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26 Cards in this Set

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best tool in the prediction of obesity in kids ages 6-19 years
BMI
how long to take head circumference measurements in kids
done through the first 3 years of life
deviations on the growth charts
kids whose plots fall below 5% or above 95%, or cross 2 major growth channels, are at nutritional risk
**weight gain in the first couple years of life

weight gain from 2 yrs to puberty
weight is doubled by 4-6 months, tripled by 1 year, and quadrupled by 2 years

2kg of weight per year
number of inches kids grow in first yr, by age 4 and per year from age 4 to puberty
10 inches
10 inches
2 inches
**reasons not to breastfeed (7)
HIV (most common)
HTLV 1 or 2
maternal drug abuse
life threatening illness in the mother
chemotherapy
radiologic pharmaceuticals
herbicide or pesticide exposure
caloric requirements for infants

How do they get those calories
100 calories per kg per day (about 150 ml of breast milk per kg per day)

Breast milk or formula only
possible indications for the introduction of water into the diet (after 4-6 months of life and weight gain is ok)
dry times/warmer climates

stools are hard (clay-like)
6 risks associated w/ early introduction of solids (before 4 months)
aspiration/pneumonia
inadequate calorie intake
renal failure
DM type II
celiac disease
food allergies
4 risks associated w/ late introduction of solids (after 6 months)
inadequte calorie intake
iron deficiency
delayed oral-motor skill development
solid food aversion/avoidance
syndromic obesity vs. exogenous obesity
most exogenous obesity patients are tall for their age, genetic problems usually are associated w/ short stature and begin by or before 2 years of age
common deficiencies in pre-school age childrens
zinc and calcium
Checking the weight of an infant
**always check calibration

W/O diaper to nearest .01kg
What is the interpretation of the following measurements: Linear (length/height), Weight and Head circumferance?
Linear - reflects bone growth

weight - Reflective fat/muscle growth

Head - brain growth
By what age does the head circumference double?
4-6 months
By what age does the Head circumference triple?
1 yr of life
Possible the most important decision a new mother makes in the overall health of her newborn is to?
Breatfeed

also benefits the mother
Basic composition of Breast Milk and formula
Carbs - 40%
Fats - 40-50% (make sure formula has ARA/DHA for eye and brain dev.)
Protien 10-12%
Importance of DHA/ARA (DHA - docosahexaenoic acid and ARA-Arachadonic acid)
products of essential fatty acids that are needed for development of neural tissue and photoreceptors.
Which formula has the rare potential risk of hypophosphatemia and rickets in long term use
Soy version
How often should you introduce a new food to the new born?
Wait at least 4 days...that way you can identify problems w/ those foods
At what age can you introduce cows milk and honey
1yr...don't forget about botulism and honey
Define childhood obesity?
BMI is equal to or greater than 95% for age and gender
Genetic obesity syndromes usually begin by or before what age?
2
What happens to the total number of adipose cells between 6 months and 2yrs?
becomes constant until puberty (8 to 10)
Pre-school aged children of lower social economic status in the USA are often deficient in...
Zinc

calcium (if WIC is not involved...need 24ounces of milk/day)