WHO physical activity recommendations for children 5-17
60 minutes/day of moderate to vigorous activity
Carb intake 4-18 y/o
45-65% of total calorie intake
protein intake 4-18 y/o
10-30% of total caloric intake
Fat intake 4-18 y/o
25-35% total caloric intake
3 types of sports activities classified by AAP
contact and collision
limited contact
noncontact
objective of sports physical
components of pre-participation physical exam
CV screening PMH
cardiovascular screening FHx
Causes of sudden cardiac death in young athletes
hypertrophic cardiomyopathy
anomalous origin of a coronary artery
-> ventricular arrhythmia
Assessing young athletes for head injury
Female athlete triad
Concussion
mild traumatic brain injury
Concussion exam physical
headache nausea/vomiting difficulty with balance changes in vision dizzy light or sound sensitivity paresthesias dazed or stunned
concussion exam cognitive
confusion altered concentration mental torpor altered memory forgetfulness - conversations or recent events needs to repeat or slowly answer questions
concussion exam emotional
abnormal irritability
feelings of sadness or being “emotional”
abnormal feelings of being nervous
concussion exam sleep
drowsiness
insomnia or hypersomnia
difficulty falling asleep