Child & Preadolescent Nutrition Quiz

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Questions and Answers

What lifestyle factors primarily contribute to the obesity epidemic in the United States, according to the content?

  • Physical activity levels
  • Age and gender differences
  • Changing food supply and societal aspects (correct)
  • Genetics and family history

Which of the following is NOT typically associated with obesity-related chronic diseases?

  • Metabolic syndrome
  • Heart disease
  • Osteoporosis (correct)
  • Type 2 diabetes

How many of the five metabolic aberrations must be present for an official diagnosis of metabolic syndrome?

  • Two
  • Three (correct)
  • One
  • Four

Which biomarker is used to assess abdominal obesity for metabolic syndrome diagnosis?

<p>Waist circumference measurements (D)</p> Signup and view all the answers

What is the blood pressure threshold that indicates elevated blood pressure under the metabolic syndrome criteria?

<p>≥130/&gt;85 mmHg (D)</p> Signup and view all the answers

What is the age range for preadolescent boys?

<p>10-12 years (A)</p> Signup and view all the answers

Why do girls experience earlier growth spurts compared to boys?

<p>Girls store body fat in preparation for menstruation. (C)</p> Signup and view all the answers

Which factor becomes less influential on eating habits as children age?

<p>Internal cues (B)</p> Signup and view all the answers

What is the protein requirement for children aged 4-8 years expressed in grams per day?

<p>19 g/day (D)</p> Signup and view all the answers

What is the recommended total fat intake as a percentage of calories for children aged 1-2 years?

<p>25-35% (C)</p> Signup and view all the answers

How is the EER equation best described?

<p>Total expended energy plus calories for energy deposition. (B)</p> Signup and view all the answers

Why is it more beneficial to express protein requirements in grams per kilogram of body weight rather than in grams per day?

<p>Because it varies per individual body weight. (D)</p> Signup and view all the answers

What is the energy requirement for a 9-13 year old girl?

<p>30 kcal/day (B)</p> Signup and view all the answers

What is a common reason for athletes to engage in weight cycling?

<p>To fit into a weight category (A)</p> Signup and view all the answers

Which of the following is a risk associated with very low calorie diets?

<p>Cardiovascular problems (A)</p> Signup and view all the answers

Why is it important to use different evaluation methods for adolescents compared to adults when assessing blood pressure?

<p>Height affects blood pressure percentiles (A)</p> Signup and view all the answers

What is the most common nutrient deficiency during adolescence?

<p>Iron (C)</p> Signup and view all the answers

What factor significantly contributes to adolescent iron deficiency?

<p>Meal skipping (C)</p> Signup and view all the answers

For vegetarian or vegan adolescents, which nutrient might be commonly lacking in their diet?

<p>Omega-3 fatty acids (D)</p> Signup and view all the answers

What dietary recommendation can help increase omega-3 fatty acid intake for someone who doesn't eat fish?

<p>Use flaxseeds or walnuts (A)</p> Signup and view all the answers

Which recommendation is most suitable for an adolescent facing iron deficiency risk factors?

<p>Combine iron-rich foods with vitamin C (C)</p> Signup and view all the answers

What fraction of the Dietary Reference Intakes (DRIs) must be provided for school lunches?

<p>1/3 (B)</p> Signup and view all the answers

Which of the following is NOT one of the specific improvements implemented by the USDA in 2012 for the National School Lunch Program?

<p>Schools must operate on a profit basis (B)</p> Signup and view all the answers

During adolescence, how do energy requirements generally change as individuals grow older?

<p>They increase (A)</p> Signup and view all the answers

At which age category is protein requirement highest for males during adolescence?

<p>15-18 years (A)</p> Signup and view all the answers

For which nutrients do the DRIs differ between males and females during adolescence?

<p>Protein and energy (A)</p> Signup and view all the answers

Which of the following statements about energy needs for adolescents is correct?

<p>Energy needs vary by gender during adolescence (A)</p> Signup and view all the answers

What is the protein DRI (g/kg/day) for individuals aged 19-30 years?

<p>0.8 (D)</p> Signup and view all the answers

According to the trends for protein requirements, which age group has the highest protein DRI for females?

<p>11-14 years (B)</p> Signup and view all the answers

What is the recommended daily intake of calcium for children aged 9-13 years?

<p>1300 mg/day (A)</p> Signup and view all the answers

Which micronutrient has a higher recommended daily intake for children aged 4-8 years compared to 9-13 years?

<p>Iron (C)</p> Signup and view all the answers

How does consumption of soda affect nutrient absorption in children?

<p>Decreases absorption of multiple nutrients (A)</p> Signup and view all the answers

What psychological issue is associated with the short-term effects of childhood obesity?

<p>Low self-esteem (A)</p> Signup and view all the answers

What are some common reasons for preadolescents to adopt a vegetarian diet?

<p>Environmental concern and animal welfare (D)</p> Signup and view all the answers

Which of the following factors is a predictor of childhood overweight or obesity?

<p>Parental habits (D)</p> Signup and view all the answers

What is the recommended strategy by the WHO for liquid calorie intake in children?

<p>Avoid non-sugar sweeteners (B)</p> Signup and view all the answers

Which age group of children is more likely to experience obesity as they grow older?

<p>Girls at any age (C)</p> Signup and view all the answers

What is one of the main goals of eating disorder treatment programs?

<p>Restore body weight (D)</p> Signup and view all the answers

Which professional should NOT attempt to force a patient to gain weight too quickly?

<p>Nutritionist / Registered Dietitian (C)</p> Signup and view all the answers

What aspect of health does the focus shift to in adult nutrition?

<p>Health maintenance and disease prevention (C)</p> Signup and view all the answers

What is one of the risk factors for chronic disease due to hormonal changes in women around age 40?

<p>Increased abdominal fat (B)</p> Signup and view all the answers

What does BMI stand for in the context of evaluating and managing weight?

<p>Body Mass Index (B)</p> Signup and view all the answers

Which of the following is a potential outcome of reduced physical activity in men around age 40?

<p>Weight gain (C)</p> Signup and view all the answers

What is one of the effects associated with the decline of estrogen during aging?

<p>Accelerated bone loss (A)</p> Signup and view all the answers

Which of the following is NOT a chronic disease risk factor that should begin to be managed in childhood?

<p>Genetic disorders (C)</p> Signup and view all the answers

Flashcards

Iron DRI (4-8 and 9-13 years old)

The recommended daily intake (DRI) of iron for children aged 4-8 years is 10 mg/day and 8 mg/day for children aged 9-13 years.

What is the age range for a preadolescent girl?

The age range for a girl considered to be within this stage.

Zinc DRI (4-8 and 9-13 years old)

The recommended daily intake (DRI) of zinc for children aged 4-8 years is 5 mg/day and 8 mg/day for children aged 9-13 years.

What is the age range for a preadolescent boy?

The age range for a boy considered to be within this stage.

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Calcium DRI (4-8 and 9-13 years old)

The recommended daily intake (DRI) of calcium for children aged 4-8 years is 1000 mg/day and 1300 mg/day for children aged 9-13 years.

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How do growth trends differ in boys and girls during adolescence?

Girls have a faster growth rate and earlier start compared to boys due to factors like the preparation for menstruation. Both genders experience a significant weight gain.

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Fiber DRI (4-8 and 9-13 years old)

The recommended daily intake (DRI) of fiber for children aged 4-8 years is 25 g/day. For children aged 9-13 years, it's 26 g/day for girls and 31 g/day for boys.

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What factors influence eating habits during childhood and preadolescence?

Marketing, friends, school, sports, clubs, and the internet all influence the eating habits and attitudes of children in this age group.

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Fluid Consumption Impact

Excessive liquid intake, particularly sugary drinks, negatively impacts nutrient absorption, especially calcium, and overall health.

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How do internal cues and external cues impact eating habits in children?

Internal cues are most influential at this stage, meaning children are more likely to eat based on their own hunger and fullness signals.

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WHO Non-Sugar Sweetener Statement

The World Health Organization (WHO) advises against the use of non-sugar sweeteners for children.

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What are the DRI for energy for 9-13-year-old girls and boys?

The recommended daily intake of energy for a 9-13 year old girl is approximately 30 kcal/day, while for a boy of the same age, it is approximately 25 kcal/day.

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Childhood Obesity Trends

Childhood obesity is a significant health concern, with rising trends observed in children of all ages.

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Short-term Effects of Childhood Overweight

Overweight children often experience short-term effects like early puberty, increased height, and increased bone density, but these can lead to long-term health consequences.

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What is the DRI for protein for 4-8 and 9-13 year olds?

The recommended daily intake of protein for both 4-8 and 9-13-year-olds is the same, 0.95 grams of protein per kilogram of body weight.

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Why is it better to express protein needs in g/kg/day rather than g/day?

Expressing protein requirements in g/kg/day allows for a more accurate calculation since it takes individual body weight into account. This is more accurate than expressing it simply in g/day.

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What were the five improvements implemented to the NSLP in 2012?

The USDA implemented five improvements to the National School Lunch Program (NSLP) in 2012, focusing on nutritional standards, accessibility, accountability, and participation in commodity programs.

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How much of the daily DRIs does school lunch provide?

Schools provide â…“ of the Dietary Reference Intakes (DRIs) for lunch, meeting a significant portion of a student's daily nutritional needs during the school day.

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How much of the daily DRIs does school breakfast provide?

School breakfasts contribute ¼ of the DRIs, supplementing the nutritional intake in the mornings.

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Why do energy needs differ between males and females during adolescence?

Energy needs differ between males and females during adolescence due to differences in body mass and composition, with males generally having higher energy requirements due to their larger size and lean body mass.

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How do energy requirements change with age during adolescence?

Energy requirements generally increase with age, particularly in adolescence. This corresponds with growth spurts and increased physical activity.

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When are protein requirements highest for males and females during adolescence?

Protein requirements are higher for females during early adolescence (11-14 years) and for males during mid-adolescence (15-18 years). This coincides with rapid growth phases in each gender.

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How are protein DRIs expressed?

Protein DRIs are expressed in grams per day (g/day) and grams per kilogram of body weight per day (g/kg/day). These values vary based on age and gender.

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For which nutrients are DRIs the same for males and females, and for which are they different? Why?

DRIs for most micronutrients are the same for both males and females of the same age, while differences in DRIs for energy, protein, and other micronutrients related to body mass and composition are primarily attributed to the larger size and higher lean body mass of males.

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What is a Psychologist / Psychiatrist role in eating disorder treatment?

A healthcare professional who focuses on treating mental health conditions, specifically disorders related to eating and food.

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What is a Nutritionist's / Registered Dietitian's role in eating disorder treatment?

A healthcare professional who provides education and counseling on nutrition, helping to normalize food-related thoughts and behaviors.

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What's the overall goal of treatment for eating disorders?

The goal is to help individuals regain a healthy weight, address emotional and social issues related to eating disorders, and develop normal eating patterns.

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When does weight gain typically start for men and women?

This occurs around age 40, primarily due to a decline in physical activity and, in the case of women, lower estrogen levels.

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What is BMI?

A measure of body fat based on height and weight, used as a general indicator of health.

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How does estrogen decline during menopause affect health?

This is a common effect of menopause, leading to an increased risk of heart disease and bone loss.

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Why is trust a key part of treating eating disorders?

Important for building trust and allowing an individual to take control of their recovery journey.

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Who should be involved in a treatment team for eating disorders?

This group includes doctors, therapists, dieticians, and other specialists to address the multifaceted nature of eating disorder recovery.

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What is abdominal obesity?

Abdominal obesity is defined as having a waist circumference greater than or equal to 40 inches for men and 35 inches for women.

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What is metabolic syndrome?

Metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes. It's diagnosed when a person has at least three of the following five factors: abdominal obesity, elevated blood pressure, elevated blood triglycerides, low blood HDL-C, and elevated fasting blood glucose or insulin.

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How prevalent is metabolic syndrome?

The prevalence of metabolic syndrome is high in the US, with approximately 34% of adults having the condition.

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How is obesity related to metabolic syndrome?

Obesity is a major risk factor for metabolic syndrome. Excess body weight, particularly around the abdomen, contributes to the development of the five factors associated with the condition.

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What is insulin resistance and how is it related to metabolic syndrome?

Insulin resistance is a key component of metabolic syndrome. It's the inability of the body to use insulin effectively, leading to elevated blood glucose levels.

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Weight Cycling Methods

Methods used to induce weight loss rapidly, often for athletic competitions or to meet weight class requirements. They involve manipulating fluid intake and energy consumption.

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Intensive Health Behavior & Lifestyle Treatment

Intensive interventions aimed at addressing adolescent obesity, involving comprehensive care from multiple disciplines like medical, nutritional, and psychological professionals.

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Iron Deficiency in Adolescence

A condition in which the body lacks sufficient iron, a common nutritional deficiency during adolescence due to rapid growth, dietary habits, and other factors.

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Blood Pressure Evaluation in Adolescents

Blood pressure evaluation in adolescents takes into account the individual's height, using percentiles based on CDC growth charts instead of standard measurements like feet and inches or meters and centimeters.

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Negative Impact of Excessive Fluid Intake

A condition in which individuals are unable to absorb nutrients as efficiently due to excessive fluid intake, especially beverages high in sugar, leading to potential deficiencies, particularly in calcium.

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Nutrient Deficiencies in Vegetarian Adolescents

Vegetarian or vegan adolescents might lack certain nutrients like vitamin B12, iron, omega-3 fatty acids, calcium, and zinc.

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Dietary Recommendations for Vegetarian Adolescents

Recommendations for vegetarian adolescents to increase intake of key nutrients include choosing fortified foods, incorporating plant-based sources of iron, omega-3s, and calcium, and ensuring adequate intake of vitamin B12.

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Omega-3 Fatty Acid Sources

Omega-3 fatty acids are crucial for brain development and overall health. In addition to fatty fish like salmon, sources like flaxseeds, chia seeds, walnuts, and fortified foods can provide these essential fats.

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Study Notes

Child & Preadolescent Nutrition

  • Age Ranges:
    • Child: 5-10 years
    • Preadolescent Girls: 9-11 years
    • Preadolescent Boys: 10-12 years
  • Growth Trends:
    • Girls mature earlier than boys
    • Weight gain: 9 ounces per month
    • Height increase: 0.25 inches per month
    • BMI should increase between ages 6-12
  • Factors Influencing Eating:
    • Marketing, friends, school, sports, clubs, internet
    • Internal factors remain influential from ages 1-4
  • DRIs (Dietary Reference Intakes):
    • Energy:
      • Girls (3yr): 15 kcal/day; (4-8yr): 15 kcal/day; (9-13yr): 30 kcal/day
      • Boys (3yr): 20 kcal/day; (4-8yr): 15 kcal/day; (9-13yr): 25 kcal/day
    • Protein: 0.95 g/kg/day for both 4-8 and 9-13 year olds.
    • Fat: 25-35% of total calories
  • Milk:
    • 1-year-olds generally should have low-fat milk, while 1-2-year-olds should have whole milk
  • Additional considerations for energy: To assess energy needs, the EER (estimated energy requirement) equation, involving total expended energy and caloric expenditure, is essential
  • Physical Activity Level (PAL): Categorized as inactive, low active, active or very active, energy allowances are lower for school-aged children than toddlers and preschoolers.
  • Micronutrients: DRIs for iron, zinc, calcium, and fiber for 4-8 and 9-13 year-olds are also critical.

Adolescent Nutrition

  • Protein: 0.95 g/kg/day is a constant regardless of age range. But, total daily protein amounts rise from 19-34 gm per day.
  • Energy: DRI difference between girls and boys varies per developmental stage.
  • Iron: 10 mg/day (4-8 years) and 8 mg/day (9-13 years)
  • Zinc: 5 mg/day (4-8 years) and 8 mg/day (9-13 years)
  • Calcium: 1000 mg/day (4-8 years) and 1300 mg/day (9-13 years)
  • Fiber: 25 g/day (girls 26/boys 31) (4-8 years) and 25 g/day (4-8 years)
  • Fluid Consumption: Impacts bone health, absorption of nutrients (calcium, fiber, vitamin B12, zinc, and iron, and fat). Excessive soda intake and insufficient milk has negative effect on overall health.
  • Short-term effects of being overweight: Early puberty, increased bone density, possible high blood pressure, insulin resistance, psychological issues.
  • Long-term effects of being overweight: Obesity, some cancers, insulin resistance, type 2 diabetes, and psychological issues.
  • Overweight/Obesity predictors: Parents, genetics, food choices, lack of physical activity
  • Vegetarianism: Environmental concerns, animal welfare, ecology
  • Physical Activity: U.S. recommendations for children are important.

Adolescent Nutrition-Conditions & Interventions

  • General Eating Habits: Self-reported, influence of peers (peaks at ages 14-16), snacking.
  • Predictors of Overweight/Obesity: Family environment, genetics, food choices.
  • Nutrition Recommendations: -Focus on positive messages and health-centric guidance. -Avoid "weight-shaming" in all discussions.
  • Weight Cycling: This includes intentional practices and dietary trends to lose weight rapidly, and then regain it. This is harmful to health.
  • Nutritional Counseling Methods: Fun, positive, supportive, and sustainable goals.
  • Addressing Weight Cycling: Support systems, nutrition education, and counseling to normalize food-related thoughts and behaviors.

Adolescent Nutrition - General

  • Treatment Options for Obesity: Team approach with doctor, psychologist/psychiatrist, nutritionist and other specialists.
  • Metabolic Syndrome: 3 or more biomarkers: Abdominal obesity, elevated blood pressure and blood sugar (fasting), elevated triglycerides, and low HDL.
  • Childhood Obesity Trends: Trends are rising.

Older Adults' Nutrition

  • Health Maintenance in Older Adults: Focus on overall health, preventing chronic diseases, and promoting longevity.
  • Energy Requirements: Decline in basal metabolic rate, muscular mass, and physical activity.
  • Drug-Nutrient Interactions: Potential risks and nutritional status for older adults.
  • DRIs (Dietary reference intakes): Specific ranges of nutrients for overall health, and how these can vary based on age. These are a point of reference, for daily nutrients, and to be aware of the different ranges and factors.
  • Nutrient Changes in Older Adults: How functions of each nutrient, change across life stages, and the consequences, to consider when evaluating the appropriate DRIs.

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