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prevalence\tof\toverweight\tchildren\tcannot\tbe\texplained\tby\tgenetics\talone.\tFactors\tcontributing\tto\nexcess\tenergy\tintake\tfor\tthe\tpediatric\tpopulation\tinclude\n\tready\taccess\tto\teating\tand\tfood\nestablishments,\teating\ttied\tto\tsedentary\tleisure\tactivities,\tchildren\tmaking\tmore\tfood\tand\te... | [
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decisions,\tlarger\tportion\tsizes,\tand\tdecreased\tphysical\tactivity.\tIn\taddition,\tAmerican\tchildren\tsnack\nthree\ttimes\ta\tday,\twith\tchips,\tcandy,\tand\tother\tlow-nutrient\tfoods\tproviding\tmore\tthan\t27%\tof\ttheir\ndaily\tenergy\tintake;\tthis\tcontributes\t168\tkcal\tper\tday\t(\nPiernas\tand\tPopkin... | [
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Piernas\tand\tPopkin,\t2010\n).\tMany\tof\tthe\trisk\nfactors\tfor\tobesity\tare\tmore\tprevalent\tamong\tchildren\tfrom\tracial/ethnic\tminorities\tand\tfamilies\twith\nlower\tsocioeconomic\tstatus.\nInactivity\tplays\ta\tmajor\trole\tin\tobesity\tdevelopment,\twhether\tit\tresults\tfrom\tscreen\ttime,\tlimited | [
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opportunities\tfor\tphysical\tactivity,\tor\tsafety\tconcerns\tthat\tprevent\tchildren\tfrom\tenjoying\tfree\tplay\noutdoors.\tAlthough\tincreased\ttelevision\tviewing\n\tand\tcomputer\tand\thandheld\tgame\tuse\thave\tbeen\nassociated\twith\tchildhood\toverweight,\ta\treview\tsuggests\tthat\tthe\tgreater\trisk\tof\tove... | [
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related\tto\ttelevision\tviewing\tplus\ta\tlow\tactivity\tlevel\t(\nRitchie\tet\tal,\t2005\n).\tThe\tneed\tto\tuse\nautomobiles\tfor\tshort\ttrips\tlimits\tchildren’s\topportunities\tto\twalk\tto\tlocal\tdestinations,\ta\nphenomenon\tparticularly\trelevant\tto\tchildren\tin\tthe\tsuburbs.\nObesity | [
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phenomenon\tparticularly\trelevant\tto\tchildren\tin\tthe\tsuburbs.\nObesity\n\tin\tchildhood\tis\tnot\ta\tbenign\tcondition,\tdespite\tthe\tpopular\tbelief\tthat\toverweight\tchildren\nwill\toutgrow\ttheir\tcondition.\tThe\tlonger\ta\tchild\thas\tbeen\toverweight,\tthe\tmore\tlikely\tthe\tchild\tis\tto | [
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be\toverweight\tor\tobese\tduring\tadolescence\tand\tadulthood.\tConsequences\tof\toverweight\tin\tchildhood\ninclude\tpsychosocial\tdifficulties\tsuch\tas\tdiscrimination,\ta\tnegative\tself-image,\tdepression,\tand\ndecreased\n\tsocialization.\tMany\toverweight\tchildren\thave\tone\tor\tmore\tcardiovascular\trisk\tfa... | [
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as\thyperlipidemia,\thypertension,\tor\thyperinsulinemia\t(\nDaniels,\t2009\n).\tAn\teven\tmore\tdramatic\thealth\nconsequence\tof\toverweight\tis\tthe\trapid\tincrease\tin\tthe\tincidence\tof\ttype\t2\tdiabetes\tin\tchildren\tand\nadolescents,\twhich\thas\ta\tserious\teffect\ton\tadult\thealth,\tdevelopment\tof\tother... | [
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health\n\tcare\tcosts\t(see\t\nChapter\t30\n).\nThe\tAAP\thas\tdeveloped\tguidelines\tfor\toverweight\tscreening\tand\tassessment\tfor\tchildren\tfrom\tage | [
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2\tthrough\tadolescence\t(\nBarlow\tand\tCommittee,\t2007\n).\tIn\taddition\tto\tgrowth\tparameters,\tother\nimportant\tinformation\tincludes\tdietary\tintake\tand\tpatterns,\tprevious\tgrowth\tpatterns,\tfamily\thistory,\nphysical\tactivity,\tand\tfamily\tinteractions.\tThe\tU.S.\tPreventive\tServices\tTask\n\tForce\t... | [
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Force\t(USPSTF)\nrecommends\tobesity\tscreening\tfor\tchildren\tand\tadolescents\t6\tyears\tand\tolder\tand\treferral\tto\ncomprehensive,\tintensive\tbehavioral\tintervention\ttreatment\tprograms,\tif\tappropriate\t(\nGrossman\tet\nal,\t2017\n).\nA\t2010\tpaper\tdescribed\ta\tlower\tprevalence\tof\tobesity\tamong\tchil... | [
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following\troutines:\tregularly\teating\tthe\tevening\tmeal\tas\ta\tfamily,\tobtaining\tadequate\tnight-time\nsleep,\tand\thaving\tlimited\tscreen-viewing\ttime\t(\nAnderson\tand\tWhitaker,\t2010\n).\tInterventions\tfor\nobesity\tin\tchildren\thave\thad\tlimited\teffect\ton\tthe\tchildhood\tobesity\tproblem,\tespeciall... | [
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Hispanic,\tand\tNative\tAmerican\tpopulations.\tSuccess\tis\tmost\tlikely\tto\tresult\tfrom\tprograms\tthat\ninclude\tcomprehensive\tbehavioral\tcomponents\tsuch\tas\tfamily\tinvolvement,\tdietary\tmodifications,\nnutrition\tinformation,\n\tphysical\tactivity,\tand\tbehavioral\tstrategies\t(\nBarlow\tand\tCommittee,\t2... | [
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Barlow\tand\tCommittee,\t2007\n).\nIncorporating\tbehavioral\tintervention\tin\tobesity\ttreatment\timproves\toutcomes\tand\tis\tmost\teffective\nwith\ta\tteam\tapproach.\tDepending\ton\tthe\tchild,\tgoals\tfor\tweight\tchange\tmay\tinclude\ta\tdecrease\tin\nthe\trate\tof\tweight\tgain,\tmaintenance\tof\tweight,\tor,\t... | [
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Chapter\n20\n).\tAn\tindividualized\tapproach\n\tshould\tbe\ttailored\tto\teach\tchild,\twith\tminimum\tuse\tof\trestrictive\ndiets\tor\tmedication,\texcept\tif\tthere\tare\tother\tsignificant\tdiseases\tand\tno\tother\toptions.\nIntervention\tstrategies\trequire\tfamily\tinvolvement\tand\tsupport.\tIncorporating\tmoti... | [
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interviewing\tand\tstages\tof\tchange\ttheory\tinto\tthe\tcomprehensive\tprogram\twill\tlikely\tbe\tmore\nsuccessful\t(see\t\nChapter\t13\n).\tChanges\tto\taddress\toverweight\n\tshould\tinclude\tthe\tchild’s\tinput,\twith\nchoices\tand\tplans\tthat\tmodify\tthe\tfamily’s\tfood\tand\tactivity\tenvironment,\tnot\tjust\t... | [
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Adequate\tenergy\tand\tother\tnutrients\tare\tneeded\tto\tensure\tmaintenance\tof\theight\tgain\tvelocity\tand\nnutrient\tstores.\tThe\thazards\tof\ttreating\toverweight\tchildren\ttoo\taggressively\tinclude\talternate\nperiods\tof\tundereating\tand\tovereating,\tfeelings\tof\tfailure\tin\tmeeting\n\texternal\texpectat... | [
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external\texpectations,\tignoring\ninternal\tcues\tfor\tappetite\tand\tsatiation,\tfeelings\tof\tdeprivation\tand\tisolation,\tan\tincreased\trisk\tfor\neating\tdisorders,\tand\ta\tpoor\tor\tan\tincreasingly\tpoor\tself-image.\nSome\tchildren\twith\tspecial\thealth\tcare\tneeds,\tsuch\tas\tthose\twith\tDown\tsyndrome,\... | [
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syndrome,\tshort\tstature,\tand\tlimited\tmobility,\tare\tat\tincreased\trisk\tfor\tbeing\toverweight.\tTheir\tsize,\nlevel\tof\tactivity,\tand\tdevelopmental\tstatus\tmust\tbe\tconsidered\twhen\testimating\tenergy\tintake\tand\nproviding\tdietary\tguidance\tto\ttheir\tfamilies\t(see\t\nChapter\t43\n). | [
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providing\tdietary\tguidance\tto\ttheir\tfamilies\t(see\t\nChapter\t43\n).\nPrevention\tof\tchildhood\tobesity\tis\tan\timportant\tpublic\thealth\tpriority\tin\tthe\tUnited\tStates.\tThe\nIOM\thas\tpublished\trecommendations\tthat\ttarget\tfamilies,\thealth\tcare\tprofessionals,\tindustry,\nschools,\tand\tcommunities\t... | [
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schools,\tand\tcommunities\t(\nIOM,\t2012\n).\tThe\trecommendations\n\tinclude\tschools\t(improved\tnutritional\nquality\tof\tfood\tsold\tand\tserved,\tincreased\tphysical\tactivity,\twellness\teducation),\tindustry\t(improved\nnutrition\tinformation\tfor\tconsumers,\tclear\tmedia\tmessages),\thealth\tcare\tprofessiona... | [
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BMI,\tproviding\tcounseling\tfor\tchildren\tand\tfamilies),\tand\tcommunities\tand\tgovernment\t(better\naccess\tto\thealthy\tfoods,\timproved\tphysical\tactivity\topportunities).\n\tSchools\tare\ta\tnatural\tenvironment\nfor\tobesity\tprevention,\twhich\tcan\tinclude\tnutrition\tand\thealth\tcurricula,\topportunities\... | [
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education\tand\tactivity,\tand\tappropriate\tschool\tmeals.\tEfforts\thave\tresulted\tin\tschool\tnutrition\npolicies\tthat\tlimit\tthe\tkinds\tof\tproducts\tsold\tin\tvending\tmachines\tand\tfood\tand\tbeverages\tsold\tfor\nfundraising.\tCross-sectional\tdata\tindicate\tthat\tpolicies\tthat\n\tlimit\tthe\tsale\tof\tco... | [
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limit\tthe\tsale\tof\tcompetitive\tfoods\tand\nbeverages\t(foods\tsold\toutside\tthe\tschool\tmeal\tprograms)\tare\tassociated\twith\tchanges\tin\nconsumption\tand\tavailability\tof\tfoods.\tMore\tresearch\tis\tneeded\tto\tunderstand\tlong-term\thealth\neffects\tof\tthese\tpolicies\t(\nChriqui\tet\tal,\t2014\n).\tMore\... | [
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).\tMore\tresearch\talso\tis\tneeded\tto\tdevelop\teffective\nprevention\tstrategies\tthat\taddress\tthe\tneeds\tof\tdiverse\tpopulations.\nFamilies\n\tare\tessential\tfor\tmodeling\tfood\tchoices,\thealthy\teating,\tand\tleisure\tactivities\tfor\ttheir\nchildren.\tParents\tinfluence\tchildren’s\tenvironment\tby\tchoos... | [
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meals\t(including\tbreakfast),\toffering\tregular\tsnacks,\tand\tspending\ttime\ttogether\tin\tphysical\tactivity,\nall\tof\twhich\tcan\tbe\tcritical\tin\toverweight\tprevention.\tReducing\tsedentary\tbehaviors\tcan\tincrease\nenergy\texpenditure\n\tand\treduce\tprompts\tto\teat;\tthe\tAAP\trecommends\tlimiting\tscreen... | [
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more\tthan\t2\thours\tper\tday\t(\nAAP,\t2016\n).\tParents\texerting\ttoo\tmuch\tcontrol\tover\ttheir\tchild’s\tfood\nintake\tor\tpromoting\ta\trestrictive\tdiet\tmay\tcause\tchildren\tto\tbe\tless\table\tto\tself-regulate\tand\tmore\nlikely\tto\tovereat\twhen\tthe\topportunity\tis\tavailable\t(\nRitchie\tet\tal,\t2005... | [
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0.07692334055900574,
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0.05606256425380707,
0.09604506194591522,
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0.0142... |
).\tHealth\tprofessionals\tshould\nsupport\tpositive\tparenting\n\twithin\tthe\tchild’s\tdevelopmental\tlevel.\nUnderweight\tand\tfailure\tto\tthrive\nWeight\tloss,\tlack\tof\tweight\tgain,\tor\t\nfailure\tto\tthrive\t(FTT)\n\tcan\tbe\tcaused\tby\tan\tacute\tor\tchronic\nillness,\ta\trestricted\tdiet,\ta\tpoor\tappetit... | [
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0.05759... |
feeding\tproblems,\tneglect,\tor\ta\tsimple\tlack\tof\tfood.\tSome\texperts\tprefer\tthe\tterms\t\npediatric\nundernutrition\n\tor\t\ngrowth\tdeficiency\n.\tInfants\tand\ttoddlers\tare\tmost\tat\trisk\tfor\tpoor\tgrowth,\toften\nas\ta\tresult\tof\tprematurity,\tmedical\tconditions,\tdevelopmental\tdelays,\tinadequate\t... | [
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combination\tof\tthese.\tDietary\tpractices\talso\tcan\tcontribute\tto\tpoor\tgrowth,\tincluding\tfood\nrestrictions\tin\tpreschool\tchildren\tstemming\tfrom\tparents’\tconcerns\tabout\tobesity,\tatherosclerosis,\tor\nother\tpotential\thealth\tproblems.\nA\tcareful\n\tassessment\tis\tcritical\tand\tmust\tinclude\tthe\t... | [
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0.0495741... |
and\tany\tphysical\tfindings.\tIf\tneglect\tis\tdocumented\tto\tbe\ta\tcontributing\tfactor,\thealth\tprofessionals\nare\tobligated\tto\treport\tthe\tcase\tto\tthe\tlocal\tchild\tprotective\tservices.\tBecause\tof\tthe\tcomplexity\tof\ngrowth\tfailure,\tan\tinterdisciplinary\tteam\tis\tideal\tfor\tassessments\tand\tint... | [
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The\tprovision\tof\n\tadequate\tenergy\tand\tother\tnutrients\tand\tnutrition\teducation\tshould\tbe\tone\tpart\tof\nan\toverall\tinterdisciplinary\tplan\tto\tassist\tchildren\tand\ttheir\tfamilies.\tAttempts\tshould\tbe\tmade\tto\nincrease\tchildren’s\tappetites\tand\tmodify\tthe\tenvironment\tto\tensure\toptimal\tint... | [
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0.014634... |
meals\tand\tsnacks\tshould\tbe\toffered\tat\tregular\ttimes,\tusing\tdevelopmentally\tappropriate,\tnutrient-\ndense\tfoods.\tThis\toptimizes\n\tthe\tsmaller\tstomach\tcapacity\tof\tthe\tyoung\tchild\tand\tprovides\tstructure\nand\tpredictability\tfor\tthe\teating\tenvironment.\tFamilies\tshould\treceive\tsupport\tfor\... | [
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child\tinteractions,\twith\trespect\tfor\tthe\tdivision\tof\tresponsibility\tin\tfeeding\tand\tavoidance\tof\tany\npressure\tor\tcoercion\ton\tthe\tchild’s\teating.\tSevere\tmalnutrition\tmay\trequire\tcarefully\tplanned\ninterventions\tand\tclose\tmonitoring\n\tto\tprevent\trefeeding\tsyndrome. | [
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0.042587... |
interventions\tand\tclose\tmonitoring\n\tto\tprevent\trefeeding\tsyndrome.\nChronic\tconstipation\tcan\tresult\tin\tpoor\tappetite,\tdiminished\tintake,\tand\tFTT.\tEnsuring\tadequate\nfluid\tand\tfiber\tintake\tcan\thelp\trelieve\tconstipation,\timprove\tappetite,\tand\teventually\tpromote\tweight | [
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gain.\tBecause\tthe\tfiber\tintake\tof\tchildren\tis\toften\tlow,\tespecially\tin\tchildren\twho\tare\tpicky\teaters,\nfiber\tintake\talways\tshould\tbe\taddressed\tin\tthe\tevaluation.\tFiber\n\tcan\tbe\tincreased\tby\tadding\nlegumes,\tfruits\t(especially\tdried\tfruits),\tvegetables,\thigh-fiber\tbreakfast\tcereals,... | [
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0.00042... |
of\tthese\tto\tthe\tdiet.\nIron\tdeficiency\nIron\tdeficiency\tis\tone\tof\tthe\tmost\tcommon\tnutrient\tdisorders\tof\tchildhood.\tThe\thighest\tprevalence\tof\nanemia\tin\tchildren\toccurs\tin\tthose\tyounger\tthan\t2\tyears\tof\tage\t(\nGupta\tet\tal,\t2017\n).\tIron\tdeficiency\tis\nless\tof\ta\tproblem\n\tamong\to... | [
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less\tof\ta\tproblem\n\tamong\tolder\tpreschool\tand\tschool\tage\tchildren.\nInfants\twith\tiron\tdeficiency,\twith\tor\twithout\tanemia,\ttend\tto\tscore\tlower\ton\tstandardized\ttests\tof\nmental\tdevelopment\tand\tpay\tless\tattention\tto\trelevant\tinformation\tneeded\tfor\tproblem\tsolving. | [
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0.0447... |
Poorer\tcognitive\tperformance\tand\tdelayed\tpsychomotor\tdevelopment\thave\tbeen\treported\tin\tinfants\nand\tpreschool\tchildren\twith\tiron\tdeficiency.\tDeficiency\tcan\n\thave\tlong-term\tconsequences,\tas\ndemonstrated\tby\tpoorer\tperformance\ton\tdevelopmental\ttests\tin\tlate\tchildhood\tand\tearly\tadolescen... | [
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0.0557271... |
(\nLozoff\tet\tal,\t2007\n).\tIron\tintake\tshould\tbe\tconsidered\tduring\tassessments\tof\tindividual\tdiets\tand\tin\npolicy\tdecisions\tintended\tto\taddress\tthe\tnutrition\tneeds\tof\tlow-income,\thigh-risk\tchildren.\nIn\taddition\tto\tgrowth\tand\tthe\tincreased\tphysiologic\tneed\tfor\tiron,\tdietary\n\tfactor... | [
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factors\talso\tplay\ta\trole.\nFor\texample,\ta\t1-year-old\tchild\twho\tcontinues\tto\tconsume\ta\tlarge\tquantity\tof\tmilk\tand\texcludes\nother\tfoods\tmay\tdevelop\tanemia.\tSome\tyoung\tpreschool\tchildren\tdo\tnot\teat\tmuch\tmeat,\tso\tmost\tof\ntheir\tiron\tis\tconsumed\tin\tthe\tnonheme\tform\tfrom\tfortified... | [
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(see\t\nChapter\t31\n).\nDental\tcaries\nNutrition\tand\teating\thabits\tare\timportant\n\tfactors\taffecting\toral\thealth.\tAn\toptimal\tnutrient\tintake\tis\nneeded\tto\tproduce\tstrong\tteeth\tand\thealthy\tgums.\tThe\tcomposition\tof\tthe\tdiet\tand\tan\tindividual’s\neating\thabits\t(e.g.,\tdietary\tcarbohydrate\... | [
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0.0453370... |
development\tof\tdental\tcaries\t(see\t\nChapter\t24\n).\nAllergies\nFood\tallergies\tduring\tinfancy\tand\tchildhood\tare\tmore\tlikely\twhen\ta\tchild\thas\ta\n\tfamily\thistory\tof\nallergies.\tAllergic\tsymptoms\tare\tseen\tmost\toften\tas\trespiratory\tor\tgastrointestinal\tresponses\tas\twell | [
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0.02019267901778221,
0.04038717... |
as\tskin\tresponses\tbut\tmay\tinclude\tfatigue,\tlethargy,\tand\tbehavior\tchanges.\tThere\tcan\tbe\tconfusion\nabout\tthe\tdefinitions\tof\t\nfood\tallergy\n,\t\nfood\tintolerance\n,\tand\t\nfood\tsensitivity\n,\tand\tsome\ttests\tfor\tfood\nallergies\tare\tunspecific\tand\tequivocal.\tSee\t\nChapter\t25\n\tfor\tmana... | [
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0.01... |
Chapter\t25\n\tfor\tmanagement\tof\tfood\n\tallergies\tin\tchildren.\nAttention-deficit/hyperactivity\tdisorder\t(ADHD)\tand\tautism\tspectrum\tdisorder\nADHD\tand\tAutism\tSpectrum\tDisorder\tare\ttwo\tcommon\tneurological\tdisorders\tof\tchildhood\tthat\naffect\tbehavior,\tsocialization,\tand\tcommunication.\tBoth\tc... | [
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0.09496694058179855,
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0.018485771492123604,
0.017... |
intake\twhich\tcan\tmanifest\tas\tfood\taversions,\thypersensitivity\tto\ttextures\tand\tflavors,\tand\tinadequate\nintake.\n\tSee\t\nChapter\t43\n\tfor\tmore\tdetails\tabout\tassessment\tand\tMNT\tfor\tthese\tconditions.\nPreventing\tchronic\tdisease\nThe\troots\tof\tchronic\tadult\tdiseases\tsuch\tas\theart\tdisease,... | [
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based\tin\tchildhood—a\tphenomenon\tthat\tis\tparticularly\trelevant\tto\tthe\tincreasing\trate\tof\tobesity-\nrelated\tdiseases\tsuch\tas\ttype\t2\tdiabetes.\tTo\thelp\tdecrease\tthe\tprevalence\tof\tchronic\tconditions\n\tin\nAmericans,\tgovernment\tand\tnonprofit\tagencies\thave\tbeen\tpromoting\thealthy\teating\tha... | [
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children.\tTheir\trecommendations\tinclude\tthe\tDietary\tGuidelines\tfor\tAmericans,\tthe\tUSDA\tMyPlate,\nthe\tNational\tCholesterol\tEducation\tProgram\t(NCEP),\tand\tthe\tNational\tCancer\tInstitute\tDietary\nGuidelines\t(see\t\nChapter\t10\n).\nCardiovascular\thealth\nCompared\twith\ttheir\tcounterparts\tin\tmany\... | [
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0.0147476... |
children\tand\tadolescents\thave\nhigher\tblood\tcholesterol\tlevels\tand\thigher\tintakes\tof\tsaturated\tfatty\tacids\tand\tcholesterol.\tEarly\ncoronary\tatherosclerosis\tbegins\tin\tchildhood\tand\tadolescence.\tRisk\tfactors\tinclude\tfamily\thistory,\nbreastfeeding\tand\tperinatal\tfactors,\tnutrition\tand\tdiet,... | [
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0.0280... |
hypertension,\thyper-\tand\tdyslipidemia,\toverweight\tand\tobesity,\tand\tdiabetes.\n\tThese\twere\texplored\nby\tan\texpert\tpanel\t(\nNational\tHeart\tLung\tand\tBlood\tInstitute,\t2011\n);\tselected\trecommendations\twith\nnutrition\timplications\tare\tbriefly\tsummarized\tas\tfollows: | [
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nutrition\timplications\tare\tbriefly\tsummarized\tas\tfollows:\nFor\tmost\thealthy\tchildren\tlimiting\ttotal\tfat\tto\t30%\tof\ttotal\tenergy,\tsaturated\tfat\tto\t7%\tto\t10%,\tand\ndietary\tcholesterol\tto\t300\tmg/day\tis\trecommended.\tA\tbalanced\tenergy\tintake,\tincreased\tintake\tof\nfruits\tand\tvegetables, | [
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fruits\tand\tvegetables,\n\tand\tlimiting\t“extra\tcalories”\tto\t5%\tto\t15%\ttotal\tintake\talso\tis\trecommended\nfor\tmost\tchildren.\tFiber\tintake\tof\tat\tleast\t“age\t+\t5\tgrams”\t(e.g.,\tfor\ta\t4-year-old,\t4\t+\t5\t=\t9\tg\tper\nday)\tor\t14\tg\tfiber/1000\tkilocalories\tis\tsuggested.\nFor\tchildren\twith\... | [
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or\thigh-risk\tmedical\tconditions,\tthe\tExpert\tPanel\trecommends\tconsideration\n\tof\tthe\tCardiovascular\nHealth\tIntegrated\tLifestyle\tDiet\t(CHILD-1)\tas\tthe\tfirst\tstage\tin\tdietary\tchange\t(\nNational\tHeart\tLung | [
0.019152473658323288,
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0.05640370771288872,
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0.06069326028227806,
0.06435810029506683,
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0.03444787114858627,
0.05169... |
and\tBlood\tInstitute,\t2011\n).\tThis\tis\ta\tDASH-style\tpattern\twith\temphasis\ton\tfat-free/low-fat\tdairy\tand\nincreased\tintake\tof\tfruits\tand\tvegetables.\nFor\tall\tchildren,\tthe\tapproach\tto\tmodifying\trisk\tfactors,\tespecially\trelated\tto\tdietary\tfat\tintake,\nshould\tbe\tindividualized\t(see\t\nCh... | [
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0.016173209995031357,
0.007... |
should\tbe\tindividualized\t(see\t\nChapter\t32\n).\nCalcium\tand\tbone\thealth\nOsteoporosis\tprevention\tbegins\tearly\tby\tmaximizing\tcalcium\tretention\tand\tbone\tdensity\tduring\nchildhood\tand\tadolescence,\twhen\tbones\tare\tgrowing\trapidly\tand\tare\tmost\tsensitive\tto\tdiet\tand\tthe\nimportant\teffects\to... | [
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0.09... |
important\teffects\tof\tphysical\tactivity\t(see\t\nChapter\t23\n).\tHowever,\tmean\tdietary\tintakes\tof\tcalcium\tare\nlower\tthan\tthe\tAI,\twith\t20%\tto\t30%\tof\tpubertal\tgirls\thaving\tintakes\tless\tthan\n\t500\tmg/day.\tOne\nlongitudinal\tstudy\tof\twhite\tchildren\tfrom\tinfancy\tto\t8\tyears\tof\tage\tfound... | [
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0.0113... |
was\tpositively\tcorrelated\twith\tintake\tof\tprotein\tand\tseveral\tminerals,\tsuggesting\tthat\tmany\tnutrients\nare\trelated\tto\tbone\thealth\tin\tchildren\t(\nBounds\tet\tal,\t2005\n).\tBecause\tfood\tconsumption\tsurveys\tshow\nthat\tchildren\tare\tdrinking\tmore\tsoft\tdrinks\tand\tnoncitrus\tjuices\tand\tless\... | [
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0.10988375544548035,
0.014531063847243786,
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0.053372256457805634,
0.10755695402622223,
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0.04975202679634094,
0.028124... |
education\tis\tneeded\tto\nencourage\tyoung\tpeople\tto\tconsume\tan\tappropriate\tamount\tof\tcalcium\tfrom\tfood\tsources\tand\npossibly\tsupplements\t(see\t\nAppendix\t39\n).\nFiber\nEducation\tabout\tdietary\tfiber\tand\tdisease\tprevention\thas\tmainly\tbeen\tfocused\ton\tadults,\tand\tonly | [
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limited\tinformation\tis\tavailable\ton\tthe\tdietary\tfiber\tintake\tof\tchildren.\tDietary\tfiber\tis\tneeded\tfor\nhealth\tand\tnormal\tlaxation\tin\tchildren.\n\tNational\tsurvey\tdata\tindicate\tthat\tpreschool\tchildren\nconsume\ta\tmean\tof\t11\tto\t12\tg/day\tof\tdietary\tfiber;\tschool\tage\tchildren\tconsume\... | [
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0.046059928834438324,
0.0447677... |
15\tg/day\t(\nUSDA,\t2014\n).\tThis\tis\tlower\tthan\tthe\tDRI\tfor\tchildren,\twhich\tis\tbased\ton\tthe\tsame\t14\ng/1000\tkcal\tas\tadults\tbecause\tof\tlack\tof\tscientific\tevidence\tfor\tthe\tpediatric\tpopulation\t(\nOtten\tet\tal,\n2006\n).\tGenerally,\thigher\tfiber\tintakes\tare\tassociated\n\twith\tmore\tnut... | [
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0.023586096242070198,
0.029758... |
children\t(\nKranz\tet\tal,\t2012\n;\t\nPapanikolaou\tet\tal,\t2017\n).\nThe\tgut\tmicrobiome\nThe\tgut\tmicrobiome\tis\tan\temerging\ttopic\tin\tnutrition,\tincluding\tpediatric\tnutrition.\tIt\tis\tclear\tthat\ndietary\tand\tother\tfactors\taffect\tthe\tnumber\tand\ttype\tof\tbacteria\tthat\tcolonize\tthe\tgut.\tFact... | [
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0.03848509... |
can\taffect\tthe\tgut\tmicrobial\tcommunity\tinclude\tdietary\tfiber,\tprebiotics,\n\tprobiotics,\tand\tthe\tuse\tof\nantibiotic\tmedication\t(see\t\nChapter\t1\n).\nThe\tgut\tbacteria\tprofile\tseems\tto\tbe\tassociated\twith\tshort-\tand\tlong-term\thealth\toutcomes.\tIn\naddition\tto\teffects\ton\tGI\tdisorders,\tre... | [
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0.03605761379003525,
0.06... |
microbiome\tand\tshort-\tand\tlong-term\thealth\toutcomes,\tincluding\tobesity,\tdigestive\tdisorders,\ninflammation,\tand\tcancers\t(\nPeregrin,\t2013\n).\nPhysical\tactivity\nChildren\tshould\tbe\tphysically\tactive\teach\tday,\tincluding\tplay\tas\twell\tas\tstructured\tactivities, | [
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0.0936... |
depending\ton\tage\tand\tdevelopmental\tlevel.\tDecreased\tlevels\tof\tphysical\tactivity\tare\tstill\tseen\tin\tone\nthird\tof\tchildren\t4\tto\t11\tyears\tof\tage,\twith\talmost\ttwo\tthirds\tof\tthe\tsame\tgroup\thaving\thigh\tscreen\ntime\t(\nAnderson\tet\tal,\t2008\n).\tRegular\tphysical\tactivity\thelps\tcontrol\... | [
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0.03004... |
gain\tand\timproves\nmusculoseketal\thealth\tand\tfitness\tand\tcomponents\tof\tcardiovascular\thealth\t(\nJanssen\tand\tLeblanc,\n2010\n).\tPhysical\tactivity\tmay\talso\timprove\tthe\tchild’s\tmental\thealth,\tblood\tpressure,\tand\tlipid\tprofile\n(\nJanssen\tand\tLeblanc,\t2010\n).\nCurrent\tphysical\tactivity\trec... | [
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0.06057414785027504,
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0.010253... |
minutes\tor\tmore\tof\tphysical\tactivity\tevery\tday\twith\tthe\tmajority\n\tat\ta\tmoderate\tor\tvigorous\taerobic\nintensity.\tChildren\tand\tadolescents\tshould\tdo\tvigorous\tintensity\tactivity\tat\tleast\t3\tdays\tper\tweek\tand\ninclude\tmuscle-strengthening\tand\tbone-strengthening\tactivity\ton\tat\tleast\t3\... | [
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0.09548797458410263,
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0.033375512808561325,
0.08155667781829834,
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-0.008698505349457264,
0.037247... |
Information\tregarding\tactivities\tthat\twill\tmeet\tthese\trecommendations\tand\tare\tappropriate\tfor\nchildren\tis\tavailable\t(\nU.S.\tDepartment\tof\tHealth\tand\tHuman\tServices\t[USDHHS],\t2008\n).\tStrategies\nto\tincrease\tactivity\tin\tpreschool\tand\tchildcare\tsettings,\tschools,\tand\tthe\tcommunity\tincl... | [
0.038196079432964325,
0.0026904153637588024,
0.02055307663977146,
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0.056270428001880646,
0.09563934803009033,
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0.02730213664472103,
0.01... |
activity\tbreaks,\tincreased\ttime\toutside,\tand\timproved\twalking/biking\tpath\tinfrastructure\t(\nUSDHHS,\n2012\n).\tScreen\ttime\t(active\tgames,\texercise\tor\tdance\tvideos,\tor\tTV\texercise\tprograms)\tcan\tbe\ta\nbeneficial\tsource\tof\tactivity\tfor\tyouth.\tThree\tin\t10\tyouth\tages\t9\tto\t18\tengaged\tin... | [
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0.05340965837240219,
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0.11247844249010086,
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0.0396... |
hour\tof\nactive\tscreen\ttime\tweekdays,\tand\t4\tin\t10\tyouth\tdid\tthe\tsame\ton\tweekends\t(\nWethington\tet\tal,\t2013\n).\nMyPlate’s\t\nEat\tSmart\tto\tPlay\tHard\n\tmaterials\tpromote\tthe\trecommendation\tfor\t60\tminutes\tof\tphysical\nactivity\teach\tday\t(\nFig.\t16.6\n).\tThe\tDietary\tGuidelines\tfor\tAme... | [
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0.05390119180083275,
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0.013024356216192245,
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FIG.\t16.6\nEat\tsmart\tto\tplay\thard.\n\t\nSource:\n\t(From\tUnited\tStates\tDepartment\tof\tAgriculture:\t\nEat\tSmart\tto\tPlay\tHard\n\t(website):\n\t\nhttp://www.fns.usda.gov/sites/default/files/eatsmartminiposter.pdf\n,\t2012.)\nCLINICAL\tCASE\tSTUDY\nBrian\tis\ta\t7-year,\t4-month-old\twhite\tmale\twho\tgained\... | [
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0.06894984841346741,
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0.05974532663822174,
0.1374548375606537,
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-0.011826... |
17\nNutrition\tin\tadolescence\nNicole\tLarson,\tPhD,\tMPH,\tRDN,\tLD,\tTashara\tM.\tLeak,\tPhD,\tRDN,\tJamie\tS.\tStang,\tPhD,\tMPH,\tRDN\nKEY\tTERMS\nadolescence\nbody\timage\ndisordered\teating\ngrowth\tspurt\ngynecologic\tage\nmenarche\npeak\theight\tgain\tvelocity\nphysiologic\tanemia\tof\tgrowth\npubarche\npubert... | [
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0.09038186818361282,
0.03800038993358612,
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0.08394505083560944,
0.1416182667016983,
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0.0261085... |
sexual\tmaturity\trating\t(SMR)\nTanner\tstaging\nthelarche\nAdolescence\n\tis\tone\tof\tthe\tmost\n\texciting\tyet\tchallenging\tperiods\tin\thuman\tdevelopment.\tGenerally\nthought\tof\tas\tthe\tperiod\tof\tlife\tthat\toccurs\tbetween\t12\tand\t21\tyears\tof\tage,\tadolescence\tis\ta\tperiod\tof | [
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0.08316336572170258,
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0.09344237297773361,
0.10531815886497498,
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0.02460102178156376,
0.0229... |
tremendous\tphysiologic,\tpsychological,\tand\tcognitive\ttransformation\tduring\twhich\ta\tchild\tbecomes\ta\nyoung\tadult.\tThe\tgradual\tgrowth\tpattern\tthat\tcharacterizes\tearly\tchildhood\tchanges\tto\tone\tof\trapid\ngrowth\tand\tdevelopment,\taffecting\n\tphysical\tand\tpsychosocial\taspects\tof\thealth.\tChan... | [
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0.11510120332241058,
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0.10000304132699966,
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0.06885647028684616,
0.07704160362482071,
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0.032251... |
physical\tand\tpsychosocial\taspects\tof\thealth.\tChanges\tin\tcognitive\nand\temotional\tfunctioning\tallow\tteens\tto\tbecome\tmore\tindependent\tas\tthey\tmature.\tPeer\tinfluence\tand\nacceptance\tmay\tbecome\tmore\timportant\tthan\tfamily\tvalues,\tcreating\tperiods\tof\tconflict\tbetween\tteens | [
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0.0450... |
and\tparents.\tBecause\tall\tof\tthese\tchanges\thave\ta\tdirect\teffect\ton\tthe\tnutrient\tneeds\tand\tdietary\nbehaviors\tof\tadolescents,\tit\tis\timportant\n\tthat\thealth\tcare\tproviders\tdevelop\ta\tfull\tunderstanding\tof\thow\nthese\tdevelopmental\tchanges\tof\tadolescence\tcan\taffect\tnutritional\tstatus.\n... | [
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0.13735713064670563,
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0.026927193626761436,
0.05058... |
Growth\tand\tdevelopment\nPuberty\n\tis\tthe\tperiod\tof\trapid\tgrowth\tand\tdevelopment\tduring\twhich\ta\tchild\tphysically\tdevelops\tinto\tan\nadult\tand\tbecomes\tcapable\tof\treproduction.\tIt\tis\tinitiated\tby\tthe\tincreased\tproduction\tof\treproductive\nhormones\tsuch\tas\testrogen,\n\tprogesterone,\tand\tt... | [
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0.018930906429886818,
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0.14913594722747803,
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0.0... |
progesterone,\tand\ttestosterone\tand\tis\tcharacterized\tby\tthe\toutward\nappearance\tof\tsecondary\tsexual\tcharacteristics,\tsuch\tas\tbreast\tdevelopment\tin\tfemales\tand\tthe\nappearance\tof\tfacial\thair\tin\tmales.\nPsychological\tchanges\nThe\tphysical\tgrowth\tof\tpuberty\ttransforms\tthe\tteen\tbody\tinto\t... | [
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0.004736250266432762,
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0.018750043585896492,
0.08254475891590118,
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0.008964869193732738,
0.09064268320798874,
0.16814100742340088,
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0.03347... |
believe\tthat\tadolescent\tdevelopment\tis\tcomplete.\tHowever,\tthe\tsocial\tand\temotional\n\tdevelopment\tof\nadolescence\tlags\tbehind.\tThe\tmismatch\tbetween\thow\tteens\tlook\tand\thow\tthey\tact\tmay\tlead\tadults\tto\ndeduce\tthat\tadolescents\tare\t“not\tacting\ttheir\tage.”\tThe\trebellion\tthat\tis\tassocia... | [
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0.1003936305642128,
0.11172708868980408,
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0.01948016881942749,
0.0194256622... |
is\tactually\tthe\tmanifestation\tof\ttheir\tsearch\tfor\tindependence\tand\ta\tsense\tof\tautonomy.\tFood\tcan\tbe,\nand\toften\tis,\tused\tas\ta\tmeans\tof\texerting\tautonomy.\tAdolescents\tmay\tchoose\n\tto\tbecome\tvegetarian\tas\ta\nway\tto\tdifferentiate\tthemselves\tfrom\ttheir\tmeat-eating\tparents\tor\tto\tex... | [
0.05769231915473938,
-0.05417726933956146,
0.034890998154878616,
-0.04113983362913132,
-0.09101132303476334,
0.013746031560003757,
0.07610617578029633,
-0.05900992080569267,
-0.02278733067214489,
0.08984805643558502,
0.10426068305969238,
-0.034668583422899246,
0.04780818521976471,
0.001343... |
concerns\tover\tanimal\twelfare\tor\tthe\tenvironment.\nCognitive\tand\temotional\tdevelopment\tmay\tvary\tgreatly\tamong\tadolescents,\twith\tsome\tadolescents\nmaturing\tfaster\tthan\tothers.\tIn\tgeneral,\tadolescence\tis\ta\ttime\tof\timpulsivity\tas\ta\tresult\tof\tslow\ndevelopment\tin\tregions\tof\tthe\n\tbrain\... | [
0.05481354147195816,
-0.012686445377767086,
0.054516952484846115,
-0.016610506922006607,
-0.0712130144238472,
0.011474979110062122,
0.09205667674541473,
-0.07061885297298431,
-0.02829102799296379,
0.08560013771057129,
0.1012464240193367,
-0.04075542837381363,
0.03702995553612709,
0.0233451... |
response.\tCognitive\tability,\tincluding\tabstract\treasoning,\texpands\tduring\tadolescence;\thowever,\tteens\nare\tmore\tlikely\tto\tbase\tdecisions\ton\temotional\tas\topposed\tto\trational\tcontexts\t(\nSteinberg,\t2016\n).\nPsychosocial\tdevelopment\tcan\taffect\thealth\tand\tnutritional\tstatus\tin\tmany\tways,\... | [
-0.0027151410467922688,
-0.032855115830898285,
0.0857434868812561,
-0.030968928709626198,
-0.08109109103679657,
-0.02229413390159607,
0.07659453898668289,
0.014055315405130386,
-0.00760104414075613,
0.0559689924120903,
0.1105148047208786,
-0.01664048060774803,
0.037503935396671295,
0.03236... |
following:\n•\t\nPreoccupation\twith\n\tbody\tsize,\tbody\tshape,\tand\t\nbody\timage\n\t(the\tmental\tself-concept\tand\nperception\tof\tpersonal\tbody\tsize),\tresulting\tfrom\tthe\trapid\tgrowth\tand\tdevelopment\tthat\thas\noccurred,\tmay\tlead\tto\tdieting\tand\tpossibly\tdisordered\teating\tbehaviors\n• | [
0.06271445006132126,
-0.003460209583863616,
0.08069781213998795,
0.005838558077812195,
-0.06726398319005966,
0.012995828874409199,
0.09048639237880707,
-0.0000089448039943818,
-0.030610576272010803,
0.09350495785474777,
0.11902734637260437,
-0.029024822637438774,
0.017857668921351433,
0.02... |
•\t\nDiminishing\ttrust\tand\trespect\tfor\tadults\tas\tauthority\tfigures,\tincluding\tnutrition\tand\thealth | [
0.012348232790827751,
-0.0007489626295864582,
0.020795248448848724,
-0.06565382331609726,
-0.10478048026561737,
-0.009149414487183094,
0.08461163938045502,
0.003518213052302599,
0.029942484572529793,
0.06236843019723892,
0.07433634996414185,
-0.037130020558834076,
0.028805270791053772,
0.0... |
professionals\n•\t\nStrong\tinfluence\tof\tpeers\tand\tsocial\tmedia,\tespecially\n\taround\tareas\tof\tbody\timage\tand\nappearance,\twith\tthe\tinfluence\tof\ta\tfew\tselect\tpeers\tbecoming\tmore\timportant\tthan\tthat\tof\nlarge\tgroups\tas\tadulthood\tapproaches\n•\t\nMore\tpronounced\tsocial,\temotional,\tand\tfi... | [
0.03398902341723442,
-0.0552084818482399,
0.06450073421001434,
-0.02694462053477764,
-0.1395714282989502,
0.008780046366155148,
0.12075107544660568,
-0.01681293174624443,
-0.019577354192733765,
0.05566041171550751,
0.080685555934906,
-0.06840299814939499,
-0.020993828773498535,
0.038355112... |
independent\tdecision\tmaking\trelated\tto\tfood\tand\tbeverage\tintake\n•\t\nSignificant\tcognitive\tdevelopment\tas\tabstract\treasoning\tis\tnearly\tcomplete\tand\tegocentrism\ndecreases;\thowever,\tteens\tmay\tstill\trevert\tto\tless\tcomplex\tthinking\tpatterns\twhen\tthey\tare\nstressed\n• | [
0.03479856997728348,
-0.044459085911512375,
0.036920901387929916,
-0.04526803269982338,
-0.04630199447274208,
0.016743110492825508,
0.14173628389835358,
-0.004734370391815901,
0.022318830713629723,
0.0749594047665596,
0.16708847880363464,
-0.029528815299272537,
0.04678085073828697,
0.02088... |
stressed\n•\t\nDevelopment\tof\tfuture\torientation,\twhich\tis\trequired\tto\tunderstand\tthe\tlink\tbetween\tcurrent\nbehavior\tand\tchronic\thealth\trisks\n•\t\nDevelopment\tof\tsocial,\temotional,\tfinancial,\tand\tphysical\tindependence\tfrom\tfamily\tas\tteens\nleave\thome\tto\tattend\tcollege\tor\tseek\temployme... | [
0.034447573125362396,
-0.03883298486471176,
0.01036860141903162,
0.010974696837365627,
-0.06612079590559006,
-0.00008829752187011763,
0.052110522985458374,
0.013193315826356411,
-0.00368067086674273,
0.07605139166116714,
0.10794565826654434,
-0.05487789213657379,
0.001615176908671856,
0.04... |
•\t\nDevelopment\tof\ta\tcore\n\tset\tof\tvalues\tand\tbeliefs\tthat\tguides\tmoral,\tethical,\tand\thealth\tdecisions\nThe\tpsychosocial\tdevelopment\tof\tadolescents\thas\ta\tdirect\tbearing\ton\tthe\tfoods\tand\tbeverages\tthey\nchoose.\tFood\tchoices\tare\tmore\tlikely\tto\tbe\tbased\ton\ttaste,\tcost,\tconvenience... | [
0.03932509571313858,
-0.010928277857601643,
0.046571604907512665,
-0.02785288542509079,
-0.09668240696191788,
0.01382631715387106,
0.07510662823915482,
-0.009363116696476936,
-0.021802419796586037,
0.07802749425172806,
0.14885731041431427,
-0.02023220993578434,
0.03865409269928932,
0.02917... |
on\thealth\tbenefits\tbecause\tthese\tinfluences\tsatisfy\tan\tadolescent’s\tinnate\tpreference\tfor\timmediate\nreward.\tNutrition\teducation\n\tand\tcounseling\tthat\taddresses\ttopics\tadolescents\tcare\tabout\tsuch\tas\nimproving\tathletic\tor\tscholastic\tperformance\tand\timproving\tenergy\tcan\tbe\tparticularly\... | [
-0.001323227072134614,
-0.053464800119400024,
0.09096504002809525,
-0.0010265304008498788,
-0.06526147574186325,
0.020131872966885567,
0.14941442012786865,
0.031613465398550034,
-0.0032816727180033922,
0.06558576226234436,
0.08821658045053482,
-0.04447171464562416,
0.019223762676119804,
0.... |
influencing\thealth\tbehavior\tchange.\tAlthough\tmany\tadolescents\tare\tconcerned\twith\ttheir\tphysical\nappearance,\tit\tis\timportant\tto\taddress\tthis\ttopic\twith\tcaution\tand\tsensitivity\tso\tas\tnot\tto\treinforce\nnegative\tbiases\tor\tincrease\n\ta\tsense\tof\tshame.\nSexual\tmaturity\nSexual\tmaturity\tr... | [
0.04023537412285805,
-0.009644071571528912,
0.053063374012708664,
0.034576259553432465,
-0.046091228723526,
0.01186878327280283,
0.05357150733470917,
-0.02217317372560501,
0.012200973927974701,
0.09098199009895325,
0.1373613029718399,
-0.053107839077711105,
0.005630774423480034,
0.05808722... |
Sexual\tmaturity\trating\t(SMR)\n,\talso\tknown\tas\t\nTanner\tstaging\n,\tis\tused\tto\tassess\tclinically\tthe\tdegree\nof\tsexual\tmaturation\tduring\tpuberty\t(\nTanner,\t1962\n).\tAmong\tmales\tSMR\tis\tbased\ton\tgenital\tand\tpubic\nhair\tdevelopment\t(\nFig.\t17.1\n\tand\t\nTable\t17.1\n).\tAmong\tfemales\tSMR\... | [
0.01369478739798069,
0.00012685991532634944,
0.021942587569355965,
0.01372123695909977,
-0.05708178132772446,
0.007207665126770735,
0.05648674815893173,
0.013810224831104279,
-0.057526204735040665,
0.053555455058813095,
0.14637379348278046,
-0.07289858162403107,
-0.03472507372498512,
0.055... |
Table\t17.1\n).\tAmong\tfemales\tSMR\tis\tassessed\tby\tbreast\tand\tpubic\thair\ndevelopment.\tSMR\tis\tmeasured\tthrough\ta\tseries\tof\tfive\tstages,\n\twith\tstage\t1\tmarking\tprepubertal\ndevelopment\tand\tstage\t5\tmarking\tthe\tcompletion\tof\tphysical\tgrowth\tand\tdevelopment\t(see\t\nAppendix\t4\n). | [
0.059115517884492874,
-0.03216201439499855,
0.03909908980131149,
-0.0413014255464077,
-0.011491814628243446,
-0.002426222898066044,
0.00458219088613987,
0.05136117711663246,
-0.029609281569719315,
0.10585574805736542,
0.14706693589687347,
-0.06062430143356323,
0.00679941987618804,
0.060712... |
Appendix\t4\n).\nThe\tfive\tstages\tof\tSMR\tcorrelate\twith\tother\tmarkers\tof\tgrowth\tand\tdevelopment\tduring\tpuberty,\tsuch\nas\talterations\tin\theight,\tweight,\tbody\tcomposition,\tand\tendocrine\tfunctioning.\tA\tthorough\nunderstanding\tof\tthe\trelationship\tbetween\tphysical\tgrowth\tand\tdevelopment\n\ta... | [
0.05739206820726395,
-0.03284163773059845,
0.06714005023241043,
-0.023008937016129494,
-0.07486741244792938,
-0.01106476690620184,
0.03845137357711792,
0.03469990938901901,
-0.01648869924247265,
0.09398318082094193,
0.15002448856830597,
0.006549722049385309,
0.024411089718341827,
0.0481842... |
and\tSMR\tenables\thealth\ncare\tprofessionals\tto\tassess\tan\tadolescent’s\tpotential\tfor\tfuture\tgrowth.\nFIG.\t17.1\nSequence\tof\tevents\tduring\tpuberty\tin\tfemales\t\n(upper\tchart)\n\tand\tmales\t\n(lower\tchart)\n.\tBreast,\tgenitalia,\nand\tpubic\thair\tdevelopment\tare\tnumbered\t2\tto\t5\tbased\ton\tthe\... | [
-0.021824557334184647,
0.01009607594460249,
0.07068151980638504,
-0.05729633942246437,
-0.0644136369228363,
-0.004927774425595999,
0.02173832803964615,
0.0788532942533493,
-0.020798536017537117,
0.054647911339998245,
0.12335817515850067,
-0.0253441222012043,
0.0015780123649165034,
0.063631... |
Source:\n\t(From\tMarshall\nWA,\tTanner\tJM:\tVariations\tin\tthe\tpattern\tof\tpubertal\tchanges\tin\tmales,\t\nArch\tDis\tChild\n\t45:13,\t1970.) | [
-0.07989770174026489,
-0.007387394551187754,
0.04450998455286026,
-0.07590162754058838,
-0.04172058403491974,
0.03790860250592232,
0.10408321022987366,
-0.01105517242103815,
0.05655650421977043,
0.031181596219539642,
0.10866295546293259,
-0.022791970521211624,
0.029392212629318237,
-0.0308... |
TABLE\t17.1\nRatings\tof\tSexual\tMaturation\n*\nPubic\tHair\nGenitalia\nCorresponding\tChanges\nMales\nStage\t1\nNone\nPrepubertal\nStage\t2\nSmall\tamount\tat\touter\tedges\nof\tpubis,\tslight\tdarkening\nBeginning\tpenile\nenlargement\nTestes\tenlarged\tto\t5-mL\nvolume\nScrotum\treddened\tand\nchanged\tin\ttexture\... | [
0.05416175350546837,
-0.054305754601955414,
0.03998322784900665,
0.0057856179773807526,
-0.10025686025619507,
0.0011537617538124323,
0.03345141559839249,
-0.02213297039270401,
-0.052596285939216614,
0.060263410210609436,
0.1242692694067955,
-0.06221746280789375,
0.003062020055949688,
0.008... |
Increased\tsweat\tgland\tactivity\nStage\t3\nCovers\tpubis\nPenis\tlonger\nTestes\tenlarged\tto\t8-10\nmL\nScrotum\tenlarged\nVoice\tchanges\nFaint\tmustache\n\tand\tfacial\thair\nAxillary\thair\nBeginning\tof\tpeak\theight\tgain\nvelocity\t(growth\tspurt\tof\t6-8\ninches)\nStage\t4\nAdult\ttype,\tdoes\tnot\textend\nto... | [
-0.004122333601117134,
-0.016003230586647987,
0.038124267011880875,
-0.005478231701999903,
-0.09583324939012527,
-0.019021742045879364,
0.01720752753317356,
0.10314498096704483,
-0.05303991958498955,
0.0305558443069458,
0.08653474599123001,
0.003731649834662676,
0.009797647595405579,
-0.00... |
to\tthighs\nPenis\twider\tand\tlonger\nTestes\tenlarged\tto\t12\tmL\nScrotal\tskin\tdarker\nEnd\tof\tpeak\theight\tgain\tvelocity\nMore\tfacial\thair\nDarker\thair\ton\tlegs\nVoice\tdeeper\nPossibly\tsevere\tacne\nStage\t5\nAdult\ttype,\tspreads\tto\tthighs\nAdult\tpenis\nTestes\tenlarged\tto\n\t15\tmL\nSignificantly\t... | [
-0.024748453870415688,
-0.05810917541384697,
0.04122333601117134,
-0.05806554853916168,
-0.13008646667003632,
-0.014861440286040306,
0.03329456225037575,
0.04116222634911537,
-0.030143536627292633,
0.029061345383524895,
0.1035558357834816,
-0.007477772422134876,
0.05966629460453987,
-0.002... |
Females\nStage\t1\nNone\nNo\tchange\tfrom\tchildhood\nStage\t2\nSmall\tamount,\tdowny,\ton\nmedial\tlabia\nBreast\tbuds\nIncreased\tsweat\tgland\tactivity\nBeginning\tof\tpeak\theight\tgain\nvelocity\t(growth\tspurt\tof\t3-5\ninches)\nStage\t3\nIncreased,\tdarker,\tcurly\nLarger,\tbut\tno\tseparation\tof\nthe\tnipple\t... | [
0.006831697188317776,
-0.08936066925525665,
0.037069521844387054,
0.01680833287537098,
-0.13228213787078857,
-0.01943240314722061,
0.0386819951236248,
-0.03464210405945778,
-0.07276104390621185,
0.08876585215330124,
0.11006331443786621,
-0.06969388574361801,
0.008863028138875961,
-0.013969... |
End\tof\tpeak\theight\tgain\tvelocity\nBeginning\tof\tacne\nAxillary\thair\nStage\t4\nMore\tabundant,\tcoarse\ntexture\nLarger\nAreola\tand\tnipple\tform\nsecondary\tmound\nPossibly\tsevere\tacne\nMenarche\tbegins\nStage\t5\nAdult,\tspreads\tto\tmedial\nthighs\nAdult\tdistribution\tof\tbreast\ntissue,\tcontinuous\toutl... | [
0.025868622586131096,
-0.06657040119171143,
0.056069739162921906,
-0.06757994741201401,
-0.09056746959686279,
0.0020331027917563915,
0.08041361719369888,
-0.004044156521558762,
0.0055052777752280235,
0.04227808117866516,
0.11209026724100113,
-0.02016717754304409,
0.04715782403945923,
0.034... |
Increased\tfat\tand\tmuscle\tmass\n*\nSee\t\nAppendix\t4\n.\nModified\tfrom\tTanner\tJM:\t\nGrowth\tat\tadolescence\n,\ted\t2,\tOxford,\t1962,\tBlackwell\tScientific\tPublications.\nThe\ttiming\tof\tpubertal\tdevelopment\tis\tdependent\ton\tgender,\tethnic/racial\tbackground,\tand\tbetween | [
0.007854746654629707,
-0.03168947994709015,
0.07722235471010208,
-0.016559772193431854,
-0.058229196816682816,
0.02098151482641697,
0.054096996784210205,
0.024940432980656624,
-0.04566019028425217,
0.04335065186023712,
0.12638230621814728,
-0.017962422221899033,
-0.044233426451683044,
0.00... |
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