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neutral\tand\tmay\teven\tbe\tpositive.\tHowever,\tit\tis\ta\tcalorie\tsource.\n•\t\nChocolate\tis\ta\tsource\tof\tflavonoids,\n\tnaturally\toccurring\tcompounds\tthat\tserve\tas\nantioxidants.\tKnown\tas\tpolyphenols,\tthese\tare\tthe\tsame\tantioxidants\tfound\tin\ttea,\tred\twine,\nand\tsome\tfruits\tand\tvegetables.\tThese\tcompounds\tgive\tchocolate\tits\trich\tcolor\tas\twell\tas | [
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potential\thealth\tbenefits.\tDark\tchocolate\thas\tthe\tmost\tflavonoids.\n•\t\nIt\tis\tbelieved\tflavonoids\thelp\tthe\tbody\trepair\tdamage\tto\tcells\tand\tmay\teven\tprovide\ta\nprotective\tshield.\n•\t\nChocolate\tis\talso\ta\tsource\tof\tplant\tsterols,\tB\tvitamins,\tmagnesium,\tand\tpotassium,\tall\twith\npotential\theart-health\tbenefits.\n• | [
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potential\theart-health\tbenefits.\n•\t\nChocolate\tcan\tpotentially\timprove\tmood\tbecause\tcocoa\tis\tbelieved\tto\thave\ta\tpositive\teffect\non\tboosting\tendorphin\tand\tserotonin\tlevels\tin\tthe\tbrain.\n•\t\nThere\tare\tsome\tpotential\tnegatives\talong\twith\tthe\tpotential\tof\tan\tallergic\treaction:\nCocoa\tis\ta\tsource\tof\toxalates. | [
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Cocoa\tis\ta\tsource\tof\toxalates.\n\tFor\tsome\tthis\tcan\tbe\ta\ttrigger\tfor\tcertain\ttypes\tof\tkidney\nstones.\nCaffeine\tis\tpresent\tin\tchocolate\twith\tdark\tchocolate\ttaking\tthe\tlead\tand\tmilk\tchocolate\tat\nabout\tone\tthird\tthe\tamount\tof\tthe\tdark\tchocolate.\tThis\tis\ta\tstimulant\twith\tvarying\neffects\tbased\ton\tyour\thealth\tand\tthe\tamount\tconsumed. | [
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effects\tbased\ton\tyour\thealth\tand\tthe\tamount\tconsumed.\nDark\tchocolate\tis\ta\tsource\tof\ttyramine,\talso\tpresent\tin\tred\twine,\tand\tsome\tfermented\nand\taged\tfoods.\n\tStill\tunder\tinvestigation\tbut\tworth\tnoting\tis\tthe\tpotential\tfor\ttriggering\nmigraine\theadaches.\nChocolate\tis\toften\tin\tfoods\twith\texcessive\tcalories.\tAdded\tsugar\tand\tfat\tin\tpopular | [
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dysphagia\nfood\tfirst\nfunctionality\ngeriatrics\ngerontology\nglaucoma\nhome-\tand\tcommunity-based\n\tservices\t(HCBS)\twaivers\nhospice\tcare\nhyposmia\ninstrumental\tactivities\tof\tdaily\tliving\t(IADLs)\nlong-term\tservices\tand\tsupports\t(LSS)\nMini\tNutrition\tAssessment\t(MNA)\nMinimum\tData\tSet\t(MDS)\nNational\tPressure\tUlcer\tAdvisory\tPanel\t(NPUAP)\npalliative\tcare | [
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number\tof\tolder\tpersons\tworldwide\tis\tprojected\tto\tbe\t1.4\tbillion\tin\t2030\tand\tcould\trise\tto\t3.1\n\tbillion\nin\t2100\t(\nUnited\tNations\tWorld\tPopulation\tAging\tReport,\t2017\n).\tPopulation\taging,\tnow\ta\tglobal\nphenomenon,\tis\tno\tlonger\tlimited\tto\tdeveloped,\thigher-income\tcountries. | [
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functionally\tfit\tlives\tthan\tever\tbefore.\t\nFig.\t19.1\n\tshows\tolder\tadults\tinvolved\tin\tphysical\tactivities.\nThose\tborn\ttoday\tcan\texpect\n\tto\tlive\tan\taverage\tof\t80\tyears.\tWomen\twho\treach\tage\t65\tcan\texpect\tto\nlive\tan\tadditional\t20.4\tyears,\tand\tmen,\t17.8\tyears.\tBy\tthe\tyear\t2050\tthe\tpopulation\tolder\tthan\tage\t65 | [
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will\tgrow\tfrom\tapproximately\t44\tmillion\tto\t84\tmillion,\tincreasing\tfrom\t14%\tto\t21%\tof\tthe\tpopulation.\nThe\tfastest-growing\tsegment\tis\tthose\tolder\tthan\tage\t85,\tcurrently\t6\tmillion\tand\tincreasing\tto\t18\nmillion\tin\t2050.\tMembers\tof\n\tminority\tgroups\talso\twill\tincrease\tfrom\t21%\tto\tmore\tthan\t39%\tof\tthe\nolder\tpopulation\t(\nColby\tand\tOrtman,\t2014\n; | [
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older\tpopulation\t(\nColby\tand\tOrtman,\t2014\n;\t\nOrtman\tet\tal,\t2014\n)\t(\nFigs.\t19.2\n\tand\t\n19.3\n).\nFIG.\t19.1\nActive\tolder\tadults.\nFIG.\t19.2\nPopulation\tages\t65\tand\tolder:\t1900\tto\t2060. | [
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FIG.\t19.3\nPopulation\tage\t65\tand\tover,\tby\trace\tand\tHispanic\torigin,\t2010\tand\tprojected\t2050.\tNote:\tThe\tterm\nnon-Hispanic\twhite\talone\tis\tused\tto\trefer\tto\tpeople\twho\treported\tbeing\twhite\tand\tno\tother\trace\tand\twho\tare\nnot\tHispanic.\tThe\tterm\tblack\talone\tis\tused\tto\trefer\tto\tpeople\twho\treported\tbeing\tblack\tor\tAfrican\tAmerican | [
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and\tno\tother\trace,\tand\tthe\tterm\tAsian\talone\tis\tused\tto\trefer\tto\tpeople\twho\n\treported\tonly\tAsian\tas\ttheir\trace.\nThe\tuse\tof\tsingle-race\tpopulations\tin\tthis\tchart\tdoes\tnot\timply\tthat\tthis\tis\tthe\tpreferred\tmethod\tof\tpresenting\nor\tanalyzing\tdata.\tThe\tU.S.\tCensus\tBureau\tuses\ta\tvariety\tof\tapproaches.\tThe\trace\tgroup\t“All\tother\traces | [
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alone\tor\tin\tcombination”\tincludes\tAmerican\tIndian\tand\tAlaska\tNative\talone;\tNative\tHawaiian\tand\tother\tPacific\nIslander\talone;\tand\tall\tpeople\twho\treported\n\ttwo\tor\tmore\traces.\tReference\tpopulation:\tThese\tdata\trefer\tto\tthe\nresident\tpopulation.\n\t\nSource:\n\t(U.S.\tCensus\tBureau:\t2010\tCensus\tSummary\tFile\t1;\tTable\t4. | [
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Source:\n\t(U.S.\tCensus\tBureau:\t2010\tCensus\tSummary\tFile\t1;\tTable\t4.\n\t\nhttp://www.census.gov/prod/cen2010/doc/sf1.pdf\n,\t2011.)\nThe\tyear\t2030\tmarks\tan\timportant\tdemographic\tturning\tpoint\tin\tU.S.\thistory\taccording\tto\tthe\tU.S.\nCensus\tBureau’s\t2017\tNational\tPopulation\tProjections.\tBy\t2030,\tall\tbaby\tboomers\twill\tbe\n\tolder\tthan | [
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45%\tof\tolder\twomen\tare\tmarried\t(\nOrtman\tet\tal,\t2014\n).\tAlmost\thalf\t(45%)\tof\twomen\tover\tage\t75\tlive\nalone;\tthus\tmore\tmen\tdie\tmarried\tand\tmost\twomen\tdie\tunmarried.\nClassification\nEveryone\tknows\tpeople\tolder\tthan\n\tthemselves,\tbut\tthose\tconsidered\t“old”\tdepends\ta\tlot\ton\tone’s | [
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unique,\tand\tmany\tof\tthem\tstill\tlive\tindependently\t(see\t\nFocus\tOn:\n\tCentenarians...\tLife\tin\tthe\tBlue\nZone\n).\nGerontology,\tgeriatrics,\tand\tthe\tspectrum\tof\taging\nGerontology\n\tis\tthe\tstudy\tof\tnormal\taging,\tincluding\tfactors\tin\tbiology,\tpsychology,\n\tand\tsociology.\nGeriatrics | [
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and\tsociology.\nGeriatrics\n\tis\tthe\tstudy\tof\tthe\tchronic\tdiseases\tfrequently\tassociated\twith\taging,\tincluding\tdiagnosis\nand\ttreatment.\tAlthough\tmedical\tnutrition\ttherapy\tcommonly\thas\tbeen\tpracticed\tin\thospitals\tand\nlong-term\tcare\tfacilities,\tnutrition\tservices\thave\tmoved\tout\tof\thospitals\tand\tinto\thomes\tand | [
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Secondary\tprevention\tinvolves\trisk\treduction\tand\tslowing\tthe\tprogression\tof\tchronic\tnutrition-\nrelated\tdiseases\tto\tmaintain\tfunctionality\tand\tquality\tof\tlife.\tFunctionality\tas\n\trelated\tto\tstrength\tand\nmobility\tis\tperceived\tas\ta\tpositive\tway\tto\tdiscuss\tfitness\tversus\tdisability\tand\tdependence.\n\t\nFocus\tOn\nCentenarians...\tLife\tin\tthe\tBlue\tZone | [
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Focus\tOn\nCentenarians...\tLife\tin\tthe\tBlue\tZone\nCentenarians\tare\ta\tgrowing\tsegment\tof\tolder\tadults\tin\tthe\tUnited\tStates\tand\tin\tother\tdeveloped\nnations,\tincluding\tJapan.\tThe\tworldwide\testimate\tof\tcentenarians\n\tis\t450,000.\tThe\tU.S.\tCensus\nBureau\testimated\tfor\t2009\tthere\twere\tabout\t65,000\tcentenarians\tand\tthat\tthere\twill\tbe\tmore | [
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than\t1\tmillion\tby\t2050.\tAs\twith\tthe\taging\tpopulation\tas\ta\twhole,\twomen\trepresent\t85%\tof\tthe\nlong\tlived.\tA\tnew\tgroup\tof\tindividuals\tolder\tthan\tage\t110,\tsupercentenarians,\thave\tsufficient\nnumbers\tto\tmerit\tdedicated\tresearch.\nWhat\tis\tknown\tabout\textremely\tlong-lived\tindividuals?\n\tCentenarians\tgenerally\thave\tdelays\tin | [
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Centenarians\tgenerally\thave\tdelays\tin\nfunctional\tdecline.\tThey\talso\ttend\tto\teither\tnever\tdevelop\ta\tchronic\tdisease\tor\tdevelop\tone\tlate\tin\nlife.\tMuch\thas\tbeen\twritten\tabout\tlongevity\tin\tthe\tsouthern\tJapanese\tof\tOkinawa.\tThe\tongoing\nOkinawa\tCentenarian\tStudy\tsuggests\tthat\tlow\tcaloric\tintake\tmay\tproduce\tfewer\tdestructive\tfree | [
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living\tlonger\tand\tliving\tmeasurably\tbetter.\tThey\tcalled\tthese\tareas,\twhere\tpeople\treach\tthe\tage\tof\n100\tat\trates\t10\ttimes\tgreater\tthan\tin\tthe\tUnited\tStates,\tthe\t\nBlue\tZones\n.\tOne\tsuch\tcommunity\tis\nOkinawa.\tOthers\n\tinclude\tthe\tNicoya\tPeninsula\tin\tCosta\tRica,\tIkaria\tin\tGreece,\tand\tSardinia\tin | [
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Italy.\tOnly\tone\tBlue\tZone\texists\tin\tthe\tUnited\tStates,\tthe\tLoma\tLinda\tcommunity\tin\tCalifornia.\nResidents\tof\tLoma\tLinda\tboast\tthe\tlongest\tlife\tspans\tin\tAmerica,\tliving\ton\taverage\ta\tdecade\nlonger\tthan\tother\tAmericans.\tThese\tBlue\tZone\tgroups\thave\tbeen\tfound\tto\thave\tcommon\ncharacteristics\trelated\tto\tfood:\tvery\tlittle\tanimal | [
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have\tfirst-degree\trelatives\tor\tgrandparents\twho\talso\tachieved\tvery\told\tage,\tand\tmany\thave\nexceptionally\told\tsiblings\t(\nBuettner\tand\tSkemp,\t2016\n).\nIn\ttertiary\tprevention,\tcare/case\tmanagement\tand\tdischarge\tplanning\toften\tinvolve\tchewing\tand\nappetite\tproblems,\tmodified\tdiets,\tand\tfunctional\tlimitations.\tComplex\tcases\toften\tare\tinfluenced\tby | [
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nutrition\tissues\tthat\tmust\tbe\taddressed;\tcare\tmanagers\n\tcan\tbenefit\tfrom\tconsulting\twith\tdietitians.\nIn\tsome\tcircumstances\tdietitians\tare\tthe\tcase\tmanagers.\nTheories\ton\taging\nGerontologists\tstudy\taging\tand\thave\tdiverse\ttheories\tabout\twhy\tthe\tbody\tages.\tNo\tsingle\ttheory\tcan\nfully\texplain\tthe\tcomplex\tprocesses\tof\taging\t(\nPark\tand\tFestini,\t2017 | [
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fully\texplain\tthe\tcomplex\tprocesses\tof\taging\t(\nPark\tand\tFestini,\t2017\n).\tA\tgood\ttheory\tintegrates\nknowledge\tand\ttells\thow\tand\twhy\tphenomena\tare\trelated.\tBroadly,\ttheories\tcan\tbe\n\tgrouped\tinto\ttwo\ncategories:\tpredetermined\t(genetic)\tand\taccumulated\tdamage.\tA\tloss\tof\tefficiency\tcomes\tabout\tas | [
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0.06732816994190216,
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0.0625528022646904,
0.0945524200797081,
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0.08376962691545486,
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0.007671782281249762,
0.09046707302331924,
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0.03295690566301346,
0.05691945180296898,
0.046771056950092316,
0.015505773946642876,
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0.05875573307275772,
0.08585361391305923,
0.07765043526887894,
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] |
some\tcells\twear\tout,\tdie,\tor\tare\tnot\treplaced.\tIdentification\tof\tthe\tmechanisms\tthat\taffect\taging\ncould\tlead\tto\tinterventions\tthat\tslow\tor\talter\taging.\tMost\tlikely\tseveral\ttheories\texplain\tthe\nheterogeneity\tin\tolder\tpopulations\t(\nTable\t19.1\n). | [
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0.06832532584667206,
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] |
TABLE\t19.1\nPredetermination\tand\tAccumulated\n\tDamage\tTheories\ton\tAging\nTheory\nDescription\nPredetermination:\n\tBuilt-in\tmechanism\tdetermines\twhen\taging\tbegins\tand\ttime\tof\tdeath\nPacemaker\ttheory\n“Biologic\tclock”\tis\tset\tat\tbirth,\truns\tfor\ta\tspecified\ttime,\twinds\tdown\twith\naging,\tand\tends\tat\tdeath.\nGenetic\ttheory\nLife\tspan\tis\tdetermined\tby\theredity. | [
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Genetic\ttheory\nLife\tspan\tis\tdetermined\tby\theredity.\nRate\tof\tliving\ttheory\nEach\tliving\tcreature\thas\ta\tfinite\tamount\tof\ta\t“vital\tsubstance,”\tand,\twhen\tit\tis\nexhausted,\n\tthe\tresult\tis\taging\tand\tdeath.\nOxygen\tmetabolism\ntheory\nAnimals\twith\tthe\thighest\tmetabolisms\tare\tlikely\tto\thave\tthe\tshortest\tlife\tspans.\nImmune\tsystem\ttheory | [
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them\tout\tand\tultimately\tcausing\tdeath.\nFree\tradical\ttheory\nAccumulated,\trandom\tdamage\tcaused\tby\toxygen\n\tradicals\tslowly\tcauses\tcells,\ntissues,\tand\torgans\tto\tstop\tfunctioning.\nSomatic\tmutation\ttheory\nGenetic\tmutations\tcaused\tby\toxidizing\tradiation\tand\tother\tfactors\taccumulate\nwith\tage,\tcausing\tcells\tto\tdeteriorate\tand\tmalfunction.\nTelomere\tlength | [
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Telomere\tlength\nTelomeres\tprotect\tand\tcap\tlinear\tchromosome\tends.\tShort\ttelomeres\thave\tbeen\nassociated\twith\tmany\tage-related\tconditions.\nDNA\n;\tDeoxyribonucleic\n\tacid.\nPhysiologic\tchanges\nAging\tis\ta\tnormal\tbiologic\tprocess.\tHowever,\tit\tinvolves\tsome\tdecline\tin\tphysiologic\tfunction.\tOrgans | [
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change\twith\tage.\tThe\trates\tof\tchange\tdiffer\tamong\tindividuals\tand\twithin\torgan\tsystems.\tIt\tis\nimportant\tto\tdistinguish\tbetween\tnormal\tchanges\tof\taging\tand\tchanges\tcaused\tby\tchronic\tdiseases\nlike\theart\tdisease,\tdiabetes,\tand\tarthritis.\nThe\thuman\tgrowth\tperiod\tdraws\n\tto\ta\tclose\tat\tabout\tage\t30,\twhen\tsenescence\tbegins.\t\nSenescence | [
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part\tof\tgrowing\tolder.\tThese\tchanges\tresult\tin\tvarying\tdegrees\tof\tefficiency\tand\tfunctional\tdecline.\nFactors\tsuch\tas\tgenetics,\tillnesses,\n\tsocioeconomics,\tand\tlifestyle\tdetermine\thow\taging\tprogresses\tfor\neach\tperson.\tIndeed,\tone’s\toutward\texpression\tof\tage\tmay\tor\tmay\tnot\treflect\tone’s\tchronologic\tage, | [
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and\tageist\tstereotypes\tshould\tbe\teliminated.\tThe\toldest\twoman\tto\thave\tfinished\ta\tmarathon\twas\nGladys\tBurrill\tin\t2012\twho\twas\t93—and\tshe\tdidn’t\tstart\trunning\tmarathons\tuntil\ther\tmid-80s.\tJaring\nTimmerman\tbegan\tcompetitive\tswimming\tat\n\t79\tand\tbroke\trecords\tin\t2014\tat\tage\t104.\nBody\tcomposition | [
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recently\tpublished\t(\nDent\tet\tal,\t2018\n).\tIncluded\tis\ta\tmeasurement\ttool\tthat\twould\tstandardize\ndiagnosis\tof\tsarcopenia,\tsomething\tthat\thas\tthus\tfar\tnot\tbeen\tagreed\ton.\tAlso\tincluded\tis\ta\nrecommendation\tfor\trapid\tscreening\tusing\tgait\tspeed.\tTreatment\trecommendations\tfor\tsarcopenia\ninclude\tthe\tprescription\tof\tresistance-based\tphysical\tactivity,\tand | [
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include\tthe\tprescription\tof\tresistance-based\tphysical\tactivity,\tand\n\ta\tconditional\trecommendation\tfor\nprotein\tsupplementation/a\tprotein-rich\tdiet.\tThe\tproposed\tterm\t“skeletal\tmuscle\tfunction\tdeficit”\nbest\tdescribes\tthe\tvariety\tof\tmuscular\tconditions\tthat\tcontribute\tto\tclinically\tmeaningful\tmobility\nimpairment\t(\nCorrea-de-Araujo\tand\tHadley,\t2014 | [
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impairment\t(\nCorrea-de-Araujo\tand\tHadley,\t2014\n).\tAll\tlosses\tare\timportant\tbecause\tof\tthe\tclose\nconnection\tbetween\tmuscle\tmass\tand\tstrength.\tBy\tthe\tfourth\tdecade\tof\tlife,\n\tevidence\tof\tsarcopenia\nis\tdetectable,\tand\tthe\tprocess\taccelerates\tafter\tapproximately\tage\t75.\tPrevention\tstrategies\tdeserve | [
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emphasis\tbecause\tof\tthe\tstrong\trelationships\tof\tsarcopenia\tto\tfunctional\tdecline,\tdisability,\nhospitalization,\tinstitutionalization,\tand\tmortality\t(\nLitchford,\t2014\n).\nSarcopenic\tobesity\n\tis\tthe\tloss\tof\tlean\tmuscle\tmass\tin\tolder\tpersons\twith\texcess\tadipose\ttissue.\nTogether | [
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Together\n\tthe\texcess\tweight\tand\tdecreased\tmuscle\tmass\texponentially\tcompound\tto\tfurther\tdecrease\nphysical\tactivity,\twhich\tin\tturn\taccelerates\tsarcopenia.\tAn\textremely\tsedentary\tlifestyle\tin\tobese\npersons\tis\ta\tmajor\tdetractor\tfrom\tquality\tof\tlife.\nSedentary\tlifestyle\tchoices\tcan\tlead\tto\t\nsedentary\tdeath\tsyndrome\t(SeDS)\n,\ta\tphrase\tcoined\tby | [
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sedentary\tdeath\tsyndrome\t(SeDS)\n,\ta\tphrase\tcoined\tby\nthe\tPresident’s\tCouncil\ton\tSports,\tFitness,\tand\tNutrition.\tIt\tdescribes\n\tthe\tlife-threatening\thealth\nproblems\tcaused\tby\ta\tsedentary\tlifestyle.\tSedentary\tlifestyle\tcan\tbe\tdefined\tas\ta\tlevel\tof\tinactivity | [
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person\tremains\tactive\tby\tlimiting\tthe\tdevelopment\tand\tprogression\tof\tchronic\tdisease.\tThere\tis\nemerging\tevidence\tthat\tsuggests\tboth\tpsychological\tand\tcognitive\tbenefits\tfrom\tregular\texercise\tin\nolder\tadults.\tAccording\tto\tthe\tAmerican\tCollege\tof\tSports\tMedicine,\tthe\texercise\tprescription\tfor\nolder\tadults\tshould | [
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older\tadults\tshould\n\tinclude\taerobic\texercise,\tmuscle\tstrengthening\texercise,\tand\tflexibility\texercise.\nThe\tCenters\tfor\tDisease\tControl\tand\tPrevention\t(CDC)\tquantifies\tthe\tamount\tof\texercise\tolder\tadults\nneed\tand\tthe\tNational\tInstitute\ton\tAging\t(NIA)\thas\ta\tguide\tfor\tphysical\tactivity\t(\nCDC,\t2013\n;\t\nNIA,\n2010\n). | [
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conditions,\tthey\tshould\tbe\tas\tphysically\tactive\tas\tthey\tare\table.\nTaste\tand\tsmell\nSensory\tlosses\n\taffect\tpeople\tto\tvarying\tdegrees,\tat\tvarying\trates,\tand\tat\tdifferent\tages.\tGenetics,\nenvironment,\tand\tlifestyle\tare\tpart\tof\tthe\tdecline\tin\tsensory\tcompetence.\tAge-related\talterations\tto | [
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impair\tthese\tmetabolic\tprocesses\tas\twell.\nHearing\tand\teyesight\nWhile\thearing\tloss\tis\tnot\tthe\tonly\tcondition\tthat\timpedes\ta\tcaregiver’s\tability\tto\tcommunicate\twith\ntheir\tpatients,\tthere\tis\tno\tquestion\tthat\tthe\tcommunication\tbarriers\tit\timposes\tare\tamong\tthe\tmost\nimpactful.\tFor | [
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impactful.\tFor\n\tmillions\tof\tolder\tAmericans,\tmany\tof\twhom\tare\tamong\tthe\toldest-old,\thearing\tloss\nstrips\taway\tthe\topportunity\tfor\tclinicians\tand\tcaregivers\tto\tshare\tinformation\tsimply\tby\tspeaking.\tAs\nhearing\tworsens,\tthe\texchange\tand\tflow\tof\tinformation\tslows\tto\ta\ttrickle,\tand\tconversation\tand | [
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discussion\tsimply\tstop.\tThe\tconsequences\tare\tknown\tto\tbe\tbroadly\tnegative\tfor\tpatients\tand\ncaregivers\talike.\nThe\t\nWHO\t(March\t2018)\n\thas\testimated\tthat\t360\tmillion\tpeople\tworldwide\thave\thearing\tloss\tthat\tis\nmoderate\tor\thigher\tin\tseverity\t(what\tthe\tWHO\trefers\tto\tas\t“disabling”\thearing\tloss).\tIn\tthe\tUnited\nStates,\tan\testimated\t40\tmillion\tpeople\t( | [
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distance\tto\tbe\theard.\tFor\tthose\twith\tsevere\thearing\tloss,\tspeech\tbecomes\tlargely\tunintelligible\tand\neven\tthe\tmost\tsophisticated\thearing\taids\tgrow\tineffective.\tThose\twho\thave\tprofound\tloss\tare\nfunctionally\tdeaf\tand\trely\tmainly\ton\tsign\n\tlanguage\tand\tlip\treading\tto\tconverse\twith\tothers.\tAs\ta | [
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and\ta\tdecline\tin\tboth\tcognitive\tand\tphysical\tfunctioning.\tA\tstudy\tat\tJohns\tHopkins\tUniversity\t(\nChien\nand\tLin,\t2012\n)\tfound\tthat\tolder\tadults\twith\thearing\tloss\texperience\ta\trate\tof\tdecline\tin\tthinking\tand\nin\tmemory\tthat\tis\t30%\tto\t40%\tfaster\tthan\tamong\tthose\twith\tnormal\thearing.\tOther\tstudies\n\thave | [
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have\nshown\tthat\thearing\tloss\tis\tassociated\twith\tdementia,\tphysical\tdecline,\tand\tan\tincreased\tfrequency\tof\nfalls.\tStudies\treporting\ton\tthe\talienating\teffects\tof\thearing\tloss\thave\tfound\tthat\tit\tis\ta\tsource\tof\nloneliness,\tisolation,\tdepression,\tanxiety,\tand\tparanoia,\tand\tthat\tit\tleads\tto\tmarked\tdecrease\tin | [
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include\tbluffing\tand\tbeing\tdemanding,\tand\tthat\tit\toften\tresults\tin\tdecreased\tself-esteem\t(\nCiorba,\n2012\n).\nHearing\tloss\tby\tgender.\nResearchers\tat\tJohns\tHopkins\thave\treported\tthat\tthe\tprevalence\n\tof\thearing\tloss\tis\tsignificantly\nhigher\tamong\tmales.\tHowever,\twhile\tthe\tprevalence\tamong\tmales\tis\tespecially\tpronounced\tin\tthe | [
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] |
younger\tage\tgroups,\tit\tdiminishes\tas\tage\tincreases.\tIn\tall,\tmales\taccount\tfor\t70%\tof\tthose\twith\nhearing\tloss\tbetween\tthe\tages\tof\t30\tand\t69,\tbut\tonly\t51%\tamong\tthose\tin\ttheir\t70s,\tand\tonly\t38%\namong\tthose\tover\tthe\tage\tof\t80.\nTreatment.\nApart\tfrom\tsurgical\timplants\tin\tthe\tmost\tsevere\tcases,\thearing\taids\tare\tthe\tonly\tform\tof\ttreatment. | [
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] |
But\twhile\tthe\ttechnology\thas\tadvanced\tsignificantly\tin\trecent\tyears,\tadoption\tand\tuse\tremains\nextremely\tlow.\nBox\t19.1\n\tillustrates\thow\tspeech\tis\tdistorted\tby\thearing\tloss,\tin\tthis\tcase\tthe\tloss\tthat\toccurs\t(and\nworsens)\tas\twe\tage\t(Presbycusis).\nBOX\t19.1\nMissing\tSounds\tby\tHearing\n\t\nLoss\tSeverity\nLevel\tof\nHearing\nLoss\nSpoken\tSentence\nMissing\nSounds | [
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Loss\tSeverity\nLevel\tof\nHearing\nLoss\nSpoken\tSentence\nMissing\nSounds\nNormal\nHearing\nI\tam\tyour\tdietitian\tand\tI\twill\tbe\thelping\tyou\tmanage\tyour\tcongestive\nheart\tfailure\twith\tsmall,\tmanageable\tdietary\tchanges.\nMild\nI\tam\tyour\tdietitian\tand\tI\twill\tbe\thelping\tyou\tmanage\tyour\tconge\ttive\nheart\tailure\twi\tmall,\tmanageable\tdietary\tchange\nK,\tf,\ts,\tth\nModerate | [
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In\tall\tcases,\tit\n\tis\timportant\tto\tkeep\tin\tmind\tthat\tcorrect\tspeaking\tbehaviors\tshould\tbe\temployed\nregardless\tof\twhether\tthe\tpatient\tis\tusing\ta\thearing\taid\tor\tan\tassistive\tlistening\tdevice.\nKEY\tSPEAKING\tBEHAVIORS\n•\t\nStand\tin\tfront\tof\tthe\tpatient\tand\tas\tnear\tto\tthem\tas\tpossible.\n•\t\nMake\tsure\tthe\tpatient\tcan\tsee\tyour\tmouth\tas\tyou\ttalk.\n• | [
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•\t\nMake\tsure\tthe\tpatient\tcan\tsee\tyour\tmouth\tas\tyou\ttalk.\n•\t\nSpeak\tclearly,\tslowly,\tand\t“mouth”\tyour\twords\tmore\tthan\tyou\twould\n\twith\tpatients\twho\thave\nnormal\thearing.\n•\t\nSpeak\tup\tand\task\tthe\tpatient\tif\ta\tdifferent\tvolume\tlevel\twould\tbe\thelpful\t(in\tsome\tcases\ntalking\tlouder\tnot\tonly\tdoesn’t\thelp,\tbut\tcan\tmake\tmatters\tworse).\n• | [
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