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stringlengths
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embeddings
sequencelengths
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affected\tby\tcomplex\tsocial\tdeterminants\tand\tenvironmental\tfactors\t(\nBox\t18.1\n).\nBox\t18.1\nA\tFocus\ton\tHealth\tDisparities\tand\tNutrition\nDifferences\tin\thealth\tbetween\tpopulations\n\thave\tbeen\tobserved\tby\tresearchers\tand\tclinicians\tfor\ta\nlong\ttime.\tHistorically,\tthose\tdifferences\thave\tbeen\tmost\tstark\twhen\tcomparing\tthe\tgeneral
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population\tto\tracial\tand\tethnic\tminorities.\tIn\t1899\tAmerican\tsociologist\tand\tauthor\tW.\tE.\tB.\tDu\nBois\twrote\tin\this\tbook\t\nThe\tPhiladelphia\tNegro\n\tabout\tthe\thigher\tdeath\trates,\tprevalence\tof
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disease\tincidence,\tprevalence,\tmorbidity,\tmortality,\tor\tsurvival\trates.\tAccording\tto\tthe\tNational\nInstitutes\tof\tHealth,\tgroups\tobserved\tto\thave\tthese\tdifferences\tare\tdesignated\thealth\tdisparity\npopulations\tand\tinclude\tracial\tand\tethnic\tminorities,\tpopulations\n\tof\tlow\tsocioeconomic\tstatus,
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of\tlow\tsocioeconomic\tstatus,\nsexual\tand\tgender\tminorities,\tand\trural\tor\tmedically\tunderserved\tpersons\t(NIMHD,\t2019).\nThe\tdeterminants\tof\thealth\tthat\tfactor\tinto\thealth\tdisparities\tcover\tmany\tmore\taspects\tthan\tjust\nbiology.\tSocial\tdeterminants\tof\thealth\t(see\t\nChapter\t8\n)\tincluding\tsocioeconomic\tfactors,
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0.015069806016981602, -0.0019773119129240513, -0.0215071402490139, 0.10707522928714752, 0.16694088280200958, -0.03469698131084442, -0.04939870536327362, 0.1034923866391182, 0.006411510985344648, -0.053176719695329666, -0.049229513853788376, 0.09339448064565659, -0.041762419044971466, -0.02726186066865921, -0.06064769625663757, -0.03616751357913017, 0.060641098767519, 0.0029867012053728104, -0.03201770409941673, 0.0061164614744484425, 0.10045658051967621, 0.0803392082452774, 0.07213035970926285, -0.03076186217367649 ]
Chapter\t8\n)\tincluding\tsocioeconomic\tfactors,\npsychological\tinfluences,\tsocial\tsupport,\tdiscrimination,\tand\ta\tvariety\tof\trelated\tcomponents\n\tare\ncritically\timportant\tto\tunderstanding\tdisparities.\tThese\tdeterminants\tspan\tthe\tbehavioral,\nphysical,\tor\tbuilt\tenvironment,\tand\tsociocultural\tand\thealth\tcare\tdomains,\tand\thave\timpacts\ton
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the\tindividual,\tinterpersonal,\tcommunity,\tand\tsocietal\tlevels\t(NIMHD,\t2017).\nNutrition\tis\ta\tkey\tcomponent\tin\tunderstanding\tand,\tin\tmany\tcases,\taddressing\thealth\ndisparities.\tIn\tmany\tdiseases\tin\twhich\tdisparities\n\tpersist\tacross\tgroups,\tincluding\thypertension,
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persist\tacross\tgroups,\tincluding\thypertension,\ntype\t2\tdiabetes,\tkidney\tdisease,\tand\tobesity,\tmedical\tnutrition\ttherapy\t(MNT)\tis\tcritical\tto\neffective\tintervention.\tHowever,\tadditional\tnutrition-focused\tresearch\tneeds\tto\tbe\tdone\tin\torder\nto\tdetermine\tthe\tmost\teffective\tmethods\tfor\taddressing\tdisparities\tin\taffected\tcommunities.\tIn
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order\tto\taddress\tthe\tnonbiological\taspects\tof\tdisparities,\tsimple\n\tdiet-based\tstrategies\talone\tare\nnot\tenough.\tIndividual\tand\tcommunity\tvalues,\thealth\tliteracy,\tand\tsustainability\tare\tdetermining\nfactors\tin\tthe\tlong-term\tsuccess\tof\tthe\tability\tof\tprofessionals\tto\timprove\thealth\tdisparities.\nMichael\tJ.\tHahn,\tBA
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Michael\tJ.\tHahn,\tBA\nWilliams\tDR,\tSternthal\tM:\tUnderstanding\tRacial/ethnic\tDisparities\tin\tHealth:\tSociological\tContributions,\nJournal\tof\thealth\tand\tsocial\tbehavior\n\t51(Suppl):S15-S27,\n\t2010,\tdoi:10.1177/0022146510383838.\t\nNational\tInstitutes\tof\tHealth\t(NIH),\tNational\tInstitute\tof\tMinority\tHealth\tand\tHealth\tDisparities\t(NIMHD)
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“HDPulse\t-\tHealth\tDisparities\tResources.”\t\nhttps//hdpulse.nimhd.nih.gov/\n.\tPublished\t2019.\tAccessed\nSeptember\t30,\t2019.\t\nNational\tInstitutes\tof\tHealth\t(NIH),\tNational\tInstitute\tof\tMinority\tNIH,\tNIMHD.\t“NIMHD\tResearch\nFramework.“\t\nhttps://www.nimhd.nih.gov/docs/framework-factsheet.pdf\n.\tPublished\t2017.
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.\tPublished\t2017.\nThe\tinformation\tquoted\tis\tfor\tall\tadults,\tbut\twhen\tadjusting\tfor\tage,\tthe\tleading\tcauses\tof\tdeath\tfor\nyoung\tadults\t18\tto\t44\tare\trelated\tto\tpreventable\tcauses,\twith\tsuicide\tand\thomicide\tin\tthe\ttop\tthree\ncauses\tfor\tadults\tunder\t34\tyears\tof\tage.\tAccidents\tor\tunintentional\tinjuries\tplay\ta\tdifferent\trole\tin
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younger\tadults.\tAccidents\tare\tthe\tfifth\tleading\tcause\tof\tdeath\tand\tdebilitation\n\tamong\tall\tadults\tbut\nmoves\tup\tto\tfirst\tplace\tfor\tadults\tunder\t44,\twith\temphasis\ton\tages\t25\tto\t44\t(\nCDC,\t2016a\n,\t\n2018b\n,\n2018c\n).\tPresumably\tthe\tother\tleading\tcauses\tof\tdeath,\tinvolving\tchronic\tdiseases\tand\tthose\tmore
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diet\trelated,\tcan\tbe\timportant\tprevention\tteaching\tpoints\tat\tyounger\tages.\tAdd\tto\tthe\tlist\nosteoporosis\tand\tnew\tlinks\tto\tsuch\thealth\tissues\tas\tAlzheimer’s\tdisease\tor\tarthritis\tas\thealth\nproblems\tthat\taffect\thealth\tcare\tcosts\tand\tloss\tof\tquality\tof\tlife\tand\tthat\thave\ta\tpotential\tlifestyle\tand\nnutrition\tlink\t(\nCDC,\t2018a\n).
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nutrition\tlink\t(\nCDC,\t2018a\n).\nOverweight\tand\tobesity\tare\teither\tprecursors\tto\tor\tcomplications\tin\tall\tof\tthese\tdiseases.\tThe\nprevalence\tof\toverweight,\tas\tmeasured\tby\ta\tBMI\tof\t25\tor\tmore,\thas\tincreased\tat\tall\tages\tbut\tappears\nto\tbe\tholding\tsteady\tand\teven\tshowing\tslight\tdecline.\tIt\tis\timportant\n\twhen\tlooking\tat\tthe\toverall
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when\tlooking\tat\tthe\toverall\nhealth\tof\tadults\tto\tconsider\televated\tBMI\tas\ta\tmajor\trisk\tfactor\tbut\tto\tmove\tto\tthe\tnext\tphase\tof\ttotal\nassessment\tto\tidentify\tthe\thealth\tprofile.\tHypertension,\thyperlipidemia,\tand\televated\tblood\tglucose\noften\tare\tseen\ttogether\twith\tor\twithout\tobesity,\tknown\tas\tthe\t\nmetabolic\tsyndrome\n\t(see\t\nChapter\n29
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metabolic\tsyndrome\n\t(see\t\nChapter\n29\n).\tIncreasing\tnumbers\tof\tobese\tand\toverweight\tadults\thave\tbeen\tlinked\n\tto\tan\tincrease\tin\tthe\nnumber\tof\tcases\tof\tmetabolic\tsyndrome.\tThere\tis\ta\tgenetic\tlink\tto\tthis\tsyndrome\tbut\tlifestyle\tis\ta\nmajor\tissue.\tEvidence\tsuggests\tthat\tit\tis\tpossible\tto\tdelay\tor\tcontrol\tthe\trisk\tfactors\tassociated\twith
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metabolic\tsyndrome\twith\tlifestyle\tchanges,\tincluding\thealth-promoting\tdiet\tand\texercise\tpatterns,\nwith\tthe\thelp\tof\thealth\tprofessionals\t(\nNIH,\t2018c\n;\t\nCDC,\t2018a\n,\t\n2016b\n).\nObesity\tand\toverweight\tdirectly\tlink\twith\tcalorie\timbalance.\tAn\testimated\tless\tthan\thalf\tof\tU.S.
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adults\tparticipate\tin\tregular\tphysical\tactivity,\twith\tone\tfourth\treporting\tno\tactivity.\tMany\thealth\trisks\nin\tthe\tadult\tyears,\tincluding\tcoronary\tartery\tdisease,\tcertain\ttypes\tof\tcancer,\thypertension,\ttype\t2\ndiabetes,\tdepression,\tanxiety,\tand\tosteoporosis\thave\ta\trelationship\twith\tlack\tof\tparticipation\tin
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regular\tphysical\tactivity\tand\tpoor\teating\tbehaviors.\tOne\tcannot\tachieve\tpositive\thealth\twithout\ta\ncombination\tof\tphysical\tactivity\tand\tfood\tchoices\tthat\tfit\tpersonal\tneeds\tfor\tenergy\tbalance\tand\nnutrition.\nOn\tthe\tother\tend\tof\tthe\tweight\tspectrum\tis\tchronic\tunderweight,\tfrequently\taccompanied\tby
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undernutrition.\tAnorexia\tnervosa\tis\tthe\textreme\tcondition,\tfound\tin\tboth\tgenders\tacross\tthe\tage\nspan.\n\tAn\tunhealthy\tweight\tor\tunhealthy\tconcern\tabout\tbody\tweight\tnot\tonly\taffects\toverall\thealth\nbut\tin\twomen\talso\tcan\taffect\tfertility\tand\tthe\tability\tto\tconceive.\nHealth\tdisparities\tand\tglobal\thealth
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Health\tdisparities\tand\tglobal\thealth\nEliminating\tdisparities\tthat\tincrease\tthe\thealth\trisks\tfor\taffected\tpopulations\tis\ta\tmajor\tgoal\tof\neffective\thealth\tpolicy.\t\nHealth\tdisparities\n\t(see\t\nBox\t18.1\n)\trelated\tto\tinadequate\taccess\tto\tsafe\tand\naffordable\tfood\tare\toften\tbased\ton\trace,\tethnicity,\tgender,\teducation,\tincome\tlevel,\tand\tgeographic
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location.\tInadequate\taccess\tto\tcare\tis\ta\tdisparity\tthat\thas\ta\tmajor\teffect\ton\ta\tperson’s\twellness.\nChronic\tdiseases\tand\tobesity\thave\tbeen\tshown\tto\tbe\tmore\tof\ta\tburden\tto\tracial\tminorities\tand
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women\t(\nCDC,\t2016b\n,\t\n2018a\n).\tThere\tis\ta\thigher\tincidence\tof\theart\tdisease,\tdiabetes,\tand\tobesity\tor\noverweight\n\tin\tlow-income,\tAfrican\tAmerican,\tand\tHispanic\tpopulations\t(\nCDC,\t2018a\n).\tThese\tsame\npopulation\tgroups\thave\tlimited\taccess\tto\tpreventive\tcare,\tnutrition\teducation,\tand\tguidance\n(\nUSDHHS,\t2018a\n,\t\n2018b
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(\nUSDHHS,\t2018a\n,\t\n2018b\n).\tResearch\tand\tpublic\tpolicy\taimed\tat\taddressing\tthe\tsocial\tdeterminants\nand\tstructural\tdiscrimination\tthat\tcontribute\tto\tthese\thealth\tdisparities\tis\timperative\tto\timproving\nhealth\tfor\tall.\nWorld\n\thealth\nThe\tproblems\tassociated\twith\tchronic\tdiseases\tare\tsimilar\tin\tother\tcountries\t(\nWorld\tHealth\nOrganization\t[WHO],\t2017
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WHO,\t2018\n)\n•\t\nWorldwide,\tobesity\thas\ttripled\tsince\t1975.\n•\t\nIn\t2016,\tmore\tthan\t1.9\tbillion\tadults\t18\tyears\tand\tolder\twere\toverweight.\tOf\tthese,\t650\nmillion\twere\tobese.\n•\t\n39%\tof\tadults\taged\t18\tyears\tand\tover\twere\toverweight\tand\t13%\twere\tobese.\n•\t\nMost\tof\tthe\tworlds\tpopulation\tlive\tin\tcountries\twhere\toverweight\tor\tobesity\tkill\tmore\tpeople
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than\tunderweight.\n•\t\n41\tmillion\tchildren\tunder\tthe\tage\tof\t5\twere\toverweight\tor\tobese\tin\t2016.\n•\t\nOver\t340\tmillion\tchildren\tand\tadolescents\taged\t5-19\twere\toverweight\tor\tobese\tin\t2016.\nThis\tcondition,\tonce\n\tassociated\twith\thigher-income\tcountries,\tis\tnow\tlisted\tby\tWHO\tas\tprevalent\tin
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low-\tand\tmiddle-income\tcountries.\tThe\tgrowing\tinternational\tproblem\tof\tobesity\tis\ta\tpoint\tfor\nconsideration\tand\tinvolvement.\nAccess\tto\ta\tsafe\tand\taffordable\tfood\tsupply\tgoes\tbeyond\tthe\tborders\tof\tthe\tUnited\tStates.\tThe\nquality\tand\tquantity\tof\tfood\tand\tlifestyle\tfactors\tare\tconcerns\tthat\trequire\tmore\tthan\tprovision\tof
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food.\tA\tnewer\tand\tgrowing\temphasis\ton\tfood\tlifestyles\tis\tidentifying\t“food\tdeserts.”\tCDC\tdefines\nfood\tdeserts\n\tas\tareas\tthat\tlack\taccess\tto\taffordable\tfruits,\tvegetables,\twhole\tgrains,\tlow-fat\tdairy,\nand\tother\tfoods\tthat\tmake\tup\tthe\tfull\trange\tof\ta\thealthy\tdiet\t(\nCDC,\t2017b\n).\tUSDA\texpands\tthe
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CDC,\t2017b\n).\tUSDA\texpands\tthe\ndefinition\twith\ta\tfocus\ton\tlimited\taccess\tto\tsupermarkets,\tsupercenters,\tand\tother\tsources\tof\naffordable\n\tand\thealthy\tfoods,\tnoting\tfood\tdeserts\tcan\toccur\tin\trural\tor\turban\tsettings.\tKnowing\tthe\npotential\tof\taccess\tto\thealthy\tfoods,\tknowing\tthe\tlimitations,\tand\tworking\tto\texpand\tthis\taccess\tis\ta
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-0.004767129197716713, -0.029432296752929688, 0.0949183851480484, 0.09059597551822662, -0.037836942821741104, -0.051756199449300766, 0.09784133732318878, 0.017521284520626068, -0.08797850459814072, -0.03384395316243172, 0.06712644547224045, 0.013435114175081253, -0.005548270884901285, -0.06282239407300949, -0.01565556973218918, 0.05630099028348923, 0.042171087116003036, -0.0019414511043578386, 0.01592865027487278, 0.06738850474357605, 0.06897591054439545, 0.05867724120616913, 0.004621690139174461 ]
critical\tpart\tof\tassisting\tadults\tand\tfamilies\tin\tmeeting\tnutrition\tgoals.\tThe\tUSDA\tFood\tAccess\nResearch\tAtlas\tand\tEconomic\tResearch\tServices\tOutlook\tare\tstarting\tpoints\tfor\tnutrition\tand\ndietetic\tprofessionals\n\t(\nUSDA,\t2016\n,\t\n2018a\n).\nNutritional\tfactors\taffecting\tadult\twomen\tand\tmen\nWomen’s\thealth
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0.01938134990632534, -0.03613508120179176, 0.085639588534832, 0.058050669729709625, -0.09327385574579239, -0.061811190098524094, 0.11415901780128479, -0.013654408045113087, -0.06573335081338882, -0.014747608453035355, 0.061799224466085434, 0.025289641693234444, -0.018371084704995155, -0.057034172117710114, 0.004955181386321783, 0.09389016032218933, 0.051739469170570374, -0.02257661707699299, 0.02703261747956276, 0.1405307799577713, 0.04797855764627457, 0.039986416697502136, -0.022144081071019173 ]
).\nNutritional\tfactors\taffecting\tadult\twomen\tand\tmen\nWomen’s\thealth\nThe\treproductive\tyears\tconstitute\ta\tsignificant\tstage\tof\ta\twoman’s\tlife.\tMany\tissues\tthat\taffect\tthe\nhealth\tof\twomen\tare\trelated\tto\tthe\tmonthly\thormonal\tshifts\tassociated\twith\tmenses.\tOsteoporosis,
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heart\tdisease,\tand\tsome\tcancers\tare\tdisease\tstates\tthat\tare\taffected\tby\tspecific\thormones.\nPregnancy\tand\n\tbreastfeeding\thave\tan\teffect\ton\ta\twoman’s\thealth\t(see\t\nChapter\t14\n).\tBreastfeeding\nhelps\tcontrol\tweight,\tlower\tthe\trisk\tfor\tdiabetes,\tand\timproves\tbone\thealth.\tTherefore\tencouraging
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women\tto\tbreastfeed\tis\ta\tpotential\tprevention\tstrategy\tfor\tthe\tfuture\thealth\tof\tthe\tmother\tand\ninfant.\nShifts\tof\testrogen\tand\tprogesterone\thormones\ttrigger\tthe\tfemale\treproductive\tcycle\tand\taffect\nhealth.\tAssociated\n\twith\tmenses\tis\ta\tcomplex\tset\tof\tphysical\tand\tpsychological\tsymptoms\tknown\tas\npremenstrual\tsyndrome\t(PMS)
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premenstrual\tsyndrome\t(PMS)\n.\tReported\tsymptoms\tvary\tbut\tare\tdescribed\tas\tgeneral\tdiscomfort,\nanxiety,\tdepression,\tfatigue,\tbreast\tpain,\tand\tcramping.\tSuch\tsymptoms\tare\treported\tto\toccur\napproximately\t1\tweek\tto\t10\tdays\tbefore\tthe\tonset\tof\tmenses\tand\tincrease\tin\tseverity\tinto\tmenses.\nCurrently,\tthere\tis\tno\tsingle\tcause
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Currently,\tthere\tis\tno\tsingle\tcause\n\tor\tintervention\tidentified\tfor\tPMS.\tHormone\timbalance,\nneurotransmitter\tsynthesis\tdefects,\tand\tlow\tlevels\tof\tcertain\tnutrients\t(i.e.,\tvitamin\tB\n6\n\tand\tcalcium)\nhave\tbeen\timplicated\t(\nNIH,\tOffice\tof\tDietary\tSupplements\t[ODS],\t2018c\n,\t\n2018d\n,\t\n2018f\n).\tA\tdiet\thigh
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40s.\tHowever,\tgenetics,\tgeneral\thealth,\tand\tthe\tage\tthat\tmenses\tbegan\tcan\talter\tthe\ttiming\tof\tthis\nmarker.\tTypically,\testrogen\tproduction\tdecreases\taround\tage\t50,\twhen\tendogenous\testrogen\ncirculation\tdecreases\tapproximately\t60%.\tThe\teffects\tinclude\ta\tcessation\tof\tmenses\tand\tthe\tloss\tof\nthe\thealthful\tbenefits\tof\testrogen.
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the\thealthful\tbenefits\tof\testrogen.\n\tEven\tafter\tthe\tovaries\tcease\tproduction,\ta\tweaker\tform\tof\nestrogen\tcontinues\tto\tbe\tproduced\tby\tthe\tadrenal\tglands,\tand\tsome\tis\tstored\tin\tadipose\ttissue.\nAs\testrogen\tdecreases,\tsymptoms\tassociated\twith\tmenopause\tmay\toccur.\tThe\tonset\tof\tmenopause
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and\tthe\treported\tside\teffects\tvary.\tSome\twomen\texperience\ta\tgradual\tdecline\tin\tthe\tfrequency\tand\nduration\tof\tmenses,\twhereas\tothers\texperience\tan\tabrupt\n\tcessation.\tThe\tsymptoms\tmost\toften\nreported\tinclude\tlow\tenergy\tlevels\tand\tvasomotor\tsymptoms\t(hot\tflashes).\tBone,\theart,\tand\tbrain
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health\tare\taffected.\tThe\tdecrease\tin\tcirculating\testrogen\tlimits\tthe\tbody’s\tability\tto\tremodel\tbones,\nresulting\tin\ta\tdecrease\tof\tbone\tmass.\tLower\tlevels\tof\tcirculating\testrogen\talso\taffect\tblood\tlipid\nlevels,\tincreasing\ttotal\tcholesterol\tand\tlow-density\tlipoprotein\n\t(LDL)\tcholesterol\tlevels\tand
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phytoestrogens\n,\tsoluble\tfiber,\tand\tother\tcomponents.\tHaving\tsufficient\tcalcium,\tvitamin\tD,\tvitamin\nK,\tand\tmagnesium,\tand\n\tusing\tthe\tDRI\tas\tthe\tguideline\tare\timportant\tfor\tprotecting\tbone\thealth.\nAlthough\tsoy\t(isoflavones)\tcontinues\tto\tbe\trumored\tby\tthe\tpopular\tpress\tas\ta\tway\tto\tcontrol\thot\nflashes,\tcurrent\tresearch\tis\tnot\tdefinitive\t(NIH,
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0.06147848814725876, 0.08157088607549667, 0.04537785053253174, -5.1682935264807384e-8, -0.02068209834396839, -0.0043487390503287315, -0.04071668162941933, 0.02612236887216568, 0.04998253658413887, -0.009494656696915627, 0.03515323996543884, -0.00009347867307951674, -0.007337874732911587, -0.07129673659801483, 0.07613926380872726, 0.07500001043081284, -0.07851210236549377, -0.013116546906530857, 0.039594169706106186, 0.03396860882639885, -0.046167146414518356, 0.054462190717458725, -0.04814046248793602, -0.008842287585139275, 0.001400063862092793, 0.0971861407160759, -0.0564151406288147, -0.0015391067136079073, -0.014635416679084301, 0.04522344097495079, -0.0871354267001152, 0.014570613391697407, -0.0069381906650960445, 0.05138612166047096, 0.03757692128419876, -0.032746024429798126, 0.004274983890354633, -0.09750759601593018, -0.016713250428438187, 0.09046069532632828, -0.029782718047499657, -0.03449117764830589, -0.02286403626203537, 0.11355994641780853, 0.005582929588854313, 0.02961619757115841, -0.0360478051006794, 0.06816158443689346, 0.07683736085891724, -0.06052839383482933, -0.09205660969018936, 0.057789627462625504, -0.01992782950401306, -0.08686729520559311, -0.025303415954113007, 0.12748710811138153, -0.007640797644853592, -0.03802713379263878, -0.022955849766731262, 0.07833977043628693, 0.017100302502512932, 0.0313439816236496, -0.04743727669119835, 0.013470584526658058, 0.0815235897898674, 0.03482384607195854, 0.1026211529970169, -0.047483865171670914 ]
soy\tbe\ta\ttreatment\tfor\thot\tflashes.\nHeart\tdisease,\tcancer,\tand\tstroke\tcontinue\tto\tbe\tthe\tleading\tcauses\tof\tdeath\tin\twomen\t(\nCDC,\n2017b\n).\tAgain,\talthough\tgenetics\tare\ta\tfactor,\n\tlifestyle\tis\ta\tmajor\tpredictor\tand\tcomplicating\tfactor.\nWeight\tis\ta\trisk\tfactor\tfor\theart\tdisease\tand\tsome\tcancers.\tWeight\tgain\tis\tan\tissue\tfor\twomen,\twith
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0.10494597256183624, -0.030797204002738, 0.016932601109147072, -0.021213160827755928, 0.07117809355258942, 0.07298148423433304, -0.08464095741510391, -0.04550214484333992, 0.11105091124773026, 0.007972195744514465, 0.01204863004386425, 0.005604366771876812, 0.012596807442605495, 0.010830588638782501, -0.02559814229607582, -0.036376290023326874, -0.018424255773425102, 0.07456435263156891, 0.03409711644053459, -0.02767711877822876, -0.013870290480554104, 0.06013139709830284, 0.051742106676101685, 0.11001810431480408, -0.0063271415419876575 ]
a\t35%\tprevalence\tof\tobesity\tin\tAmerican\twomen\taged\t20\tto\t74\tyears\tcompared\twith\t33%\tin\tthe\nsame\taged\tmen.\tOne\thalf\tof\tnon-Hispanic\tAfrican\tAmerican\twomen\tand\ttwo\tfifths\tof\tHispanic\nwomen\tare\tobese,\tcompared\twith\tone\tthird\tof\tnon-Hispanic\twhite\n\twomen\t(\nCDC,\t2016b\n,\t\n2018b\n).
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women\t(\nCDC,\t2016b\n,\t\n2018b\n).\nPhysical\tactivity\twith\taerobic\tendeavors\tand\tresistance\tand\tweight-bearing\texercise\tis\tprotective\tfor\nbone,\tcardiovascular,\tand\temotional\thealth.\tThe\tkey\tnutrition\tmessage\tis\tone\tof\tbalanced\tfood\tintake\nwith\tnutrient-dense\tfoods\tthat\tare\tlow\tin\tfat.\tHowever,\tonce\tagain\tpersonal\tassessment\tand\ttailoring
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to\tmeet\tindividual\tneeds\tare\ta\tcritical\tpart\tof\tsuccess\tin\tweight\n\tloss\tand\tmaintenance.\nMen’s\thealth\nThe\tleading\tcauses\tof\tdeath\tamong\tAmerican\tmen\tinclude\theart\tdisease,\tprostate\tand\tlung\tcancers,\nand\tunintentional\tinjuries.\tFor\tthe\tadult\tman,\ta\tdiet\tthat\tsupports\treducing\tthe\trisk\tfor\theart\tdisease
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is\tespecially\timportant\tbecause\tmen\tdevelop\theart\tdisease\tat\ta\tyounger\tage\tthan\twomen.\tRegular\nexercise\tand\tactivity\tare\timportant.\tAlong\twith\tcontributing\n\tto\tcardiovascular\thealth,\tweight-bearing\nexercise\thas\ta\tpositive\teffect\ton\tbone\thealth.\nAnother\tissue\tin\tadult\tmen\tis\tiron\tintake.\tUnless\tadult\tmen\tare\tdiagnosed\twith\tiron\tdeficiency
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anemia\tand\trequire\tadditional\tiron,\tthey\tshould\tnot\tseek\tadditional\tiron\tfrom\tmultivitamin\tor\nmineral\tsupplements,\tenriched\tsports\tdrinks,\tor\tenergy\tbars.\tExcessive\tiron\tintake\tis\tproblematic\nbecause\tit\tis\tan\toxidant\n\tin\tthe\tbody;\tmen\tand\tpostmenopausal\twomen\tdo\tnot\thave\tmenstruation,\npregnancy,\tor\tlactation\tto\tget\trid\tof\texcess\tiron.
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pregnancy,\tor\tlactation\tto\tget\trid\tof\texcess\tiron.\nLike\twomen,\ttoday’s\tmale\tpopulation\talso\tis\taffected\tby\tobesity\tand\tthe\trisk\tfactors\tthat\tcome\twith\nexcess\tweight\tsuch\tas\tdiabetes,\theart\tdisease,\tand\torthopedic\tproblems.\tThe\tACS\treports\tthat\tone\tin\nseven\tmen\twill\thave\tprostate\tcancer\tin\this\tlifetime\tbut\tonly\tone\tin\t36\twill
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nutrition\tand\tdiet\tin\tlowering\trisk\tfactors\tand\tan\tarea\tfor\tdietetic\n\tand\tnutrition\tprofessionals\tto\ncontinue\tto\texplore.\tSuch\tfactors\tas\thow\tthe\tfood\thigh\tin\tlycopene\tis\tprepared\tmay\thave\tan\teffect\ton\nthe\tusefulness\tof\tthe\tlycopene\t(ACS,\t2018).\nInterventions,\tnutrition,\tand\tprevention
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Interventions,\tnutrition,\tand\tprevention\nAdults\tare\tin\tthe\tideal\tlife\tcycle\tphase\tfor\thealth\tpromotion\tand\tdisease\tprevention\tnutrition\tadvice\nbecause\tof\tthe\tcombination\tof\tlife\texperience\tand\tinfluence.\tThis\tgroup\n\thas\tthe\tpotential\tto\tshape\npersonal\tlifestyle\tchoices\tand\tinfluence\tothers.\tThe\ttools\tare\tin\tplace,\tincluding\tthe\tDGA,\tMyPlate,
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and\tthe\tNutrition\tFacts\tpanel\ton\tfood\tlabels\t(see\t\nChapter\t10\n).\nThe\tvegetarian\tdiet\tor\ta\tmore\tplant-based\tdiet\tand\tthe\tMediterranean\tdiet\thave\tbecome\tpopular\nwith\thealth\tand\tnutrition\tprofessionals\tand\tthe\tpublic.\tThe\tmotivation\tis\tboth\tpersonal\thealth\tand\nhealth\tof\tthe\n\tplanet\tand\tsupport\tthe\trecommendations\tof\tthe\tDGA.
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health\tof\tthe\n\tplanet\tand\tsupport\tthe\trecommendations\tof\tthe\tDGA.\nImplementation\tof\tpositive\tchoices\tand\tmoving\tpeople\talong\tthe\tcontinuum\tof\ta\thealthy\tlifestyle\nare\tother\tissues.\tStudies\tindicate\tconsumers\tare\taware\tof\tthe\tconcerns\tassociated\twith\tlifestyle\tand\ndiet\tbut\thave\ta\tlimited\tinterest\tin\tmaking\tsustainable\tchanges\t(\nIFIC,\t2017\n,\t\n2018
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IFIC,\t2017\n,\t\n2018\n).\tConsumers\tare\naware\tof\tthe\timplied\tpromises\tfor\tgood\thealth\tthat\n\tcome\twith\tmessages\tfrom\tthe\tmedia,\tfriends,\tand\nhealth\tprofessionals;\thowever,\tthey\tare\tunlikely\tto\tmove\tfrom\tawareness\tto\taction\twithout\nmotivation\tstronger\tthan\ta\tmessage\tor\tpromise.\tOne\tperception\tof\tconsumers\tis\tthat\teating\thealthful
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diabetes\t(\nNIH,\tNational\tDiabetes\tEducation\tProgram,\t2018b\n).\nThe\tsteps\tto\tprevention\tand\thealth\tpromotion,\teven\twhen\tsmall,\tare\tpersonal\tresponsibilities\tthat\ncannot\tbe\tlegislated.\tAmericans\thave\tmany\tchoices:\twhat\tand\twhere\tthey\teat,\twhere\tthey\treceive\ntheir\tinformation,
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their\tinformation,\n\tand\twhat\tthey\tinclude\tor\texclude\tfrom\ttheir\tlifestyle.\tAdults\tvalue\tchoice\tand\tfood\nselection\tas\ta\tright,\teven\tif\tit\tleads\tto\tpoor\thealth,\tchronic\tdisease,\tor\tdeath.\tSome\tmessages\tare\ndirected\tat\treaching\tadults\twhere\tthey\tlive\tand\twork.\tFor\tthe\tworking\tadult\tpopulation,\tmuch\tof\tthe
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day\tis\ttied\tto\ta\tworksite.\tThere\tare\tincreasing\tefforts\tin\tthe\tprivate\tand\tpublic\tsectors\tto\tpromote
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positive\n\twork\tsite\tnutrition-related\tbehaviors\tand\tprograms.\nFood\ttrends\tand\tpatterns\nWhere\tone\teats,\twho\tprepares\tit,\tand\thow\tmuch\tis\tconsumed\tare\tpatterns\tof\tbehavior\tand\tchoice.\nThere\tis\tno\tstereotypical\t“adult”\tlifestyle.\tAdults\tmay\tbe\tsingle\tor\tpartnered,\twith\tor\twithout
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processed\twith\tfresh\tingredients),\tor\tmore\tfood\tprepared\tout\tof\tthe\thome.\tToday’s\teconomic\tclimate\nand\tchanging\tdietary\trecommendations\tpresent\tnew\tchallenges.\tThe\tnutrient-dense\tapproach\tis\nessential\tbecause\tenergy\tneeds\tdecrease\n\tas\tage\tincreases.\tReaching\tmen\tand\twomen\twith\tan
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United\tStates.\nDietary\tchanges\thave\taffected\tnutrition\tand\talready\tare\treflected\tin\tthe\tcurrent\tconcerns\tfor\nweight\tand\tnutrient\timbalances.\tThe\t2015\tDGA\tand\tMyPlate\t(see\t\nChapter\t10\n)\tcan\tbe\tviewed\tas\nattempts\tto\tput\tmore\temphasis\ton\tbasic\tfoods\tthat\tare\tnutrient\tdense\trather\tthan\tcalorie\tdense\tand
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2015\tDGA\tand\tinclude\ta\tpredominance\tof\tcarbohydrates\tas\tadded\tsugar\tand\trefined\tgrains.\tFruit\nand\tvegetable\tguidelines\tare\tnot\tbeing\tmet,\talthough\tincreases\tare\tbeing\tnoted.\n\tAlthough\tchicken\nand\tfish\tservings\thave\tincreased,\tanimal\tsources\toutweigh\tplant-based\tprotein\tsources.\tHealth
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guidelines\tcontinue\tto\tmove\tin\tthe\tdirection\tof\tincreasing\tplant-based\tfoods.\tKey\tnutrients\tthat\tmay\nbe\tin\tshort\tsupply\tare\tcalcium,\tmagnesium,\tand\tpotassium;\tthe\tantioxidants\tvitamins\tA,\tC,\tand\tE;\nand\tvitamin\tD\t(\nUSDHHS,\t2018a\n).\tAccessing\tinformation\tbuilding\tto\tthe\t2015\tDGA\t(Scientific\n\tReport
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).\tAccessing\tinformation\tbuilding\tto\tthe\t2015\tDGA\t(Scientific\n\tReport\nof\tthe\t2015\tDGA\tAdvisory\tCommittee)\twill\tgive\ta\tclearer\tpicture\t(\nHealth.Gov,\t2018\n).\nNutritional\tsupplementation\nA\tposition\tof\tthe\tAND\t(formerly\tthe\tAmerican\tDietetic\tAssociation)\tis\tthat\tthe\tbest\tnutritional
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strategy\tfor\tpromoting\toptimal\thealth\tand\treducing\tthe\trisk\tof\tchronic\tdisease\tis\tto\tchoose\ta\tvariety\nof\tnutrient-rich\tfoods.\tAdditional\tnutrients\tfrom\tfortified\tfoods\tand\tsupplements\n\thelp\tpeople\tmeet\ntheir\tnutritional\tneeds\tas\tspecified\tby\tscience-based\tnutrition\tstandards\tsuch\tas\tthe\tDRI\t(\nAND,\n2009a
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AND,\n2009a\n).\tIn\tmaking\tthis\tstatement,\tthe\tAND\tputs\tfood\tfirst\tbut\tleaves\tthe\tdoor\topen\tfor\tthose\twith\nspecific\tnutrient\tneeds,\tidentified\tthrough\tassessment\tby\ta\tdietetics\tor\thealth\tprofessional,\tto\tbe\nnutritionally\tsupplemented.\nTraditionally,\tone\tthinks\tof\tvitamins\tand\tminerals,\tfiber,\n\tand\tprotein\tas\tnutrient\tsupplements,
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and\tprotein\tas\tnutrient\tsupplements,\ngenerally\tin\ta\tpill,\tcapsule,\tor\tliquid\tform.\tThe\tDRIs\tare\tthe\tstandards\tused\twith\tmost\tadults.\nHowever,\tfood\tfortification\tis\tanother\tform\tof\tnutrient\tsupplementation.\tThe\tlevel\tof\tfortified\tfoods\n(such\tas\tenergy\tbars,\tsports\tdrinks,\tsmoothies,\tor\tingredients\tfor\tfortification)\tin\tthe\tmarketplace
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puts\tanother\tlayer\tof\tpotential\tnutrient\tsources\tin\tthe\tmix\twith\n\ttraditional\tsupplements.\tLess\ntraditional\tsupplements\tsuch\tas\therbals\tand\tother\tnatural\tdietary\t“enhancers”\tare\tadded\tto\tthe\narray\tof\tsupplements\tavailable\tto\tconsumers.\tInformation\tcontinues\tto\tbuild\ton\tthe\tsafety\tof\tsome\tof
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the\tingredients\tused\tto\tfortify\tor\tsupplement.\tExamples\tinclude\tthe\t2014\treport\ton\tthe\tsafety\tof\ncaffeine\tadded\tto\tfoods\tand\tsupplements\tand\tthe\tongoing\tupdates\tfrom\tthe\n\tNIH,\tODS,\tand\tNational\nCenter\tfor\tComplementary\tand\tIntegrative\tHealth\t(\nIOM,\t2014\n;\t\nNIH,\t2016\n;\t\nNIH,\tNCCIH,\t2018a\n).
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IOM,\t2014\n;\t\nNIH,\t2016\n;\t\nNIH,\tNCCIH,\t2018a\n).\nEither\tbecause\tof\tchoice,\taccess,\tor\thealth-related\tissues,\tAmericans\tmay\tnot\tmeet\tthe\tdietary\nrecommendations\tfor\tpromoting\toptimal\thealth.\tSeveral\tsegments\tof\tthe\tadult\tpopulation\tfall\tinto\nhigh-risk\tgroups\twho\tare\tunlikely\tto\tmeet\ttheir\tnutrient\tneeds\tbecause\tof\tlife\tstage\t(e.g.,
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nutritional\tsupplement\t(\nAND,\t2009a\n,\t\n2013b\n).\nFunctional\tfoods\nArticles\tand\tnews\treports\thave\tattributed\tmany\tbenefits\tto\twhat\tare\tknown\tas\t\nfunctional\tfoods\n.\tIn\nthe\t1980s\tthe\tJapanese\tgovernment\tcreated\n\ta\tclass\tof\tfoods\tthey\tlabeled\tas\tfunctional,\tmeaning\tthat
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functional\tfoods,\tbut\tthe\tAND\tdefines\tthem\tas\t“whole\tfoods\talong\twith\tfortified,\tenriched,\tor\nenhanced\tfoods\tthat\thave\ta\tpotentially\tbeneficial\teffect\ton\thealth\twhen\tconsumed\tas\tpart\tof\ta\tvaried\ndiet\ton\ta\tregular\tbasis\tat\teffective\tlevels\tbased\n\ton\tsignificant\tstandards\tof\tevidence.”\tAdults
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of\tthe\tfoods\tthey\tbuy.\tOne\tresult\tis\tan\tincrease\tin\tsales\tof\tfunctional\tfoods\tand\tbeverages.\tSloan\nnotes\tthat\tyoung\tadults,\tages\t18\tto\t24,\tare\tthe\ttop\tusers\tof\tfunctional\n\tfoods\tand\tbeverages.\tThis\nincrease\tin\tsales\tof\tthese\tfoods\tand\tbeverages\tis\trelated\tto\tthe\tsearch\tfor\thealthier\tfoods\tfrom
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familiar\tstaples\twith\tbetter\thealth\tprofiles\tas\twell\tas\toptions\tfor\tindividual\tnutrients\t(\nSloan,\t2012\n).\nIn\ta\t2013\tposition\tpaper\ton\tfunctional\tfoods,\tthe\tAND\tnotes\tall\tfood\tis\tfunctional\tat\tsome\tlevel,\tbut\nthere\tis\tgrowing\tevidence\tof\tcomponents\tin\tfood\tbeyond\ttraditional\n\tnutrients\t(\nAND,\t2013a\n).
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0.07963409274816513, 0.028865620493888855, 0.08753954619169235, 0.0747232437133789, -5.368215383327879e-8, -0.016752999275922775, -0.06213848665356636, -0.000053295927500585094, -0.017160730436444283, 0.05937094986438751, -0.036905091255903244, 0.04282601550221443, 0.06317457556724548, -0.006749696098268032, -0.028698643669486046, 0.05256764963269234, 0.08902950584888458, -0.08481381088495255, -0.048111461102962494, 0.0668950080871582, 0.007899602875113487, -0.006497139111161232, 0.05629635229706764, -0.05093659833073616, -0.04512684792280197, 0.0037419800646603107, 0.09569674730300903, -0.007816467434167862, 0.01346977986395359, -0.052131056785583496, -0.029236409813165665, -0.03762524202466011, 0.004673679359257221, 0.050593357533216476, 0.051284871995449066, 0.051755890250205994, -0.02846326120197773, 0.002096890937536955, -0.0848606675863266, -0.01809592731297016, 0.044001296162605286, -0.030828937888145447, -0.03438786044716835, -0.04617948457598686, 0.08277364820241928, 0.0030559380538761616, -0.021783897653222084, -0.04079712554812431, 0.08840332925319672, 0.09920850396156311, -0.05769718438386917, -0.03677074611186981, 0.10071993619203568, -0.009532023221254349, -0.056966520845890045, -0.013963274657726288, 0.1393871158361435, 0.03903016820549965, 0.02273450419306755, -0.0339566245675087, 0.02392442524433136, 0.06343215703964233, 0.00995276216417551, 0.024676505476236343, 0.02976028062403202, 0.049347106367349625, 0.10783829540014267, 0.0831671804189682, 0.00716448575258255 ]
nutrients\t(\nAND,\t2013a\n).\nExamples\tof\tlarge\tclasses\tof\tfunctional\tfoods\tare\tconventional\tfoods,\tsuch\tas\twhole\tgrains,\tfruits,\nvegetables,\tand\tnuts,\tas\twell\tas\tmodified\tfoods\tlike\tsports\tdrinks,\tbars,\tyogurt,\tcereal,\tand\torange\njuice.\tThese\tare\texamples\tof\tfoods\tbelieved\tto\thave\tbenefits\tbeyond\ttheir\tusual\tnutrient\tvalue\t(\nAND,\n2013a\n;\t\nIFIC,\t2018
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AND,\n2013a\n;\t\nIFIC,\t2018\n).\tFunctional\tfoods\tcan\tinclude\twhole\tfoods\tas\twell\tas\n\tthose\tthat\tare\tfortified,\nenriched,\tor\tenhanced\tby\tthe\taddition\tof\tfood\tcomponents\tor\tnutrients.\nProviding\tthis\tinformation\tto\tthe\tsegment\tof\tthe\tadult\tpopulation\tlooking\tfor\tways\tto\tenhance
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health\tnot\tonly\tgains\tthe\tadults’\tattention\tbut\talso\ttakes\tnutrition\tguidance\tto\ta\thigher\tlevel.\nResearch\tcontinues\tto\tprovide\tinformation\ton\tdietary\tpatterns\tand\tcomponents\tof\tfoods\tthat\tmay\nhave\tadded\tbenefits\n\tfor\thealth.\tHelping\tto\tlower\tblood\tcholesterol\tor\tcontrol\tblood\tglucose,\tserving
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as\tan\tantioxidant\tor\tscavenger\tagainst\tharmful\tcomponents,\tpromoting\ta\thealthy\tgastrointestinal\ntract,\tor\tstimulating\tactivity\tof\tdetoxification\tenzyme\tsystems\tin\tthe\tliver\tare\texamples\tof\tbenefits\nbeing\treported\tand\tresearched\tfor\tvalidity.\nPhytochemicals\n\tor\t\nphytonutrients\n\t(from\tthe\tGreek\tword\t\nphyto\n,\tmeaning\t“plant”)\n\tare
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phytonutrients\n\t(from\tthe\tGreek\tword\t\nphyto\n,\tmeaning\t“plant”)\n\tare\nbiologically\tactive\tand\tnaturally\toccurring\tchemical\tcomponents\tin\tplant\tfoods.\tIn\tplants,\nphytochemicals\tact\tas\tnatural\tdefense\tsystems\tfor\ttheir\thost\tand\toffer\tprotection\tagainst\tmicrobial
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invasions\tor\tinfections.\tThey\talso\tprovide\tcolor,\taroma,\tand\tflavor,\twith\tmore\tthan\t2000\tplant\npigments\tidentified.\tThese\tinclude\tflavonoids,\tanthocyanins,\tand\tcarotenoids.\tFunctional\tfoods\thave\nbecome\n\ta\tfavorite\ttopic\tof\tthe\tconsumer\tpress,\twhich\toften\texaggerate\tthe\tbenefit\tof\tthe\tfood\t(see\nFocus\tOn:\n\tChocolate:\tA\tFunctional\tFood?
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Focus\tOn:\n\tChocolate:\tA\tFunctional\tFood?\n).\tAs\tpart\tof\thuman\tconsumption,\tphytonutrients\tcan\thave\nantioxidant,\tdetoxification,\tand\tantiinflammatory\tfunctions\tin\tthe\tbody.\n\t\nFocus\tOn\nChocolate:\tA\tFunctional\tFood?\nChocolate\tcan\tbe\n\tconsidered\ta\thealthy\tfood,\tas\tlong\tas\tit\tis\teaten\tin\tmoderation.\tWhite\tchocolate
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