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listlengths 384
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Adapted\tfrom\tthe\tU.S.\tDepartment\tof\tAgriculture\t(USDA):\t\nDietary\tGuidelines\tfor\tAmericans,\t2015-2020\n\t(website):\nhttps://health.gov/dietaryguidelines/2015/\n.\n*\nActivity\tlevel\tcategories\tare\tdefined\tas\tfollows:\tsedentary,\ta\tlifestyle\tthat\tincludes\tonly\tthe\tlight\tphysical\tactivity\tassociated\twith\ttypical\tday-to-day\tlife;
|
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moderately\tactive,\ta\tlifestyle\tthat\tincludes\tphysical\tactivity\tequivalent\tto\twalking\tabout\t1.5\tto\t3\tmiles\tper\tday\tat\t3\tto\t4\tmiles\tper\thour,\tin\taddition\tto\tthe\nlight\tphysical\tactivity\tassociated\twith\ttypical\tday-to-day\tlife;\tand\tactive,\n\ta\tlifestyle\tthat\tincludes\tphysical\tactivity\tequivalent\tto\twalking\tmore\tthan\t3\tmiles
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] |
per\tday\tat\t3\tto\t4\tmiles\tper\thour,\tin\taddition\tto\tthe\tlight\tphysical\tactivity\tassociated\twith\ttypical\tday-to-day\tlife.\n†\nNumber\tof\tservings\tof\twhole\tgrains\tare\tnot\tin\taddition\tto\tbut\tare\tincluded\tin\tthe\tnumber\tof\tservings\tof\tgrains.\nSpecial\ttopics\nVegetarian\tdietary\tpatterns\nAs\tadolescents\tmature,\tthey\tbegin
|
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] |
Vegetarian\tdietary\tpatterns\nAs\tadolescents\tmature,\tthey\tbegin\n\tto\tdevelop\tautonomous\tsocial,\tmoral,\tand\tethical\tvalues.\tThese\nvalues\tmay\tlead\tto\tvegetarian\teating\tpractices\tbecause\tof\tconcerns\tabout\tanimal\twelfare,\tthe\nenvironment,\tor\tpersonal\thealth.\tConcerns\tabout\tbody\tweight\talso\tmotivate\tsome\tadolescents\tto\tadopt
|
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a\tvegetarian\tdiet\tbecause\tit\tis\ta\tsocially\tacceptable\tway\tto\treduce\tdietary\tfat.\tSome\tresearch\thas\nsuggested\tthat\tadolescents\twho\tconsume\tvegetarian\n\tdiets\tare\tless\tlikely\tto\tbe\toverweight\tor\tobese\tthan\ntheir\tomnivorous\tpeers\t(\nSchürmann\tet\tal,\t2017\n).\tWell-planned\tvegetarian\tdiets\tthat\tinclude\ta\tvariety\tof
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).\tWell-planned\tvegetarian\tdiets\tthat\tinclude\ta\tvariety\tof\nlegumes,\tnuts,\tseeds,\tfruits\tand\tvegetables,\tand\twhole\tgrains\tcan\tprovide\tadequate\tnutrients\tfor\nadolescents\t(\nMelina\tet\tal,\t2016\n);\thowever,\tthere\tis\ta\tneed\tfor\tadditional\tresearch\ton\tthe\tbenefits\tand\npossible\trisks\tof\tvegetarian\tdiets\tfor
|
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a\trestriction\tof\tfood\tintake\t(\nMelina\tet\tal,\t2016\n).\tThis\tincreased\trisk\tfor\tunhealthy\tweight\tcontrol\nbehaviors\tseems\n\tto\tpersist\teven\tafter\tthe\tvegetarian\teating\tstyle\tis\tdiscontinued,\tsuggesting\tthat\nalthough\tthe\tissues\tare\trelated,\tvegetarian\tdiets\tlikely\tdo\tnot\tcause\tdisordered\teating\tand\tinstead\tmay\nserve\tas\ta\tsymptom.
|
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0.02529372088611126,
0.08348004519939423,
0.020427007228136063,
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0.013274112716317177,
0.0835161805152893,
0.04628658667206764,
0.09791199862957001,
0.006490208674222231
] |
serve\tas\ta\tsymptom.\nVegetarian\tadolescents\toften\thave\toptimal\tintakes\tof\tiron,\tvitamin\tA,\tand\tfiber\tand\tlow\tintakes\tof\ndietary\tcholesterol.\tVegetarian\tdiets\tare\tconsistent\twith\tthe\tDietary\tGuidelines\tfor\tAmericans\n\tand\tcan\nmeet\tthe\tDRIs\tfor\tall\tnutrients.\tA\tsample\teating\tplan\tto\tassist\tvegetarian\tadolescents\tin\tachieving
|
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0.015408835373818874
] |
adequate\tenergy\tand\tnutrient\tintakes\tis\tlisted\tin\t\nTable\t17.8\n.
|
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] |
TABLE\t17.8\nRecommended\tNumber\tof\tServings\tfor\tVegetarian\tAdolescents\tAges\t13\tand\t16\tYears\tBased\ton\tActivity\tLevel\n*\nGrains\n(oz-\neq/day)\nVegetables\n(cups/day)\nFruit\n(cups/day)\nDairy\n(cups/day)\nEggs\n(oz-\neq/week)\nBeans\nand\tpeas\n(oz-\neq/week)\nNuts\nand\nseeds\n(oz-\neq/week)\nSoy\nproducts\n(oz-\neq/week)\nOils\n(g/day)\nMales\n13\tYears\nSedentary\n6.5\n2.5\n2\n3\n3\n6
|
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] |
(oz-\neq/week)\nOils\n(g/day)\nMales\n13\tYears\nSedentary\n6.5\n2.5\n2\n3\n3\n6\n7\n8\n27\nModerately\nActive\n7.5\n3\n2\n3\n3\n6\n7\n8\n29\nActive\n9.5\n3.5\n2\n3\n3\n9\n9\n10\n34\n16\tYears\nSedentary\n8.5\n3\n2\n3\n3\n8\n8\n9\n31\nModerately\nActive\n10.5\n3.5\n2.5\n3\n4\n10\n10\n11\n36\nActive\n10.5\n4\n2.5\n3\n4\n10\n13\n13\n51\nFemales\n13\tYears\nSedentary\n5.5\n2\n1.5\n3\n3\n4\n5\n6\n22\nModerately\nActive\n6.5\n2.5\n2\n3\n3\n6
|
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Sedentary\n5.5\n2\n1.5\n3\n3\n4\n5\n6\n22\nModerately\nActive\n6.5\n2.5\n2\n3\n3\n6\n7\n8\n27\nActive\n7.5\n3\n2\n3\n3\n6\n7\n8\n29\n16\tYears\nSedentary\n6.5\n2.5\n1.5\n3\n3\n6\n6\n6\n24\nModerately\nActive\n6.5\n2.5\n2\n3\n3\n6\n7\n8\n27\nActive\n8.5\n3\n2\n3\n3\n8\n8\n9\n31\noz-eq
|
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] |
Active\n6.5\n2.5\n2\n3\n3\n6\n7\n8\n27\nActive\n8.5\n3\n2\n3\n3\n8\n8\n9\n31\noz-eq\n,\tone\tounce-equivalent\tis:\t1\tslice\t(1\tounce)\tof\tbread;\t1\tounce\tuncooked\tpasta\tor\trice;\t½\tcup\tcooked\trice,\tpasta,\tor\tcereal;\t1\ttortilla\t(6”\tdiameter);\t1\npancake\t(5”\tdiameter);\t1\tounce\tready-to-eat\tcereal\t(about\t1\tcup\tcereal\tflakes)
|
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] |
Adapted\tfrom\tthe\tU.S.\tDepartment\tof\tAgriculture\t(USDA):\t\nDietary\tGuidelines\tfor\tAmericans,\t2015-2020\n\t(website):\nhttps://health.gov/dietaryguidelines/2015/\n.\n*\nActivity\n\tlevel\tcategories\tare\tdefined\tas\tfollows:\tsedentary,\ta\tlifestyle\tthat\tincludes\tonly\tthe\tlight\tphysical\tactivity\tassociated\twith\ttypical\tday-to-day\tlife;
|
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] |
per\tday\tat\t3\tto\t4\tmiles\tper\thour,\tin\taddition\tto\tthe\tlight\tphysical\tactivity\tassociated\twith\ttypical\tday-to-day\tlife.\nVegan\tdiets,\twhich\tdo\tnot\tinclude\tanimal\tproducts\tof\tany\tkind,\tdo\tnot\tprovide\tnatural\tsources\tof\nvitamin\tB\n12\n\tand\tmay\tbe\tdeficient\tin\tcalcium,\tvitamin\tD,\tzinc,\tiron,\tand\tlong-chain\tomega-3\tfatty\tacids\n(\nMelina\tet\tal,\t2016
|
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] |
(\nMelina\tet\tal,\t2016\n).\tTherefore\tvegan\tadolescents\tneed\tto\tchoose\tfoods\tnaturally\thigh\tin\tor\tfortified\nwith\tthese\tnutrients.\tA\tdaily\tmultivitamin-mineral\tsupplement\tis\tessential\tfor\tvegans.\tInstructing\nadolescents\tand\ttheir\tcaregivers\ton\tthe\tplanning\tof\ta\twell-balanced\tvegetarian\tdiet\tand\tuse\tof\tfortified
|
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foods\tcan\tprevent\tpotential\tnutrient\tdeficiencies.\nSkin\thealth\nSkin\thealth\tis\timpacted\tby\tthe\tappearance\tof\n\tacne,\twhich\tmost\toften\tpeaks\tduring\tadolescence\tand\naffects\t80%\tto\t90%\tof\tU.S.\tadolescents.\tEffective\ttreatment\tfor\tthe\tcondition\tis\timportant\tbecause\tacne
|
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can\tsignificantly\taffect\tquality\tof\tlife\tand\tin\tsome\tcases\tlead\tto\tsocial\twithdrawal,\tanxiety,\tor\ndepression.\tThere\tis\tsome\tresearch\tsuggesting\tthe\tpotential\tvalue\tof\tincorporating\tmedical\tnutrition\ntherapy\tin\tthe\ttreatment\tof\tacne.\tFor\texample,\n\ta\trecent\tstudy\tamong\t250\tyoung\tadults\t(ages\t18\tto\t25)
|
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a\trecent\tstudy\tamong\t250\tyoung\tadults\t(ages\t18\tto\t25)\nin\tNew\tYork\tCity\tfound\tevidence\tthat\tdietary\tfactors\tmay\tinfluence\tor\taggravate\tacne\tdevelopment\tby\ncomparing\tthe\tself-reported\tusual\tdietary\tpatterns\tof\tparticipants\twho\treported\tno\tor\tmild\tacne\tto\nthose\twith\tmoderate\tto\tsevere\tacne\t(\nBurris\tet\tal,\t2014
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] |
those\twith\tmoderate\tto\tsevere\tacne\t(\nBurris\tet\tal,\t2014\n).\tYoung\tadults\twith\tmoderate\tto\tsevere\tacne\nreported\thigher\tglycemic\tindex\tdiets,\tincluding\n\tmore\tadded\tsugars,\ttotal\tsugars,\tmilk\tservings,\nsaturated\tfat,\tand\ttrans\tfatty\tacids\tand\tfewer\tservings\tof\tfish.\tThe\tmajority\tof\tall\tparticipants\t(58%)
|
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] |
additionally\treported\tthe\tperception\tthat\tdiet\taggravates\tor\tinfluences\ttheir\tacne.\nThe\tevidence\tfrom\tthis\tstudy\tcombined\twith\tother\tepidemiologic,\tobservational,\tand\texperimental\nresearch\tdoes\tnot\tdemonstrate\tthat\tdiet\tcauses\tacne\tbut\tindicates\n\tit\tmay\taggravate\tor\tinfluence\tthe\ncondition\tto\tsome\tdegree\t(\nBurris\tet\tal,\t2013
|
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] |
condition\tto\tsome\tdegree\t(\nBurris\tet\tal,\t2013\n).\tIt\tis\tpossible\tthat\tmedical\tnutrition\ttherapy\tas\tan\tadjunct\nto\tdermatology\ttherapy\tmay\tbe\tbeneficial\tfor\tsome\tyoung\tpeople\twith\tacne.\tHowever,\ta\tnumber\tof\nquestions\tremain\tthat\tmust\tbe\taddressed\tby\tadditional\tresearch\tbefore\tthe\tefficacy\tand\tclinical
|
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relevance\tof\tdiet\ttherapy\tcan\tbe\testablished\tand\tevidence-based\n\tguidelines\tdeveloped\tto\tguide\tdietitian\nnutritionists\tin\tpractice.\nCurrently,\tthe\tmost\treasonable\tapproach\tto\tpractice\tis\tto\tapproach\teach\tyoung\tperson\twith\tacne\ton\nan\tindividual\tbasis\tto\tdetermine\twhether\tdietary\tcounseling\tmay\tbe\tbeneficial.\tThe\tevidence\tbase\tmost
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consistently\tsupports\tguiding\tindividuals\twith\tacne\ttoward\ta\thealthful,\tlow-glycemic\tload\tdiet\tthat\tis\nlow\tin\tsaturated\tfat\tand\n\thigh\tin\twhole\tgrains,\tfruit,\tand\tvegetables.\tAn\tadditional\tdietary\tintervention\nthat\tmay\tsimilarly\toffer\tmultiple\thealth\tbenefits\tis\tto\trecommend\tincreasing\tconsumption\tof\tomega-3
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] |
fatty\tacids\t(see\t\nAppendix\t26\n).\tAs\tlong\tas\tintake\tof\tcalcium\tand\tvitamin\tD\tare\tsufficient,\tit\tmay\tfurther\nbe\tbeneficial\tto\trecommend\ta\tdiet\tlower\tin\tdairy\tbut\tas\tyet\tthe\tquantity\tof\tmilk\tnecessary\tto\texacerbate\nacne\thas\n\tnot\tbeen\testablished.\nPromoting\thealthy\tweight-related\tattitudes\tand\tbehaviors
|
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] |
Promoting\thealthy\tweight-related\tattitudes\tand\tbehaviors\nAn\testimated\t10%\tto\t20%\tof\tteens\tengage\tin\tdisordered\teating\tbehaviors,\tsuch\tas\tbinge-purge\nbehavior,\tcompensatory\texercise,\tlaxative\tand\tdiuretic\tabuse,\tand\tbinge\teating\t(\nNeumark-Sztainer\tet\tal,\n2012
|
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Neumark-Sztainer\tet\tal,\n2012\n).\tThese\tbehaviors\tdo\tnot\toccur\twith\tenough\tregularity\tor\tfrequency\tto\tbe\tdiagnosed\tas\tan\teating\ndisorder,\tbut\tthey\n\tmay\thave\tsignificant\thealth\timplications\tfor\tadolescents.\tSymptoms\tthat\tmay\tsignal\nthe\tpresence\tof\tunhealthy\tweight-related\tattitudes\tand\tdisordered\teating\tbehaviors\tinclude\trecurring
|
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] |
gastrointestinal\tcomplaints,\tamenorrhea,\tor\tunexplained\tweight\tloss.\tFemales\tat\tan\toverweight\tBMI\nhave\tbeen\tfound\tto\tbe\ttwice\tas\tlikely\tto\tengage\tin\tdisordered\teating\tbehaviors.\tIn\torder\tto\tidentify\tand\nintervene\n\ton\tthese\trisky\tbehaviors,\tit\tis\tvaluable\tto\tconduct\tscreening\tfor\tdisordered\teating.\tIn
|
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] |
particular,\tit\tis\timportant\tfor\tscreening\tquestions\tto\taddress\tbody\tdissatisfaction,\tfear\tof\tweight\tgain,\nfrequency\tof\tdieting\tand\tfasting,\tuse\tof\tlaxatives\tand\tdiuretics,\tuse\tof\tdiet\tpills,\tfear\tof\tcertain\tfoods\n(e.g.,\tfoods\tcontaining\tfat\tor\tsugar),\tvomiting,\tbingeing,\tand\tcompensatory\texercise.\nAdolescents
|
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Adolescents\n\tare\tparticularly\tvulnerable\tto\tthe\tcomplications\tof\teating\tdisorders.\tThe\teffect\tof\nmalnutrition\ton\tlinear\tgrowth,\tbrain\tdevelopment,\tand\tbone\tacquisition\tcan\tbe\tpersistent\tand\nirreversible.\tIt\tis\timportant\tfor\tthe\tachievement\tof\ta\tstrong\trecovery\tthat\tsymptoms\tof\tan\teating
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disorder\tare\trecognized\tby\tothers\tearly\tin\tthe\tcourse\tof\tillness\tand\tthat\thealth\tprofessionals\tare\ninvolved\tin\timplementing\n\tan\teffective\tcare\tplan\tso\tthat\tsymptoms\tcan\tbe\tquickly\treduced\t(\nVall\tand\nWade,\t2015\n)\t(see\t\nChapter\t21\n).\nPromoting\ta\thealthy\tweight\tstatus\nAdolescent\tweight\tstatus\tis\ttypically\tevaluated\tbased\ton\tBMI\t(weight/height\n2
|
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] |
2\n\t[kg/m\n2\n])\tas\tshown\tin\nAppendix\t3\n.\tMaintaining\tbehaviors\tthat\tpromote\ta\thealthy\tweight\tstatus\tin\tadolescence\tis\timportant\tfor\noverall\thealth\tand\twell-being\tduring\tthis\tperiod\tof\tdevelopment\n\tas\twell\tas\tfor\tfuture\tadult\thealth.\nWeight\tstatus\tis\tinfluenced\tby\ta\tcomplex\tset\tof\tfactors,\tincluding\tgenetics,\tmetabolic\tefficiency,\tPAL,
|
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] |
dietary\tintake,\tmedical\tand\tbehavioral\thealth\tconditions,\tmedication\tuse,\tand\tenvironmental\tand\npsychosocial\tfactors\t(see\t\nChapter\t20\n).\tInadequate\tweight\tgain\tand\tunderweight\tare\tconcerns\tfor\tsome\nadolescents\twith\tspecial\thealth\tcare\tneeds,\tbut\tthe\tmost\tprevalent\n\tconcern\tamong\tyoung\tpeople\tthis\nage\tis\texcess\tweight\tgain.
|
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] |
concern\tamong\tyoung\tpeople\tthis\nage\tis\texcess\tweight\tgain.\nAmong\t12-\tto\t15-year-olds\tand\t16-\tto\t19-year-olds\tin\tthe\tUnited\tStates,\tthe\tprevalence\tof\tbeing\tat\tan\noverweight\tBMI,\thigher\tthan\tthe\t85th\tpercentile,\tis\trespectively\t38.7%\tand\t41.5%.\tThe\tprevalence\tof
|
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being\tat\tan\tobese\tBMI,\tat\tor\tabove\tthe\t95th\tpercentile,\tis\tapproximately\t20.5%\tamong\tboth\tage\tgroups;\nthe\tprevalence\tof\tsevere\tobesity\n\t(120%\tof\tthe\t95th\tpercentile)\tis\testimated\tto\tbe\t7%\tto\t10%\tamong\nyouth\t(\nSkinner\tet\tal,\t2018\n).\tFor\tsome\tadolescents,\ta\thigh\tBMI\treflects\thigh\tlean\tbody\tmass\trather\tthan\npotentially\tunhealthy\tlevels\tof\tbody\tfat\t(
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] |
potentially\tunhealthy\tlevels\tof\tbody\tfat\t(\nHagan\tet\tal,\t2017\n).\tHowever,\tadolescents\twho\tare\tat\tan\noverweight\tBMI\tare\tmore\tlikely\tto\thave\tmetabolic\tabnormalities\tsuch\tas\televated\tblood\tglucose,\ntriglycerides,\tcholesterol,\tand\tliver\n\tenzymes.\tLaboratory\ttesting\tand\tadditional\tscreening\tare\ttherefore
|
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] |
enzymes.\tLaboratory\ttesting\tand\tadditional\tscreening\tare\ttherefore\nrecommended\tfor\tadolescents\tat\ta\thigh\tBMI\tto\tassess\tfor\tthe\tpresence\tof\tchronic\tdisease\trisk\tfactors\nand\tpresence\tof\tdiabetes\tand\tliver\tdisease\t(\nHagan\tet\tal,\t2017\n).\tIf\trisk\tfactors\tare\tnoted,\tit\tis
|
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] |
Hagan\tet\tal,\t2017\n).\tIf\trisk\tfactors\tare\tnoted,\tit\tis\nrecommended\tthat\taspartate\taminotransferase\t(AST)\tand\talanine\taminotransferase\t(ALT)\nmeasurements\tbe\tcompleted\tto\tassess\tliver\tfunction\n\tand\tscreen\tfor\tnonalcoholic\tsteatohepatitis\t(see\nChapter\t28\n).\tIt\tis\trecommended\tthat\ta\tfasting\tglucose\tlevel\tbe\tdrawn\ton\tany\toverweight\tadolescent
|
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with\ttwo\tor\tmore\trisk\tfactors\tfor\tCVD\tor\twith\ta\tfamily\thistory\tof\tdiabetes.\tFor\tadolescents\tat\tan\tobese\nBMI,\tit\tis\trecommended\tthat\tmicroalbumin/creatinine\tratio\talso\tbe\tassessed.\tAdditional\tassessments\tfor\nconditions\tsuch\tas\tsleep\tapnea,\torthopedic\n\tdisorders,\tpolycystic\tovary\tdisease,\tand\thormonal
|
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] |
disorders,\tpolycystic\tovary\tdisease,\tand\thormonal\nabnormalities\tshould\tbe\tperformed\tbased\ton\tpresenting\tsymptoms.\nCurrent\tguidelines\tfor\tadolescent\toverweight\tand\tobesity\tsuggest\ta\tstaged\tcare,\tmulticomponent\ntreatment\tprocess\t(\nBox\t17.3\n)\tbased\ton\ta\tteen’s\tBMI,\tage,\tmotivation,\tand\tthe\tpresence\tof\tcomorbid\nconditions\t(\nHagan\tet\tal,\t2017\n;
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] |
conditions\t(\nHagan\tet\tal,\t2017\n;\t\nHenry\tet\tal,\t2018\n).\tFour\tstages\tare\trecommended,\twith\tprogress\n\tthrough\nthe\tstages\tbased\ton\tage,\tbiologic\tdevelopment,\tlevel\tof\tmotivation,\tweight\tstatus,\tand\tsuccess\twith\nprevious\tstages\tof\ttreatment\t(\nHoelscher\tet\tal,\t2013\n).\tAdvancing\tto\tthe\tnext\tstage\tof\ttreatment\tmay\tbe
|
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).\tAdvancing\tto\tthe\tnext\tstage\tof\ttreatment\tmay\tbe\nrecommended\tif\tinsufficient\tprogress\tis\tmade\tto\timprove\tweight\tstatus\tor\tresolve\tcomorbid\tconditions\nafter\t3\tto\t6\tmonths.\tThere\tis\tevidence\tthat\tcounseling\tto\tpromote\thealthy\tweight\tstatus\n\tis\tmost\neffective\twhen\tit\tincludes\tgroup\tpediatric\tweight\tmanagement\tsessions\tand\tfamily\tinvolvement\t(\nHenry
|
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] |
Henry\net\tal,\t2018\n).\tRegardless\tof\tthe\tapproach\ttaken,\tit\tis\tcritical\tthat\tthe\tfocus\tof\tcounseling\tis\ton\tmaking\nhealthy\tlifestyle\tand\tdietary\tchoices.\tAdolescents\tat\ta\thigher\tweight\tstatus\tneed\tto\tbe\tsupported\tby\ntheir\tfamily\tand\tnot\tsubjected\tto\tshaming\tcomments\tabout\ttheir\tweight\tfrom\thealth\n\tprofessionals,\ncaregivers,\tor\tpeers.\nBox\t17.3
|
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] |
professionals,\ncaregivers,\tor\tpeers.\nBox\t17.3\nStaged\tCare\tTreatment\tfor\tOverweight\tand\tObesity\nFour\ttreatment\tstages\tare\trecommended,\twith\tprogress\tthrough\tthe\tstages\tbased\ton\tthe\nadolescent’s\tage,\tbiologic\tdevelopment,\tlevel\tof\tmotivation,\tweight\tstatus,\tand\tsuccess\twith\tprevious
|
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] |
stages\tof\ttreatment.\tAdvancing\tto\tthe\tnext\tstage\tof\ttreatment\tmay\tbe\trecommended\tif\tinsufficient\nprogress\tis\n\tmade\tto\timprove\tweight\tstatus\tor\tresolve\tcomorbid\tconditions\tafter\t3\tto\t6\tmonths.\nStage\t1\n\tis\tappropriate\tfor\tadolescents\tat\tan\toverweight\tbody\tmass\tindex\tand\twith\tno\tcomorbid
|
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] |
conditions\tand/or\tsexual\tmaturity\trating\t(SMR)\tof\t4\tor\tless.\tThis\tstage\tof\tcare\tconsists\tof\tgeneral\nnutrition\tand\tphysical\tactivity\tadvice\tand\tcan\tbe\tprovided\tby\ta\tsingle\thealth\tcare\tprovider,\tincluding\nphysicians,\tnurses,\n\tand\tdietitians\twho\thave\ttraining\tin\tpediatric\tweight\tmanagement.\tWeight\tloss
|
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] |
should\tbe\tmonitored\tmonthly\tby\tthe\tprovider\tand\tnot\texceed\t1\tto\t2\tpounds\tper\tweek.\tAchieve\t1\thour\nof\tmoderate-to-vigorous\tphysical\tactivity\teach\tday.\tLimit\tdaily\tscreen\ttime\tto\tno\tmore\tthan\t2\thours.
|
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] |
Guidelines\tfor\tstage\t1\n•\t\nRemove\ttelevision\tand\tother\tforms\tof\tscreen\tmedia\tfrom\tthe\tbedroom.\n•\t\nConsume\tfive\tfruit\n\tand\tvegetable\tservings\tper\tday,\tbut\tlimit\tintake\tof\tjuice.\n•\t\nLimit\teating\toccasions\taway\tfrom\thome\twith\tthe\texception\tof\tschool\tmeals.\n•\t\nParticipate\tin\tfamily\tmeals\ton\tmost\tdays\tof\tthe\tweek.\n•
|
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•\t\nParticipate\tin\tfamily\tmeals\ton\tmost\tdays\tof\tthe\tweek.\n•\t\nConsume\tat\tleast\tthree\tmeals\tper\tday\trather\tthan\tfrequently\tsnacking.\n•\t\nEat\tmindfully,\tonly\twhen\thungry,\tand\tonly\tuntil\tsatiated.\n•\t\nReduce\tconsumption\tof\tmost\tenergy-dense\tfoods\tand\tbeverages\tand\teliminate\n\tconsumption\tof\nsugar-sweetened\tbeverages.\n•
|
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0.03591826185584068,
-0.0232556089758873
] |
consumption\tof\nsugar-sweetened\tbeverages.\n•\t\nSelect\tappropriate\tportion\tsizes\twhen\teating\tat\thome\tand\taway\tfrom\thome.\nStage\t2\n\tincludes\tthe\tsame\tconcepts\tas\tstage\t1,\tbut\tit\tprovides\tmore\tstructure.\tThis\tstage\tof\nobesity\ttreatment\tcan\tbe\tprovided\tby\ta\tsingle\thealth\tcare\tprovider\twith\ttraining\tin\tmotivational
|
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counseling.\tHowever,\treferrals\tfor\tadditional\tservices\tsuch\tas\tphysical\ttherapy\tor\tcounseling\n\tmay\tbe\nnecessary\tfor\tsome\tadolescents.\tStage\t2\ttreatment\tis\tconsidered\tsuccessful\tif\tweight\tmaintenance\tor\nweight\tloss\tof\tup\tto\t2\tpounds\tper\tweek\tis\tachieved.\tAssessment\tof\tprogress\tshould\tbe\tmonitored\nmonthly.\nGuidelines\tfor\tstage\t2\n•
|
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monthly.\nGuidelines\tfor\tstage\t2\n•\t\nMonitor\tfood\tand\tbeverage\tintake\tthrough\tdaily\tfood\tand\texercise\tjournals\tor\trecord\tbooks.\n•\t\nSet\tgoals\tfor\tfood\tand\tphysical\tactivity\tbehavior\tchanges\tand\n\tmonitor\tprogress\ttoward\tgoals.\n•\t\nLimit\ttime\tspent\twith\tscreen\tmedia\tto\tno\tmore\tthan\t60\tminutes\tper\tday.\n•
|
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•\t\nFollow\ta\tstructured\tmeal\tplan\twith\tscheduled\tmeal\tand\tsnack\ttimes.\n•\t\nPlan\tand\tmonitor\tphysical\tactivity\tto\tensure\t60\tminutes\tof\tmoderate-to-vigorous\tactivity\tis\nachieved\teach\tday.\n•\t\nReinforce\tsuccessful\tlifestyle\tchanges\tthrough\tthe\tuse\tof\tage-appropriate,\tnonfood\trewards\nsuch\tas\ttickets
|
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such\tas\ttickets\n\tto\ta\tlocal\tevent\tor\tmuseum,\tjewelry,\tclothing,\tor\tmusic.\nStage\t3\n\tis\tmore\tstructured\tthan\tstage\t2.\tYouth\twith\ta\tBMI\t\nat\tor\tabove\n\tthe\t99th\tpercentile\tfor\tage\nand\tgender\tmay\tstart\ttreatment\tin\tstage\t3.\tTreatment\tservices\tare\tprovided\tby\ta\tmultidisciplinary
|
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team\tthat\tincludes\ta\tphysician\tor\tpediatric\tnurse\tpractitioner,\ta\tcounselor\t(psychologist\tor\tsocial\nworker),\ta\tregistered\tdietitian\tnutritionist,\n\tand\tan\texercise\tphysiologist\tor\tphysical\ttherapist.\tStage\n3\ttreatment\tis\tconsidered\tsuccessful\twhen\tBMI\tno\tlonger\texceeds\tthe\t85th\tpercentile\tfor\tage\tand
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intervention\twithin\t2\tto\t6\tmonths.\n•\t\nA\tfamily\tcomponent\tand\tan\tadolescent-only\tcomponent\tare\toffered.\n•\t\nA\thighly\tstructured\tmeal\tplan\tis\tdeveloped\tand\tmonitored.\n•\t\nA\thighly\tstructured\tphysical\tactivity\tplan\tis\tdeveloped\tand\tmonitored.\n•\t\nA\tformal\tbehavior\tmodification\tprogram\tis\tinstituted\tby\ta\tcounselor,\twith\n\tparental\tinvolvement
|
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parental\tinvolvement\nas\tappropriate.\nStage\t4\n\ttreatment\tis\ta\ttertiary\tcare\tservice\tand\tis\treserved\tfor\tseverely\tobese\tadolescents\tor\nthose\twho\thave\ta\tBMI\tat\tor\tabove\tthe\t95th\tpercentile\tfor\tage\tand\tgender\tand\twho\thave\tsignificant\ncomorbidities\tthat\trequire\tconcerted\tintervention.\tThis\ttreatment\tstage\tis\tavailable\tonly\tin\tclinical
|
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] |
settings\tthat\temploy\ta\tfull\trange\tof\thealth\tprofessionals\twho\tare\n\ttrained\tspecifically\tin\tthe\nbehavioral\tand\tmedical\tmanagement\tof\tpediatric\tobesity.\nGuidelines\tfor\tstage\t4\n•\t\nIntensive\tdietary\tregimens,\tsuch\tas\tmeal\treplacement,\tprotein-sparing\tmodified\tfasts,\tand\toral\nmedication.\n•\t\nBariatric\tsurgery\tmay\tbe\tused.
|
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] |
medication.\n•\t\nBariatric\tsurgery\tmay\tbe\tused.\nAdapted\tfrom\tSpear\tB\tet\tal:\tRecommendations\tfor\ttreatment\tof\tchild\tand\tadolescent\toverweight\tand\tobesity,\nPediatrics\n\t120:S254,\t2007\tand\tU.S.\n\tPreventative\tServices\tTask\tForce;\tBarton\tM:\tScreening\tfor\tObesity\tin\nChildren\tand\tAdolescents:\tU.S.\tPreventive\tServices\tTask\tForce\tRecommendation\tStatement,
|
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] |
Pediatrics\n125:361,\t2010.\nBariatric\tsurgery\thas\tbeen\tused\tas\ta\ttreatment\tfor\tproducing\tweight\tloss,\tbut\tconcern\thas\tbeen\nexpressed\tregarding\tits\tuse\tin\tadolescents\t(\nRyder\tet\tal,\t2018\n).\tRecommendations\tfor\tbariatric\tsurgery\nsuggest\n\tthat\tit\tmay\tbe\tjustified\tonly\tby\tthe\tpresence\tof\tsevere\tobesity\t(\nKelly\tet\tal,\t2013\n).\tWhile\tlong-
|
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] |
Kelly\tet\tal,\t2013\n).\tWhile\tlong-\nterm\toutcome\tdata\tshow\tthat\tbariatric\tsurgery\tmay\tlead\tto\timprovements\tin\tcardiometabolic\thealth,\ndifficulty\tin\tcomplying\twith\tdietary\trestrictions\tafter\tsurgery\toften\tleads\tto\tcomplications\t(\nInge\tet\tal,\n2017\n).\tComplications\tof\tbariatric\tsurgery\tinclude\tdumping\tsyndrome\tafter\thigh\tcarbohydrate\tintake,
|
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] |
voluntary\texcessive\tfood\tintake,\tand\tB\tvitamin\tdeficiencies\tcaused\tby\tpoor\tcompliance\twith\tvitamin-\nmineral\tsupplementation\t(see\t\nChapter\t20\n).\nIn\tsummary,\toverweight\tand\tobesity\tin\tadolescence\thave\tshort-\tand\tlong-term\thealth\tconsequences.
|
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] |
Adolescents\twho\tare\tat\tan\toverweight\tBMI\tand\tparticularly\tthose\twho\texperience\trapid\tweight\tgain\tor\na\tBMI\tthat\trepresents\tsevere\tobesity\tare\tat\thigher\trisk\tfor\n\thyperlipidemia,\thypertension,\tinsulin\nresistance,\tand\ttype\t2\tdiabetes\tcompared\twith\tnormal\tweight\tpeers\t(\nRyder\tet\tal,\t2018\n).\tNot\tall
|
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mortality\tand\tmorbidity\tare\tmost\noften\trelated\tto\tthe\tpresence\tof\tdiabetes,\thypertension,\tcoronary\theart\tdisease,\tstroke,\tasthma,\tand\npolycystic\tovary\tsyndrome\tamong\tindividuals\twho\twere\toverweight\tor\tobese\tduring\tadolescence\t(\nReilly\nand\tKelly,\t2011\n).\nPromoting\tcardiovascular\thealth
|
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Reilly\nand\tKelly,\t2011\n).\nPromoting\tcardiovascular\thealth\nWhereas\ta\thealthy\tdiet\tduring\tadolescence\thelps\tto\tprevent\tCVD\tin\tadulthood,\tthe\tpresence\tof\nhyperlipidemia\n\tand\thypertension\tare\timportant\trisk\tfactors.\tHyperlipidemia\tand\thypertension\tare\napparent\tin\tadolescence\tand\thave\tbeen\tshown\tto\tbe\tpredictive\tof\tCVD\trisk\tin\tlater\tlife.\tComponents\tof
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] |
a\thealth\tscreening\tassessment\taimed\tat\tthe\tidentification\tand\tprevention\tof\trisk\tfor\tCVD\tand\tother\nchronic\tdiseases\tare\tlisted\tin\t\nTable\t17.9\n.\t\nTable\t17.10\n\tlists\tthe\tclassification\tcriteria\tfor\tthe\tdiagnosis\tof\nhyperlipidemia\n\tamong\tyouth.\tNational\tdata\tsuggest\tthat\tone\tin\tfive\tadolescents\t12\tto\t19\tyears\told\thas\nelevated\tblood\tlipid\tlevels\t(
|
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] |
elevated\tblood\tlipid\tlevels\t(\nCDC,\t2010\n).\tThe\tprevalence\tof\thyperlipidemia\tamong\tadolescents\tvaries\naccording\tto\tBMI\tfrom\t14%\tamong\tadolescents\tat\ta\tBMI,85th\tpercentile\tto\t22%\tamong\tadolescents\tat\nan\toverweight\tBMI\tand\t43%\tamong\tadolescents\tat\tan\tobese\tBMI.\tThe\tprevalence\tof\tlow,\thigh-density\nlipoprotein\t(HDL)
|
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lipoprotein\t(HDL)\n\tcholesterol\tand\thigh\ttriglyceride\tlevels\tappeared\tto\tincrease\twith\tage.\tAdolescent\nmales\twere\talmost\tthree\ttimes\tmore\tlikely\tto\thave\tlow\tHDL\tcholesterol\tlevels\tcompared\twith\tfemales\tat\nany\tage.\tThese\tyouth\tare\tconsidered\tcandidates\tfor\ttherapeutic\tlifestyle\tcounseling\twith\temphasis\ton
|
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] |
nutrition\tand\tphysical\tactivity\tintervention.\nTABLE\t17.9\nSuggested\tHealth\tScreening\tSchedule\tfor\tHealth\tPromotion\n\tand\tChronic\tDisease\tPrevention\nRisk\tFactor\nAges\t12-17\tYears\nAges\t18-21\tYears\nFamily\thistory\tof\npremature\ncardiovascular\ndisease\n•\t\nUpdate\tprevious\tfamily\thistory\tat\teach\nvisit.\n•\t\nProvide\tdietary\tcounseling\tand\treferral
|
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] |
visit.\n•\t\nProvide\tdietary\tcounseling\tand\treferral\nbased\ton\tfamily\thistory\tas\tnecessary.\n•\t\nAssess\tchanges\tin\tfamily\thistory\tat\nleast\tannually.\n•\t\nProvide\tdietary\tcounseling\tand\treferral\nbased\ton\tfamily\thistory\tas\tnecessary.\nEating\tbehaviors\nand\tpatterns\n•\t\nAssess\tdiet\tusing\tappropriate\tmethods.\n•\t\nProvide\teducation\tand\tcounseling\tas\nneeded.\n•
|
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] |
•\t\nProvide\teducation\tand\tcounseling\tas\nneeded.\n•\t\nReview\teating\tbehaviors\tand\tprovide\neducation\tto\timprove\tdietary\tintake\tand\nnutritional\tstatus.\nGrowth\tand\nweight\tstatus\n•\t\nWeigh\tand\tmeasure\tteen\tat\teach\tvisit.\nPlot\theight,\tweight,\tand\tBMI.\tReview\nwith\tadolescent\tand\tparent(s).\n•\t\nIf\tadolescent\tis\toverweight,\tprovide\tstep
|
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0.06474839150905609,
0.045703645795583725,
0.013911721296608448,
0.0093056196346879
] |
•\t\nIf\tadolescent\tis\toverweight,\tprovide\tstep\n1\tcounseling\tto\tadolescent\tand\tparent(s)\nand\tschedule\tfollow-up\tvisit.\n•\t\nIf\tadolescent\tis\tobese,\tprovide\tstep\t2\ncounseling\tand\trefer\tto\ta\tcomprehensive\nweight\tmanagement\tprogram.\n•\t\nWeigh\tand\tmeasure\tclient\tat\teach\tvisit.\nCalculate\tBMI\tbased\ton\theight\tand\nweight\tmeasurements.\n•
|
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] |
Calculate\tBMI\tbased\ton\theight\tand\nweight\tmeasurements.\n•\t\nIf\toverweight\tor\tobese,\tthoroughly\nassess\tdiet\tand\tphysical\tactivity\npatterns\tand\tprovide\tcounseling\tas\nappropriate.\n•\t\nIf\toverweight\tor\tobese,\trefer\tto\nprimary\thealth\tprovider\tfor\tfull\thealth\nassessment.\nBlood\tlipids\n•\t\nRefer\tadolescent\twith\tfamily\thistory\tof
|
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] |
assessment.\nBlood\tlipids\n•\t\nRefer\tadolescent\twith\tfamily\thistory\tof\npremature\theart\tdisease,\tfamily\thistory\nof\tdyslipidemia,\tor\tthose\twho\tare\noverweight/obese\tto\tprimary\tcare\nprovider\tand\trequest\ta\tblood\tlipid\tpanel.\n•\t\nReview\tblood\tlipid\tlevels\twith\nadolescent\tand\tparent(s).\tProvide\nnutrition\tcounseling\tas\tappropriate.\n•
|
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] |
nutrition\tcounseling\tas\tappropriate.\n•\t\nIf\tadolescent\tis\toverweight,\tprovide\ndietary\tcounseling\tin\taccordance\twith\nstep\t1.\n•\t\nIf\tadolescent\tis\tobese,\tprovide\tdietary\ncounseling\tin\taccordance\twith\tstep\t2\tand\nrefer\tto\tcomprehensive\tweight\nmanagement\tprogram.\n•\t\nThe\taddition\tof\tplant\tsterols\tor\tstanols\nat\tno\tmore\tthan\t2\tg/day\tcan\tbe
|
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at\tno\tmore\tthan\t2\tg/day\tcan\tbe\nrecommended\tfor\tteens\twith\tfamilial\nhyperlipidemia.\n•\t\nIf\tdietary\tmanagement\tis\tnot\teffective,\nrefer\tto\n\tprimary\tcare\tprovider\tfor\nphysical\texamination\tand\tmanagement\nof\tdyslipidemia\tby\tmedication\tas\tneeded.\n•\t\nRefer\tadolescent\twith\tfamily\thistory\tof\npremature\theart\tdisease,\tfamily\thistory
|
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premature\theart\tdisease,\tfamily\thistory\nof\tdyslipidemia,\tor\tthose\twho\tare\noverweight/obese\tto\tprimary\tcare\nprovider\tand\trequest\ta\tblood\tlipid\npanel.\n•\t\nReview\tblood\tlipid\tlevels\twith\nadolescent\tand\tparent(s).\tProvide\nnutrition\tcounseling\tas\tappropriate.\n•\t\nIf\tclient\tis\toverweight\tor\tobese,\nprovide\tdietary\tcounseling\tas
|
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] |
•\t\nIf\tclient\tis\toverweight\tor\tobese,\nprovide\tdietary\tcounseling\tas\nappropriate\tand\trefer\tto\tweight\nmanagement\tprogram.\n•\t\nThe\taddition\tof\tplant\tsterols\tor\tstanols\nat\tno\tmore\tthan\t2\tg/day\tcan\tbe\nrecommended\tfor\tclients\twith\tfamilial\nhyperlipidemia.\n•\t\nIf\tdietary\tmanagement\tis\tnot\teffective,\nrefer\tto\tprimary\tcare\tprovider\tfor
|
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] |
refer\tto\tprimary\tcare\tprovider\tfor\nphysical\texamination\tand\tmanagement\nof\tdyslipidemia\tby\tmedication\tas\nneeded.\nBlood\tpressure\n•\t\nReview\tblood\tpressure\tresults\twith\nadolescent\tand\tparent(s).\n•\t\nProvide\tcounseling\tin\taccordance\twith\nthe\tDASH\tdiet.\tRequest\tfollow-up\tvisit.\n•\t\nIf\tadolescent\tis\toverweight,\tprovide\ndietary\tcounseling\tin\taccordance\twith
|
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dietary\tcounseling\tin\taccordance\twith\nstep\t1.\n•\t\nIf\tadolescent\tis\tobese,\tprovide\tdietary\n•\t\nReview\tblood\tpressure\tresults\twith\nclient.\n•\t\nProvide\tcounseling\tin\taccordance\twith\nthe\tDASH\tdiet.\tRequest\tfollow-up\tvisit.\n•\t\nIf\tclient\tis\toverweight\tor\tobese,\nprovide\tdietary\tcounseling\tas\nappropriate\tand\trefer\tto\tweight\nmanagement\tprogram.
|
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] |
counseling\tin\taccordance\twith\tstep\t2\tand\nrefer\tto\tcomprehensive\tweight\nmanagement\tprogram.\n•\t\nIf\tdietary\tmanagement\n\tis\tnot\teffective,\nrefer\tto\tprimary\tcare\tprovider\tfor\nphysical\texamination\tand\tmanagement\nof\thypertension\tby\tmedication\tas\nneeded.\n•\t\nIf\tdietary\tmanagement\n\tis\tnot\teffective,\nrefer\tto\tprimary\tcare\tprovider\tfor
|
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is\tnot\teffective,\nrefer\tto\tprimary\tcare\tprovider\tfor\nphysical\texamination\tand\tmanagement\nof\thypertension\tby\tmedication\tas\nneeded.\nDiabetes\n•\t\nRefer\tadolescent\twith\tfamily\thistory\tof\ndiabetes,\tsigns\tof\tacanthosis\tnigricans,\nsymptoms\tconsistent\twith\tdiabetes,\tor\nthose\twho\tare\toverweight/obese\tto\ta\nprimary\tcare\tprovider\tand\trequest\ta
|
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] |
primary\tcare\tprovider\tand\trequest\ta\nfasting\tblood\tglucose.\n•\t\nReview\tfasting\tblood\tglucose\tlevels\n\twith\nadolescent\tand\tparent(s).\tProvide\nnutrition\tcounseling\tas\tappropriate.\n•\t\nIf\tadolescent\tis\toverweight,\tprovide\ndietary\tcounseling\tin\taccordance\twith\nstep\t1.\n•\t\nIf\tadolescent\tis\tobese,\tprovide\tdietary\ncounseling\tin\taccordance\twith\tstep\t2\tand
|
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counseling\tin\taccordance\twith\tstep\t2\tand\nrefer\tto\tcomprehensive\tweight\nmanagement\tprogram.\n•\t\nRefer\tclient\twith\tfamily\thistory\tof\ndiabetes,\tsigns\tof\tacanthosis\tnigricans,\nsymptoms\tconsistent\n\twith\tdiabetes,\tor\nthose\twho\tare\toverweight/obese\tto\nprimary\tcare\tprovider\tand\trequest\ta\nfasting\tblood\tglucose.\n•\t\nReview\tfasting\tblood\tglucose\tlevels
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] |
fasting\tblood\tglucose.\n•\t\nReview\tfasting\tblood\tglucose\tlevels\nwith\tclient.\tProvide\tnutrition\ncounseling\tas\tappropriate.\n•\t\nIf\tclient\tis\toverweight\tor\tobese,\nprovide\tdietary\tcounseling\tand\trefer\tto\ncomprehensive\tweight\tmanagement\nprogram.\nPhysical\tactivity\n•\t\nReview\tphysical\tactivity\tpattern\tand\nbehaviors\n\twith\tadolescent\tand\tparent(s).\n•
|
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] |
behaviors\n\twith\tadolescent\tand\tparent(s).\n•\t\nReinforce\tneed\tfor\t60\tmin\tor\tmore\tof\nmoderate-to-vigorous\tphysical\tactivity\nper\tday.\n•\t\nReinforce\tlimiting\tsedentary\tand\tscreen\ntime\tto\tno\tmore\tthan\t2\thours\tper\tday.\n•\t\nReview\tphysical\tactivity\tpattern\tand\nbehaviors\twith\tclient.\n•\t\nReinforce\tneed\tfor\t60\tmin\tor\tmore\tof
|
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behaviors\twith\tclient.\n•\t\nReinforce\tneed\tfor\t60\tmin\tor\tmore\tof\nmoderate-to-vigorous\tphysical\tactivity\neach\tday.\n•\t\nReinforce\tlimiting\tsedentary\tand\nscreen\ttime\n\tto\tno\tmore\tthan\t2\thours\nper\tday.\nDASH\n,\tDietary\tApproaches\tto\tStop\tHypertension
|
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] |
per\tday.\nDASH\n,\tDietary\tApproaches\tto\tStop\tHypertension\nAdapted\tfrom\tU.S.\tDepartment\tof\tHealth\tand\tHuman\tServices\t(USDHHS),\tNational\tInstitutes\tof\tHealth\t(NIH),\tNational\tHeart,\tLung,\tand\tBlood\tInstitute\n(NHLBI):\t\nExpert\tpanel\ton\tintegrated\tguidelines\tfor\tcardiovascular\thealth\tand\trisk\treduction\tin\tchildren\tand\tadolescents
|
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] |
.\tSummary\treport,\tNIH\tPublication\nNo\t12-7486A,\n\tOctober\t2012.\nTable\t17.10\nClassification\tCriteria\tfor\tthe\tDiagnosis\tof\tHyperlipidemia\tin\tAdolescents\t(10-\tto\t19-years-old)\n*\nAcceptable\nBorderline\nUnacceptable\nTotal\tcholesterol\t(mg/dL)\n≤170\n170-199\n≥200\nLDL\tcholesterol\t(mg/dL)\n<110\n110-129\n≥130\nNon-HDL\tcholesterol\t(mg/dL)\n<120\n120-144\n>145
|
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<110\n110-129\n≥130\nNon-HDL\tcholesterol\t(mg/dL)\n<120\n120-144\n>145\nHDL\tcholesterol\t(mg/dL)\n>45\n40-45\n<40\nTriglycerides\t(mg/dL)\n<90\n90-129\n>130\nApolipoprotein\tA-1\t(mg/dL)\n>120\n115-120\n<115\nApolipoprotein\tB\t(mg/dL)\n<90\n90-109\n>110\nHDL\n,\tHigh-density\tlipoprotein;\t\nLDL\n,\tlow-density\n\tlipoprotein.
|
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] |
>110\nHDL\n,\tHigh-density\tlipoprotein;\t\nLDL\n,\tlow-density\n\tlipoprotein.\nAdapted\tfrom\tU.\tS.\tDepartment\tof\tHealth\tand\tHuman\tServices\t(USDHHS),\tNational\tInstitutes\tof\tHealth\t(NIH),\tNational\tHeart,\tLung,\tand\tBlood\tInstitute\n(NHLBI):\t\nExpert\tpanel\ton\tintegrated\tguidelines\tfor\tcardiovascular\thealth\tand\trisk\treduction\tin\tchildren\tand\tadolescents
|
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] |
.\tSummary\treport,\tNIH\tPublication\nNo\t12-7486A,\tOctober\t2012.\n*\nBased\ton\tthe\taverage\tof\ttwo\tmeasurements.\nThe\tNational\n\tHeart,\tLung,\tand\tBlood\tInstitute\t(NHLBI)\thas\trecommended\tthat\tall\tyouth\twith\televated\nblood\tlipids\tbe\treferred\tto\ta\tregistered\tdietitian\tor\tnutritionist\tfor\tmedical\tnutrition\ttherapy.\tThe\tdietary
|
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] |
recommendations\tfor\tyouth\tup\tto\t21\tyears\tof\tage\twith\televated\tlow-density\tlipoprotein\t(LDL)\ncholesterol\tare\tlisted\tin\t\nBox\t17.4\n,\tand\tthose\tfor\televated\ttriglycerides\tand\tnon-HDL\tcholesterol\tare\nlisted\n\tin\t\nBox\t17.5\n.\nBox\t17.4\nDietary\tRecommendations\tfor\tElevated\tLow-Density\tLipoprotein\nCholesterol\tin\tAdolescents\n•
|
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] |
Cholesterol\tin\tAdolescents\n•\t\nLimit\ttotal\tfat\tintake\tto\tno\tmore\tthan\t25%\tto\t30%\tof\tcalories.\n•\t\nLimit\tsaturated\tfat\tintake\tto\tno\tmore\tthan\t7%\tof\tcalories.\n•\t\nDietary\tcholesterol\tintake\tshould\tnot\texceed\t200\tmg/day.\n•\t\nPlant\tsterol\testers\tand/or\tstanol\testers\tcan\treplace\tusual\tfat\tintake\tup\tto\t2\tg/day\tfor\n\tchildren
|
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children\nwith\tfamilial\thypercholesterolemia.\n•\t\nUp\tto\t12\tg\tof\tpsyllium\tfiber\tcan\tbe\tadded\tto\tthe\tdiet\teach\tday\tas\tcereal\tenriched\twith\tpsyllium.\n•\t\nAt\tleast\t1\thour\tof\tmoderate\tto\tvigorous\texercise\tshould\tbe\tobtained\tdaily.
|
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] |
•\t\nSedentary\tand/or\tscreen\ttime\tshould\tbe\tlimited\tto\tless\tthan\t2\thours\teach\tday.\nAdapted\tfrom\tU.S.\tDepartment\tof\tHealth\tand\tHuman\tServices,\tNational\tInstitutes\tof\tHealth,\tNational\n\tHeart,\nLung\tand\tBlood\tInstitute\n:\tExpert\tpanel\ton\tintegrated\tguidelines\tfor\tcardiovascular\thealth\tand\trisk\treduction\nin\tchildren\tand\tadolescents.\tSummary\treport
|
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] |
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