Share

Very easy

58

11.55%

Somewhat easy

147

29.28%

Neither easy nor difficult

106

21.12%

Somewhat difficult

127

25.30%

Very difficult

62

12.35%

Not sure

2

0.40%

 

Theme: social media and pressure

Q8. Frequency of viewing wellness content

Base: 502.

Response

n

Share

Multiple times a day

35

6.97%

Daily

97

19.32%

Several times a week

199

39.64%

Less often

141

28.09%

Never

30

5.98%

 

Q9. How content made respondents feel

Base: 502; up to three answers.

Response

n

Share

Better informed

228

45.42%

Motivated

225

44.82%

Worried I am not doing enough

165

32.87%

Guilty about my habits

148

29.48%

Pressured about my body or appearance

114

22.71%

Anxious about future health problems

67

13.35%

It has had no meaningful effect

53

10.56%

Distrustful of wellness information

44

8.76%

Confused or overwhelmed

35

6.97%

 

Q10. Frequency of worry about a health problem

Base: respondents who see wellness content.

Response

n

Share

Never

109

23.09%

Rarely

128

27.12%

Sometimes

163

34.53%

Often

50

10.59%

Very often

15

3.18%

Not sure

7

1.48%

 

Q11. Actions taken because of content

Base: 502; more than one answer allowed.

Response

n

Share

Started or changed an exercise routine

193

38.45%

Bought vitamins or supplements

169

33.67%

Changed my diet

165

32.87%

Asked an AI tool a health or fitness question

120

23.90%

Started tracking a health or fitness metric

101

20.12%

Searched online for symptoms

101

20.12%

Bought a fitness or wellness product

88

17.53%

Tried a trend that I later stopped

81

16.14%

None of these

81

16.14%

Unfollowed or muted wellness accounts

58

11.55%

Consulted a qualified professional

27

5.38%

 

Q12. Content types creating the most pressure

Base: 502; more than one answer allowed.

Response

n

Share

Weight loss or body transformations

191

38.05%

Diet or clean eating

149

29.68%

Workout challenges

133

26.49%

Perfect routines or productivity

119

23.71%

Sleep optimisation

74

14.74%

Longevity or anti-ageing

72

14.34%

Mental health or self-improvement

68

13.55%

None of these

66

13.15%

Health warnings or symptoms

63

12.55%

Supplements

41

8.17%

Not sure

4

0.80%

 

Q13. Most trusted sources of guidance

Base: 502; more than one answer allowed.

Response

n

Share

Healthcare professional

310

61.75%

Personal trainer or nutrition professional

233

46.41%

Friends or family

105

20.92%

Fitness or wellness influencer

86

17.13%

General AI assistant

82

16.33%

Specialist fitness or wellness app

82

16.33%

Online publication

81

16.14%

Fitness or wellness brand

55

10.96%

Not sure

10

1.99%

None of these

10

1.99%

 

Theme: self-tracking

Q14. Frequency of tracking with an app or device

Base: 502.

Response

n

Share

Multiple times a day

47

9.36%

Daily

130

25.90%

Several times a week

113

22.51%

Less often

105

20.92%

Never

107

21.31%

 

Q15. Experiences because of tracking

Base: those who track; up to three answers.

Response

n

Share

Felt better informed

215

42.83%

Became more motivated

167

33.27%

Felt more in control

163

32.47%

Improved a health or fitness habit

124

24.70%

Felt pressure to reach a target

110

21.91%

Felt guilty after missing a target

93

18.53%

Checked my data more than felt helpful

42

8.37%

Became anxious about a result

39

7.77%

It had no meaningful effect

20

3.98%

 

Q16. Worried about a metric not fully understood

Base: respondents who receive metrics.

Response

n

Share

Yes, more than once

85

21.52%

Yes, once

85

21.52%

No

192

48.61%

Not sure

20

5.06%

I have not received these metrics

13

3.29%

 

Q17. Changed an activity because of a score

Base: respondents who receive recommendations.

Response

n

Share

Yes, more than once

129

32.66%

Yes, once

83

21.01%

No

152

38.48%

Not sure

6

1.52%

I have not received these recommendations

25

6.33%

 

Theme: AI in health and wellness

Q18. Used an AI tool for health guidance

Base: 502.

Response

n

Share

Often

66

13.15%

Sometimes

148

29.48%

Once or twice

93

18.53%

No, but I have considered it

46

9.16%

No

144

28.69%

Not sure whether a tool used AI

5

1.00%

 

Q19. What AI was used for

Base: AI users; more than one answer allowed.

Response

n

Share

Meal or nutrition ideas

206

41.04%

Workout or exercise guidance

187

37.25%

Stress or mental wellbeing support

106

21.12%

Supplement information

88

17.53%

Pain, injury or symptom guidance

86

17.13%

Weight management

83

16.53%

Habit tracking or motivation

60

11.95%

Sleep or recovery advice

58

11.55%

Interpreting wearable data

43

8.57%

Preparing questions for a professional

31

6.18%

Other

4

0.80%

 

Q20. Used AI instead of a professional

Base: respondents who have used AI for guidance.

Response

n

Share

Very often

57

18.57%

Often

69

22.48%

Sometimes

109

35.50%

Rarely

47

15.31%

Never

22

7.17%

Not applicable

3

0.98%

 

Q21. How far respondents would trust AI, by task

Base: respondents answering the trust grid.

Workout or exercise plans

Response

n

Share

Do not trust at all

45

8.96%

Trust very little

60

11.95%

Trust somewhat

299

59.56%

Trust completely

84

16.73%

Not sure

14

2.79%

Meal or nutrition ideas

Response

n

Share

Do not trust at all

41

8.17%

Trust very little

58

11.55%

Trust somewhat

282

56.18%

Trust completely

110

21.91%

Not sure

11

2.19%

Sleep or recovery advice

Response

n

Share

Do not trust at all

49

9.76%

Trust very little

84

16.73%

Trust somewhat

284

56.57%

Trust completely

64

12.75%

Not sure

21

4.18%

Habit and motivation support

Response

n

Share

Do not trust at all

54

10.76%

Trust very little

92

18.33%

Trust somewhat

240

47.81%

Trust completely

96

19.12%

Not sure

20

3.98%

Wearable-data interpretation

Response

n

Share

Do not trust at all

54

10.76%

Trust very little

86

17.13%

Trust somewhat

225

44.82%

Trust completely

105

20.92%

Not sure

32

6.37%

Supplement or weight-loss guidance

Response

n

Share

Do not trust at all

77

15.34%

Trust very little

136

27.09%

Trust somewhat

207

41.24%

Trust completely

60

11.95%

Not sure

22

4.38%

Pain or injury advice

Response

n

Share

Do not trust at all

91

18.13%

Trust very little

146

29.08%

Trust somewhat

193

38.45%

Trust completely

50

9.96%

Not sure

22

4.38%

Medical symptoms

Response

n

Share

Do not trust at all

111

22.11%

Trust very little

166

33.07%

Trust somewhat

165

32.87%

Trust completely

37

7.37%

Not sure

23

4.58%

 

Q22. Expected effect of AI on professionals

Base: 502.

Response

n

Share

Replace most professionals

28

5.58%

Replace some routine guidance

193

38.45%

Mainly support professionals

183

36.45%

Have limited impact

51

10.16%

Have no meaningful impact

24

4.78%

Not sure

23

4.58%