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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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0.0729672759771347,
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by\tconsumers.\tThese\tinclude\tmessages\ton\tthe\tnegative\teffect\tof\tsaturated\tfat,\ttrans\tfatty\tacids,\tand\nsodium.\tFood\tcompanies\tare\n\tchanging\tproducts\tto\treflect\ta\tmore\thealth-promoting\tchoice,\tand\nrestaurants\tare\tfollowing\tthis\tlead.\tProposed\tchanges\tin\tlabeling\tlaws\tfor\tboth\tfood\tand\trestaurants
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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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The\tnutrition\tand\tdietetics\tprofessional\tcan\tbe\ta\tpositive\tinfluence\tin\tadvocating\tand\teducating\tfor\nmeaningful\tand\treal\tchanges\tin\tthe\tfood\tsupply\twith\ta\tfocus\ton\tprevention.\n\tHowever,\tthere\tmust\tbe\na\tconsumer-driven\teffort\tto\tsupport\tthese\tchanges.\tTo\tbe\ta\tleader,\tor\tat\tleast\ta\tplayer,\tthe\tnutrition
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and\tdietetics\tprofessional\tmust\tbe\taware\tof\tcommunity\tresources\tand\tinfluences,\tavailable\tfood\nsources,\tand\tchanging\tfood\tbehaviors.\tAlthough\tthis\tchapter\tfocuses\ton\tadults,\tit’s\timportant\tto\nremember\tthat\tchildren\tare\taffected\tby\ttheir\tadult\trole\tmodels,\twhich\tincreases\n\tthe\tpotential\nbenefits\tfrom\ta\tfocus\ton\tprevention.\nInformation\tsources
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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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0.0382290855050087,
0.0286945179104805,
0.007104186341166496
] |
(\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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nutrition,\tand\thealth\tprofessionals\twho\tcan\tguide\tconsumers\tto\tsources\n\tthey\tcan\teasily\tuse\tto\nvalidate\tinformation.\nNutrition\tinformation\tand\teducation\tfor\tadults\nMainstream\tadults\tin\treasonable\thealth\tfrequently\tare\tignored\tas\ta\tunique\tsegment\tof\tthe
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as\thaving\n\tor\tbeing\tat\trisk\tfor\tdiabetes\tor\theart\tdisease,\tin\tneed\tof\ta\tmedication,\tbeing\tpregnant,\tor\nbeing\tan\tathlete.\nThe\tadult\twho\tis\tnot\tpregnant,\tan\tathlete,\tor\t“sick,”\tbut\twho\tseeks\tguidance\ton\tnormal\tnutrition\tor\nprevention\tof\tdisease,\tmay\tbe\tdirected\ttoward\tdiets\tfor\tchronic\tdisease\tor\tweight\tloss.\tSuch
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information\tmay\tbe\ta\tgood\tfit\twhen\tthe\tinformation\tis\tbased\ton\tscience,\tbut\tit\tcan\tmiss\tthe\n\tmark\ton\noverall\tprevention\tgoals.\tFortunately,\tthe\tguidance\tprovided\tby\tsuch\tgroups\tas\tthe\tAmerican\tHeart\nAssociation\t(AHA),\tthe\tAND,\tthe\tAmerican\tDiabetes\tAssociation\t(ADA),\tand\tthe\tAmerican\tCancer
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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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] |
NIH,\t2018c\n).\nAnother\tchange\tthat\taffects\thow\tthe\tDGA\twill\tbe\timplemented\tboth\tby\tconsumers\tand\tfood\nproducers\tis\tthe\telimination\tof\ttrans\tfats\tas\tingredients\t(\nFood\tand\tDrug\tAdministration\t[FDA],\n2018a\n).\nSeveral\tguidelines\tand\treports\tare\taimed\tat\theart-healthy\tguidance.\tHeart\tdisease\tremains\tthe\nnumber\tone\tdisease-related
|
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] |
number\tone\tdisease-related\n\tcause\tof\tdeath\tin\tadult\tmen\tand\twomen.\tThe\tAHA\treleased\tprevention\nguidelines\tin\t2006\twith\ta\tfocus\ton\timproving\toverall\thealth\tand\tachieving\timproved\tcardiovascular\nhealth\tof\tall\tAmericans\tby\t20%\tby\t2020\t(\nLloyd-Jones\tet\tal,\t2010\n).\tIn\tNovember\t2013\tthe\tAHA,\talong
|
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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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0.03705332428216934,
0.1004558801651001,
0.03809172660112381,
0.07095971703529358,
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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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to\taction\t(\nCDC,\t2013\n,\t\n2018a\n,\t\n2018b\n,\t\n2018c\n).\tNutrition\nassessment\tis\ta\tcritical\tcomponent\tof\tMNT\tand\tguidance\tfor\tprevention.\tThe\tnutrition\tand\tdietetics\nprofessional\tshould\teither\tlead\tor\tbe\ta\tpart\tof\tlifestyle\tmanagement\tteams.\tThese\tprofessionals\tcan
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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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carbohydrates\tfit\tinto\tthe\ttotal\tdiet\tand\twhether\tthere\n\tare\t“better\tcarbs,”\tthe\tmessage\ton\t“good”\tor\nany\tfat\tnow\tthat\ttrans\tfats\thave\tbeen\talmost\tbanned,\ta\t“healthy”\tor\t“unhealthy”\tfood\tor\tdiet,\nwhether\tto\tbuy\torganically\tgrown\tor\tlocally\tgrown\tfoods,\tor\twhat\tto\tdo\tabout\tsodium.\tThese\tare
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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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for\nmedia\tcoverage,\tadding\tto\tthe\tconfusion\tand\tperception\tof\tmixed\tmessages.\tA\tsearch\tfor\tinformation\non\tchoosing\tfoods\tfor\thealth\tcan\tresult\tin\tevidence-based\tinformation\tsuch\tas\tthe\tDGA,\tas\twell\tas\nquestionable\tguidance\tbased\ton\tsingle\tstudies\tor\tproduct\tpromotion.\tThe\tcombination\tof\tmarketing
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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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education\t(an\tepiphany)\tthat\ttriggers\tawareness\tthat\tbeing\n\twell\tand\tstaying\twell\tare\timportant.\nExamples\tinclude\tlearning\tthe\tresults\tof\ta\tscreening\tfor\tblood\tpressure,\tcholesterol,\tor\tdiabetes;\nfacing\tthe\treality\tof\tdeath;\tfacing\tthe\thealth\tcrisis\tof\ta\tpeer\tor\tfamily\tmember;\tor\trealizing\tthat
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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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skills\tin\tthe\tareas\tof\twise\tfood\tpurchasing\tand\tfood\tpreparation\tcoupled\twith\tlimited\tfood\taccess\tand\nequipment\tresources\tfurther\tcomplicate\ta\tperson’s\tability\tto\tfollow\tadvice\tfor\ta\thealthy\tlifestyle.\nThis\temphasizes\tthe\tneed\tfor\tadult\tconsumer\teducation\n\tin\tbasic\tfood\tskills.\tThe\tSupplemental
|
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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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well\tas\tthose\twho\tare\tunemployed\toften\tis\toverlooked.\tFeeding\tAmerica\tis\ta\twebsite\tto\tvisit\tfor\tmore\ninformation\ton\tfood\tinsecurity\t(\nFeeding\tAmerica,\t2014\n,\t\n2018\n).\tFood\tinsecurity\tframes\tthe\tneed\tfor\nguidance\tfrom\tnutrition\tand\tdietetics\tprofessionals\ton\tfood\taccess,\tacceptability,\n\tand\tuse.\nQuality\tof\tlife\tand\twork-life\tbalance
|
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and\tuse.\nQuality\tof\tlife\tand\twork-life\tbalance\nPerceptions\tof\tpersonal\thealth\t(mental\tand\tphysical)\trelate\tto\tviews\ton\twellness\tand\tperceptions\tof\nquality\tof\tlife.\t\nHealth-related\tquality\tof\tlife\t(HRQOL)\n\tis\ta\tconcept\tused\tto\tmeasure\tthe\teffects\tof\ncurrent\thealth\tconditions\ton\ta\tperson’s\teveryday\tlife.\tTo\tcapture\tthis\tand\tcreate\ta\ttool\tfor
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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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] |
time\tcan\tbe\tinterpreted\tas\tscreen\ttime,\tinactivity\twhile\twatching\tactivity,\tor\tsocial\tinteraction,\tall\tof\nwhich\tare\tsedentary\tand\tmay\tbe\taccompanied\tby\teating\tand\tdrinking.\tRegardless\tof\tthe\treasons\tand\nthe\tinterpretations,\tthe\tidea\tof\twork-life\tbalance\tis\ta\tmessage\tthat\tis\treceiving\tsocial\tmedia\tattention
|
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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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nutritional\tintake\tin\tthe\tadult\tyears.\nThe\tadult\tyears\toffer\tunique\topportunities\tto\tevaluate\thealth\tstatus,\tbuild\ton\tpositive\tfactors,\tand\nchange\tthe\tnegative\tfactors\tthat\taffect\tquality\tof\tlife.\tBecause\tadults\tare\tteachers,\tcoaches,\tparents,\ncaregivers,\tand\tworksite\tleaders,\ttargeting\tthe\n\twellness-related\tattitudes\tand\tbehaviors\tof\tadults
|
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wellness-related\tattitudes\tand\tbehaviors\tof\tadults\npotentially\tcan\thave\ta\tmultiplier\teffect.\tA\tpositive\twellness\tfocus\tmay\tinfluence\tthe\thealth\tof\tthe\nadult\tand\tanyone\twho\tis\tin\ttheir\tsphere\tof\tinfluence.\nLifestyle\tand\thealth\trisk\tfactors\nLifestyle\tchoices,\tincluding\tactivity,\tlay\tthe\tframework\tfor\thealth\tand\twellness.\tThe\thealth\tof\tpeople
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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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0.025418398901820183,
0.05027792602777481,
0.04591922461986542,
0.05863668769598007,
-0.006575311999768019
] |
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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] |
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,\tand\tgenerally\tpoorer\thealth\tof\turban\tAfrican\tAmericans\n\t(Williams,\t2010).\tBut\twhat\tat\tthe\ntime\twas\tviewed\tby\tmany\tas\tthe\tresult\tof\tbiological\tand\timmutable\tdifferences\tbetween\traces,\tDu\nBois\targued\tand\tmodern\tresearchers\tnow\tknow\tis\tin\tfact\tthe\tproduct\tof\ta\tcomplex\tmix\tof\tsocial,
|
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behavioral,\tenvironmental,\tand\tgenetic\tcontributors\tto\thealth\tdisparities,\tand\tnot\ta\tfixed\ncharacteristic\tof\tany\tone\tgroup\tor\trace.\nHealth\tdisparities\n\tare\tdifferences\tin\n\tthe\tburden\tof\tdisease\tor\tworse\thealth\toutcomes\tin\ta\ngroup\tcompared\twith\tthe\tgeneral\tpopulation.\tDisparities\tcan\tbe\tfound\tin\tthe\toverall\trate\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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] |
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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0.05770699679851532,
0.0704084262251854,
0.06954241544008255,
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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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0.0842476412653923,
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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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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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] |
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