POCKET GUIDE - Bright Futures - American Academy of Pediatrics

■
■ Key indiCaTors of nuTriTion risK for Children and adolesCenTs,
ConTinued
indiCaTors of
nuTriTion risK releVanCe
Participates in excessive
physical activity.
lifestyle
Engages in heavy alcohol,
tobacco, and other
drug use.
Intense physical activity nearly every day,
sometimes more than once a day, can be
unhealthy and may be associated with
menstrual irregularity, excessive weight
loss, and malnutrition.
Alcohol, tobacco, and other drug use can
adversely affect nutrient intake and
nutrition status.
Uses dietary supplements. Dietary supplements (eg, vitamin and
mineral preparations) can be healthy
additions to a diet for children or
adolescents with a history of irondeficiency
anemia; however, high doses
can have serious side effects. Adolescents
who use supplements to “bulk up”
may be tempted to experiment with
anabolic steroids.
CriTeria for furTher sCreening
and assessmenT
Assess the child or adolescent for
eating disorders.
Assess the child or adolescent further for
alcohol, tobacco, and other drug use.
Assess the child or adolescent for the type
of supplements used and dosage.
Assess adolescent’s use of anabolic steroids
and mega doses of other supplements.
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Bright FUTURES
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