Chapter 12 - Exam 2

Question 1

Middle Childhood

Answer 1

5-10 years old

Question 2

Preadolescence

Answer 2

9-11 years for girls

10-12 years for boys

Question 3

Monitoring of Growth

Answer 3

continues to be important

measure on CDC chart; height, weight, BMI

Question 4

CDC 2000 Growth Charts

Answer 4

based on data from;
national health & examination survey (NHES)
national health & nutritional examination survey (NHANES) I (76’-80’) & II (88’-94’)
*III not relevant due to higher prevalence of overweight (would include unhealthy standard)

Question 5

Cognitive Development in School-Age Children

Answer 5

middle childhood (5-10 yo)
self efficacy = knowledge of what to do and ability to do to
able to rationalize cause/effect
development of sense of self, greater independence, peer relationships and outside of home influences become important

Question 6

Feeding Skills in School-Age Children

Answer 6

improved muscle coordination/feeding skills

masters use of utensils, involved in food prep, learning simple/basic nutrition facts

Question 7

Eating Behaviors in School-Age Children

Answer 7

parents/siblings influence food choices, family meal times should be encourages, media has strong influence on food choices

Question 8

Energy Requirements of School-Age Children

Answer 8

DRI estimated energy expenditure (EER)
-males
4-8 yo; 1742 kcal/d
9-13 yo; 2279 kcal/d
-females
4-8 yo; 1642 kcal/d
9-13 yo; 2071 kcal/d

Question 9

Protein Requirements of School-Age Children

Answer 9

4-13 yo boys/girls = 0.95 g/kg body wt

Question 10

Fat Requirements of School-Age Children

Answer 10

4-18 yo boys/girls = 25-35% of energy
include linoleic (omega-6) fatty acids, and alpha-linoleic (omega-3) fatty acids

Question 11

Fiber Requirements of School-Age Children

Answer 11

help prevent chronic diseases in adulthood
4-8 yo boys/girls = 25 g/d
9-13 yo boys = 31 g/d
9-13 yo girls = 26 g/d

Question 12

Vit/Min Requirements of School-Age Children

Answer 12

4-8 yo = Fe 10 mg/d, Zinc 5 mg/d, Ca 1000 mg/d

9-13 yo = Fe 8 mg/d, Zinc 8 mg/d, Ca 1300 mg/d

Question 13

Calcium and Vitamin D

Answer 13

bone formation occurs during puberty
include dairy products and Ca fortified foods
Vit D from sunlight, fortified foods

Question 14

Supplements

Answer 14

NOT needed for children with varied diet

if given do not exceed DRI

Question 15

Vegetarian Diets

Answer 15

socially acceptable as weight loss

preadolescents may choose to consume vegetarian diets

Question 16

Physical Activity Recommendations

Answer 16

60 mins of PA a day
only 8% of middle/junio schools require daily PA
only ~ 35% of 5-15 yo walk to school, 2% bike

Question 17

Iron Deficiency

Answer 17

less common in children than in toddlers
4% in 6-11 yo
5% in 3-5 yo
7% in 1-2 yo (toddlers)

Question 18

Overweight/Obesity

Answer 18

common nutrition problems shifted from nutrient deficiencies to excess nutrition
prevalence is increasing
^ risk of cardiovascular disease, type II diabetes

Question 19

Prevalence of Obesity

Answer 19

18% of 6-11 yo

more common in Hispanic and African-American children

Question 20

Effects of TV Watching

Answer 20

for each additional hr of tv, prevalence of obesity increased by 2%
more energy expended resting, even lower while watching tv (not good at all)

Question 21

Prevention of Overweight/Obesity

Answer 21

PA recommended above all else

early BMI testing

Question 22

Treatment of Overweight/Obesity

Answer 22

4 stage approach;
1 - prevention plus
2 - structured weight management (SWM)
3 - comprehensive multidisciplinary intervention (CMI)
4 - tertiary care intervention (reserved for severely obese adolescents)