I would guess that at top level play ... a one-pawn material difference makes a big difference in winning potential. But, fwiw, as only a 1325 rated (or so) player ... I had the same question.
@dlcurtis ... but, this post is so old ( surprised no one has answered yet), have you come up with other thoughts ?
He discussed this position of this game in chapter one, and he makes this point:
"The goals of both sides should now be clear: White must defend his e5-pawn and find a way to advance his Knights and make them active. Black will play to keep the enemy Knights at bay (Steinitz said that the way to beat Knights is to take away all their advanced support points) and to tie White's pieces down to defense of e5."
I don't understand the importance of e5. Why is it so important that it would be the overriding concern of both players?