Adolescent Nutrition Problems and Interventions
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Questions and Answers

What was Daniel's reported intake of calories per day during his weight-loss efforts?

  • 400 kcal
  • 1000 kcal
  • 600 kcal (correct)
  • 800 kcal
  • Which of the following symptoms did Daniel NOT exhibit as a physical consequence of low weight?

  • Cold intolerance
  • Constipation
  • Increased energy levels (correct)
  • Significant fatigue
  • In the context of Daniel's evaluation, what condition was he being assessed for?

  • Gastrointestinal disorders (correct)
  • Obesity-related complications
  • Eating disorders
  • Nutritional deficiencies
  • Which behavior is NOT considered clinically relevant for diagnosing eating disorders?

    <p>Regular physical health check-ups</p> Signup and view all the answers

    What percentage increase in BMI did Daniel experience from age 3?

    <p>From the 90th to over the 97th percentile</p> Signup and view all the answers

    What health risks are associated with the use of anabolic-androgenic steroids in adolescents?

    <p>Infertility and hypertension</p> Signup and view all the answers

    Which of the following behaviors does NOT contribute to adolescent nutritional problems?

    <p>Regular exercise</p> Signup and view all the answers

    What is the primary reason adolescents consume dehydroepiandrosterone and androstenedione?

    <p>To decrease body fat and increase lean body mass</p> Signup and view all the answers

    Which demographic is most common to experience substance abuse issues according to the data?

    <p>Adolescent males</p> Signup and view all the answers

    What is the additional caloric allowance recommended for adolescents involved in competitive sports?

    <p>500-1500 additional calories per day</p> Signup and view all the answers

    Which of the following is a potential side effect of chronic creatine use in adolescents?

    <p>Renal damage</p> Signup and view all the answers

    Which statement regarding the consumption of protein for adolescents in sports is correct?

    <p>No more than 30% of calories should come from protein.</p> Signup and view all the answers

    What is the main effect of high-protein foods on pre-performance nutrition?

    <p>They slow digestion and displace carbohydrate foods.</p> Signup and view all the answers

    What is the recommended amount of fluid intake during exercise?

    <p>4-6 oz every 15-20 minutes.</p> Signup and view all the answers

    Which group is identified as being at the highest risk for calcium deficiency?

    <p>Female adolescent athletes.</p> Signup and view all the answers

    What defines hyponatremia in the context of athletic performance?

    <p>Overconsumption of water leading to low sodium levels.</p> Signup and view all the answers

    Which of the following behaviors is associated with an increased risk of eating disorders?

    <p>Restricting intake of specific food groups.</p> Signup and view all the answers

    What is a potential consequence of inadequate fluid intake for young adolescents during exercise?

    <p>Dehydration and inability to regulate body temperature.</p> Signup and view all the answers

    What is the primary reason discussed for the continuous rise in dieting behavior among teenagers?

    <p>Dissatisfaction with body shape.</p> Signup and view all the answers

    What is the recommended time frame for consuming a pre-event meal before physical activity?

    <p>2-3 hours prior.</p> Signup and view all the answers

    Which factor contributes significantly to restrictive dietary behaviors and associated health risks?

    <p>Clinically significant body dissatisfaction.</p> Signup and view all the answers

    What is the recommended fluid intake after exercise for optimal recovery?

    <p>At least 8 oz plus 2-3 cups for every pound lost.</p> Signup and view all the answers

    Study Notes

    Adolescent Nutrition Problems and Interventions

    • Dietary concerns include overweight/obesity (discussed in childhood obesity lecture), substance abuse, supplements, participation in competitive sports, and eating disorders.
    • High-risk behaviors, according to the YRBSS (Youth Risk Behavior Surveillance System/CDC survey data), include behaviors contributing to unintentional injuries and violence, sexual behaviors related to unintended pregnancy and STDs, alcohol and other drug use, tobacco use, unhealthy dietary behaviors, and inadequate physical activity.
    • Substance abuse, particularly in males, is a significant concern, with varying rates across racial/ethnic groups (data from the YRBSS, 2017).
    • Substance use (tobacco, alcohol, and recreational drugs) can negatively impact nutritional status by suppressing appetite, reducing nutrient intake, decreasing nutrient bioavailability, increasing nutrient losses, altering nutritional synthesis, impairing nutrient metabolism/absorption, increasing nutrient destruction, requiring higher metabolic nutrient requirements, leading to inadequate weight gain/loss, causing iron deficiency anemia, and decreasing financial resources for food.
    • Ergogenic supplements, such as anabolic-androgenic steroids, dehydroepiandrosterone (DHEA), androstenedione, and creatine, are discussed.
      • Anabolic-androgenic steroids increase lean body mass and strength but are linked to infertility, hypertension, depression, aggression, and atherosclerosis risk.
      • DHEA and androstenedione are precursors to testosterone and estrogen, and users may seek them to decrease body fat, improve insulin resistance, increase immune function, and decrease osteoporosis risk. However, they present risks like breast enlargement in males and facial hair growth in females.
      • Creatine increases strength, lean body mass, and recovery but potential chronic use can cause renal damage.
    • Competitive sports are common among adolescents(>50% in the US), and athletes' nutrient needs differ from general recommendations. Initial estimations use general standards (SMR), then adjustments of 500-1500 additional calories per day are added for energy. Protein intake should not exceed 30% of calories.
    • Calcium supplementation may be necessary for female athletes, as those in adolescence have a high risk for calcium deficiencies.
    • Hydration is key for athletes. Young adolescents may not regulate body temperature well or recognize signs of fluid loss, and consistent fluid intake is vital, including 10-20 oz before exercise, 4-6 oz every 15-20 minutes during exercise, and at least 8 oz after exercise, plus 2-3 cups per pound of weight lost.
    • Hyponatremia should be considered when discussing excessive water consumption.
    • Carbohydrate loading, while effective for replenishing glycogen before intense events, is discouraged as a constant pre-performance regimen due to the high saturated fat content of high-protein foods, which displace carbohydrate foods, and require more water for protein breakdown
    • Eating disorders are characterized by severe eating behavior disturbances like eating too little or too much, often linked to body dissatisfaction.
    • Common, clinically relevant behaviors for eating disorders include self-induced vomiting, extreme dieting, binge eating, compensatory physical activity, laxative/diuretic/diet pill use, and require nutritional care.
    • The goals of nutritional care for eating disorders include assessing dietary intake and adequacy, recommending nutrition-related interventions, counseling for regular meal patterns, monitoring dietary intake and activity levels, ensuring fiber and fat intake for satiety, mental health counseling, and gradually introducing avoided foods, and monitoring nutritional status.

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    Description

    This quiz explores the various nutritional issues facing adolescents, including obesity, eating disorders, and the impact of substance abuse. It examines high-risk behaviors and their implications on dietary choices and overall health in young people. Insights from the YRBSS survey are integrated to highlight the underlying concerns related to nutrition and physical activity.

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