Lecture 7

Question 1

What is the definition of middle childhood?

Answer 1

Ages 5-10

Question 2

What is the ages for preadolescence?

Answer 2

9-11 for girls

10-12 for boys

Question 3

Why is nutrition important for school aged kids?

Answer 3

Establishes healthy eating habits to help prevent immediate and longterm health problems

Adequate nutrition associated with improved academic performance

Question 4

How do we measure normal growth and development of school aged kids?

Answer 4

Growth and velocity will slow during these years

Should continue to monitor growth periodically

Wt and ht plotted on growth chart

Wt for age
Stature for Age
BMI for age

Question 5

When can we use BMI as a measurement tool?

Answer 5

Can be used with children over 2yrs of age to determine if they re at risk for underweight, over weight and obesity

Question 6

What do the growth charts go up too?

Answer 6

18-19 depending on their cut off for adolescents

Question 7

What physiological development in school age children do we start to see?

Answer 7

Increase muscle strength, Motor coordination and stamina
-differes between male and female

Early childhood body fat reaches min and then increase in preparation for adolescences

Question 8

When does the increase in body fat take place?

Answer 8

6-6.3 years

-boys have more lean tissue than girls

Question 9

What is the major developmental achievement for school age children?

Answer 9

Self efficacy

-knowledge of what to do and the ability to do it

Question 10

What does self autonomy in toddlers lead to in school aged children?

Answer 10

Self autonomy in toddlers leads to self efficacy in school age children
- Need to give children the opportunity for children to develop these skills, as long as you try things then that’s good and its okay to fail

Question 11

In toddlers they go from preparation period to what in school aged children?

Answer 11

concrete operations

• they can focus on several things at the same time
• more cause and effect reasoning
• seeing others point of view

Question 12

What does the cognitive development in school aged children lead to?

Answer 12

Develops sense of self
More independent and learn family roles
Peer relationships become more important

Question 13

What are the development in the feeding skills in school aged children ?

Answer 13

Increase motor coordination and improved feeding

Master use of eating utensils

Involved in food preparation

Learning about different foods, simple food prep and basic nutrition facts

Question 14

How do school aged children develops their eating behaviours?

Answer 14

Influence from parents/older siblings

Parents should be positive role models

Family meal times should be encouraged

Media

Question 15

How does parental body image influence kids?

Answer 15

Mothers concern of her own weight may increase her influence over her daughters food intake
-young kids preoccupied with wt and body size at early ages

Question 16

What shouldn’t parents do about body image?

Answer 16

Shouldn’t import controls and restrictions of forbidden foods which may increase the desire and intake of these foods

Normalize the increase in body fat and properly interpret them

Question 17

What external influences influence school aged children eating behaviours?

Answer 17

Peer influence
School policies and practices
-vending machines
Volunteer and professionals working with children
-teachers, coaches
Media messages 
-ads, sports

Question 18

What is the AMDR for school aged children?

Answer 18

Carb: 45-65%
Protein 10-30%
-dont want to overwhelm kidneys
Fat: 25-35%
-include omega 3 and 6

Question 19

What is the recommended protein intake for school aged children ?

Answer 19

0.95g/kg/day

Question 20

What are the estimated energy values for active normal wt children?

Answer 20

3-8yrs

• girls: 1642
• boys: 1742

9-13yrs

• girl: 2071
• Boy: 2279

Question 21

What are the recommended intake of Fe, Zn and Ca for 4-8 and 9-13yrs?

Answer 21

4-8yrs
Fe 10mg
5 mg
1000 mg

9-13yrs
Fe 8mg
Zn 8mg
Ca 1300mg

Question 22

Why is making sure adequate Ca and Vitamin D is done?

Answer 22

For bone length and density to support growth spurts

-higher recommendations for older children is because most bone formation occurs during puberty

Question 23

What is the recommendation for Vitamin D?

Answer 23

RDA 15mincro gram or 600IU for children 4-18

-from sun or fortified foods

Question 24

What is the recommendations for fibre?

Answer 24

4-8yrs: 25g/day
Boys 9-13: 31g
girls 9-13: 26g

Question 25

What should parents be doing in terms of fluids and soft drinks?

Answer 25

Provide plain water or sport drink to prevent dehydration

Cold water is best

Limit soft drinks

Energy drinks should not be consumed

Question 26

What should meal times at home be?

Answer 26

Need to be consistent in terms of pattern leads to a lower level of chaos

Question 27

Why should we avoid power struggles in terms of food with school aged children?

Answer 27

Children lean to assert independence

Problem if parents try to control every aspect of eating

Parent responsible for what foods offered

Child responsible for how much and whether to eat

Question 28

What should parents do in terms of new foods?

Answer 28

Do not force child to try

Offer when child Is hungry

Respect Childs decision to accept or reject

Question 29

How do parents chose breakfast cereals?

Answer 29

Whole grains
High fibre
-at least 4g/serving
Limit sugar
-less than 11g/serving
Limit fat
-less than 3g/serving

*tip mix high fibre cereals with low fibre to boost nutritional value