Growth and Developement Adolescent

7/28/2019 Growth and Developement Adolescent

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Adolescent Friendly School Initiative

IAP VISION 2007

A D O L E S C E N T F R I E N D L Y S C H O O L I N I T I A T I V E

IAP VISION 2007

Adolescent Friendly School Initiative ADOL

C

NTFRENDLYSCHOOLNITA

V ISSUES IN GROWTH AND DEVELOPMENT OADOLESCENCE(Wonder years of Life)


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IAP VISION 2007


What do you understand byADOLESCENCE ?


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Adolescence is that period of lifeof an individual when .

What is ADOLESCENCE?

Society no longer views you as

a child but does not recognizeyou as an adult

10 19 Years


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What do you understand by

TEENAGE ?


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Teen Ageis .

ThirTEEN to NineTEEN Years of Age


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What do you understand by

PUBERTY ?


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A biological process which transforms a childinto an adult.

Period of sexual maturation

Period of Rapid Growth and Development


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A D O L E S C E N T F R I E N D L Y S C

H O O L I N I T I A T I V E

Puberty has Variations !!!

Friends of same age can be at a differentpuberty level

Those who get early changes are calledas early bloomers - these children willappear bigger and older than their classmates.

Those who get late changes are called aslate bloomers these children will appear smaller and younger than their class

mates


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Major variations in changes are in..

all the body changes of puberty may be

completed in some of you in two years butsome may take as long as five years

BUT ALL OF YOU WILL BE CONSIDEREDNORMAL


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Your final adult height

The rate of the changes in your pubertyand the height of your parents willdetermine your final adult height

This is genetically determined ,but can beimproved to some extent by healthy dietand exercise


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Human beings are not like robots .that meansno two individuals can be exactly alike!!

Different growth parameters cause difference in

height, weight, muscle mass, size of the bodyparts like breast ,genitalia etc

These variations make human beings moreinteresting as they all look different

Hence whatever your body size and proportionare , YOU should be happy and confident aboutyour BODY IMAGE

Variations make you UNIQUE


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MATURATION of your GONADSDevelopment of secondary sexual charactersGrowth spurt

Change in body composition & proportionsMaturity of your bones/skeletal system

Wh at are th e Pubertal Achievements ?


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The Major Physical Changes of Puberty

Major increase in genital system (primary and

secondary sex characteristics)

Gaining of 25% of final height (18-30 cm);

Doubling of body mass (gaining 50% of the ideal

body weight; 20-30 Kg)

Maturation of facial bones [Ramus of mandible -

25% grow during 12-20 Yrs.] Eyes - Increase in axial diameter Myopia In Girls-Pelvic growth, greater fat mass In Boys-Shoulder growth, more lean body mass


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IAP VISION 2007



The Physical Changes of Puberty

Primary and secondary sex

characteristics

Increase of 18- 30 cm in height which is about 25% of adult height;

Increase of 20- 30 Kg ..Doubling

of body mass ie gaining 50% of the

ideal adult body weight


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The Physical Changes of Puberty

Maturation of facial bones Eyes elongationof eye balls with increased height .Hencevery often you need spectacles or your

number increases during puberty

In Girls-there is Pelvic growth, greater fat

mass hence they develop body curves

In Boys-Shoulder growth, more lean bodymass hence they look more muscular


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Sequence of pubertal events in girls

Breast development ieThelarche-

Genital hair ie Pubarche-

Axillary hair Height velocity peaks Menstruation begins ie

Menarche

Final development to adultstatus of pubic hair,breasts, height etc

Growth Spurt occurs-Extremities grow first

Long bone growth

stops Skin becomes oily All permanent teeth

erupt Increased

perspiration


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Sequence of pubertal events in boys

Testes increase in size Genital hair ie pubarche- Axillary hair

facial and body hair growth Penis increases in size Height velocity peaks

Larynx enlarges, voicedeepens Ejaculation occurs at night

ie Nocturnal emissions(wet dreams )

Growth spurt occurs Skin becomes oily All permanent teeth

erupt Increased

Perspiration

Shoulders widen Muscle mass

increases


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Early indicators of puberty

Increase in foot size (Shoe size changes)

Trouser size looking short now

Clothes size needs bigger clothes


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When should you worry about the

changes ?When Pub er tal ph ys ica l ch anges a re- Early Breast development before 8 years of age

Menarche before 10 years of age Enlarging testicles before 9 years of age

When NO s igns of p ub er ty a re there - Delayed 13 years in girls 14 years in boys

If any of these is present, then consult your

Pediatrician


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Common adolescent Concernsof Body image

Is my Breast size normal (small or large) Is my Genital size normal ( small or large ) My Body hair (less or more) My Complexion (Fair or Dark) My Skin ( Pimples, dark spots )

If in doubt consult your doctor


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Common Adolescent Concernsof Body image

Anxious about appearance

How do I look?

Am I normal?

Can I become more beautiful/handsome/macho /Smart?


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Develop inner qualities

Personality

Is more important than externallooks, hence develop your inner qualities which are ever lasting


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Are Food supplements needed for

body building Weight reduction methods Height increase measures

Cosmetic surgery

Common adolescent Concerns

If in doubt consult your doctor


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Psychosocial Development

Dependence to independence analytical & logical thinking; decision

making emotional independence conflicts with parents; by late

adolescence parental values areunderstood and appreciated


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Self esteem Measure of regard of oneself; ones

personal worth and place in society;linked with self respect

Identify good qualities and develop them


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Desires and temptations Desire to experiment

Refrain from experimenting harmfulactivities

Going too far is risky Often fail to distinguish infatuation

and love Adolescence is for making Career in

Life (and you will get a lot of time for

making Love-life.)


IAP VISION 2007


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Peer group involvement More dependence on friends Early adolescence -same sex;

middle adolescence -increasedinvolvement with opposite sex

Peer values, behavior, activities;

peer pressures Act according to your conscience and

moral values Select friends carefully


IAP VISION 2007


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Pubertal Changes NormalAge Range of Appearance (Years)

Thelarche 8.9 - 12.9

Pubarche 9.0 - 13.9

Menarche 9.3 - 17.0Testicular enlargement 10.0 - 14.8

Peak height velocity M 12.16 - 16.46

Peak height velocity F 10.2 - 14.6

Adult breast state 11.0 - 19.0

Adult genitalia 11.0 - 18.0

IAP VISION 2007


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Is my height NORMAL?

Know your height potential Mid Parental Height

(Mothers Height + Fathers Height)/2 Add 6.5 cm in Boys Minus 6.5 cm in Girls This gives Target Height as an Adult

+ 7.5 cm for Boys + 6 cm for Girls

IAP VISION 2007


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Is my height NORMAL?

Track your Height Measure height now and after 6 months Before puberty begins, it should be 2-3 cm

in 6 months After puberty begins it varies but certainly

more than 3 cm in 6 months during early

phases of puberty Please, note very little height gain occurs

after menarche (Completion of Puberty)

If any doubt is there, then consult your Pediatrician

IAP VISION 2007


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Ad l t F i dl S h l I iti ti

IAP VISION 2007


Documents

Growth and Developement Adolescent