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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.

Wellness can include using scientifically-based tests and practices to maintain health, as in checking cholesterol, blood pressure, glucose, and other body indicators. Or it can include unproven practices, such as avoiding certain foods or taking certain vitamins or alternative medicines.

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.