ch.14/15

Question 1

menarch

Answer 1

the onset of the 1st menstrual period and occurs 2-4 yrs after initial development of breast buds. stage 2 of SMR

Question 2

what is the range age for menarch in females?

Answer 2

age 9-17

Question 3

key points of menarche

give 3.

Answer 3

1. africans develop faster than caucasians
2. peak linear growth occurs 6-12 months prior to menarche
3. severely restrictive diets may slow growth

Question 4

body composition changes in females?

Answer 4

• peak weight gain follows linear growth spurt by 3-6 months
• average gain of 18.3 lbs per year
• increase lean body mass by 44%
• 120% increase in body fat
• 17% body fat required for monarche for norm periods

Question 5

body composition changes in males?

Answer 5

• peak wt gain coincides timing of peak linear growth and peak muscle mass accumulation
• ave 20lb wt gain per yr
• 12% body fat increase

Question 6

types of vegetarian diets?

list all 5.

Answer 6

semi/partial vegetarian
lacto-ovo vegetarian
lacto-vegetarian
vegan
macrobiotic

Question 7

semi/partial vegetarian

Answer 7

excludes red meats

Question 8

lacto-ovo

Answer 8

excludes meat, poultry, fish, seafood

Question 9

lacto

Answer 9

no meat poultry fish seafood or dairy

Question 10

vegan

Answer 10

no:

meat, chicken, fish, seafood, eggs, dairy

Question 11

macrobiotic vegetarian

Answer 11

no:

meat, ckn, eggs, dairy, seafood, fish (some not all)

Question 12

what do teens have inadequate amounts of regarding vitamins and minerals?
list 10

Answer 12

folate
vitamins a, b6, c, e
iron
zinc
magnesium
phosphorus
calciumf

Question 13

heme iron

Answer 13

iron contained within a protein of hemoglobin that is in a ferrous state
(animals)

Question 14

nonheme iron

Answer 14

iron contained within a protein of a hemoglobin that is in the ferric state
(both plants/animals)

Question 15

benefits of physical activity for teens

list 5.

Answer 15

• improves aerobic endurance
• reduce risk of obesity
• builds bone mass density
• higher self esteem
• lower anxiety/stress

Question 16

peak bone mass for females and males?

Answer 16

female: 24 yrs
males: 26 yrs

Question 17

health implications of overweight teens:

list 6

Answer 17

1. hypertension
2. dyslipidimeia
3. insulin resistance, type 2
4. sleep apnea
5. body image issues
6. self esteem lowers

Question 18

weight management techniques for teens?

list the 4 national guidelines for weight management therapy

Answer 18

1. prevention plus
2. structures weight management
3. comprehensive multidisciplinary interventions
4. tertiary care intervention

Question 19

hypertension nutrition counseling recommendations:

list 5

Answer 19

1. limit sodium
2. limit fat to 30% of cals
3. weight loss if overweight
4. diet recommendations should be encourages even if meds are givn
5. consume fruits, vegs, whole grains, and low fat dairy

Question 20

hyperlipidemia

what is it, how many teens on average, and risk factors (6)

Answer 20

high cholesterol
1 in 4 teens
risk factors: family history, smoking, overweight, hypertension, diabetes, physically inactive

Question 21

3 types of eating disorders

list them

Answer 21

anorexia nervosa
bulimia nervosa
binge-eating disorder

Question 22

anorexia nervosa

Answer 22

extreme wt loss, poor body image, irrational fear of wt gain or obesity

Question 23

bulimia

Answer 23

recurrent episodes of rapid uncontrolled eating large amounts of food in short period frequently followed by purges

Question 24

binge eating

Answer 24

periodic binge eating not followed my vomiting or use of laxatives

Question 25

what are tanner stages?

Answer 25

the sexual maturation rating. a scale of secondary sexual characteristics that allow health professionals to assess the degree of pubertal maturation among adolescents, regardless of chronological ages