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stringlengths 12
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listlengths 384
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desirable\tusing\tdietary\tstandards\t(\nKelly\tet\tal,\t2010\n).\tIn\tanother\tsample\tof\ttelevision\tadvertising\tto\nchildren,\tmore\tthan\t40%\tof\tcommercials\twere\tfor\tfood,\twith\t80%\tto\t95%\tfor\titems\thigh\tin\tsaturated\nfat,\ttrans\tfat,\tsugar,\tand\tsodium\t(\nPowell\tet\tal,\t2013\n).
|
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fat,\ttrans\tfat,\tsugar,\tand\tsodium\t(\nPowell\tet\tal,\t2013\n).\nScreen\ttime\tcan\tbe\tdetrimental\tto\tgrowth\tand\tdevelopment\tbecause\tit\tencourages\tinactivity\tand\npassive\tuse\tof\tleisure\ttime.\tIn\ta\tsample\tof\tchildren\t4\tto\t11\tyears\tof\tage,\tjust\tover\tone-third\thad\n\tlow
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] |
low\nlevels\tof\tactive\tplay,\twhile\ttwo-thirds\tof\tthe\tsample\thad\thigh\tscreen\ttime;\tone-fourth\tof\tthe\tgroup\nhad\tboth\tlow\tactivity\tlevels\tand\thigh\tscreen\ttime\t(\nAnderson\tet\tal,\t2008\n).\tTelevision\tviewing\twith\tits\nmultiple\tmedia\tcues\tto\teat\thas\tbeen\tsuggested\tas\ta\tfactor\tcontributing\tto\texcessive\tweight\tgain\tin
|
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] |
school\tage\tchildren,\tespecially\twhen\tthere\tis\ta\ttelevision\tin\tthe\tchild’s\tbedroom\t(\nGilbert-Diamond\tet\nal,\t2014\n).\tIncreases\tin\thours\tof\ttelevision\tviewing\tare\tassociated\twith\trising\tBMIs\tin\tboys\tand\tgirls,\nwith\tfemales\talso\taffected\tby\twatching\tDVDs/videos\tand\telectronic\tgames.\tFor\tthose\talready\tat\trisk
|
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] |
with\thigher\tBMIs,\tlimits\ton\tnoneducational\tviewing\tmay\tbe\tpart\tof\tintervention\tstrategies\t(\nFalbe\tet\nal,\t2013\n).\tTelevision\tviewing\thas\talso\tbeen\tinversely\tassociated\twith\tfruit\tand\tvegetable\tconsumption\n(\nAmerican\tPublic\tHealth\tAssociation\t[APHA],\t2017\n).\nPreschool\tchildren\tare\tgenerally\tunable\tto\tdistinguish\tcommercial\tmessages\tfrom\tregular
|
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] |
promotional\tcharacters,\tnutrition-\tand\thealth-related\tclaims,\ttaste\tand\tfun\tappeal)\tis\tsuggested\n(\nJenkin\tet\tal,\t2014\n).\tGuidance\tis\n\tavailable\tfor\thealth\tcare\tproviders\tand\tfamilies\twith\tchildren\nthrough\tthe\tAmerican\tAcademy\tof\tPediatrics\twebsite\tpage,\tMedia\tand\tYoung\tMinds\t(\nAAP,\t2016\n).
|
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0.0689673200249672,
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0.06291794031858444,
0.01977524906396866,
0.06359146535396576,
0.009725389070808887
] |
AAP,\t2016\n).\nSignificant\tdecreases\thave\toccurred\tin\tbeverage\tand\tfood\tvending\tin\tschools,\tbut\tboth\tforms\tof\nsales\tstill\toccur.\tElementary-age\tstudents\toften\tare\tgiven\tcoupons\tto\tencourage\ttheir\tfamilies\tto\npurchase\tfood,\twhereas\tthose\tin\tupper\tgrades\tmay\n\tbe\texposed\tto\tin-school\texclusive\tbeverage\ncontracts\tand\tother\ttypes\tof\tmarketing\t(
|
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] |
contracts\tand\tother\ttypes\tof\tmarketing\t(\nTerry-McElrath\tet\tal,\t2014\n).\tThe\tUSDA\thas\testablished\nnutrition\tstandards\tfor\tsnack\tfoods\tand\tbeverages\tavailable\tfor\tsale\tin\tschools\tbut\tdoes\tnot\taddress\nfood\tmarketing.\tStandards\tthat\tcan\tbe\tenforced\tare\tstill\tneeded\tto\tclarify\tthe\tnutrition\tcontent\tof\tall\nfoods\tand\tbeverages\tmarketed\tin\tschool\tsettings.
|
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foods\tand\tbeverages\tmarketed\tin\tschool\tsettings.\nPeer\tinfluence\nAs\tchildren\tgrow,\ttheir\tworlds\texpand\tand\ttheir\tsocial\tcontacts\tbecome\tmore\timportant.\tPeer\ninfluence\tincreases\twith\tage\tand\taffects\tfood\tattitudes\tand\tchoices.\tThis\tmay\tresult\tin\ta\tsudden
|
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refusal\tof\ta\tfood\tor\ta\trequest\tfor\ta\tcurrently\tpopular\tfood.\tDecisions\tabout\twhether\tto\tparticipate\tin\nschool\tmeals\tmay\tbe\tmade\tmore\ton\tthe\tbasis\tof\tfriends’\tchoices\tthan\ton\tthe\tmenu.\tSuch\tbehaviors\nare\tdevelopmentally\ttypical.\tPositive\tbehaviors\tsuch\tas\ta\twillingness\tto\ttry\tnew\tfoods\tcan\tbe
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] |
reinforced.\tParents\tmust\tset\tlimits\ton\tundesirable\tinfluences\tbut\talso\tmust\tbe\trealistic;\tstruggles\nover\tfood\tare\tself-defeating.\n\t\nFocus\tOn\nChildhood\tMethylmercury\tExposure\tand\tToxicity\nMercury\ttoxicity\tcan\tcause\tneurologic\n\tproblems,\twhich\tcan\tlead\tto\tcognitive\tand\tmotor\tdeficits.
|
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problems,\twhich\tcan\tlead\tto\tcognitive\tand\tmotor\tdeficits.\nToxicity\trelated\tto\tprenatal\texposure\tis\tdocumented,\tand\tthere\tis\tevidence\tthat\tpostnatal\nexposure\tis\tdangerous\tas\twell\t(\nMyers\tet\tal,\t2009\n;\t\nOken\tand\tBellinger,\t2008\n).\tExposure\tto\tmercury\ncan\toccur\tthrough\tenvironmental\tcontact\tand\teating\tcontaminated\tfoods.\tMethylmercury,\tthe
|
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most\ttoxic\tform\tof\tmercury,\taccumulates\tin\tfish.\nPublic\thealth\n\tagencies\thave\tlooked\tat\tbalancing\tthe\tbenefits\tof\tminimizing\texposure\tto\tthis\nneurotoxin\twith\tthe\trisk\tof\tlimiting\tintake\tof\tdocosahexaenoic\tacid\t(DHA)\tand\teicosapentaenoic\nacid\t(EPA)\tas\twell\tas\ta\tsource\tof\thigh\tbiologic\tvalue\tprotein.\tDHA\tand\tEPA\tare\tessential\tomega-3
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fatty\tacids\tand\thave\treceived\tmuch\tattention\tbecause\tof\ttheir\timportance\tin\tcognitive\tand\tvision\ndevelopment\tand\ttheir\tcardiovascular\n\tbenefits\t(\nMahaffey\tet\tal,\t2008\n).\tIn\taddition,\tfish\tadvisories\nare\tavailable\tin\tcertain\tstates.\tThe\tU.S.\tEnvironmental\tProtection\tAgency’s\t(EPA)\treference\tdose
|
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0.03189891204237938,
0.08455303311347961,
0.08335798233747482,
0.11332661658525467,
0.03459463268518448
] |
for\tmethylmercury\tis\tbased\ton\tbody\tweight:\t0.1\tmcg/kg/day.\tThe\tFood\tand\tDrug\tAdministration\n(FDA)\tand\tEPA\thave\tmade\trecommendations\tfor\tfish\tintake\tby\tyoung\tchildren,\tas\twell\tas\tfor\nwomen\tof\tchildbearing\tage\tand\tpregnant\tand\tbreastfeeding\n\twomen\t(\nFDA,\t2017\n).\tThese
|
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] |
women\t(\nFDA,\t2017\n).\tThese\nrecommendations\twere\tdesigned\tto\tencourage\tfish\tconsumption,\twhile\tlimiting\texposure\tto\nmercury.\tCurrent\trecommendations\tdiffer\tfrom\tprevious\tversions\tby\trecommending\tminimum\nintake\tof\tiron.\tThese\trecommendations\tare\tpresented\tin\ta\tchart\tand\tset\tof\tfrequently\tasked\nquestions:
|
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Illness\tor\tdisease\nChildren\twho\tare\till\tusually\thave\ta\tdecreased\tappetite\tand\tlimited\tfood\tintake.\tAcute\tviral\tor\nbacterial\tillnesses\tare\toften\tshort-lived\tbut\tmay\trequire\tan\tincrease\tin\tfluids,\tprotein,\tor\tother\nnutrients.\tChronic\tconditions\tsuch\tas\tasthma,\tcystic\tfibrosis,\tor\tchronic\trenal\tdisease\tmay\tmake\tit
|
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] |
difficult\tto\tobtain\tsufficient\tnutrients\tfor\toptimal\tgrowth.\tChildren\twith\n\tthese\ttypes\tof\tconditions\tare\nmore\tlikely\tto\thave\tbehavior\tproblems\trelating\tto\tfood.\tChildren\trequiring\tspecial\tdiets\t(e.g.,\tthose\nwho\thave\tdiabetes,\tfood\tallergies,\tor\tphenylketonuria)\tnot\tonly\thave\tto\tadjust\tto\tthe\tlimits\tof\tfoods
|
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] |
allowed\tbut\talso\thave\tto\taddress\tissues\tof\tindependence\tand\tpeer\tacceptance\tas\tthey\tgrow\tolder.\nSome\trebellion\tagainst\tthe\tprescribed\tdiet\tis\ttypical,\tespecially\tas\n\tchildren\tapproach\tpuberty.\nFeeding\tpreschool\tchildren\nFrom\t1\tto\t6\tyears\tof\tage\tchildren\texperience\tvast\tdevelopmental\tprogress\tand\tacquisition\tof\tskills.
|
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One-year-old\tchildren\tprimarily\tuse\tfingers\tto\teat\tand\tmay\tneed\tassistance\twith\ta\tcup.\tBy\t2\tyears\tof\nage,\tthey\tcan\thold\ta\tcup\tin\tone\thand\tand\tuse\ta\tspoon\twell\tbut\tmay\tprefer\tto\tuse\ttheir\thands\tat\ntimes.\tSix-year-old\tchildren\thave\trefined\n\tskills\tand\tare\tbeginning\tto\tuse\ta\tknife\tfor\tcutting\tand\nspreading.
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can\tdevelop\t\nfood\tjags\n,\twhich\tcan\tbe\tperiods\twhen\tfoods\tthat\twere\tpreviously\tliked\tare\trefused,\tor\nthere\tare\trepeated\trequests\tto\teat\n\tthe\tsame\tfood\tmeal\tafter\tmeal.\tThis\tbehavior\tmay\tbe\tattributable\nto\tboredom\twith\tthe\tusual\tfoods\tor\tmay\tbe\ta\tmeans\tof\tasserting\tnewly\tdiscovered\tindependence.
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0.05252552032470703,
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0.006951955147087574
] |
Parents\tmay\thave\tconcerns\twith\ttheir\tchild’s\tseemingly\tirrational\tfood\tbehavior.\tStruggles\tover\ncontrol\tof\tthe\teating\tsituation\tare\tfruitless;\tno\tchild\tcan\tbe\tforced\tto\teat.\tThis\tperiod\tis\ndevelopmental\tand\ttemporary\t(\nFig.\t16.4\n).
|
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] |
FIG.\t16.4\nUse\tof\talternative\teating\tutensils\tcan\tincrease\ta\tpreschooler’s\tinterest\tin\ttrying\tnew\tfoods\tand\ndevelopment\tof\tfine\tmotor\tskills.\nA\tpositive\tfeeding\trelationship\tincludes\ta\tdivision\tof\tresponsibility\tbetween\tparents\tand\tchildren.\nYoung\tchildren\tcan\tchoose\ta\tbalanced\tnutritious\tdiet\tif\tpresented\twith\tnutritious\tfoods.\tThe\tparents
|
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and\tother\tadults\tprovide\tsafe,\tnutritious,\tdevelopmentally\n\tappropriate\tfood\tas\tregular\tmeals\tand\nsnacks;\tand\tthe\tchildren\tdecide\thow\tmuch,\tif\tany,\tthey\teat\t(\nSatter,\t2000\n).\tParents\tmaintain\tcontrol\nover\twhat\tfoods\tare\toffered\tand\thave\tthe\topportunity\tto\tset\tlimits\ton\tinappropriate\tbehaviors.
|
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Neither\trigid\tcontrol\tnor\ta\tlaissez-faire\tapproach\tis\tlikely\tto\tsucceed.\tParents\tand\tother\tcare\nproviders\tshould\tcontinue\tto\toffer\ta\tvariety\tof\tfoods,\tincluding\tthe\n\tchild’s\tfavorites,\tand\tnot\tmake\nsubstitutions\ta\troutine.\tParents’\tfood\tpreferences\talso\tinfluence\tchildren’s\tacceptance\tof\tfoods,\tas\nchildren\toften\tmodel\tparents’\tbehaviors\t(
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children\toften\tmodel\tparents’\tbehaviors\t(\nWardle\tand\tCooke,\t2008\n).\nWith\tsmaller\tstomach\tcapacities\tand\tvariable\tappetites,\tpreschool\tchildren\tshould\tbe\toffered\tsmall\nservings\tof\tfood\tfour\tto\tsix\ttimes\ta\tday\tat\tregular\tand\tpredictable\tintervals.\tSnacks\tare\tas\timportant
|
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0.07768561691045761,
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0.11740225553512573,
0.006001297850161791,
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0.06798359751701355,
0.051121823489665985,
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0.007179338950663805,
0.12060911953449249,
0.11569134891033173,
0.049634769558906555,
0.00944901816546917
] |
as\tmeals\tin\tcontributing\tto\tthe\ttotal\tdaily\tnutrient\tintake.\tCarefully\tchosen\tsnacks\tare\tthose\tdense\tin\nnutrients\tand\tleast\tlikely\tto\tpromote\tdental\tcaries.\tA\tgeneral\tstarting\tpoint\tis\tto\toffer\t1\ttablespoon\tof\neach\tfood\tfor\tevery\tyear\tof\tage\tand\tto\tserve\tmore\tfood\taccording\tto\tthe\tchild’s\tappetite.\t\nTable\t16.3\nis\ta\tguide\tfor\tfood\tand\tportion\tsize.
|
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] |
TABLE\t16.3\nSuggested\tPortion\tSizes\tfor\tChildren\n*\nThese\tsuggestions\tare\tnot\tnecessarily\tappropriate\tfor\tall\tchildren\t(and\tmay\tbe\tinappropriate\tfor\tsome\nchildren\twith\tmedical\tconditions\tthat\tgreatly\taffect\tnutrient\tneeds).\tThey\tare\tintended\tto\tserve\tas\ta\ngeneral\tframework\tthat\tcan\tbe\tindividualized\tbased\ton\ta\tchild’s\tcondition\tand\tgrowth\tpattern.
|
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] |
1-\tto\t3-Year-Olds\n4-\tto\t6-Year-Olds\n7-\tto\t12-Year-\nOlds\nComments\nGrain\nProducts\nBread:\n\t½\tto\t1\tslice\nRice,\tpasta,\npotatoes:\t¼\nto\t½\tcup\nCooked\tcereal:\n¼\tto\t½\tcup\nReady-to-eat\ncereal:\t¼\tto\n½\tcup\nTortilla:\t½\tto\t1\nBread:\t1\tslice\nRice,\tpasta,\npotatoes:\t½\ncup\nCooked\tcereal:\n½\tcup\nReady-to-eat\ncereal:\t¾\tto\n1\tcup\nTortilla:\t1\nBread:\t1\tslice\nRice,\tpasta,
|
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0.004945112857967615
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cereal:\t¾\tto\n1\tcup\nTortilla:\t1\nBread:\t1\tslice\nRice,\tpasta,\npotatoes:\t½\ncup\nCooked\tcereal:\n½\tcup\nReady-to-eat\ncereal:\t1\ncup\nTortilla:\t1\nInclude\twhole\tgrain\tfoods\tand\nenriched\tgrain\tproducts.\nVegetables\nCooked\tor\tpureed:\n2-4\ttablespoons\nRaw:\tfew\npieces,\tif\nchild\tcan\nchew\twell\nCooked\tor\tpureed:\n3-4\ttablespoons\nRaw:\tfew\npieces\nCooked\tor\tpureed:\n½\tcup
|
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3-4\ttablespoons\nRaw:\tfew\npieces\nCooked\tor\tpureed:\n½\tcup\nRaw:\t½\tto\t1\ncup\nInclude\tone\tgreen\tleafy\tor\nyellow\tvegetable\tfor\tvitamin\nA,\tsuch\tas\tspinach,\tcarrots,\nbroccoli,\tor\twinter\tsquash.\nFruit\nRaw\t(apple,\nbanana,\tetc.):\n½\tto\t1\tsmall,\tif\nchild\tcan\tchew\nwell\nCanned:\t2-4\nTablespoons\nJuice:\t3-4\nounces\nRaw\t(apple,\nbanana,\tetc.):\n½\tto\t1\tsmall,\tif
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Juice:\t3-4\nounces\nRaw\t(apple,\nbanana,\tetc.):\n½\tto\t1\tsmall,\tif\nchild\tcan\tchew\nwell\nCanned:\t4-8\nTablespoons\nJuice:\t4\tounces\nRaw\t(apple,\nbanana,\tetc.):\t1\nsmall\nCanned:\t¾\tcup\nJuice:\t5\tounces\nInclude\tone\tvitamin\tC–rich\tfruit,\nvegetable,\tor\tjuice,\tsuch\tas\ncitrus\tjuices,\tan\torange,\ngrapefruit\tsections,\nstrawberries,\tmelon\tin
|
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citrus\tjuices,\tan\torange,\ngrapefruit\tsections,\nstrawberries,\tmelon\tin\nseason,\ta\ttomato,\tor\tbroccoli.\nMilk\tand\nDairy\nProducts\nMilk,\tyogurt,\npudding:\t2-4\nounces\nCheese:\t¾\nounce\nMilk,\tyogurt,\npudding:\t½\tto\n¾\tcup\nCheese:\t1\nounce\nMilk,\tyogurt,\npudding:\t1\tcup\nCheese:\t1\t½\nounces\nMeat,\nPoultry,\nFish,\nOther\nProtein\nMeat,\tpoultry,\tfish:\n1-2\tounces
|
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] |
Meat,\nPoultry,\nFish,\nOther\nProtein\nMeat,\tpoultry,\tfish:\n1-2\tounces\nEggs:\t½\tto\t1\nPeanut\tbutter:\n1\nTablespoon\nCooked\tdried\nbeans:\t4-5\nTablespoons\nMeat,\tpoultry,\tfish:\n1-2\tounces\nEggs:\t1-2\nPeanut\tbutter:\n2\nTablespoons\nCooked\tdried\nbeans:\t4-8\nTablespoons\nMeat,\tpoultry,\n\tfish:\n2\tounces\nEggs:\t2\nPeanut\tbutter:\n3\nTablespoons\nCooked\tdried\nbeans:\t1\ncup\n*
|
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] |
Eggs:\t2\nPeanut\tbutter:\n3\nTablespoons\nCooked\tdried\nbeans:\t1\ncup\n*\nThis\tis\ta\tguide\tto\ta\tbasic\tdiet.\tFats,\toils,\tsauces,\tdesserts,\tand\tsnack\tfoods\tprovide\tadditional\tenergy\tto\tmeet\tthe\tneeds\tof\ta\tgrowing\tchild.\tFoods\ncan\tbe\tselected\tfrom\tthis\tpattern\tfor\tmeals\tand\tsnacks.
|
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] |
can\tbe\tselected\tfrom\tthis\tpattern\tfor\tmeals\tand\tsnacks.\nModified\tfrom\tLowenberg\tME:\tDevelopment\tof\tfood\tpatterns\tin\tyoung\tchildren.\tIn\tTrahms\tCM,\tPipes\tP:\t\nNutrition\n\tin\tinfancy\tand\tchildhood\n,\ted\t6,\tSt\nLouis,\t1997,\tWCB/McGraw-Hill\tand\tHarris;\tHarris\tAB\tet\tal:\t\nNutrition\tstrategies\tfor\tchildren\twith\tspecial\tneeds\n,\t1999,\tUSC\tUniversity\tAffiliated
|
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,\t1999,\tUSC\tUniversity\tAffiliated\nProgram,\tLos\tAngeles.\nSenses\tother\tthan\ttaste\tplay\tan\timportant\tpart\tin\tfood\tacceptance\tby\tyoung\tchildren.\tThey\ttend\tto\navoid\tfood\twith\textreme\ttemperatures,\tand\tsome\tfoods\tare\trejected\tbecause\tof\todor\trather\tthan
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] |
taste.\tA\tsense\tof\torder\tin\tthe\tfood\tpresentation\toften\tis\tpreferred;\tmany\tchildren\tdo\tnot\taccept\tfoods\nthat\ttouch\teach\tother\ton\tthe\tplate,\tand\tmixed\tdishes\tor\tcasseroles\twith\tunidentifiable\tfoods\tare\tnot\npopular.\tBroken\tcrackers\tmay\tgo\tuneaten,\tor\ta\tsandwich\tmay\tbe\trefused\tbecause\tit\tis\t“cut\tthe\nwrong\tway.”
|
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] |
wrong\tway.”\nThe\tphysical\tsetting\tfor\tmeals\tis\timportant.\tChildren’s\tfeet\tshould\tbe\tsupported,\tand\n\tchair\theight\nshould\tallow\ta\tcomfortable\treach\tto\tthe\ttable\tat\tchest\theight.\tSturdy,\tchild-size\ttables\tand\tchairs\tare\nideal,\tor\ta\thigh\tchair\tor\tbooster\tseat\tshould\tbe\tused.\tDishes\tand\tcups\tshould\tbe\tunbreakable\tand
|
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] |
This\nsuggests\tthat\tjuices,\tespecially\tapple\tand\tpear,\tshould\tbe\tavoided\twhen\tusing\tliquids\tto\ttreat\tacute\ndiarrhea.\tFor\tchildren\twith\tchronic\tdiarrhea,\ta\ttrial\tof\trestricting\tfruit\tjuices\tmay\tbe\twarranted\nbefore\tmore\tcostly\tdiagnostic\ttests\tare\tdone.
|
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] |
before\tmore\tcostly\tdiagnostic\ttests\tare\tdone.\nWhen\tchildren\taged\t2\tto\t11\tyears\tconsume\t100%\tjuice,\ttheir\tdiets\thave\tsignificantly\thigher\tintakes\nof\tenergy,\tcarbohydrates,\tvitamins\tC\tand\tB\n6\n,\n\tpotassium,\triboflavin,\tmagnesium,\tiron,\tand\tfolate,\tand
|
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] |
6\n,\n\tpotassium,\triboflavin,\tmagnesium,\tiron,\tand\tfolate,\tand\nsignificantly\tlower\tintakes\tof\ttotal\tfat,\tsaturated\tfatty\tacids,\tdiscretionary\tfat,\tand\tadded\tsugar;\tthis
|
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100%\tjuice\tintake\tdoes\tnot\tcorrelate\twith\toverweight\tlater\t(\nNicklas\tet\tal,\t2008\n).\tHowever,\texcess\njuice\tintake\t(12\tto\t30\toz/day)\tby\tyoung\tchildren\tmay\tdecrease\ta\tchild’s\tappetite,\tresulting\tin\ndecreased\tfood\tintake\tand\tpoor\tgrowth.\tThe\n\tAAP\tpolicy\tstatement\trecommends\tlimiting\tjuice\tintake:
|
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] |
AAP\tpolicy\tstatement\trecommends\tlimiting\tjuice\tintake:\nno\tmore\tthan\t4\toz\tper\tday\tfor\t1-\tto\t3-year-olds,\t4\tto\t6\toz\tper\tday\tfor\t4-\tto\t6-year-olds,\tand\t8\toz\tper\nday\tfor\t7-\tto\t18-year-olds\t(\nHeyman\tand\tAbrams,\t2017\n).\nLarge\tvolumes\tof\tsweetened\tbeverages,\tcombined\twith\tother\tdietary\tand\tactivity\tfactors,\tmay
|
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] |
contribute\tto\toverweight\tin\ta\tchild.\tHigh\tintake\tof\tfructose,\tespecially\tfrom\tsucrose\tand\thigh-\nfructose\n\tcorn\tsyrup\tin\tprocessed\tfoods\tand\tbeverages,\tmay\tlead\tto\tincreased\tplasma\ttriglycerides\nand\tinsulin\tresistance.\tIn\tseveral\tstudies,\tlow\tcalcium\tintake\tand\tobesity\thave\tbeen\tcorrelated\twith
|
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] |
high\tintake\tof\tsugar-sweetened\tbeverages\tin\tpreschool\tchildren\t(\nKeller\tet\tal,\t2009\n;\t\nLim\tet\tal,\t2009\n).\nHigher\tmilk\tand\tlower\tsweetened-beverage\tintake\tis\tassociated\twith\timproved\tnutrient\tintake,\nincluding\tcalcium,\n\tpotassium,\tmagnesium,\tand\tvitamin\tA\t(\nO’Neil\tet\tal,\t2009\n).\tChildren\tshould\tbe
|
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] |
O’Neil\tet\tal,\t2009\n).\tChildren\tshould\tbe\noffered\tmilk,\twater,\tand\thealthy\tsnacks\tthroughout\tthe\tday\tinstead\tof\tsugar-sweetened\tchoices.\nExcess\tsodium\tis\tanother\tconcern.\tAn\tincrease\tin\tsodium\tor\tsalt\tintake\tresults\tin\tan\tincrease\tin\nsystolic\tblood\tpressure\tand\tdiastolic\tblood\tpressure\t(\nBergman\tet\tal,\t2010\n).\tA\treduction\tin\tthe\tuse\tof
|
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] |
Bergman\tet\tal,\t2010\n).\tA\treduction\tin\tthe\tuse\tof\nprocessed\tfoods\tmay\tbe\twarranted\n\tfor\tchildren\twith\televated\tblood\tpressure.\tThe\tDietary\nApproaches\tto\tStop\tHypertension\t(DASH)\tdiet\tis\tuseful\tfor\tall\tage\tgroups\tbecause\tit\tincreases\npotassium,\tmagnesium,\tand\tcalcium\tin\trelation\tto\tsodium\tintake\t(see\t\nAppendix\t17\n).
|
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] |
Appendix\t17\n).\nMeal\ttime\tin\tgroup\tsettings\tis\tan\tideal\topportunity\tfor\tnutrition\teducation\tprograms\tfocused\ton\nvarious\tlearning\tactivities\taround\tfood\t(\nFig.\t16.5\n).\tExperiencing\tnew\n\tfoods,\tparticipating\tin\tsimple\nfood\tpreparation,\tand\tplanting\ta\tgarden\tare\tactivities\tthat\tdevelop\tand\tenhance\tpositive\tfood\thabits\nand\tattitudes.\nFIG.\t16.5
|
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] |
and\tattitudes.\nFIG.\t16.5\nChildren\twho\teat\twith\teach\tother\tin\tan\tappropriate\tenvironment\toften\teat\tmore\tnutritiously\tand\ttry\ta\nwider\tvariety\tof\tfoods\tthan\twhen\teating\talone\tor\tat\thome.\n\t\nSource:\n\t(Courtesy\tof\tAna\tRaab.)\nFeeding\tschool\tage\tchildren\nGrowth\tfrom\tages\t6\tto\t12\tyears\tis\tslow\tbut\tsteady,\tparalleled\tby\ta\tconstant\tincrease\tin\tfood\tintake.
|
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Children\tare\tin\tschool\ta\tgreater\tpart\tof\tthe\tday;\tand\tthey\n\tbegin\tto\tparticipate\tin\tclubs,\torganized\nsports,\tand\trecreational\tprograms.\tThe\tinfluence\tof\tpeers\tand\tsignificant\tadults\tsuch\tas\tteachers,\ncoaches,\tor\tsports\tidols\tincreases.\tExcept\tfor\tsevere\tissues,\tmost\tbehavioral\tproblems\tconnected
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with\tfood\thave\tbeen\tresolved\tby\tthis\tage,\tand\tchildren\tenjoy\teating\tto\talleviate\thunger\tand\tobtain\nsocial\tsatisfaction.\nSchool\tage\tchildren\tmay\tparticipate\tin\n\tthe\tschool\tlunch\tprogram\tor\tbring\ta\tlunch\tfrom\thome.\tThe\nNational\tSchool\tLunch\tProgram\t(NSLP),\testablished\tin\t1946,\tis\tadministered\tby\tthe\tUSDA.\tChildren
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from\tlow-income\tfamilies\tare\teligible\tfor\tfree\tor\treduced-price\tmeals.\tThe\tSchool\tBreakfast\tProgram\n(SBP),\tbegun\tin\t1966,\tis\toffered\tin\tmany\tschools\tthat\tparticipate\tin\tthe\tlunch\tprogram.\tThe\tUSDA\nalso\toffers\tthe\tAfterschool\tSnacks\tand\tSummer\tFood\n\tService\tfor\torganized\tprograms,\tthe\tFresh
|
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] |
Service\tfor\torganized\tprograms,\tthe\tFresh\nFruit\tand\tVegetable\tProgram\tin\tselected\tschools,\tthe\tSpecial\tMilk\tprogram\tfor\tchildren\tnot\nparticipating\tin\tschool\tlunch,\tand\tthe\tChild\tand\tAdult\tFood\tCare\tProgram\tthat\treaches\tchildren\tin\ngroup\tor\tfamily\tchild\tcare\tsites\t(see\t\nChapter\t8\n).
|
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group\tor\tfamily\tchild\tcare\tsites\t(see\t\nChapter\t8\n).\nGuidelines\tfor\tthe\tmeals\tprovided\tby\tthe\tNSLP,\tSBP,\tand\tother\tprograms\tare\tbased\ton\tthe\tIOM\nreport,\t\nSchool\tMeals,\n\tBuilding\tBlocks\tfor\tHealthy\tEating\n\tand\tlegislated\tby\tthe\t2010\tHealthy,\nHunger-Free\tKids\tAct\t(\nMcGuire,\t2011\n).\tIn\taddition\tto\tguidelines\tto\talign\tmeal\tpatterns\twith\tthe
|
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] |
).\tIn\taddition\tto\tguidelines\tto\talign\tmeal\tpatterns\twith\tthe\nDietary\tGuidelines\tand\tto\taddress\tother\tchildhood\thealth\tconcerns,\tthe\tAct\tmakes\tresources\tand\ntechnical\tassistance\tavailable.\tNutrition\tstandards\tfor\tthe\tNSLP\tand\tSBP\tthat\tfollow\tthe\tIOM\nrecommendations\tand\tmade\tsignificant\tchanges\n\tto\tmeal\tpatterns\twere\tpublished\tin\t2012.\tSome
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] |
to\tmeal\tpatterns\twere\tpublished\tin\t2012.\tSome\nrevisions\tand\tflexibility\tin\tmeeting\tthese\tstandards\thave\tbeen\tintroduced\t(\nFood\tand\tNutrition\nService,\t2012\n;\t\nUSDA,\t2018\n).\nEfforts\thave\tbeen\tmade\tto\tdecrease\tfood\twaste\tby\taltering\tmenus\tto\taccommodate\tstudent
|
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preferences,\tallowing\tstudents\tto\tdecline\tone\tor\ttwo\tmenu\titems\tand\toffering\tsalad\tbars.\tEfforts\tto\nincrease\tparticipation\tin\tschool\tlunch\trequire\n\tconsistent\tmessages\tthat\tsupport\thealthful\teating\n(\nHayes\tet\tal,\t2018\n).\nSchool\twellness\tpolicies\twere\trequired\tby\tthe\tschool\tyear\t2006\tto\t2007\tin\tinstitutions\tparticipating
|
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in\tschool\tlunch\tand\tschool\tbreakfast\tprograms.\tThe\tschool,\tincluding\tthe\tadministration,\tteachers,\nstudents,\tand\tfood\tservice\tpersonnel,\tin\tcooperation\twith\tfamilies\tand\tthe\tcommunity,\tare
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] |
encouraged\tto\twork\ttogether\tto\tsupport\n\tnutrition\tintegrity\tin\tthe\teducational\tsetting\t(\nBergman\tet\tal,\n2010\n).\nConsumption\tof\tschool\tmeals\talso\tis\taffected\tby\tthe\tdaily\tschool\tschedule\tand\tthe\tamount\tof\ttime\nallotted\tfor\tchildren\tto\teat.\tOne\tstudy\tsuggested\tthat\tchildren\tshould\thave\t25\tminutes\tof\tseated\ttime
|
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] |
to\tincrease\tdietary\tintake\tbut\talso\tto\treduce\tfood\twaste\t(\nCohen\tet\tal,\t2016\n).\tRecess\tscheduled\tbefore\nlunch\tmay\tincrease\tintake\n\tof\tfruits,\thowever\tmore\tresearch\tis\tneeded\t(\nPrice\tand\tJust,\t2015\n;\nChapman\tet\tal,\t2017\n;\t\nFenton\tet\tal,\t2015\n).\tA\tMontana\t“Recess\tBefore\tLunch”\tpilot\tstudy\tdocumented
|
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).\tA\tMontana\t“Recess\tBefore\tLunch”\tpilot\tstudy\tdocumented\nimprovement\tin\tthe\tmealtime\tatmosphere\tand\tstudents’\tbehavior.\tDiscipline\tproblems\ton\tthe\nplayground,\tin\tthe\tlunchroom,\tand\tin\tthe\tclassroom\tdecreased\t(\nMontana\tOffice\tof\tPublic\tInstruction,\n2010\n).\nChildren\twho\trequire\ta\tspecial\tdiet
|
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2010\n).\nChildren\twho\trequire\ta\tspecial\tdiet\n\tbecause\tof\tcertain\tmedical\tconditions\tsuch\tas\tdiabetes,\tceliac\ndisease,\tor\tdocumented\tfood\tallergy\tare\teligible\tfor\tmodified\tschool\tmeals.\tChildren\twith\ndevelopmental\tdisabilities\tare\teligible\tto\tattend\tpublic\tschool\tfrom\tages\t3\tto\t21\tyears,\tand\tsome\tof
|
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them\tneed\tmodified\tschool\tmeals\t(e.g.,\tmeals\tthat\tare\ttexture\tmodified,\tor\twith\tincreased\tor\ndecreased\tenergy\tdensity).\tTo\treceive\tmodified\tmeals,\n\tfamilies\tmust\tsubmit\twritten\tdocumentation\nby\ta\tmedical\tprofessional\tof\tthe\tdiagnosis,\tmeal\tmodification,\tand\trationale.\tFor\tchildren\treceiving
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rich\tfilling;\tfresh\tvegetables,\tfruit,\tor\tboth;\tlow-fat\tmilk;\tand\tpossibly\ta\tcookie,\ta\tgraham\tcracker,\n\tor\nanother\tsimple\tdessert.\tFood\tsafety\tmeasures\t(e.g.,\tkeeping\tperishable\tfoods\twell\tchilled)\tmust\tbe\nobserved\twhen\tpacking\tlunches\tfor\tschool.\nToday\tmany\tschool\tage\tchildren\tare\tresponsible\tfor\tpreparing\ttheir\town\tbreakfasts.\tIt\tis\tnot
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uncommon\tfor\tchildren\tto\tskip\tthis\tmeal\taltogether,\teven\tchildren\tin\tthe\tprimary\tgrades.\tChildren\nwho\tskip\tbreakfast\ttend\tto\tconsume\tless\tenergy\tand\tother\tnutrients\n\tthan\tthose\twho\teat\tbreakfast\n(\nWilson\tet\tal,\t2006\n).\tReviews\tof\tthe\teffects\tof\tbreakfast\ton\tcognition\tand\tschool\tperformance
|
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] |
indicate\ta\tpositive\tassociation\tbetween\tbreakfast\tand\tschool\tperformance\t(\nAdolphus\tet\tal,\t2016\n)\t(see\nFocus\tOn\n:\tBreakfast:\tDoes\tIt\tAffect\tLearning?\n).\n\t\nFocus\tOn\nBreakfast:\tDoes\tIt\tAffect\tLearning?\nThe\teducational\tbenefits\tof\tschool\tmeal\tprograms\tand\tespecially\tthe\trole\tof\tbreakfast\tin\tbetter
|
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school\tperformance\thave\tbeen\tdebated\tand\tdiscussed\tfor\tdecades.\tOverall,\tbreakfast\nconsumption\thas\tbeen\tassociated\twith\tbetter\ton-task\tclassroom\tbehavior\t(i.e.,\tattention\tin\tclass,\nand\tengagement\tin\tlearning\tactivities)\tregardless\tof\tnutritional\tand/or\tsocioeconomic\tstatus.\tA\nliterature\treview\tindicates
|
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-0.005317132454365492
] |
literature\treview\tindicates\n\tassociations\tbetween\tschool\tperformance\tand\tbreakfast\tconsumption,\nespecially\tamong\tchildren\twho\twere\tat\tnutritional\trisk\t(i.e.,\thad\twasted\tand\tstunted\tgrowth)\tand\nor\twere\tfrom\tlow\tsocioeconomic\tbackgrounds\t(\nAdolphus\tet\tal,\t2013\n).\tSchool-based\tbreakfast
|
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] |
Adolphus\tet\tal,\t2013\n).\tSchool-based\tbreakfast\nexperiments\tin\t9-\tto\t11-year-old\tand\t6-\tto\t8-year-old\tchildren\tfound\tsimilar\tpositive\tresults\twith\nbreakfast\tconsumption\t(i.e.,\tenhanced\tshort-term\n\tmemory,\tbetter\tspatial\tmemory,\tand\timproved\nprocessing\tof\tcomplex\tvisual\tstimuli),\tbut\tother\treports\tare\tless\tsupportive\t(\nAdolphus\tet\tal,\t2013\n).
|
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] |
Adolphus\tet\tal,\t2013\n).\nThese\tstudies\tsuggest\tthat\tbrain\tfunctioning\tis\tsensitive\tto\tshort-term\tvariations\tin\tnutrient\navailability.\tA\tshort\tfast\tmay\timpose\tgreater\tstress\ton\tyoung\tchildren\tthan\ton\tadults,\tresulting\tin\nmetabolic\talterations\tas\tvarious\thomeostatic\tmechanisms\n\twork\tto\tmaintain\tcirculating\tglucose\nconcentrations.
|
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] |
work\tto\tmaintain\tcirculating\tglucose\nconcentrations.\nIn\taddition\tto\tpotential\tpositive\teffects\ton\tacademic\tperformance,\tbreakfast\tcontributes\nsignificantly\tto\tthe\tchild’s\toverall\tnutrient\tintake.\tThese\tstudies\tunderscore\tthe\tpotential\tbenefits\n—not\tonly\tfor\tlow-income\tand\tat-risk\tchildren\tbut\talso\tfor\tall\tschool\tchildren—of\ta\tbreakfast\tat
|
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home\tor\tschool\tmeal\tprograms\tthat\tinclude\tbreakfast.\tIn\n\t2016\t14.57\tmillion\tchildren\tparticipated\nin\tschool\tbreakfast\tprograms\t(SBPs)\t(\nUSDA,\t2017\n).\tIn\t2015–2016,\tan\tadditional\t3.7%\tof\tstudents\neligible\tfor\tfree\tand\treduced-price\tschool\tmeals\tate\tschool\tbreakfasts\t(\nFood\tResearch\tand\tAction\nCenter\t[FRAC],\t2018\n).
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Food\tResearch\tand\tAction\nCenter\t[FRAC],\t2018\n).\nSnacks\tare\tcommonly\teaten\tby\tschool\tage\tchildren,\tprimarily\tafter\tschool\tand\tin\tthe\tevening.\tAs\nchildren\tgrow\tolder\tand\thave\tmoney\tto\tspend,\n\tthey\ttend\tto\tconsume\tmore\tsnacks\tfrom\tvending\nmachines,\tfast-food\trestaurants,\tand\tneighborhood\tgrocery\tstores.\tFamilies\tshould\tcontinue\tto\toffer
|
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and\tpolicies\tthat\tensure\taccess\tto\tbetter-\nquality\tfood,\tlarger\tquantities\tof\tfood,\tand\tbetter\tliving\tconditions\tfor\tlow-income\tchildren\thelp\tto\nreduce\thealth\tdisparities\twhere\tpresent.\nNutrition\teducation\nAs\tchildren\tgrow,\tthey\tacquire\tknowledge\tand\tassimilate\tconcepts.\tThe\tearly\tyears\tare\tideal\tfor
|
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providing\tnutrition\tinformation\tand\tpromoting\tpositive\tattitudes\tabout\tall\tfoods.\tThis\teducation\n\tcan\nbe\tinformal\tand\ttake\tplace\tin\tthe\thome\twith\tparents\tas\tmodels\tand\ta\tdiet\twith\ta\twide\tvariety\tof\nfoods.\tFood\tcan\tbe\tused\tin\tdaily\texperiences\tfor\tthe\ttoddler\tand\tpreschooler\tand\tto\tpromote\tthe
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development\tof\tlanguage,\tcognition,\tand\tself-help\tbehaviors\t(e.g.,\tlabeling;\tdescribing\tsize,\tshape,\nand\tcolor;\tsorting;\tassisting\tin\tpreparation;\tand\ttasting).
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More\tformal\tnutrition\teducation\tis\tprovided\n\tin\tpreschools,\tHead\tStart\tprograms,\tand\tpublic\nschools.\tSome\tprograms\tsuch\tas\tHead\tStart\thave\tfederal\tguidance\tand\tstandards\tthat\tincorporate\nhealthy\teating\tand\tnutrition\teducation\tfor\tthe\tfamilies\tinvolved.\tNutrition\teducation\tin\tschools\tis\tless
|
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standard\tand\tfrequently\thas\tminimum\tor\tno\trequirements\tfor\tinclusion\tin\tthe\tcurriculum\tor\tthe\ntraining\tof\tteachers.\tRecommendations\tinclude\tpolicies\n\tin\tschools\tpromoting\tcoordination\tbetween\nnutrition\teducation;\taccess\tto\tand\tpromotion\tof\tchild\tnutrition\tprograms;\tand\tcooperation\twith\nfamilies,\tthe\tcommunity,\tand\thealth\tservices\t(
|
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families,\tthe\tcommunity,\tand\thealth\tservices\t(\nBergman\tet\tal,\t2010\n).\nTeachers\tattempting\tto\tteach\tchildren\tnutrition\tconcepts\tand\tinformation\tshould\ttake\tinto\taccount\nthe\tchildren’s\tdevelopmental\tlevel.\tThe\tplay\tapproach,\tbased\ton\tPiaget’s\ttheory\tof\tlearning,\n\tis\tone
|
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USDA’s\tTeam\tNutrition\tand\tChoose\tMyPlate\twebsites.\nNutritional\tconcerns\nOverweight\tand\tobesity\nOverweight\tand\tobesity\tamong\tchildren\tis\ta\tsignificant\tpublic\thealth\tproblem.\tThe\tprevalence\tof\nobesity\tand\toverweight\tincreased\trapidly\tin\tthe\t1990s\tand\t2000s,\tand\tplateaued\tfrom\t2005\tto\t2006\nand\t2013\tto\t2014\t(\nHales\tet\tal,\t2018
|
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-0.016175389289855957
] |
and\t2013\tto\t2014\t(\nHales\tet\tal,\t2018\n).\tObesity\trates\tin\tsome\tpopulations,\tfor\texample\tHispanic\tand\nnon-Hispanic\twhite\tchildren\tand\tadolescents,\tare\tcontinuing\tto\tincrease.\nNHANES\t(2015–2016)\treported\tan\tobesity\t(BMI-for-age\tabove\tthe\t95th\tpercentile)\tprevalence\tof\n16.8%\tin\tyouth\tages\t2\tto\t19\tyears,
|
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] |
16.8%\tin\tyouth\tages\t2\tto\t19\tyears,\n\tand\textreme\tobesity\t(BMI-for-age\t>120%\tof\tthe\t95th\tpercentile)\nprevalence\tof\t5.6%\t(\nHales\tet\tal,\t2018\n).\tFor\tchildren\t2\tto\t5\tyears\tof\tage,\tthe\tprevalence\tof\tobesity\ndecreased\tfrom\t13.9%\tin\t2003\tto\t2004\tto\t9.4%\tin\t2013\tto\t2014\t(\nOgden\tet\tal,\t2018a\n).\tPrevalence\tof
|
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] |
Ogden\tet\tal,\t2018a\n).\tPrevalence\tof\nobesity\tis\thigher\tamong\tnon-Hispanic\tblack\tand\tHispanic\tyouth\tthan\tamong\tnon-Hispanic\twhite\tand\nnon-Hispanic\tAsian\tchildren\tand\tadolescents\n\t(\nOgden\tet\tal,\t2018a\n).\tThe\tprevalence\tof\tobesity\tvaries\nby\tincome\tand\teducation\tlevel\tas\twell;\tobesity\trates\tare\tlower\tin\tthe\thighest\tincome\tand\teducation
|
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] |
groups\tthan\tamong\tother\tgroups\t(\nOgden\tet\tal,\t2018b\n).\tThe\tExpert\tCommittee\treport\tsuggests\tthe\nfollowing\tterms\tto\tdescribe\trisk\tbased\ton\tBMI:\t\nobesity\n\tas\tBMI-for-age\tat\tor\tabove\tthe\t95th\npercentile\tand\t\noverweight\n\tas\tBMI-for-age\tbetween\tthe\t85th\n\tand\t94th\tpercentiles\t(\nBarlow\tand\nCommittee,\t2007
|
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] |
and\t94th\tpercentiles\t(\nBarlow\tand\nCommittee,\t2007\n),\tand\tCDC\tdefinitions\talso\tinclude\ta\tdesignation\tfor\t“extreme”\tor\t“severe”\tobesity.\nDetermining\twhether\tgrowing\tchildren\tare\tobese\tis\tdifficult.\tSome\texcess\tweight\tmay\tbe\tgained\tat\neither\tend\tof\tthe\tchildhood\tspectrum;\tthe\t1-year-old\ttoddler\tand\tthe\tprepubescent\tchild\tmay\tweigh
|
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more\tfor\tdevelopmental\tand\tphysiologic\treasons,\tbut\tthis\textra\tweight\n\tis\toften\tnot\tpermanent.\tBMI,\na\tuseful\tclinical\ttool\tfor\tscreening\tfor\toverweight,\thas\tlimitations\tin\tdetermining\tobesity\tbecause\tof\nvariability\trelated\tto\tsex,\tethnicity,\tbody\tcomposition,\tand\tmaturation\tstage.
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The\tCDC\tgrowth\tcharts\tallow\ttracking\tof\tBMI\tfrom\tage\t2\tinto\tadulthood;\tthus\tchildren\tcan\tbe\nmonitored\tperiodically,\tand\tintervention\tprovided\twhen\tthe\trate\tof\tBMI\tchange\tis\texcessive.\n\tThe\nBMI\tcharts\tshow\tthe\tadiposity\trebound,\twhich\tnormally\toccurs\tin\tchildren\tbetween\t4\tand\t6\tyears\tof\nage\t(see\t\nAppendix\t3
|
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] |
age\t(see\t\nAppendix\t3\n).\tChildren\twhose\tadiposity\trebound\toccurs\tbefore\t5½\tyears\tof\tage\tare\tmore\nlikely\tto\tweigh\tmore\tas\tadults\tthan\tthose\twhose\tadiposity\trebound\toccurs\tafter\t7\tyears\tof\tage.\tThe\ntiming\tof\tthe\tadiposity\trebound\tin\tchildhood\tand\texcess\tfatness\tin\tadolescence\tare\ttwo\tcritical\nfactors
|
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0.11345750093460083,
0.06314431130886078,
0.07203127443790436,
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] |
factors\n\tin\tthe\tdevelopment\tof\tobesity,\twith\tthe\tlatter\tbeing\tthe\tmost\tpredictive\tof\tadult\tobesity\tand\nrelated\tmorbidity\t(\nWilliams\tand\tGoulding,\t2009\n).\nAlthough\tgenetic\tpredisposition\tis\tan\timportant\tfactor\tin\tobesity\tdevelopment,\tthe\tincreases\tin\tthe
|
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] |
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