North America’s Most Wellness Obsessed Cities

As health and wellness crazes continue to sweep North America, we've decided to uncover the cities most obsessed with all things wellbeing.

Be it gyms, yoga, Pilates, spas or wellness centres, certain locations have doubled down on the industry in recent years and for good reason.

Demand for these services has increased drastically over the last five years, with wellness retreats, runs and gym sessions replacing nights out, coffees and expensive dining for many.

The research by Betway Casino was thorough, and, in the end, the Californian city of Santa Monica emerged as a clear winner with a Wellness Score of 94.10.

Obsessed it may be, but the city is certainly not alone as an American city with an appetite for all things fitness and wellness.

Santa Monica reigns supreme when it comes to health-conscious living. With 56 yoga and Pilates centres per million people, 88 gyms per million people, and an incredible 107 spas and wellness centres per 100,000 residents, the city is practically built around wellbeing. Combine that with a wellness sentiment score of 12%, and it’s no surprise this beachside hub has become North America’s ultimate wellness capital.

Miami comes in second as a hugely wellness-oriented city. The Miamian score 778 wellness points, thanks to a thriving mix of 30 yoga and Pilates studios per million people, 77 gyms per million residents, and 75 spas per 100,000 people. Boulder then completes the top three with a score of 74. Colorado’s outdoor paradise lives up to its reputation with an impressive 74 yoga and Pilates centres per million people and nearly 75 gyms per million people.

Scottsdale, Arizona, takes fourth place and proves that desert living can be healthy and rejuvenating. The city records 42 yoga and Pilates studios per million and 48 gyms per million people, and an impressive 83 spas per 100,000 residents – one of the highest spa densities on the list.

Honolulu rounds out the top five. Hawaii’s capital earns a Wellness Score of 65.06, buoyed by an outstanding 86 yoga and Pilates centres per a million people and 72.9 spas per 100,000 people. Though its gym count is lower at 37 per million residents, Honolulu’s overall score reflects a culture where wellness is woven into everyday life.

In Canada, meanwhile, Quebec City leads the way as the wellness capital with 7 Yoga and Pilates studios per 1,000,000 residents, no less than 56 gyms for every million people and a whopping 144 spas for every 100,000 people. This means Quebec City has the most spas per capita in all of North America, with even more than U.S. leader Santa Monica which boasts 106 per 100,000 people.

Methodology

Using desk research, we identified the North American cities who are known to be wellness obsessed. We then used TripAdvisor and social listening tool Brandwatch to gather the following data for each city.

• Yoga and Pilates studios per one million people

• Gyms per one million people

• Spas and Wellness centres per 100,000 people

• Online positive sentiment for “wellness” and related terms

Each city was then given a normalised final “wellness score” based on how well they performed in the metrics above.

Data correct as of October 2025.

Santa Monica reigns supreme when it comes to health-conscious living. With 56 yoga and Pilates centres per million people, 88 gyms per million people, and an incredible 107 spas and wellness centres per 100,000 residents, the city is practically built around wellbeing. Combine that with a wellness sentiment score of 12%, and it’s no surprise this beachside hub has become North America’s ultimate wellness capital.

Miami comes in second as a hugely wellness-oriented city. The Miamian score 778 wellness points, thanks to a thriving mix of 30 yoga and Pilates studios per million people, 77 gyms per million residents, and 75 spas per 100,000 people. Boulder then completes the top three with a score of 74. Colorado’s outdoor paradise lives up to its reputation with an impressive 74 yoga and Pilates centres per million people and nearly 75 gyms per million people.

Scottsdale, Arizona, takes fourth place and proves that desert living can be healthy and rejuvenating. The city records 42 yoga and Pilates studios per million and 48 gyms per million people, and an impressive 83 spas per 100,000 residents – one of the highest spa densities on the list.

Honolulu rounds out the top five. Hawaii’s capital earns a Wellness Score of 65.06, buoyed by an outstanding 86 yoga and Pilates centres per a million people and 72.9 spas per 100,000 people. Though its gym count is lower at 37 per million residents, Honolulu’s overall score reflects a culture where wellness is woven into everyday life.

In Canada, meanwhile, Quebec City leads the way as the wellness capital with 7 Yoga and Pilates studios per 1,000,000 residents, no less than 56 gyms for every million people and a whopping 144 spas for every 100,000 people. This means Quebec City has the most spas per capita in all of North America, with even more than U.S. leader Santa Monica which boasts 106 per 100,000 people.

Methodology

Using desk research, we identified the North American cities who are known to be wellness obsessed. We then used TripAdvisor and social listening tool Brandwatch to gather the following data for each city.

• Yoga and Pilates studios per one million people

• Gyms per one million people

• Spas and Wellness centres per 100,000 people

• Online positive sentiment for “wellness” and related terms

Each city was then given a normalised final “wellness score” based on how well they performed in the metrics above.

Data correct as of October 2025.