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] |
is\t12.2\tyears\tin\tAfrican\tAmerican\tfemales,\t12.2\tyears\tin\tHispanic\tfemales,\tand\t12.6\tyears\tin\tnon-\nHispanic\n\twhite\tfemales\t(\nRamnitz\tand\tLodish,\t2013\n).\tSimilarly,\tbreast\tdevelopment\toccurs\tat\ta\tmean\nage\tof\t9.5\tyears\tin\tAfrican\tAmerican\tfemales,\t9.7\tyears\tin\tHispanic\tfemales,\tand\t10.3\tyears\tin\tnon-
|
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] |
Hispanic\twhite\tfemales.\tEvidence\tregarding\tethnic/racial\tdifferences\tin\tthe\ttiming\tof\tpuberty\tfor\tmales\nis\tsupported\tby\tfewer\tstudies\tand\tis\tless\tconsistent.\tHowever,\tNHANES\tIII\tdata\tshows\tthat\tthe\ttiming\nof\n\tTanner\tstage\t2\tgenital\tdevelopment\ttends\tto\tbe\tearlier\tfor\tAfrican\tAmerican\tmales\t(9.2\tyears)\tthan
|
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] |
for\tHispanic\tmales\t(10.3\tyears),\tbut\tnot\tdifferent\tin\tcomparison\twith\tnon-Hispanic\twhite\tmales\t(10\nyears)\t(\nRamnitz\tand\tLodish,\t2013\n).\nIndividual\tvariation\tin\tthe\ttiming\tof\tpuberty\twithin\tpopulation\tsubgroups\tis\tinfluenced\tby\tgenetic,\nenvironmental,\tand\tnutrition\tfactors.\tThere\tis\tstrong\tevidence\n\tthat\ta\tminimum\tbody\tweight\tis\tneeded
|
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that\ta\tminimum\tbody\tweight\tis\tneeded\nfor\tpubertal\tdevelopment\tto\tprogress\tand\talso\tconsistent\tevidence\tthat\tobesity\tmay\tcontribute\tto\tearly\nonset\tof\tpuberty\tin\tfemales\t(\nAbreu\tand\tKaiser,\t2016\n;\t\nLi\tet\tal,\t2017\n).\tAn\tanalysis\tof\tdata\tfrom\tfive\tcohort\nstudies\tshowed\tthat\tthe\tnumber\tof\tfemales\twith\tearly\tpuberty\twas\tgreater\tin\tthe\tgroup\twith\ta\tbody
|
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mass\tindex\t(BMI)\tin\tthe\t95th\tpercentile\tor\thigher\tthan\n\tthat\tin\tthe\tgroup\twith\tlower\tBMIs.\tThe\ndifference\tin\tpuberty\ttiming\twas\tspecifically\trelated\tto\tthelarche;\televated\tBMI\twas\tnot\tlinked\tto\nmenarche\n\t(the\tonset\tof\tmenses\tor\tmenstruation).\tEvidence\tregarding\tan\tassociation\tbetween\tobesity\nand\tthe\tonset\tof\tpuberty\tin\tmales\tis\tinconsistent\t(
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] |
and\tthe\tonset\tof\tpuberty\tin\tmales\tis\tinconsistent\t(\nLi\tet\tal,\t2017\n).\tLikewise,\tevidence\tregarding\tthe\ninfluence\tof\tother\tspecific\tnutritional\tfactors\tis\tlimited\n\tand,\tas\tyet,\tinconsistent.\tOne\texample\tof\ta\nfactor\tbeing\tinvestigated\tis\tanimal\tfoods;\tsome\tresearch\tsuggests\tthat\thigher\tintake\tof\tanimal\tfoods\tis
|
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] |
related\tto\tearlier\tsexual\tdevelopment,\twhereas\tvegetable\tprotein\tintake\thas\tbeen\trelated\tto\tlater\nmaturation\t(\nVillamor\tand\tJansen,\t2016\n).\tEvidence\tfor\tthe\tinfluence\tof\tother\tnutritional\tfactors\tincluding\nprenatal\tnutrition,\tinfant\tfeeding\tpractices,\n\tand\tchildhood\tintake\tof\tfat,\tcarbohydrate,\tand\nmicronutrients\tis\tmixed\t(
|
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] |
micronutrients\tis\tmixed\t(\nVillamor\tand\tJansen,\t2016\n).\nIn\tsummary,\tmany\tfactors\timpact\tthe\ttiming\tof\tpuberty\tand\tthere\tis\tgreat\tvariation\tacross\tand\twithin
|
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population\tsubgroups.\tSecular\ttrend\tdata\tsuggest\tthat\tthe\tage\tof\tpubertal\tdevelopment\tin\tU.S.\tfemales\nhas\tdeclined\tsince\tthe\tlate\t1800s\tand\tmay\thave\tcontinued\tto\tdecline\tsince\tthe\tmid-1900s;\thowever,\ndata\tare\tinsufficient\tto\testablish\ta\tsimilar\ttrend\tamong\tmales\tand\tthere\tcontinues\tto\tbe\tmuch\tnormal\nvariation\tin\ttiming\t(\nAbreu\tand\tKaiser,\t2016
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variation\tin\ttiming\t(\nAbreu\tand\tKaiser,\t2016\n).\tSecular\tdeclines\tin\tthe\taverage\tage\tof\tmenarche\tare\tlikely\ndue\tin\tpart\tto\timprovements\tin\tgeneral\thealth\tand\tnutrition\tover\ttime\tamong\tthe\tpopulation\t(\nRamnitz\nand\tLodish,\t2013\n).\tFor\tindividuals,\tit\tis\tfurther\timportant\tto\trecognize\tthat\tmenarche\tincreases\n\tthe
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] |
the\nmicronutrient\trequirements\tof\tfemales\tand\tthe\ttiming\tof\tmenarche\tshould\ttherefore\tbe\tevaluated\nduring\ta\tfull\tnutrition\tassessment.\nLinear\tgrowth\nThe\tvelocity\tof\tphysical\tgrowth\tduring\tadolescence\tis\tmuch\thigher\tthan\tthat\tof\tearly\tchildhood\t(\nFig.\n17.2
|
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] |
Fig.\n17.2\n).\tOn\taverage,\tadolescents\tgain\tabout\t20%\tof\ttheir\tadult\theight\tduring\tpuberty.\tThere\tis\ta\tgreat\ndeal\tof\tvariability\tin\tthe\ttiming\tand\tduration\n\tof\tgrowth\tamong\tadolescents\tas\tillustrated\tin\t\nFig.\t17.3\n\tby\na\tgroup\tof\t13-year-old\tstudents.\nFIG.\t17.2
|
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] |
Fig.\t17.3\n\tby\na\tgroup\tof\t13-year-old\tstudents.\nFIG.\t17.2\nTypical\tindividual\tvelocity\tcurves\tfor\tsupine\tlength\tor\theight\tin\tmales\tand\tfemales.\tCurves\trepresent\tthe\ngrowth\tvelocity\tof\tthe\ttypical\tboy\tand\tgirl\tat\tany\tgiven\tage.\nFIG.\t17.3\nThese\tteens\tare\tall\tthe\tsame\tage,\tbut\ttheir\tenergy\tneeds\tvary\taccording\tto\ttheir\tindividual\tgrowth\nrates.
|
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rates.\n\t\nSource:\n\tFrom\t\t\nwww.istockphoto.com\n.
|
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females\tgain\tno\tmore\tthan\t2\tto\t3\tinches\tafter\tmenarche,\talthough\tfemales\twho\thave\tearly\tmenarche\ntend\tto\tgrow\tmore\tafter\tits\tonset\tthan\tdo\tthose\n\thaving\tlater\tmenarche.\tIncreases\tin\theight\tare\naccompanied\tby\tincreases\tin\tweight\tduring\tpuberty.\tTeens\tgain\t40%\tto\t50%\tof\tadult\tbody\tweight
|
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] |
during\tadolescence.\tThe\tmajority\tof\tweight\tgain\tcoincides\twith\tincreases\tin\tlinear\theight.\tHowever,\tit\nshould\tbe\tnoted\tthat\tteens\tmay\tgain\tmore\tthan\t15\tpounds\tafter\tlinear\tgrowth\thas\tceased.\tChanges\tin\nbody\tcomposition\taccompany\tchanges\tin\tweight\tand\theight.\n\tMales\tgain\ttwice\tas\tmuch\tlean\ttissue\tas
|
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Males\tgain\ttwice\tas\tmuch\tlean\ttissue\tas\nfemales,\tresulting\tin\tdifferentiation\tin\tpercent\tbody\tfat\tand\tlean\tbody\tmass.\tBody\tfat\tlevels\tincrease\nfrom\tprepuberty\taverages\tof\t15%\tfor\tmales\tand\t19%\tfor\tfemales,\tto\t15%\tto\t18%\tin\tmales\tand\t22%\tto\n26%\tin\tfemales.\tDifferences\tin\tlean\tbody\tmass\tand\tbody\tfat\tmass\taffect\tenergy\tand\tnutrient\tneeds
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throughout\tadolescence\tand\tdifferentiate\tthe\tneeds\tof\tfemales\n\tfrom\tthose\tof\tmales.\nDeviations\tfrom\tthe\tnormal\tpatterns\tof\tgrowth\tdescribed\there\tmay\toccur\talong\twith\tchronic\nconditions\texperienced\tin\tchildhood\tor\tthe\tmedications\tprescribed\tto\ttreat\tcommon\tconditions.\tFor
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example,\tthe\tprescription\tof\tstimulant\tmedications\tfor\tthe\ttreatment\tof\tattention-deficit/hyperactivity\ndisorder\t(ADHD)\tand\tinhaled\tcorticosteroids\tfor\tthe\ttreatment\tof\tasthma\thave\tbeen\n\tinvestigated\tdue\tto\nconcerns\tregarding\tappetite\tsuppression\tand\tgrowth\tdeficits\t(\nRichardson\tet\tal,\t2017\n).\tShort-term
|
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] |
studies\thave\tshown\tno\nclinically\tsignificant\theight\tdeficits\tby\tadulthood.\tSimilarly,\tinhaled\tcorticosteroids\tare\tassociated\twith\nmild\tgrowth\tsuppression\tin\tthe\tshort\tterm\t(0.4\tto\t1.5\tcm/year)\tbut\tno\tclinically\tsignificant\teffects\ton\nadult\theight.\tWhile\tadditional\tresearch\tis\tneeded\tto\tevaluate\tthese\ttherapies,\tthe\texamples\thighlight
|
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the\timportance\tof\taddressing\tthe\timpact\tof\tmedication\tuse\tas\tpart\n\tof\tpediatric\tnutritional\tassessments.\nNutrient\trequirements\nThe\tdietary\treference\tintakes\t(DRIs)\tfor\tadolescents\tare\tlisted\tby\tchronologic\tage\tand\tgender\t(see\ninside\tcover).\tAlthough\tthe\tDRIs\tprovide\tan\testimate\tof\tthe\tenergy\tand\tnutrient\tneeds\tfor\tan\tindividual
|
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adolescent,\tactual\tneed\tvaries\tgreatly\tbetween\tteens\tas\ta\tresult\tof\tdifferences\tin\tbody\tcomposition,\ndegree\tof\tphysical\tmaturation,\n\tand\tlevel\tof\tphysical\tactivity.\tTherefore\thealth\tprofessionals\tshould\tuse\nthe\tDRIs\tas\ta\tguideline\tduring\tnutritional\tassessment\tbut\tshould\trely\ton\tclinical\tjudgment\tand
|
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indicators\tof\tgrowth\tand\tphysical\tmaturation\tto\tmake\ta\tfinal\tdetermination\tof\tan\tindividual’s\tnutrient\nand\tenergy\trequirements.\nEnergy\nEstimated\tenergy\trequirements\t(EERs)\tvary\tgreatly\tamong\tmales\tand\tfemales\tbecause\tof\tvariations\n\tin\ngrowth\trate,\tbody\tcomposition,\tand\tphysical\tactivity\tlevel\t(PAL).\tEERs\twere\testablished\tby\tthe\tNational
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Academy\tof\tMedicine,\tformerly\tthe\tInstitute\tof\tMedicine,\tand\tare\tcalculated\tusing\tan\tadolescent’s\ngender,\tage,\theight,\tweight,\tand\tPAL,\twith\tan\tadditional\t25\tkilocalories\t(kcal)\tper\tday\tadded\tfor\tenergy\ndeposition\tor\tgrowth\t(\nInstitute\tof\tMedicine\t[IOM],\t2006\n).\tTo\tdetermine\tadequate\tenergy\n\tintake,
|
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0.017990749329328537
] |
).\tTo\tdetermine\tadequate\tenergy\n\tintake,\nphysical\tactivity\tassessment\tis\trequired.\tThe\tenergy\trequirements\tallow\tfor\tfour\tlevels\tof\tactivity\n(sedentary,\tlow\tactive,\tactive,\tand\tvery\tactive),\twhich\treflect\tthe\tenergy\texpended\tin\tactivities\tother\nthan\tthe\tactivities\tof\tdaily\tliving.\t\nTables\t17.2\n\tand\t\n17.3
|
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] |
than\tthe\tactivities\tof\tdaily\tliving.\t\nTables\t17.2\n\tand\t\n17.3\n\tshow\tthe\tEER\tfor\teach\tactivity\tlevel\tbased\ton\nPALs.
|
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] |
TABLE\t17.2\nEstimated\tEnergy\tRequirements\tfor\tAdolescent\tMales\nESTIMATED\tENERGY\tREQUIREMENTS\n(KCAL/DAY)\nAge\nReference\tWeight\n(kg\t[lb])\nReference\tHeight\n(m\t[in])\nSedentary\nPAL\n*\nLow\tActive\nPAL\n*\nActive\nPAL\n*\nVery\tActive\nPAL\n*\n9\n28.6\t(63.0)\n1.34\t(52.8)\n1505\n1762\n2018\n2334\n10\n31.9\t(70.3)\n1.39\t(54.7)\n1601\n1875\n2149\n2486\n11\n35.9\t(79.1)\n1.44\t(56.7)\n1691
|
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] |
1.39\t(54.7)\n1601\n1875\n2149\n2486\n11\n35.9\t(79.1)\n1.44\t(56.7)\n1691\n1985\n2279\n2640\n12\n40.5\t(89.2)\n1.49\t(58.7)\n1798\n2113\n2428\n2817\n13\n45.6\t(100.4)\n1.56\t(61.4)\n1935\n2276\n2618\n3038\n14\n51.0\t(112.3)\n1.64\t(64.6)\n2090\n2459\n2829\n3283\n15\n56.3\t(124)\n1.70\t(66.9)\n2223\n2618\n3013\n3499\n16\n60.9\t(134.1)\n1.74\t(68.5)\n2320\n2736\n3152\n3663\n17\n64.6\t(142.3)\n1.75\t(68.9)\n2366
|
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] |
1.74\t(68.5)\n2320\n2736\n3152\n3663\n17\n64.6\t(142.3)\n1.75\t(68.9)\n2366\n2796\n3226\n3754\n18\n67.2\t(148)\n1.76\t(69.3)\n2383\n2823\n3263\n3804\nPAL\n,\tPhysical\tactivity\tlevel.\nData\tfrom\tInstitute\tof\tMedicine,\tFood\tand\tNutrition\tBoard:\t\nDietary\treference\tintakes\tfor\tenergy,\n\tcarbohydrate,\tfiber,\tfat,\tfatty\tacids,\tcholesterol,\tprotein,\nand\tamino\tacids
|
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0.01684088446199894,
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0.033987581729888916,
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0.10386563092470169,
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0.034919753670692444,
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0.0034620389342308044,
0.012605447322130203,
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0.0725134015083313,
0.022906458005309105,
0.0503232479095459,
-0.01969309337437153
] |
and\tamino\tacids\n,\tWashington,\tDC,\t2002,\tNational\tAcademies\tPress.\n*\nPAL\tcategories,\twhich\tare\tbased\ton\tthe\tamount\tof\twalking\tper\tday\tat\t2-4\tmph,\tare\tas\tfollows:\tsedentary,\tno\tadditional\tactivity;\tlow\tactive,\t1.5-2.9\nmiles/day;\tactive,\t3-5.8\tmiles/day;\tand\tvery\tactive,\t7.5-14\tmiles/day\t(see\t\nTable\t2.3\n).\nTABLE\t17.3\nEstimated\tEnergy
|
[
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0.10910175740718842,
0.07322218269109726,
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0.042910173535346985,
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0.025975992903113365,
0.08630788326263428,
0.002849783282727003,
0.021359331905841827,
-0.02142278291285038,
0.05921139568090439,
0.014720187522470951,
-0.024242831394076347,
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0.026961354538798332,
-0.03618978336453438
] |
Table\t2.3\n).\nTABLE\t17.3\nEstimated\tEnergy\n\tRequirements\tfor\tAdolescent\tFemales\nESTIMATED\tENERGY\tREQUIREMENTS\n(KCAL/DAY)\nAge\nReference\tWeight\n(kg\t[lb])\nReference\tHeight\n(m\t[in])\nSedentary\nPAL\n*\nLow\tActive\nPAL\n*\nActive\nPAL\n*\nVery\tActive\nPAL\n*\n9\n29.0\t(63.9)\n1.33\t(52.4)\n1390\n1635\n1865\n2248\n10\n32.9\t(72.5)\n1.38\t(54.3)\n1470\n1729\n1972\n2376\n11\n37.2\t(81.9)
|
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2248\n10\n32.9\t(72.5)\n1.38\t(54.3)\n1470\n1729\n1972\n2376\n11\n37.2\t(81.9)\n1.44\t(56.7)\n1538\n1813\n2071\n2500\n12\n40.5\t(89.2)\n1.49\t(58.7)\n1798\n2113\n2428\n2817\n13\n44.6\t(91.6)\n1.51\t(59.4)\n1617\n1909\n2183\n3640\n14\n49.4\t(108.8)\n1.60\t(63)\n1718\n2036\n2334\n3831\n15\n52.0\t(114.5)\n1.62\t(63.8)\n1731\n2057\n2362\n2870\n16\n53.9\t(118.7)\n1.63\t(64.2)\n1729\n2059\n2368\n2883\n17
|
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] |
2057\n2362\n2870\n16\n53.9\t(118.7)\n1.63\t(64.2)\n1729\n2059\n2368\n2883\n17\n55.1\t(121.4)\n1.63\t(64.2)\n1710\n2042\n2353\n2871\n18\n56.2\t(123.8)\n1.63\t(64.2)\n1690\n2024\n2336\n2858\nPAL\n,\tPhysical\tactivity\tlevel.\nData\tfrom\tInstitute\tof\tMedicine,\tFood\tand\tNutrition\tBoard:\t\nDietary\treference\tintakes\tfor\tenergy,\n\tcarbohydrate,\tfiber,\tfat,\tfatty\tacids,\tcholesterol,\tprotein,
|
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] |
carbohydrate,\tfiber,\tfat,\tfatty\tacids,\tcholesterol,\tprotein,\nand\tamino\tacids\n,\tWashington,\tDC,\t2002,\tNational\tAcademies\tPress.\n*\nPAL\tcategories,\twhich\tare\tbased\ton\tthe\tamount\tof\twalking\tper\tday\tat\t2-4\tmph\tare\tas\tfollows:\tsedentary,\tno\tadditional\tactivity;\tlow\tactive,\t1.5-2.9
|
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] |
miles/day;\tactive,\t3-5.8\tmiles/day;\tand\tvery\tactive,\t7.5-14\tmiles/day\t(see\t\nTable\t2.3\n).\nAdequacy\tof\tenergy\tintake\tfor\tadolescents\n\tis\tassessed\tbest\tby\tmonitoring\tweight\tand\tBMI.\tExcessive\nweight\tgain\tindicates\tthat\tenergy\tintake\tis\texceeding\tenergy\tneeds,\twhereas\tweight\tloss\tor\ta\tdrop\tin
|
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BMI\tbelow\tan\testablished\tpercentile\tcurve\tsuggests\tthat\tenergy\tintake\tis\tinadequate\tto\tsupport\tthe\nbody’s\tneeds.\tGroups\tof\tadolescents\twho\tare\tat\televated\trisk\tfor\tinadequate\tenergy\tintake\tinclude\nteens\twho\t“diet”\tor\tfrequently\trestrict\n\tcaloric\tintake\tto\treduce\tbody\tweight;\tindividuals\tliving\tin\tfood-
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caloric\tintake\tto\treduce\tbody\tweight;\tindividuals\tliving\tin\tfood-\ninsecure\thouseholds,\ttemporary\thousing,\tor\ton\tthe\tstreet;\tadolescents\twho\tfrequently\tuse\talcohol\tor\nillicit\tdrugs,\twhich\tmay\treduce\tappetite\tor\treplace\tfood\tintake;\tand\tteens\twith\tchronic\thealth\tconditions\nsuch\tas\tcystic\tfibrosis,\tCrohn’s\tdisease,\tor\tmuscular\tdystrophy.
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such\tas\tcystic\tfibrosis,\tCrohn’s\tdisease,\tor\tmuscular\tdystrophy.\nRecent\tconcerns\tabout\texcessive\tenergy\tintake\tamong\tyouth\thave\n\tcentered\ton\tintake\tof\tsolid\tfats\tand\nadded\tsugars.\tThe\tmean\tdaily\tintake\tof\tsolid\tfats\tand\tadded\tsugars\tamong\tyoung\tpeople\tages\t12\tto\t19\nyears\trepresents\t32%\tof\ttotal\tenergy\tconsumption\t(\nBowman\tet\tal,\t2016
|
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] |
years\trepresents\t32%\tof\ttotal\tenergy\tconsumption\t(\nBowman\tet\tal,\t2016\n).\tOn\ta\tgiven\tday,\tyoung\tpeople\nconsume\ta\tmean\tof\t38\tgrams\tof\tsolid\tfats\tand\t21.8\tteaspoon\tequivalents\tof\tadded\tsugars\t(\nBowman\tet\nal,\t2016\n).\tThe\tmain\tfood\tand\tbeverage\tsources\tof\tsolid\tfats\tare\n\tmilk,\tgrain-based\tdesserts,\tpizza,
|
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] |
milk,\tgrain-based\tdesserts,\tpizza,\ncheese,\tprocessed\tmeats,\tand\tfried\tpotatoes.\tGrain-based\tdesserts\tare\talso\ta\tmain\tsource\tof\tadded\nsugar\tintake\talong\twith\tsugar-sweetened\tbeverages,\tcandy\tand\tother\tsweet\tsnacks,\tready-to-eat\ncereals,\tdairy-based\tdesserts,\tand\tsweeteners\tand\tsyrups.\tSugar-sweetened\tbeverages\tare\tof\tparticular
|
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concern\tas\ta\tsource\tof\tadded\tsugar\tintake;\tsoft\tdrinks\tcontribute\tnearly\n\t30%\tand\tfruit\tdrinks\tcontribute\n15%\tof\tadded\tsugars\tconsumed\tby\tyouth\tages\t2\tto\t18\tyears\t(\nKeast\tet\tal,\t2013\n).\tNHANES\tdata\trevealed\nthat\t64%\tof\tmales\tand\t61%\tof\tfemales\tconsume\ta\tsugar-sweetened\tbeverage\ton\ta\tgiven\tday\t(\nRosinger\net\tal,\t2017
|
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Rosinger\net\tal,\t2017\n).\tThe\tproportion\tof\tenergy\tfrom\tsolid\tfats\tand\tadded\tsugars\tis\tsimilar\tfor\tfoods\tand
|
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] |
beverages\tobtained\tfrom\tstores\t(33%),\tschools\t(32%),\tand\tfast-food\trestaurants\n\t(35%)\t(\nPoti\tet\tal,\t2014\n).\nCounseling\trelated\tto\texcessive\tenergy\tintakes\tamong\tadolescents\tshould\tfocus\ton\tintake\tof\ndiscretionary\tcalories,\tespecially\tthose\tfrom\tadded\tsweeteners\tconsumed\tthrough\tsoft\tdrinks\tand\tcandy
|
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0.07882393151521683,
0.04915935918688774,
0.050497040152549744,
-0.006381656043231487
] |
and\tfrom\tsolid\tfats\tconsumed\tthrough\tsnack\tfoods\tand\tfried\tfood.\tTips\tshould\tbe\tprovided\tfor\tselecting\nnutrient-dense\tfoods\tand\tbeverages\tat\tall\tlocations\twhere\tteens\tspend\ttheir\n\ttime.\nProtein\nDuring\tadolescence\tprotein\trequirements\tvary\twith\tdegree\tof\tphysical\tmaturation.\tThe\tDRIs\tfor\tprotein
|
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0.10201820731163025,
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] |
intake\tare\testimated\tto\tallow\tfor\tadequate\tpubertal\tgrowth\tand\tpositive\tnitrogen\tbalance\t(\nIOM,\t2006\n).\nTable\t17.4\n\tillustrates\tthe\tprotein\trequirements\tfor\tadolescents.\tActual\tprotein\tneeds\tare\tbest\ndetermined\tbased\ton\ta\tper\tkilogram\tof\tbody\tweight\tmethod\tduring\tpuberty\tto\taccount\n\tfor\tdifferences\tin\nrates\tof\tgrowth\tand\tdevelopment\tamong\tteens.
|
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] |
for\tdifferences\tin\nrates\tof\tgrowth\tand\tdevelopment\tamong\tteens.\nTABLE\t17.4\nProtein:\tEstimated\tAverage\tRequirements\tand\tRecommended\tDietary\tAllowances\tfor\tAdolescents\nAge\t(yr)\nEAR\t(g/kg/day)\nRDA\t(g/kg/day)\n9-13\n0.76\n0.95\tor\t34\tg/day\n*\n14-18\tMales\n0.73\n0.85\tor\t52\tg/day\n*\n14-18\tFemales\n0.71\n0.85\tor\t46\tg/day\n*\nEAR\n,\tEstimated\taverage\trequirement;
|
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0.018877048045396805,
-0.005353361368179321,
-0.023414455354213715,
-0.04625214636325836,
-0.021497434005141258
] |
0.71\n0.85\tor\t46\tg/day\n*\nEAR\n,\tEstimated\taverage\trequirement;\t\nRDA\n,\trecommended\tdietary\tallowance.\nData\tfrom\tInstitute\tof\tMedicine,\tFood\tand\tNutrition\tBoard:\t\nDietary\treference\tintakes\tfor\tenergy,\tcarbohydrate,\tfiber,\tfat,\tfatty\tacids,\tcholesterol,\tprotein,\nand\tamino\tacids\n,\tWashington,\tDC,\t2002,\tNational\tAcademies\tPress.\n*
|
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] |
and\tamino\tacids\n,\tWashington,\tDC,\t2002,\tNational\tAcademies\tPress.\n*\nBased\ton\taverage\tweight\tfor\tage.\nInsufficient\tprotein\tintake\tis\tuncommon\tin\tthe\tU.S.\tadolescent\tpopulation.\tHowever,\tas\twith\tenergy\nintake,\tfood\tsecurity\tissues,\tchronic\n\tillness,\tfrequent\tdieting,\tand\tsubstance\tuse\tmay\tcompromise
|
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illness,\tfrequent\tdieting,\tand\tsubstance\tuse\tmay\tcompromise\nprotein\tintakes\tamong\tadolescents.\tTeens\twho\tfollow\tvegan\tor\tsimilarly\trestrictive\tdiets\tare\talso\tat\nelevated\trisk\tfor\tinadequate\tprotein\tintake.\nWhen\tprotein\tintake\tis\tinadequate,\talterations\tin\tgrowth\tand\tdevelopment\tare\tseen.\tIn\tthe\tstill-
|
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] |
growing\tadolescent,\tinsufficient\tprotein\tintake\tresults\tin\tdelayed\tor\tstunted\tincreases\tin\theight\n\tand\nweight.\tIn\tthe\tphysically\tmature\tteen,\tinadequate\tprotein\tintake\tcan\tresult\tin\tweight\tloss,\tloss\tof\tlean\nbody\tmass,\tand\talterations\tin\tbody\tcomposition.\tImpaired\timmune\tresponse\tand\tsusceptibility\tto\ninfection\talso\tmay\tbe\tseen.
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] |
infection\talso\tmay\tbe\tseen.\nCarbohydrates\tand\tfiber\nCarbohydrate\trequirements\tof\tadolescents\tare\testimated\tto\tbe\tabout\t130\tg/day\t(\nIOM,\t2006\n).\tThe\nrequirements\tfor\tcarbohydrates,\tas\tfor\tmost\n\tnutrients,\tare\textrapolated\tfrom\tadult\tneeds\tand\tshould\tbe
|
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|
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intake,\twhereas\tthose\twho\tare\tinactive\tor\thave\ta\tchronic\tcondition\tthat\tlimits\tmobility\tmay\trequire\nfewer\tcarbohydrates.\tWhole\tgrains\tare\tthe\n\tpreferred\tsource\tof\tcarbohydrates\tbecause\tthese\tfoods\nprovide\tvitamins,\tminerals,\tand\tfiber.\tIntake\tof\tcarbohydrate\tis\tadequate\tin\tmost\tteens;\tdata\tfrom\tthe
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] |
2013–2014\tWhat\tWe\tEat\tin\tAmerica\tsurvey,\ta\tcomponent\tof\tthe\tNHANES,\tsuggest\tthat\taverage\tdaily\nintakes\tof\tcarbohydrate\tare\t298\tg\tfor\tteenage\tmales\tand\t220\tg\tfor\tfemales\t(\nU.S.\tDepartment\tof\nAgriculture\t[USDA],\tAgricultural\tResearch\tService\t[ARS],\t2016b\n).
|
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0.012053826823830605,
0.09362203627824783,
-0.061265505850315094,
0.04901127889752388,
-0.016713066026568413
] |
Agriculture\t[USDA],\tAgricultural\tResearch\tService\t[ARS],\t2016b\n).\nHowever,\tfiber\tintakes\tof\tyouth\tare\tlow\tbecause\tof\tpoor\tintake\tof\twhole\tgrains,\tfruits,\tand\tvegetables.\nThe\tadequate\tintake\t(AI)\tvalues\tfor\tfiber\tintake\tamong\tadolescents\tare\t31\tg/day\tfor\tmales\t9\tto\t13\tyears
|
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] |
old,\t38\tg/day\tfor\tmales\t14\tto\t18\tyears\told,\tand\t26\tg/day\tfor\t9-\tto\t18-year-old\tfemales.\tThese\tvalues\tare\nderived\tfrom\tcalculations\tthat\tsuggest\tthat\tan\tintake\tof\t14\tg/1000\tkcal\tprovides\n\toptimal\tprotection\nagainst\tcardiovascular\tdisease\t(CVD)\tand\tcancer\t(\nIOM,\t2006\n).\tAdolescents\twho\trequire\tless\tenergy
|
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] |
IOM,\t2006\n).\tAdolescents\twho\trequire\tless\tenergy\nintake\tbecause\tof\tactivity\trestrictions\tmay\thave\tneeds\tthat\tare\tlower\tthan\tthe\tAI\tvalues.\nWhat\tWe\tEat\tin\tAmerica\tsurvey\tdata\tsuggest\tthat\taverage\tdaily\tintakes\tof\tfiber\tare\t16.4\tg\tfor\tteenage\nmales\tand\t12.5\tg\tfor\tfemales\t(\nUSDA,\tARS,\t2016b\n).\tThe\tdisparities\tbetween\tfiber\trecommendations\n\tand
|
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] |
).\tThe\tdisparities\tbetween\tfiber\trecommendations\n\tand\nactual\tintakes\tsuggest\tthat\tmore\temphasis\tmust\tbe\tplaced\ton\tmaking\toptimal\tsources\tof\tcarbohydrates,\nincluding\twhole\tgrains,\tfruits,\tvegetables,\tand\tlegumes,\treadily\tavailable\tand\tappealing\tchoices\tin\tthe\nsettings\twhere\tadolescents\tmake\tfood\tchoices.\nFat
|
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settings\twhere\tadolescents\tmake\tfood\tchoices.\nFat\nDRI\tvalues\tfor\ttotal\tfat\tintake\thave\tnot\tbeen\testablished\tfor\tadolescents.\tInstead\tit\tis\trecommended\nthat\ttotal\tfat\tintakes\tnot\texceed\n\t30%\tto\t35%\tof\toverall\tenergy\tintake,\twith\tno\tmore\tthan\t10%\tof\tcalories
|
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coming\tfrom\tsaturated\tfatty\tacids.\tSpecific\trecommendations\tfor\tintakes\tof\tomega-6\tand\tomega-3\tfatty\nacids\thave\tbeen\tset\tin\tan\tattempt\tto\tensure\tthat\tteens\tconsume\tadequate\tessential\tfatty\tacids\tto\nsupport\tgrowth\tand\tdevelopment,\tas\twell\tas\tto\treduce\tchronic\tdisease\trisk\tlater\tin\tlife.\tThe\tAI\tfor\nomega-6\tpolyunsaturated\tfatty
|
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] |
omega-6\tpolyunsaturated\tfatty\n\tacids\t(linoleic\tacid)\tis\t12\tg/day\tfor\t9-\tto\t13-year-old\tmales,\t10\tg/day\tfor\n9-\tto\t13-year-old\tfemales,\t16\tg/day\tfor\t14-\tto\t18-year-old\tmales,\tand\t11\tg/day\tfor\t14-\tto\t18-year-old\nfemales.\tEstimated\trequirements\tfor\tomega-3\tpolyunsaturated\tfatty\tacids\t(alpha-linolenic\tacid)\tamong
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teens\tare\t1.2\tg/day\tfor\t9-\tto\t13-year-old\tmales,\t1\tg/day\tfor\t9-\tto\t13-year-old\tfemales,\t1.6\tg/day\tfor\t14-\tto\n18-year-old\n\tmales,\tand\t1.1\tg/day\tfor\t14-\tto\t18-year-old\tfemales\t(\nIOM,\t2006\n).\nMinerals\tand\tvitamins\nMicronutrient\tneeds\tof\tyouth\tare\televated\tduring\tadolescence\tto\tsupport\tphysical\tgrowth\tand
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development.\tThe\tmicronutrients\tinvolved\tin\tthe\tsynthesis\tof\tlean\tbody\tmass,\tbone,\tand\tred\tblood\tcells\nare\tespecially\timportant\tduring\tadolescence.\tVitamins\tand\tminerals\tinvolved\tin\tprotein,\tribonucleic\nacid,\tand\n\tdeoxyribonucleic\tacid\tsynthesis\tare\tneeded\tin\tthe\tgreatest\tamounts\tduring\tthe\tgrowth\tspurt.
|
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] |
Needs\tdecline\tafter\tphysical\tmaturation\tis\tcomplete;\thowever,\tthe\trequirements\tfor\tvitamins\tand\nminerals\tinvolved\tin\tbone\tformation\tare\televated\tthroughout\tadolescence\tand\tinto\tadulthood,\tbecause\nbone\tdensity\tacquisition\tis\tnot\tcompleted\tby\tthe\tend\tof\tpuberty.\nIn\tgeneral,\tadolescent\tmales\trequire\tgreater
|
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] |
In\tgeneral,\tadolescent\tmales\trequire\tgreater\n\tamounts\tof\tmost\tmicronutrients\tduring\tpuberty,\twith\tthe\nexception\tof\tiron.\tMicronutrient\tintakes\tduring\tadolescence\tare\toften\tinadequate\tamong\tsome\nsubgroups\tof\tteens,\tespecially\tamong\tfemales\tand\tyoung\tpeople\tof\tnon-Hispanic\tblack\trace\t(\nMoore\tet\nal,\t2012\n;\t\nPapanikolaou\tet\tal,\t2015
|
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] |
Moore\tet\nal,\t2012\n;\t\nPapanikolaou\tet\tal,\t2015\n).\tData\tfrom\tthe\tNational\tGrowth\tand\tHealth\tStudy,\twhich\tfollowed\ta\ncohort\tof\tmore\tthan\t2300\tgirls\tover\t10\tyears,\tsuggest\n\tthat\tthe\tmajority\tof\tteenage\tgirls\thave\ninadequate\tintakes\tof\tcalcium,\tmagnesium,\tpotassium,\tand\tvitamins\tD\tand\tE\t(\nMoore\tet\tal,\t2012\n).\tThe
|
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] |
Moore\tet\tal,\t2012\n).\tThe\nproportion\tof\tgirls\twith\tinadequate\tintakes\ttends\tto\tincrease\twith\tage.\tWhat\tWe\tEat\tin\tAmerica\tsurvey\ndata\talso\tcan\tbe\tused\tto\tmonitor\tthe\tadequacy\tof\tmicronutrient\tintakes\tamong\tU.S.\tadolescents.\nCompared\twith\tDRI\trecommendations\tthis\tsurvey\tdata\tsuggests\n\tintakes\tof\tvitamin\tE\tand\tcalcium\tare
|
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0.07508184015750885,
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0.0016232086345553398,
0.11223454773426056,
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0.0885048359632492,
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0.02234017662703991,
0.05061247572302818,
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0.013228011317551136,
0.06917973607778549,
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0.0005148489726707339,
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0.05128927528858185,
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-0.019644461572170258,
0.07607124745845795,
0.03634224459528923,
-0.02847973443567753,
-0.018827486783266068,
0.0786583200097084,
0.003475656732916832,
-0.087971530854702,
0.0010668704053387046,
0.0814962089061737,
0.0057878438383340836,
-0.021918050944805145,
0.02180159091949463,
-0.011787720024585724,
0.07980174571275711,
0.06262412667274475,
-0.01478427741676569,
0.04633239656686783,
0.0836934745311737,
0.04367769509553909,
0.06280701607465744,
-0.027391307055950165
] |
intakes\tof\tvitamin\tE\tand\tcalcium\tare\noften\ttoo\tlow\tamong\tmales\tand\tfemales\t(\nTables\t17.5\n\tand\t\n17.6\n)\t(\nUSDA,\tARS,\t2016b\n).\nTABLE\t17.5\nMean\tIntakes\tof\tSelect\tNutrients\tCompared\twith\tDRIs:\tAdolescent\tMales\nMean\tIntake\n9-\tto\t13-year-old\tRDA/AI\n14-\tto\t18-year-old\tRDA/AI\nVitamin\tA\t(mcg\tRAE)\n648\n600\n700\nVitamin\tD\t(µg)\n6.0\n15\n15\nVitamin\tE\t(mg)\n9.3\n11
|
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0.09690382331609726,
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0.002012699143961072,
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0.10504399240016937,
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0.04322220757603645,
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0.040555596351623535,
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0.037880394607782364,
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] |
648\n600\n700\nVitamin\tD\t(µg)\n6.0\n15\n15\nVitamin\tE\t(mg)\n9.3\n11\n15\nThiamin\t(mg)\n1.99\n0.9\n1.2\nRiboflavin\t(mg)\n2.53\n0.9\n1.3\nNiacin\t(mg)\n31.5\n12\n16\nVitamin\tB\n6\n\t(mg)\n2.53\n1\n1.3\nFolate\t(μg\tDFE)\n620\n300\n400\nVitamin\tB\n12\n\t(μg)\n6.50\n1.8\n2.4\nVitamin\tC\t(mg)\n75.9\n45\n75\nPhosphorus\t(mg)\n1604\n1250\n1250\nMagnesium\t(mg)\n296\n240\n410\nIron\t(mg)\n17.4\n8\n11\nZinc\t(mg)\n13.7\n8
|
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] |
1250\nMagnesium\t(mg)\n296\n240\n410\nIron\t(mg)\n17.4\n8\n11\nZinc\t(mg)\n13.7\n8\n11\nCalcium\t(mg)\n1186\n1300\n1300\nSodium\t(mg)\n3960\n1500\n1500\nFiber\t(g)\n16.4\n31\n38\nAI\n,\tAdequate\tintake;\t\nDRI\n,\tdietary\treference\tintake;\t\nRDA\n,\trecommended\tdietary\tallowance.\nData\tsources:\tU.S.\tDepartment\tof\tAgriculture\t(USDA),\tAgricultural\tResearch\tService\t(ARS):
|
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0.032171763479709625,
-0.04324088990688324,
-0.09020636975765228,
0.0185114536434412,
0.05037615820765495,
-0.0483388751745224,
-0.003975065425038338,
-0.0032775269355624914,
-0.04412358999252319,
-0.0618031807243824,
-0.012335226871073246,
0.014139214530587196,
0.02663484215736389,
-0.05071180313825607,
-0.06259427219629288,
0.009985535405576229,
-0.02077372930943966,
0.011705203913152218,
0.023893306031823158,
-0.019502896815538406,
0.0169319249689579,
0.0183094572275877,
0.02844345197081566,
-0.03776775673031807,
-0.08578553050756454,
-0.03831944987177849,
0.00717159966006875,
0.07826399058103561,
-0.0452011302113533,
-0.14580856263637543,
0.08815639466047287,
0.055358339101076126,
-0.039239928126335144,
-0.0352681465446949,
0.01631282828748226,
-0.04606528952717781,
-0.02437499351799488,
0.0026183424051851034,
-0.015408040955662727,
0.011835393495857716,
-0.06066683679819107,
0.04282274842262268,
0.0003115191066171974,
0.026623962447047234,
-0.036072418093681335,
-0.0126888956874609,
-0.03516479209065437
] |
Nutrient\tIntakes\tfrom\tFood\tand\tBeverages:\tMean\tAmounts\nConsumed\n\tper\tIndividual,\tby\tGender\tand\tAge,\tin\tthe\tUnited\tStates,\t2013-2014,\tWhat\tWe\tEat\tin\tAmerica\n,\tNHANES\t(website):\nwww.ars.usda.gov/nea/bhnrc/fsrg\n,\t2016.
|
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0.01789114437997341,
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0.0099177872762084,
1.530621938958751e-33,
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0.05073852464556694,
0.03792055323719978,
0.0029828203842043877,
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0.018229851499199867,
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0.02936367876827717,
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0.03536612167954445,
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0.025867125019431114,
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0.08260122686624527,
0.034276943653821945,
0.04859994724392891,
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0.0051521663554012775,
0.10924463719129562,
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0.021175766363739967,
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0.06352703273296356,
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0.009169844910502434,
0.008253980427980423,
0.09355305880308151,
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0.0244284700602293,
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0.11550713330507278,
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0.01029973290860653,
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0.02081991918385029,
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0.006813324987888336,
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0.042949240654706955,
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0.03157706931233406,
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0.018209310248494148,
0.012473146431148052,
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0.047867417335510254,
0.10807990282773972,
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0.12583860754966736,
0.12507255375385284,
-4.792412511278599e-8,
0.06802713871002197,
-0.016837043687701225,
-0.036671288311481476,
0.052287254482507706,
-0.0018948891665786505,
-0.03883008658885956,
0.058599330484867096,
0.06147870793938637,
0.012354832142591476,
0.07231999188661575,
-0.022952044382691383,
0.12360476702451706,
-0.040077123790979385,
-0.05579405277967453,
0.0668044313788414,
0.01091422326862812,
-0.0051076458767056465,
0.061196547001600266,
-0.01797923445701599,
-0.05094095692038536,
0.0037296279333531857,
0.05240646377205849,
-0.04029780626296997,
-0.0026735553983598948,
0.013182125985622406,
-0.04134054854512215,
-0.010269872844219208,
0.07424594461917877,
0.07257640361785889,
0.021739289164543152,
0.07391299307346344,
-0.05188306048512459,
-0.014216006733477116,
-0.06295807659626007,
-0.03058384545147419,
0.03556320071220398,
-0.06851690262556076,
-0.009917390532791615,
-0.00026335648726671934,
0.03876160457730293,
-0.053753629326820374,
-0.02214524894952774,
-0.07717513293027878,
0.040615592151880264,
0.011097551323473454,
-0.010136732831597328,
-0.06663727015256882,
0.10410623252391815,
-0.03682193532586098,
-0.029047833755612373,
0.003284705337136984,
0.06271161884069443,
0.007669772021472454,
-0.01545980479568243,
-0.056496310979127884,
0.008454471826553345,
0.09598880261182785,
-0.010037491098046303,
0.008695428259670734,
-0.024169310927391052,
0.006275427993386984,
0.018605174496769905,
0.09566628187894821,
-0.01980373077094555
] |
TABLE\t17.6\nMean\tIntakes\tof\tSelect\tNutrients\tCompared\twith\tDRIs:\tAdolescent\tFemales\nMean\tIntake\n9-\tto\t13-year-old\tRDA/AI\n14-\tto\t18-year-old\tRDA/AI\nVitamin\tA\t(mcg\tRAE)\n507\n600\n700\nVitamin\tD\t(µg)\n3.7\n15\n15\nVitamin\tE\t(mg)\n6.7\n11\n15\nThiamin\t(mg)\n1.35\n0.9\n1\nRiboflavin\t(mg)\n1.70\n0.9\n1\nNiacin\t(mg)\n20.5\n12\n14\nVitamin\tB\n6\n\t(mg)\n1.60\n1\n1.2\nFolate\t(μg\tDFE)\n467
|
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0.009123598225414753,
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0.03763866052031517,
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0.05870233103632927,
0.05806993320584297,
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0.007741403765976429,
0.009761973284184933,
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0.05765407532453537,
0.010623649694025517,
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0.03236829489469528,
0.10960206389427185,
0.017935609444975853,
0.07754320651292801,
0.0937926396727562,
0.09313235431909561,
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0.03262760490179062,
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0.028237944468855858,
0.00825313851237297,
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0.06040471792221069,
0.02599470689892769,
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0.027552824467420578,
1.7209795196677449e-34,
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0.02141588181257248,
0.05790887400507927,
0.08081460744142532,
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0.036924805492162704,
0.002291344339028001,
0.022044137120246887,
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0.014698358252644539,
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0.02970924787223339,
0.004736579954624176,
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0.05166705325245857,
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0.0308340135961771,
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0.02137746661901474,
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] |
20.5\n12\n14\nVitamin\tB\n6\n\t(mg)\n1.60\n1\n1.2\nFolate\t(μg\tDFE)\n467\n300\n400\nVitamin\tB\n12\n\t(μg)\n3.90\n1.8\n2.4\nVitamin\tC\t(mg)\n62.7\n45\n65\nPhosphorus\t(mg)\n1095\n1250\n1250\nMagnesium\t(mg)\n210\n240\n360\nIron\t(mg)\n12.1\n8\n15\nZinc\t(mg)\n8.6\n8\n9\nCalcium\t(mg)\n842\n1300\n1300\nSodium\t(mg)\n2844\n1500\n1500\nFiber\t(g)\n12.5\n26\n26\nAI\n,\tAdequate\tintake;\t\nDRI
|
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] |
2844\n1500\n1500\nFiber\t(g)\n12.5\n26\n26\nAI\n,\tAdequate\tintake;\t\nDRI\n,\tdietary\treference\tintake;\t\nRDA\n,\trecommended\tdietary\tallowance.\nData\tsources:\tUS\tDepartment\tof\tAgriculture\t(USDA),\tAgricultural\tResearch\tService\t(ARS):\t\nNutrient\tIntakes\tfrom\tFood\tand\tBeverages:\tMean\tAmounts\nConsumed\tper
|
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] |
Nutrient\tIntakes\tfrom\tFood\tand\tBeverages:\tMean\tAmounts\nConsumed\tper\n\tIndividual,\tby\tGender\tand\tAge,\tin\tthe\tUnited\tStates,\t2013-2014.\tWhat\tWe\tEat\tin\tAmerica\n,\tNHANES\t(website):\nwww.ars.usda.gov/nea/bhnrc/fsrg\n,\t2016.\nCalcium\nBecause\tof\taccelerated\tmuscular,\tskeletal,\tand\tendocrine\tdevelopment,\tcalcium\tneeds\tare\tgreater
|
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] |
during\tpuberty\tand\tadolescence\tthan\tduring\tchildhood\tor\tthe\tadult\tyears.\tBone\tmass\tis\tacquired\tat\nmuch\thigher\trates\tduring\tpuberty\tthan\tany\tother\n\ttime\tof\tlife.\tIn\tfact,\tfemales\taccrue\tapproximately\n37%\tof\ttheir\ttotal\tskeletal\tmass\tfrom\tages\t11\tto\t15\tyears,\tmaking\tadolescence\ta\tcrucial\ttime\tfor\nosteoporosis\tprevention\t(\nIOM,\t2011\n).
|
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] |
osteoporosis\tprevention\t(\nIOM,\t2011\n).\nThe\trecommended\tdietary\tallowance\t(RDA)\tfor\tcalcium\tis\t1300\tmg\tfor\tall\tadolescents\twith\tan\tupper\nlevel\tintake\tof\t3000\tmg/day\t(\nIOM,\t2011\n).\tCalcium\tintake\tdeclines\twith\tage\tduring\tadolescence,\nespecially\tamong\tfemales.\n\tResearch\tsuggests\tthat\thigh\tsoft\tdrink\tconsumption\tin\tthe\tadolescent
|
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] |
Research\tsuggests\tthat\thigh\tsoft\tdrink\tconsumption\tin\tthe\tadolescent\npopulation\tcontributes\tto\tlow\tcalcium\tintake\tby\tdisplacing\tmilk\tconsumption\t(\nRanjit\tet\tal,\t2010\n);\nconversely,\tadolescents\twho\treport\tmore\toften\thaving\tmilk\tserved\tat\tdinner\ttend\tto\thave\tlower\tintakes\nof\tsugar-sweetened\tbeverages\t(\nWatts\tet\tal,\t2018
|
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of\tsugar-sweetened\tbeverages\t(\nWatts\tet\tal,\t2018\n).\tInterventions\tto\tpromote\tcalcium\tconsumption\namong\tyoung\tpeople\tshould\tbe\tinitiated\n\tearly\tand\tfocus\tnot\tonly\ton\tincreasing\tdairy\tproduct\tintake\tbut\nalso\ton\tdecreasing\tintakes\tof\tsoft\tdrinks\tand\tincreasing\tintakes\tof\tnondairy\tfoods\tthat\tare\trich\tin
|
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] |
calcium.\tNondairy\tsources\tof\tcalcium\tare\tparticularly\timportant\tfor\tyoung\tpeople\twho\tmay\tnot\nconsume\tmilk\tfor\thealth\tor\tcultural\treasons.\tExamples\tof\tnondairy\tcalcium\tsources\tinclude\tcalcium-\nfortified\torange\tjuice,\tsoy\tmilk,\trice\n\tmilk,\tand\talmond\tmilk;\tcalcium-fortified\tready-to-eat\tcereals;
|
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milk,\tand\talmond\tmilk;\tcalcium-fortified\tready-to-eat\tcereals;\nenriched\tbreads\tand\tother\tgrains;\tsome\tlegumes\t(e.g.,\twhite\tbeans)\tand\tdark\tgreen\tvegetables\t(e.g.,\nkale,\tbroccoli);\tand\ttofu\tprepared\twith\tcalcium\tsulfate.\nIron\nIron\trequirements\tare\tincreased\tduring\tadolescence\tto\tsupport\tthe\tdeposition\tof\tlean\tbody\tmass,
|
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increase\tin\tred\tblood\tcell\tvolume,\tand\tneed\tto\treplace\tiron\tlost\tduring\n\tmenses\tamong\tfemales.\tIron\nneeds\tare\thighest\tduring\tperiods\tof\tactive\tgrowth\tamong\tall\tteens\tand\tare\tespecially\televated\tafter\tthe\nonset\tof\tmenses\tin\tadolescent\tfemales.\tThe\tDRI\tfor\tiron\tamong\tfemales\tincreases\tfrom\t8\tmg/day\tbefore
|
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] |
age\t13\t(or\tbefore\tthe\tonset\tof\tmenses)\tto\t15\tmg/day\tafter\tthe\tonset\tof\tmenses\t(\nIOM,\t2006\n).\tAmong\nadolescent\tmales\trecommended\tintakes\tincrease\tfrom\t8\tto\t11\tmg/day,\n\twith\thigher\tlevels\trequired\nduring\tthe\tgrowth\tspurt.\tIron\tneeds\tremain\televated\tfor\twomen\tafter\tage\t18\tbut\tfall\tback\tto
|
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] |
prepubescent\tlevels\tin\tmen\tonce\tgrowth\tand\tdevelopment\tare\tcompleted\t(\nIOM,\t2006\n).\nMedian\tintakes\tof\tiron\tamong\tadolescents\tin\tthe\tUnited\tStates\tare\tless\tthan\tdesirable.\tIncreased\nneeds\tfor\tiron,\tcombined\twith\tlow\tintakes\tof\tdietary\tiron,\tplace\tadolescent\tfemales\tat\trisk\tfor\n\tiron
|
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0.019800804555416107
] |
iron\ndeficiency\tand\tanemia.\tRapid\tgrowth\tmay\ttemporarily\tdecrease\tcirculating\tiron\tlevels,\tresulting\tin\nphysiologic\tanemia\tof\tgrowth\n.\tOther\trisk\tfactors\tfor\tiron\tdeficiency\tanemia\tare\tlisted\tin\t\nBox\t17.1\n.\nDuring\tadolescence,\tiron\tdeficiency\tanemia\tmay\timpair\tthe\timmune\tresponse,\tdecrease\tresistance\tto
|
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] |
infection,\tand\tdecrease\tcognitive\tfunctioning\tand\tshort-term\tmemory\t(see\t\nAppendix\t42\n).\nBox\t17.1\nRisk\tFactors\tfor\tIron\tDeficiency\nInadequate\tiron\tintake/absorption/stores
|
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Food\tinsecurity\tor\tliving\tin\tpoverty\nMalabsorption\tdiseases\t(e.g.,\tceliac\tdisease)\nUnbalanced\tvegetarian\teating\tstyles,\tespecially\tvegan\tdiets\nRestrictive\tdiets\tthat\teliminate\tentire\tfood\tgroups\nLow\tintakes\tof\tmeat,\tfish,\tpoultry,\tor\tiron-fortified\tfoods\nLow\tintake\tof\tfoods\trich\tin\tascorbic\tacid\nFrequent\tdieting\n\tor\trestricted\teating
|
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] |
Frequent\tdieting\n\tor\trestricted\teating\nChronic\tor\tsignificant\tweight\tloss\nMeal\tskipping\nSubstance\tabuse\nHistory\tof\tiron-deficiency\tanemia\nRecent\timmigration\tfrom\tdeveloping\tcountry\nSpecial\thealth\tcare\tneeds\nIncreased\tiron\trequirements\tand\tlosses\nHeavy\tor\tlengthy\tmenstrual\tperiods\nRapid\tgrowth\nPregnancy\t(recent\tor\tcurrent)
|
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Rapid\tgrowth\nPregnancy\t(recent\tor\tcurrent)\nInflammatory\tbowel\tdisease\nChronic\tuse\tof\taspirin,\tnonsteroidal\tantiinflammatory\n\tdrugs\t(e.g.,\tibuprofen),\tor\tcorticosteroids\nParticipation\tin\tendurance\tsports\t(e.g.,\tlong-distance\trunning,\tswimming,\tcycling)\nIntensive\tphysical\ttraining\nFrequent\tblood\tdonations\nParasitic\tinfection
|
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Frequent\tblood\tdonations\nParasitic\tinfection\nReprinted\twith\tpermission\tfrom\tStang\tJ,\tStory\tM,\teditors:\t\nGuidelines\tfor\tadolescent\tnutrition\tservices\n,\nMinneapolis,\t2010,\tCenter\tfor\tLeadership\tEducation\tand\tTraining\tin\tMaternal\tand\tChild\tNutrition,\n\tDivision\nof\tEpidemiology\tand\tCommunity\tHealth,\tSchool\tof\tPublic\tHealth,\tUniversity\tof\tMinnesota.
|
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] |
Folate\nThe\tDRI\tfor\tfolate\tintake\tamong\tadolescents\tis\t300\tmcg/day\tfor\t9-\tto\t13-year-old\tmales\tand\tfemales,\nincreasing\tto\t400\tmcg/day\tfor\t14-\tto\t18-year-olds\t(\nIOM,\t2006\n).\tThe\tneed\tfor\tfolate\tincreases\tduring\nlater\tadolescence\tto\tsupport\taccretion\tof\tlean\tbody\tmass\tand\tto\tprevent\tneural\ttube\n\tdefects\tamong
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] |
defects\tamong\nfemales\tof\treproductive\tage.\tFood\tsources\tof\tfolate\tshould\tinclude\tnaturally\toccurring\tfolate,\tfound\tin\ndark\tgreen\tleafy\tvegetables\tand\tcitrus\tfruit,\tand\tfolic\tacid\tfound\tin\tfortified\tgrain\tproducts\t(see\nAppendix\t31\n).\nAverage\tintakes\tof\tfolate\treported\tin\tthe\t2013–2014\tWhat\tWe\tEat\tin\tAmerica\tsurvey\tsuggest\tthat
|
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] |
adolescent\tfemales\tare\tat\tgreater\trisk\tfor\tinadequate\tintake\tthan\tare\n\tmales\t(\nUSDA,\tARS,\t2016b\n).\tThis\tis\na\tcause\tfor\tconcern\tamong\tadolescent\tfemales\twho\thave\tachieved\tmenses\tand\tare\tsexually\tactive,\tas\nhaving\tadequate\tfolate\tstatus\tbefore\tconception\tis\timportant\tfor\tthe\tprevention\tof\tbirth\tdefects\tsuch\tas\nspina\tbifida\t(see\t\nChapter\t14\n).
|
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] |
spina\tbifida\t(see\t\nChapter\t14\n).\nVitamin\tD\nVitamin\tD\tplays\tan\timportant\trole\tin\tfacilitating\tcalcium\tand\tphosphorus\tabsorption\tand\tmetabolism,\nwhich\thas\timportant\n\timplications\tfor\tbone\tdevelopment\tduring\tadolescence\t(\nIOM,\t2011\n).\tThere\tis\talso\nsome\tevidence\tthat\tsuggests\tvitamin\tD\tmay\tplay\ta\trole\tin\tcardiometabolic\thealth,\timmunity,\tpreventing
|
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] |
chronic\tdisease,\tand\tprotecting\tagainst\tcertain\ttypes\tof\tcancer;\thowever,\tgiven\tthe\tstate\tof\tthis\nevidence\tthe\tcurrent\tRDA\tis\tbased\tsolely\ton\tbenefits\tfor\tbone\thealth\t(\nGolden\tand\tCarey,\t2016\n).\tThe\nRDA\tfor\tvitamin\tD\n\trequirements\tamong\tadolescents\tis\t600\tIU/day\t(15\tµg/day)\t(\nIOM,\t2011\n).\tSee\nAppendix\t38\n\tfor\tdietary\tsources.
|
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] |
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