Position of the Academy of Nutrition and Dietetics: Food and Nutrition for Older Adults: Promoting Health and Wellness Melissa Bernstein, PhD, RD, LD,

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Position of the Academy of Nutrition and Dietetics: Food and Nutrition for Older Adults: Promoting Health and Wellness Melissa Bernstein, PhD, RD, LD, Nancy Munoz, DCN, MHA, RD, LDN Journal of the Academy of Nutrition and Dietetics Volume 112, Issue 8, Pages 1255-1277 (August 2012) DOI: 10.1016/j.jand.2012.06.015 Copyright © 2012 Academy of Nutrition and Dietetics Terms and Conditions

Figure 1 Factors that influence health-related quality of life and the aging process. Figure from reference 24: Bernstein MA, Luggen AS. Nutrition for Older Adults. 2010: Jones & Bartlett Learning, Sudbury, MA. www.jblearning.com. Reprinted with permission. Journal of the Academy of Nutrition and Dietetics 2012 112, 1255-1277DOI: (10.1016/j.jand.2012.06.015) Copyright © 2012 Academy of Nutrition and Dietetics Terms and Conditions

Figure 2 Top eight leading causes of death for adults aged ≥65 years in 2009. Adapted from reference 4: 10 leading causes of death by age group, United States—2009. National Vital Statistics System, National Center for Health Statistics, Centers for Disease Control and Prevention website. www.cdc.gov/Injury/wisqars/pdf/10LCD-Age-Grp-US-2009-a.pdf. Accessed June 28, 2012. Journal of the Academy of Nutrition and Dietetics 2012 112, 1255-1277DOI: (10.1016/j.jand.2012.06.015) Copyright © 2012 Academy of Nutrition and Dietetics Terms and Conditions

Figure 3 Health benefits associated with regular physical activity for adults and older adults. The US Department of Health and Human Services Physical Activity Guidelines Advisory Committee rated the evidence of health benefits of physical activity as strong, moderate, or weak. To do so, the committee considered the type, number, and quality of studies available, as well as consistency of findings across studies that addressed each outcome. The committee also considered evidence for causality and dose response in assigning the strength-of-evidence rating. Adapted from reference 111. Journal of the Academy of Nutrition and Dietetics 2012 112, 1255-1277DOI: (10.1016/j.jand.2012.06.015) Copyright © 2012 Academy of Nutrition and Dietetics Terms and Conditions

Figure 4 Summary of federal food and nutrition assistance programs for older adults. Adapted from reference 115. Journal of the Academy of Nutrition and Dietetics 2012 112, 1255-1277DOI: (10.1016/j.jand.2012.06.015) Copyright © 2012 Academy of Nutrition and Dietetics Terms and Conditions

Figure 4 Summary of federal food and nutrition assistance programs for older adults. Adapted from reference 115. Journal of the Academy of Nutrition and Dietetics 2012 112, 1255-1277DOI: (10.1016/j.jand.2012.06.015) Copyright © 2012 Academy of Nutrition and Dietetics Terms and Conditions

Figure 5 Community and transitional care coordination models with aims to enable the access to and management of medical and social support services for high-risk populations across different providers and organizations to improve health and quality of life while driving down health care costs. Journal of the Academy of Nutrition and Dietetics 2012 112, 1255-1277DOI: (10.1016/j.jand.2012.06.015) Copyright © 2012 Academy of Nutrition and Dietetics Terms and Conditions

Figure 6 Actions for food and nutrition practitioners to ensure quality food and nutrition services in promoting health and wellness for the older adult. Journal of the Academy of Nutrition and Dietetics 2012 112, 1255-1277DOI: (10.1016/j.jand.2012.06.015) Copyright © 2012 Academy of Nutrition and Dietetics Terms and Conditions