NUTRITION IN CHILDHOOD AND ADOLESCENT Flashcards

1
Q

Weight typically increases

A

2-3kg per year until 9/10 years old

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2
Q

CHILDHOOD - GROWTH AND DEVELOPMENT

A

 Head growth minimal
 Trunk growth slows substantially
 Limbs lengthen

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3
Q

Energy requirement is determined on the basis of

A

basal metabolism, rate of growth and energy
expenditure

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4
Q

Protein intake

A

about 1.1g/kg body weight

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5
Q

1-3 year old: high risk for

A

iron deficiency anemia

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6
Q

Ca is needed for adequate

A

mineralization and maintenance of growing bone

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7
Q

Zn is essential for

A

growth

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8
Q

Vitamin D is important for

A

Ca absorption and deposition of Ca in bones.

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9
Q

PRESCHOOL CHILDREN

A

 Sweets should be limited; nutrient-rich foods can be used to satisfy hunger

 After the age of one, a child’s growth rate slows and with it, the appetite

 Children develop tastes for certain foods at an early age

 The eating habits and attitudes children learn are likely to last a lifetime

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10
Q

Children 4 to 6 years old

A

 Children can have their independent eating styles.

 They understand the time frame of meals and
can save their appetite for meals.

 Snacks form an integral part of the child’s nutrient intake

 Children can develop a sense of responsibility for healthy food selection. They can understand that although all foods are fine, some (like fruits, vegetables, and low fat foods) can be eaten more often than others.

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11
Q

CHILDREN 7 TO 12 YEARS OLD-Nutrients most likely to be low:

A

Ca, Fe, Vitamin B-6, Vitamin A, Vitamin C

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12
Q

Nutritionally at risk children:

A

 from abused/neglected/deprived families
 with poor appetites/eating habits
 on vegetarian diets without dairy products
 who are pregnant

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13
Q

Children 7 to 12 years old

A

Actual growth may slow down at this stage

  • The body is preparing for the puberty growth spurt
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14
Q

Puberty for girls may begin from -
(7 to 12 years old)

A

age 9 and on and, for boys, puberty maybe reached in early teen years

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15
Q

Children 7 to 12 years old

A
  • Parents should not overreact to the child’s overeating;
  • To rule out overeating, children can be asked if they are truly
    hungry for food or are they just tired or thirsty
  • Energy requirements increase to 2000 to 2200 kcal/day
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16
Q

EATING ISSUES

A

 Fewer feeding problems than preschool age
 Increased appetite
 Increased influence of peers, teachers
 Increased access to food away from home
 Increased meals/snacks away from home
 Increased responsibility for own food
choices

17
Q

Suggestion in solving the issue

A

 Serve finger foods often. Children like to
choose from a variety of foods, as in a buffet.
 Children will usually eat the foods they have
helped prepare.
 Vary meal situations
 Children usually prefer raw vegetables to cooked.
 Avoid making dessert a reward for vegetable
eating.
 Relax and let mealtime be a time for everyone
to enjoy.
 Use snacks to improve food habits.

18
Q

FAILURE TO THRIVE

A

 Growth deficiency

 Restricted diet, poor appetite, lack of food

 Premature infant

 Management plan including adequate energy and nutrients

19
Q

CHILDHOOD OVERWEIGHT

A

 About 2- 5 yr: 10% overweight
 About 6-19 yr: 15% are overweight (3 times that seen in 1980)
 15% were “at risk” for being overweight
 Leads to adult obesity
 Psychologically damaging
 60% of girls and 39% of boys in the 4th grade
want to be thinner

20
Q

Adolescent - Physiological changes (Boys)

A

 Boys—get tall, lean, and dense (bones)

 Attain 15% of final adult height during puberty

 Lean body mass doubles

 Large calorie needs—increase from 2,000 at 10 yr to 3,000 at 15 yr

21
Q

Adolescent - Physiological changes (Girls)

A

 Girls—get taller and fatter

 % body fat increases from the teens into the mid-20s

 Dieting can have a negative impact on linear growth during this time

 Calorie needs increase by only 200kcal from 10 yr to 15 yr

22
Q

Healthy Diet: Food intake

A

Increase fiber
Decrease oily foods
‘No’ to soft drinks

23
Q

CARBOHYDRATES

A

 Major and immediate source of energy.
 Complex carbohydrates recommended
 High-sugar foods not preferred.
 Grains, cereals, fresh fruits, vegetables

24
Q

FATS

A

 Source of essential fatty acids.
 Unsaturated fat recommended.
e.g. Corn, cottonseed, flaxseed oil, soybean, and sunflower oils contain about 50%
polyunsaturated fat.
 Saturated fats increase cholesterol levels.

25
Q

PROTEINS

A

Daily requirements
 Boys = 0.29-0.32 g/cm height
 Girls = 0.27-0.29 g/cm height
 0.8 – 1.2 g/kg bodyweight
 High intensity athletes = 1.2-1.8 g/kg
 Pulses, lentils, soya, dairy products and animal food products.

26
Q

Nutrients need= Iron Zinc Iodine Calcium

A

 Increased need during adolescence
 Needs met by a well-balanced diet
 Vitamin D
 Thiamin
 Riboflavin
 Niacin
 Vitamin B 12
 Vitamin C
 Folic acid
Sources – Fruits, fresh milk, sprouted beans etc.

27
Q

Iron

A

 Anemia is most common nutritional
deficiency in adolescents.
 Increased red cell mass during adolescence.
 Daily need

Boys = 12 mg/d & Girls = 18 mg/d

28
Q

sources of iron

A

Green leafy vegetables, jaggery, wet
dates, whole-grain, dried beans, peas &
dried fruits, nuts & fortified wheat
products, eggs, red meat etc.

29
Q

Zinc

A

 Second most abundant trace mineral in the
body. (next to iron)
 Necessary for normal growth.
 Clinically apparent deficiency rare.
 Daily need = 15 mg

30
Q

sources of zinc

A

Green leafy vegetables, wheat germ,
whole grains meat, cheese, eggs, poultry,
liver.

31
Q

Calcium

A

Most bone mass acquired during
adolescence.
 Typical intake of calcium = about 800
mg/ d
 Daily need = 1300 mg
 Consumption of soft drinks & caffeine contribute substantially to low calcium intake in adolescents.
 Bone mass deficiency may is irreversible.

32
Q

sources of ca

A

Milk and its products, yogurts, cheese,
paneer, banana.

33
Q

What Influences Adolescents Food
Choices?

A

 Psychosocial
 Strong Influences
 Food preferences
 Early childhood experiences, exposure, genetics
 Taste and appearance
 Weak influence
 Health and nutrition

34
Q

Fast Food

A

 High in calorie, fat, sodium and low in fiber
which can cause Obesity, Hypertension, Heart diseases, Diabetes, Cancer etc.
 Contains preservatives
 Choose low-calorie and low-fat meals, snacks and desserts
 Have low fat or skim milk drinks

35
Q

Nutrition Issues in Adolescent Health

A

 Cardiovascular and cancer disease risk
 Osteoporosis and bone mineralization
 Overweight and obesity
 Type 2 diabetes
 Eating disorders