Surveys have shown that in up to 40 percent of elderly people living independently in affluent countries, the consumption of one or more essential nutrients is insufficient or they have deficient levels of these nutrients in their blood.
in up to 40 percent of elderly people living independently in affluent countries, the consumption of one or more essential nutrients is insufficient or they have
in up to 40 percent of elderly people who live independently in affluent countries, they consume one or more essential nutrients insufficiently or have
in up to 40 percent of elderly people who live independently in affluent countries, one or more essential nutrients are consumed insufficiently or having
up to 40 percent of elderly people living independently in affluent countries who consume insufficient amounts of one or more essential nutrients or who have
up to 40 percent of elderly people who live independently in affluent countries consume insufficient amounts of one or more essential nutrients or have
加了in... they就变成指代40% elderly people的一个子集了
但是 intended meaning 应该是想说 有40%的老年人 他们XXXXX,
叠加了in相当于缩小了范围 所以排除ABC
其次,动词后面的that需要跟一个保证的句子
D选项是fragment sentence, 排除
选E
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