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Chapter 17 Case Study: Weight Loss in an 89-year-old Male

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Chapter 17 Case Study: Weight Loss in an 89-year-old Male
... - correct answer Roy is an 89-year-old African American man. He is a retired pastor who was
married for 60 years before the death of his wife six months ago. He now lives alone, close to
his daughter and her family, in a high rise for low-income elderly individuals. Roy recently
stopped driving on the advice of his physician and depends on his daughter and grandchildren
to help him with groceries and to transport him to medical appointments. Although in
reasonably good health, he has lost weight over the past year and reports feeling more tired
than usual and having repeated colds. Since his wife's death, he has stopped going to his
exercise class and prefers to eat his meals in his apartment rather than in the community dining
facility. He prepares his own meals, which usually include toast and coffee for breakfast, a meat
or cheese sandwich with potato chips and milk for lunch, and canned soup or chili beans for
dinner. He rarely eats between meals. Although usually at a healthy weight for his height, Roy's
family is concerned about his weight loss of 12 pounds since his wife's death. They also express
concern about a recent fall that he had, which resulted in a number of bruises.
Nutrition may contribute to all of the following EXCEPT: - correct answer b. Chronological age


The average number of years lived by people in a certain society can be increased, within
genetic limits, by adopting healthy lifestyle habits such as eating nutritious foods. Poor eating
habits can also contribute to overweight and obesity. A person's physiological age reflects his or
her health status and therefore can also be impacted by nutrition. However, a person's
chronological age, calculated in years from his or her date of birth, cannot be impacted by
nutrition.
Roy should return to his exercise class or at least do some type of strength training, because in
people older than 85 years, strength training has been found to offer a number of benefits,
EXCEPT: - correct answer e. Reducing confidence.


Physical activity for older adults improves their mobility and balance, strengthens, firms, and
tones their muscles, reduces their risk of falling, restores their confidence, and promotes their
independence.
Considering Roy's age, the fall he recently had may likely be the result of which condition? -
correct answer c. Sarcopenia


Roy may suffer from sarcopenia, loss of muscle, which may have caused him to fall. As muscles
diminish and weaken, people lose their ability to move and maintain balance, which increases
their risk for falls.

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