In later years, although those in urban conurbations enjoyed improved access to the world’s commodities and could obtain a more diverse range of foods, the introduction of mass-produced refined foods proved detrimental to their health. It continues today.
By contrast, the diet of rural, agricultural workers in isolated areas of England in the late 1800’s was far better. This was partly because they could store more food in root cellars, but also because they were often paid in kind, in grain, potatoes, meat, milk, and small patches of land in which to grow potatoes and vegetables or keep their own livestock. Presumably, they also spent less cash in the notorious Victorian gin palaces of yore.