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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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World\tHealth\nOrganization\t[WHO],\t2017\n).\tAlso\tcited\tare\tinfectious\tdiseases\tsuch\tas\thuman\timmunodeficiency\nvirus,\ttuberculosis,\tand\ttropical\tdiseases\tas\tbarriers\tto\tglobal\tachievement\tof\tpositive\thealth\tstatus.\nEight\tUnited\tNations\tMillennium\tDevelopment\tGoals\tseek\tto\treduce\tthe\tnumber\tof\tpeople\twho\nsuffer\tfrom
|
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suffer\tfrom\n\thunger\tand\tto\tincrease\taccess\tto\tsafe\twater\tand\tsanitation.\tHowever,\tobesity\thas\tbeen\ncited\tas\tbeing\tof\tepidemic\tproportions\tglobally,\twith\tat\tleast\t2.8\tmillion\tpeople\tdying\teach\tyear\tas\ta\nresult\tof\tbeing\toverweight\tor\tobese.\nWHO:\tKey\tfacts\t(\nWHO,\t2018\n)\n•\t\nWorldwide,\tobesity\thas\ttripled\tsince\t1975.\n•
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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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] |
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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] |
).\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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,\t\n2018d\n,\t\n2018f\n).\tA\tdiet\thigh\nin\tsodium\tand\trefined\tcarbohydrates\thas\tbeen\timplicated,\tbut\tthe\tevidence\tis\tnot\tcomplete\tenough\nto\tmake\trecommendations\t(\nNIH,\tODS,\t2018d\n).\n\tA\tgreater\temphasis\ton\ta\tplant-based\tdiet\tof\twhole\ngrains,\tfruits,\tvegetables,\tlean\tor\tlow-fat\tprotein\tsources,\tand\tlow-fat\tdairy\tor\tsoy\tbeverages\tis\ta
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] |
reasonable\tintervention\tand\tmay\tcause\trelief\tin\tsome\twomen.\tExercise\tand\trelaxation\ttechniques\nhave\tbeen\treported\tas\tlessening\tthe\tsymptoms.\nWhen\tmenses\tend,\teither\tbecause\tof\tage\tor\tsurgical\tremoval\tof\treproductive\torgans,\twomen\thave\nunique\thealth\n\tand\tnutrition\tconcerns.\tPerimenopause\tand\tmenopause\tgenerally\tbegin\tin\tthe\tlate
|
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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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] |
(LDL)\tcholesterol\tlevels\tand\ndecreasing\thigh-density\tlipoprotein\t(HDL)\tlevels.\tBrain\tfunction,\tparticularly\tmemory,\talso\tis\naffected\tbut\tthe\tmemory\tloss\tassociated\twith\tmenopause\tis\toften\ttemporary.\nManaging\tmenopause\tpromotes\temphasis\ton\tplant-based\tfoods\tfor\tthe\tbenefits\tof\nphytoestrogens
|
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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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flashes,\tcurrent\tresearch\tis\tnot\tdefinitive\t(NIH,\t\nNCCIH,\t2016\n).\tA\tstudy\tof\tAmerican\twomen\npublished\tin\t\nMenopause\n\tfound\tthat\tonly\twomen\twho\tare\table\tto\tproduce\tthe\tsoy\tmetabolite\tequol\nget\trelief\tfrom\thot\tflashes\tby\teating\tsoy\t(\nNewton\tet\tal,\t2015\n).\tOf\t357\tstudy\tparticipants\t34%\twere
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Newton\tet\tal,\t2015\n).\tOf\t357\tstudy\tparticipants\t34%\twere\nequol\tproducers.\tThe\tauthors\twarned\tthat\ta\treadily\tavailable\ttest\tfor\tthe\tmetabolite\tmust\tbe\ndeveloped,\tand\tmore\trandomized\tstudies\tare\tneeded\tto\tbe\table\tto\tmake\tany\trecommendations\tthat\nsoy\tbe\ta\ttreatment\tfor\thot\tflashes.
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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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] |
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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die\tof\tthis\tdisease.\tObesity\nmay\tplay\ta\trole\tin\tthese\tcancers.\tSome\tstudies\tindicate\tthat\tfoods\thigh\tin\tlycopene,\tan\tantioxidant\nfound\tin\ttomatoes\tand\tother\tfruits\tand\tvegetables,\tmay\tprovide\ta\tprotective\trole\tin\tlowering\tthe\trisk\nfactors\tfor\tdeveloping\tprostate\tcancer.\tAlthough\tthis\tis\tstill\tbeing\tstudied,\tit\tis\tan\temerging\tarea\tfor
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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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] |
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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children,\tand\tworking\toutside\tthe\thome\tor\tat\thome.\tThe\tsit-down\tfamily\tmeals\tat\thome\thave\tgiven\nway\tto\teating\ton\tthe\trun,\ttake-out,\n\tand\tdrive-through.\tToo\tlittle\ttime\tfor\tplanning\tor\tpreparation\tand\nlimited\tcooking\tskills\tcan\tlead\tto\treliance\ton\tprocessed\tfoods,\tspeed-scratch\tcooking\t(combining
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as\tage\tincreases.\tReaching\tmen\tand\twomen\twith\tan\nunderstandable\tand\trelevant\tmessage,\tespecially\theads\tof\thouseholds\tor\tgatekeepers,\tis\tcritical.\nThe\t\nconsumer\tprice\tindex\t(CPI)\n\testimates\tthat\tAmericans\tspend\tmore\tthan\thalf\tof\ttheir\tfood\ndollars\taway\tfrom\thome.\tThis\tis\tan\tamount\tthat\tcontinues\tto\tincrease\tand\tthat\tfluctuates\tby\tmonth.
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The\tCPI\tfor\tfood\tmeasures\tthe\taverage\tchange\tover\ttime\tin\tthe\n\tprices\tpaid\tby\turban\tconsumers,\nusing\ta\trepresentative\tmarket\tbasket\tof\tconsumer\tgoods\tand\tservices.\tThe\tEconomic\tResearch\nService\t(ERS)\tof\tthe\tUSDA\tfollows\tthese\texpenditures\tand\tmanages\tthe\tdata\tset.\tThis\tis\ta\tvaluable
|
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vegetables,\tand\twhole\tgrains.\tPortion\tsizes\t(either\tthe\tamount\tpresented,\tor\tthe\tamount\teaten)\nreplace\tserving\tsizes\t(what\tis\trecommended\tas\ta\tserving\tby\tthe\tDGA\tor\tother\tsource),\tas\tothers\ndetermine\twhat\tis\tconsidered\ta\t“meal”\tor\t“snack.”\tPortions\thave\tcontinued\tto\tincrease\tin\tsize\tin\tthe\nUnited\tStates.
|
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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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on\ttotal\tamounts\tof\tfoods\tper\tday\trather\tthan\tnumbers\tof\tservings.\tThe\tmost\tcurrent\tinformation\n\tis\nreflected\tin\tthe\tinformation\tused\tto\tshape\tthe\t2015\tDGA\tbut\tstay\ttuned\tas\tthe\t2020\tDGA\twill\tchange\n(\nHealth.Gov,\t2018\n).\nAdult\tdiets\tare\tlikely\tto\tbe\thigher\tin\ttotal\tfat\tthan\tthe\t30%\tof\ttotal\tcalories\trecommended\tin\tthe
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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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] |
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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pregnancy),\talcohol\tor\tdrug\tdependency,\tfood\tinsecurity,\tchronic\tillness,\trecovery\tfrom\tillness,\tor\nchoosing\ta\tnutritionally\trestrictive\tdiet\tor\tlifestyle.\tOther\tpersons\twith\tspecial\tneeds\tinclude\tthose\nwith\tfood\tallergies\tor\tintolerances\tthat\teliminate\tmajor\tfood\tgroups,\tpersons\tusing\tprescription
|
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] |
drugs\tor\ttherapies\tthat\tchange\tthe\tway\tthe\tbody\tuses\tnutrients,\tthose\twith\tdisabilities\tthat\tlimit\ntheir\tability\tto\tenjoy\ta\tvaried\tdiet,\tand\tthose\twho\tare\tjust\tunable\tor\tunwilling\tbecause\tof\ttime\tor\nenergy\tto\tprepare\tor\tconsume\ta\tnutritionally\tadequate\tdiet.\tThese\tadults\tpotentially\tneed\ta\nnutritional\tsupplement\t(\nAND,\t2009a\n,\t\n2013b\n).
|
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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\tmarket.\tSloan\tdescribes\tthis\tdrive\tfor\treal-food\n\tsolutions,\tfor\t“healthy”\tfoods\tas\ta\nreminder\tto\tconsumers\tof\tthe\tlong-term\tvalue\tof\tstaying\thealthy\t(\nSloan,\t2012\n).\tEight\tout\tof\tten\nAmericans\tare\tmaking\tan\teffort\tto\teat\thealthfully,\tand\t42%\tare\tconcerned\tabout\tthe\tnutrient\tcontent
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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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0.00716448575258255
] |
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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] |
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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] |
removed\tfrom\ta\tpod,\tthey\tare\n\tfermented,\tdried,\troasted,\tand\tthen\tground.\tThis\tproduces\ta\nliquid,\twhich\tis\tpressed\tto\tseparate\tthe\tcocoa\tbutter\tfrom\tthe\tsolids.\tThe\tend\tresult\tis\ta\tcake\nthat\tis\tthen\tground\tto\tmake\tcocoa\tpowder.\n•\t\nCocoa\tbutter\tcontains\tsaturated\tfat,\tbut\tresearch\tindicates\tthe\teffect\ton\tblood\tcholesterol\tis
|
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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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] |
chocolate\tdesserts,\tcandies,\tand\tbeverages\tbring\tto\tlight\tthe\tongoing\ttheme.\tKeep\tthe\nportions\treal\tfor\tyour\tpersonal\tneeds.
|
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19\nNutrition\tin\taging\nJanice\tL.\tRaymond,\tMS,\tRDN,\tCSG,\tLindsey\tCallihan,\tMS,\tRDN,\tCSG\nKEY\tTERMS\nachlorhydria\nactivities\tof\tdaily\tliving\t(ADLs)\nage-related\tmacular\tdegeneration\t(AMD)\nBlue\tZones\ncataract\nconstipation\nculture\tchange\tin\tlong-term\tcare\nDining\tPractice\tStandards\ndysgeusia\ndysphagia\nfood\tfirst\nfunctionality\ngeriatrics\ngerontology\nglaucoma
|
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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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National\tPressure\tUlcer\tAdvisory\tPanel\t(NPUAP)\npalliative\tcare\npolypharmacy\npressure\tinjury\npresbyopia\nquality\tof\tlife\nResident\tAssessment\tInstrument\t(RAI)\nsarcopenia\nsarcopenic\tobesity\nsedentary\n\tdeath\tsyndrome\t(SeDS)\nsenescence\nskilled\tnursing\tfacility\t(SNF)\nxerostomia\nThe\tolder\tpopulation
|
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skilled\tnursing\tfacility\t(SNF)\nxerostomia\nThe\tolder\tpopulation\nIn\t2017\tthere\twere\tan\testimated\t962\tmillion\tpeople\tage\t60\tor\tolder\tin\tthe\tworld.\tThis\tis\t13%\tof\tthe\nglobal\tpopulation.\tEurope\thas\tthe\tgreatest\tpercentage\tpopulation\tage\t60\tand\tolder\tat\t25%.\tThe
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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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] |
Today,\tone\tin\tseven\tAmericans\tis\tage\t65\tor\tolder.\tThey\tare\tliving\tlonger,\thealthier,\tand\tmore
|
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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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0.11992291361093521,
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0.03590725362300873,
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0.05911601334810257,
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0.059928636997938156,
0.04263124614953995,
0.016458140686154366,
0.07239263504743576,
0.02849668450653553
] |
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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] |
older\tthan\nage\t65.\tThis\twill\texpand\tthe\tsize\tof\tthe\tolder\tpopulation\tso\tthat\tone\tin\tevery\tfive\tresidents\twill\tbe\nretirement\tage.\nA\tfew\tyears\tago\tno\tstate\thad\tmore\tpeople\tolder\tthan\tage\t65\tthan\tthose\tyounger\tthan\t18.\tGrowth\tin\nthe\tolder-than-65\tpopulation\twill\tequal\t3.5\ttimes\tthe\tU.S.\tgrowth\tas\ta\twhole.\tThis\tdemographic\tshift
|
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] |
has\tenormous\tsocial,\teconomic,\tand\tpolitical\timplications\t(\nOrtman\tet\tal,\t2014\n).\nWomen\tlive\tlonger\tthan\tmen.\tThe\tolder-than-65\tfemale/male\tratio\tis\t129:100;\tit\tincreases\tto\n200:100\tamong\tthose\tolder\tthan\tage\t85.\tMore\tthan\t71%\tof\tolder\tmen\tare\tmarried,\twhereas\tonly\n45%\tof\tolder\twomen\tare\tmarried\t(\nOrtman\tet\tal,\t2014
|
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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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