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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.

Wellness, as a concept and a practice, is found in more affluent societies because it involves managing the body state after the more basic needs of food, shelter and basic medical care have already been met. Many of the practices applied in the pursuit of wellness, in fact, are aimed at controlling the side effects of affluence, such as obesity and inactivity - leading to lack of exercise.

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.