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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\tpositive\thealth.\tThe\tgoals\tfor\tHealthy\tPeople\t2020\nprovide\tthe\tframework\t( | [
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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).\nSetting\tthe\tstage:\tNutrition\tin\tthe\tadult\tyears | [
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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\tdefinition\tis\tin\ta\tperiod\tof\tchange.\tAdmittedly\tthis\tis\ta\twide | [
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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\tbeen\ta\nconsideration\tin\tassessment | [
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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\tprofessionals\tis\tto\trecognize\tthat\tmany\tadults\tare\tprime | [
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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\tand\tguidance\tthat\tfit\ttheir\thealth\nand | [
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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,\tlack\tof\nwillpower, | [
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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.\tConsumers | [
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expressed\tdoubt\tabout\ttheir\tchoices\tand\tnoted\tthat\tthey\trelied\ton\ttheir\tsocial\tnetwork\tfor\tadvice.\nHowever,\tthey\talso\tnoted\n\tlimited\ttrust\tin\tthe\tadvice\tfrom\tfriends\tand\tfamily.\tTrust\twas\thigh\tfor\nhealth\tprofessionals\tincluding\tRDNs.\tInterest\tin\tadopting\tand\tmaintaining\thealthy\teating\tbehaviors | [
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and\tconfidence\tfor\tfood\tsafety\twas\thigher\tin\tthe\tbaby\tboomer\tgeneration\tand\tolder\tadults\tthan\tin\nyounger\tadults\t(\nIFIC,\t2017\n).\tAs\twith\tany\tage\tgrouping,\tknowing\tmore\tabout\ta\tperson’s\tfood-\tand\nnutrition-related\tbehaviors\tand\tbeliefs\n\tis\ta\tcritical\tpart\tof\tdetermining\thow\tto\treach\tthat\tperson\twith\na\tmessage. | [
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a\tmessage.\nAnother\thelpful\ttool\tfor\treaching\tadults\tis\tto\treview\tthe\tinfluences\tof\tbehavior\tand\tknowledge\ton\nnutrition\tand\thealth.\tA\treview\tof\tthe\thealth\tand\tnutrition\tinformation\tin\tthe\tmedia\treinforces\tthe\nidea\tthat\tnutrition\tand\thealth\tinformation\tis\tpopular.\tHowever,\tconsumers\tare\tselective\tabout\ttheir\npersonal\tconcerns\tand\ttheir | [
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personal\tconcerns\tand\ttheir\n\tsource\tof\tinformation.\tThe\tIFIC\tFoundation\tFood\tand\tHealth\tSurveys\tin\n2013,\t2015,\t2017,\tand\t2018\tnoted\tstrong\tinterest\tin\ttrying\tto\tlose\tweight.\tHowever,\tin\tthe\t2017\nstudy\tit\twas\treported\tthat\tthe\tinterest\tin\tweight\tloss\tbenefits\tfrom\tadjusting\tfood\tintake\tfall | [
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dramatically\twith\tage.\tFor\tthose\tages\t18\tto\t34,\t40%\tof\tthe\trespondents\treported\tan\tinterest.\tAt\tages\n18\tto\t34\tthere\twas\ta\tslight\tdrop\n\tto\t38%,\twith\t23%\treported\tat\tages\t50\tto\t64\tand\t28%\tat\tages\t65\tto\n80\t(\nIFIC,\t2017\n).\tChanges\treported\tinclude\tlowering\tthe\tamounts\tof\tfood\teaten,\teating\tmore\tfruits | [
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and\tvegetables,\tdrinking\tmore\twater\tor\tlow-\tor\tno-calorie\tbeverages,\tincluding\tmore\twhole\tgrains,\nreducing\tthe\tchoice\tof\tfoods\thigher\tin\tsugar\tor\tadded\tsugars,\tand\tconsuming\tsmaller\tportions.\tAll\nthese\tchanges\tare\tin\tline\twith\tguidance\n\tthat\tis\tsuggested\tin\tthe\tDietary\tGuidelines\tfor\tAmericans\n(DGA). | [
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that\tis\tsuggested\tin\tthe\tDietary\tGuidelines\tfor\tAmericans\n(DGA).\nThe\tinterest\tin\tnutrition\tand\tin\tfood\tcontinues\tto\tbe\tevident\tin\tthe\tadult\tyears.\tPopular\tliterature\ndemonstrates\ta\tgrowing\tinterest\tin\tcooking,\tcookbooks,\tsupermarket\tRDNs,\tgrocery\tstore\tand\tfarm-\nto-table\tevents,\tand\tother\tfood-related\tactivities\t(\nIFIC,\t2018 | [
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] |
to-table\tevents,\tand\tother\tfood-related\tactivities\t(\nIFIC,\t2018\n).\tThis\tis\tsurprising\tbecause\tdespite\tall\nthis\tinterest\tin\tcooking,\tAmericans\n\tcontinue\tto\tcook\tless\tand\teat\tfewer\tmeals\tat\thome.\tCooking\tat\nhome\tis\ta\tchallenge\tin\tthe\tadult\tyears\tdue\tto\tbusy\tschedules\t(\nFig.\t18.1\n). | [
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FIG.\t18.1\nCooking\tat\thome\tcan\tbe\tthe\tbest\tway\tto\teat\tbalanced\tand\tnutritious\tmeals\tbut\tcan\talso\tbe\nthe\tmost\tchallenging\tduring\tthe\tadult\tyears\tdue\tto\tbusy\tschedules.\nMessages\tregarding\tthe\tpotential\tbenefits\tand\trisks\tof\tcertain\tfoods\tand\tnutrients\tare\tbeing\theard | [
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indicated\thealthier\toptions,\tit\twas\tbalanced\tby\nsimultaneous\tless-healthy\tchanges\tin\tmenu\tchoices.\tFor\texample,\tas\tlower-calorie\toptions\twere\noffered,\tthe\tappetizer\tmenu\tadded\tmore\tfried\tfoods\tto\tdip\tin\thigh-sodium\tsauces\twith\tthe\tfeatured\ndrinks.\tIt\twas\tconcluded\tthat\tthere\twas\tno\tmeaningful\tchange\tin\tenergy\tand\tsodium\tcontent\tin\tmain | [
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entrées\tin\ta\t1-year\t(2010–2011)\ttime\tperiod\t(\nWu\tand\tSturm,\t2014\n).\tAs\tthe\tnew\trequirements\tfor\nrestaurant\tlabeling\tof\tmenu\titems\tare\tfully\timplemented,\tit\twill\tbe\tinteresting\tto\tsee\tif\tthis\tresults\tin\nboth\tfood\testablishments\toffering\thealthier\toptions\tand\tcustomers\tmaking\thealthier\tchoices. | [
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value\tand\tthe\tapplication\tof\tevidence-based\tinformation\tvary.\tTo\tthe\tadult\tconsumer,\tthe\tpromise\tof\nspecific\tbenefit\tis\tmore\n\timportant\tthan\tthe\tstandard\t“it’s\tgood\tfor\tyou”\tmessage,\tand\tthe\tscientific\nvalidity\tof\tthe\tmessage\tmay\tnot\tbe\tthe\tdetermining\tpoint.\tThe\t2017\tIFIC\tstudy\tpointed\tto\tthis\tbelief\n(\nIFIC,\t2017\n). | [
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(\nIFIC,\t2017\n).\nSources\tof\tinformation\tcontinue\tto\tchange.\tTraditional\tprint\tsources\tdecline\tas\tdigital\tand\nelectronic\tsources\tincrease.\tUse\tof\tphones\tfor\tdigital\tapplications,\tor\t“apps,”\tis\ta\tgrowing\ttrend\tand\nso\tis\tcreating,\n\tmarketing,\tand\tevaluating\tapps.\tThe\tAND\tand\tits\taffiliates\thave\tresources\tavailable\tto | [
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identify\tvalid\tsources.\tPublications\tare\tavailable\tto\tassist\tin\tevaluating\tand\tselecting\tdigital\ttools.\nOne\tsuch\tbook\tis\t\nBits\t&\tBytes:\tA\tGuide\tto\tDigitally\tTracking\tYour\tFood,\tFitness,\tand\tHealth\n,\ncoauthored\tby\tMeagan\tF.\tMoyer,\tMPH,\tRDN,\tLD,\tand\tthe\tAND\t(\nBits\tand\tBytes,\t2016\n).\tAND\tDietetic\nPractice\tGroup\tnewsletters | [
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Bits\tand\tBytes,\t2016\n).\tAND\tDietetic\nPractice\tGroup\tnewsletters\n\tand\tpostings\tfrequently\tinclude\treviews.\tAn\tongoing\tcolumn,\t\nCLICK,\n\tis\nin\tthe\tmagazine\t\nFood\t&\tNutrition\n\t(published\tby\tthe\tAND)\t(\nAND\tCLICK,\t2018\n).\tThe\tInternet\tand\nrelated\tlinks\tare\tmajor\tinformation\tsources\tthus\tcreating\tanother\tchallenge\tto\tthe\tprofessional | [
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seeking\tto\tprovide\tevidence-supported\tinformation.\nRegarding\tbelievable\tand\tcredible\thuman\tsources\tof\tnutrition\tinformation,\thealth\tprofessionals,\nincluding\tregistered\tdietitians,\tdoctors,\tand\tnurses,\tcontinue\tto\tbe\trated\tas\tthe\tmost\tcredible\t(\nIFIC, | [
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2017\n).\tHowever,\twhen\tconsumers\twere\tasked\tabout\tthe\tfactors\tthat\taffect\ttheir\twillingness\tto\nbelieve\tnew\tfood\tand\thealth\tinformation,\tothers\tin\ttheir\tenvironment,\tincluding\tfamily\tand\tfriends,\nwere\tnamed\tas\tpotential\tinfluencers.\nSurveys\thave\tshown\tan\tincrease\tin\tthe\tnumber\tof\tconsumers\tfamiliar\n\twith\tMyPlate\tand\tin\tthose | [
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] |
with\tMyPlate\tand\tin\tthose\nwho\tuse\tfood\tlabels,\tshelf\tinformation,\tand\tother\ttools\t(\nIFIC,\t2017\n,\t\n2018\n).\tPopular\tliterature\nindicates\ta\tgrowing\tsegment\tof\tthe\tpopulation\tinterested\tin\tfood,\tcooking,\tcookbooks,\tcelebrity\nchefs,\tand\tso\ton,\tand\tlabels\tthem\t“foodies.”\tThe\tNutrition\tFacts\tpanel\tand\tother\tlabel\tinformation\n(see\t\nChapter\t10 | [
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] |
(see\t\nChapter\t10\n)\tinfluence\tnutrition\tand\tfood\tdecisions,\tbut\tthere\tmay\tbe\tgaps\tin\n\tthe\tinterpretation.\nThe\tgrowing\tlists\tof\tingredients,\tunknown\tterminology,\tchanging\tingredients,\tand\teven\tthe\tformat\ncan\tmake\tnutrition\tlabels\tless\tuseful.\tChanges\tin\tthe\tformat\tand\tcontent\tof\tlabels\tas\twell\tas\tfront-of- | [
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package\tsystems\thave\tbeen\tdiscussed\tfor\tat\tleast\t10\tyears\tand\tare\ta\twork\tin\tprogress.\tChanges\tin\nportion\tsize,\tthe\tNutrition\tFacts\tpanel,\tand\tthe\tfront-of-package/label\tclaims\twill\n\tbe\tin\tplace\tby\t2020\n(\nU.S.\tDepartment\tof\tHealth\tand\tHuman\tServices\t[USDHHS],\t2018b\n;\t\nU.S.\tDepartment\tof\tAgriculture\n[USDA],\t2018b\n,\t\n2018c\n). | [
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;\t\nU.S.\tDepartment\tof\tAgriculture\n[USDA],\t2018b\n,\t\n2018c\n).\nStudies\tindicate\tthat\tconsumers\twill\tuse\tlabels\tand\twould\twelcome\ta\treliable\tfront-of-package\nsystem\t(\nWu\tand\tSturm,\t2014\n).\tAlthough\tthe\tmovement\tfor\tmore\tlabeling\ton\tmenus\thas\tbeen\tmet\nwith\tmixed\treactions,\tregulations\twill\trequire\tlabeling\tby\t2020.\tAll\tthese | [
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Society\t(ACS)\ttend\tto\tmirror\tthe\t2015–2020\tDGA.\tThese\tguidelines\twill\tcontinue\tto\tchange\twith\tthe\nupdating\tof\tthe\tDGA\t(\nUSDHHS,\t2018a\n).\tThe\toverall\tfocus\ton\tdiet\twith\tevolving\tguidelines\tis\tto\nemphasize\n\tquality\tof\tfood\tchoices,\tincluding\ta\tmessage\tof\tthe\trole\tof\t“healthy\tfats”\t(\nNIH,\t2018c\n). | [
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Lloyd-Jones\tet\tal,\t2010\n).\tIn\tNovember\t2013\tthe\tAHA,\talong\nwith\tthe\tAmerican\tCollege\tof\tCardiology\t(ACC)\tand\tthe\tNational\tHeart,\tLung,\tand\tBlood\tInstitute\n(NHLBI),\treleased\tfour\tguidelines\tbased\n\ton\tevidence-based\treviews\tsponsored\tby\tNHLBI\t(see\nChapter\t32\n)\t(\nHarold\tand\tJessup,\t2013\n).\tThe\tACC/AHA\trecommends\ta\tdiet\thigh\tin\tvegetables,\tfruits, | [
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] |
).\tThe\tACC/AHA\trecommends\ta\tdiet\thigh\tin\tvegetables,\tfruits,\nwhole\tgrains,\tlow-fat\tpoultry,\tfish,\tnon-tropical\tvegetable\toils,\tnuts,\tand\tlow-fat\tdairy,\tand\tlow\tin\nsweets,\tsugar-sweetened\tbeverages,\tand\tred\tmeat\t(see\t\nChapter\t32\n).\tThe\tDietary\tApproaches\tto\tStop\nHypertension\t(DASH)\tdiet\tpattern\tor\tUSDA\tfood\tpattern | [
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Hypertension\t(DASH)\tdiet\tpattern\tor\tUSDA\tfood\tpattern\n\t(MyPlate)\tis\trecommended\tto\tachieve\tthis\ndiet.\tThe\t2015–2020\tDGA\tis\tconsistent\twith\tthe\tACC/AHA\temphasizing\tincreasing\tthe\tintake\tof\nvegetables\tand\tfruit\tto\tmeet\tthe\tMyPlate\tguidance\tof\thalf\tthe\tplate.\tA\t2015\tstudy\tby\tthe\tProduce\tfor | [
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Better\tHealth\tFoundation\t(PBH)\tnoted\tthat\tfruit\tand\tvegetable\tconsumption\thas\tdeclined\t7%\tover\t5\nyears\t(from\t2009\tto\t2014).\tAdults\tages\t18\tto\t44\t(along\twith\tchildren\n\tof\tall\tages)\twere\tcited\tas\ta\npopulation\tgroup\tshowing\tthis\tdecrease\t(\nPBH,\t2015\n).\tNutrition\tmessages\trelated\tto\tconsumption\tof | [
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] |
PBH,\t2015\n).\tNutrition\tmessages\trelated\tto\tconsumption\tof\nfat,\tchoices\tof\tfat\tsources,\tand\tchoices\tof\tvegetables\tand\tfruits\tframe\tthe\tguidance\tprovided\tby\tthe\nAHA,\tAND,\tADA,\tand\tACS\tas\twell\tas\tmeet\tguidance\tprovided\tby\tthe\tDGA.\nGuidelines\tfor\tdiabetes\tprevention\tcontinue\tto\tbe\trelated\tto\thealthy\tlifestyle\tguidelines\tof\tthe\tDGA\n(see\t\nChapter\t29 | [
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] |
(see\t\nChapter\t29\n).\tA\t2014\tstudy\tindicated\tthat\tresearch\twill\tcontinue\tto\texplore\tobesity\tand\noverweight.\tIn\ta\tDanish\tstudy\tthe\tlink\tto\tbeing\tobese\tor\toverweight\twas\ta\tfactor\tbut\tthere\twas\ta\ntime\tdifference\tnoted.\tMaintaining\tan\toverweight\tor\tobese\tstatus\tfor\tmultiple\tyears\tincreased\tthe | [
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risk\tmore\tthan\tthe\tpresence\tof\televated\tbody\tmass\tindex\t(BMI)\tor\tweight.\tThis\tled\tto\tthe\tconclusion\nthat\tfocusing\n\ton\tsmall\tweight\treduction\tfor\tthe\ttotal\tpopulation\tmay\tbe\tmore\tbeneficial\tthan\nconcentrating\ton\tweight\tloss\ttargeted\tto\thigh-risk\tindividuals\t(\nVistisen\tet\tal,\t2014\n). | [
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Vistisen\tet\tal,\t2014\n).\nHealth\teducation\tand\tpublic\thealth\tprograms,\talong\twith\timproved\tresearch\tand\tcare,\thave\ncontributed\tto\tchanges\tin\tmorbidity\tand\tmortality\tof\tthe\tadult\tpopulation.\tU.S.\tadults\tare\ton\ta\tpath\nto\tpositive\tchange,\tmoving\tfrom\tknowledge\n\tto\taction\t(\nCDC,\t2013\n,\t\n2018a\n,\t\n2018b\n,\t\n2018c\n).\tNutrition | [
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other\tdimensions\tto\tthe\tgoal\tof\tmoving\tadults\tto\taction.\tAdults\tin\tthe\tawareness\tand\taction\tstages\nare\tlikely\tto\tbe\tlooking\tfor\tanswers,\toften\tshort-term\tfixes\tor\treversals\tof\ta\thealth\tproblem\trather\nthan\tmore\trealistic\tlong-term\tbehavior\tchanges.\tFor\texample,\tadults\tmay\twant\tto\tknow\twhere\ncarbohydrates\tfit\tinto\tthe\ttotal\tdiet\tand\twhether\tthere | [
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or\tfoods.\tThe\tconcepts\tof\t\nhealthful\teating\n,\t\nnutrient\tdensity\n,\tand\t\nnutritious\tfoods\n\tare\tdebated\tby\tfood\nand\tnutrition\tprofessionals\tas\tscience\tand\ttechnology\tmove\tforward.\tUnfortunately,\tfood\tand\nnutrition\tdebates\tand\tnew\tresearch\tfindings,\toften\tmeant\tto\tclarify\tthe\tevidence,\tare\tfodder\n\tfor | [
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pointing\tto\tquick-fix\tsolutions.\nThe\twellness\tyears\tand\tfood\tsecurity\nThe\tadult\tyears\tspan\ta\tbroad\trange\tchronologically\tand\tare\tcomplicated\tby\tphysiologic,\ndevelopmental,\tand\tsocial\tfactors.\tAlong\twith\ttheir\tgenetic\tand\tsocial\thistory,\tadults\thave\naccumulated\tthe\tresults\tof\tbehaviors\tand\trisks\n\tfrom\tenvironmental\tfactors.\tThese\tfactors\tshape\tthe | [
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from\tenvironmental\tfactors.\tThese\tfactors\tshape\tthe\nheterogeneity\tof\tthe\tadult\tyears.\tNonetheless,\tthe\tadult\tyears\tare\tan\tideal\ttime\tfor\tpositive\thealth\npromotion\tand\tdisease\tprevention\tmessages.\tIn\tthe\ttransitions\tfrom\tearly\tto\tmiddle\tadulthood,\nhealth\tand\twellness\tmay\ttake\ton\ta\tnew\timportance.\tThis\tmay\tbe\tthe\tresult\tof\ta\tlife\tevent\tor | [
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] |
clothes\tdo\tnot\tfit\tas\twell\tas\tthey\tshould.\tRegardless\tof\tthe\treason,\tthe\tconcept\tof\twellness\ttakes\ton\ta\nnew\tmeaning,\tand\tthese\tevents\tare\tteachable\tmoments.\nThe\n\tWellness\tCouncils\tof\tAmerica\t(WELCOA)\tdescribes\t\nwellness\n\tas\ta\tprocess\tthat\tinvolves\tbeing\naware\tof\tbetter\thealth\tand\tactively\tworking\ttoward\tthat\tgoal\t(\nWELCOA,\t2018 | [
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] |
WELCOA,\t2018\n).\tWith\tthis\tmindset,\ta\nstate\tof\twellness\tcan\texist\tat\tany\tage\tand\tcan\tstart\tat\tany\tpoint\tin\ta\tperson’s\tlife\tcourse.\tWellness\tis\nmore\tthan\tphysical\thealth\tand\twell-being.\tA\tstate\tof\twell-being\tincludes\tmental\tand\tspiritual\thealth\nand\n\tencompasses\tthe\tability\tof\ta\tperson\tto\tmove\tthrough\tMaslow’s\tHierarchy\tof\tNeeds\t(\nMaslow,\n1970\n). | [
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Maslow,\n1970\n).\nThe\tability\tto\taddress\tnutrition\tneeds\trequires\t\nfood\tsecurity\n\t(i.e.,\taccess\tto\ta\tsafe,\tacceptable,\nand\tadequate\tsource\tof\tfood).\tPart\tof\tthe\tissue\tof\tfood\tsecurity\tis\tquantity\tand\tpart\tis\tquality.\nAccording\tto\tUSDA\tdata,\tin\t2016,\t87.7%\tof\tU.S.\thouseholds\twere\tfood\tsecure,\tslightly\thigher\tthan\tin\n2012. | [
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2012.\n\tOf\tthe\tremaining\tpopulation,\t12.3%\tof\thouseholds\twere\treported\tas\tfood\tinsecure\t(\nUSDA,\n2016\n).\nThe\tcurrent\teconomic\tclimate\thas\tput\tadded\temphasis\ton\tfood\tsecurity\tor\taccess\tand\tpotential\npopulation\tinequalities.\tThe\thighest\tlevels\tof\tfood\tinsecurity\tare\treported\tto\tbe\tin\tAfrican\tAmerican,\nNative\tAmerican,\tand\tHispanic\thouseholds\t( | [
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] |
Native\tAmerican,\tand\tHispanic\thouseholds\t(\nUSDA,\t2016\n).\nThe\tissues\tof\tquantity,\tquality,\tand\tacceptability\n\tare\ta\tpart\tof\tthe\tfood\tsecurity\tdiscussion.\tIt\tis\noften\tmore\texpensive\tto\teat\thealthy\tfoods\tthan\tless\thealthy,\thigh-calorie\tfoods.\tHowever,\tlimited | [
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in\tbasic\tfood\tskills.\tThe\tSupplemental\nNutrition\tAssistance\tProgram\t(SNAP),\tformerly\tknown\tas\tfood\tstamps,\taims\tto\talleviate\tfood\ninsecurity\tand\teligibility,\tfor\tparticipation\tis\tbased\ton\tincome\tlevel.\tThe\tprogram\tincludes\tsome\nmoney\tfor\tnutrition\teducation\t(\nUSDA,\t2018b\n).\tSNAP,\tlike\tother\tfood\tand\tnutrition\tassistance | [
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professionals,\tthe\tCDC\tmeasures\tpopulation\tHRQOL\tperceptions,\n\tincluding\tthe\tperception\tof\n“feeling\thealthy.”\tUsing\tHRQOL,\tone\tcan\tlearn\tabout\thow\tadults\trelate\ttheir\thealth\tto\ttheir\tdaily\nperformance.\tOn\taverage,\tAmericans\treport\tfeeling\t“unhealthy”\tapproximately\t6\tdays\ta\tmonth\tand | [
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“healthy”\tor\t“full\tof\tenergy”\tapproximately\t19\tdays\ta\tmonth;\tadults\twith\tthe\tlowest\tincome\tlevels\nand\tmore\tchronic\tdiseases\treport\tmore\t“unhealthy”\tdays\t(\nCDC,\t2016b\n,\t\n2016c\n).\nTo\tpromote\tquality\tof\tlife,\tadults\tare\tbeing\turged\tto\tset\ta\tgoal\tof\t“work-life”\tbalance.\tThis\tis\tnot\ta | [
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new\tconcept\tand\tfits\tinto\tthe\tneed\tfor\tstress\treduction\tand\trelaxation\tas\ta\tpart\tof\ta\thealthy\tlifestyle.\nHowever,\tthe\tidea\tof\tbalancing\twork\ttime\twith\tleisure\talso\tcan\tbe\ta\treason\tadults\tuse\tfor\tnot\nexercising,\tnot\tcooking,\teating\ton\tthe\trun,\tignoring\tnutrition\tguidelines,\tor\tskipping\tmeals.\tLeisure | [
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and\tan\tissue\tthat\toften\tis\trelated\tto\tmultitasking\tand\tassuming\tmultiple\troles\t(\nFig.\t18.2\n).\tIn\tthe\nconcept\tof\twellness\tor\tprevention,\tthere\tis\ta\tmental\thealth\tlink\tas\twell\tas\ta\tpotential\tblock\tto\tleading\na\thealth-promoting\tlifestyle,\tnot\tonly\tfor\tadults\tbut\talso\tfor\ttheir\tassociates,\tfamily\tmembers,\tand | [
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living\tin\tthe\tUnited\tStates\thas\tcontinued\tto\timprove\n\tin\tpart\tbecause\tof\teducation\tthat\thas\tled\tto\nlifestyle\tchanges.\tLife\texpectancy\thas\tcontinued\tto\tincrease\t(projected\tat\t78.7\tyears),\tand\tthe\nmorbidity\tand\tmortality\trates\tfrom\theart\tdisease,\tcancer,\tand\tstroke\thave\tdropped\t(\nCDC,\t2016a\n,\n2018c | [
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] |
CDC,\t2016a\n,\n2018c\n).\tOverall\tlife\texpectancy\tfor\tthe\tAfrican\tAmerican\tpopulation\tis\t3.8\tyears\tless\tthan\tthat\tof\tthe\nCaucasian\tpopulation.\tThis\tdisparity\tis\tattributed\tto\thigher\n\tdeath\trates\tfrom\theart\tdisease,\tcancer,\nhomicide,\tdiabetes,\tand\tperinatal\tconditions\t(\nCDC,\t2013\n).\tThese\tstatistics\tpoint\tthe\tway\tfor | [
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] |
CDC,\t2013\n).\tThese\tstatistics\tpoint\tthe\tway\tfor\nincreased\temphasis\ton\tprevention\tand\tintervention\tinitiatives\tin\tminority\tpopulations.\nEven\twhen\tthe\temphasis\tis\ton\twellness\tand\tprevention,\tthere\tis\ta\tstrong\tlink\tto\trisk\tfactors\tthat\ninfluence\tmorbidity\tand\tmortality.\tIn\tthe\tUnited\tStates\tthe\tleading\tcauses\tof\n\tdeath\tand\tdebilitation | [
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death\tand\tdebilitation\namong\tadults\tinclude\t(1)\theart\tdisease,\t(2)\tcancer,\t(3)\tchronic\tlower\trespiratory\tdiseases,\t(4)\ncerebrovascular\tdisease,\t(5)\taccidents\t(unintentional\tinjuries),\t(6)\tAlzheimer’s\tdisease,\t(7)\tdiabetes,\nand\t(8)\tnephritis,\tnephrotic\tsyndrome,\tand\tnephrosis.\tChronic\tdiseases,\tincluding\theart\tdisease, | [
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stroke,\tcancer,\tand\tdiabetes,\tare\tamong\tthe\tmost\tcostly\tand\tpreventable\tof\tall\n\thealth\tproblems\tand\naccount\tfor\tone\tthird\tof\tthe\tyears\tof\tpotential\tlife\tlost\tbefore\tage\t65\tand\tfor\t75%\tof\tthe\tnation’s\nmedical\tcare\tcosts.\tThese\thealth\tissues\thave\tdirect\tlinks\tto\tdiet\tand\tlifestyle,\tbut\tthey\tare\talso | [
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