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Adolescent Nutrition: Overweight and Obesity

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66 Questions

What is one of the health risks associated with being overweight or obese during adolescence?

All of the above

How often should adolescents be screened for weight-related issues?

Every year

What is the first stage of treatment for adolescents with a BMI of ≥85th?

Stage 1: Prevention Plus

What is a risk factor for hypertension among adolescents?

Family history of hypertension

How are blood pressure readings taken to diagnose hypertension among adolescents?

An average of three readings is taken

Why are adolescents with certain risk factors routinely screened for hypertension?

Because they display one or more risk factors

What is the name of the diet that is recommended for the prevention of type 2 diabetes?

DASH diet

What is the primary method used to assess weight status among adolescents?

Calculating body mass index (BMI)

What is the prevalence of elevated cholesterol among adolescents?

1 in 4

What is the main goal of the DASH diet for adolescents with hyperlipidemia?

To reduce cholesterol levels

What is a common environmental factor contributing to the rise in overweight and obesity among adolescents?

Consuming diets high in total calories and added sugars and fats

Which of the following is a chronic health issue considered a comorbid condition of adolescent obesity?

Hypertension

What is a common nutrition problem in children and adolescents with chronic health conditions?

All of the above

What is a factor that can affect a child's ability to consume, digest, or absorb nutrients?

All of the above

What is the likely cause of the dramatic rise in overweight and obesity among adolescents?

Interactions between genetic and environmental factors

What is a risk factor for developing obesity among adolescents?

Having a low socioeconomic status

What is the CHILD 1 diet?

DASH diet + (fiber+breakfast+less juice+less Na+less fast food)

What is the prevalence of overweight and obesity among adolescents compared to 20 years ago?

It has nearly doubled

Why are children and adolescents with chronic health conditions at increased risk for nutrition-related health problems?

Due to all of the above

What is a potential consequence of a chronic health condition in children and adolescents?

All of the above

What is insulin resistance associated with?

Longitudinal studies

What is a behavioral risk factor common among adolescents?

Consuming diets high in total calories and added sugars and fats

What is a possible long-term effect of being overweight or obese during adolescence?

Increased risk of type 2 diabetes mellitus

What is the purpose of screening adolescents for weight-related issues?

To identify those at risk of developing chronic health conditions

What is a risk factor for hypertension among adolescents?

Family history of hypertension

What is the primary goal of the staged care process for adolescents with overweight or obesity?

To promote healthy weight management

What is a common comorbid condition of adolescent obesity?

All of the above

What is the recommended dietary approach for adolescents with a BMI of ≥85th?

Prevention Plus diet

What percentage of adolescents have elevated cholesterol?

1 in 4

What is the diet recommended for the prevention of type 2 diabetes?

DASH diet

What is a common nutrition problem in children and adolescents with chronic health conditions?

All of the above

What can affect a child's ability to consume, digest, or absorb nutrients?

All of the above

What is the CHILD 1 diet?

DASH diet + less juice + less Na + less fast food

Why are children and adolescents with chronic health conditions at increased risk for nutrition-related health problems?

All of the above

What is a common environmental factor influencing a child's access to and acceptance of food?

Parents

What is the name of the diet recommended for adolescents with hyperlipidemia?

DASH diet

What is the method used to determine the appropriateness of an adolescent's weight for height?

Calculating body mass index (BMI) and comparing it to age- and gender-appropriate percentiles

What is a potential long-term health consequence of insulin resistance?

Type 2 diabetes

What is a common risk factor for adolescent obesity?

Having at least one overweight or obese parent

What is the likely cause of the dramatic rise in overweight and obesity among adolescents?

Interactions between genetic and environmental factors

What is a common behavioral risk factor for adolescent obesity?

Consuming diets high in total calories and added sugars and fats

What is a chronic health issue considered a comorbid condition of adolescent obesity?

All of the above

What is the prevalence of overweight and obesity among adolescents compared to 20 years ago?

It has nearly doubled

What is a risk factor for developing obesity among adolescents?

Being diagnosed with a chronic or disabling condition that limits mobility

What is a potential consequence of being overweight or obese during adolescence?

Lowered self-esteem

What is assessed during the in-depth assessment stage of adolescent overweight and obesity treatment?

Co-morbid conditions and age

What is recommended for adolescents with a BMI of ≥85th in the prevention of type 2 diabetes?

Increased dietary intake of iron-rich foods

Why are adolescents with certain risk factors routinely screened for hypertension?

All of the above

What is the purpose of screening adolescents for weight-related issues?

To identify health risks and provide preventive care

What is a common comorbid condition of adolescent obesity?

All of the above

What is the primary method used to assess weight status among adolescents?

Calculating body mass index (BMI) to determine age- and gender-appropriate percentiles

Which of the following is a risk factor for developing obesity among adolescents?

Having at least one overweight or obese parent

What is the likely cause of the dramatic rise in overweight and obesity among adolescents?

Environmental factors and interactions between genetic and environmental factors

Which of the following is a chronic health issue considered a comorbid condition of adolescent obesity?

Hypertension

What is a common behavioral risk factor for adolescent obesity?

Eating diets high in total calories and added sugars

What is the prevalence of overweight and obesity among adolescents compared to 20 years ago?

It has nearly doubled

Which of the following is a health implication of adolescent overweight and obesity?

Increased risk of hypertension

What is a common environmental factor contributing to the rise in overweight and obesity among adolescents?

Environmental factors such as low socioeconomic status

What is the main goal of the DASH diet for adolescents with hyperlipidemia?

To lower cholesterol levels

What percentage of adolescents have elevated cholesterol?

1 in 4

What is a common nutrition problem in children and adolescents with chronic health conditions?

All of the above

What is the CHILD 1 diet?

A modified version of the DASH diet

What is a factor that can affect a child's ability to consume, digest, or absorb nutrients?

All of the above

Why are children and adolescents with chronic health conditions at increased risk for nutrition-related health problems?

Because they may have physical, biochemical, or environmental factors that affect their nutrition

What is a common environmental factor influencing a child's access to and acceptance of food?

Parental influence

What is the primary goal of the DASH diet for the prevention of type 2 diabetes?

To promote a healthy body weight

Study Notes

Adolescent Nutrition: Conditions and Interventions

OVERWEIGHT AND OBESITY

  • Prevalence of overweight and obesity among adolescents has nearly doubled in the last 20 years
  • Environmental factors, or interactions between genetic and environmental factors, are the most likely causes of the dramatic rise in overweight and obesity
  • Risk factors include having at least one overweight or obese parent, low socioeconomic status, being of African American, Hispanic, or American Indian/Native Alaskan race/ethnicity, and being diagnosed with a chronic or disabling condition that limits mobility
  • Inadequate levels of physical activity and consuming diets high in total calories and added sugars and fats are behavioral risk factors common among a significant proportion of adolescents

DEFINITIONS AND CLASSIFICATION

  • Weight status among adolescents should be assessed by calculating body mass index (BMI)
  • BMI values are compared to age- and gender-appropriate percentiles to determine the appropriateness of the individual's weight for height

HEALTH IMPLICATIONS OF ADOLESCENT OVERWEIGHT AND OBESITY

  • Chronic health issues that are comorbid conditions of adolescent obesity include:
    • Hypertension
    • Dyslipidemia
    • Insulin resistance
    • Type 2 diabetes mellitus
    • Sleep apnea and other hypoventilation disorders
    • Orthopedic problems
    • Hepatic diseases
    • Body image disturbances
    • Lowered self-esteem

ASSESSMENT AND TREATMENT OF ADOLESCENT OVERWEIGHT AND OBESITY

  • Screening: every year (weight-for-height)
  • Risk factors present >> in-depth assessment
  • Treatment: staged care process based on BMI, co-morbid conditions, age, and progress with previous stages of treatment
  • Stage 1: Prevention Plus: adolescents with BMI of ≥85th but <95th percentile, increased dietary intake of foods rich in iron and vitamin C, and iron supplementation

SPECIAL DIETARY CONCERNS AMONG ADOLESCENTS

  • Hypertension (HTN): elevated BP, risk factors include family history of HTN, high dietary intake of Na, overweight or obesity, hyperlipidemia, inactive lifestyle, and tobacco use
  • Hyperlipidemia: 1 in 4 adolescents has elevated cholesterol, CHILD 1 (Cardiovascular Health Integrated Lifestyle Diet) diet
  • Diabetes and Metabolic Syndrome: type 2 diabetes prevention includes reaching and maintaining a healthy body weight, engaging in regular physical activity, and following the DASH diet
  • Children and Adolescents with Chronic Health Conditions: increased risk for nutrition-related health problems due to physical, biochemical, and psychological factors

Adolescent Nutrition: Conditions and Interventions

OVERWEIGHT AND OBESITY

  • Prevalence of overweight and obesity among adolescents has nearly doubled in the last 20 years
  • Environmental factors, or interactions between genetic and environmental factors, are the most likely causes of the dramatic rise in overweight and obesity
  • Risk factors include having at least one overweight or obese parent, low socioeconomic status, being of African American, Hispanic, or American Indian/Native Alaskan race/ethnicity, and being diagnosed with a chronic or disabling condition that limits mobility
  • Inadequate levels of physical activity and consuming diets high in total calories and added sugars and fats are behavioral risk factors common among a significant proportion of adolescents

DEFINITIONS AND CLASSIFICATION

  • Weight status among adolescents should be assessed by calculating body mass index (BMI)
  • BMI values are compared to age- and gender-appropriate percentiles to determine the appropriateness of the individual's weight for height

HEALTH IMPLICATIONS OF ADOLESCENT OVERWEIGHT AND OBESITY

  • Chronic health issues that are comorbid conditions of adolescent obesity include:
    • Hypertension
    • Dyslipidemia
    • Insulin resistance
    • Type 2 diabetes mellitus
    • Sleep apnea and other hypoventilation disorders
    • Orthopedic problems
    • Hepatic diseases
    • Body image disturbances
    • Lowered self-esteem

ASSESSMENT AND TREATMENT OF ADOLESCENT OVERWEIGHT AND OBESITY

  • Screening: every year (weight-for-height)
  • Risk factors present >> in-depth assessment
  • Treatment: staged care process based on BMI, co-morbid conditions, age, and progress with previous stages of treatment
  • Stage 1: Prevention Plus: adolescents with BMI of ≥85th but <95th percentile, increased dietary intake of foods rich in iron and vitamin C, and iron supplementation

SPECIAL DIETARY CONCERNS AMONG ADOLESCENTS

  • Hypertension (HTN): elevated BP, risk factors include family history of HTN, high dietary intake of Na, overweight or obesity, hyperlipidemia, inactive lifestyle, and tobacco use
  • Hyperlipidemia: 1 in 4 adolescents has elevated cholesterol, CHILD 1 (Cardiovascular Health Integrated Lifestyle Diet) diet
  • Diabetes and Metabolic Syndrome: type 2 diabetes prevention includes reaching and maintaining a healthy body weight, engaging in regular physical activity, and following the DASH diet
  • Children and Adolescents with Chronic Health Conditions: increased risk for nutrition-related health problems due to physical, biochemical, and psychological factors

Adolescent Nutrition: Conditions and Interventions

OVERWEIGHT AND OBESITY

  • Prevalence of overweight and obesity among adolescents has nearly doubled in the last 20 years
  • Environmental factors, or interactions between genetic and environmental factors, are the most likely causes of the dramatic rise in overweight and obesity
  • Risk factors include having at least one overweight or obese parent, low socioeconomic status, being of African American, Hispanic, or American Indian/Native Alaskan race/ethnicity, and being diagnosed with a chronic or disabling condition that limits mobility
  • Inadequate levels of physical activity and consuming diets high in total calories and added sugars and fats are behavioral risk factors common among a significant proportion of adolescents

DEFINITIONS AND CLASSIFICATION

  • Weight status among adolescents should be assessed by calculating body mass index (BMI)
  • BMI values are compared to age- and gender-appropriate percentiles to determine the appropriateness of the individual's weight for height

HEALTH IMPLICATIONS OF ADOLESCENT OVERWEIGHT AND OBESITY

  • Chronic health issues that are comorbid conditions of adolescent obesity include:
    • Hypertension
    • Dyslipidemia
    • Insulin resistance
    • Type 2 diabetes mellitus
    • Sleep apnea and other hypoventilation disorders
    • Orthopedic problems
    • Hepatic diseases
    • Body image disturbances
    • Lowered self-esteem

ASSESSMENT AND TREATMENT OF ADOLESCENT OVERWEIGHT AND OBESITY

  • Screening: every year (weight-for-height)
  • Risk factors present >> in-depth assessment
  • Treatment: staged care process based on BMI, co-morbid conditions, age, and progress with previous stages of treatment
  • Stage 1: Prevention Plus: adolescents with BMI of ≥85th but <95th percentile, increased dietary intake of foods rich in iron and vitamin C, and iron supplementation

SPECIAL DIETARY CONCERNS AMONG ADOLESCENTS

  • Hypertension (HTN): elevated BP, risk factors include family history of HTN, high dietary intake of Na, overweight or obesity, hyperlipidemia, inactive lifestyle, and tobacco use
  • Hyperlipidemia: 1 in 4 adolescents has elevated cholesterol, CHILD 1 (Cardiovascular Health Integrated Lifestyle Diet) diet
  • Diabetes and Metabolic Syndrome: type 2 diabetes prevention includes reaching and maintaining a healthy body weight, engaging in regular physical activity, and following the DASH diet
  • Children and Adolescents with Chronic Health Conditions: increased risk for nutrition-related health problems due to physical, biochemical, and psychological factors

Learn about the prevalence, causes, and risk factors of overweight and obesity among adolescents, including environmental factors and socioeconomic status.

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