As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Ariel Papermaster with ADDO Investor Relations. Thank you.
You may begin.
Thank you, and welcome to Natural Health Trends' Q2 2019 earnings conference call. During today's call, there may be statements made relating to the future results of the company that are forward looking statements as defined in the Private Securities Litigation Reform Act of 1995. Actual results, performance or achievements could differ materially from those anticipated in such forward looking statements due to the result of certain factors, including those set forth in the company's filings with the Securities and Exchange Commission. It should also be noted that today's call will be webcast live and can be found on the Investor Relations section of the company's corporate website at naturalhealthtrendscorp.com. Instructions can be found for accessing the archived version of the conference call in today's financial results press release, which was issued at approximately 9 am Eastern Time.
At this time, I'd like to turn the call over to Chris Scharnes, President of Natural Health Trends.
Thank you, Ariel, and thanks to everyone for joining us. With me today is Scott Davidson, our Senior Vice President and Chief Financial Officer. To begin, I'd like to discuss our Q2 performance as well as our initiatives to restore top line growth. I would then hand the call over to Scott to discuss our financials in greater detail. Beginning with our Q2 results, total revenue was down 54% to $23,400,000 compared to the Q2 of 2018.
As we previously disclosed, we voluntarily suspended our member activities during the vast majority of the first quarter and extended that further to the entirety of the Q2 in response to the Chinese government's January 8 announcement of its 100 day campaign. Throughout this campaign, which included a thorough review of certain food, equipment, small appliance manufacturers and service providers that claim to promote beneficial health functions, our cooperation with the Chinese government's inspection, investigation and document request has been our top priority. Though the campaign expired in late April, there has been no official conclusion to formally end the program. The operating environment in China remains difficult for companies like ours. However, we were pleased with our leaders' capabilities to come together and adapt our business operations to this new environment.
As a result, our 2nd quarter revenue was up 21% compared to the Q1 of 2019. Following the 100 days, we are maintaining our member activity moratorium in Mainland China for the foreseeable future. This entails a voluntary suspension of company sponsored business meetings and product roadshows. I would reiterate my comments from our last call that we strongly support the actions taken by the Chinese government to root out bad products and defective practices in order to protect Chinese consumers. I still believe that our proactive approach to member activities in China is the best way to position our company for longer term success, despite the interim adverse impact to our financials.
Throughout the quarter, we deployed several different promotions to encourage product purchases, which were very well received by our members. Despite the overall year on year revenue decrease, our 2nd quarter reorders actually increased over a year ago and accounted for more than half of our total revenue. This is a very constructive development and reflects the underlying strength of our brand and the loyalty of our consumers. Aside from what has been taking place in China, we have been steadily ramping up activities in other promising markets, including Latin America, Southeast Asia and Europe. Terrific progress has been made in Latin America, led by Peru.
Our presence in Peru has more than doubled in size versus a year ago and has also grown sequentially quarter over quarter. We held our Peru Success Forum in Lima in May, drawing in over 2,000 attendees. We are moving forward with building new bases in Bolivia and Colombia. In Asia, we staged our 1st FLY High training event for our Chinese members outside China with over 4 20 attendees in South Korea in early June and follow that up with an event in Hong Kong with over 400 in attendance. Of note, member sentiment was all around very positive, considering the challenges our industry has been facing in China.
Additionally, the March introduction of Adamus, our latest skincare system performed well with sales reaching an accumulated $700,000 In Malaysia, we conducted a product roadshow for premium noni juice, which in addition to other product specific promotions encouraged strong product reorders. In India, we celebrated the grand opening of our office in Mumbai just 6 weeks ago. At our April events in Mumbai and Delhi, we introduced both Allura LUX and our SKINDOLGENCE firming system, generating $129,000 in total sales during the Q2. Further product registration should drive incremental sales during the second half of twenty nineteen. We believe that India represents a significant opportunity.
In Europe, we achieved great traction with our growing base of preferred customers for those who enjoy our products as consumers and do not look to earn a commission on direct sales of our products. The number of preferred customers grew both year over year and quarter over quarter, primarily in Sweden, where our preferred customer base was first developed in May of 2017. With our logistics support and the success of the preferred customer base, our hope is that it will proliferate into other EU markets. Lastly, we have a brand new European specific app in development to facilitate member communication and productivity. Through this proprietary application, we are working to develop an integrated enterprise system to unify the front and the back end software platforms, eventually for all markets.
More on this to come in future quarters. In summary, while we face challenges in China that place significant pressure on our top line, we were very pleased with the high level of commitment shown by our members through the difficult operating environment. With that, I'd like to turn the call over to Scott Davidson, our CFO, to discuss our Q2 financials in detail.
Scott? Thank you, Chris. Total revenue for the Q2 was $23,400,000 a decline of 54% compared to $50,900,000 in the Q2 of 2018 and an increase of 21% compared to $19,300,000 in the Q1 of 2019. The year over year decline was primarily the result of the 100 day campaign in China. Our active member base decreased 10% to 78,280 at June 30 from 87,300 at March 31 and was down 16% from 93,000 at June 30 last year.
Turning to our cost and operating expenses. Gross profit margin of 76.9% declined from 79.6% in the Q2 of last year and improved from 73% in the Q1 of 2019. The year over year decline in gross profit margin reflects product promotions and a higher logistics cost. Commissions expense as a percent of total revenue of 48.7 percent increased from 43.8% in the Q2 last year and decreased from 49.1% in the Q1 of 2019. The year over year increase as a percentage of net sales was largely due to higher costs of a special incentive program to help ease qualification status for our members during this extraordinary period.
Selling, general and administrative expenses for the quarter decreased 18 percent to $6,600,000 from $8,100,000 a year ago and decreased 9% from $7,300,000 in the prior quarter. The decrease versus the same quarter a year ago was primarily due to a decrease in both employee related costs and credit card fees, partially offset by member related costs, event costs and professional fees. The decrease versus the prior quarter is due to less event costs as our 1st major event of the year occurred in March. As a result, operating loss for the quarter was $4,000 compared to operating income of $10,100,000 in the second quarter last year and an operating loss of $2,700,000 in the Q1 of 2019. Our 2nd quarter operating loss included $1,200,000 of mainly team support, product discounts and legal costs incurred during the quarter that we do not anticipate will be recurring at this elevated level going forward.
We recorded an income tax benefit of $28,000 for the quarter due to the current period loss. This compares to an income tax provision of $1,100,000 recognized in the Q2 last year. Net income for the Q2 totaled $397,000 or $0.04 per diluted share compared to $9,000,000 or $0.80 per diluted share in the Q2 of 2018 and a net loss of $1,900,000 or $0.17 per diluted share in the Q1 of 2019. Net cash used in operating activities was $3,700,000 during the quarter, including a $1,700,000 installment payment on tax payables arising from the 2016 Tax Reform Act, compared to net cash provided by operating activities of $5,300,000 in the Q2 of 2018. Total cash and cash equivalents were $108,100,000 at June 30, down from $118,700,000 at March 31.
During the quarter, we repurchased nearly 613,000 shares of our common stock at an average price of $10.90 per share for a total of $6,700,000 As of June 30, dollars 25,300,000 of the previously approved stock repurchase program remained available for future purchases. As always, we will continue to evaluate our capital allocation strategy going forward to deliver increased value to our shareholders. That completes our prepared remarks. I will now turn the call back over to the operator.
Thank you. Ladies and gentlemen, this does conclude today's teleconference. We thank you for your participation and you may disconnect your lines at this time.