chapter 4: growth and health in childhood and adolescence Flashcards

1
Q

what are the two theories of how our body proportions develop? (birth to 2)

A
  1. proximodistal trend = centre of body outwards
  2. cephalocaudal trend = head downward
  • triple in weight
  • grows about 10 inch
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2
Q

physical growth (age 2 to puberty)

A
  • 7-8 cm and 3-4 kgs per year (before puberty)
  • 10cm or 7-8 kgs per year (puberty)
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3
Q

secular trends

A

marked changes in physical development occurring from one generation to the next
- includes height, onset of menstruation

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4
Q

what are the things to do in childhood for good nutrition?

A
  • breast feeding over bottle feeding
  • need macronutrients (carbs, fats and proteins)
  • need micronutrients (vitamins and minerals)
  • start to introduce sold foods at 6 months
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5
Q

neophobia

A

irrational fear or dislike of anything new or unfamiliar
- best to overcome by re introducing new food (make take up to 15 times)

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6
Q

Fisher and Birch (food access to children)

A
  • restricting access to food focuses children’s attention to them and desire to eat them
  • using treats as bribes to eat healthy foods make children eat healthy foods less
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7
Q

obesity and its causes

A
  • continue to rise (approx 13% of canadian children and teens)
  • causes include overconsumption of unhealthy foods, heredity, lack of activity, lack of sleep, lack of access to healthy foods
  • protective factor - eating as family
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8
Q

what is the #1 cause of death of children over 1?

A

accidents

includes car, bicycle accidents, drowning, suffocating, falling etc.

  • need better and proper adult supervision
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9
Q

THE BRAIN IN CHILDHOOD

A
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10
Q

the brain at birth…..

A

contains most of the neurons it will ever have

will grow 4x larger by adulthood
grows until 6 layers of the mature brain

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11
Q

what are the 3 factors that cause a massive brain growth and what they mean?

A
  1. neuron connections = synaptogenesis (how our brain processes info from the environment and makes neural connections)
  2. myelination = myelin protects the nerve axons and speeds the transmission of electrical impulses down myelin sheath
  3. synaptic pruning = loosing irrelevant and inactive synaptic connections
    - order - sensory and motor, language and spatial and attention and planning
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12
Q

what is the function of the cerebral cortex?

A

processing centre for:

  • perception of patterns, execution of complex motor sequences, planning and decision making, speech, personality etc.
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13
Q

what is lateralization?

A

either the left or right hemispheres of the brain are used more than others during tasks and daily activities
- eg. left or right handed chosen by 2

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14
Q

what the 2 major classes of development?

A
  1. experience expectant process = environment provides infants with necessary input to develop the neural connections to enable the baby to function
  2. experience dependent process = brain’s capacity to change in response to experience, repeated stimuli, environmental cues, and learning (eg. brain of an athlete)
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15
Q

what is plasticity?

A

extent to which the brains organization is flexible and affected by experience but development follows some general bio instructions

  • allows for diff parts of brain to control other functions if area is damaged
  • children better able to recover from brain damage than adults
  • recovery better for language skills than spatial skills
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16
Q

historical context of adolescence

A
  • only applied to youth at beginning of 20th century
  • teenager entered vocab in 1950s
  • time of transitions
17
Q

what did Hall, Freud and Dr. Phil say about adolescence?

A

“time of storm and stress”

“to be normal during adolescence is itself abnormal”

“teenage years can be a parent’s worst nightmare”

18
Q

psych issues during adolescence

A
  • conflicts with parents
  • mood instability (mood swings by extremes)
  • engage in risky behaviours (physical risks)
  • MINORITY 20% of teens
19
Q

rate of maturation for females

A

early - emotional problems, low self esteem, anti social behaviours, eating disorders

late - self confident, positive body image

  • deals with being sexually active, warn parental support
20
Q

rate of maturation for males

A

early - positive self image, antisocial behaviours

late - low self esteem, feelings of inadequacy

21
Q

what is the caloric intake for males and females during puberty?

A

girls
- 13-15 (2200 cal per day)
- 16-19 (2100 cal per day)

boys
- 13-15 (2800 cal per dat)
- 16-18 (3200 cal per day)

22
Q

role of sleep in adolescence

A
  • taking melatonin messed with sleep schedule
  • sleep deprivation affects behaviour control, emotions and attention
  • massive for brain maturity
23
Q

role of exercise in adolescence

A
  • physical activity enhances psychological well being and social relationships
  • joining sports teams = enhances self esteem and initiative
24
Q

what is depression and its symptoms?

A

most common psych disturbance among adolescents

  • emotional - sadness, unable to experience pleasure
  • cog - pessimism and hopelessness
  • motivational - apathy and boredom
  • physical - decrease in appetite, sleeping patterns
25
why are girls after puberty more likely to experience depression?
- gender roles - greater levels of stress in early teens - greater sensitivity to others
26
what are the stats for suicide in adolescence?
- 2nd cause of death for youth ages 15-24 - 15% of boys and girls make serious attempts enough to need treatment - high attempt rates in certain groups - risk factors - depression, stress, genetic vulnerability
27
what are the 3 most used substances used in adolescence?
1. alcohol 2. cannabis 3. vaping
28
what is body image and its impact?
self evaluation that an ind makes of their own body - includes weight, body strength, shape and size society emphasizes - thinness for women - high muscularity for men
29
what is anorexia and its characteristics?
consistent undereating marked by fear of being over weight (through purging or excessive exercising) - affects 1% of adolescent girls characteristics - distorted body image and thoughts - 15% of body weight lost - physical issues such as sleeping and loss of strength
30
what is bulimia and its characteristics?
binge eating episodes and purging by vomiting or laxatives - 2-4% girls - keeps with normal body weight but low self esteem - exercising excessively - happens 2x per week for 6 months
31
what is body dysmorphic disorder?
distressing and impairing preoccupation with a non existing or slight imperfection in appearance -eg. muscle in men
32
what are the influences for eating disorders?
cultural pressures overprotecting parenting (anorexia) perfectionism (anorexia) genetic vulnerability to disorders
33
what is the impact of synaptic pruning and myelination in brain development in adolescence? what parts fo the brain are mainly changed?
- increased efficiency of information processing from the environment to out brain and the neural circuits - prefrontal cortex (logic and reasoning) - limbic system (emotions, drives, sexual)
34
what happens when the limbic system matures before the prefrontal cortex
leads to risky behaviours including - belief in not being harmed or hurt - sensation seeking - impulsive and irrational - overconfidence (cocky) - susceptibility to peer influences and beliefs
35
malnourishment and its effects on children
- low IQ - difficulty with attention - damages brain which influences growth during critical periods - changes in parental teachings
36
what are the 3 main ideas of integrated management of childhood illness?
1. training health care prof more better 2. improve healthcare systems 3. changing community and fam practices
37
what is the frontal cortex?
- personality - ability to make and carry out plans
38
what is a neural plate?
groups of cells that form a flat structure at 3 weeks after conception at 4 weeks - folds into tube that becomes the brain and spinal cord