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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 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 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.

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