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6.2

Nutrition for Adolescents

Summary

●● A●d	 olesScuemntms taarkyeBmulolerteedcoLnisttrol over their food  ●● Appetite and energy intake increase during the
   choices than younger children.                                        pubertal growth spurt.

●● They conform increasingly to peer pressure and                     ●● Psychological changes and emotional
   less to their parents’ role modelling.                                difficulties at this age can lead to eating
                                                                         disorders.
●● Nutritional intakes and status are poorer than
   in younger children.                                               ●● Committed physical training for sport requires
                                                                         an individual plan to cover energy needs for
●● A diet high in fast food, sugar and soft                              growth and training, competition and recovery
   drinks and low in milk and milk products, fruit                       afterwards.
   and vegetables is mainly responsible for the
   nutrient deficiencies common in this age                           ●● Pregnancy is usually unplanned and increases
   group.                                                                nutrient requirements.

Adolescence is a period of transition between                         greater rate than boys, laying down stores in the
childhood and adulthood, and involves both                            breast and hip regions. Fat deposition in boys tends
physical and emotional change, along with                             to be more central.
increasing independence and making more
personal choices. The food choices of adolescents                        The age at which the growth spurt begins varies
impact on their nutritional intake and status.                        enormously as it is influenced by genetics, gender,
                                                                      ethnicity and body weight.
Physical Development
                                                                         In girls, it begins at the commencement of
Sexual development occurs during adolescence                          puberty, at the time breast development begins,
and the onset of the sexual characteristics of                        with the greatest height increase in the year
puberty is a better marker of the stage of                            preceding menarche. On average, girls grow a
adolescence – and thus nutritional requirements –                     further 6 cm in height after menarche which occurs
than age.                                                             around 13 years of age. The age range for menarche
                                                                      is 10–16.5 years, with tall, heavy girls tending to
   The pubertal growth spurt, as described in                         begin menstruation earlier than their smaller,
Chapter 2.1, occurs over about 3 years and is a                       leaner classmates. Vigorous exercise, such as
period of rapid growth in height which occurs as a                    athletics, can delay menarche because of both the
result of the synergistic effects of sex hormones and                 physiological effects of training and the depletion
growth hormone. Adipose tissue stores also                            of body fat.
increase, with girls depositing adipose tissue at a
                                                                         Boys start their growth spurt on average two
                                                                      years later than girls and will be the shorter of the
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