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Chapter 28. Nutrition and Physical Activity

Connie Watkins Bales, Ph.D., R.D.; Martha Elizabeth Payne, Ph.D., R.D., M.P.H.
DOI: 10.1176/appi.books.9781585623754.397375

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The attainment of 65 years or more of living carries with it all the positive attributes (such as apparent resistance to early mortality) and negative consequences (including the effects of a lifetime of environmental exposures and health insults) of being an older adult. However, the quality and quantity of life from age 65 years onward remains very responsive to the impact of lifestyle factors, particularly the type of dietary and physical activity patterns maintained. In fact, with the onslaught of age-related decrements in physiological function and the concomitant onset of the chronic diseases of aging, it could be argued that this period in the life cycle offers one of the most important opportunities for lifestyle interventions to make a difference in health-related quality of life (Wellman 2007). This chapter provides a detailed discussion of the complex interactions of diet and physical activity with mental health and treatments for mental health disorders. In addition, the last section of this chapter provides a thorough discussion of assessment techniques and clinical guidelines for both nutrition and physical activity in the elderly.

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Sample questions:
1.
Adherence to the Mediterranean diet has been associated with a reduced risk for cognitive decline. Which of the following is a component of the Mediterranean diet?
2.
There are three major components of nutritional assessment: dietary, biochemical, and clinical. The most commonly used biochemical assessment is for one or more markers of protein status. Which of the following markers has a very short half-life of 2–4 hours and a relatively small body pool, making it very sensitive to nutritional changes?
3.
Although most nutritional experts recommend that all older adults take a multivitamin/mineral supplement, specific nutrients have been associated with adverse outcomes. Excessive intake of which of the following nutrients can interfere with copper status and impair immune function?
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Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
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