Physiological changesNutrient needsFocus on calciumEating behaviorsFeeding responsibilityVegetarian choicesEating disordersLifestyle behaviorsSubstance use/abuseFitness and nutritionTeen pregnancyNutrition during Adolescence
Physiological Changes during PubertyPuberty = period of ________ from childhood to adulthoodHormonal changes/body composition triggers?
Physical:sexual maturationincreased height/weightbody composition nutritionmen: _____ protein, Fe, Zn, Cawomen: _______ menses Feacne
Imaginary Audiencehigh self-consciousness
belief in their special, unique existenceIt wont happen to me**Health implication =
Calcium45-50% of total bone growth occurs during adolescencecan absorb ____________ as adultsAdequate Intake (AI) is set at ______ mg calcium/day to take advantage of opportunity to build (9-18 years old)High ___________ intake is a concern
and Other NutrientsAdolescents are generally low in
Protein: they get ~2 times more than neededZinc: needed forbioavailability increasesFiber: 0.5 g/kg body weight; keep < 35 g totalV.C:
Eating BehaviorsTeens will take increasing responsibility for their food choicesThey still probably need _______ (25-33% of intake)Skipping breakfast/meals is common but unhealthy
Influences on eating behaviors:
Eating BehaviorsTeens will take increasing responsibility for their food choicesmay choose alternative eating patternsgreater risk for eating disordersVegetarians: start puberty shorter, leaner, and later but no differences eventuallyConcern for
higher prevalence of (using vegetarianism as a cover, not as a result of vegetarianism)
Types of Vegetarian DietsMacrobiotic
Only a few plant foodsDried fruit, nuts, honeyNo animal foodsPlants + milk, eggsditto + poultryPlants + fish(+ milk, eggs)TypeFoods eaten
Protein Complementationlegumesvegetablescorngrainsnuts and seedsmetmettrp, lyslys, thrlysFood sourceLimiting amino acidmet = methioninethr = threoninelys = lysinetrp = tryptophan
Nutritional Concerns of Vegetarian DietsMacrobiotic
Others*vit. C, calcium, protein**energy, protein, minerals*
vitamin B12!, calcium, zinc, iron, vit. D
probably okayTypeNutrients at risk
Eating DisordersFood itself is not the primary problem; food is a symptom of serious distress.
Early detection is crucial for recovery.
Help is available. Multidisciplinary treatment works best.
Downplay _________; promote healthful behaviorPromote eating when
Do not use food as Teach proper nutrition and healthy weight approaches
Adolescents and Athletics________is the nutrient of primary concern for athletes in general________ is a performance and a health riskreplace for every pound lost in sweat
Protein: +6-7 g/day (____% of kcal)More = high fat intake; delayed digestion, absorption; greater dehydration risk
Adolescents and AthleticsEnergy is primary for still-growing adolescent athletesBoys: maintainGirls: maintainConcern = athletes who manipulate weight
Anabolic steroids increase bulk, but also stunt growth and pose health riskLong-term effects of ___________ are unknown
Female Athlete Triad
PreventionSupport adolescents through puberty: recognize
Teach that ______ = better athletic performance
Encourage healthy attitudes from
Adolescent PregnancyHigh risk pregnancies due to immaturity:
Gynecological age = time from onset of __________< ______ indicates greater riskless time from completion of puberty means less
e.g. ________involve _______ if possible
Risks to the Mother bleeding (1st, 3rd trimesters)__difficultcephalopelvic __________pregnancy-induced hypertensioninfectionspsychological/social development
mortality: 2.5x greater!
perinatal and neonatal
*babies weigh less than those of adult mothers with same weight gainwill covering normal gain help?risk ofrisk oflife with parent(s) who have ____________ skillslife with one parent only; living below theRisks to the Baby