0 stringlengths 12 494 | embeddings listlengths 384 384 |
|---|---|
Adapted\tfrom\tthe\tU.S.\tDepartment\tof\tAgriculture\t(USDA):\t\nDietary\tGuidelines\tfor\tAmericans,\t2015-2020\n\t(website):\nhttps://health.gov/dietaryguidelines/2015/\n.\n*\nActivity\tlevel\tcategories\tare\tdefined\tas\tfollows:\tsedentary,\ta\tlifestyle\tthat\tincludes\tonly\tthe\tlight\tphysical\tactivity\tasso... | [
-0.014847909100353718,
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0.0377250611782074,
0.05234682932496071,
-0.028925232589244843,
0.006371789146214724,
-0.024137936532497406,
-0.01227245107293129,
-0.06736473739147186,
-0.02578987367451191,
0.11627727001905441,
-0.044171292334795,
-0.030848724767565727,
-0.05... |
moderately\tactive,\ta\tlifestyle\tthat\tincludes\tphysical\tactivity\tequivalent\tto\twalking\tabout\t1.5\tto\t3\tmiles\tper\tday\tat\t3\tto\t4\tmiles\tper\thour,\tin\taddition\tto\tthe\nlight\tphysical\tactivity\tassociated\twith\ttypical\tday-to-day\tlife;\tand\tactive,\n\ta\tlifestyle\tthat\tincludes\tphysical\tact... | [
0.05280192196369171,
-0.09622988104820251,
0.077651247382164,
0.016443802043795586,
-0.08247384428977966,
-0.016782576218247414,
0.07736046612262726,
-0.01304238848388195,
-0.024677325040102005,
0.07308205962181091,
0.10060925781726837,
-0.1003909483551979,
0.019197477027773857,
0.04646836... |
per\tday\tat\t3\tto\t4\tmiles\tper\thour,\tin\taddition\tto\tthe\tlight\tphysical\tactivity\tassociated\twith\ttypical\tday-to-day\tlife.\n†\nNumber\tof\tservings\tof\twhole\tgrains\tare\tnot\tin\taddition\tto\tbut\tare\tincluded\tin\tthe\tnumber\tof\tservings\tof\tgrains.\nSpecial\ttopics\nVegetarian\tdietary\tpattern... | [
0.04843442887067795,
-0.06776261329650879,
0.08091573417186737,
-0.006774481385946274,
-0.08112665265798569,
0.015773434191942215,
0.08978060632944107,
-0.029863618314266205,
-0.012124001048505306,
0.07852962613105774,
0.12431512773036957,
-0.07848184555768967,
0.01798504963517189,
0.02163... |
Vegetarian\tdietary\tpatterns\nAs\tadolescents\tmature,\tthey\tbegin\n\tto\tdevelop\tautonomous\tsocial,\tmoral,\tand\tethical\tvalues.\tThese\nvalues\tmay\tlead\tto\tvegetarian\teating\tpractices\tbecause\tof\tconcerns\tabout\tanimal\twelfare,\tthe\nenvironment,\tor\tpersonal\thealth.\tConcerns\tabout\tbody\tweight\ta... | [
0.02958485670387745,
-0.08023063838481903,
0.03640047088265419,
0.0021486731711775064,
-0.09081456065177917,
0.012493892572820187,
0.05739715322852135,
-0.041475698351860046,
-0.045476093888282776,
0.08621236681938171,
0.13527201116085052,
-0.037750035524368286,
-0.017135992646217346,
-0.0... |
a\tvegetarian\tdiet\tbecause\tit\tis\ta\tsocially\tacceptable\tway\tto\treduce\tdietary\tfat.\tSome\tresearch\thas\nsuggested\tthat\tadolescents\twho\tconsume\tvegetarian\n\tdiets\tare\tless\tlikely\tto\tbe\toverweight\tor\tobese\tthan\ntheir\tomnivorous\tpeers\t(\nSchürmann\tet\tal,\t2017\n).\tWell-planned\tvegetarian... | [
0.023572208359837532,
-0.04871520772576332,
0.06335816532373428,
-0.006222120486199856,
-0.1106412336230278,
0.017543675377964973,
0.035042934119701385,
-0.07604685425758362,
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0.11346310377120972,
0.13316762447357178,
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0.010422738268971443,
-0.0056... |
).\tWell-planned\tvegetarian\tdiets\tthat\tinclude\ta\tvariety\tof\nlegumes,\tnuts,\tseeds,\tfruits\tand\tvegetables,\tand\twhole\tgrains\tcan\tprovide\tadequate\tnutrients\tfor\nadolescents\t(\nMelina\tet\tal,\t2016\n);\thowever,\tthere\tis\ta\tneed\tfor\tadditional\tresearch\ton\tthe\tbenefits\tand\npossible\trisks\t... | [
0.012322841212153435,
0.00030392641201615334,
0.05704152211546898,
-0.06483832001686096,
-0.06656200438737869,
0.044889599084854126,
0.06256618350744247,
-0.06537546962499619,
-0.00337545620277524,
0.07217054814100266,
0.10503681004047394,
-0.012967053800821304,
0.054572444409132004,
-0.03... |
possible\trisks\tof\tvegetarian\tdiets\tfor\n\tyoung\tpeople\tunder\tthe\tage\tof\t18\tyears,\tespecially\tif\tthey\tare\noverly\trestrictive.\nVegetarian\tdiets\tthat\tbecome\tincreasingly\tmore\trestrictive\tshould\tbe\tviewed\twith\tcaution,\tbecause\nthis\tmay\tsignal\tthe\tdevelopment\tof\tdisordered\teating,\twit... | [
0.04393620789051056,
-0.010366080328822136,
0.0794915109872818,
-0.04997571185231209,
-0.08180447667837143,
-0.017123950645327568,
0.057484399527311325,
-0.06307871639728546,
-0.053749967366456985,
0.12979041039943695,
0.11703423410654068,
-0.06311623007059097,
0.06049008294939995,
0.01260... |
a\trestriction\tof\tfood\tintake\t(\nMelina\tet\tal,\t2016\n).\tThis\tincreased\trisk\tfor\tunhealthy\tweight\tcontrol\nbehaviors\tseems\n\tto\tpersist\teven\tafter\tthe\tvegetarian\teating\tstyle\tis\tdiscontinued,\tsuggesting\tthat\nalthough\tthe\tissues\tare\trelated,\tvegetarian\tdiets\tlikely\tdo\tnot\tcause\tdiso... | [
0.013158929534256458,
-0.04013262689113617,
0.05525258556008339,
-0.04212263226509094,
-0.11599221080541611,
0.00796547345817089,
0.07194441556930542,
-0.014341352507472038,
-0.05182257667183876,
0.07725683599710464,
0.12655949592590332,
-0.06558433920145035,
0.024155009537935257,
0.004469... |
serve\tas\ta\tsymptom.\nVegetarian\tadolescents\toften\thave\toptimal\tintakes\tof\tiron,\tvitamin\tA,\tand\tfiber\tand\tlow\tintakes\tof\ndietary\tcholesterol.\tVegetarian\tdiets\tare\tconsistent\twith\tthe\tDietary\tGuidelines\tfor\tAmericans\n\tand\tcan\nmeet\tthe\tDRIs\tfor\tall\tnutrients.\tA\tsample\teating\tplan... | [
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0.054808806627988815,
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0.055538687855005264,
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0.08459443598985672,
0.12533977627754211,
-0.05493992567062378,
0.013926473446190357,
-0.0... |
adequate\tenergy\tand\tnutrient\tintakes\tis\tlisted\tin\t\nTable\t17.8\n. | [
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TABLE\t17.8\nRecommended\tNumber\tof\tServings\tfor\tVegetarian\tAdolescents\tAges\t13\tand\t16\tYears\tBased\ton\tActivity\tLevel\n*\nGrains\n(oz-\neq/day)\nVegetables\n(cups/day)\nFruit\n(cups/day)\nDairy\n(cups/day)\nEggs\n(oz-\neq/week)\nBeans\nand\tpeas\n(oz-\neq/week)\nNuts\nand\nseeds\n(oz-\neq/week)\nSoy\nprodu... | [
-0.006687989458441734,
0.0391448438167572,
0.019921952858567238,
0.06590253114700317,
-0.04991437867283821,
0.020256588235497475,
0.04478149861097336,
-0.014502079226076603,
-0.060921452939510345,
0.024083321914076805,
0.025857606902718544,
-0.14631634950637817,
-0.022224338725209236,
0.01... |
(oz-\neq/week)\nOils\n(g/day)\nMales\n13\tYears\nSedentary\n6.5\n2.5\n2\n3\n3\n6\n7\n8\n27\nModerately\nActive\n7.5\n3\n2\n3\n3\n6\n7\n8\n29\nActive\n9.5\n3.5\n2\n3\n3\n9\n9\n10\n34\n16\tYears\nSedentary\n8.5\n3\n2\n3\n3\n8\n8\n9\n31\nModerately\nActive\n10.5\n3.5\n2.5\n3\n4\n10\n10\n11\n36\nActive\n10.5\n4\n2.5\n3\n4\... | [
0.028352055698633194,
0.03702523186802864,
0.01831860840320587,
0.05006486177444458,
-0.03757604584097862,
-0.016646934673190117,
0.0611155740916729,
-0.006576942279934883,
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0.0317775122821331,
0.008447355590760708,
-0.13049791753292084,
-0.021108629181981087,
0.038146... |
Sedentary\n5.5\n2\n1.5\n3\n3\n4\n5\n6\n22\nModerately\nActive\n6.5\n2.5\n2\n3\n3\n6\n7\n8\n27\nActive\n7.5\n3\n2\n3\n3\n6\n7\n8\n29\n16\tYears\nSedentary\n6.5\n2.5\n1.5\n3\n3\n6\n6\n6\n24\nModerately\nActive\n6.5\n2.5\n2\n3\n3\n6\n7\n8\n27\nActive\n8.5\n3\n2\n3\n3\n8\n8\n9\n31\noz-eq | [
0.04236564785242081,
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0.07057821750640869,
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0.04872483015060425,
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0.04856482893228531,
0.0064836046658456326,
-0.08085841685533524,
0.014039785601198673,
0.003... |
Active\n6.5\n2.5\n2\n3\n3\n6\n7\n8\n27\nActive\n8.5\n3\n2\n3\n3\n8\n8\n9\n31\noz-eq\n,\tone\tounce-equivalent\tis:\t1\tslice\t(1\tounce)\tof\tbread;\t1\tounce\tuncooked\tpasta\tor\trice;\t½\tcup\tcooked\trice,\tpasta,\tor\tcereal;\t1\ttortilla\t(6”\tdiameter);\t1\npancake\t(5”\tdiameter);\t1\tounce\tready-to-eat\tcerea... | [
-0.027691882103681564,
-0.1295122355222702,
0.014985231682658195,
-0.07011394202709198,
-0.15216997265815735,
0.01737026497721672,
0.11103419959545135,
-0.023327568545937538,
-0.0753784030675888,
0.05012110620737076,
0.08078647404909134,
-0.07375751435756683,
0.042312365025281906,
-0.04811... |
Adapted\tfrom\tthe\tU.S.\tDepartment\tof\tAgriculture\t(USDA):\t\nDietary\tGuidelines\tfor\tAmericans,\t2015-2020\n\t(website):\nhttps://health.gov/dietaryguidelines/2015/\n.\n*\nActivity\n\tlevel\tcategories\tare\tdefined\tas\tfollows:\tsedentary,\ta\tlifestyle\tthat\tincludes\tonly\tthe\tlight\tphysical\tactivity\tas... | [
-0.01590326428413391,
-0.05449648201465607,
0.03393363207578659,
0.057482581585645676,
-0.02853459119796753,
0.0069802748039364815,
-0.01689736917614937,
-0.014379073865711689,
-0.06445547938346863,
-0.028323328122496605,
0.12034504115581512,
-0.041184112429618835,
-0.025127623230218887,
-... |
moderately\tactive,\ta\tlifestyle\tthat\tincludes\tphysical\tactivity\tequivalent\tto\twalking\tabout\t1.5\tto\t3\tmiles\tper\tday\tat\t3\tto\t4\tmiles\tper\thour,\tin\taddition\tto\tthe\nlight\tphysical\tactivity\tassociated\twith\ttypical\tday-to-day\tlife;\tand\tactive,\ta\tlifestyle\n\tthat\tincludes\tphysical\tact... | [
0.053328096866607666,
-0.09865407645702362,
0.07830099761486053,
0.015831466764211655,
-0.0818949043750763,
-0.017490243539214134,
0.07643765211105347,
-0.013274024240672588,
-0.025028971955180168,
0.07427839934825897,
0.09780378639698029,
-0.10076117515563965,
0.01932697556912899,
0.04894... |
per\tday\tat\t3\tto\t4\tmiles\tper\thour,\tin\taddition\tto\tthe\tlight\tphysical\tactivity\tassociated\twith\ttypical\tday-to-day\tlife.\nVegan\tdiets,\twhich\tdo\tnot\tinclude\tanimal\tproducts\tof\tany\tkind,\tdo\tnot\tprovide\tnatural\tsources\tof\nvitamin\tB\n12\n\tand\tmay\tbe\tdeficient\tin\tcalcium,\tvitamin\tD... | [
-0.014478537254035473,
-0.060181017965078354,
0.042892709374427795,
-0.012296554632484913,
-0.09165019541978836,
-0.0007670255727134645,
0.08028139919042587,
0.014718112535774708,
-0.01887889765202999,
0.01638428494334221,
0.10834791511297226,
-0.04471147432923317,
0.015034478157758713,
0.... |
(\nMelina\tet\tal,\t2016\n).\tTherefore\tvegan\tadolescents\tneed\tto\tchoose\tfoods\tnaturally\thigh\tin\tor\tfortified\nwith\tthese\tnutrients.\tA\tdaily\tmultivitamin-mineral\tsupplement\tis\tessential\tfor\tvegans.\tInstructing\nadolescents\tand\ttheir\tcaregivers\ton\tthe\tplanning\tof\ta\twell-balanced\tvegetaria... | [
-0.004168881103396416,
-0.05483172833919525,
0.07860442996025085,
-0.01608814112842083,
-0.06571156531572342,
-0.011067865416407585,
0.07255212962627411,
-0.04341601952910423,
-0.04000191390514374,
0.06310833245515823,
0.10262762755155563,
-0.08976027369499207,
0.018942512571811676,
-0.004... |
foods\tcan\tprevent\tpotential\tnutrient\tdeficiencies.\nSkin\thealth\nSkin\thealth\tis\timpacted\tby\tthe\tappearance\tof\n\tacne,\twhich\tmost\toften\tpeaks\tduring\tadolescence\tand\naffects\t80%\tto\t90%\tof\tU.S.\tadolescents.\tEffective\ttreatment\tfor\tthe\tcondition\tis\timportant\tbecause\tacne | [
-0.00023331536795012653,
-0.06664527207612991,
0.061644382774829865,
0.03451090306043625,
-0.08705317229032516,
0.017041092738509178,
0.07901498675346375,
0.04609233886003494,
-0.08200866729021072,
0.01571275107562542,
0.09223729372024536,
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0.00449841283261776,
-0.0016... |
can\tsignificantly\taffect\tquality\tof\tlife\tand\tin\tsome\tcases\tlead\tto\tsocial\twithdrawal,\tanxiety,\tor\ndepression.\tThere\tis\tsome\tresearch\tsuggesting\tthe\tpotential\tvalue\tof\tincorporating\tmedical\tnutrition\ntherapy\tin\tthe\ttreatment\tof\tacne.\tFor\texample,\n\ta\trecent\tstudy\tamong\t250\tyoung... | [
0.019560735672712326,
-0.044453494250774384,
0.050836771726608276,
-0.017336122691631317,
-0.12552012503147125,
0.018876081332564354,
0.10892488062381744,
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0.03182277828454971,
0.09041006863117218,
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0.05338151752948761,
0.0566... |
a\trecent\tstudy\tamong\t250\tyoung\tadults\t(ages\t18\tto\t25)\nin\tNew\tYork\tCity\tfound\tevidence\tthat\tdietary\tfactors\tmay\tinfluence\tor\taggravate\tacne\tdevelopment\tby\ncomparing\tthe\tself-reported\tusual\tdietary\tpatterns\tof\tparticipants\twho\treported\tno\tor\tmild\tacne\tto\nthose\twith\tmoderate\tto... | [
0.004020201973617077,
0.014844044111669064,
0.021415594965219498,
-0.05053212493658066,
-0.07999665290117264,
0.05020935833454132,
0.04925726354122162,
0.005841028410941362,
-0.013287676498293877,
0.09726604074239731,
0.15055519342422485,
-0.007534042466431856,
0.08575213700532913,
0.01995... |
those\twith\tmoderate\tto\tsevere\tacne\t(\nBurris\tet\tal,\t2014\n).\tYoung\tadults\twith\tmoderate\tto\tsevere\tacne\nreported\thigher\tglycemic\tindex\tdiets,\tincluding\n\tmore\tadded\tsugars,\ttotal\tsugars,\tmilk\tservings,\nsaturated\tfat,\tand\ttrans\tfatty\tacids\tand\tfewer\tservings\tof\tfish.\tThe\tmajority... | [
0.005630766972899437,
-0.03219885379076004,
0.04341947287321091,
-0.02025505155324936,
-0.11713757365942001,
-0.02115672081708908,
0.09861372411251068,
0.02667393907904625,
-0.027528250589966774,
0.04532145708799362,
0.1178239956498146,
-0.06929180771112442,
0.0352918840944767,
0.010642657... |
additionally\treported\tthe\tperception\tthat\tdiet\taggravates\tor\tinfluences\ttheir\tacne.\nThe\tevidence\tfrom\tthis\tstudy\tcombined\twith\tother\tepidemiologic,\tobservational,\tand\texperimental\nresearch\tdoes\tnot\tdemonstrate\tthat\tdiet\tcauses\tacne\tbut\tindicates\n\tit\tmay\taggravate\tor\tinfluence\tthe\... | [
0.035121578723192215,
-0.047243714332580566,
0.03992680832743645,
-0.027617502957582474,
-0.06064152345061302,
0.03070039302110672,
0.043939705938100815,
0.006653399206697941,
0.025063905864953995,
0.09419490396976471,
0.10555950552225113,
-0.012697141617536545,
0.048156168311834335,
0.027... |
condition\tto\tsome\tdegree\t(\nBurris\tet\tal,\t2013\n).\tIt\tis\tpossible\tthat\tmedical\tnutrition\ttherapy\tas\tan\tadjunct\nto\tdermatology\ttherapy\tmay\tbe\tbeneficial\tfor\tsome\tyoung\tpeople\twith\tacne.\tHowever,\ta\tnumber\tof\nquestions\tremain\tthat\tmust\tbe\taddressed\tby\tadditional\tresearch\tbefore\t... | [
-0.0000023287984731723554,
0.01417290698736906,
0.08737731724977493,
-0.0224895179271698,
-0.07316935062408447,
0.0031296256929636,
0.0844278410077095,
-0.029460277408361435,
-0.029286077246069908,
0.06522288173437119,
0.10569451749324799,
-0.03852357715368271,
0.047182757407426834,
0.0099... |
relevance\tof\tdiet\ttherapy\tcan\tbe\testablished\tand\tevidence-based\n\tguidelines\tdeveloped\tto\tguide\tdietitian\nnutritionists\tin\tpractice.\nCurrently,\tthe\tmost\treasonable\tapproach\tto\tpractice\tis\tto\tapproach\teach\tyoung\tperson\twith\tacne\ton\nan\tindividual\tbasis\tto\tdetermine\twhether\tdietary\t... | [
0.013704190962016582,
-0.04995133355259895,
0.041342925280332565,
-0.023065686225891113,
-0.07073013484477997,
0.009958562441170216,
0.04697472229599953,
0.04625902697443962,
-0.008499110117554665,
0.03805649280548096,
0.07631073147058487,
0.058647580444812775,
0.010623910464346409,
0.0335... |
consistently\tsupports\tguiding\tindividuals\twith\tacne\ttoward\ta\thealthful,\tlow-glycemic\tload\tdiet\tthat\tis\nlow\tin\tsaturated\tfat\tand\n\thigh\tin\twhole\tgrains,\tfruit,\tand\tvegetables.\tAn\tadditional\tdietary\tintervention\nthat\tmay\tsimilarly\toffer\tmultiple\thealth\tbenefits\tis\tto\trecommend\tincr... | [
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fatty\tacids\t(see\t\nAppendix\t26\n).\tAs\tlong\tas\tintake\tof\tcalcium\tand\tvitamin\tD\tare\tsufficient,\tit\tmay\tfurther\nbe\tbeneficial\tto\trecommend\ta\tdiet\tlower\tin\tdairy\tbut\tas\tyet\tthe\tquantity\tof\tmilk\tnecessary\tto\texacerbate\nacne\thas\n\tnot\tbeen\testablished.\nPromoting\thealthy\tweight-rel... | [
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Promoting\thealthy\tweight-related\tattitudes\tand\tbehaviors\nAn\testimated\t10%\tto\t20%\tof\tteens\tengage\tin\tdisordered\teating\tbehaviors,\tsuch\tas\tbinge-purge\nbehavior,\tcompensatory\texercise,\tlaxative\tand\tdiuretic\tabuse,\tand\tbinge\teating\t(\nNeumark-Sztainer\tet\tal,\n2012 | [
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Neumark-Sztainer\tet\tal,\n2012\n).\tThese\tbehaviors\tdo\tnot\toccur\twith\tenough\tregularity\tor\tfrequency\tto\tbe\tdiagnosed\tas\tan\teating\ndisorder,\tbut\tthey\n\tmay\thave\tsignificant\thealth\timplications\tfor\tadolescents.\tSymptoms\tthat\tmay\tsignal\nthe\tpresence\tof\tunhealthy\tweight-related\tattitudes... | [
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gastrointestinal\tcomplaints,\tamenorrhea,\tor\tunexplained\tweight\tloss.\tFemales\tat\tan\toverweight\tBMI\nhave\tbeen\tfound\tto\tbe\ttwice\tas\tlikely\tto\tengage\tin\tdisordered\teating\tbehaviors.\tIn\torder\tto\tidentify\tand\nintervene\n\ton\tthese\trisky\tbehaviors,\tit\tis\tvaluable\tto\tconduct\tscreening\tf... | [
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particular,\tit\tis\timportant\tfor\tscreening\tquestions\tto\taddress\tbody\tdissatisfaction,\tfear\tof\tweight\tgain,\nfrequency\tof\tdieting\tand\tfasting,\tuse\tof\tlaxatives\tand\tdiuretics,\tuse\tof\tdiet\tpills,\tfear\tof\tcertain\tfoods\n(e.g.,\tfoods\tcontaining\tfat\tor\tsugar),\tvomiting,\tbingeing,\tand\tco... | [
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Adolescents\n\tare\tparticularly\tvulnerable\tto\tthe\tcomplications\tof\teating\tdisorders.\tThe\teffect\tof\nmalnutrition\ton\tlinear\tgrowth,\tbrain\tdevelopment,\tand\tbone\tacquisition\tcan\tbe\tpersistent\tand\nirreversible.\tIt\tis\timportant\tfor\tthe\tachievement\tof\ta\tstrong\trecovery\tthat\tsymptoms\tof\ta... | [
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disorder\tare\trecognized\tby\tothers\tearly\tin\tthe\tcourse\tof\tillness\tand\tthat\thealth\tprofessionals\tare\ninvolved\tin\timplementing\n\tan\teffective\tcare\tplan\tso\tthat\tsymptoms\tcan\tbe\tquickly\treduced\t(\nVall\tand\nWade,\t2015\n)\t(see\t\nChapter\t21\n).\nPromoting\ta\thealthy\tweight\tstatus\nAdolesc... | [
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2\n\t[kg/m\n2\n])\tas\tshown\tin\nAppendix\t3\n.\tMaintaining\tbehaviors\tthat\tpromote\ta\thealthy\tweight\tstatus\tin\tadolescence\tis\timportant\tfor\noverall\thealth\tand\twell-being\tduring\tthis\tperiod\tof\tdevelopment\n\tas\twell\tas\tfor\tfuture\tadult\thealth.\nWeight\tstatus\tis\tinfluenced\tby\ta\tcomplex\t... | [
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0.0243963... |
dietary\tintake,\tmedical\tand\tbehavioral\thealth\tconditions,\tmedication\tuse,\tand\tenvironmental\tand\npsychosocial\tfactors\t(see\t\nChapter\t20\n).\tInadequate\tweight\tgain\tand\tunderweight\tare\tconcerns\tfor\tsome\nadolescents\twith\tspecial\thealth\tcare\tneeds,\tbut\tthe\tmost\tprevalent\n\tconcern\tamong\... | [
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concern\tamong\tyoung\tpeople\tthis\nage\tis\texcess\tweight\tgain.\nAmong\t12-\tto\t15-year-olds\tand\t16-\tto\t19-year-olds\tin\tthe\tUnited\tStates,\tthe\tprevalence\tof\tbeing\tat\tan\noverweight\tBMI,\thigher\tthan\tthe\t85th\tpercentile,\tis\trespectively\t38.7%\tand\t41.5%.\tThe\tprevalence\tof | [
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being\tat\tan\tobese\tBMI,\tat\tor\tabove\tthe\t95th\tpercentile,\tis\tapproximately\t20.5%\tamong\tboth\tage\tgroups;\nthe\tprevalence\tof\tsevere\tobesity\n\t(120%\tof\tthe\t95th\tpercentile)\tis\testimated\tto\tbe\t7%\tto\t10%\tamong\nyouth\t(\nSkinner\tet\tal,\t2018\n).\tFor\tsome\tadolescents,\ta\thigh\tBMI\trefle... | [
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potentially\tunhealthy\tlevels\tof\tbody\tfat\t(\nHagan\tet\tal,\t2017\n).\tHowever,\tadolescents\twho\tare\tat\tan\noverweight\tBMI\tare\tmore\tlikely\tto\thave\tmetabolic\tabnormalities\tsuch\tas\televated\tblood\tglucose,\ntriglycerides,\tcholesterol,\tand\tliver\n\tenzymes.\tLaboratory\ttesting\tand\tadditional\tsc... | [
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enzymes.\tLaboratory\ttesting\tand\tadditional\tscreening\tare\ttherefore\nrecommended\tfor\tadolescents\tat\ta\thigh\tBMI\tto\tassess\tfor\tthe\tpresence\tof\tchronic\tdisease\trisk\tfactors\nand\tpresence\tof\tdiabetes\tand\tliver\tdisease\t(\nHagan\tet\tal,\t2017\n).\tIf\trisk\tfactors\tare\tnoted,\tit\tis | [
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Hagan\tet\tal,\t2017\n).\tIf\trisk\tfactors\tare\tnoted,\tit\tis\nrecommended\tthat\taspartate\taminotransferase\t(AST)\tand\talanine\taminotransferase\t(ALT)\nmeasurements\tbe\tcompleted\tto\tassess\tliver\tfunction\n\tand\tscreen\tfor\tnonalcoholic\tsteatohepatitis\t(see\nChapter\t28\n).\tIt\tis\trecommended\tthat\ta... | [
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with\ttwo\tor\tmore\trisk\tfactors\tfor\tCVD\tor\twith\ta\tfamily\thistory\tof\tdiabetes.\tFor\tadolescents\tat\tan\tobese\nBMI,\tit\tis\trecommended\tthat\tmicroalbumin/creatinine\tratio\talso\tbe\tassessed.\tAdditional\tassessments\tfor\nconditions\tsuch\tas\tsleep\tapnea,\torthopedic\n\tdisorders,\tpolycystic\tovary... | [
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disorders,\tpolycystic\tovary\tdisease,\tand\thormonal\nabnormalities\tshould\tbe\tperformed\tbased\ton\tpresenting\tsymptoms.\nCurrent\tguidelines\tfor\tadolescent\toverweight\tand\tobesity\tsuggest\ta\tstaged\tcare,\tmulticomponent\ntreatment\tprocess\t(\nBox\t17.3\n)\tbased\ton\ta\tteen’s\tBMI,\tage,\tmotivation,\ta... | [
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conditions\t(\nHagan\tet\tal,\t2017\n;\t\nHenry\tet\tal,\t2018\n).\tFour\tstages\tare\trecommended,\twith\tprogress\n\tthrough\nthe\tstages\tbased\ton\tage,\tbiologic\tdevelopment,\tlevel\tof\tmotivation,\tweight\tstatus,\tand\tsuccess\twith\nprevious\tstages\tof\ttreatment\t(\nHoelscher\tet\tal,\t2013\n).\tAdvancing\t... | [
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).\tAdvancing\tto\tthe\tnext\tstage\tof\ttreatment\tmay\tbe\nrecommended\tif\tinsufficient\tprogress\tis\tmade\tto\timprove\tweight\tstatus\tor\tresolve\tcomorbid\tconditions\nafter\t3\tto\t6\tmonths.\tThere\tis\tevidence\tthat\tcounseling\tto\tpromote\thealthy\tweight\tstatus\n\tis\tmost\neffective\twhen\tit\tincludes... | [
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Henry\net\tal,\t2018\n).\tRegardless\tof\tthe\tapproach\ttaken,\tit\tis\tcritical\tthat\tthe\tfocus\tof\tcounseling\tis\ton\tmaking\nhealthy\tlifestyle\tand\tdietary\tchoices.\tAdolescents\tat\ta\thigher\tweight\tstatus\tneed\tto\tbe\tsupported\tby\ntheir\tfamily\tand\tnot\tsubjected\tto\tshaming\tcomments\tabout\tthei... | [
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professionals,\ncaregivers,\tor\tpeers.\nBox\t17.3\nStaged\tCare\tTreatment\tfor\tOverweight\tand\tObesity\nFour\ttreatment\tstages\tare\trecommended,\twith\tprogress\tthrough\tthe\tstages\tbased\ton\tthe\nadolescent’s\tage,\tbiologic\tdevelopment,\tlevel\tof\tmotivation,\tweight\tstatus,\tand\tsuccess\twith\tprevious | [
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0.07003... |
stages\tof\ttreatment.\tAdvancing\tto\tthe\tnext\tstage\tof\ttreatment\tmay\tbe\trecommended\tif\tinsufficient\nprogress\tis\n\tmade\tto\timprove\tweight\tstatus\tor\tresolve\tcomorbid\tconditions\tafter\t3\tto\t6\tmonths.\nStage\t1\n\tis\tappropriate\tfor\tadolescents\tat\tan\toverweight\tbody\tmass\tindex\tand\twith\... | [
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0.015932930... |
conditions\tand/or\tsexual\tmaturity\trating\t(SMR)\tof\t4\tor\tless.\tThis\tstage\tof\tcare\tconsists\tof\tgeneral\nnutrition\tand\tphysical\tactivity\tadvice\tand\tcan\tbe\tprovided\tby\ta\tsingle\thealth\tcare\tprovider,\tincluding\nphysicians,\tnurses,\n\tand\tdietitians\twho\thave\ttraining\tin\tpediatric\tweight\... | [
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0.05450... |
should\tbe\tmonitored\tmonthly\tby\tthe\tprovider\tand\tnot\texceed\t1\tto\t2\tpounds\tper\tweek.\tAchieve\t1\thour\nof\tmoderate-to-vigorous\tphysical\tactivity\teach\tday.\tLimit\tdaily\tscreen\ttime\tto\tno\tmore\tthan\t2\thours. | [
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0.04... |
Guidelines\tfor\tstage\t1\n•\t\nRemove\ttelevision\tand\tother\tforms\tof\tscreen\tmedia\tfrom\tthe\tbedroom.\n•\t\nConsume\tfive\tfruit\n\tand\tvegetable\tservings\tper\tday,\tbut\tlimit\tintake\tof\tjuice.\n•\t\nLimit\teating\toccasions\taway\tfrom\thome\twith\tthe\texception\tof\tschool\tmeals.\n•\t\nParticipate\tin... | [
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0.03535... |
•\t\nParticipate\tin\tfamily\tmeals\ton\tmost\tdays\tof\tthe\tweek.\n•\t\nConsume\tat\tleast\tthree\tmeals\tper\tday\trather\tthan\tfrequently\tsnacking.\n•\t\nEat\tmindfully,\tonly\twhen\thungry,\tand\tonly\tuntil\tsatiated.\n•\t\nReduce\tconsumption\tof\tmost\tenergy-dense\tfoods\tand\tbeverages\tand\teliminate\n\tco... | [
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0.06636636704206467,
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-0.09989574551582336,
0.0007725358009338379,
0.08635689318180084,
-0.0027156921569257975,
-0.03968111053109169,
0.0529811717569828,
0.11694494634866714,
-0.0629965141415596,
0.04024996981024742,
-0.016... |
consumption\tof\nsugar-sweetened\tbeverages.\n•\t\nSelect\tappropriate\tportion\tsizes\twhen\teating\tat\thome\tand\taway\tfrom\thome.\nStage\t2\n\tincludes\tthe\tsame\tconcepts\tas\tstage\t1,\tbut\tit\tprovides\tmore\tstructure.\tThis\tstage\tof\nobesity\ttreatment\tcan\tbe\tprovided\tby\ta\tsingle\thealth\tcare\tprov... | [
0.035252492874860764,
-0.07390829175710678,
0.04545752704143524,
0.040687743574380875,
-0.07947728037834167,
0.031092744320631027,
0.12843520939350128,
0.025978783145546913,
-0.000751092447899282,
0.05613516643643379,
0.11693708598613739,
-0.04020463302731514,
0.02406912110745907,
0.004988... |
counseling.\tHowever,\treferrals\tfor\tadditional\tservices\tsuch\tas\tphysical\ttherapy\tor\tcounseling\n\tmay\tbe\nnecessary\tfor\tsome\tadolescents.\tStage\t2\ttreatment\tis\tconsidered\tsuccessful\tif\tweight\tmaintenance\tor\nweight\tloss\tof\tup\tto\t2\tpounds\tper\tweek\tis\tachieved.\tAssessment\tof\tprogress\t... | [
-0.026874499395489693,
-0.03871622309088707,
0.013446556404232979,
0.0363115519285202,
-0.08870746195316315,
0.010514415800571442,
0.04302339255809784,
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0.018791867420077324,
0.07936391234397888,
-0.04035923629999161,
0.00009954685083357617,
0.0... |
monthly.\nGuidelines\tfor\tstage\t2\n•\t\nMonitor\tfood\tand\tbeverage\tintake\tthrough\tdaily\tfood\tand\texercise\tjournals\tor\trecord\tbooks.\n•\t\nSet\tgoals\tfor\tfood\tand\tphysical\tactivity\tbehavior\tchanges\tand\n\tmonitor\tprogress\ttoward\tgoals.\n•\t\nLimit\ttime\tspent\twith\tscreen\tmedia\tto\tno\tmore\... | [
0.024601532146334648,
-0.057933639734983444,
0.028864039108157158,
-0.013706785626709461,
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0.012228896841406822,
0.09823790192604065,
0.00667728902772069,
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0.03266521170735359,
0.11685840040445328,
-0.030766187235713005,
0.037350185215473175,
-0.0... |
•\t\nFollow\ta\tstructured\tmeal\tplan\twith\tscheduled\tmeal\tand\tsnack\ttimes.\n•\t\nPlan\tand\tmonitor\tphysical\tactivity\tto\tensure\t60\tminutes\tof\tmoderate-to-vigorous\tactivity\tis\nachieved\teach\tday.\n•\t\nReinforce\tsuccessful\tlifestyle\tchanges\tthrough\tthe\tuse\tof\tage-appropriate,\tnonfood\trewards... | [
0.02505575679242611,
-0.04525971785187721,
0.032409243285655975,
-0.0203650314360857,
-0.0876053050160408,
-0.020003696903586388,
0.08719270676374435,
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0.006215834058821201,
0.059744030237197876,
0.10114126652479172,
-0.029850324615836143,
0.04999508336186409,
0.02650... |
such\tas\ttickets\n\tto\ta\tlocal\tevent\tor\tmuseum,\tjewelry,\tclothing,\tor\tmusic.\nStage\t3\n\tis\tmore\tstructured\tthan\tstage\t2.\tYouth\twith\ta\tBMI\t\nat\tor\tabove\n\tthe\t99th\tpercentile\tfor\tage\nand\tgender\tmay\tstart\ttreatment\tin\tstage\t3.\tTreatment\tservices\tare\tprovided\tby\ta\tmultidisciplin... | [
0.016035141423344612,
-0.04513198137283325,
0.05057495832443237,
-0.08952534198760986,
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0.04721863940358162,
0.05982327088713646,
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0.025943636894226074,
0.10164393484592438,
-0.0008395864861086011,
0.037062566727399826,
-0.02... |
team\tthat\tincludes\ta\tphysician\tor\tpediatric\tnurse\tpractitioner,\ta\tcounselor\t(psychologist\tor\tsocial\nworker),\ta\tregistered\tdietitian\tnutritionist,\n\tand\tan\texercise\tphysiologist\tor\tphysical\ttherapist.\tStage\n3\ttreatment\tis\tconsidered\tsuccessful\twhen\tBMI\tno\tlonger\texceeds\tthe\t85th\tpe... | [
-0.02663087099790573,
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0.008545496501028538,
0.0781635046005249,
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0.038519326597452164,
0.05036121979355812,
-0.03800623118877411,
-0.028405535966157913,
0.0... |
gender;\thowever,\tweight\tloss\tshould\tbe\tmonitored\tto\tnot\texceed\t2\tpounds\tper\tweek.\tIf\tno\nimprovement\tis\tseen\tafter\t3\tto\t6\tmonths,\tor\tif\tcomorbid\tconditions\tworsen,\tit\tis\trecommended\tthat\ntreatment\tadvance\tto\tstage\t4.\nGuidelines\tfor\tstage\t3\n•\t\nThe\ttreatment\tprogram\tprovides\... | [
-0.002326228655874729,
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0.061628807336091995,
0.004928120411932468,
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0.04958202317357063,
0.050105106085538864,
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0.042850952595472336,
-0.... |
intervention\twithin\t2\tto\t6\tmonths.\n•\t\nA\tfamily\tcomponent\tand\tan\tadolescent-only\tcomponent\tare\toffered.\n•\t\nA\thighly\tstructured\tmeal\tplan\tis\tdeveloped\tand\tmonitored.\n•\t\nA\thighly\tstructured\tphysical\tactivity\tplan\tis\tdeveloped\tand\tmonitored.\n•\t\nA\tformal\tbehavior\tmodification\tpr... | [
0.029648754745721817,
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0.016009340062737465,
0.06862065196037292,
0.015156521461904049,
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0.04231680557131767,
0.08878646045923233,
-0.009340977296233177,
0.028708016499876976,
0.0... |
parental\tinvolvement\nas\tappropriate.\nStage\t4\n\ttreatment\tis\ta\ttertiary\tcare\tservice\tand\tis\treserved\tfor\tseverely\tobese\tadolescents\tor\nthose\twho\thave\ta\tBMI\tat\tor\tabove\tthe\t95th\tpercentile\tfor\tage\tand\tgender\tand\twho\thave\tsignificant\ncomorbidities\tthat\trequire\tconcerted\tintervent... | [
0.013757399283349514,
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0.08686520159244537,
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0.014997141435742378,
0.08408141136169434,
-0.02127740904688835,
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0.08490028232336044,
0.13432630896568298,
-0.0445464663207531,
0.01534582581371069,
0.03362... |
settings\tthat\temploy\ta\tfull\trange\tof\thealth\tprofessionals\twho\tare\n\ttrained\tspecifically\tin\tthe\nbehavioral\tand\tmedical\tmanagement\tof\tpediatric\tobesity.\nGuidelines\tfor\tstage\t4\n•\t\nIntensive\tdietary\tregimens,\tsuch\tas\tmeal\treplacement,\tprotein-sparing\tmodified\tfasts,\tand\toral\nmedicat... | [
0.06443281471729279,
-0.009404966607689857,
0.04705573990941048,
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0.01314828172326088,
0.0640048086643219,
0.01356775127351284,
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0.05484301224350929,
0.1010054349899292,
-0.01437659002840519,
0.04627258703112602,
0.011562988... |
medication.\n•\t\nBariatric\tsurgery\tmay\tbe\tused.\nAdapted\tfrom\tSpear\tB\tet\tal:\tRecommendations\tfor\ttreatment\tof\tchild\tand\tadolescent\toverweight\tand\tobesity,\nPediatrics\n\t120:S254,\t2007\tand\tU.S.\n\tPreventative\tServices\tTask\tForce;\tBarton\tM:\tScreening\tfor\tObesity\tin\nChildren\tand\tAdoles... | [
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0.010507987812161446,
0.03910616785287857,
0.01608671061694622,
0.01728443056344986,
0.0178142... |
Pediatrics\n125:361,\t2010.\nBariatric\tsurgery\thas\tbeen\tused\tas\ta\ttreatment\tfor\tproducing\tweight\tloss,\tbut\tconcern\thas\tbeen\nexpressed\tregarding\tits\tuse\tin\tadolescents\t(\nRyder\tet\tal,\t2018\n).\tRecommendations\tfor\tbariatric\tsurgery\nsuggest\n\tthat\tit\tmay\tbe\tjustified\tonly\tby\tthe\tpres... | [
0.013838673010468483,
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0.04836514592170715,
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0.04292241111397743,
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0.03140491619706154,
0.07169383019208908,
0.02782927267253399,
-0.0023701658938080072,
0.0712... |
Kelly\tet\tal,\t2013\n).\tWhile\tlong-\nterm\toutcome\tdata\tshow\tthat\tbariatric\tsurgery\tmay\tlead\tto\timprovements\tin\tcardiometabolic\thealth,\ndifficulty\tin\tcomplying\twith\tdietary\trestrictions\tafter\tsurgery\toften\tleads\tto\tcomplications\t(\nInge\tet\tal,\n2017\n).\tComplications\tof\tbariatric\tsurge... | [
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0.009218382649123669,
0.035327617079019547,
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0.06695206463336945,
0.07880908995866776,
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0.039007868617773056,
0.... |
voluntary\texcessive\tfood\tintake,\tand\tB\tvitamin\tdeficiencies\tcaused\tby\tpoor\tcompliance\twith\tvitamin-\nmineral\tsupplementation\t(see\t\nChapter\t20\n).\nIn\tsummary,\toverweight\tand\tobesity\tin\tadolescence\thave\tshort-\tand\tlong-term\thealth\tconsequences. | [
0.009546677581965923,
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0.03773794323205948,
0.008753344416618347,
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0.08056749403476715,
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0.0331360325217247,
0.1173037439584732,
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0.00410785898566246,
0.0642289221... |
Adolescents\twho\tare\tat\tan\toverweight\tBMI\tand\tparticularly\tthose\twho\texperience\trapid\tweight\tgain\tor\na\tBMI\tthat\trepresents\tsevere\tobesity\tare\tat\thigher\trisk\tfor\n\thyperlipidemia,\thypertension,\tinsulin\nresistance,\tand\ttype\t2\tdiabetes\tcompared\twith\tnormal\tweight\tpeers\t(\nRyder\tet\t... | [
-0.013910967856645584,
0.03539201244711876,
0.04883357882499695,
0.039711255580186844,
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0.08012375980615616,
0.04568937048316002,
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0.01463425811380148,
0.0943848043680191,
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0.021434346213936806,
0.020858... |
Ryder\tet\tal,\t2018\n).\tNot\tall\nadolescents\tat\thigher\tBMIs\texperience\tmetabolic\tabnormalities\tduring\tthis\tstage\tof\tdevelopment;\nhowever,\tepidemiologic\tstudies\tof\tobesity\tand\tdisease\trisk\tdemonstrate\tthat\tan\tobese\tBMI\tis\tassociated\nwith\tgreater\trisk\tof\tpremature\tmortality\tand\tmorbid... | [
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0.021745793521404266,
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0.11110518872737885,
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0.02114148624241352,
0.024784... |
mortality\tand\tmorbidity\tare\tmost\noften\trelated\tto\tthe\tpresence\tof\tdiabetes,\thypertension,\tcoronary\theart\tdisease,\tstroke,\tasthma,\tand\npolycystic\tovary\tsyndrome\tamong\tindividuals\twho\twere\toverweight\tor\tobese\tduring\tadolescence\t(\nReilly\nand\tKelly,\t2011\n).\nPromoting\tcardiovascular\the... | [
0.0024771583266556263,
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0.03286464884877205,
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0.0877712219953537,
0.09190668910741806,
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0.00787... |
Reilly\nand\tKelly,\t2011\n).\nPromoting\tcardiovascular\thealth\nWhereas\ta\thealthy\tdiet\tduring\tadolescence\thelps\tto\tprevent\tCVD\tin\tadulthood,\tthe\tpresence\tof\nhyperlipidemia\n\tand\thypertension\tare\timportant\trisk\tfactors.\tHyperlipidemia\tand\thypertension\tare\napparent\tin\tadolescence\tand\thave\... | [
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0.05036170035600662,
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0.04238029569387436,
0.07736918330192566,
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0.0611698254942894,
0.08313648402690887,
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0.03868856281042099,
0.0097994... |
a\thealth\tscreening\tassessment\taimed\tat\tthe\tidentification\tand\tprevention\tof\trisk\tfor\tCVD\tand\tother\nchronic\tdiseases\tare\tlisted\tin\t\nTable\t17.9\n.\t\nTable\t17.10\n\tlists\tthe\tclassification\tcriteria\tfor\tthe\tdiagnosis\tof\nhyperlipidemia\n\tamong\tyouth.\tNational\tdata\tsuggest\tthat\tone\ti... | [
-0.02374461106956005,
0.005715091712772846,
0.036005377769470215,
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0.026493510231375694,
0.08064402639865875,
0.0037218148354440928,
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0.04915454983711243,
0.10040359199047089,
-0.030529167503118515,
0.051424168050289154,
0.02... |
elevated\tblood\tlipid\tlevels\t(\nCDC,\t2010\n).\tThe\tprevalence\tof\thyperlipidemia\tamong\tadolescents\tvaries\naccording\tto\tBMI\tfrom\t14%\tamong\tadolescents\tat\ta\tBMI,85th\tpercentile\tto\t22%\tamong\tadolescents\tat\nan\toverweight\tBMI\tand\t43%\tamong\tadolescents\tat\tan\tobese\tBMI.\tThe\tprevalence\tof... | [
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0.007867730222642422,
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0.037087008357048035,
0.09528372436761856,
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0.008539265021681786,
0.044415250420570374,
0.01869521103799343,
0.05516795068979263,
0.02729... |
lipoprotein\t(HDL)\n\tcholesterol\tand\thigh\ttriglyceride\tlevels\tappeared\tto\tincrease\twith\tage.\tAdolescent\nmales\twere\talmost\tthree\ttimes\tmore\tlikely\tto\thave\tlow\tHDL\tcholesterol\tlevels\tcompared\twith\tfemales\tat\nany\tage.\tThese\tyouth\tare\tconsidered\tcandidates\tfor\ttherapeutic\tlifestyle\tco... | [
-0.056758344173431396,
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0.008420994505286217,
-0.028486700728535652,
-0.09545335173606873,
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0.07279258966445923,
0.04000416770577431,
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0.0006387520697899163,
0.10234741121530533,
-0.025395184755325317,
0.032275326550006866,
-... |
nutrition\tand\tphysical\tactivity\tintervention.\nTABLE\t17.9\nSuggested\tHealth\tScreening\tSchedule\tfor\tHealth\tPromotion\n\tand\tChronic\tDisease\tPrevention\nRisk\tFactor\nAges\t12-17\tYears\nAges\t18-21\tYears\nFamily\thistory\tof\npremature\ncardiovascular\ndisease\n•\t\nUpdate\tprevious\tfamily\thistory\tat\t... | [
0.005552375689148903,
-0.04513252153992653,
0.07161125540733337,
0.015420540235936642,
-0.07073861360549927,
0.006346757523715496,
0.10090412199497223,
-0.01025408785790205,
-0.06977485865354538,
0.05659802258014679,
0.09556332975625992,
-0.05643201991915703,
-0.02750796638429165,
0.026561... |
visit.\n•\t\nProvide\tdietary\tcounseling\tand\treferral\nbased\ton\tfamily\thistory\tas\tnecessary.\n•\t\nAssess\tchanges\tin\tfamily\thistory\tat\nleast\tannually.\n•\t\nProvide\tdietary\tcounseling\tand\treferral\nbased\ton\tfamily\thistory\tas\tnecessary.\nEating\tbehaviors\nand\tpatterns\n•\t\nAssess\tdiet\tusing\... | [
0.02253027632832527,
-0.03768504038453102,
0.08412916958332062,
-0.03688289225101471,
-0.10969017446041107,
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0.12695518136024475,
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-0.005572231020778418,
0.05075008049607277,
0.08330836147069931,
-0.007248943205922842,
0.02941865287721157,
0.02530... |
•\t\nProvide\teducation\tand\tcounseling\tas\nneeded.\n•\t\nReview\teating\tbehaviors\tand\tprovide\neducation\tto\timprove\tdietary\tintake\tand\nnutritional\tstatus.\nGrowth\tand\nweight\tstatus\n•\t\nWeigh\tand\tmeasure\tteen\tat\teach\tvisit.\nPlot\theight,\tweight,\tand\tBMI.\tReview\nwith\tadolescent\tand\tparent... | [
0.03259072080254555,
-0.03289411962032318,
0.05284369736909866,
0.0320611409842968,
-0.06507597863674164,
0.01533035933971405,
0.10975081473588943,
-0.010295826941728592,
-0.07770450413227081,
0.0720580592751503,
0.10918194055557251,
-0.03984545171260834,
-0.0037024137564003468,
0.01561292... |
•\t\nIf\tadolescent\tis\toverweight,\tprovide\tstep\n1\tcounseling\tto\tadolescent\tand\tparent(s)\nand\tschedule\tfollow-up\tvisit.\n•\t\nIf\tadolescent\tis\tobese,\tprovide\tstep\t2\ncounseling\tand\trefer\tto\ta\tcomprehensive\nweight\tmanagement\tprogram.\n•\t\nWeigh\tand\tmeasure\tclient\tat\teach\tvisit.\nCalcula... | [
0.013173749670386314,
-0.050944000482559204,
0.03852643445134163,
-0.0117674944922328,
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0.10462866723537445,
0.009532924741506577,
-0.043635912239551544,
0.06731142848730087,
0.09795071929693222,
-0.02645055204629898,
0.029605839401483536,
0.01321... |
Calculate\tBMI\tbased\ton\theight\tand\nweight\tmeasurements.\n•\t\nIf\toverweight\tor\tobese,\tthoroughly\nassess\tdiet\tand\tphysical\tactivity\npatterns\tand\tprovide\tcounseling\tas\nappropriate.\n•\t\nIf\toverweight\tor\tobese,\trefer\tto\nprimary\thealth\tprovider\tfor\tfull\thealth\nassessment.\nBlood\tlipids\n•... | [
-0.018192701041698456,
-0.03327440842986107,
0.012798336334526539,
-0.003784740576520562,
-0.06382986903190613,
-0.03133544698357582,
0.07083805650472641,
0.01933702640235424,
-0.018848976120352745,
0.07832446694374084,
0.07943642884492874,
-0.047672927379608154,
0.05861951783299446,
0.056... |
assessment.\nBlood\tlipids\n•\t\nRefer\tadolescent\twith\tfamily\thistory\tof\npremature\theart\tdisease,\tfamily\thistory\nof\tdyslipidemia,\tor\tthose\twho\tare\noverweight/obese\tto\tprimary\tcare\nprovider\tand\trequest\ta\tblood\tlipid\tpanel.\n•\t\nReview\tblood\tlipid\tlevels\twith\nadolescent\tand\tparent(s).\t... | [
0.019460167735815048,
-0.002750059124082327,
0.003033918095752597,
0.025806501507759094,
-0.049022067338228226,
-0.015441841445863247,
0.03258402273058891,
0.02907017432153225,
-0.03655358776450157,
0.023902328684926033,
0.08161873370409012,
-0.017035776749253273,
0.0029337317682802677,
0.... |
nutrition\tcounseling\tas\tappropriate.\n•\t\nIf\tadolescent\tis\toverweight,\tprovide\ndietary\tcounseling\tin\taccordance\twith\nstep\t1.\n•\t\nIf\tadolescent\tis\tobese,\tprovide\tdietary\ncounseling\tin\taccordance\twith\tstep\t2\tand\nrefer\tto\tcomprehensive\tweight\nmanagement\tprogram.\n•\t\nThe\taddition\tof\t... | [
-0.035997163504362106,
-0.057583216577768326,
0.056335702538490295,
0.05313796177506447,
-0.11635567992925644,
0.020425044000148773,
0.08244932442903519,
-0.008888020180165768,
-0.08110330253839493,
-0.0035162558779120445,
0.11569733917713165,
-0.023719102144241333,
-0.014596310444176197,
... |
at\tno\tmore\tthan\t2\tg/day\tcan\tbe\nrecommended\tfor\tteens\twith\tfamilial\nhyperlipidemia.\n•\t\nIf\tdietary\tmanagement\tis\tnot\teffective,\nrefer\tto\n\tprimary\tcare\tprovider\tfor\nphysical\texamination\tand\tmanagement\nof\tdyslipidemia\tby\tmedication\tas\tneeded.\n•\t\nRefer\tadolescent\twith\tfamily\thist... | [
-0.005116256885230541,
0.008940525352954865,
0.04604626074433327,
0.034579090774059296,
-0.03918483853340149,
0.002006923547014594,
0.09787550568580627,
0.01382419839501381,
-0.02196510136127472,
0.01850581355392933,
0.10103922337293625,
-0.014497056603431702,
0.035614389926195145,
0.00649... |
premature\theart\tdisease,\tfamily\thistory\nof\tdyslipidemia,\tor\tthose\twho\tare\noverweight/obese\tto\tprimary\tcare\nprovider\tand\trequest\ta\tblood\tlipid\npanel.\n•\t\nReview\tblood\tlipid\tlevels\twith\nadolescent\tand\tparent(s).\tProvide\nnutrition\tcounseling\tas\tappropriate.\n•\t\nIf\tclient\tis\toverweig... | [
0.00715543981641531,
-0.011866184882819653,
0.02690892107784748,
0.062175650149583817,
-0.05195256695151329,
0.02227935753762722,
0.05504612624645233,
0.04332565516233444,
-0.045113299041986465,
0.0312788225710392,
0.09663113951683044,
-0.014176876284182072,
0.0029858588241040707,
-0.01019... |
•\t\nIf\tclient\tis\toverweight\tor\tobese,\nprovide\tdietary\tcounseling\tas\nappropriate\tand\trefer\tto\tweight\nmanagement\tprogram.\n•\t\nThe\taddition\tof\tplant\tsterols\tor\tstanols\nat\tno\tmore\tthan\t2\tg/day\tcan\tbe\nrecommended\tfor\tclients\twith\tfamilial\nhyperlipidemia.\n•\t\nIf\tdietary\tmanagement\t... | [
-0.046649862080812454,
-0.019903747364878654,
0.027980010956525803,
0.021936053410172462,
-0.08433819562196732,
-0.010136272758245468,
0.08426602184772491,
0.035190682858228683,
-0.05114400014281273,
-0.00985730905085802,
0.08545056730508804,
-0.007743354886770248,
0.01432864461094141,
-0.... |
refer\tto\tprimary\tcare\tprovider\tfor\nphysical\texamination\tand\tmanagement\nof\tdyslipidemia\tby\tmedication\tas\nneeded.\nBlood\tpressure\n•\t\nReview\tblood\tpressure\tresults\twith\nadolescent\tand\tparent(s).\n•\t\nProvide\tcounseling\tin\taccordance\twith\nthe\tDASH\tdiet.\tRequest\tfollow-up\tvisit.\n•\t\nIf... | [
-0.02643541619181633,
-0.019916489720344543,
0.018255580216646194,
0.02219354920089245,
-0.06427942961454391,
0.020456068217754364,
0.10535679757595062,
0.013833072036504745,
-0.001602964592166245,
0.022421738132834435,
0.1099422499537468,
0.0036588707007467747,
0.024906834587454796,
-0.03... |
dietary\tcounseling\tin\taccordance\twith\nstep\t1.\n•\t\nIf\tadolescent\tis\tobese,\tprovide\tdietary\n•\t\nReview\tblood\tpressure\tresults\twith\nclient.\n•\t\nProvide\tcounseling\tin\taccordance\twith\nthe\tDASH\tdiet.\tRequest\tfollow-up\tvisit.\n•\t\nIf\tclient\tis\toverweight\tor\tobese,\nprovide\tdietary\tcouns... | [
-0.03216935694217682,
-0.051483362913131714,
0.0443325936794281,
0.0488290973007679,
-0.08816928416490555,
0.01772438921034336,
0.06163874268531799,
-0.005668597761541605,
-0.09324367344379425,
0.004483835306018591,
0.09132195264101028,
-0.005958201363682747,
-0.01934739015996456,
-0.05425... |
counseling\tin\taccordance\twith\tstep\t2\tand\nrefer\tto\tcomprehensive\tweight\nmanagement\tprogram.\n•\t\nIf\tdietary\tmanagement\n\tis\tnot\teffective,\nrefer\tto\tprimary\tcare\tprovider\tfor\nphysical\texamination\tand\tmanagement\nof\thypertension\tby\tmedication\tas\nneeded.\n•\t\nIf\tdietary\tmanagement\n\tis\... | [
-0.01828552968800068,
-0.0067953625693917274,
0.01372193731367588,
0.04253114387392998,
-0.06418769806623459,
0.031396638602018356,
0.07234364002943039,
-0.009389777667820454,
-0.02032230980694294,
-0.012281638570129871,
0.08240147680044174,
0.0003800530394073576,
0.004307555500417948,
0.0... |
is\tnot\teffective,\nrefer\tto\tprimary\tcare\tprovider\tfor\nphysical\texamination\tand\tmanagement\nof\thypertension\tby\tmedication\tas\nneeded.\nDiabetes\n•\t\nRefer\tadolescent\twith\tfamily\thistory\tof\ndiabetes,\tsigns\tof\tacanthosis\tnigricans,\nsymptoms\tconsistent\twith\tdiabetes,\tor\nthose\twho\tare\tover... | [
0.01174827292561531,
-0.022761715576052666,
0.007676335982978344,
0.03355603292584419,
-0.03854731097817421,
-0.0023260393645614386,
0.12447259575128555,
0.009571466594934464,
-0.06190175563097,
0.029157234355807304,
0.04444225877523422,
-0.010919761843979359,
0.008637640625238419,
0.00109... |
primary\tcare\tprovider\tand\trequest\ta\nfasting\tblood\tglucose.\n•\t\nReview\tfasting\tblood\tglucose\tlevels\n\twith\nadolescent\tand\tparent(s).\tProvide\nnutrition\tcounseling\tas\tappropriate.\n•\t\nIf\tadolescent\tis\toverweight,\tprovide\ndietary\tcounseling\tin\taccordance\twith\nstep\t1.\n•\t\nIf\tadolescent... | [
-0.023995613679289818,
-0.059545304626226425,
0.03463524580001831,
0.02473909966647625,
-0.05714522674679756,
0.04750492423772812,
0.09138800948858261,
0.016510091722011566,
-0.016484461724758148,
0.04696442559361458,
0.11990299820899963,
-0.0188029482960701,
-0.012979462742805481,
-0.0316... |
counseling\tin\taccordance\twith\tstep\t2\tand\nrefer\tto\tcomprehensive\tweight\nmanagement\tprogram.\n•\t\nRefer\tclient\twith\tfamily\thistory\tof\ndiabetes,\tsigns\tof\tacanthosis\tnigricans,\nsymptoms\tconsistent\n\twith\tdiabetes,\tor\nthose\twho\tare\toverweight/obese\tto\nprimary\tcare\tprovider\tand\trequest\t... | [
-0.031696196645498276,
-0.031955521553754807,
-0.020124785602092743,
0.06728163361549377,
-0.10889049619436264,
0.017246276140213013,
0.09807433187961578,
0.0035030802246183157,
-0.019722770899534225,
-0.012017411179840565,
0.028944656252861023,
0.020217498764395714,
-0.02319912798702717,
... |
fasting\tblood\tglucose.\n•\t\nReview\tfasting\tblood\tglucose\tlevels\nwith\tclient.\tProvide\tnutrition\ncounseling\tas\tappropriate.\n•\t\nIf\tclient\tis\toverweight\tor\tobese,\nprovide\tdietary\tcounseling\tand\trefer\tto\ncomprehensive\tweight\tmanagement\nprogram.\nPhysical\tactivity\n•\t\nReview\tphysical\tacti... | [
0.006708106026053429,
-0.11226393282413483,
0.041518453508615494,
0.04987764731049538,
-0.0913306176662445,
0.014005709439516068,
0.09386853873729706,
0.02343856543302536,
-0.04571614786982536,
0.018578583374619484,
0.11268249899148941,
-0.004445706494152546,
-0.0070168511010706425,
0.0212... |
behaviors\n\twith\tadolescent\tand\tparent(s).\n•\t\nReinforce\tneed\tfor\t60\tmin\tor\tmore\tof\nmoderate-to-vigorous\tphysical\tactivity\nper\tday.\n•\t\nReinforce\tlimiting\tsedentary\tand\tscreen\ntime\tto\tno\tmore\tthan\t2\thours\tper\tday.\n•\t\nReview\tphysical\tactivity\tpattern\tand\nbehaviors\twith\tclient.\... | [
0.000690755492541939,
-0.05632277578115463,
0.056815341114997864,
-0.038989678025245667,
-0.07374315708875656,
0.0036278876941651106,
0.08772950619459152,
0.01160061452537775,
-0.04418140649795532,
0.07259784638881683,
0.11495643109083176,
-0.047367244958877563,
0.024999404326081276,
0.083... |
behaviors\twith\tclient.\n•\t\nReinforce\tneed\tfor\t60\tmin\tor\tmore\tof\nmoderate-to-vigorous\tphysical\tactivity\neach\tday.\n•\t\nReinforce\tlimiting\tsedentary\tand\nscreen\ttime\n\tto\tno\tmore\tthan\t2\thours\nper\tday.\nDASH\n,\tDietary\tApproaches\tto\tStop\tHypertension | [
-0.014867836609482765,
-0.06318444758653641,
0.045257553458213806,
-0.06563013792037964,
-0.07496632635593414,
0.006122568156570196,
0.10311514884233475,
0.03498273342847824,
-0.030206993222236633,
0.051792457699775696,
0.12373325228691101,
-0.02688140608370304,
0.029235700145363808,
0.075... |
per\tday.\nDASH\n,\tDietary\tApproaches\tto\tStop\tHypertension\nAdapted\tfrom\tU.S.\tDepartment\tof\tHealth\tand\tHuman\tServices\t(USDHHS),\tNational\tInstitutes\tof\tHealth\t(NIH),\tNational\tHeart,\tLung,\tand\tBlood\tInstitute\n(NHLBI):\t\nExpert\tpanel\ton\tintegrated\tguidelines\tfor\tcardiovascular\thealth\tand... | [
-0.0009186324896290898,
-0.059746552258729935,
0.033556342124938965,
-0.03463677689433098,
-0.10057008266448975,
-0.03962964564561844,
0.054860278964042664,
0.05440380051732063,
0.01373718399554491,
0.06107194349169731,
0.0824497863650322,
-0.014855150133371353,
0.021948423236608505,
0.031... |
.\tSummary\treport,\tNIH\tPublication\nNo\t12-7486A,\n\tOctober\t2012.\nTable\t17.10\nClassification\tCriteria\tfor\tthe\tDiagnosis\tof\tHyperlipidemia\tin\tAdolescents\t(10-\tto\t19-years-old)\n*\nAcceptable\nBorderline\nUnacceptable\nTotal\tcholesterol\t(mg/dL)\n≤170\n170-199\n≥200\nLDL\tcholesterol\t(mg/dL)\n<110\n1... | [
-0.09737621247768402,
-0.02277214080095291,
-0.04511212930083275,
-0.02326754480600357,
-0.06828466802835464,
-0.01979939453303814,
-0.02747773751616478,
0.12652182579040527,
-0.049312394112348557,
-0.03514288738369942,
0.05626613274216652,
-0.021825246512889862,
0.020177513360977173,
0.00... |
<110\n110-129\n≥130\nNon-HDL\tcholesterol\t(mg/dL)\n<120\n120-144\n>145\nHDL\tcholesterol\t(mg/dL)\n>45\n40-45\n<40\nTriglycerides\t(mg/dL)\n<90\n90-129\n>130\nApolipoprotein\tA-1\t(mg/dL)\n>120\n115-120\n<115\nApolipoprotein\tB\t(mg/dL)\n<90\n90-109\n>110\nHDL\n,\tHigh-density\tlipoprotein;\t\nLDL\n,\tlow-density\n\tl... | [
-0.045934226363897324,
-0.03686681017279625,
-0.06626523286104202,
-0.022912072017788887,
-0.09218259155750275,
-0.06006093695759773,
-0.011940404772758484,
0.13771262764930725,
-0.05741140991449356,
-0.044282216578722,
0.03600379824638367,
-0.01876136101782322,
0.044810954481363297,
-0.02... |
>110\nHDL\n,\tHigh-density\tlipoprotein;\t\nLDL\n,\tlow-density\n\tlipoprotein.\nAdapted\tfrom\tU.\tS.\tDepartment\tof\tHealth\tand\tHuman\tServices\t(USDHHS),\tNational\tInstitutes\tof\tHealth\t(NIH),\tNational\tHeart,\tLung,\tand\tBlood\tInstitute\n(NHLBI):\t\nExpert\tpanel\ton\tintegrated\tguidelines\tfor\tcardiovas... | [
-0.02037818357348442,
-0.09748051315546036,
-0.011802168563008308,
-0.029065057635307312,
-0.08606085181236267,
-0.05073322355747223,
0.022099431604146957,
0.09749684482812881,
-0.010344321839511395,
0.03380649909377098,
0.0840282216668129,
-0.009491605684161186,
-0.00023102934937924147,
0... |
.\tSummary\treport,\tNIH\tPublication\nNo\t12-7486A,\tOctober\t2012.\n*\nBased\ton\tthe\taverage\tof\ttwo\tmeasurements.\nThe\tNational\n\tHeart,\tLung,\tand\tBlood\tInstitute\t(NHLBI)\thas\trecommended\tthat\tall\tyouth\twith\televated\nblood\tlipids\tbe\treferred\tto\ta\tregistered\tdietitian\tor\tnutritionist\tfor\t... | [
-0.0006184206577017903,
-0.029337583109736443,
0.03874092549085617,
-0.06614449620246887,
-0.12385159730911255,
0.018195651471614838,
0.07888835668563843,
0.03522729128599167,
-0.010075872763991356,
0.06465005874633789,
0.0614275261759758,
0.013674149289727211,
0.035134851932525635,
-0.000... |
recommendations\tfor\tyouth\tup\tto\t21\tyears\tof\tage\twith\televated\tlow-density\tlipoprotein\t(LDL)\ncholesterol\tare\tlisted\tin\t\nBox\t17.4\n,\tand\tthose\tfor\televated\ttriglycerides\tand\tnon-HDL\tcholesterol\tare\nlisted\n\tin\t\nBox\t17.5\n.\nBox\t17.4\nDietary\tRecommendations\tfor\tElevated\tLow-Density\... | [
-0.04139291122555733,
-0.06620888411998749,
-0.03433692827820778,
-0.0029035713523626328,
-0.054044052958488464,
-0.03310222551226616,
0.03566820174455643,
0.09337437152862549,
-0.04567864537239075,
-0.0550970695912838,
0.08808450400829315,
0.007976098917424679,
-0.037235766649246216,
0.01... |
Cholesterol\tin\tAdolescents\n•\t\nLimit\ttotal\tfat\tintake\tto\tno\tmore\tthan\t25%\tto\t30%\tof\tcalories.\n•\t\nLimit\tsaturated\tfat\tintake\tto\tno\tmore\tthan\t7%\tof\tcalories.\n•\t\nDietary\tcholesterol\tintake\tshould\tnot\texceed\t200\tmg/day.\n•\t\nPlant\tsterol\testers\tand/or\tstanol\testers\tcan\treplace... | [
-0.04713955149054527,
-0.04690640792250633,
0.006288305856287479,
0.033778734505176544,
-0.09569503366947174,
-0.02903064154088497,
0.04369528964161873,
0.05134521797299385,
-0.0770377665758133,
-0.05478153005242348,
0.09259603917598724,
-0.058280181139707565,
0.0006097893347032368,
-0.015... |
children\nwith\tfamilial\thypercholesterolemia.\n•\t\nUp\tto\t12\tg\tof\tpsyllium\tfiber\tcan\tbe\tadded\tto\tthe\tdiet\teach\tday\tas\tcereal\tenriched\twith\tpsyllium.\n•\t\nAt\tleast\t1\thour\tof\tmoderate\tto\tvigorous\texercise\tshould\tbe\tobtained\tdaily. | [
-0.03201582282781601,
-0.0266925897449255,
0.019584298133850098,
-0.0007732251542620361,
-0.11589095741510391,
-0.006575174164026976,
0.06018196418881416,
0.02086789906024933,
0.01476020272821188,
0.01805724948644638,
0.10692266374826431,
-0.013991227373480797,
0.0036598281003534794,
0.024... |
•\t\nSedentary\tand/or\tscreen\ttime\tshould\tbe\tlimited\tto\tless\tthan\t2\thours\teach\tday.\nAdapted\tfrom\tU.S.\tDepartment\tof\tHealth\tand\tHuman\tServices,\tNational\tInstitutes\tof\tHealth,\tNational\n\tHeart,\nLung\tand\tBlood\tInstitute\n:\tExpert\tpanel\ton\tintegrated\tguidelines\tfor\tcardiovascular\theal... | [
0.01853134296834469,
-0.05341217666864395,
0.04047466069459915,
-0.05190935358405113,
-0.0989968329668045,
-0.023475568741559982,
0.06077712029218674,
0.025281628593802452,
-0.004172933287918568,
0.06505692005157471,
0.09818833321332932,
-0.019625961780548096,
0.019216272979974747,
0.05217... |
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