71.The strongest genetic influence on the development of osteoporosis is:
a.the maximum bone mass that can be attained during growth.
b.its influence over the absorption rate of vitamin A.
c.its influence over the amount of bone lost in early adulthood.
d.its effect on estrogen production in young women.
72.Which of the following ethnic groups has the lowest risk for osteoporosis?
a.Asians
b.Hispanics
c.Caucasians
d.Africans
73.Calcium absorption declines in the elderly because:
a.older people tend to lose lean body mass.
b.aging skin is less efficient at making vitamin D.
c.many elderly people get inadequate sun exposure.
d.a and b
e.b and c
74.Osteoporosis is most often associated with:
a.heavier body weights.
b.underweight.
c.higher body fatness.
d.exercise.
75.Bone strength in later life depends on:
a.the increased calcium absorption in the elderly.
b.the increased production of estrogen after menopause.
c.reducing physical activity to protect bones.
d.the formation of dense bones during youth.
76.A young woman wanting to build maximum bone density should do all of the following except:
a.reduce her intake of protein.
b.reduce her sodium intake.
c.limit her intake of regular cola drinks.
d.participate in regular weight-bearing exercise.
77.Which of the following is an accurate statement about calcium supplements for bone health?
a.It is difficult for young women to get enough dietary calcium, so they need a supplement.
b.Calcium-fortified soy milk provides an easily absorbed form of calcium.
c.Calcium supplements are absorbed more readily than calcium in milk.
d.There are no toxicity concerns with taking large amounts of calcium in supplement form.
Use the calcium supplements label to answer questions 78-82.
Suggested use: As a dietary supplement, take two (2) gummy vitamins per day.
Supplement Facts
Serving Size 2 gummy vitamins
Servings Per Bottle 30
Calories 25
Amount Per Serving
% Daily Value*
Total Carbohydrate
6 g
2%
Sugars
5 g
**
Vitamin D (as cholecalciferol)
1000 IU
250%
Calcium (as tricalcium phosphate)
500 mg
50%
Phosphorus (as tricalcium phosphate)
200 mg
20%
Sodium
15 mg
<1% * Percent Daily Values are based on a 2,000 calorie diet. **Daily Value not established. Other ingredients: Sucrose, glucose syrup, gelatin, pectin, natural flavors, citric acid, lactic acid and colors (black carrot juice extract, annatto extract, carrot and blueberry juices). This product contains natural colors and flavors. Contains no wheat (gluten), milk, eggs, peanuts, tree nuts or soy. 78.This supplement uses tricalcium phosphate as its source of calcium. What can you state about how well that form is absorbed? a.It is not absorbed well because of contaminants. b.It is a form that is absorbed equally well as other forms. c.It is a form that can accelerate calcium losses from the body. d.It is absorbed too quickly and may lead to toxic levels. 79.What can you say about the chewable “gummy” form of this supplement? a.This may interfere with absorption because it has to be chewed. b.It may be more difficult to swallow. c.It may enhance the action of stomach acid on the supplement. d.There are ingredients in the product that interfere with calcium absorption. 80.The amount of calcium in one dose of this supplement: a.is potentially toxic and should be avoided. b.is a typical dose found in most calcium supplements. c.is too low to provide any benefit. d.can help with magnesium absorption in the body. 81.The vitamin D included in this supplement has what effect? a.limits the absorption of calcium b.may increase the risk of fractures c.can cause toxicity if combined with other vitamin D sources in the diet d.has no effect on the calcium in the supplement 82.If an individual with diabetes plans to take this supplement, what would be the recommendation? a.Avoid this supplement because it has a high sugar content. b.Don’t worry—the amount of carbohydrate in a dose is very low. c.Because the carbohydrate is in a mineral supplement, it poses no concern. d.Count the carbohydrate content of the supplement as part of total daily intake.
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