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Eating Challenges During the Adolescent Years Third Edition
Beth M. Lulinski, MS, RD

16 CPEUs
16 CPEUs

Manual with 1 Reporting Form, 146 pgs.
Practical strategies to help you teach adolescents how to fuel their body in a manner that will allow them increased autonomy in the decision process. Topics include sexual maturation, assessing the teen, fueling for sport, eating disorders, and other risky behaviors.

Upon successful completion of this learning program, the student should be able to:

  • Demonstrate effective communication strategies leading to behavior changes in the adolescent client.
  • Apply effective teaching strategies leading to behavior changes in the adolescent client.
  • Assess the nutritional adequacy of a teen's diet.
  • Identify the specific nutrient needs of the adolescents as their body develops and matures.
  • Promote current dietary recommendations to reduce the risk of chronic disease.
  • Recognize what influences the food choices of the adolescent.
  • Describe risks of eating disorders to the adolescent.
  • Implement therapeutic approaches that will enable the eating disorder clients to recover.
  • Assist the obese adolescent to embrace healthy weight loss measures.
  • Calculate the fuel needs for the athletic teen and plan meals to enhance peak performance.
  • Identify common ergogenic aids the adolescent may use to gain the competitive edge.
  • Identify a teen experiencing the female athlete triad and provide dietary steps to aid in the recovery process.
  • Counsel teens regarding the nutritional impact of risky behaviors.

For more information and customer comments, click here.

Approved by CDR, CBDM

For RDs/RDNs & DTRs/NDTRs for the Professional Development Portfolio

SUGGESTED Learning Need Codes:
3000, 3020, 3030, 3040, 3070, 4000, 4010, 4030, 4040, 4060, 4080, 4110, 4160, 5000, 5010, 5020, 5030, 5040, 5050, 5080, 5200, 5280, 5310, 5320, 5350, 5370, 5390, 6000, 6010, 6020, 6040, 6050, 6070, 8080

SUGGESTED Performance Indicators (PIs):
8.1.5, 8.2.1, 8.2.3, 8.3.1, 8.3.6, 8.4.4, 10.2.7, 10.2.9, 12.4.6

DON'T SEE your Performance Indicators or Code Listed here?
There are many Performance Indicators (PIs) that are applicable we can't list them all &
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16 CPEUs

Eating Challenges During the Adolescent Years Third Edition
Beth Lulinski, MS, RD

Copyright 2012 Wolf Rinke Associates, Inc. All rights reserved for this self-directed learning program. Reproduction in whole or in part without written permission from the publisher is prohibited.

Customer Comments

Debora Cunningham: "Good practical information, good resource book and i will use this information both in practice and with my own family."

Margaret Park: "Having had my 5th child in the past 8 years and not working outside the home for the past 6-1/2 years, I was desperate for credits. Wolf Rinke couldn't have made it easier to get me credits while still at home caring for my children."

Debra Finkelstein: "Thanks for sending me the materials so quickly. This was my first time getting CPE credits this way. It was a very enjoyable way to learn and review. I will definitely use the information."

Miriam Horowitz: "Terrific course, interesting and I learned a lot. Already incorporated it into clinical practice."

Holly Sherman: "This course was very interesting. I couldn't put it down."

Sandra Sullivan: "The inclusion of case studies helps to apply and review the material."

Jamie Pope: "I teach nutrition . . .to undergraduate students so was reinforced by all I already have learned and knew."

Bernardita Ruiz: "Very organized and resourceful on new research."

Susan Scott: "As a mother of an 11 and 13 year old, it contained a lot of information I could use personally as well as professionally."

Susanne De Matas: "The course material was thorough and interesting."

Overview and Instructions

The age of adolescence encapsulates a window of time when bodies are metamorphosizing as they evolve into young adults. It is the time when adolescents try to boldly establish their own identities yet desperately seek to be socially accepted by their peers. The challenge for the nutrition professional is to reach teens with the message about how to fuel their bodies in a manner that allows them increased autonomy in the decision-making process. When the counseling strategies are engaging, the teen mind is impressionable and open to new ideas. However, once information is assimilated, teens are still vulnerable to the pressures of peers, rebellious acts, and occasional self-destructive behavior.

This self-directed, accredited learning program begins by addressing the body transformations that occur as sexual maturation progresses. The specific nutrient demands for the adolescent growth spurt are presented, along with current recommendations for assessing the needs of adolescents.

This learning program will help the practitioner educate teens to make food choices and plan healthy meals based on established guidelines to reduce their health risks. Healthy eating habits instilled early in life may play a vital role in preventing the chronic diseases of aging. Often teens do not think far into the future and make their food choices based on what tastes good now. Unfortunately, with the rise in childhood obesity in the United States and related co-morbidities such as type 2 diabetes and high blood pressure, we are addressing adult health issues in our youth. Prevention of co-morbidities and long-term complications of these current health threats in our youth have become a new priority for health care professionals.

Adolescents exert their independence by the choices of foods eaten away from home or the snacks and meals they prepare for themselves. The pressure of peers and mass media can impact the decision process. Too often adolescents compare their developing bodies to the ideal bodies of the stars and athletes they see on television or in magazines. Some teens fall victim to endless dieting or even eating disorders.

For active adolescents, the proper fuel can give the edge to excel in the sports arena. Common advice for pre-event meals, fluid replacement, and refueling will be shared to help dispel common myths that may lead teens astray.
Substance abuse and cigarette smoking are rebellious and risky behaviors that may be experimental initially, but can end up addictive or even deadly. It is important to be educated as a nutrition professional regarding the nutritional impact of substance abuse and to know what advice to give in the various stages of the addiction.
Finally, the family can play a significant role in modeling healthy eating and exercise behaviors and can assist teens on the road to lifelong healthy habits. The benefits of a traditional family meal reach beyond improving the nutritional health of the adolescent.

As teens grow up in a pop culture featuring videos, music, virtual reality games, internet access, extreme sports, and graphic television, how do we compete for their attention and have our nutrition message make an impact? In a survey of 325 dietitians who work with adolescents, the top-rated area in which respondents wanted more training was communicating with adolescents (1). Interactive tools and tips to improve your communication skills will be presented throughout this learning program to increase your comfort zone in working with this challenging age group and provide you with the practical repertoire to approach teens with confidence.

This self-directed learning program is a level 2 Continuing Professional Education (CPE) program approved for 16 Continuing Professional Education Units (CPEUs), meaning that the reader has general knowledge of the literature and professional practice within the area covered. The focus of the program is to enhance knowledge and application.
To get the most benefit from this program, we suggest you adhere to the following four steps:
Step 1: Review the objectives for the learning program.
Step 2: Study each chapter. As you read, think of patients from your own practice who fit the situation described.
Step 3: Assess what you have learned by completing the self-assessment instrument at the end of this learning program.
Step 4: Compare your answers to the answer key that has been provided. If you score at least 80% correct, you are ready to transfer your answers to the CONTINUING PROFESSIONAL EDUCATION REPORTING FORM. If you scored less than 80% correct, re-read this learning program until you score at least 80% correct.

How to Submit your CPE Reporting Form to us to receive your Certificate of Completion

After you have successfully completed the program, complete the CONTINUING PROFESSIONAL EDUCATION REPORTING FORM on our website @ www.easyCPEcredits.com, click on the link that says Submit Reporting Form & just input the title of the course & your Course Registration #, your answers & your personal information, it's that easy. You will then get an emailed confirmation that we received your RFwithin 5 minutes after submitting it. If you need an option other than submitting it on our website, then you can Fax your RF to us @ (410) 531-9282, or Mail to: Wolf Rinke Associates, Inc., 13621 Gilbride Lane, Clarksville, MD 21029.

Once we receive your successfully completed CONTINUING PROFESSIONAL EDUCATION REPORTING FORM we will email you a certificate of completion.

To ensure that our e-mails are delivered to your inbox (instead of your junk/spam folder) please add cpesupport@wolfrinke.com to your Address Book or Safe List of allowed email senders. Also, be sure to allow attachments from this email address.
IMPORTANT-Please NOTE your certificate will show up in your emaill inbox as coming from cpesupport@wolfrinke.com. When checking your emails to see if you have gotten your certificate please check from the day you submitted it (yes, occasionally we are that fast) thru 4 business days from that date. If you don't see it then please check in your spam or junk folder. If you still don't see it then please go to our frequently asked questions page & read about the process of how best to submit your RF to us & how to ensure you can sucessfuly receive it.

You can send us an email at cpesupport@wolfrinke.com and provide us with the following information: Your name, The Course Registration #, the method you sent your form to us (on website, fax, or mail) & the date you sent/submitted it to us. Also what is very helpful if you provided us with a work email, you may want to also provide a personal email as well. Often businesses will block the email attachement so you won't be able to obtain it that way, therefore, if that email is causing us issues we can then go ahead & email it to your personal email & that should then be able to get to you sucessfully. If you submitted it on our website it's also helpful to forward us the confirmation email receipt you received right after you submitted your form to us. We will look into what happened & usually will just locate it & email it again to you within 24 hours, so keep checking your emails the day you email us, as well & the day after for the certificate. If you still don't get it within 2 days after you have sent us an email inquiring where your certificate is then please contact us by phone, but more than likely if the emails are getting kicked back to us we will contact you.

1. Story M, Neumark-Sztainer D, Ireland M, Evans T. Adolescent health and nutrition: a survey of perceived knowledge and skill competencies and training interests among dietitians working with youth. J Am Diet Assoc. 2000;100:362-364.


Upon successful completion of this learning program, you will be better able to:

  • Identify the specific nutrient needs of adolescents as their bodies develop and mature.
  • Assess the nutritional adequacy of a teen's diet.
  • Promote current dietary recommendations to reduce the risk of chronic disease.
  • Address the current health threats in adolescents such as obesity, hypertension, and type 2 diabetes.
  • Explain what influences the food choices of adolescents.
  • Counsel adolescents regarding the risks of eating disorders.
  • Implement therapeutic approaches that will enable the recovery of eating disorder clients.
  • Assist overweight or obese adolescents by embracing healthy weight loss measures.
  • Calculate the fuel needs for athletic teens and plan meals to enhance peak performance.
  • Identify common ergogenic aids adolescents may use to gain the competitive edge.
  • Instruct teens experiencing the female athlete triad and provide dietary steps to aid in the recovery process.
  • Counsel teens regarding the nutritional impact of risky behaviors.
  • Demonstrate effective communication strategies leading to behavior changes in adolescent clients.

Table of Contents

Chapter One: The Changing Body and Nutrient Needs of Adolescents 1
The Changing Body 1
Sexual Maturation 1
Height 2
Body Composition 3
Measuring Growth 4
Nutrient Needs 5
Energy Needs 5
Protein 8
Fat 9
Calcium 11
Iron 13
Fiber 14
Vitamins 15
References 15

Chapter Two: Dietary Recommendations 19
Dietary Guidelines for Americans 19
Choose MyPlate 22
Healthy People 2020: Objectives for the Nation 26
Eat Your Fruits and Vegetables 29
References 32

Chapter Three: Eating Independence 34
Food Choices 34
Breakfast 35
School Influences 36
Snacking 39
Television 41
Fast Food 42
Vegetarianism 42
References 44

Chapter Four: The Perfect Body Illusion 48
Body Image 48
Eating Disorders 52
Anorexia Nervosa 54
Physical Findings of Anorexia Nervosa 55
Psychological Findings of Anorexia Nervosa 56
Treatment for Anorexia Nervosa 57
Refeeding the Starving Patient 58
Step Down or Outpatient Treatment for Anorexia Nervosa 59
Establishing Rapport with the Anorexic Individual 60
Bulimia Nervosa 60
Physical Findings of Bulimia Nervosa 61
Psychological and Diagnostic Findings of Bulimia Nervosa 62
Treatment for Bulimia Nervosa 63
Binge-Eating Disorder 64
Diagnostic and Associated Findings of Binge Eating Disorder 64
Treatment for Binge-Eating Disorder 65
Obesity 65
Defining Obesity in Adolescents Using BMI-for-Age 68
Weight Loss Measures 69
Treatment for Adolescent Obesity 69
Hunger/Satiety 71
References 72

Chapter Five: Active Teens 75
Fuel Needs 75
Pre-Event Fuel 77
Fluid Replacement 77
Recovery Fuel 79
Energy Bars and Gels 80
Ergogenic Aids 80
Protein Pushers 82
Weight Gain 83
Female Athlete Triad 84
Disordered Eating 84
Amenorrhea 85
Osteoporosis 86
References 86

Chapter Six: Risky Behavior 89
Peer Pressure 89
Drug Use 90
Cigarette Smoking 92
Alcohol 94
Marijuana 96
Stimulants 97
Caffeine 98
Teen Pregnancy 99
References 107
Chapter Seven: Counseling Teens 110
Family Ties 112
References 114

Case Study 116
Appendix 120
CDC Pediatric Growth Charts 120
List of Abbreviations 127
Glossary 129
Self-Assessment Questions 132
Answer Key 141
Explanation to Questions 142
About the Author 146
About Wolf Rinke Associates, Inc. 146

About the Author

Beth Lulinski, MS, RD, LDN, is a registered dietitian with a bachelor's degree in dietetics from the University of Illinois and a master's degree in nutrition and dietetics from Rosalind Franklin University of Medicine and Science. She has a strong background in nutrition science and health promotion and has worked for over twenty years promoting healthy nutrition behaviors as a dietitian. Lulinski is an Instructor in the Department of Nutrition, Dietetics, and Hospitality Administration at Northern Illinois University in DeKalb, IL. She has a passion for working with adolescents and participates on the Wellness Committee in her school district. She believes that healthier youth today will be healthier adults tomorrow.

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