NTR test 3 Flashcards

1
Q

What mineral deficiency is most prevalent among toddlers

A

Iron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What age group is the most at risk for an iron deficiency?

A

1-2 year olds, (15.9%)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What marker are you looking for to see if there is an iron deficiency?

A

Ferritin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Iron depletion

A

body is trying to mobilize whatever leftover is stored in the body. Markers indicate low ferritin and high transferrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Iron deficiency is diagnosed for 1-2 year olds by

A
  • hemoglobin concentration below 11.0g/dL

- Hematocrit concentration below 32.9%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Iron deficiency in 2-5 year olds by

A
  • hemoglobin concentration below 11.1 g/dL

- Hematocrit concentration below 33.0%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The supplement people should NEVER self-prescribe

A

Iron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is Iron deficiency prevented?

A

=limit milk consumption to 24oz/day since milk is a poor source of iron
- milk alone competes with iron absorption in the gut and can diplace other food that have a good source of iron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When should infants be tested for a deficiency?

A

between 9-12 months, 6 month later and annually from aged 2-5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Intervention for deficiency

A
  • Iron supplements
  • counseling with parents
  • repeat screening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Middle childhood

A

children ages 5-10 years old, kindergarten age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Preadolescence

A

this is based on puberty, but for girls it is aged 9-11 and boys 10-12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is important to establish in terms of nutrition in middle childhood and preadolescence

A
  • establish healthy eating habits, to help prevent short and long term health problems
  • correlation between good nutrition and academic performance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are some problems that occur with school-aged children?

A
  • children not receiving proper nutrition and not as much exercise
  • higher risk of dehydration because children do not drink water as needed, more on a able to basis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where are there disparities nutritionally?

A
  • there are disparities among education, racial, ethnic groups and socio-economic status
  • Hispanic children higher risk of type 2
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a goal in Healthy People 2020?

A

to help people figure out these disparities and work on food insecurities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What do the CDC growth charts measure for and for who do they measure?

A
  • used on children aged 2 years and older
  • look for weight for age, stature for age and BMI
  • can be used for those that breast and bottle fed their children
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When does adiposity rebound occur?

A

occurs between ages of 4-6, those that it occurs later, a possible indicator for less of an outcome of obesity later in life.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Where does the adiposity rebound occur?

A

occurs at the lowest point in the graph of BMI percentile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Who influence the food choice of a child?

A
  • peers
  • parents
  • siblings
  • media
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is a big underlie of nutrition-related issues in a child?

A

the parenting model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is becoming a problem among young girls?

A

they are very preoccupied by their weight status, girls as young as five years of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the danger of imposing restrictions?

A

this may increase the desire for these foods and therefore the intake of these food when those restricting them are not around.

24
Q

What is common misconception of a increase in adiposity among young girls

A

People interpret a normal increase in adipose tissue in girls at a young age as the onset of obesity

25
What is a problem with "cleaning your plate" initiative?
children are more focused on eating everything than listening to hunger cues
26
How should energy needs be calculated?
by body size and activity
27
Where are dental caries seen?
Can be seen in half of the children ages 6-9
28
How can dental caries be prevented
- limit sugar and provide flouride - regular meal and snack times - choosing fruits and veggies and grians - using sugar-free chewing gum after eating
29
What percentage of children in the U.S are overweight or obese?
1/3
30
What is weight gain linked to?
inactivity rather than increased energy intake
31
What has NHANES data collection noted in terms of preschool obesity and obesity in older age groups?
- decreased in preschool | - stabilized in older age groups
32
What have we started to see in relation to the increase in obesity?
Chronic diseases have become more common such as cardiovascular disease and type 2 diabetes
33
Underweight BMI for age
<5th percentile
34
Normal weight BMI for age
5th<85th percentile
35
Obese BMI for age
>95th percentile
36
Overweight BMI for range
85th-95th percentile
37
In what populations is obesity more popular?
Hispanic and non-Hispanic black children, lowest among white children
38
What are some characteristics of overweight children?
- taller - advanced bone ages - earlier sexual maturity - look older - higher risk for obesity-related chronic diseases; adiposity rebound
39
What helps to determine the weight of child later in life?
whether or not they had an early rebound or a late rebound.
40
What is a large factors in whether or not the child is obese?
- genetics | - environment, whether this be home or in school
41
What has been a factor in the increased obesity rates?
- increased screen time has factored into obesity rates | - scientifically proven that metabolism drops lower when on screen watching TV or such
42
What is Stage 1 of Expert's approach?
Prevention Plus
43
What is stage two of Expert's approach?
Structured Weight Management
44
What is stage three of Expert's approach?
Comprehensive Multidisciplinary Intervention
45
What is stage four of Expert's approach?
Tertiary care intervention (reserved for severely obese adolescents)
46
What are the points of family-based nutrition counseling?
- Parent training - Dietary counseling/nutrition education - Physical activity/addressing sedentary behaviors - Behavioral Counseling
47
AMDR for fat in children diet
25-35% | children below the age of two we do not limit fat intake at all
48
AMDR for fat in adult diet
20-35%
49
Where can Vitamin D come from?
exposure to sunlight and vitamin D in fortified foods
50
Why should calcium and vitamin D be included in the diet?
- bone formation during puberty | - include dairy products and calcium-fortified foods
51
What do you do if a child is lactose intolerant?
Do not completely eliminate dairy products, decrease only to the point of tolerance
52
What do you do if a child is lactose intolerant?
Do not completely eliminate dairy products, decrease only to the point of tolerance
53
What is the limit for Vitamin D daily for children aged 4-18?
600 IU/day
54
What are pitfalls of sports drinks?
- they offer empty calories and excess sugar - promote tooth decay - child may become malnourished because they are filling up on energy drinks
55
What should children drink instead of energy drinks?
cold water, water in general