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growth\tchannels\n\tduring\n\tthe\tpreschool\tand\tchildhood\tyears,\nalthough\trates\tof\tgrowth\tcan\tvary\twithin\ta\tselected\tperiod.\nGrowth\tand\tmedical\tmonitoring,\tas\twell\tas\ta\tdiscussion\tof\tdevelopmental\texpectations,\tusually\noccur\tat\tannual\twell\tchild\tvisits\twith\tthe\tchild’s\tprimary\tcare\tprovider.\tRegular\tmonitoring\tof\tgrowth
|
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enables\tproblematic\ttrends\tto\tbe\tidentified\tearly\tand\tintervention\tinitiated\tso\tthat\tlong-term\tgrowth\nis\n\tnot\tcompromised.\tWeight\tthat\tincreases\trapidly\tand\tcrosses\tgrowth\tchannels\tmay\tsuggest\tthe\ndevelopment\tof\tobesity\t(\nFig.\t16.1\n).\tLack\tof\tweight\tgain\tover\ta\tperiod\tof\tmonths\tor\tweight\tloss\tmay
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] |
).\tLack\tof\tweight\tgain\tover\ta\tperiod\tof\tmonths\tor\tweight\tloss\tmay\nbe\ta\tresult\tof\tundernutrition,\tan\tacute\tillness,\tan\tundiagnosed\tchronic\tdisease,\tor\tsignificant\nemotional\tor\tfamily\tproblems\t(\nFig.\t16.2\n).\tChildren\tevaluated\tby\thealth\tcare\tprofessionals\tonly\twhen\nthey\tare\till\n\tmay\tmiss\tmonitoring\tof\tgrowth\tand\tdevelopment.\nFIG.\t16.1
|
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] |
may\tmiss\tmonitoring\tof\tgrowth\tand\tdevelopment.\nFIG.\t16.1\nGrowth\tchart\t(A)\tand\tBMI\tchart\t(B)\tfor\tan\t8-year-old\tboy\twho\tgained\texcessive\tweight\tafter\thaving\nleg\tsurgery\tand\tbeing\timmobilized\tin\ta\tbody\tcast\tfor\t2\tmonths.\tThe\tsurgery\tand\timmobilization\twere\tfollowed
|
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by\ta\tlong\tperiod\tof\tstress\tcaused\tby\tfamily\tproblems.\tAt\tthe\tage\tof\t11\tyears,\the\tbecame\tinvolved\tin\ta\tweight\nmanagement\tprogram.\t\n(Source\tof\tgrowth\tcharts\tonly:\tCenters\tfor\tDisease\n\tControl\tand\tPrevention:\tGrowth\tCharts\t[website]:\n\t\nhttp://www.cdc.gov/growthcharts/\n,\t2017.)
|
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FIG.\t16.2\nGrowth\tcharts\tfor\ta\t2-year-old\tgirl\twho\texperienced\tsignificant\tweight\tloss\tduring\ta\tprolonged\tperiod\nof\tdiarrhea\tand\tfeeding\tproblems.\tAfter\tbeing\tdiagnosed\twith\tceliac\tdisease,\tshe\tbegan\tfollowing\ta\tgluten-\nfree\tdiet\tand\tentered\ta\tperiod\tof\tcatch-up\tgrowth.\t\n(Source\tof\tgrowth\tcharts\tonly:\tCenters\tfor\tDisease\tControl\tand\nPrevention:
|
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Prevention:\t\nGrowth\tCharts\n\t[website]:\t\t\nhttp://www.cdc.gov/growthcharts/\n,\t2017.)\nCatch-up\tgrowth\nA\tchild\twho\tis\trecovering\tfrom\tan\tillness\tor\tundernutrition\tand\twhose\tgrowth\thas\tslowed\tor\tceased\nexperiences\ta\tgreater\tthan\texpected\trate\tof\trecovery.\tThis\trecovery\tis\treferred\tto\tas\t\ncatch-up\ngrowth
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catch-up\ngrowth\n,\ta\tperiod\tduring\twhich\tthe\tbody\tstrives\tto\treturn\tto\tthe\tchild’s\tnormal\tgrowth\tchannel.\tThe\ndegree\tof\tgrowth\tsuppression\tis\tinfluenced\tby\tthe\ttiming,\tseverity,\tand\tduration\n\tof\tthe\tprecipitating\ncause,\tsuch\tas\ta\tsevere\tillness\tor\tprolonged\tnutritional\tdeprivation.
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0.08825229853391647,
0.01026919949799776
] |
cause,\tsuch\tas\ta\tsevere\tillness\tor\tprolonged\tnutritional\tdeprivation.\nInitial\tstudies\tsupported\tthe\tthesis\tthat\tmalnourished\tinfants\twho\tdid\tnot\texperience\timmediate\ncatch-up\tgrowth\twould\thave\tpermanent\tgrowth\trestriction.\tHowever,\tstudies\tof\tmalnourished\nchildren\tfrom\tdeveloping\tcountries\twho\tsubsequently\treceived\tadequate\tnourishment,\tas\twell\tas
|
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reports\tof\tchildren\twho\n\twere\tmalnourished\tbecause\tof\tchronic\tdisease\tsuch\tas\tceliac\tdisease\tor\ncystic\tfibrosis,\thave\tshown\tthat\tthese\tchildren\tcaught\tup\tto\ttheir\tnormal\tgrowth\tchannels\tafter\tthe\nfirst\tyear\tor\ttwo\tof\tlife\twhen\ttheir\tdisease\twas\tmanaged.\nThe\tnutritional\trequirements\tfor\tcatch-up\tgrowth\tdepend\ton\twhether\tthe\tchild\thas\toverall
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] |
stunted\ngrowth\n\t(height\tand\tweight\tare\tproportionally\tlow)\tand\tis\tchronically\n\tmalnourished,\tor\tis\t\nprimarily\nwasted\n,\tmeaning\tthat\tthe\tweight\tdeficit\texceeds\tthe\theight\tdeficit.\tWith\trenourishment,\nexpectations\tfor\tweight\tgain\tvary.\tA\tchronically\tmalnourished\tchild\tmay\tnot\tbe\texpected\tto\tgain
|
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] |
more\tthan\t2\tto\t3\tg/kg/day,\twhereas\ta\tchild\twho\tis\tprimarily\twasted\tmay\tgain\tas\tmuch\tas\t20\tg/kg/day.\nNutrient\trequirements,\tespecially\tfor\tenergy\tand\tprotein,\tdepend\ton\tthe\trate\tand\n\tstage\tof\tcatch-up\ngrowth.\tFor\tinstance,\tmore\tprotein\tand\tenergy\tare\tneeded\tduring\tthe\tinitial\tperiod\tof\tvery\trapid
|
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weight\tgain\tand\tfor\tthose\tin\twhom\tlean\ttissue\tis\tthe\tmajor\tcomponent\tof\tthe\tweight\tgain.\tIn\taddition\nto\tenergy,\tother\tnutrients\tare\timportant,\tincluding\tvitamin\tA,\tiron,\tand\tzinc.\nCurrent\tgrowth\tparameters\tare\tused\tto\tevaluate\tthe\tchild’s\tweight\tin\trelation\tto\tage\tand\tstature\nand
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and\n\tto\testimate\ta\t“desirable”\tor\tgoal\tweight.\tFormulas\tare\tthen\tused\tto\testimate\tthe\tminimum\tand\nmaximum\tenergy\tneeded\tfor\tcatch-up\tgrowth.\tAfter\ta\tchild\twho\tis\twasted\tcatches\tup\tin\tweight,\ndietary\tmanagement\tmust\tchange\tto\tslow\tthe\tweight\tgain\tvelocity\tand\tavoid\texcessive\tgain.\tThe
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they\thave\ta\tpoor\tappetite\tfor\ta\tlong\tperiod,\teat\ta\tlimited\tnumber\tof\tfoods,\tor\tdilute\ttheir\tdiets\nsignificantly\twith\tnutrient-poor\tfoods.\nThe\tdietary\treference\tintakes\t(DRIs)\n\tare\tbased\ton\tcurrent\tknowledge\tof\tnutrient\tintakes\tneeded\nfor\toptimal\thealth\t(see\tinside\tcover).\tMost\tdata\tfor\tpreschool\tand\tschool\tage\tchildren\tare\tvalues
|
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0.10820907354354858,
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0.07481922954320908,
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0.05700177699327469,
0.10141978412866592,
0.0680316761136055,
0.0020927446894347668
] |
interpolated\tfrom\tdata\ton\tinfants\tand\tadults.\tThe\tDRIs\tare\tmeant\tto\timprove\tthe\tlong-term\thealth\tof\nthe\tpopulation\tby\treducing\tthe\trisk\tof\tchronic\tdisease\tand\tpreventing\tnutrient\tdeficiencies.\tThus,\nwhen\tan\tintake\tis\tless\tthan\tthe\trecommended\n\tlevel,\tit\tcannot\tbe\tassumed\tthat\ta\tparticular\tchild\tis\ninadequately\tnourished.\nEnergy
|
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] |
inadequately\tnourished.\nEnergy\nThe\tenergy\tneeds\tof\thealthy\tchildren\tare\tdetermined\tby\tbasal\tmetabolism,\trate\tof\tgrowth,\tand
|
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energy\texpenditure\tof\tactivity.\tDietary\tenergy\tmust\tbe\tsufficient\tto\tensure\tgrowth\tand\tspare\tprotein\nfrom\tbeing\tused\tfor\tenergy,\twhile\tnot\tallowing\texcess\tweight\tgain.\tThe\tacceptable\tmacronutrient\ndistribution\tranges\n\t(AMDRs)\tare\t45%\tto\t65%\tas\tcarbohydrate,\t30%\tto\t40%\tas\tfat,\tand\t5%\tto\t20%\tas
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protein\tfor\t1-\tto\t3-year-olds,\twith\tcarbohydrates\tthe\tsame\tfor\t4-\tto\t18-year-olds,\t25%\tto\t35%\tas\tfat,\nand\t10%\tto\t30%\tas\tprotein\t(\nInstitute\tof\tMedicine\t[IOM],\t2005\n).\nThe\tDRIs\tfor\testimated\tenergy\trequirement\t(EER)\tare\taverage\tenergy\trequirements\tbased\ton\tlife-\nstage\tgroupings\tfor\thealthy\tindividuals\tof\tnormal\tweight.\tToddlers
|
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] |
stage\tgroupings\tfor\thealthy\tindividuals\tof\tnormal\tweight.\tToddlers\n\t13\tthrough\t35\tmonths\tare\ngrouped\ttogether;\tfor\tolder\tchildren\tthe\tEERs\tare\tdivided\tby\tsex\tand\tage\t(3\tto\t8\tyears\tand\t9\tto\t18\nyears).\tThe\tEER\tincludes\tthe\ttotal\tenergy\texpenditure\tplus\tenergy\tneeded\tfor\tgrowth\t(see\t\nChapter\n2
|
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] |
Chapter\n2\n).\tThe\tDRIs\tare\tapplied\tto\tchild\tnutrition\tprograms\tand\tother\tguidelines\t(\nOtten\tet\tal,\t2006\n).\t\nBox\n16.1\n\tprovides\texamples\tof\tdetermining\tEER\tfor\tthree\tchildren.\tOn\tan\tindividual\n\tbasis,\tit\tcan\tbe\nuseful\tto\testimate\tenergy\trequirements\tusing\tkilocalories\tper\tkilogram\tof\tweight\tor\tper\tcentimeter\nof\theight.\nBOX\t16.1
|
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] |
of\theight.\nBOX\t16.1\nDetermining\tEstimated\tEnergy\tRequirements\n(Examples\tusing\tdata\tfrom\t\nBox\t2.1\n,\t\nChapter\t2\n)\n1.\t\nFor\t13-\tto\t35-month-old\tchildren:\n2.\t\nFor\tgirls\t3\tthrough\t8\tyears:\n3.\t\nFor\toverweight\tboys\t3\tthrough\t18\tyears\t(weight\tmaintenance):\nEER\n,\tEstimated\tenergy\trequirement;\t\nPA\n,\tphysical\tactivity;\t\nTEE\n,\ttotal\tenergy\texpenditure.\nProtein
|
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PA\n,\tphysical\tactivity;\t\nTEE\n,\ttotal\tenergy\texpenditure.\nProtein\nThe\tneed\tfor\tprotein\tdecreases\tfrom\tapproximately\t1.1\tg/kg\tin\tearly\tchildhood\tto\t0.95\tg/kg\tin\tlate
|
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0.06146402657032013,
0.007652186788618565,
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0.031116832047700882,
0.08041894435882568,
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0.050652991980314255,
0.0727834403514862,
0.11815173178911209,
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] |
childhood\t(\nTable\t16.1\n).\tProtein\tintake\tcan\trange\tfrom\t5%\tto\t30%\tof\ttotal\tenergy,\tdepending\ton\tage.\nProtein\tdeficiency\tis\tuncommon\tin\tAmerican\tchildren,\tpartly\tbecause\tof\tthe\tcultural\temphasis\n\ton\nhigh-protein\tfoods.\tProtein\tintake\tless\tthan\tthe\testimated\taverage\trequirement\t(EAR)\tor
|
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0.004082357510924339
] |
recommended\tdietary\tallowance\t(RDA)\tis\trare\tamong\tchildren\tin\tthe\tUnited\tStates\t(\nBerryman\tet\tal,\n2018\n).\tChildren\twho\tare\tmost\tat\trisk\tfor\tinadequate\tprotein\tintake\tare\tthose\ton\tstrict\tvegan\tdiets,\nthose\twith\tmultiple\tfood\tallergies,\tor\tthose\twho\thave\tlimited\tfood\tselections\tbecause\tof\tfad\tdiets,\nsevere\tsensorimotor
|
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0.09406992793083191,
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0.11137296259403229,
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0.057807598263025284,
0.07606656104326248,
-0.016857022419571877,
-0.05450853332877159,
0.0658402070403099,
-0.012652610428631306,
-0.04860080033540726,
-0.002777311485260725,
0.052891332656145096,
0.03659699857234955,
-0.003797610756009817,
-0.030481956899166107,
0.0571611262857914,
0.019104065373539925,
0.0031943756621330976,
0.013976640067994595,
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0.0476423017680645,
0.0638224184513092,
0.05637587234377861,
-0.008834006264805794
] |
severe\tsensorimotor\n\tissues,\tor\tinadequate\taccess\tto\tfood.\nTABLE\t16.1\nProtein\tDietary\tReference\tIntakes\t(DRIs)\tfor\tChildren\tThrough\tAge\t13\tYears\nPROTEIN\nAge\nGrams/Day\n*\nGrams/Kilogram/Day\n1-3\tyr\n13\tg/day\n1.05\tg/kg/day\n4-8\tyr\n19\tg/day\n0.95\tg/kg/day\n9-13\tyr\n34\tg/day\n0.95\tg/kg/day\n*\nRecommended\tdietary\tallowance\tfor\treference\tindividual\t(g/day).
|
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0.10275536775588989,
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0.06316044926643372,
0.0673019215464592,
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0.018694134429097176,
0.046419329941272736,
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0.02766340970993042,
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0.06577964127063751,
0.0477658286690712,
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0.015072225593030453,
0.0031515148002654314,
-0.000025091669158427976,
0.03824698552489281
] |
*\nRecommended\tdietary\tallowance\tfor\treference\tindividual\t(g/day).\nMinerals\tand\tvitamins\nMinerals\tand\tvitamins\tare\n\tnecessary\tfor\tnormal\tgrowth\tand\tdevelopment.\tInsufficient\tintake\tcan\ncause\timpaired\tgrowth\tand\tresult\tin\tdeficiency\tdiseases.\tThe\tDRIs\tare\tlisted\tinside\tthe\tcover.\nIron
|
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Iron\nYoung\tchildren\tare\tat\trisk\tfor\tiron\tdeficiency\tand\tiron\tdeficiency\tanemia,\twhich\tcan\taffect\ndevelopment\tand\tbehavior.\tNational\tHealth\tand\tNutrition\tExamination\tSurvey\t(NHANES)\tdata\nindicate\tthat\tchildren\twith\tprolonged\tbottle\n\tfeeding\tand\tthose\tof\tMexican\tAmerican\tdescent\tare\tat\nhighest\trisk\tfor\tiron\tdeficiency\t(\nHamner\tet\tal,\t2016\n;
|
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] |
highest\trisk\tfor\tiron\tdeficiency\t(\nHamner\tet\tal,\t2016\n;\t\nBrotanek\tet\tal,\t2005\n;\t\nMoshfegh\tet\tal,\t2005\n).\nRecommended\tintakes\tmust\tfactor\tin\tthe\tabsorption\trate\tand\tquantity\tof\tiron\tin\tfoods,\tespecially\nthose\tof\tplant\torigin.\tThe\tprevalence\tof\tiron\tdeficiency\tamong\t1-\tto\t5-year-olds\tin\tthe\tUnited\tState\tis\n7.1%,\tand\tthe\tprevalence\tof\tiron\tdeficiency
|
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] |
7.1%,\tand\tthe\tprevalence\tof\tiron\tdeficiency\n\tanemia\tis\t1.1%,\twith\thigher\trates\tamong\tchildren\t1\tto\t2\nyears\tof\tage\t(\nGupta\tet\tal,\t2017\n).\nCalcium\nCalcium\tis\tneeded\tfor\tadequate\tmineralization\tand\tmaintenance\tof\tgrowing\tbone\tin\tchildren.\tThe\nRDA\tfor\tcalcium\tfor\tchildren\t1\tto\t3\tyears\told\tis\t700\tmg/day,\tfor\tchildren\t4\tto\t8\tyears\tit\tis\t1000
|
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mg/day,\tand\tfor\tthose\t9\tto\t18\tyears\tit\tis\t1300\tmg\tper\tday.\tActual\tneed\tdepends\ton\tindividual\nabsorption\n\trates\tand\tdietary\tfactors\tsuch\tas\tquantities\tof\tprotein,\tvitamin\tD,\tand\tphosphorus.\nBecause\tmilk\tand\tother\tdairy\tproducts\tare\tprimary\tsources\tof\tcalcium,\tchildren\twho\tconsume
|
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0.02319786138832569,
0.06952989101409912,
0.028137246146798134,
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] |
limited\tamounts\tof\tthese\tfoods\tare\toften\tat\trisk\tfor\tpoor\tbone\tmineralization.\tOther\tcalcium-fortified\nfoods\tsuch\tas\tsoy,\trice,\tand\tnut\tmilks\tand\tfruit\tjuices\tare\talso\tgood\tsources\t(see\t\nAppendix\t39\n).\nZinc\nZinc\tis\tessential\n\tfor\tgrowth;\ta\tdeficiency\tresults\tin\tgrowth\tfailure,\tpoor\tappetite,\tdecreased\ttaste
|
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] |
acuity,\tand\tpoor\twound\thealing.\tBecause\tthe\tbest\tsources\tof\tzinc\tare\tmeat\tand\tseafood,\tsome\nchildren\tmay\tregularly\thave\tlow\tintakes\t(see\t\nAppendix\t47\n).\tDiagnosis\tof\tzinc\tdeficiency,\tespecially\nmarginal\tdeficiency,\tmay\tbe\tdifficult\tbecause\tlaboratory\tparameters,\tincluding\tplasma,\tserum\nerythrocyte,\thair,\tand\turine,
|
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erythrocyte,\thair,\tand\turine,\n\tare\tof\tlimited\tvalue\tin\tdetermining\tzinc\tdeficiency.\tThere\tis\ta\tpositive\ninfluence\tof\tzinc\tsupplementation\ton\tgrowth\tand\tserum\tzinc\tconcentrations.\nVitamin\tD\nVitamin\tD\tis\tneeded\tfor\tcalcium\tabsorption\tand\tdeposition\tof\tcalcium\tin\tthe\tbones;\tother\tfunctions
|
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within\tthe\tbody,\tincluding\tprevention\tof\tchronic\tdiseases\tsuch\tas\tcancer,\tcardiovascular\tdisease,\tand\ndiabetes,\tare\timportant\tareas\tof\n\tcurrent\tinvestigation.\tBecause\tthis\tnutrient\talso\tis\tformed\tfrom\nsunlight\texposure\ton\tthe\tskin,\tthe\tamount\trequired\tfrom\tdietary\tsources\tdepends\ton\tfactors\tsuch\tas\ngeographic\tlocation\tand\ttime\tspent\toutside\t(see
|
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] |
geographic\tlocation\tand\ttime\tspent\toutside\t(see\t\nAppendix\t38\n).\nThe\tDRI\tfor\tvitamin\tD\tfor\tinfants\tis\t400\tIU\t(10\tmcg)\tper\tday\tand\tfor\tchildren\tis\t600\tIU\t(15\tmcg)\nper\tday.\tVitamin\tD-fortified\tmilk\tis\tthe\tprimary\tdietary\tsource\tof\tthis\n\tnutrient,\tand\tbreakfast\tcereals
|
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] |
nutrient,\tand\tbreakfast\tcereals\nand\tnondairy\tmilks\toften\tare\tfortified\twith\tvitamin\tD.\tDairy\tproducts\tsuch\tas\tcheese\tand\tyogurt,\nhowever,\tare\tnot\talways\tmade\tfrom\tfortified\tmilk.\tMilks\tother\tthan\tcow\tmilk\t(e.g.,\tgoat,\tsoy,\talmond,\nor\trice)\tmay\tnot\tbe\tfortified\twith\tvitamin\tD.\tFor\tyoung\tchildren\tthe\tcurrent\tDRI\tfor\tvitamin\tD\tis
|
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] |
higher\tthan\twhat\tmay\tbe\tconsumed\tfrom\ta\ttypical\tdiet.\tSupplementation\tmay\n\tbe\tneeded\tafter\ta\ncareful\tassessment\tor\tmeasurement\tof\tvitamin\tD\tstatus.\tIt\tis\tbecoming\tmore\tcommon\tto\tmeasure\nserum\t25(OH)\tvitamin\tD\tin\tchildren;\thowever,\tthere\tis\tsome\tcontroversy\tregarding\twhat\tconstitutes\noptimal\tlevels\t(\nRovner\tand\tO’Brien,\t2008\n).
|
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] |
optimal\tlevels\t(\nRovner\tand\tO’Brien,\t2008\n).\nVitamin-mineral\tsupplements\nThirty-one\tpercent\tof\tchildren\tunder\t18\tyears\tof\tage\ttake\ta\tmultivitamin-mineral\tsupplement\t(\nDwyer\net\tal,\t2013\n).\n\tFamilies\twith\tmore\teducation,\thigher\tincomes,\tprivate\thealth\tinsurance,\tand\taccess\tto
|
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health\tcare\twere\tmore\tlikely\tto\tuse\tsupplements.\tHowever,\tthese\tmay\tnot\tbe\tthe\tfamilies\twho\tare\tat\ngreatest\trisk\tfor\thaving\tinadequate\tdiets.
|
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] |
Fluoride\tcan\thelp\tprevent\tdental\tcaries.\tIf\ta\tcommunity’s\twater\tsupply\tis\tnot\tfluoridated,\tfluoride\nsupplements\tare\trecommended\tfrom\t6\tmonths\tuntil\t16\tyears\tof\tage.\tHowever,\n\tindividual\tfamily\npractices\tshould\tbe\tassessed,\tincluding\tthe\tchild’s\tprimary\tsource\tof\tfluids\t(e.g.,\tdrinking\twater,
|
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juices,\tor\tother\tbeverages)\tand\tfluoride\tsources\tfrom\tchild\tcare,\tschool,\ttoothpaste,\tand\tmouthwash\n(see\t\nChapter\t25\n).\nThe\tAmerican\tAcademy\tof\tPediatrics\t(AAP)\tdoes\tnot\tsupport\tgiving\thealthy\tchildren\troutine\nsupplements\tof\tany\tvitamins\tor\tminerals\tother\tthan\tfluoride.\tHowever,\n\tchildren\tat\trisk\tfor
|
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] |
children\tat\trisk\tfor\ninadequate\tnutrition\twho\tmay\tbenefit\tinclude\tthose\t(1)\twith\tanorexia,\tinadequate\tappetite,\tor\twho\nconsume\tfad\tdiets;\t(2)\twith\tchronic\tdisease\t(e.g.,\tcystic\tfibrosis,\tinflammatory\tbowel\tdisease,\thepatic\ndisease);\t(3)\tfrom\tfood-insecure\tfamilies\tor\twho\tsuffer\tparental\tneglect\tor\tabuse;\t(4)\twho\tparticipate
|
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in\ta\tdietary\tprogram\tfor\tmanaging\tobesity;\t(5)\twho\tconsume\ta\tvegetarian\tor\n\tvegan\tdiet\twithout\nadequate\tcalcium\tintake\tand/or\tdairy\tproducts\tand\tvitamin\tB\n12\n;\t(6)\twith\tfaltering\tgrowth\t(failure\tto\nthrive);\t(7)\twith\tdevelopmental\tdisabilities.\nChildren\twho\troutinely\ttake\ta\tmultiple\tvitamin\tor\ta\tvitamin-mineral\tsupplement\tusually\tdo\tnot
|
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] |
experience\tnegative\teffects\tif\tthe\tsupplement\tcontains\tnutrients\tin\tamounts\tthat\tdo\tnot\texceed\tthe\nDRIs,\tespecially\tthe\ttolerable\tupper\n\tintake\tlevel.\tHowever,\tsome\tnutrients\tcan\tbe\t“missed”\tby\ngeneral\tmultiple\tvitamin\tsupplements.\tAlthough\tmany\tchildren\tconsume\tless\tthan\tthe\trecommended
|
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] |
amount\tof\tcalcium,\tchildren’s\tvitamin-mineral\tsupplements\ttypically\tdo\tnot\tcontain\tsignificant\namounts\tof\tcalcium.\tFor\texample,\tamong\tchildren\tages\t2\tto\t18\tyears\twho\ttook\tsupplements,\tone-\nthird\tdid\tnot\tmeet\trecommendations\tfor\tcalcium\tand\tvitamin\n\tD\tintakes\teven\twith\tsupplements.\tIn
|
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D\tintakes\teven\twith\tsupplements.\tIn\naddition,\tsupplement\tuse\twas\tassociated\twith\tincreased\tprevalence\tof\texcessive\tintakes\tof\tiron,\tzinc,\nvitamin\tA,\tand\tfolic\tacid\t(\nBailey\tet\tal,\t2012\n).\tIn\taddition,\tan\tanalysis\tof\tsupplements\tmarketed\tfor\ninfants\tand\tchildren\tindicated\tthat\tavailable\tsupplements\tdo\tnot\tnecessarily\tmeet\trecommendations
|
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0.07311664521694183,
0.06151772662997246,
0.058217573910951614,
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] |
for\tintake;\tfor\tsome\tnutrients,\tnot\tenough\tis\tprovided,\tand\n\tfor\tothers,\tthe\tsupplements\tprovide\nexcessive\tamounts\t(\nMadden\tet\tal,\t2014\n).\tChildren\tshould\tnot\ttake\tmegadoses,\tparticularly\tof\tthe\tfat-\nsoluble\tvitamins\tand\tminerals,\tespecially\tliquid\tand\tgummy\tvitamins,\tbecause\tlarge\tamounts\tcan
|
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] |
result\tin\ttoxicity.\tCareful\tevaluation\tof\teach\tpediatric\tsupplement\tis\tsuggested\tbecause\tmany\ttypes\nare\tavailable\tbut\tincomplete.\tBecause\tmany\tvitamin-mineral\tsupplements\n\tlook\tand\ttaste\tlike\tcandy,\nparents\tshould\tkeep\tthem\tout\tof\treach\tof\tchildren\tto\tavoid\texcessive\tintake\tof\tnutrients\tsuch\tas\tiron.
|
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] |
Complementary\tand\tintegrative\tnutrition\ttherapies\tare\tbecoming\tmore\tcommon\tfor\tchildren,\nespecially\tfor\tthose\twith\tspecial\thealth\tcare\tneeds\tsuch\tas\tDown\tsyndrome,\tautism\tspectrum\ndisorder\t(ASD),\tor\tcystic\tfibrosis\t(see\t\nChapters\t33\n\tand\t\n43\n).\tAs\tpart\tof\tthe\tnutrition\n\tassessment,
|
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] |
Chapters\t33\n\tand\t\n43\n).\tAs\tpart\tof\tthe\tnutrition\n\tassessment,\npractitioners\tshould\tinquire\tas\tto\tthe\tuse\tof\tthese\tproducts\tand\ttherapies,\tbe\tknowledgeable\tabout\ntheir\tefficacy\tand\tsafety,\tand\thelp\tfamilies\tdetermine\twhether\tthey\tare\tbeneficial\tand\thow\tto\tuse\nthem\t(see\t\nChapter\t11\n).\nProviding\tan\tadequate\tdiet
|
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] |
them\t(see\t\nChapter\t11\n).\nProviding\tan\tadequate\tdiet\nThe\tdevelopment\tof\tfeeding\tskills,\tfood\thabits,\tand\tnutrition\tknowledge\tparallels\tthe\tcognitive\ndevelopment\tthat\ttakes\tplace\tin\ta\tseries\n\tof\tstages,\teach\tlaying\tthe\tgroundwork\tfor\tthe\tnext.\t\nTable\n16.2\n\toutlines\tthe\tdevelopment\tof\tfeeding\tskills\tin\tterms\tof\tPiaget’s\ttheory\tof\tchild\tpsychology\tand
|
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] |
development.
|
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] |
TABLE\t16.2\nFeeding,\tNutrition,\tand\tPiaget’s\tTheory\tof\tCognitive\tDevelopment\nDevelopmental\nPeriod\nCognitive\tCharacteristics\nRelationship\tto\tFeeding\tand\nNutrition\nSensorimotor\n(birth-2\tyr)\nNeonate\tprogresses\tfrom\tautonomic\nreflexes\tto\ta\tyoung\tchild\twith\nintentional\tinteraction\twith\tthe\nenvironment\tand\tthe\tbeginning\nuse\tof\tsymbols.
|
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environment\tand\tthe\tbeginning\nuse\tof\tsymbols.\nFood\tis\tused\tprimarily\tto\tsatisfy\nhunger,\tas\ta\tmedium\tto\texplore\nthe\tenvironment,\tand\tto\tpractice\nfine\tmotor\tskills.\nProgression\tinvolves\tadvancing\tfrom\nsucking\tand\trooting\treflexes\tto\tthe\nacquisition\tof\tself-feeding\tskills.\nPreoperational\t(2-7\nyr)\nThought\tprocesses\tbecome\ninternalized;\n\tthey\tare
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0.02505127526819706,
0.111564502120018,
0.06475040316581726,
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] |
yr)\nThought\tprocesses\tbecome\ninternalized;\n\tthey\tare\nunsystematic\tand\tintuitive.\nUse\tof\tsymbols\tincreases.\nEating\tbecomes\tless\tthe\tcenter\tof\nattention\tand\tis\tsecondary\tto\tsocial,\nlanguage,\tand\tcognitive\tgrowth.\nFood\tis\tdescribed\tby\tcolor,\tshape,\tand\nquantity,\tbut\tthe\tchild\thas\tonly\ta\nlimited\tability\tto\tclassify\tfood\tinto\n“groups.”
|
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] |
limited\tability\tto\tclassify\tfood\tinto\n“groups.”\nReasoning\tis\tbased\ton\tappearances\nand\thappenstance.\nThe\tchild’s\tapproach\tto\tclassification\nis\tfunctional\n\tand\tunsystematic.\nThe\tchild’s\tworld\tis\tviewed\negocentrically.\nFoods\ttend\tto\tbe\tcategorized\tinto\t“like”\nand\t“don’t\tlike.”\nFoods\tcan\tbe\tidentified\tas\t“good\tfor\nyou,”\tbut\treasons\twhy\tthey\tare
|
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Foods\tcan\tbe\tidentified\tas\t“good\tfor\nyou,”\tbut\treasons\twhy\tthey\tare\nhealthy\tare\tunknown\tor\tmistaken.\nConcrete\noperational\t(7-\n11\tyr)\nThe\tchild\tcan\tfocus\ton\tseveral\naspects\tof\ta\tsituation\nsimultaneously.\nThe\tchild\tbegins\tto\trealize\tthat\nnutritious\tfood\thas\ta\tpositive\teffect\non\tgrowth\tand\thealth\tbut\tthey\thave\ta\nlimited\tunderstanding\tof\thow\tor\twhy.
|
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] |
limited\tunderstanding\tof\thow\tor\twhy.\nCause-and-effect\treasoning\tbecomes\nmore\trational\tand\tsystematic.\nThe\tability\tto\tclassify,\treclassify,\tand\ngeneralize\temerges.\nA\tdecrease\tin\tegocentrism\tpermits\nthe\tchild\tto\ttake\tanother’s\tview.\nMealtimes\ttake\ton\tmore\tof\ta\tsocial\nsignificance.\nThe\texpanding\tenvironment\tincreases\nopportunities\tfor\tinfluences
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The\texpanding\tenvironment\tincreases\nopportunities\tfor\tinfluences\n\ton\tfood\nselection;\ti.e.\tpeer\tinfluence\nincreases.\nFormal\toperational\n(11\tyr\tand\nbeyond)\nHypothetical\tand\tabstract\tthought\nexpand.\nThe\tconcept\tof\tnutrients\tfrom\tfood\nfunctioning\tat\tphysiologic\tand\nbiochemical\tlevels\tcan\tbe\nunderstood.\nThe\tchild’s\tunderstanding\tof
|
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] |
biochemical\tlevels\tcan\tbe\nunderstood.\nThe\tchild’s\tunderstanding\tof\nscientific\tand\ttheoretical\nprocesses\tdeepens.\nConflicts\tin\tmaking\tfood\tchoices\tmay\tbe\nrealized\t(i.e.,\tknowledge\tof\tthe\nnutritious\n\tvalue\tof\tfoods\tmay\tconflict\nwith\tpreferences\tand\tnonnutritive\ninfluences).\nIntake\tpatterns
|
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] |
with\tpreferences\tand\tnonnutritive\ninfluences).\nIntake\tpatterns\nChildren’s\tfood\tpatterns\thave\tchanged\tover\tthe\tyears.\tDietary\tstudies\tshow\tdecreased\tintakes\tof\nsugars\tand\tfats\tin\tchildren\tover\tage\t2,\talthough\tamounts\tconsumed\tare\tstill\thigher\tthan\nrecommendations.\tWhole\tgrain\tconsumption\thas\tslightly\tincreased.\tChildren\tcontinue\tto\teat\tthe
|
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same\tamounts\tof\tfruit,\n\tvegetables,\tdairy\tand\ttotal\tmeat,\tpoultry,\tand\tseafood\t(\nBowman\tet\tal,\t2017\n).\nIn\tcomparison\tto\tthe\tDietary\tGuidelines\tfor\tAmericans,\tmost\tchildren\tdo\tnot\tmeet\nrecommendations.\tThose\t2\tto\t5\tyears\tof\tage\tdo\tconsume\tadequate\tfruit,\twhole\tgrains,\tand\tdairy,\tbut\nall\tchildren\tare\tstill\tlow\tin\tvegetable\tintake\t(
|
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] |
all\tchildren\tare\tstill\tlow\tin\tvegetable\tintake\t(\nGuenther\tet\tal,\t2013\n).\nMore\tenergy\tcomes\tfrom\tsnacks,\tand\tportion\tsizes\thave\tincreased.\tIn\n\taddition,\tmore\tfood\tis\nconsumed\tin\tenvironments\tother\tthan\tthe\thome,\toften\tleading\tto\tincreased\tenergy\tintake.\tFoods
|
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] |
served\tto\tchildren\t6\tto\t12\tyears\tof\tage\tat\tschool\tsupply\tsimilar\tamounts\tof\tenergy\tand\tnutrients\ncompared\twith\tfood\teaten\tat\thome\t(\nMancino\tet\tal,\t2010\n).\tFoods\twith\tlow\tnutrient\tdensity\t(soft\ndrinks,\tdesserts,\tsweeteners,\tand\tsalty\tsnacks)\toften\tdisplace\tnutrient-dense\tfoods.\nLike
|
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] |
Like\n\tphysical\tgrowth\tpatterns,\tfood\tintake\tpatterns\tare\tnot\tsmooth\tand\tconsistent.\tAlthough\nsubjective,\tappetites\tusually\tfollow\tthe\trate\tof\tgrowth\tand\tnutrient\tneeds.\tBy\ta\tchild’s\tfirst\tbirthday,\nmilk\tconsumption\tbegins\tto\tdecline.\tIn\tthe\tnext\tyear\tvegetable\tintake\tdecreases;\tintakes\tof\tcereals,
|
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] |
grain\tproducts,\tand\tsweets\tincrease.\tYoung\tchildren\toften\tprefer\tsofter\tprotein\tsources\tinstead\tof\nmeats\n\tthat\tare\tharder\tto\tchew.\nChanges\tin\tfood\tconsumption\tare\treflected\tin\tnutrient\tintakes.\tThe\tearly\tpreschool\tyears\tshow\ta\ndecrease\tin\tcalcium,\tphosphorus,\triboflavin,\tiron,\tand\tvitamin\tA\tcompared\twith\tinfancy.\tIntakes\tof
|
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most\tother\tkey\tnutrients\tremain\trelatively\tstable.\tDuring\tthe\tearly\tschool\tyears,\ta\tpattern\tof\nconsistent\tand\tsteadily\tincreased\tintakes\tof\tmost\tnutrients\tis\tseen\tuntil\tadolescence.\n\tIn\thealthy\nchildren\ta\twide\tvariability\tof\tnutrient\tintake\tis\tseen\tat\tany\tage.\tChildren\tare\tmost\tlikely\tto\tconsume
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] |
inadequate\tamounts\tof\tcalcium,\tvitamin\tD,\tfiber,\tand\tpotassium\t(\nBailey\tet\tal,\t2010\n;\t\nKranz\tet\tal,\n2012\n).\tHowever,\tclinical\tsigns\tof\tmalnutrition\tin\tAmerican\tchildren\tare\trare.\nFactors\tinfluencing\tfood\tintake\nNumerous\tinfluences,\tsome\tobvious\tand\tothers\tsubtle,\tdetermine\tthe\tfood\n\tintake\tand\thabits\tof
|
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] |
intake\tand\thabits\tof\nchildren.\tHabits,\tlikes,\tand\tdislikes\tare\testablished\tin\tthe\tearly\tyears\tand\tcarried\tthrough\tto\nadulthood.\tThe\tmajor\tinfluences\ton\tfood\tintake\tin\tthe\tdeveloping\tyears\tinclude\tfamily\tenvironment,\nsocietal\ttrends,\tthe\tmedia,\tpeer\tpressure,\tand\tillness\tor\tdisease.\nFamily\tenvironment
|
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] |
food\tlikes\tand\tdislikes\tand\tdiet\tcomplexity\tin\tchildren\tof\tprimary\tschool\tage.\tSimilarities\tbetween\nchildren’s\tand\ttheir\tparents’\tfood\tpreferences\tare\tlikely\tto\treflect\tgenetic\tand\tenvironmental\ninfluences\n\t(\nSavage\tet\tal,\t2007\n;\t\nFildes\tet\tal,\t2014\n;\t\nLarsen\tet\tal,\t2015\n).
|
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] |
(\nSavage\tet\tal,\t2007\n;\t\nFildes\tet\tal,\t2014\n;\t\nLarsen\tet\tal,\t2015\n).\nContrary\tto\tcommon\tbelief,\tyoung\tchildren\tdo\tnot\thave\tthe\tinnate\tability\tto\tchoose\ta\tbalanced,\nnutritious\tdiet;\tthey\tcan\tchoose\tone\tonly\twhen\tpresented\twith\tnutritious\tfoods.\tA\tpositive\tfeeding
|
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] |
relationship\tincludes\ta\tdivision\tof\tresponsibility\tbetween\tparents\tand\tchildren.\tThe\tparents\tand\nother\tadults\tare\tto\tprovide\tsafe,\tnutritious,\n\tdevelopmentally\tappropriate\tfood\tas\tregular\tmeals\tand\nsnacks.\tThe\tchildren\tdecide\thow\tmuch,\tif\tany,\tthey\teat.\tThis\tapproach\tis\tconsistent\twith\ta\tresponsive
|
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] |
parenting\tapproach,\tallowing\tthe\tparent\tand\tchild\tto\trecognize\thunger\tand\tsatiety\tcues\tand\trespond\nappropriately\t(\nBlack\tand\tAboud,\t2011\n).\tEllyn\tSatter\tpromotes\tthis\t“division\tof\tresponsibility”\napproach\tto\tfeeding\tas\twell\t(\nSatter,\t2000\n).\nEating\ttogether\tat\tfamily\tmeals\tis\tbecoming\tless\tcommon,\tpartly\tbecause\tof\tfamily\tschedules,
|
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more\ttime\teating\tin\tfront\tof\ta\tscreen,\tand\tthe\tdecreasing\tamount\tof\ttime\tavailable\tfor\tplanning\tand\npreparing\tfamily\tmeals.\tSchool\tage\tchildren\tand\tadolescents\twho\teat\tmore\tdinners\twith\ttheir\nfamilies\tconsume\tmore\tfruits\tand\tvegetables,\tless\tsoda,\tand\tfewer\tfried\tfoods\tthan\tthose\twho\trarely\neat\tdinner\twith\n\ttheir\tfamilies\t(\nLarson\tet\tal,\t2007
|
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] |
eat\tdinner\twith\n\ttheir\tfamilies\t(\nLarson\tet\tal,\t2007\n).\tFamily\tmeals\thave\tother\tbenefits,\tincluding\ta\npositive\tinfluence\ton\tnutrition\tbeliefs\tand\tpossibly\tprevention\tof\texcessive\tweight\tgain.\tStudies\tshow\nthese\teffects\tcontinue\tinto\tadulthood\t(\nChan\tand\tSobal,\t2011\n;\t\nWatts\tet\tal,\t2018\n).
|
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] |
Chan\tand\tSobal,\t2011\n;\t\nWatts\tet\tal,\t2018\n).\nThe\tatmosphere\taround\tfood\tand\tmealtime\talso\tinfluences\tattitudes\ttoward\tfood\tand\teating.\nUnrealistic\texpectations\tfor\ta\tchild’s\n\tmealtime\tmanners,\targuments,\tand\tother\temotional\tstress\tcan\nhave\ta\tnegative\teffect.\tMeals\tthat\tare\trushed\tcreate\ta\thectic\tatmosphere\tand\treinforce\tthe\ttendency
|
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] |
to\teat\ttoo\tfast.\tA\tpositive\tenvironment\tis\tone\tin\twhich\tsufficient\ttime\tis\tset\taside\tto\teat,\toccasional\nspills\tare\ttolerated,\tand\tconversation\tthat\tincludes\tall\tfamily\tmembers\tis\tencouraged\t(\nFig.\t16.3\n).\nFIG.\t16.3\nEating\ttogether\tgives\tmeals\ta\tplace\tof\tprominence\tin\tthe\thome—meals\tthat\twill\tnot\tbe\treplaced\twith\nfast\tfoods\teaten\ton\tthe\trun.
|
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fast\tfoods\teaten\ton\tthe\trun.\n\t\nSource:\n\tFrom\t\t\nwww.istockphoto.com\n.\nSocioeconomic\tinfluences\nAlmost\tone\tin\tfive\tAmerican\tchildren\tlives\tin\ta\tfamily\twith\tan\tincome\tbelow\tthe\tpoverty\tline;\tin\t2016\n13.3\tmillion\tchildren\tlived\tin\tpoverty.\tSingle-parent\thouseholds\tpredominantly\theaded\tby\n\twomen
|
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] |
women\nhave\tlower\tincomes\tand\tless\tmoney\tfor\tall\texpenses,\tincluding\tfood,\tthan\thouseholds\theaded\tby\nmen;\tabout\thalf\tof\tchildren\tin\tfamilies\twith\ta\tfemale\thouseholder\twere\tin\tpoverty\t(\nSemega\tet\tal,\n2017\n).\tThis\tphenomenon\tmakes\tthese\tfamilies\tincreasingly\tvulnerable\tto\tmultiple\tstressors\tsuch\tas
|
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] |
marginal\thealth\tand\tnutritional\tstatus\tpartly\tbecause\tof\tlack\tof\tjobs,\tchild\tcare,\tadequate\thousing,\nand\thealth\tinsurance.
|
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] |
In\t2016,\t12.3%\tof\tU.S.\thouseholds\texperienced\tfood\tinsecurity.\tAmong\thouseholds\twith\tchildren,\n16.5%\twere\tfood\tinsecure,\twith\tboth\tchildren\tand\tadults\texperiencing\tfood\tinsecurity\tin\t8.0%\tof\nhouseholds\twith\tchildren\t(\nColeman-Jensen\tet\tal,\t2017\n).\tFederal\tfood\tand\tnutrition\tassistance
|
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] |
Coleman-Jensen\tet\tal,\t2017\n).\tFederal\tfood\tand\tnutrition\tassistance\nprograms\t(including\tthe\tSpecial\tSupplemental\tNutrition\tProgram\t[SNAP],\tthe\tSpecial\tSupplemental\nNutrition\tProgram\tfor\tWomen,\tInfants\tand\tChildren\t[WIC],\tand\tthe\tNational\tSchool\tLunch\tProgram)\nprovide\tbenefits\tto\tabout\t59%\tof\tfood-insecure\thouseholds\t(see\t\nChapter\t8
|
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] |
Chapter\t8\n).\tThe\tfood\tstamp\nallotment\tfor\tfamilies,\tbased\ton\tthe\tU.S.\tDepartment\tof\tAgriculture\t(USDA)\tThrifty\tFood\tPlan,\tdoes\nnot\tprovide\tadequate\tfunds\tto\tpurchase\tfood\tbased\ton\tthe\tgovernment’s\tnutrition\tguidelines,\nespecially\twhen\tlabor\n\tis\tconsidered\t(\nDavis\tand\tYou,\t2010\n).\tFood\tinsecurity\talso\tincreases\tthe\trisk\tfor
|
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] |
Davis\tand\tYou,\t2010\n).\tFood\tinsecurity\talso\tincreases\tthe\trisk\tfor\nchildren\tyounger\tthan\tage\t3\tyears\tto\tbe\tiron\tdeficient\twith\tanemia.\tStudies\tsuggest\tthat\tintermittent\nhunger\tin\tAmerican\tchildren\tis\tassociated\twith\tincreased\tdevelopmental\trisk\t(see\t\nFocus\tOn\n:\nChildhood\tHunger\tand\tIts\tEffect\ton\tCognition\tand\tBehavior\n)\t(\nRose-Jacobs\tet\tal,\t2008
|
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)\t(\nRose-Jacobs\tet\tal,\t2008\n).\tEven\nmarginal\tfood\tinsecurity,\twhich\n\tis\toften\tthought\tnot\tto\tbe\tan\tindicator\tof\tnutrition\trisk\tin\tadults,\tis\nassociated\twith\tadverse\thealth\toutcomes\tin\tchildren\t(\nCook\tet\tal,\t2013\n).\n\t\nFocus\tOn\nChildhood\tHunger\tand\tIts\tEffect\ton\tCognition\tand\tBehavior
|
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] |
Focus\tOn\nChildhood\tHunger\tand\tIts\tEffect\ton\tCognition\tand\tBehavior\nFood\tinsecurity\tis\tassociated\twith\tanemia,\tlower\tnutrient\tintake,\tcognitive\tproblems,\taggression,\nand\tanxiety.\n\tChildren\twith\tfood\tinsecurity\thave\tpoorer\tgeneral\thealth\tand\thigher\trates\tof\ndepression,\tand\tfor\tadolescents,\tsuicidal\tideation\tand\tlower\tscores\ton\tacademic\ttests\t(
|
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Gundersen\nand\tZiliak,\t2015\n;\t\nHobbs\tand\tKing,\t2018\n).\tSpecific\tnutrient\tdeficiencies\tsuch\tas\tiron\tdeficiency\nanemia\tcan\tresult\tin\ta\tdecreased\tability\tto\tpay\tattention\tand\tpoorer\tproblem-solving\tskills.\tWith\nfederal\twelfare\treform\tlegislation\n\tand\tin\teconomic\tdownturns,\tan\tincreasing\tnumber\tof\tchildren
|
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and\tin\teconomic\tdownturns,\tan\tincreasing\tnumber\tof\tchildren\nfrom\tlow-income\tfamilies\tare\tat\trisk\tfor\tlimited\tfood\tresources\t(\nStang\tand\tBayerl,\t2010\n).\nThe\tU.S.\tDepartment\tof\tAgriculture\t(USDA)\tmeasures\tfood\tinsecurity\tthrough\tquestions\nadministered\tin\ta\tsupplement\tto\tthe\tCensus\tBureau’s\tCurrent\tPopulation\tSurvey.\tHouseholds\tare
|
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divided\tinto\tthe\tfollowing\tcategories:\thigh\tfood\tsecure\t(all\thousehold\n\tmembers\thad\taccess\tat\tall\ntimes\tto\tenough\tfood),\tmarginal\tfood\tsecure\t(some\tmembers\treported\tanxiety\tabout\tfood\nsufficiency\tor\tshortage\tof\tfood,\tbut\tno\tindication\tof\tchanges\tin\tdiet\tor\tfood\tintake),\tlow\tfood
|
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] |
secure\t(at\tleast\tsome\thousehold\tmembers\treported\treduced\tquality,\tvariety,\tor\tdesirability\tof\ndiet),\tand\tvery\tlow\tfood\tsecure\t(one\tor\tmore\tmembers\treported\tmultiple\tindications\tof\tdisrupted\neating\tpatterns\tand\treduced\tintake).\tData\tfrom\t2016\tindicated\tthat\t16.5%\tof\tU.S.\thouseholds\twith
|
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] |
children\twere\tfood-insecure.\tIn\t2016,\t6.5\tmillion\tchildren\tin\tthe\tUnited\tStates\tlived\tin\tfood-\ninsecure\thouseholds\t(\nColeman-Jensen\tet\tal,\t2017\n).\tGroups\tat\thigher\trisk\tof\tfood\tinsecurity\tinclude\nhouseholds\theaded\tby\tan\tAfrican\tAmerican\tor\tHispanic\tperson\tand\tthose\twith\tchildren\n(\nGundersen\tand\tZiliak,\t2015\n).
|
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] |
(\nGundersen\tand\tZiliak,\t2015\n).\nA\tlongitudinal\tstudy\tfollowing\tapproximately\t21,000\tchildren\tfrom\tkindergarten\tthrough\tthird\ngrade\tfound\tthat\tpersistent\tfood\tinsecurity\twas\tpredictive\tof\timpaired\tacademic\toutcomes,\tpoorer\nsocial\tskills,\tand\ta\ttendency\tto\tincreased\tbody\tmass\tindex\t(BMI)\t(\nRyu\tand\tBartfeld,\t2012\n).
|
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Ryu\tand\tBartfeld,\t2012\n).\nAlthough\tthese\tstudies\thave\tlimitations\tbecause\tof\tother\tfactors\tthat\tmay\taffect\ta\tchild’s\nfunctioning\t(e.g.,\tstress,\n\tfamily\tdysfunction,\tor\tsubstance\tabuse),\ta\tcorrelation\texists\tbetween\nchildren’s\tlack\tof\tsufficient\tfood\tand\ttheir\tbehavioral\tand\tacademic\tfunctioning.\tAs\tfuture\tstudies
|
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provide\tmore\tevidence\tof\tthis\trelationship,\tit\twill\tbe\tclear\tthat\tsocial\tpolicies\tmust\tensure\tthe\nprovision\tof\tchildren’s\tbasic\tneeds\tfor\toptimal\tgrowth\tand\tdevelopment.\nMedia\tmessages\nFood\tis\tmarketed\tto\tchildren\tusing\n\ta\tvariety\tof\ttechniques\t(television,\tradio\tand\tprint\tadvertising)
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a\tvariety\tof\ttechniques\t(television,\tradio\tand\tprint\tadvertising)\nand\tdigital\tmessages\tfrom\ta\tvariety\tof\tdevices.\tSchool\tage\tchildren\tmay\tbe\texposed\tto\tin-school\nmarketing,\tsponsorship,\tproduct\tplacement,\tand\tsales\tpromotion.\tTelevision\tadvertising\tand\tin-
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school\tmarketing\tare\tregulated\tto\tsome\tdegree.\tParents\treport\tchildren\tyounger\tthan\t8\tyears\tof\tage\nspend\tslightly\tmore\tthan\t2\thours\tper\tday\twatching\n\tscreens\t(television,\tmobile\tdevices,\tDVDs,\tvideo\ngames,\tand\tcomputers)\t(\nRideout,\t2017\n).\tChildren\tyounger\tthan\t13\tyears\tof\tage\twho\twatch\t2\thours\tof
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