Module 19 physical activity Flashcards
WHO physical activity recommendations for children 5-17
60 minutes/day of moderate to vigorous activity
Carb intake 4-18 y/o
45-65% of total calorie intake
protein intake 4-18 y/o
10-30% of total caloric intake
Fat intake 4-18 y/o
25-35% total caloric intake
3 types of sports activities classified by AAP
contact and collision
limited contact
noncontact
objective of sports physical
- cardiovascular risks
- health status: fitness level
- detecting injuries, conditions, and illness that might limit competition/lead to injury
- recommend alternative activities as appropriate
- anticipatory guidance about safety equipment
- promote healthy choices
- recommend ways to improve athletic performance
components of pre-participation physical exam
- Ht/Wt and BMI
- BP/HR
- general appearance: marfan’s
- eyes: eyes should be > 20/40 corrected
- CV
- respiratory: accessory muscle use, prolonged expiration
- GU: hernias, vericoceles, undescended
- Musculoskeletal
- Skin: molluscum, HSV, impetigo, MRSA, tinea corpis, scabies
- neuro: gross motor assessment
CV screening PMH
- chest pain/discomfort related to exertion
- unexplained syncope
- excessive exertional and unexplained dyspnea/fatigue/palpitations with exercise
- prior heart murmur
- HTN
- prior restriction from participation in sports
- prior testing for the heart
cardiovascular screening FHx
- premature death, before 50, r/t heart disease
- disability from heart disease in close relative <50
- hypertrophic or dilated cardiomyopathy
- long QT syndrome
- marfan syndrome
- clinically significant arrhythmias
Causes of sudden cardiac death in young athletes
hypertrophic cardiomyopathy
anomalous origin of a coronary artery
-> ventricular arrhythmia
Assessing young athletes for head injury
- baseline neurocognitive testing
- concussion may occur with no obvious indications of concussion
- no return to play same day of injury
- graduated return-to-sport strategy should be used after concussion
- 6 steps, each should take at least 24 hours
Female athlete triad
- low energy availability with or without disordered eating
- menstrual dysfunction
- low bone mineral density
Associated with: - sports that emphasize a lean body mass,
- low wt maintenance
- retaining ones prepubertal physique
Concussion
mild traumatic brain injury
- complex pathologic brain process resulting from primary or secondary forces on the head that disrupt brain processes and functioning
- > physical, cognitive, emotional, and sleep s/s
Concussion exam physical
headache nausea/vomiting difficulty with balance changes in vision dizzy light or sound sensitivity paresthesias dazed or stunned
concussion exam cognitive
confusion altered concentration mental torpor altered memory forgetfulness - conversations or recent events needs to repeat or slowly answer questions