It all began with the American terms "well-being" and "fitness", which led a physician named Dunn in 1959 to coin the word "wellness": Not going to the limits in physical activity but rather bringing body, soul and spirit into balance. Massage, sauna, steam bath and solarium soon became part of the wellness definition. In Germany, the followers of the pleasure movement were active from the end of World War II into the late 1980's and the term "wellness" did not become popular there until the early 1990's.