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Skeletal and Muscular Systems
• During the elementary school years, children – Grow 2 to 3 inches a year until age 11– Gain about 5 to 7 pounds a year– Double strength capabilities– Proportional changes
The Brain
• Increased myelination– Faster, effective processing of information
• Middle/late childhood– Brain volume stabilization– Prefrontal circuitry and pathways increase– Significant changes in structures and regions
• Attention, reasoning, cognitive control
– Increased cortical thickness
• Synaptic pruning occurs
What Changes Take Place in Body Growth, Brain, and Motor Development?
Overweight Children
• Overweight– Increasing health problem in the U.S.– BMI used to measure children– Worldwide: more children overweight– Recently in U.S.: obesity leveling off– Risk factor; the earlier the child is overweight,
the more risk of obesity in adolescence
What Are Central Issues in Children’s Health?
Overweight Children
• Factors linked to overweight childhood– Genetics, heredity– Environmental factors
• Availability of food and types• Eating patterns and habits• Cultural influences• Parental supervision, attitudes• Television watching, low activity behaviors
What Are Central Issues in Children’s Health?
Overweight Children
• Consequences of overweight childhood– Risk of medical problems
• Pulmonary/airway obstruction, sleep apnea• Bone, hip problems• Diabetes, hypertension, high cholesterol• Cardiovascular risk higher in low SES
– Risk of psychological problems• Lower self-esteem, tired, less attractive• Peer relations; rejection and withdrawal
What Are Central Issues in Children’s Health?
Overweight Children
• Treatment:– Combination of
• Diet, weight loss programs
• Exercise, calorie-burning activities
• Behavior modification, lifestyle changes
– Daily diary provides feedback, reinforcement– Intervention programs vary– Schools, parents are very important for change
• Activity levels are not hereditary
What Are Central Issues in Children’s Health?
Diseases
• Four childhood diseases most harmful
• Cancer:– Child cancers attack all areas of body– By age 19: 1 in 330 children in U.S. get cancer– Little known about causes, possible genetics
• Diabetes:– Type I and Type II – Highest risk: obesity and Type II– Ethnic groups at higher risk of diabetes
What Are Central Issues in Children’s Health?
Diseases
• Asthma:– Incidence has steadily increased over years
• Affected by increased air pollution• Most common childhood chronic disease• Primary reason for missing school, ER visits
– Exact causes unknown; blames allergic reactions to environmental substances
– Treated with inhalers, medications– Child may outgrow by late adolescence
What Are Central Issues in Children’s Health?
Accidents and Injuries
• Injuries:– Middle/late childhood: leading cause of death– Most common: motor vehicle accidents– Serious injuries caused by sports equipment– Most accidents occur near home or school
• Prevention strategies best– Safety equipment, minimize risky behaviors,
proper adult supervision
What Are Central Issues in Children’s Health?
Exercise and Sports
• Sports:– Involvement of children increasing every year– Positive consequences
• Healthy exercise, opportunities to learn, raises self-esteem, good peer relationships
– Negative consequences• Pressure to win/achieve, physical injuries,
academic work falters, too competitive, unrealistic expectations for athletic success
What Are Central Issues in Children’s Health?
Exercise and Sports
• Exercise– Children not exercising enough
• Less P.E. programs/involvement in school• TV watching promotes sedentary lifestyles
– High-intensity resistance exercise • Decreases body fat, lessens overweight risks• Increases muscle strength• Linked to important cognitive activity
– Opportunities, parental encouragement a must
What Are Central Issues in Children’s Health?
Parents’ Guide for Children
Pros
– Exercise– Opportunities to learn
how to compete– Self-esteem– Setting for developing
peer relations and friendships
Cons
– Pressure to achieve, high stress created
– Physical injuries– Distraction from
academic work– Exploitation – Wrong values taught;
win-at-all-costs
Nutrition
• Middle/late childhood:– Average child’s body weight doubles– Food consumption increases with age
• Age 1-3: needs 1,300 calories per day• Age 4-6: needs 1,700 calories per day• Age 7-10: needs 2,400 calories per day (needs
vary with size, activity level)
– Healthy, balanced meals, and eating patterns are most important
What Are Central Issues in Children’s Health?
Motor Development
• Middle/late childhood:– Smoother movement, better coordination– Mastered skills become source of pleasure– Boys usually better in gross motor skills– Activity helps refine developing skills– Hands used more as ‘tools,’ steadier by age 7
• Age 8-10: more independent with hands• Fine motor skills in writing develop• Age 10-12: manipulative skills like adults
What Changes Take Place in Body Growth, Brain, and Motor Development?
Who Are Children with Disabilities?
• About 10% of U.S. children receive special education or related services– Learning disability (includes ADHD)
– Speech and sensory disorders
– Physical disorders
– Emotional and behavioral disorders
What Are the Prevalent Disabilities in Children?
Learning Disabilities
• Learning disability includes:– A minimum IQ level
– A significant difficulty in a school-related area
– Exclusion of other conditions
• Boys classified 3 times more than girls
• Diagnosis difficult
What Are the Prevalent Disabilities in Children?
Attention Deficit Hyperactivity Disorder
• Children consistently show one or more of the following characteristics: – Inattention– Hyperactivity– Impulsivity
What Are the Prevalent Disabilities in Children?
Attention Deficit Hyperactivity Disorder
What Are the Prevalent Disabilities in Children?
•
• Many possible causes; heredity may play role
• Undergoes extensive evaluations
– Usually treated with stimulant drugs
– Controversial
Educational Issues
• Public Law 94-142 (Education for All Handicapped Children Act)
– Requires that all children with disabilities be given free, appropriate public education
– Renamed Individuals with Disabilities Education Act (IDEA) in 1990
What Are the Prevalent Disabilities in Children?
Educational Issues
• IDEA amendments in 1997
– Use of instructional technology
– Use of assistive technology
– Individualized Education Plan (IEP)
– Least restrictive environment (LRE)
– Mainstreaming renamed inclusion
What Are the Prevalent Disabilities in Children?
Individualized Education Plan (IEP)
• Written statement that spells out program tailored to child with disability
– Related to child’s learning capacity
– Designed to meet child’s individual needs
– Designed to provide educational benefits
What Are the Prevalent Disabilities in Children?