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55 Cards in this Set

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when does puberty normally start in girls
8-13

what about boys?
9.5-13.5
how long does puberty last?
3-4 yrs
sMR stages are defined by:
primary and secondary sex characteristics
by beginning of puberty __% of height is obtained?
what percent of weight?
84% of height
54% of weight
52% of skeletal mass
when is the ht velocity for girls peaked?
1 yr after breasts start and menarche
at what age is 95% of ht reached?
g: 13
b: 15
boys peak ht velocity?
age 14
girls who mature earlier...
will be taller first. but the girls who mature later will be taller in the end
girls peak wt velocity, when?
6-9 months BEFORE peak ht velocity

boys peak wt velocity?
same time as peak ht velocity (age 14)
when does menstruation maybe start?
100# OR 17% body fat?
girls increase in fat v lean tissue?
3 times more increase in fat than lean
120% v 44%
% body fat in boys v girls?
twice as much in girls
puberty is a critical time for what to develop?
bone mass (90% by age 18)
goes until 3rd decade
best prevention for osteoporosis?
achievement of maximal bone mass
what to compare ht and wt to in teens?
themselves. not other teens
when is ht and wt further evaluation needed in teens?
when two or more growth channals (2% = a channal) have been crossed
what to monitor biochemically?
hgb/hct. maybe start doing heart disease and diabetes screenings
why do clinical signs of malnutrition appear more quickly in teens?
they're growing more quickly than adults
what do contraceptives decrease
C
b6
b12
folate

What do they increase
A
copper and lipids
what should you increase for IUDs
iron and vit C
three requirements of kcals
1. support growht/maturation
2. support pa
3. maintain health
kcals for girls:
2000 - 2400

for boys:
2300 - 3100
best tool to estimate teen kcal needs?
DRI formula (EER)
base energy calcs for teens on:
velocity of growth (as opposed to age)
protein for girls and bosy?
age 9-13: .95 g/kg
age 14-18: .85 g/kg
CHO RDA for teens 9-18?
130 g per day
fat % for teens ages 9-18
25-35%
girls or boys have lower Ca intake?
girls
where do teens consume the most soda?
home
vit c needs in teens?
only increase if you smoke
vit b needs during teens?
needs increase
what nutrients are esp lost when breakfast is skipped?
b vits
% of teens that skip lunch
25%
__ of girls are unsatisfied with their wt?
2/3

How many unsatisfied with body shape?
1/2
how many boys dissatisfied with their wt?
1/3
vit b needs during teens?
needs increase
what nutrients are esp lost when breakfast is skipped?
b vits
% of teens that skip lunch
25%
__ of girls are unsatisfied with their wt?
2/3

How many unsatisfied with body shape?
1/2
how many boys dissatisfied with their SHAPE?
1/3
fat's role in acne?
no proven relationship
severe cases of acne =
accutane (not same as vit a supplements)
when is tetratogen given?
to girls on birth control for acne
% of overweight teens?
17%

At risk of overwt %?
1/3
teens with no complications who are at risk for overwt... what to do:
weight maintenance
teens who are overwt or who are at risk for overwt with complications:
wt loss 1-2# per week
% of teens that do vigorous pa?
50%
pa + associated with
computer, reading, hw
healthful dietary behaviors + associated with
hw/reading
% of teens with high cholesterol
25%
metabolic syndrome:
3 of these:

hypertension (130/85)
trig (150+)
low hdl
glc 100+
abdominal obesity
major preventable cause of death:
tobacco
smokeless tobacco leads to
start smoking
oral cancer
organs that alc effects
nearly all organs

Also decrease nutrient absorption
enyzme that girls have less of
alco dehydrogenase