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The Top 10 Questions About Food and Fitness After 50

doi: 10.1097/NT.0000000000000290
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Continuing Education Information for Registered Dieticians and Dietetic Technicians, Registered:

The test for this activity for dietetic professionals is located online at Lippincott Professional Development (LPD) is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR), provider number LI001. Registered dietitians (RDs) and Dietetic Technicians, Registered (DTRs) will receive 1.0 continuing professional education units (CPEUs) for successful completion of this program/material, CPE Level 2. Dietetics practitioners may submit evaluations of the quality of programs/materials on the CDR website: LPD is approved as a provider of continuing education for the Florida Council for Dietetics and Nutrition, CE Broker # 50-1223.

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PURPOSE: To provide information on the current dietary and activity recommendations for older adults.

LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:

1. Identify age-related nutrition needs for adults older than 50 years.

2. Examine the need for and guidelines related to fitness and exercise in the older adult.

  1. In terms of energy expenditure, older adults require
    1. more calories in order to offset demands of chronic conditions.
    2. the same number of calories they have always consumed.
    3. fewer calories as metabolic demands decrease.
  2. Principles of a healthful dietary pattern include
    1. optimal intake of select “superfoods.”
    2. enjoyment of eating and mealtimes.
    3. avoidance of bad foods.
  3. Of the 4 dietary patterns recommended for older adults, all 4 recommend eating
    1. fewer sweets.
    2. less butter and oils.
    3. less meat.
  4. The science regarding the role of the MIND Diet in preventing cognitive decline is considered
    1. definitive.
    2. weak.
    3. emerging.
  5. To maintain fitness in the older adult patient who does not like structured exercise such as exercise classes or weight training, you should
    1. ask about other physical activities, such as bowling or gardening.
    2. advise that without structured exercise there is a risk for sarcopenia.
    3. recommend a local gym geared to older adults.
  6. Evidence shows that the recommended daily allowance for protein is
    1. less than older adults need.
    2. more than older adults need.
    3. on target.
  7. The term “anabolic resistance” refers to older adults' tendency to
    1. have muscles that respond slowly to protein intake.
    2. have hormonal depletion over time.
    3. be unable to increase muscle mass.
  8. Your patient asks whether he needs to increase his protein intake after exercise. Your best advice to him is
    1. to supplement with protein powder after vigorous exercise.
    2. to aim for 25 to 30 g of protein per meal taken throughout the day.
    3. that there is no relation between protein intake and muscle mass in older adults.
  9. Starting in the year 2020, food company labels will display
    1. amount of animal versus vegetable fat.
    2. added sugars.
    3. presence of genetically modified organisms (GMOs).
  10. Dehydration in older adults is associated with all of these conditions except
    1. pressure injuries.
    2. falls.
    3. liver failure.
  11. Your 80-year-old patient is admitted for a fall related to dehydration. One strategy to boost her fluid intake would be to
    1. teach her to drink when she gets thirsty.
    2. work with her family/caregivers on a plan to increase her access to fluids.
    3. have her eat foods with a higher salt content to increase her thirst.
  12. The Framingham Offspring Study showed that taking calcium supplements
    1. can lead to calcium deposits in arteries.
    2. decreases calcium deposits in arteries.
    3. has no known effect on calcification in arteries.
  13. To help your postmenopausal patient reduce the likelihood of osteoporosis, which advice is least helpful?
    1. Eat foods rich in calcium.
    2. Ask your healthcare provider to measure your blood calcium level.
    3. Go for walks.
  14. Which statement about calcium for adults older than 70 years is accurate?
    1. Both men and women require 1200 mg of calcium per day.
    2. Calcium requirements for men are unknown.
    3. Women require 1500 mg of calcium per day.
  15. The term “functional fitness” refers to
    1. activities or exercises needed for everyday life.
    2. anthropometric measures of strength.
    3. the level of fitness needed for athletic activities.
  16. How much aerobic exercise do national guidelines recommend?
    1. 20 minutes per day
    2. 30 minutes per day
    3. 60 minutes per day
  17. Which of the following seafood has the highest amount of omega-3 fatty acids?
    1. shrimp
    2. salmon
    3. scallops
  18. For older adults, new research shows that omega-3 fatty acids may have a role in
    1. improving joint lubrication.
    2. preserving kidney function.
    3. maintaining muscle mass.
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