Lifespan Childhood Development

7/25/2019 Lifespan Childhood Development

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Chapters 10 and 12:Nutrition in Childhood


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OBJECTIVES

1.Growth Epe!tations "or sta#es o"!hildhood

2.Ener#$ Needs "or !hildren durin#!hildhood sta#es

%.&eedin# Issues "or Toddlers and'res!hoolers

(.Go)ern*ent 'ro#ra*s

+.Childhood O,esit$


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C-I/-OO/ STGES

Toddler: 1% $ears o" a#e

'res!hool: %+ $ears o" a#e

S!hool a#e: 12 $ears o" a#e


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N3T4ITION4E53I4E6ENTS

/eter*ination o" ener#$7!alorie8 needs in !hilhood:

1. ,asal *eta,olis*

2. rate of growth

%. ener#$ ependiture

Ener#$ needs de!rease with a#e"ro* 9 100 !al;# in in"an!$ to

9 (0 !al;# in adoles!en!e


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''4O


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C-I/4EN 4E NOT

J3ST ITTE /3TSD

6ore spe!ialied nutrition

ener#$F and protein needed "or:

inear Growth

Bone de)elop*ent

/ental de)elop*ent

6us!le de)elop*ent

'u,ertal /e)elop*ent


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TO//E4F GE 1%

/e)elop*ental sta#e

'arent or da$!are *odelin#D

Co*petiti)e &oods

/e)elop*ent o" "la)or pre"eren!es


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&EE/INGF N3T4ITIONN/ COGNITIVE

/EVEO'6ENT

Birth2 $rs: Sensori*otor

Satis"$ hun#er En)iron*ental eploration 'ra!ti!e "ine *otor sills


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TO//E4F GE 1%

Variet$: !hoppedF ta,leD "ood

Should ,e o"" all in"ant "oods:tetureF "in#ers and utensils

hole *il and water

Iron and in!!ontainin# "oods

&i,er!ontainin# "oods


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TO//E4 N/ '4ESC-OO

SE4VING SIHES

4ule o" thu*,: 1 TBS. ea!h o"

proteinF star!h and 12 )e#s "orea!h $ear o" a#e up to a#e

Or

91;(1;% o" adult portion to a#e %91;21;% o" adult portion to a#e


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&EE/ING T-E TO//E4

Sills

-andsF !upsF spoonsF "ors

Tetures

Beha)iors;Independen!e

Sna!s: )alua,le nutrients

Sna!s )s. TreatsD


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TO//E4S

4ate o" #rowth slows

Bod$ proportions !han#esi#ni"i!antl$

-ead #rowth is less

i*,s len#then


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TO//E4S

Calories: @0 !al per

'rotein: 1.1 #;per #;da$

&at: %0(0 o" !alories

Iron: *#;da$"ro* 11 *# in in"an!$


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COGNITIVE /EVEO'6ENTF GE N/&EE/INGF CONTIN3E/

2: 'reoperational

S$*,ols: !olorsF shapes

E#o!entri!: I lie and Idont lieD


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PRE-SCHOOL OBESITY

http://www.npr.org/player/v2/e!"aPlayer.htl#

a$t"on%&'t%&'"(l"(t%)al(e'"!%2*+,&,,*'%2*+,&+

http://www.ha(tv.$o/new(/lo$al/0e(p"te-1at"onw"!e-Iproveent-1era(a-St"ll-See"ng-Prole(-3"th-Oe("ty-Rate(-"n-Ch"l!ren-2&4,,,,&.htl


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COGNITIVE/EVEO'6ENTF GE N/

&EE/INGFCONTIN3E/

11 $rs: Con!rete operations

i*ited awareness thatnutrition a""e!ts health

,ut not how or wh$

'eer in"luen!e

&a*ilieshttp:;;www.sesa*estreet.or#;par

ents;topi!sanda!ti)ities;toolit

s;"ood;"eelin##ood


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C-I/ -ET- ISS3ES4ETE/ TO /IET

&TT 7&ailure to Thri)e8

O)erwei#ht and O,esit$

/ental Caries 7!a)ities8

S/s

Constipation: &i,er

-i#h ,lood lipids and T$pe 2dia,etes related to o)erwei#ht

&ood aller#ies


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I4ON /E&ICIENC=

6ost Co**on nutrientdisorder o" !hildhood

""e!ts approi*atel$ @ o"toddlers

ined to lower test s!ores

/ietar$ "a!tors


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IRON-DEFICIENCY

ANEMIA AGES 1-3

Transition o"" "or*ula

4elian!e on "ood "or Iron

E!essi)e use o" ,ottlewith *il or other liKuids

'oor Kualit$ diets withinadeKuate *eatsF poultr$F ,eans


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I4ON/E&ICIENC=NE6I GES 1%

Blood )olu*e epands withrapid #rowth

In!reased he*o#lo,in 7-#8

-# is *ain !o*ponent o" red,lood !ells 74BCs8

-e*o#lo,in !arries 02


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E/ 'OISONINGL N3T4ITION

o Older ho*es 7M1@08 paint with lead

o S!rapin# paint inside L outside: paint!hips;dust

o Children in#est;inhale

o 1@@ s!reenin# #uidelinesre)ious *a: 102+ *!#;dl ,lood

o

Re!5$e! to 6 &*


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E/ N/N3T4ITION

o 6ore lead is a,sor,ed when

sto*a!h is e*pt$ so % *ealsand sna!s

o Need to assure #ood intae o"!al!iu*F iron and in!


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HINC T4CE 6INE4

oO"ten de"i!ientF esp. $oun# !hildren

o&ood sour!es: 6ostl$ *eatsFsea"oodF so*e in whole #rains

o/e"i!ien!$:o'oor appetiteo/i*inished taste a!uit$o'oor wound healin#o'oor wei#ht #ain and #rowth

o I*portant stud$ in E#$ptian ,o$s


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7I1C

oNeeded "or /N "or*ation.

o/N is in e)er$ !ell

oEtra /N needed durin#

!hildhood 7sta#e o" rapid#rowth8

oEspe!iall$ in ti*es o" !at!hup#rowth


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S3''E6ENT /

6ore )ita*in C and in!I**une supportChe"sBestP ward:Best Taste

Hin!8 % *# 720 /V8

4e#ular Gu**$ Vite has 2. *#. Hin!

/ose: 2 Gu**ies 7 "or % *#.8


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HINC S3''E6ENTTION

&lintstones Co*plete :

/osa#e: 1 ta,let ( and up

R ta,let a#es 2%

'ro)ides: 12 *#. per ta,let


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&EE/ING '4ESC-OOC-I/4EN

oGrowth rate slows

o'arents !ontrol "oods o""eredand pro)ide en)iron*ental

stru!ture

oSna!s ). treats

o Co*petiti)e "oods


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&EE/ING '4ESC-OO

C-I/4EN?CONT/

o'h$si!al en)iron*ent

oE!essi)e intae o" "ruit ui!e

o6eals and sna!s in da$!are

o'eer in"luen!e


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88P POLICY ST8TE9E1T2**&

3SE 0N/ 6IS3SE O& &43ITJ3ICE IN 'E/I0T4ICSD

In$rea(e( r"( o) :Oe("ty

Cav"t"e(

To!!ler;( 0"arrheaPoor !"et $"en$y

Low >er "ntae


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' 4ECO66EN/TIONS

< 6 monthso) age: no ?5"$e

6 -12 months: $an !r"n 5p to@ to A o5n$e( o) ?5"$e 5t only"n a $5p not a ottle

1 to 6 years: not ore than @to A o5n$e( o) ?5"$e

> 6 years: not ore than 4 to&2 o5n$e( o) ?5"$e

En$o5rage $h"l!ren to eat whole)r5"t(

En$o5rage $h"l!ren to !r"nwater


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GOVE4N6ENT '4OG46S

&O4 C-I/4EN&. S08;( Ch"l! an!

8!5lt Care oo! Progra DC8CP

2. Hea! Start-

Fenhan$e! !ay $are w/e!"$al !entalental health an! n5tr"t"onal (erv"$e( a(well a( parent o5trea$h

. 3IC Progra: Pregnant/La$tat"ng 3oenan! $h"l!ren 5p to year(.

http://w"$wor(.nal.5(!a.gov/

8CTI=ITY- PL81 O1E 08Y 9E1http://www.$!ph.$a.gov/progra(/w"$wor(/0o$5ent(/1E/3IC-1E-E!9ater"al([email protected]!)


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&EE/ING SC-OOGE/

C-I/4EN

Slow stead$ #rowth

S!hool lun!hes -o*epa!ed lun!hes

4estaurants

Sna$( v(. Ftreat(G

Copet"t"ve )oo!(


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&OO/ 'TTE4NSC-I/-OO/

o Eplosion o" produ!ts that area)aila,le !o**er!iall$.

o

ess *ilF *ore sodaF ui!e andassorted drins

o 6ore ener#$ "ro* sna!s

o ess eatin# at ho*e


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http:;;www.!hop!hop*a#.or#;

4EST34NT N/

6GHINE http://("te.5rton(gr"ll.$o/-

$hoo(y-$h"l!ren-en5/

http://www.$hop$hopag.org/re$"pe(/>(h-ta$o(


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http://$t$).org/why-$oo"ng-together-$oo"ng-)orever.php


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HEI

In $la(( a$t"v"ty


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HEI-2010 COMPONENTSAND SCORIN S!STEM


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HEI RESLTS OR

CHIL0RE1- 2*&*

learn S"te


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GE G4O3'S: SC-OO GE

3S/: National S!hool un!h 'ro#ra*:

1;% o" dail$ /4I

I*pro)e*ent seen with SC-OOENESS CO3NCIS

'a!ed lun!hes *onotonouspre"erred "oods pa!ed o"tenFnonperisha,le "oods needed


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SC-OO 3NC-ES

4O3N/ T-E O4/

http://www.(t5le5pon.$o/(5/2")JK/to!ay"learne!.$o.5/2*&&/*@/2*/what-"!(-o)-the-worl!-eat-at-($hool/


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Chan"es #n M#n#m$m Amo$nts an% Ty&es o'(oo%) *$n+h

(oo%

ro$&

C$rrent

Re$#rement

Ne.

Re+ommen%at#on

r5"t an!=egetale(

&/2 - & $5p o) )r5"tan! vegetale($o"ne!

/@ & $5p o) vegetale(&/$s&/2 & $5p o) )r5"t per !ay

=egetale(1o (pe$">$at"on( a(to type o)vegetale

3eely re


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SC-OOS

o6an$ resour!es ha)e ,eende)oted to nutrition ed

oar#el$ unsu!!ess"ul unlessparents were in!luded

oBetter su!!ess w; !han#in# the"ood and pro)idin# opportunit$"or ph$si!al a!ti)it$


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=I0EOS

http://www.wh"teho5(e.gov/

$hap"on(/$he)(/t"othy-$"pr"ano

http://www.yo5t5e.$o/wat$h#v%ovO&4E-hgew

http://www.yo5t5e.$o/wat$h#v%T8rHCSNJhE


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&46 TO SC-OO


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C-I/ N3T4ITION4E3T-O4IHTION -ET-=F

-3NGE4&4EE >I/S CT 2010

oIn!reases a!!ess to health$ "ood

"or lowin!o*e !hildren

ohat is the #oal

4edu!tion o" !hildhood

o,esit$ andi*pro)ed nutrition


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S08 810 2*&* 8CT

o15tr"t"onal (tan!ar!( )or all )oo!((ol! "n ($hool( "n$l5!"ng ven!"nga$h"ne( Fa la $arteG l5n$hl"ne( an! ($hool (tore(.

o8!!"t"onal )5n!"ng to ($hool( thateet 5p!ate! n5tr"t"onal(tan!ar!( )or )e!erally-(5("!"e!

l5n$he(.

oProote )ar-to ($hool networ($reate ($hool gar!en(.

oEKpan!( a$$e(( to !r"n"ng water"n ($hool( part"$5larly !5r"ng

eal t"e( D)ree water


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=IT89I1 0

'rodu!ed in the sin a"tereposure o" deh$dro!holesterol

to sunli#ht

'ro*otes intestinal !al!iu*

a,sorption


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&OO/ SO34CES

VIT6IN /(#sh) 0- o$n+es)Cat3sh 42 I

Sa/mon Ma+7era/ 0 I5Sar%#nes #n o#/ 40 IT$na #n o#/ 2 I

8ho/e e"" 41 I5

(#sh /#9er o#/s e"+o% /#9eo#/s

1 T:*S 160I5

95(hroo( are only vegan(o5r$e:&@ "5 )or &**g


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HTTP://333.YOTBE.CO9/

38TCH#=%B97EELE


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&OO/ E4GIES

o &ood aller#ies *ost o"ten*ani"est in in"an!$ and!hildhood. 're)alen!e: (A

o ller#i! responses in!luderespirator$ or

#astrointestinals$*pto*sF sin rea!tionsF"ati#ueF or ,eha)ior

!han#es


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85g5(t 2*&* A

&OO/ E4GIES

IN C-I/-OO/o 6ilF e##F wheatF so$F peanutsF tree

nutsF "ishF shell"ish ? @0 o"

aller#ies

o 6ilF e##F wheatF so$ L peanut are

*ost !o**on in !hildhood

o ller#$ to C6' is *ost !o**on inin"ants in!ludin# in"ants who are

,reast"ed.


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85g5(t 2*&* ,

INCI/ENCE L '4EVENCEO& &OO/ E4GIES IN

C-I/-OO/

&++,-2**, Report )ro Center( )or0"(ea(e Control:

oIn$"!en$e: In$rea(e o) &4M

o*M "n$rea(e "n pean5t allergy

oPrevalen$e: @-4M o) $h"l!ren an!Q 2M o) a!5lt(


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85g5(t 2*&* 4

&OO/ E4G=

o

Adverse !!"#e res$o#seto the $rote# # a food

o

Mo%e&"%ar weghtde$e#de#t


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I663NOGOB3INS7NTIBO/IES8

o6ade ,$ the i**une s$ste*

otta!h to a spe!i"i! anti#en

o6ae it easier "or i**une !ellsoto destro$ the anti#en

oSpe!i"i! to ea!h su,stan!e andha)e *e*or$D

o

http:;;www.insider*edi!ine.!o*;ar!hi)es;VI/EOUI"UIU-adUU&oodUller#$U/rUeslieUGra**erU6/UNorthwesternU3ni)ersit$US!hoolUo"U6edi!ineU&ein,er#US!hoolUo"U6edi!ineU%+0.asp


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85g5(t 2*&* A*

I663NE 4ES'ONSE

I**une rea!tion to ,a!teriaF)irusesF danderF et!.

6ast Cells !an also rea!t toordinaril$ har*less "oods.

Che*i!al rea!tion o!!urs.

This o)errea!tion s$*pto*s"ro* *ild 7hi)es8 to se)ere7anaph$la!ti! sho!8.


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85g5(t 2*&* A&

-E4E/IT= N/ TO'=

Chan!e o" de)elopin# "ood aller#$:

o+1+: no atopi! parent

o20(0: one atopi! parent7stron#er *aternal in"luen!e8

o(00: ,oth parents atopi!

o2+%+: one si,lin# ,ut neither

parent atopi!


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85g5(t 2*&* A2

'4EVIO3S ' G3I/EINES ?E4G= '4EVENTION

o In pla!e "or %0 $ears:

o

ll In"ants to12 *os: a)oid:

o C6' 7*ilF $o#urtF !heese and"oods !ontainin# C6'8

o

peanutso e## whites


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85g5(t 2*&* A

4E'CES E4IE4 ''OIC= STTE6ENT

Efects o Early NutritionalInterventions on the Development

o Atopic Disease in Inants andChildren:

The Role o Maternal DietaryRestriction, reasteedin!,"ydroly#ed $ormulas and Timin!o Introduction o Complementary$ood%

Greer &4F Si!herer SF Burs and Co**ittee on Nutrition and Se!tion onller#$ and I**unolo#$. 'ediatri!s 200AW121W1A%@1


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A@

200A ' 'OIC= STTE6ENT

9aternal pregnan$y/la$tat"onre(tr"$t"on o) )oo! allergen(

0elaye! (ol"!( eyon! Aonth(

Re(tr"$t"on o) (pe$">$ )oo!(5nt"l a)ter &2 onth( o) age

Th"( "n$l5!e( h"ghly allergen"$)oo!( (5$h a( egg( pean5t >(h

Ch"l!ren notat r"( )orallerg"e(: 1o ev"!en$e the)ollow"ng prevent( )oo!allerg"e(:


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T4ET6ENT TE6

''4OC-o )oidan!e o" aller#ens

o /iet su,stitutions

o Nutritional Supple*entation i"ne!essar$F e.#.F CaXXF Vit /

o 4e!ipes palata,ilit$F !ost

o Shoppin# Guidan!e

o

's$!holo#i!al Support


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'RE(EN)ING C*RONICDISEASE

4oots o" !hroni! diseases in adultsF

su!h as heart diseaseF !an!erFdia,etesF and o,esit$.

/iet Kualit$ and !alories Cal!iu* and ,one health &i,er Sodiu* 'h$si!al a!ti)it$


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OVE4EIG-T;OBESIT=

In!reasin# pre)alen!e ?*ore soa*on# poor "a*ilies;*inorities

In"luen!es:a&&ess to food

&o!$ettve foods

eat#g ted to %es"re

a&tvtes&h%dre# !a+#g food de&so#s

$orto# s,es

#a&tvt )( / $assvea&tvt


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OVE4EIG-T;OBESIT=

B9I 4thM:overwe"ght

B9I +thM: oe(e

Per("(ten$e o) oe("ty"nto a!5lthoo!


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OBESIT= INC4ESES

4IS>

Cardio)as!ular and 6eta,oli!/isorders:

-$perlipide*ia

-$pertension T$pe 2 /ia,etes

&att$ i)er Steatohepatitis


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63TICENTE4 ST3/=

N&/

Su,e!ts:

1%1 !hildren with N&/ 1@@+ to200

+ !enters in 3S LCanada

In!iden!e: @ i" nor*al wei#ht and %A i" o,ese

#e ran#e: (1A $ears


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INTE4VENTIONS &O4

C-I/-OO/ OBESIT=

o&a*il$ in)ol)e*ent

o/ietar$ *odi"i!ations

oNutrition in"or*ation

o'h$si!al a!ti)it$

oBeha)ioral strate#ies

o're)ention


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Stage! Care TreatentStage! Care Treatent

a(e! on B9I- p. 4,- Rea!a(e! on B9I- p. 4,- Rea!

p. 4,-44p. 4,-441 PRE;ENTION P*5S

Hea/thy %#et an% a+t#9#ty&ra+t#+es) > (r$#ts an% 9e"s%ay *#m#t SS:s :e a+t#9e 'or >60

m#n$tes%ay *#m#t s+reen t#me to


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Stage 2- S39

S#m#/ar a%9#+e =$tmore str$+t$re 'ora++o$nta=#/#ty

(oo% an% Eer+#se

*o"s

*#m#t s+reen t#meto


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Jro5p 3e"ght 9anageent )orJro5p 3e"ght 9anageent )or

Ch"l!ren 4-&2- Cr"ter"a )orCh"l!ren 4-&2- Cr"ter"a )or

Ee$t"vene((Ee$t"vene(( Treatment o' /on" %$rat#on > 16

.ee7s

N$tr#t#ona/ e%$+at#on . str$+t$re%%#et

Psy+ho/o"#+a/ #nter9ent#on

Phys#+a/ a+t#9#ty +om&onent

Parents are the @a"ents o' +han"e

Ch#/%ren an% &arents treate% #n 2

se&arate "ro$&s

Some e9#%en+e) &arents treate%

a/one .#th +h#/%ren om#tte% 'rom

treatment e9en more eBe+t#9e


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TEEVISION VIEINGTI6E N/ /S

'res!hool ? 92 hours perwee

S!hool a#e 9 2% hours perwee

ods "or "ast"ood;soda;drinsL !on)enien!e "ood

oChildren !ant distin#uish ,etween ads and pro#ra*s


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TV N/ C-I/4EN

' re!o**endation: No TV less than 2 $ears o" a#e 2 hours or less in !hildren

6aor asso!iation with hours o" TV ando,esit$

Sna! eatin# shown *ore o"ten thanBFF/ !o*,ined


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'-=SIC CTIVIT=

o-elps !ontrol wei#ht

o-elps with learnin#

oI*pro)es stren#th;enduran!e

o4edu!es stress

oBuild ,one *ineral densit$


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JI0ELI1ES

IO6: 0 *inutes per da$ o"*oderate to )i#orous '


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&T N/C4/IOVSC34 4IS>

o-i#h saturated;trans "at diet

o-i#h ,lood !holesterol

otheros!lerosis !an ,e#in in!hildhood and adoles!en!e


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88P 810 8T

8)ter 2 eg"n

gra!5ally re!5$"ng)at 5nt"l !"etprov"!e( *M o)

$alor"e( )ro )at yage


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NTION C-OESTE4OE/3CTION '4OG46 0NCE'

4e!o**endations "or Children 2 $rs o" a#e ? sa*e as "oradults

No *ore than %0 o" !alories

"ro* "at Guidelines "or how *u!h should

,e sat.F unsat.F pol$s

Lifespan Childhood Development

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