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School Age Children
Home Group 1
-AisyahNurcita
-NisrinaHanisa
-Dini Suciyanti
-Puji Lestari
-Nurul Hasanah
-Tegar
-AhmadThohir Hidayat
Physiological condition of school age children
Chilhood 5-8 year of Age
(Body Composition)
• Grow consistent but slower rate Infants and Toddlers
Primary teeth  Permanent teeth
• Average growth rate of 5 to 7 Cm in
height / year
• 2 to 3 Kg in weight / year
• The rate of growth for extremities is
faster than for the trunk, which results in
more adult-like proportions.
Stretches Muscles and
Ligaments
“growing pains”
At nighttime in particular
Chilhood 5-8 year of Age
(Development)
• Children’s experience increasing mental and
social development, ability to work out
problems, and competitive activities
Onset of puberty (9-12 year of age)
Height
• height increases from
20 -25 %
a. Girls grow 2–8 inches
(5–20 centimeters) taller
b. boys grow 4–12 inches
(10–30 centimeters) taller
Weight
• development of bone,
muscle, and fat tissue
• Girls : develop “curves”,
higher fat
• Boys : more muscular
Girls development usually by passes boys in later part of
this period.
Catch up growth
Nutritional Status of
School-Age Children
1. Height for Age Z-Score
2. Weight for Age Z-Score
3. BMI for Age Z-Score
Cut Off Points for Nutritional Status
Indicators
(WHO,
Contributing Factors to Energy and Nutrient
Requirement
In School Age Children
1. Gender
2. Age
3. Height
4. Weight
5. PAL (Physical Activity Level)
Girl (8 years old, 25.6 kg,
128 cm) will require:
- 1360 kcal  sedentary
- 1593 kcal  low-active
- 1810 kcal  active
- 2173 kcal  very active
*Nutrition Through the Life
Cycle 4th ed
Body fat in male <
female  energy needs
for female < male
Energy needs in 5-6 y, 19kg,
112 cm (1600 kcal) < in 7-9y,
27 kg, 130 cm (1850 kcal)
*Based on AKG
AKG 2013 for School Age Children
Age Weight Height E P Fat CH Fiber Water
Children
5-6 19 112 1600 35 62 220 22 1500
7-9 27 130 1850 49 72 254 26 1900
Male
10-12 34 142 2100 56 70 289 30 1800
Female
10-12 36 145 2000 60 67 275 28 1800
Age Weight Height Vit A Vit D Vit E Vit K
Children
5-6 19 112 450 15 7 20
7-9 27 130 500 15 7 25
Male
10-12 34 142 600 15 11 35
Female
10-12 36 145 600 15 11 35
Age Weight Height Vit B1 Folate Vit B12 Vit C
Children
6 19 112 0.8 200 1,2 45
7-9 27 130 0.9 300 1,2 45
Male
10-12 34 142 1.1 400 1.8 50
Female
10-12 36 145 1.0 400 1.8 50
Age Weight Height Calcium Iron Zinc Iodine
Children
6 19 112 1000 9 5 120
7-9 27 130 1000 10 11 120
Male
10-12 34 142 1200 13 14 120
Female
10-12 36 145 1200 20 13 120
Common Nutritional Problem occured among
school age children and how to overcome the
problems
H Hunger and
Behavior
• When a child misses one meal ex: breakfast their behavior
and academic performance are affected.
• Children who skip breakfast typically do not make up the
deficits at later meals
• They perform poorly in tasks requiring concentration, their
attention spans are shorter, and they even score lower on
intelligence tests than their well-fed peers.
• Children who eat nutritious breakfasts  improve their school
performance and absent significantly less often.
• Discomfort from hunger may become distracting by late
morning.
• Solution: midmorning snacks to improve classroom
performance all the way to lunchtime
Peer
influence
increaseswithageandaffectsfoodattitudes
andchoices
suddenrefusalofafoodorarequestfora
currentlypopularfood
parentsneedtosetlimitsonundesirable
influencesreinforcetotrynewfood
Iron Deficiency and Behavior
directly impair attention span and learning
ability
developments delay
weakens the body’s
defense against
lead absorption
lowers the
intellectual
performance
impair immune
response
Problem Solving
Iron supplementation
Children with very poor
appetites or erratic eating
habits
Providing Meals
Balance between enchancing
and inhibiting factor
Childhood Obesity
Overweight
BMI for age >1 SD to
<2 SD
Potential Obese
Obese
BMI for age>2
Additional Problem
Growth, Physical
Health, Psychologial
development
Consequences
Growth Earlier Puberty
Grow taller but
then stop growing
at shorter height
Physical
Health
High Cholesterol,
TAG, LDL
Atheroschlerosis
Blood Pressure
DM Type II
Psychological
development
Emotional&
Social problem
Poor self image,
sense of failure
Risk Factors
Genetic
Obese both
parents  2
times risk
One obese
parent 10%
risk
Environmental
Both parents
work outside,
work long hours
Food street
(less nutritious)
Sedentary live:
video and
computer
games
Parent’s food
behaviour
Solution
Diet
Physical
Activity
Psychological
factors
•Involve children in shopping food and
preparing meals
•Teaching and encouraging eating habits,
Education on selecting food
•Plan snack time and provide nutritious snacks
•Limits foods in SFA and high-sugar food
•Set a good sample of physical activity
(playing tag, jumping rope)
•Encourage parants to support partition
•Parents atittude
Time Menu Ingredient weight
(g)
Energy (kcal) CH
(g)
P
(g)
FAT
(g)
Breakfast Fried rice 100 250 20.1 3.5 17.2
Fried egg 40 76.4 0.4 4.8 6
Milk Dancow powder 20 92.8 10.3 4.3 3.8
Sugar 10 38.7 10 0 0
09.30 Chocolate toast White bread 40 109.6 20.8 3.5 1.2
Choco sprinkle 15 71.6 9.5 0.6 4.5
Margarine 10 63.6 0 0 7.2
Lunch White Rice 200 260 57.2 4.8 0.4
Fried chicken 50 166 1.9 13.1 11.6
Spinach & corn
soup 150 55.6 12.5 2.4 0.8
Mango 100 65 17 0.5 0.3
Menu example based on AKG for 8 years school age
Energy Carbohydrate Protein Fat
1850 Kcal 254 g 49 g 72 g
Time Menu Ingredient weight
(g)
Energy (kcal) CH
(g)
P
(g)
FAT
(g)
15.30 Small green
peas porridge
Small green
peas porridge 100 140.1 24.7 3.1 3.5
Sugar 10 38.7 10 0 0
Brown coconut
sugar 10 34.9 8.5 0.2 0
Dinner White rice 100 130 28.6 2.4 0.2
Stewed meat
with soy sauce 40 88.4 6.2 4.4 6.5
Cap cay Carrot 20 5.2 1 0.2 0
Beans 15 5.2 1.2 0.3 0
Cauliflower 15 3.8 0.8 0.2 0
Tofu 15 7.9 0.2 1.6 0.1
Palm oil 10 86.2 0 0 10
Melon 100 38.2 8.3 0.6 0.2
Total amount 1827.81 248.7 50.7 73.5

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1Complete School ahe children.pptx

  • 1. School Age Children Home Group 1 -AisyahNurcita -NisrinaHanisa -Dini Suciyanti -Puji Lestari -Nurul Hasanah -Tegar -AhmadThohir Hidayat
  • 2. Physiological condition of school age children
  • 3. Chilhood 5-8 year of Age (Body Composition) • Grow consistent but slower rate Infants and Toddlers Primary teeth  Permanent teeth • Average growth rate of 5 to 7 Cm in height / year • 2 to 3 Kg in weight / year • The rate of growth for extremities is faster than for the trunk, which results in more adult-like proportions. Stretches Muscles and Ligaments “growing pains” At nighttime in particular
  • 4. Chilhood 5-8 year of Age (Development) • Children’s experience increasing mental and social development, ability to work out problems, and competitive activities
  • 5. Onset of puberty (9-12 year of age) Height • height increases from 20 -25 % a. Girls grow 2–8 inches (5–20 centimeters) taller b. boys grow 4–12 inches (10–30 centimeters) taller Weight • development of bone, muscle, and fat tissue • Girls : develop “curves”, higher fat • Boys : more muscular Girls development usually by passes boys in later part of this period. Catch up growth
  • 6. Nutritional Status of School-Age Children 1. Height for Age Z-Score 2. Weight for Age Z-Score 3. BMI for Age Z-Score
  • 7. Cut Off Points for Nutritional Status Indicators (WHO,
  • 8.
  • 9.
  • 10.
  • 11. Contributing Factors to Energy and Nutrient Requirement In School Age Children
  • 12. 1. Gender 2. Age 3. Height 4. Weight 5. PAL (Physical Activity Level) Girl (8 years old, 25.6 kg, 128 cm) will require: - 1360 kcal  sedentary - 1593 kcal  low-active - 1810 kcal  active - 2173 kcal  very active *Nutrition Through the Life Cycle 4th ed Body fat in male < female  energy needs for female < male Energy needs in 5-6 y, 19kg, 112 cm (1600 kcal) < in 7-9y, 27 kg, 130 cm (1850 kcal) *Based on AKG
  • 13. AKG 2013 for School Age Children Age Weight Height E P Fat CH Fiber Water Children 5-6 19 112 1600 35 62 220 22 1500 7-9 27 130 1850 49 72 254 26 1900 Male 10-12 34 142 2100 56 70 289 30 1800 Female 10-12 36 145 2000 60 67 275 28 1800
  • 14. Age Weight Height Vit A Vit D Vit E Vit K Children 5-6 19 112 450 15 7 20 7-9 27 130 500 15 7 25 Male 10-12 34 142 600 15 11 35 Female 10-12 36 145 600 15 11 35
  • 15. Age Weight Height Vit B1 Folate Vit B12 Vit C Children 6 19 112 0.8 200 1,2 45 7-9 27 130 0.9 300 1,2 45 Male 10-12 34 142 1.1 400 1.8 50 Female 10-12 36 145 1.0 400 1.8 50
  • 16. Age Weight Height Calcium Iron Zinc Iodine Children 6 19 112 1000 9 5 120 7-9 27 130 1000 10 11 120 Male 10-12 34 142 1200 13 14 120 Female 10-12 36 145 1200 20 13 120
  • 17. Common Nutritional Problem occured among school age children and how to overcome the problems
  • 18. H Hunger and Behavior • When a child misses one meal ex: breakfast their behavior and academic performance are affected. • Children who skip breakfast typically do not make up the deficits at later meals • They perform poorly in tasks requiring concentration, their attention spans are shorter, and they even score lower on intelligence tests than their well-fed peers.
  • 19. • Children who eat nutritious breakfasts  improve their school performance and absent significantly less often. • Discomfort from hunger may become distracting by late morning. • Solution: midmorning snacks to improve classroom performance all the way to lunchtime
  • 21. Iron Deficiency and Behavior directly impair attention span and learning ability developments delay weakens the body’s defense against lead absorption lowers the intellectual performance impair immune response
  • 22. Problem Solving Iron supplementation Children with very poor appetites or erratic eating habits Providing Meals Balance between enchancing and inhibiting factor
  • 23. Childhood Obesity Overweight BMI for age >1 SD to <2 SD Potential Obese Obese BMI for age>2 Additional Problem Growth, Physical Health, Psychologial development
  • 24. Consequences Growth Earlier Puberty Grow taller but then stop growing at shorter height Physical Health High Cholesterol, TAG, LDL Atheroschlerosis Blood Pressure DM Type II Psychological development Emotional& Social problem Poor self image, sense of failure
  • 25. Risk Factors Genetic Obese both parents  2 times risk One obese parent 10% risk Environmental Both parents work outside, work long hours Food street (less nutritious) Sedentary live: video and computer games Parent’s food behaviour
  • 26. Solution Diet Physical Activity Psychological factors •Involve children in shopping food and preparing meals •Teaching and encouraging eating habits, Education on selecting food •Plan snack time and provide nutritious snacks •Limits foods in SFA and high-sugar food •Set a good sample of physical activity (playing tag, jumping rope) •Encourage parants to support partition •Parents atittude
  • 27. Time Menu Ingredient weight (g) Energy (kcal) CH (g) P (g) FAT (g) Breakfast Fried rice 100 250 20.1 3.5 17.2 Fried egg 40 76.4 0.4 4.8 6 Milk Dancow powder 20 92.8 10.3 4.3 3.8 Sugar 10 38.7 10 0 0 09.30 Chocolate toast White bread 40 109.6 20.8 3.5 1.2 Choco sprinkle 15 71.6 9.5 0.6 4.5 Margarine 10 63.6 0 0 7.2 Lunch White Rice 200 260 57.2 4.8 0.4 Fried chicken 50 166 1.9 13.1 11.6 Spinach & corn soup 150 55.6 12.5 2.4 0.8 Mango 100 65 17 0.5 0.3 Menu example based on AKG for 8 years school age Energy Carbohydrate Protein Fat 1850 Kcal 254 g 49 g 72 g
  • 28. Time Menu Ingredient weight (g) Energy (kcal) CH (g) P (g) FAT (g) 15.30 Small green peas porridge Small green peas porridge 100 140.1 24.7 3.1 3.5 Sugar 10 38.7 10 0 0 Brown coconut sugar 10 34.9 8.5 0.2 0 Dinner White rice 100 130 28.6 2.4 0.2 Stewed meat with soy sauce 40 88.4 6.2 4.4 6.5 Cap cay Carrot 20 5.2 1 0.2 0 Beans 15 5.2 1.2 0.3 0 Cauliflower 15 3.8 0.8 0.2 0 Tofu 15 7.9 0.2 1.6 0.1 Palm oil 10 86.2 0 0 10 Melon 100 38.2 8.3 0.6 0.2 Total amount 1827.81 248.7 50.7 73.5