After studying this chapter you will be able to understand: Childhood, adolescence, staying young while growing older, nutrient needs of the mature adult, nutrition-related concerns of mature adults.
Trang 1Chapter 12
Life Cycle:
From Childhood Through Older
Adulthood
Trang 2• Energy and nutrient needs during childhood
– Energy and protein
• Total energy requirements gradually increases
• Kilocalories and grams protein per kg
decrease from infancy– Vitamins and minerals
• Variety of foods needed
• Assess iron intake
• Need for supplements?
Trang 4• Influences on childhood food habits and
intake
– Usually temporary
– Caregivers have increased role in the
development of child’s health and nutrition habits
– Kids are responsible for when and how
much to eat
– External factors
• Television
• Environment
Trang 6• Nutritional Concerns of Childhood
– Malnutrition and hunger
• Food insecure households
• Low food security
• Federal assistance programs
–WIC–National School Lunch–Breakfast and Summer Food Service Programs Summer Food Service
Trang 8• Nutrition Concerns of Childhood
– Food and behavior
• Foods associated with hyperactivity
Trang 9• Childhood and Teenage Obesity
– 16-33% of children and adolescents
obese
– Overweight children likely to become
overweight adults
– The Path to Obesity
• Most commonly begins between ages 5-6 or during adolescence
Trang 10• Childhood and Teenage Obesity
– What Causes Obesity?
• Genetic, biological, behavioral, and cultural factors
• 80% chance for children with two obese parents
Trang 11• Childhood and Teenage Obesity
– Risks and Complications
• Increased risk of heart disease
• High blood pressure
• Diabetes
• Breathing problems
• Trouble sleeping
Trang 12• Childhood and Teenage Obesity
– Management
• Start a weight-management program
• Change eating habits
• Plan meals and make better selections
• Control portions
• Increase physical activity
• Limit snacking
Trang 13• Nutrition and chronic disease
– Dietary Guidelines for Americans
• Screening children with family history of high lipid levels
• Lead toxicity
– Slow growth
– Iron-deficiency anemia
– Damage to brain and CNS
– Low-iron, calcium, and zinc intakes
increase lead absorption
Trang 15• Physical growth and development
– Adolescent growth spurt
• Boys: begins between 12 and 13 years
–Gain about 8 inches in height, 45 pounds in weight
• Girls: begins between 10 and 11 years
–Gain about 6 inches in height, 35 pounds in weight
• Changes in body composition
• Changes in emotional maturity
Trang 16• Adolescents
– Energy and protein
• Highest total calories and protein grams per day
– Vitamins and
minerals
• Nutrients of concern
–Vitamin A –Calcium –Iron
Trang 18• Nutrition-Related Concerns for Adolescents
– Fitness and sports
• Provide catalyst for learning about nutrition and improve daily habits– Acne
• Investigating the connections between diets and acne
–High-glycemic-index foods, fat intake, and fatty acid composition
– Eating disorders
• Become preoccupied with weight, appearance, and eating habits
Trang 19• Adolescent Obesity
– Increased risk for
• Developing high blood pressure
• Abnormal blood glucose tolerance and type 2 diabetes
• Breathing problems, joint pain, and heartburn
• Poor self-esteem
• Metabolic syndrome
Trang 21– Teens who use drugs are usually
underweight and report poor appetites
Trang 22Staying Young While Growing
Older
• Age-related changes
– Weight and body composition
• Add fat; lose lean body mass– Physical activity
• Reduced muscle and skeletal strength– Immunity
• Decline in defense mechanisms– Taste and smell
• Decline in sensitivity– Gastrointestinal changes
• Reduced acid secretion; reduced motility
Trang 24Nutrient Needs of the Mature
Trang 25Nutrient Needs of the Mature
Trang 26Nutrient Needs of the Mature
• Reduced ability to absorb vitamin B12
• Folate, B6, B12 may help reduce heart disease risk
Trang 28Nutrient Needs of the Mature
Adult
• Antioxidants
– Found in fruits and vegetables
– Important to reduce oxidative stress and degenerative diseases
– May protect against damage to the
brain
Trang 29Nutrient Needs of the Mature
• Marginal deficiencies likely
• May compromise immunity, wound healing
– Iron
• Elders may have limited intake
Trang 30Nutrition-Related Concerns
of Mature Adults
• Drug–drug and drug–nutrient interactions
– Can affect use of drugs or nutrients
– Possible interactions should be
identified and avoided
• Depression
– May reduce food intake
– Alcoholism can interfere with nutrient use
Trang 31Nutrition-Related Concerns
of Mature Adults
• Anorexia of aging
– Loss of appetite with illness
– Can lead to protein-energy malnutrition
Trang 32Nutrition-Related Concerns
of Mature Adults
• Bowel and bladder regulation
– Increased risk of urinary tract infection
– Chronic constipation more common with age
• Need for increased fluids and fiber
• Dental health
– May interfere with eating ability or food choices
Trang 33Nutrition-Related Concerns
of Mature Adults
• Vision problems
– Can affect ability to shop and cook
– Antioxidants may reduce macular
Trang 34Nutrition-Related Concerns
of Mature Adults
• Alzheimer’s disease
– Affects ability to function
– Reduced taste and smell
– Risk for weight loss and malnutrition
Trang 35Meal Management for Mature
Adults
• Managing independently
• Wise eating for one or two
• Finding community resources
– Services for elders
• Meals on Wheels
• Elderly Nutrition Program
• Food Stamp Program