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POCKET GUIDE - Bright Futures - American Academy of Pediatrics

POCKET GUIDE - Bright Futures - American Academy of Pediatrics

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Adolescence<br />

52<br />

<strong>Bright</strong> FUTURES<br />

■ Positive body image. (People come in unique sizes and<br />

shapes, within a range <strong>of</strong> healthy body weights.) (see tips<br />

for Fostering a Positive Body image Among Children<br />

and Adolescents.)<br />

■ Assuring adolescents that they are loved and accepted as<br />

they are, regardless <strong>of</strong> their size and shape.<br />

physical Activity<br />

■ engaging in 60 or more minutes <strong>of</strong> daily physical activity.<br />

— Aerobic: either moderate-intensity (hiking, skateboarding)<br />

or vigorous-intensity (running, bicycling) aerobic<br />

physical activity daily, and include vigorous-intensity<br />

physical activity at least 3 days a week.<br />

— Muscle-strengthening: include muscle-strengthening<br />

physical activity (climbing trees, sit-ups) at least 3 days<br />

a week.<br />

— Bone-strengthening: include bone-strengthening<br />

(weight-bearing) physical activity (jumping rope,<br />

playing basketball) at least 3 days a week.<br />

■ incorporating physical activity into daily life (through<br />

physical education at school and activities with family<br />

and friends).<br />

■ For adolescents with special health care needs, engaging<br />

in physical activity for cardiovascular fitness (within limits<br />

<strong>of</strong> medical or physical conditions).<br />

■ Wearing appropriate safety equipment (helmets, pads,<br />

mouth guards, goggles) when physically active.<br />

■ Finding safe settings for physical activity.<br />

■ Drinking water when physically active.<br />

■ Not having a television in the adolescent’s bedroom.<br />

■ Limiting total entertainment media time (watching television,<br />

playing computer or video games) to no more than<br />

1 to 2 hours <strong>of</strong> quality programming a day.<br />

■ reducing sedentary behaviors (watching television, playing<br />

computer or video games, especially if the adolescent<br />

is overweight.<br />

substance use<br />

■ Consuming excessive quantities <strong>of</strong> caffeinated beverages<br />

(s<strong>of</strong>t drinks, c<strong>of</strong>fee, energy drinks).<br />

■ Dangers <strong>of</strong> using alcohol, tobacco, and other drugs.<br />

■ Dangers <strong>of</strong> using performance-enhancing products<br />

(protein supplements, anabolic steroids).

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