Health and diet in Elizabethan England upper classes ate fine white bread called manchet while the poor ate coarse bread of barley or rye. Both the rich and the poor had imbalanced diets. The lack of vegetables and fruits in their diets caused a deficiency in vitamin C, sometimes resulting in scurvy. Trade and industry flourished in the 16th century, making England more prosperous and improving the standard of living of the upper and middle classes. However, the lower classes did not benefit much and did not always have enough food. As the English population was fed by its own agricultural produce, a series of bad
Vitamin advancement of ocean voyages during the Renaissance resulted in prolonged periods without access to fresh fruits and vegetables, and made illnesses from vitamin deficiency common among ships' crews. In 1747, the Scottish surgeon James Lind discovered that citrus foods helped prevent scurvy, a particularly deadly disease in which collagen is not properly formed, causing poor wound healing, bleeding of the gums, severe pain, and death. In 1753, Lind published his "Treatise on the Scurvy", which recommended using lemons and limes to avoid scurvy, which was adopted by the British Royal Navy. This led to the nickname "limey" for British sailors.