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Wellness grew as a popular concept starting in the late 19th century, just as the middle class began emerging in the industrialized world, and a time when a newly prosperous public had the time and the resources to pursue wellness and other forms of self-improvement. Many early consumer products, from corn flakes to mouth wash, derived from or exploited the emerging interest in wellness.

The subjective nature of "wellness" can be illustrated by the hypothetical example of an individual who avoids food additives and is selective in choosing foods to prolong health, but thinks nothing of getting in a car and driving hundreds of miles. Statistically, the known risk of mortality or morbidity from automobile usage is far greater than the risk of mortality or morbidity from food additives, but avoiding certain foods and food additives feels "healthy," whereas avoiding automobile use feels merely inconvenient.

Wellness is thought by most to be closely related to wealth, either because one must control resources to avoid stress, or because wealth itself cannot be enjoyed unless one is well, and therefore one can be potentially both in command of resources and suffering a sort of sensual or stressful poverty at one and the same time. It is sometimes observed that even rich people who take on too many commitments often have just as little free time as the poor - and may very easily outrun their resources.