Ch 16 - Nutrition during Childhood Flashcards

1
Q

A 1-year-old needs about ____ kcals/day; a 6-year-old needs about ____ kcals/day; a 10-year-old needs about ____ kcals/day.

A

800; 1600; 2000

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2
Q

What are the carb and fibre recommendations for children?

A

Carb recommendations are based on the brain’s glucose needs; typically within the adult range. Fibre intake varies with caloric intake

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3
Q

What are the fat recommendations for children?

A

Ages 1-3 = 30 to 40% of energy

Ages 4-18 = 25 to 35% of energy

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4
Q

What are the protein recommendations for children?

A

Like energy needs, total protein needs increase slightly with age, but when the child’s body weight is considered, the protein requirement actually declines slightly

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5
Q

How do children obtain adequate vitamins and minerals?

A

Vitamin and mineral needs of children increase with age. A balanced diet of nutritious foods can meet these needs with the exception of iron, and possibly vitamin D

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6
Q

How could a child receive adequate intakes of iron and vitamin D?

A

Consume iron-fortified foods and a reasonable milk intake so that it will not displace iron. Children typically obtain most of their vitamin D from fortified milk and dry cereals

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7
Q

Do children need supplements?

A

Well-nourished children do not need vitamin and mineral supplements with the exception of specific recommendations for fluoride, iron, and vitamin D

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8
Q

What are the recommended number of servings per day for each food group?

A

Fruits & Vegetables = 4 servings;
Grain Products = 3 servings;
Milks & Alternatives = 2 servings; and
Meat & Alternatives = 1 serving

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9
Q

Hunger and malnutrition are not uncommon, especially among ______________

A

children in very low-income families

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10
Q

Children who miss meals:

A
  • perform poorly in tasks requiring concentration
  • have shorter attention spans
  • achieve lower test scores
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11
Q

How does iron deficiency affect children?

A

Iron deficiency has effects on children’s behaviour and intellectual performance. It not only causes an energy crisis, but it also directly impairs attention span and learning ability

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12
Q

In addition to carrying oxygen in the blood, iron:

A

transports oxygen within cells, which use it during energy metabolism

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13
Q

How is iron deficiency diagnosed?

A

By a quick, easy, inexpensive hemoglobin or hematocrit test that detects a deficit of iron in the blood

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14
Q

A child’s ______ is sensitive to low iron concentrations long before blood effects appear

A

brain

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15
Q

What are some symptoms of iron deficiency?

A
  • lowered motivation
  • impaired intellectual performance
  • disruptive behaviour
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16
Q

How do iron supplements help children low in iron?

A

Iron supplementation improves learning and memory

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17
Q

Malnourished children are vulnerable to lead poisoning. They absorb more lead if:

A
  • their stomachs are empty;
  • they have low intakes of calcium, zinc, vitamin C, or vitamin D; and
  • they have an iron deficiency
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18
Q

What are some commonalities between iron deficiency and lead poisoning?

A

Common to both are low socioeconomic background and a lack of immunizations against infectious diseases. Another common factor is pica (craving for non-food items)

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19
Q

Like iron deficiency, mild lead toxicity has nonspecific symptoms, including:

A
  • diarrhea
  • irritability
  • fatigue
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20
Q

With further exposure to lead, symptoms become more pronounced, and children develop:

A

learning disabilities and behavioural problems

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21
Q

Severe lead toxicity can cause:

A
  • irreversible nerve damage
  • paralysis
  • mental retardation
  • death
22
Q

Lead is not easily excreted and accumulates where?

A

Mainly in the bones, but also in the brain, teeth, and kidneys

23
Q

What is “true” hyperactivity and how often does it occur in children?

A

“True” hyperactivity occurs in 5 to 10% of children. It is characterized by:

  • trouble sleeping
  • not being able to sit still
  • acting impulsively
  • difficulty in paying attention
24
Q

What is the relationship between hyperactivity and sugar?

A

No scientific evidence supports a relationship between sugar and hyperactivity

25
Q

What is the relationship between hyperactivity and food additives?

A

Scientific evidence to substantiate the connection has been elusive.

26
Q

Food allergies are frequently blames for physical and behavioural abnormalities in children, but only ____% of children younger than ____ years of age are diagnosed with true food allergies

A

6 to 8%; 4

27
Q

Food allergies ________ with age

A

diminish

28
Q

Why are peanut allergies on the rise?

A

Reasons for an increase in peanut allergy are not yet clear, but possibly contributing factors include genetics, food preparation methods, and exposure to creams containing peanut oil

29
Q

When do true food allergies occur?

A

When fractions of a food protein are absorbed into the blood and elicit an immunological response. The body’s immune system reacts by producing defensive agents such as antibodies and histamines

30
Q

What treatment is involved for those with food allergies?

A

The required treatment is strict elimination of the offending food

31
Q

What is anaphylactic shock? What is it most often caused by?

A

A life-threatening, whole-body allergic reaction to an offending substance. It is most often caused by peanuts, tree nuts, milk, eggs, wheat, soy, fish, or shellfish

32
Q

What is a food intolerance?

A

Adverse reactions to foods that do not involve the immune system

33
Q

What are some signs of a food intolerance?

A
  • stomachaches
  • headaches
  • rapid pulse rates
  • nausea
  • wheezing and coughs
  • hives
34
Q

What can adversely affect a child’s nutrition status and health?

A

Hunger, lead-poisoning, hyperactivity, and allergic reactions

35
Q

___% of Canadian children are overweight; ___% are obese

A

18%; 7%
Overweight = 85th to 95th percentile
Obese = >95th percentile

36
Q

Obese children have multiple risk factors for __________ and a high risk of ____________ in adulthood.

A

cardiovascular disease; severe obesity

37
Q

How does parental obesity affect the chances that a child becomes an obese adult?

A

Parental obesity more than doubles the chances that a young child will become an obese adult

38
Q

What are the two strongest environmental factors explaining why children are heavier today than in the past?

A
  1. Diet
    - more emphasis on convenience foods
    - meals eaten away from home
  2. Physical inactivity
    - sedentary activities such as watching television, playing video games
    - opportunities for physical activity and play outside of school has declined
39
Q

How has energy consumption increased in children?

A

In children aged 2 to 18, about 40% of total energy intake comes from solid fats and added sugars (empty kcalories)

40
Q

How does an increase in soft drink consumption contribute to childhood obesity?

A

More than half of school-aged children consume at least one soft drink daily (this contains 10tsp of sugar and 150 kcals). Research shows that soft drink consumption is associated with increased energy intake and body weight

41
Q

How does obesity affect a child’s growth?

A
  • they typically begin puberty earlier and so grow taller than their peers at first
  • they stop growing at a shorter height
  • they develop both fat and lean weight and appear “stocky”
42
Q

How does obesity affect a child’s physical health?

A
  • Obese children display a blood lipid profile indicating that atherosclerosis is beginning to develop – high levels of total cholesterol, triglycerides, and LDL cholesterol
  • Obese children tend to have high blood pressure
43
Q

How does obesity affect a child’s psychological development?

A

Obese children often have more emotional and social problems as well as a poorer self-image

44
Q

How might psychological and behavioural support help overweight children?

A

Parental attitudes about food greatly influence children’s eating behaviour, so it is important that the influence be positive

45
Q

What are the effects of using weight-loss drugs to treat obesity in children?

A

The use of weight-loss drugs merits special concern because the long-term effects of these drugs on growth and development have not been studied

46
Q

What is the criteria for obese children who opt for surgery?

A
  • must be physically mature
  • must have a BMI >40 or >35 with significant weight-related health problems
  • failure in a 6-month weight-loss program
  • capable of adhering to the long-term lifestyle changes required after surgery
47
Q

Traditionally, parents serve as __________, determining what foods and activities were available in their children’s lives

A

gatekeepers

48
Q

How might participation encourage healthy eating in children?

A

Allowing children to help plan and prepare meals provides enjoyable learning experiences and encourages children to eat the foods they have prepared

49
Q

How should parents introduce new foods to children?

A

They should offer them one at a time and only in small amounts

50
Q

How do parents serve as role models?

A

Children learn much through imitation so their eating habits are profoundly influenced by their parent’s eating habits

51
Q

What are some competing influences at school that prevent some children from eating their school lunch?

A
  • short lunch periods
  • long waiting lines
  • types of food offered