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Human Growth and Development Johnson Healthcare Private Limited Nutritional needs changes with different Life Stages Our nutritional needs change with different life stages. To be fit and healthy, it is important to take into account the extra demands placed on your body by these changes. To meet your body’s regular nutritional needs, you should consume: A wide variety of nutritious foods Water on a daily basis Enough kilojoules for energy, with carbohydrates as the preferred source Nutritional needs changes with different Life Stages Adequate protein for cell maintenance and repair Fat-soluble and water-soluble vitamins Essential minerals such as iron, calcium and zinc Foods containing plant-derived phytochemicals, which may protect against heart disease, diabetes, some cancers, arthritis and osteoporosis. A varied diet that concentrates on fruits, vegetables, whole grains, legumes, dairy foods and lean meats can meet these basic requirements. Babies – birth to six months of age Infants usually double their length and triple their weight between birth and one year of age. Breastmilk generally supplies a baby with the required amounts of nutrients, fluids and energy up to about six months of age. It is recommended that infants be exclusively breastfed up to around six months of age. Breastmilk is preferred to infant formula where possible, as it contains many protective and immunological factors that benefit the baby’s development. Fruit juice is not recommended for infants under the age of six months. Breastmilk or correctly prepared infant formula provides enough water for a healthy infant to replace any water losses. However, all infants need extra water once solid foods are introduced. Food for babies – six to 12 months of age Solids should be introduced around six months of age to meet the infant’s increasing nutritional and developmental needs. However, breastfeeding should continue until twelve months of age and beyond, or for as long as the mother and child desire. Different societies have their own traditions about which food is more appropriate to start feeding a baby with. Culturally appropriate foods and preparation methods should be encouraged when these are nutritionally adequate. Food for babies – six to 12 months of age As a baby is gradually weaned from the breast or bottle and new solids are introduced, there may be reduced body stores of iron. To maintain nutrient body stores: Give your baby foods that are rich in iron and zinc, such as iron-enriched infant cereals, pureed meats and poultry dishes, cooked plain tofu and legumes/soy beans/lentils. Iron-enriched rice-based cereals are frequently recommended as the first food to be introduced, as there is the additional benefit of a lower risk of an allergic reaction. Foods can be introduced in any order, provided the texture is suitable for the infant’s stage of development. Foods range from fruits and vegetables (for vitamin and mineral content) to meat, poultry, fish and whole eggs.. Food for babies – six to 12 months of age Do not add salt, sugar or honey to your baby’s food. It is unnecessary. Avoid cow’s milk as a drink in the first 12 months. Small amounts can be used in cereals and custards. All milk used should be pasteurised. Whole fruit is preferable to fruit juice. Avoid juices and sugar sweetened drinks. Put an infant to bed without a bottle, or take the bottle away when the infant has finished feeding to minimise long-term exposure of their teeth to sugar-containing liquids. Food for babies – six to 12 months of age Avoid whole nuts, seeds or similar hard foods to reduce the risk of choking. Introduce foods one at a time. Offer new foods once every three to four days to avoid confusion and to rule out food allergy and sensitivity. Feed babies during any illness and feed up after illness. Give ample liquids if your baby has diarrhoea. Occasional exposure of the skin to sunlight is usually enough to provide a baby’s vitamin D requirements, but this does vary from season to season and with skin colour. Food for young children Once a child is eating solids, offer a wide range of foods to ensure adequate nutrition. Young children are often picky with food, but should be encouraged to eat a wide variety of foods. Trying again with new foods may be needed for a child to accept that food. As many as eight to fifteen times may be needed. During childhood, children tend to vary their food intake (spontaneously) to match their growth patterns. Children’s food needs vary widely, depending on their growth and their level of physical activity. Like energy needs, a child’s needs for protein, vitamins and minerals increase with age. Food for young children Ideally, children should be accumulating stores of nutrients in preparation for the rapid growth spurt experienced during adolescence. Appropriate weight gain and development will indicate whether food intake is appropriate. Food-related problems for young children include overweight, obesity, tooth decay and food sensitivities. Recommendations include: If a child is gaining inappropriate weight for growth, limit energy-dense, nutrient-poor snack foods. Increase your child’s physical activity. You could also limit the amount of television watching. Food for young children Tooth decay can be prevented with regular brushing and visits to the dentist. Avoid sugary foods, especially if sticky or acidic. Ensure your child has enough fluids, especially water. Fruit juices should be limited. Reduced-fat milks are not recommended for children under the age of two, due to increased energy requirements and high growth rate at this age. Be aware of foods most likely to cause allergic reactions, including peanuts, shellfish and cow’s milk. Be particularly careful if there is a family history of food allergy. Food for children entering their teenage years The growth spurt as children move into adolescence needs plenty of kilojoules and nutrients. For girls, this generally occurs around 10 to 11 years of age. For boys it occurs later, at around 12 to 13 years. Recommendations include: The extra energy required for growth and physical activity needs to be obtained from foods that also provide nutrients instead of just ‘empty calories’. Food for children entering their teenage years Takeaway and fast foods need to be balanced with nutrient-dense foods such as wholegrain breads and cereals, fruits, legumes, nuts, vegetables, fish and lean meats. Milk, yoghurt and cheese (mostly reduced fat) should be included to boost calcium intake – this is especially important for growing bones. Cheese should preferably be a lower salt variety. Adolescent girls should be particularly encouraged to consume milk and milk products. Older teenagers and young adults Moving away from home, starting work or study, and the changing lifestyle that accompanies the late teens and early 20s can cause dietary changes that are not always beneficial for good health. Recommendations include: Make a deliberate effort to keep physically active. Limit alcohol intake. Reduce the amount of fats and salt in the daily diet. Be careful to include foods rich in iron and calcium. Establish healthy eating habits that will be carried on into later life. Food for pregnant women A pregnant woman should concentrate on increasing her nutrient intake, rather than her kilojoule intake, particularly in the first and second trimesters. In Australia, pregnant women are expected to gain about 10 to 13 kg during pregnancy. However, this depends on the pre-pregnancy weight of the mother. Recommendations include: Not ‘crash dieting’, as this can have a negative impact on the baby. Not ‘eating for two’, as this will lead to unnecessary weight gain. A healthy pregnancy only requires about an extra 850 to 1,100 kilojoules a day during the second and third trimester, which is equivalent to a glass of milk or a sandwich. Concentrate on diet quality rather than quantity. Accommodate cravings, but don’t let them replace more nutritious foods. Food for pregnant women Nutrients for which there are increased requirements during pregnancy include folate, iron and iodine. Iron is required for oxygen transport in the body. Iron supplements can be advised by your doctor during pregnancy, but do not take them unless your doctor recommends them. Increasing vitamin C intake can help increase iron absorption from foods. Folate is important three months before and in the first trimester of pregnancy to avoid neural tube defects (like spina bifida) in the baby. All women of childbearing age should eat high-folate foods (such as green leafy vegetables, fruits and legumes) or take a folate supplement (remember to talk to your doctor first). It is now mandatory for all breadmaking flour to be fortified with folic acid (a form of folate that is added to foods). This will help women reach their recommended intake of folate. Food for pregnant women Iodine is important for normal growth and development of the baby. Iodine supplements are often advised during pregnancy to meet the increased needs as food sources (such as seafood, iodised salt and bread) are unlikely to provide enough iodine. Speak to your doctor. The recommended intake of calcium does not specifically increase during pregnancy. It is, however, very important that pregnant women do meet calcium requirements during pregnancy. No one knows the safe limit of alcohol consumption during pregnancy. Recommendations are to not drink at all. Food for pregnant women Pregnant women are advised to avoid foods that are associated with increased risk of the listeria bacteria (such as soft cheese and cold seafood) and to be careful with foods that are more likely to contain mercury (such as certain fish. such as flake). Being physically active has many benefits. If you are active and fit, and are experiencing a normal pregnancy, you can remain physically active during your pregnancy. Otherwise, consult your doctor for advice. Drink plenty of fluids. Do not smoke – both direct and passive smoking is associated with growth retardation, increased risk of spontaneous abortion, stillbirths, placental complications and low birth weight. Food for breastfeeding mothers Breastfeeding mothers need a significant amount of extra energy to cope with the demands of breastfeeding. This extra energy should come in the form of nutrient-dense foods to help meet the extra nutrient requirements that also occur when breastfeeding. Vegan mothers who are breastfeeding (and during pregnancy) should take a vitamin B12 supplement. Food for breastfeeding mothers Recommendations include: Eat enough food – breastfeeding burns through extra kilojoules. Eat foods that are nutrient dense – especially those foods that are rich in folate, iodine, zinc and calcium. Eat and drink regularly – breastfeeding may increase the risk of dehydration and cause constipation. Fluid needs are approximately 750 – 1000 ml a day above basic needs. Women should continue to avoid drinking alcohol while breastfeeding. Food for menopausal women Thinning of the bones is common in postmenopausal women because of hormone-related changes. Recommendations include: Eat foods rich in calcium – such as milk or, if necessary, take calcium supplements as prescribed by a doctor. Weight-bearing exercises – such as walking or weight training can strengthen bones and help maintain a healthy body weight. Food for menopausal women A high-fibre, low-fat and low-salt diet – a diet high in phytoestrogens has been found to reduce many symptoms of menopause, such as hot flushes. Good food sources include soy products (tofu, soymilk), chickpeas, flax seeds, lentils, cracked wheat and barley. A variety of wholegrain, nutrient-dense food – whole grains, legumes and soy-based foods (such as tofu, soy and linseed cereals), fruits and vegetables, and low-fat dairy products. Food for older people Many people eat less as they get older – this can make it harder to make sure your diet has enough variety to include all the nutrition you need. Recommendations include: Be as active as possible to encourage your appetite and maintain muscle mass. Remain healthy with well-balanced eating and regular exercise. Eat foods that are nutrient dense rather than energy dense, including eggs, lean meats, fish, liver, low-fat dairy foods, nuts and seeds, legumes, fruit and vegetables, wholegrain breads and cereals. Food for older people If possible, try to spend some time outside each day to boost your vitamin D synthesis for healthy bones. Limit foods that are high in energy and low in nutrients such as cakes, sweet biscuits and soft drinks. Choose foods that are naturally high in fibre to encourage bowel health. Limit the use of table salt, especially during cooking. Choose from a wide variety of foods and drink adequate fluids. Share mealtimes with family and friends. Things to Remember The nutritional requirements of the human body change as we move through different life stages. A varied diet that includes plenty of nutrient-dense foods is recommended for everyone, regardless of age. Things to Remember Research suggests that Children tend to grow faster in spring season as compared to any other time of the year ! Hugging releases oxytocin, which helps to heal physical wounds, makes someone trust you more ! Do you know that your Toe-prints are also unique , just like your finger prints !And imagine even your tongue print is unique! You know ,you have no sense of smell when you're sleeping! You know ,you can see your nose all the time but somehow your brain always ignores it! Things to Remember An average person has over 1,460 dreams a year which is about 4 dreams every night! Do you know the similarity between human body and a banana? You will be amazed to know that 50% of human DNA is same as in banana! The human body has enough iron in it to make 3 inches long nail. A human heart pumps enough blood to fill 100 swimming pools in an average life time. In the same time it will beat almost three billion times While sleeping, one person out of every eight snores, and one in ten grinds his teeth Things to Remember All babies are color blind when they are born ,so they only see black & white. People with dark color skin wrinkle later than the people having light color skins! Guess how many muscles are working when you take a step! Well, about 200 muscles are used when we take a single step! Weight of the eyeball ! The eyeball of a human weighs approximately 28 grams. People generally read 25% slower from a computer screen compared to paper. Things to Remember Do you know ,it is impossible to sneeze with your eyes open ! And do you know ,it is impossible to hum while your nose is plugged close ! Your brain is more active and thinks more at night than during the day. Do you know what is Uvula? It is the small piece of the small tissue dangling over the tongue. Now this is cool ,the tongue is the strongest muscle in the human body. Things to Remember And did you know that our fingers don't have any muscles ? The muscles which move our finger joints are located in the palm and up in the forearm. An adult human body contains approximately 100 trillion cells! Your tongue has 3,000 taste buds. Do you know ,your brain has 80% water? No pain in the brain! Do you know our brain does not feel pain! Even though brain processes pain signals, the brain itself actually does not feel pain. Things to Remember Bones in an adult account for 14% of the body's total weight. The tips of your fingers have enough strength to support the weight of your whole body When you are born with 300 bones in their body, but as an adult you only have 206 bones. This happens because many of them join together to make a single bone. The outsides of a bone are hard, they are light and soft inside. They are about 75% water. The strongest bone in your body is the femur (thighbone), and it's hollow! Things to Remember The smallest bone in the human body is the stapes bone which is located in the ear,it is also called stirrup . Men get hiccups more often than women. A sneeze can exceed the speed of 100 miles per hour. When a sneeze leaves your body ,it is at such a high speed that you should avoid supressing it. It takes food only seven seconds to go from the mouth to the stomach via the esophagus, pretty fast ! right? Enamel is hardest substance in the human body. Things to Remember Fingernails grow nearly 4 times faster than toenails! Women hearts beat faster than men. Also women blink more than men ! In one day ,your heart beats 100,000 times. The normal pulse is 70 heartbeats per minute. Blood is such a good stain that Native Americans used it for paint. Did you know that Blood is 6 times thicker than water? Things to Remember Our kidneys filter about 1.3 liters of blood every minute & expel up to 1.4 liters of urine in a day. The capacity of an adult human bladder ranges from approximately 600 ml to 800 ml. The exact maximum capacity varies from person to person. But remember that the urge to urinate is triggered when the bladder contains about 100 to 200 mls , much lower than full capacity. As the bladder fills with fluid, receptors in the bladder wall get stretched. Things to Remember Do you know a woman has approximately 4.5 liters of blood in her body, while men have 5.6 liters? Your blood takes a very long trip through your body. If you could stretch out all of a human's blood vessels, they would be about 60,000 miles long. That's enough to go around the world twice. Did you know that, our heart (which is one of the main muscles ) is so powerful that it can squirt the blood no less than 9 meters high? It's because it’s programmed to deliver the blood even in the less accessible areas of the body, like the toes & the fingertips, and therefore, in order to do this, it’s necessary for the heart to create lots of pressure inside the veins. Things to Remember The reason honey is so easy to digest is that it’s already been digested by a bee. The only part of the body that has no blood supply is the cornea in the eye. It takes in oxygen directly from the air. The sound you hear when you crack your knuckles is actually the sound of nitrogen gas bubbles bursting. Women blink nearly twice as much as men. It takes about 20 seconds for a red blood cell to circle the whole body. Things to Remember Every drop of blood in your body is filtered by your body over 300 times a day. Babies are born with pink lungs but they darken in color as we breathe in polluted air. Your right lung is bigger than left lung! The left lung is small so as to adjust heart in that part ! Human hair and fingernails continue to grow after death. You burn more calorie while sleeping than watching TV. Things to Remember Almost half of total bones in human body are in hands & feet. The Hyoid bone, in your throat ,is the only bone in your body which is not attached to other bone.. Your skeleton keeps changing every 10 years, that means your bodies keep renewing themselves so every 10 year you have a new skeleton. The word Karate means, "empty hand”. The best time for a person to buy shoes is in the afternoon. This is because the foot tends to swell a bit around this time. Things to Remember Do you know left hand side of your brain controls right side of your body whereas right-hand side controls left part of body . Do you know everybody has a strong eye and one weak! Pupils in eyes get their name because the picture they give is small ,like schoolchildren ! Rods & Cons are the two types of light sensitive cells in your eyes.Rods tell about brightness of color but Cones tell about what color it is. Cones don't work well in night ,that is why colors look gray at night! The brain grows quickest till the age of 5.! Things to Remember A normal human being can survive for 20 days without eating but it can survive only for 2 days without drinking! Your blood carries food & oxygen to all of your body.! Body fat is not particularly hazardous to health untill the level of total body fat reaches 35% for men & 40% for woman About 90% of what we eat is assimilated in the small intestine. Human Bones consist of 50% water & 50% solid material. Things to Remember 14 bones make up the human face. It is considered that average quantity of blood in a man is 6.8 litres where as it is 500 ml less in an average woman Hair is made of protein and keratin & has no blood supply and common belief that shaving facial hair makes them grow faster or thicker is ,not true. An average person has 100,000 hairs on his/her head. Each hair grows about 5 inches (12.7 cm) every year. There are 60,000 miles (97,000 km) of blood vessels in each human. Things to Remember The average adult can read 150 to 200 words per minute and the vocabulary of an average person consists of only 5,000 - 7,000 words. The only part of the body that has no blood supply is the cornea in the eye. It takes in oxygen directly from air. Have you heard about 'Glabella' ! It is the space between your eyebrows! Another interesting word 'Borborygmi' -it is the noise or sound which our stomach makes when we are hungry! The only joint less bone in human body is Hyoid bone in the throat ! Things to Remember The average adult can read 150 to 200 words per minute and the vocabulary of an average person consists of only 5,000 - 7,000 words. The only part of the body that has no blood supply is the cornea in the eye. It takes in oxygen directly from air. Have you heard about 'Glabella' ! It is the space between your eyebrows! Another interesting word 'Borborygmi' -it is the noise or sound which our stomach makes when we are hungry! The only joint less bone in human body is Hyoid bone in the throat ! Questions?