Reference Nice Guidelines Essay


APA Referencing Example:

Guralnik, Ferrucci, Simonsick, Salive and Wallace (1995) claimed that good nutrition and a physically active lifestyle have known benefits for prolonging functional independence and reducing the risk of disability, institutionalisation and mortality among older adults. "While improved dietary choices are seen to have a positive impact on normal ageing" (Drewnowski & Evans, 2001, p. 90), participation in regular physical activity is associated with improved ability in daily tasks, a decreased risk of falls and a decrease in the symptoms of chronic disease (Faber, Bosscher, Chin, & van Wieringen, 2006; Fiatarone et al., 1990). Even commenced later in life, and independent of disease or disability, research shows that   a physically active lifestyle is an essential component of prolonged capacity in activities of daily living, referred to as functional wellbeing (Sims et al., 2006). However, while it has been reported that older adults are aware of the benefits of physical activity, less than 30% adhere to the national prescribed guidelines (Manini, Druger & Ploutz-Snyder, 2005; Marquez, Bustamante, Blissmer, & Prohaska, 2009).

At baseline, Spearman's correlation coefficients were used to investigate the associations between all variables. A strong association was defined as a moderate to large correlation, > 0.3 and > 0.5, respectively (Cohen, 1988).

With the aim of improving nutritional and activity choices for individuals and families, educators encourage greater knowledge of health, education, welfare, neighbourhoods and food supply by promoting environmental and individual barrier awareness to healthy eating and physical activity (Bartholomew, Parcel, Kok, Gottlieb, & Fernandez, 2010).

Ageing and nutrition is a growing global challenge as life expectancy increases, particularly for women. For example, the incidence of osteoporosis in older women involves its own special nutritional needs, emphases and patterns of malnutrition (World Health Organization [WHO], 2014a). Furthermore WHO (2014a) reveals in almost all countries women comprise the majority of the older population. Nutrient profiling assists to determine nutritional composition related to disease prevention (WHO, 2014b).

"Financial security, social networks and level of education are all factors in successful ageing, and reinforce the need for broad multifactorial modelling" (Marquez et al., 2009, p. 15). In the present study, individuals were members of a social network of independently funded retirees which may explain their physically active lifestyle when compared to the norm for their age group. However, these factors were not measured, nor accounted for in any of the data analysis (LaFrenz, 2005).





Bartholomew, L. K., Parcel, G. S., Kok, G., Gottlieb, N. H., & Fernandez, M. E. (2010). Planning health promotion programs: An intervention mapping approach. Retrieved from

Chodzko-Zajko, W., Schwingel, A., & Park, C. (2009). Successful aging: The role of physical activity. American Journal of Lifestyle Medicine, 3(1), 20-28. doi: 10.1177/1559827608325456

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: L. Erlbaum Associates.

Drewnowski, A., & Evans, W. (2001). Nutrition, physical activity, and quality of life in older adults: Summary. Journal of Gerontology: Medical Science, 56(2), 89-94. doi: 10.1093/gerona/56.suppl_2.89

Faber, M., Bosscher, R., Chin, A., & van Wieringen, P. (2006). Effects of exercise programs on falls and mobility in frail and pre-frail older adults: A multicenter randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 87(5), 885-896. Retrieved from

Fiatarone, M., Marks, E., Ryan, N., Meredith, C., Lipsitz L. A., & Evans, W. (1990). High-intensity strength training in nonagenarians: Effects on skeletal muscle. Journal of the American Medical Association, 263(1), 3029-3034. Retrieved from

Guralnik, J., Ferrucci, L., , E., Salive, MSimonsick., & Wallace, R. (1995). Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. North English Journal of Medicine, 332(4), 556-561.

LaFrenz, C. (2005, December 5). Financial security: Start saving before middle age; Take a long-term view of retirement. The Adelaide Advertiser. Retrieved from

Manini, T., Druger, M., & Ploutz-Snyder, L. (2005). Misconceptions about strength exercise among older adults. Journal of Ageing and Physical Activity, 13(1), 422-433. Retrieved from

Marquez, D., Bustamante, E., Blissmer, B., & Prohaska, T. (2009). Health promotion for successful aging. American Journal of Lifestyle Medicine, 12(7), 12-19. doi: 10.1177/1559827608325200

Sims, J., Hill, K., Hunt, S., Haralambous, B., Brown, A., Engel, L.,… Ory, M. (2006). National physical activity recommendations for older Australians: Discussion document. Retrieved from$File/pa-guide-older-disc.pdf

World Health Organization. (2014a).Nutrition for older persons. Retrieved from

World Health Organization. (2014b). Nutrient profiling. Retrieved from





Note: The document above is an example of the layout and format of an essay paper in APA Style.This document is not a referencing guide.  Use the APA Style Guide to compile your citation and reference list.


Referencing NICE guidelines

Online document:

National Institute for Health and Care Excellence (2016) Tuberculosis (NICE Guideline 33). Available at: [Accessed DD Month YYYY].

When referencing in the text of an assignment:

The National Institute for Health and Care Excellence (NICE) (2016) guideline for tuberculosis care advises that ...


The guideline for tuberculosis care (NICE, 2016) advises that …

(Use the NICE abbreviation if you have already stated that the acronym stands for the National Institute for Health and Care Excellence, otherwise you will have to use the full expanded name).

If you are quoting directly you will need to include the page number, e.g.

“Statutory, community and voluntary organisations and advocates working with the general public, and under-served and high-risk groups in particular, should share information on TB education and awareness training with all frontline staff” (National Institute for Health and Care Excellence, 2016: 6).

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