nutrition- chapter 11-12 Flashcards

1
Q

life cycle

A
  • infancy- first year of life
  • childhood- between infancy and adolescence
  • adolescence- onset of puberty
  • adulthood- physical maturity
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2
Q

measuring childhood growth

A
  • individual growth rates
  • growth charts
  • growth charts for children with special needs
  • psychosocial development
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3
Q

nutritional needs

A

energy needs:
- first year of life= 80-120kcal/kg/day

fat needs:

  • ADMR, 1-3 years: 30-40%
  • ADMR, 4-18 years: 25-35%

protein needs:
- first 6mo: 1.52g/kg

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4
Q

water requirements

A
  • metabolic needs, especially during periods of rapid growth
  • infants require more water per unit of body weight than adults
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5
Q

minerals and vitamins

A
  • calcium: critical in early life for skeleton, bones, teeth
  • iron: essential for hemoglobin and cognitive development
  • vitamin supplements: K and D
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6
Q

infant classifications

A

maturity

  • term infants= 37-42 weeks gestation
  • premature infants= born before 37 weeks

weight classification

  • low birth weight (LBW): < 2500g (5lb 3oz)
  • very low birth weight (VLBW): < 1500g (3lb 5oz)
  • extremely low birth weight (ELBW): < 1000g (2lb 3oz)
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7
Q

infant classifications

A

size for gestational age classification:

  • appropriate for gestational age (AGA)
  • large for gestational age (LGA)
  • small for gestational age (SGA)
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8
Q

considerations regarding feeding premature infants

A
  • physiologic delays relevant to feeding
  • milk content
  • methods of milk delivery
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9
Q

feeding a mature infant

A
  • breast milk or substitute
  • weaning
  • cow’s milk
  • solid food additions
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10
Q

summary of guidlines

A
  • Breastfeed for at least the first full year of life, and supplement with a vitamin K shot at birth and daily vitamin D drops.
  • Use iron-fortified formula for an infant not breastfeeding.
  • Water and juice are unnecessary for breastfed infants during the first 6 months of life.
  • Introduce solid foods at approximately 6 months of age
  • Introduce whole cow’s milk/milk substitute at end of first year
  • Do not give allergens as the first solid foods.
  • Do not give honey to an infant younger than 1 year old.
  • Delay foods with a high risk for choking and aspiration until the child is older.
  • Beginning at age 6 months, provide fluoride supplementation if the fluoride concentration in the water supply is insufficient
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11
Q

toddlers (1-3 years)

A
  • increase variety of foods
  • pleasant surroundings
  • reserve sweets for special occasions
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12
Q

preschool-aged children

A
  • patterns, attitudes, and basic habits forming
  • food jags common and self-limiting
  • child-friendly version of MyPlate available
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13
Q

school-aged children (5-12 years)

A

food choices influenced by:

  • parental food habits
  • family meals
  • screen time
  • peer food habits
  • school lunch program
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14
Q

nutrition problems during childhood

A
  • failure to thrive
  • anemia
  • obesity
  • lead poisoning
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15
Q

physical growth

A

body composition

  • rapid growth during onset of puberty
  • boys and girls differ in fat, muscle gain

bone mineral density
- diet impacts ability to achieve higher peak bone mass

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16
Q

eating patterns

A

influenced by:

  • parent guidance and modeling
  • rapid growth, peer pressure
  • alcohol abuse
  • pressure to be thin
17
Q

eating disorders

A
  • social, family, body image pressures
  • self-imposed crash diets
  • parents can be source of pressure
  • early detection and intervention are critical
18
Q

influences on adult growth and development

A

physical growth:
- after physical maturity is reached, energy requirements decrease

psychosocial development:

  • young adults: increasingly independent
  • middle adults: expand personal growth
  • older adults: vary widely in dealing with age

socioeconomic status:

  • many elderly suffer from meager financial resources, loneliness, uncertainty, and depression
  • increasing number of retirement age adults are remaining in workforce

nutrition needs;
- aging process influences nutrition requirements

19
Q

physiologic changes with aging

A

biologic changes:

  • metabolism
  • hormones

effect on food patterns:

  • diminished absorption and bioavailability of nutrients
  • decreased taste, smell, thirst, and vision
20
Q

nutrition needs with aging

A

macros and fluids:
- carbs, fats, protein, fluids

micronutrients and health concerns
- bone health and food safety

nutrient supplementation
- vitamin B12, vitamin D, excess supplementation