Adolescent Nutrition Flashcards

(59 cards)

1
Q

adolescence is between ages ___ and ____
______ occurs during adolescence

A

11-21
puberty

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2
Q

biological changes of puberty include
____ maturation
increases in ____ and ____
accumulation of _______
changes in _______

A

sexual
height and weight
skeletal mass
body composition

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3
Q

The ____ of onset, duration, and speed of the events of puberty vary greatly between individuals
* Variations in reaching sexual maturity affect _______ requirements of adolescents

  • Sexual maturation (or ________ age)—not chronological age—should be used to assess growth and development and individual nutritional needs
A

age
nutrition

biological

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4
Q

girls first signs of puberty from ages ___ to ____

menarche occurs ___ to ___ years after initial development of _____

age of menarche may ranges from _ to ___ yrs with the average being ____

A

8-13 yrs

2-4 yrs
breast buds

8-17 yrs
12.5 yrs

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5
Q

Menarche may be delayed in highly competitive athletes or in girls who severely restrict calorie intake
* Early onset of menarche (by age ____ yrs) is ___ times
more likely among girls with overweight or obesity

A

10.6
4x

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6
Q

Linear growth spurt in females:
* Begins between ______ yrs with peak linear growth occurring
~ ____ months prior to menarche
* Lasts ~ _____ months
* Peak velocity of linear growth ~age _____
* During peak of growth spurt females gain ~ ____ inches per year
* Ceases by age ___ for most females
* May be delayed or slowed among those who severely restrict intake

A

9.5-14.5
6-12 months before menarche
24-26 months
14.4
3.5
16

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7
Q

Peak weight gain follows linear growth spurt by _____ months
* Peak velocity of weight gain occurs ~ _____ yrs of age
* Gain of ~_____ lb per year during peak
* Increase in fat body mass from ~____- ___% at full maturity
* ____% body fat is required for menarche to occur ___% required for development & maintenance of regular ovulatory cycles

A

3-6 months
12.5 years
18.3 lbs
16% to 26%
17%
25%

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8
Q

Adolescent females often view this normal accumulation of body fat as ______

Weight dissatisfaction can lead to unhealthy behaviors:
* Excessive caloric restriction and dieting
* Use of diet pills, laxatives
* Fasting
* Development of eating disorders or body image distortions

A

negative

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9
Q

Males First signs of puberty occur ___ yrs
- ____ years being the avg age

  • Males show great deal of variation in chronological age at which sexual maturation takes place => ______ yrs
    (average age ~ ___)
  • Peak velocity of linear growth at age ____
  • At peak, will increase height by ______ inches/yr
  • Linear growth stops at age ____
A

10.5-14.5 yrs
11.6 years

12.7-17 yrs
14 yrs

14.4 yrs old
2.8-4.8 inches/yr
21yrs old

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10
Q

Peak weight gain for males coincides with peak linear growth and peak muscle mass accumulation
* Peak weight gain=> ~____ lb per year
* Body fat decreases to ~____% by the end of puberty

A

20 lbs
12%

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11
Q

Almost half of adult peak bone mass is accrued during adolescence
* Adequate intake of _____________ during adolescence is critical to support optimal bone growth & development

A

calcium, phosphorus, & protein

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12
Q

Adolescents develop:
* A sense of personal _____
* A __________ value system
* Feelings of __________
* A vision of ________ aspirations

A

identity
moral & ethical
self-esteem or self-worth
occupational

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13
Q

> ____% of adolescents use vitamin-mineral supplements
Most common supplements are
* Multivitamin
* Vitamin ____ – most common individual supplement used
* Calcium
* Iron
* Vitamin E
* B-vitamin complex

A

> 26%

Vitamin C

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14
Q

Supplement use is positively correlated with household income, high food-security status, having health insurance, & parental education
* Adolescents who take vitamin/mineral supplement tend to consume a more _________ diet
* Also positively correlated with meeting physical activity goals, consuming more fruits & vegetables, and <2 hours of TV/screen time

A

nutritional adequate

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15
Q

Reasons for taking herbal products include:
* ________ loss
* Build _______
* Treatment of ____
* To increase _______

  • More studies needed since many herbal products have potentially dangerous side effects
A

weight loss
build muscle
ADHD
energy and stamina

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16
Q

Reasons adolescents adopt a vegetarian diets include:
* Cultural or religious beliefs
* Moral or environmental concerns (animal welfare)
* Health beliefs
* To restrict fat and/or calories
* A means of exerting independence from family

Have been found to be _____ than omnivores during childhood
* Begin puberty at a _____ age
* After puberty, are _______

A

shorter & leaner
later
taller and leaner

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17
Q

Well-planned vegetarian diets can offer many health advantages
* Can provide adequate protein for growth particularly if small amounts of _______ foods are consumed at least ___x/wk

A

animal-derived
2 times/week

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18
Q

Vegans may have inadequate intakes of:

A
  • Protein
  • Calcium, Zinc, & Iron
  • Vitamins D, B6, & B12
  • Long-chain n-3 fatty acids
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19
Q

on average, diets are low in____ and high in ________, _______, and _____
* Intake of _____ is especially low

A

fiber
saturated fat, sodium, and added sugars

dairy

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20
Q

Data from NHANES: adolescents’ diets consist of

  • Less than ___ serving of vegetables per day
  • Less than ___ serving of fruits per day
  • Adequate intake of _____ but _____ less than adequate
  • ___% of total calories from added sugars
A

1
1
grains
whole grains
21%

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21
Q

U.S. adolescents have inadequate intake of vitamins & minerals including:

A
  • folate
  • vitamins A, B6, C, & E
  • iron & zinc
  • magnesium
  • phosphorus & calcium
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22
Q

Increases in LBM, skeletal mass, & body fat during puberty result in energy & nutrient needs that exceed those at any other point of life
* The ____ provide the best estimate of nutritional needs for adolescents

A

DRIs

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23
Q

Energy needs are influenced by:
* Resting metabolic rate (RMR)
* Pubertal growth & development
* Activity level
* Because males have greater increases in ht, wt, & LBM they have a higher caloric needs than females
* Level of physical activity ______ during adolescence (particularly in females) resulting in _______ energy requirements

A

declines
reduced

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24
Q

Boys and Girls 9-18 years should have BMI between ___ and ___ %ile

A

5th-85th %ile

25
Requirements are influenced by protein needed: * To maintain existing LBM * For growth of new LBM for growth spurt * DRI: _______ * Low protein intakes linked to: * Reductions in linear growth * Delays in sexual maturation * Reduced LBM
0.85 g/kg of weight
26
Carbohydrates: * ______% of daily energy needs * DRI: ______ minimum
45-65% 130 g/day
27
Dietary Fiber: * DRI for females: ____ g/day * DRI for males 9-13 yrs: ______ * DRI for males 14-18 yrs: _____ Consumption: Adolescent males consume ~ _____ Females consume ~_____
26 g/day 31 g/d 38 g/d 16.4 g/d 12.6 g/d
28
Dietary fat and essential fatty acids are required for normal growth & development * _______% of total calories from fat * <___% calories from saturated fat
25-35% <10%
29
Adequate intake of calcium is critical to ensure peak bone mass * Calcium absorption rate in females is highest around ______ * Calcium absorption rate in males highest during ______ * Females accrue less bone mass than males during puberty due to lower Ca intake and less weight-bearing activity
menarche early adolescence
30
Calcium Requirements for Adolescents DRI for ages 9-18 yrs is ______ Average intake is _____ for females ______ for males
1300 mg/day 842 mg for females 1186 mg for males
31
Adolescences who do not consume dairy products should include __________ foods in diet * Soft drink consumption displaces nutrient- dense beverages such as milk & fortified juices
calcium-fortified
32
Increased iron needs related to: * Rapid rate of linear growth * Increase in blood volume * Menarche in females * In females, iron needs are greatest after _____ * In males, iron needs are greatest during the _______
menarche growth spurt
33
IRON DRI: * Males & females 9-13 yrs: ___ mg/d * Males 14-18 yrs: ___ mg/d * Females 14-18 yrs: 15 mg/d * Males 19-30 yrs: ____mg/d * Females 19-30 yrs: ____mg/d Estimated dietary intakes: * ____ mg/d for males 12-19 yrs * ____ mg/d among 12-19 yo females
8 11 15 8 18 18.8 12.0
34
Vitamin D Requirements * Essential role in facilitating intestinal absorption of ______________ * Synthesized by the body via skin exposure of ultraviolet B rays of sunlight * Food sources: _______________ * Majority of Vitamin D from __________(milk, breakfast cereals, margarines, & some juices)
calcium & phosphorus fatty fish, egg yolks fortified foods
35
High risk groups: * Individuals who live in ______ climates * Limited sun exposure * _________________ * Individuals with ____________ skin * Individuals who frequently use sunblock
Northern Lactose intolerance or milk allergy darkly pigmented
36
Increased requirements of folate during puberty due to folate being required for DNA, RNA & protein synthesis * DRI: (for males and females) * Age 9-13 years: ______ * Age 14-18 years: _______ * Severe folate deficiency leads to ____________
300 mcg/d 400 mcg/d macrocytic anemia
37
Increased risk of folate deficiency * Skipping breakfast * Not consuming orange juice or fortified cereals or breads *__________ is better absorbed than ______ * Adequate folate intake for female adolescents prior to pregnancy reduces incidence of congenital anomalies such as ________
folic acid folate spina bifida
38
* Annual screening of all adolescents for indicators of nutrition risk is recommended Screening should include: * ______________ – plotted on CDC growth charts * Disordered eating tendencies * Blood lipid levels * Blood pressure * _____ status * Food security/insecurity * Dietary intake/adequacy
Weight, height, & BMI Iron
39
underweight healthy eight overweight obese percentile ranges?
<5th %ile 5th-85th%ile 85th to 95th %ile 95th or above
40
Indicators of Nutrition Risk * Consumes <__ servings of vegetables per day * Consumes <__ servings of dairy products per day * Exhibits poor appetite * Skips breakfast, lunch, or dinner ≥ ___ times per week * Consumes a vegetarian diet * Consumes fast food ≥ __ times per week
<3 <3 ≥3 ≥3
41
Considerations when educating & counseling adolescents: 1) Initial component of session should involve: * Getting to know adolescent, including personal health or nutrition-related concerns * Establish a ______ * Providing overview of the content of counseling session - with input from the _____
rapport teen
42
Considerations when educating & counseling adolescents continued : 2) Involve adolescent in decision-making process 3) Encourage adolescent to suggest ways to change 4) Work toward only ____ goals per counseling session
1 or 2
43
Use of ________ to facilitate education and counseling should be implemented to engage adolescents and provide nutrition information between client visits
technology
44
Teens are “_______-oriented” Concerned about: * Physical appearance * Having lots of ______ * Optimizing sports performance * Some are concerned with environmental or _____ aspects of food * More effective to focus on ________tangible benefits of health behavior changes
present energy moral short-term
45
Target ___________ in education They are gatekeepers of foods - Serve as _________ * Teenagers tend to eat what is ____________ * Parents can capitalize on this by stocking the kitchen a variety of nutritious ready-to-eat foods and limiting high-sugar, high-fat snacks
parents as well as teens role models availability & convenient
46
* Parental involvement * Involve adolescents in food shopping and food preparation * Refrain from offering ____________ for adolescents who do not like what is being served
specially prepared foods
47
* School-based programs can play an important role in promoting lifelong healthy eating and physical activity * Nutrition education is provided as part of health education in _____% of secondary schools * _____% of secondary schools covered all 20 CDC School Health Profiles nutrition & dietary behavior topics * More teacher training in basic nutrition is needed
96% 55%
48
The 2018 Physical Activities Guidelines for Americans recommend adolescents: * Engage in __________ or more physical activity daily * should be either moderate- or vigorous-intensity aerobic physical activity and should include vigorous-intensity physical activity at least _______ a week. * Include muscle- and bone-strengthening activities at least __________
60 minutes 3 days 3 days a week
49
More than half of U.S. adolescents report playing one or more sports * ____% of males * _____% of females * Participation decreases with age
62% of males 53% of female
50
High levels of activity combined with growth & development increase needs for energy, protein, and certain vitamins & minerals * Nutrient needs higher during intense training & competition seasons * Monitor changes in _________ to assess for adequate energy and protein intake
body weight
51
1. What sport(s) are engaged in & duration of competition season(s)? 2. What is the ______ of competition? (recreational, competitive, or highly competitive) 3. What kind of training does adolescent engage in? 4. Does the athlete typically _____ profusely or lose ________ during competition? 5. Does athlete follow a special diet or take __________ to improve athletic performance?
level sweat body weight supplements
52
Substances taken to enhance physical performance
Ergogenic Aids
53
examples of ergogenic aids
Anabolic-androgenic steroids (e.g. testosterone, nandrolone) * SE: HTN, infertility, aggression, depression, increased risk of atherosclerosis * Anabolic steroid precursors (e.g. androstenedione, DHEA) * Growth hormone * Creatine * Individual amino acids or protein powders
54
Illegal steroid use: * Use more common in ______ * Most often used outside of the _______ to avoid detection * Highest use among competitive athletes: football, gymnastics, weight training, basketball, & baseball
males sports season
55
Competitive athletes may need ______ additional calories per day Those at risk for inadequate intake include: vegetarian athletes and athletes who restrict caloric intake to maintain a particular weight * When main protein sources are plant-based, additional protein intake may be needed due to decreased bioavailability
500-1500 additional protein intake
56
Dietary intake should follow the ______ guidelines * May need to consume the ______ of food group recommendations to meet kcal needs * Increased risk of bone fractures make adequate ______ intake important
MyPlate upper limit calcium
57
Adolescents are at risk for dehydration due to: May be so focused on the physical activity that they do not pay attention to the ________signs of fluid loss May be unaware of need for fluid
physiological
58
All athletes should be counseled on fluid needs and to regularly consume fluid even if not thirsty * Athletes should weigh themselves before & after practice and sporting events - Replace each pound lost with ______ of fluid
2-3 cups per lb
59
Plain water is appropriate source of hydration for routine physical activity * Sports drinks can be helpful for young athletes engaged in _______ physical activities when the athlete is sweating profusely * Undiluted juice, fruit drinks, carbonated beverages, & sports drinks may cause _______ due to _________
prolonged, vigorous GI discomfort CHO content