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18\nNutrition\tin\tthe\tadult\tyears\nJudith\tL.\tDodd,\tMS,\tRDN,\tLDN,\tFAND\nKEY\tTERMS\nconsumer\tprice\tindex\t(CPI)\nfood\tdesert\nfood\tsecurity\nfunctional\tfoods\nhealth\tdisparities\nhealth-related\tquality\tof\tlife\t(HRQOL)\nisoflavones\nmetabolic\tsyndrome\nnutritional\tgenomics\nphytochemicals\nphytoestro... | [
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phytoestrogens\nphytonutrients\npremenstrual\tsyndrome\t(PMS)\nwellness\nThis\tchapter\temphasizes\n\tthe\tbackground\tand\ttools\tfor\tencouraging\tadults\tto\tset\tnutrition-related\nlifestyle\tgoals\tthat\tpromote\tpositive\thealth\tand\treduce\trisk\tfactors.\tOther\tchapters\tof\tthis\ttext | [
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provide\ta\tfocus\ton\tthe\tpresent\tand\tpotential\trole\tof\tmedical\tnutrition\ttherapy\t(MNT)\tin\tthe\nprevention\tand\tintervention\tfor\tmajor\tchronic\tdiseases\tand\tconditions\tthat\taffect\tfood\tand\tnutrition\nchoices\tin\tthe\tadult\tyears,\tsuch\tas\n\tcardiovascular\tdisease\t(CVD),\tdiabetes,\tcancer,\... | [
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cardiovascular\tdisease\t(CVD),\tdiabetes,\tcancer,\tweight\tgain,\tand\nosteoporosis.\tAdded\tto\tthese\tare\thealth-related\tconditions\tsuch\tas\tarthritis,\tAlzheimer’s\tdisease,\nrenal\tdisease,\tand\tinflammatory-related\tconditions,\twhich\tresearch\tindicates\thave\tpotential\tlinks\tto | [
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lifestyle\tand\tfood\tand\tnutrition\tchoices.\tThe\trole\tof\tinflammation\tin\tchronic\tdisease\tis\tbecoming\nincreasingly\tevident\t(see\t\nChapter\t7\n).\nThe\tadult\tyears\tare\ta\ttime\tfor\tnutrition\tand\tdietetics\tprofessionals\tto\tbe\tleaders\tand\tteam\nmembers\thelping\tadults\tachieve\tand\tmaintain\tpo... | [
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provide\tthe\tframework\t(\nCenters\tfor\tDisease\tControl\tand\tPrevention\t[CDC],\t2017a\n).\tThe\tevidence\tis\nconvincing\tthat\tdecisions\tfor\ta\thealthy\tlifestyle\tmust\tbe\tmade\tearly\tin\tlife\tfor\thealth\tpromotion\tand\ndisease\n\tprevention\t(\nAcademy\tof\tNutrition\tand\tDietetics\t[AND],\t2013b\n).\nS... | [
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).\nSetting\tthe\tstage:\tNutrition\tin\tthe\tadult\tyears\nThe\tfocus\tof\tthis\tchapter\tis\ton\tnutrition\tand\tfood-related\tbehaviors\tfor\tthe\tyears\tafter\tadolescence\nbut\tbefore\tone\tis\tdeemed\tan\t“older\tadult,”\toften\tdefined\tas\tage\t65\tbased\ton\ttraditional\tretirement\nage,\talthough\tthis\tdefin... | [
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range\tof\tages,\tand,\nlike\tall\tpopulation\tgroups,\tthe\tadult\tyears\tare\theterogeneous.\tThe\tdescription\tof\twhat\tconstitutes\nbeing\tan\t“older\tadult”\tis\tin\tconstant\tflux\tas\tpeople\tchange\ttheir\tretirement\tage,\tas\tlife\texpectancy\nprojections\tare\tadjusted,\tand\tas\tmedical\tscience\tand\tlife... | [
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opportunities\tfor\tan\toptimum\tquality\tof\tlife.\tA\tlife\texpectancy\tof\t80\tand\tabove\tis\n\ta\treality\tbacked\tup\nby\tCDC\tstatistics\twith\tlife\texpectancy\tin\t2017\tat\t78.8\t(\nCDC,\t2018c\n).\tEvidence\tcontinues\tto\tindicate\nthat\tthe\tadult\tyears\tset\tthe\tframework\tfor\tquality\tof\tlife\tas\twe... | [
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food-related\tbehaviors\tare\tkey\tfactors,\tand\tthe\tearlier\tprevention\tbecomes\tthe\tgoal,\tthe\tbetter\tthe\noutcome\t(\nAND,\t2013b\n).\nThe\tdietary\treference\tintakes\t(DRIs)\t(see\tinside\tcover)\n\tprovide\tan\toverview\tof\tthe\tnutrient\nrecommendations\tfor\tage\tgroups\tunder\tthe\tDRI\tumbrella.\tStayi... | [
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critical\tpart\tof\tthe\tnutrition\tand\tdietetics\tprofessional’s\ttools\tbecause\tchanges\tare\tmade\tas\tresearch\nis\tvalidated.\tNutrient\tneeds\tin\tthe\tadult\tlife\tcycle\tare\tsimilar\tbut,\tas\tin\tall\tlife\tstages,\tare\taffected\tby\ngender,\tstate\tof\thealth,\tgenetics,\tmedications,\tand\tlifestyle\n\tc... | [
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choices\tsuch\tas\teating\tbehaviors,\nsmoking,\tand\tphysical\tactivity\tlevel.\tThese\tare\tmarkers,\tdetermined\tthrough\tassessment,\tthat\ta\nnutrition\tand\thealth\tprofessional\tcan\tuse\tto\tdetermine\tthis\tpopulation’s\tneeds.\tOther\tmarkers\tare\nless\tevident\tand\tinclude\tthe\tadult’s\tperceptions\tof\tq... | [
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nutrition\tand\thealth\t(\nNational\tInstitutes\tof\tHealth\t[NIH],\t2018d\n)\nWhen\n\tthe\tobjectives\tare\tprevention\tand\tbehavior\tchange,\tsuch\tmarkers\tbecome\tcritical.\tResearch | [
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continues\tto\tindicate\tthat\tpositive\tchanges\tat\tany\tage\tand\tlifestyle\tbehaviors\tcan\tmake\ta\tdifference\nin\ttotal\thealth\tand\tlife\texpectancy.\tMaking\tthese\tchanges\tearly\tin\tlife,\trather\tthan\tlater,\tand\nmaintaining\tthem\tthroughout\tthe\tadult\tyears\tshould\tbe\tgoals.\tGenetics\talways\thas... | [
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consideration\tin\tassessment\n\tof\tnutrition\tstatus\tand\tlife\tpotential,\tbut\tthe\tevolving\tscience\tof\nnutritional\tgenomics\n\thas\tbecome\tan\timportant\tmarker\tin\tnutrition\tand\tdietetics\tpractice\t(see\nChapter\t6\n).\nSetting\tthe\tstage:\tMessages\nA\tfirst\tstep\tfor\tnutrition\tand\tdietetics\tprof... | [
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targets\tfor\tnutrition\tand\thealth\tinformation\tthat\toffers\tpositive\tguidance\tthat\tis\tunderstandable\n\tand\nimplementable.\tHowever,\tthis\ttranslates\tinto\tgrowing\tevidence\tthat\tadults\tcan\talso\tbe\ttargets\tfor\nmisinformation\tand\tguidance\tbased\ton\tpromises\tand\tquick-fixes\trather\tthan\teviden... | [
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Rebekah\tNagler,\tPhD,\tstudied\tthe\tpotential\trole\tof\tconsumer\treaction\tto\twhat\tappeared\tto\tbe\ncontradictory\tnutrition\tinformation\tor\tguidance.\tAccording\tto\tNagler,\tconfusion\tand\tbacklash\tmay\nmake\tpeople\n\tmore\tlikely\tto\tignore\tnot\tonly\tthe\tcontradictory\tinformation\tbut\talso\tthe\twi... | [
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accepted\tnutritional\tadvice\tsuch\tas\teating\tmore\tfruits\tand\tvegetables.\tNagler\talso\tnoted\tthat\tthose\nwith\tthe\tgreatest\texposure\tto\tcontradictory\tinformation\texpressed\tthe\tmost\tconfusion\twith\tnutrition\n(\nNagler,\t2014\n).\nAs\twith\tany\tgroup,\tadults\tmust\tbe\tapproached\twith\tstrategies\... | [
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and\n\teducation\tneeds\tas\twell\tas\ttheir\tcapability\tto\timplement\tthem.\tThere\tneeds\tto\tbe\tan\nunderstanding\tthat\tresearch\tis\tdynamic\tand\tongoing.\tThis\tshould\tbe\tfirmly\tfixed\tin\tthe\tminds\tof\tthe\nmessenger\t(the\tnutrition\tprofessional)\tand\tthe\treceiver\t(the\tpatient\tor\tclient).\tIt\ti... | [
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nutrition\tprofessional\tto\tverify\tmessaging,\tseparating\tcurrent\tevidence-based\tmessages\tfrom\tthose\nbased\ton\tpreliminary\n\tor\tsingle\tstudies.\tWhat\tis\treported\tas\tnews\tor\tguidance\tto\tthe\tconsumer\tmay\nappear\tto\tbe\tcontradictory\tto\tcurrent\tpractice\twhen\tin\tfact\tthe\tbasis\tis\tprelimina... | [
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than\tevidence\tbased.\nThe\tchallenge\tto\tnutrition\tand\tdietetics\tprofessionals\tis\tstaying\tcurrent\ton\tresearch\tand\tguidelines\nwhile\tacknowledging\tthe\tpotential\tmotivations\tof\ttheir\taudience\tor\tclients\tand\ttheir\tsources\tof\ninformation.\tIn\ta\ttechnologically\tsavvy\tworld\twith\tinstant\tacce... | [
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self-proclaimed\tas\twell\tas\tcredentialed\tprofessionals,\tthis\tbecomes\teven\tmore\tof\ta\tchallenge.\nSurveys\tsupport\tthe\tidea\tthat\tadults\tare\tseeking\tnutrition\tinformation\tand\tusing\tit\tto\tmake\npositive\tlifestyle\tchanges\tbut\tare\tfinding\tthat\tmaking\tthese\tchanges\tis\ta\tchallenge.\tTime,\tl... | [
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willpower,\n\tconflicting\tmessages,\tand\tidentifying\tthe\tefficacy\tof\tthe\tmessages\tare\tcited\tas\tbarriers\n(\nInternational\tFood\tInformation\tCouncil\t[IFIC],\t2017\n).\tThe\t2017\tIFIC\tFoundation\tFood\tand\tHealth\nSurvey\tidentified\tbarriers\tand\tnoted\tthat\tconsumer\tconfusion\tis\ta\tkey\tconcern.\t... | [
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