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clinic.\tWhile\ttaking\ther\tmedical\thistory,\tthe\tschool\tnurse\tnoted\tthat\tCherise\thad\tfrequent\theadaches\nand\tfatigue.\tCherise’s\tblood\tpressure\treading\tfell\tinto\tthe\t92nd\tpercentile.\tThe\tschool\tnurse\treferred\nher\tto\ta\tlocal\tcommunity\tclinic\tfor\ta\tmore\tthorough\tevaluation.
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usually\taccompanied\ther\tsnack.\tOn\tweekends,\tCherise\tworked\tas\tmany\thours\tat\tthe\tmall\tas\tshe\ncould,\toften\tmeeting\tfriends\tfor\tpizza\tor\tfast\tfood\ton\ther\tnights\toff.\n\tHer\tphysical\tactivity\tconsisted\tof\nwalking\tbetween\tthe\thouse\tand\tbus\tstop\tin\tthe\tmorning\tand\tevening,\twalking\taround\tschool
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0.06528829783201218, -0.008160303346812725, 0.023492809385061264, 0.08360756188631058, -4.559936783721241e-8, -0.020457567647099495, -0.01109142042696476, 0.015018163248896599, -0.01324519794434309, 0.09508772939443588, 0.011734108440577984, 0.108022540807724, 0.03008083626627922, -0.0322914645075798, -0.010165054351091385, 0.014438068494200706, 0.05502685531973839, -0.06411339342594147, -0.046757519245147705, 0.07591816037893295, 0.05178767815232277, 0.04253580793738365, 0.07824049144983292, -0.017225356772542, -0.010186443105340004, 0.021290479227900505, 0.11524131149053574, -0.04412171244621277, -0.044483963400125504, -0.04489836469292641, 0.041020531207323074, -0.06405174732208252, 0.007279875688254833, 0.013220534659922123, -0.0077223083935678005, 0.07484737038612366, -0.04783337935805321, -0.03579472750425339, -0.06835982948541641, -0.020743543282151222, 0.09168780595064163, -0.054423365741968155, -0.06683565676212311, 0.04015784710645676, 0.09286762773990631, 0.044869303703308105, 0.029635585844516754, -0.015322059392929077, 0.08960109949111938, 0.031602710485458374, -0.06698599457740784, -0.07307510077953339, 0.06648667901754379, -0.009100819937884808, -0.06480974704027176, -0.008050485514104366, 0.1071174144744873, -0.021431919187307358, -0.011705118231475353, 0.003984587732702494, 0.024421976879239082, 0.06806331872940063, 0.056493647396564484, -0.012745567597448826, -0.008707764558494091, 0.06429275870323181, 0.06905367225408554, 0.04219304025173187, -0.043671321123838425 ]
between\tclasses,\tand\tbeing\ton\ther\tfeet\tin\tthe\tevenings\tat\ther\tsales\tjob.\nThe\tRDN\tcounseled\tCherise\tregarding\tdietary\tchanges\tand\tphysical\tactivity.\tA\tfollow-up\tvisit\twas\nscheduled\t4\tweeks\tin\tthe\tfuture.\nCherise\tdid\tnot\treturn\tto\tsee\tthe\tRDN\tfor\ther\tfollow-up\tappointment\n\tand\tdid\tnot\tkeep\ther\tfollow-
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program,\tthen\tstopped.\tShe\thad\tlost\t12\tpounds\tduring\tthe\tfive\tsessions.\tSeveral\tmonths\tlater\nCherise\twas\tonce\tagain\tseen\tby\tthe\tPA.\tHer\tblood\tpressure\tcontinued\tto\tbe\televated\tand\ther\tBMI\nwas\tplotted\tat\tthe\t94th\tpercentile.\tWhen\tquestioned\tabout\tthe\tweight\tloss\tprogram,\tCherise\nreported\tthat
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reported\tthat\n\ther\tmother\thad\tchanged\tjobs\tand\tlost\ther\thealth\tinsurance\tbenefits,\tso\tshe\tcould\tno\nlonger\tparticipate\tin\tthe\tprogram.\tThe\tRDN\tconnected\tCherise\twith\tthe\tlocal\tYMCA,\twhich\toffered\ta\nweight\tmanagement\tprogram\tfor\tadults\ton\ta\tsliding\tfee\tscale.\tFive\tmonths\tlater\tCherise’s\tBMI\twas
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assessed\tat\t26.8\tand\ta\tweight\tloss\tof\t19\tpounds\tfrom\tprevious\tlevels\twas\tnoted.
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-0.06414738297462463, 0.020058276131749153, -0.03754482418298721, 0.046324633061885834, 0.1596643626689911, -0.03636408597230911, -0.13254627585411072, 0.06982748210430145, 0.03419692441821098, -0.07672975957393646, 0.00939969439059496, 0.028320223093032837, -0.04719381779432297, -0.00433718366548419, -0.08594828844070435, 0.017973165959119797, 0.05521648749709129, 0.007873603142797947, -0.1200326606631279, 0.018382379785180092, 0.15321378409862518, 0.019627071917057037, 0.007927753031253815, -0.0013202164554968476 ]
Nutrition\tdiagnostic\tstatements\n•\t\nExcessive\tenergy\tintake\t(NI-1.3)\trelated\tto\tinconsistent\tmeal\tpatterns\tand\tdietary\thistory\nincluding\tmostly\tlow\tfiber\tand\tenergy-dense\tconvenience\tfoods\tas\tevidenced\tby\ta\tBMI\tat\tthe\n95th\tpercentile\n•\t\nExcessive\tfat\tintake\t(NI-5.6.2)\trelated\tto\ta\tpreference\tfor\tconvenience\tfoods,\tincluding\tpizza,
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fried\tsnacks,\tand\tice\tcream\tas\tevidenced\tby\televated\ttotal\tand\tLDL\tcholesterol\n•\t\nInadequate\tphysical\n\tactivity\t(NB-2.1)\trelated\tto\ta\tbusy\twork\tand\tschool\tschedule\tas\tevidenced\nby\tpatient\treported\tnot\thaving\tenough\ttime\tto\tparticipate\tin\tregular\tphysical\tactivity\n•
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•\t\nLimited\tadherence\tto\tnutrition-related\trecommendations\t(NB-1.6)\trelated\tto\tsocioeconomic\nbarriers\tand\tbusy\twork\tand\tschool\tschedule\tas\tevidenced\tby\tBMI\tup\t1\tpercentile\tat\tfollow-up\nvisit\nNutrition\tcare\tquestions\n1.\t\nHow\twould\n\tyou\tclassify\tCherise’s\tblood\tpressure\tbased\ton\tthe\treading\tat\tthe\tschool\tnurse’s\noffice?\n2.
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office?\n2.\t\nHow\twould\tyou\tclassify\tCherise’s\tweight\tbased\ton\tthe\treadings\tat\tthe\tfirst\tvisit\tat\tthe\ncommunity\tclinic?\tIs\tthere\tany\tadditional\tinformation\tyou\twould\twant\tto\tknow\tabout\ther\nweight\thistory\tto\tmake\tyour\tassessment?\n3.\t\nBased\ton\ther\tfamily\thealth\thistory,\twhat\tlaboratory\ttests\twould\tyou\torder\tto\tbe\tconsistent
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with\tthe\tNational\tHeart,\tLung,\tand\tBlood\tInstitute\t(NHLBI)\trecommendations?\n4.\t\nWhat\ttype\tof\tnutrition\trecommendations\twould\tbe\tideal\tfor\tCherise\tbased\ton\ther\tblood\npressure,\tweight\tgain\thistory,\tand\tlaboratory\tresults?\n5.\t\nWhat\tspecific\tstrategies\twould\tbe\tbeneficial\tfor\tthe\tRDN\tto\trecommend\tto\tCherise\tregarding\nimproving\ther\tdietary\tintake?\n6.
[ 0.03620437532663345, -0.0540371835231781, 0.049284595996141434, -0.04790518805384636, -0.09791651368141174, 0.03365030884742737, 0.09002315998077393, 0.0061156474985182285, -0.027486836537718773, 0.07133428752422333, 0.015982212498784065, -0.0682603046298027, 0.020503491163253784, 0.0350811742246151, -0.012892115861177444, 0.03246895223855972, 0.0236065536737442, 0.05299168452620506, -0.07065057754516602, -0.01980864256620407, 0.05999113991856575, 0.09295173734426498, 0.04878240451216698, -0.00549897039309144, 0.031642261892557144, -0.006405109539628029, -0.05092253535985947, -0.006838924251496792, 0.0004664034058805555, -0.042075589299201965, -0.12318409234285355, 0.06683433055877686, 0.0032343983184546232, -0.007071930915117264, 0.012034623883664608, 0.03980305418372154, -0.049161817878484726, 0.0279436856508255, 0.061796389520168304, 0.05416068062186241, -0.07365663349628448, -0.04930230230093002, -0.02712414041161537, 0.001135040307417512, 0.04521946236491203, 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improving\ther\tdietary\tintake?\n6.\t\nWhat\tstrategies\twould\tyou\trecommend\tfor\tCherise\n\tto\tchange\ther\tlevel\tof\tphysical\tactivity?\nUseful\twebsites\nAmerican\tAcademy\tof\tPediatrics:\tMedia\tand\tChildren\nAmerican\tSchool\tHealth\tAssociation\nNational\tEating\tDisorder\tAssociation\nSchool\tNutrition\tAssociation\nReferences\nAbreu\tAP,\tKaiser\tUB.
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School\tNutrition\tAssociation\nReferences\nAbreu\tAP,\tKaiser\tUB.\t\nPubertal\tdevelopment\tand\tregulation\n\tLancet\tDiabetes\tEndocrinol\t3,\t2016;4:\n254-264.\nAmerican\tAcademy\tof\tPediatrics,\tCouncil\ton\tCommunications\n\tand\tMedia.\t\nMedia\tuse\tin\tschool-aged\nchildren\tand\tadolescents\n\tPediatrics\t5,\t2016;138:\te20162592.\nAnderson\tM,\tJiang\tJ.
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Pediatrics\t5,\t2016;138:\te20162592.\nAnderson\tM,\tJiang\tJ.\t\nTeens,\tsocial\tmedia\tand\ttechnology\t2018\n\tPew\tResearch\tCenter\t2018;\nAvailable\tat:\t\nhttps://www.pewresearch.org/internet/2018/05/31/teens-social-media-technology-\n2018/\n.\nBerge\tJM,\tArikian\tA,\tDoherty\tWJ.\tet\tal.\t\nHealthful\teating\tand\tphysical\tactivity\tin\tthe\thome\nenvironment:\tresults
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environment:\tresults\n\tfrom\tmultifamily\tfocus\tgroups\n\tJ\tNutr\tEduc\tBehav\t2012;44:\t123-131.\nBerge\tJM,\tWall\tM,\tHsueh\tTF.\tet\tal.\t\nThe\tprotective\trole\tof\tfamily\tmeals\tfor\tyouth\tobesity:\t10-year\nlongitudinal\tassociations\n\tJ\tPediatr\t2015;166:\t296-301.\nBowman\tSA,\tFriday\tJE,\tClemens\tJC.\tet\tal.\t\nA\tcomparison\tof\tfood\tpatterns\tequivalents\tintakes\tby\nAmericans
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A\tcomparison\tof\tfood\tpatterns\tequivalents\tintakes\tby\nAmericans\n\tDietary\tData\tBrief\tNo.\tSeptember\t2016;16:.\nBranum\tAM,\tRossen\tLM,\tSchoendorf\n\tKC.\t\nTrends\tin\tcaffeine\tintake\tamong\tU.S.\tchildren\tand\nadolescents\n\tPediatrics\t2014;133:\t386-393.\nBurris\tJ,\tRietkerk\tW,\tWoolf\tK.\t\nAcne:\tthe\trole\tof\tmedical\tnutrition\ttherapy\n\tJ\tAcad\tNutr\tDiet
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Acne:\tthe\trole\tof\tmedical\tnutrition\ttherapy\n\tJ\tAcad\tNutr\tDiet\n2013;113:\t416-430.\nBurris\tJ,\tRietkerk\tW,\tWoolf\tK.\t\nRelationships\tof\tself-reported\tdietary\tfactors\tand\tperceived\tacne\nseverity\tin\ta\tcohort\tof\tNew\tYork\tyoung\tadults\n\tJ\tAcad\tNutr\tDiet\t2014;114:\t384-392.\nBurrows\n\tT,\tGoldman\tS,\tPursey\tK,\tLim\tR.
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Burrows\n\tT,\tGoldman\tS,\tPursey\tK,\tLim\tR.\t\nIs\tthere\tan\tassociation\tbetween\tdietary\tintake\tand\nacademic\tachievement:\ta\tsystematic\treview\n\tJ\tHum\tNutr\tDiet\t2,\t2017;30:\t117-140.\nCenters\tfor\tDisease\tControl\tand\tPrevention,\tDivision\tof\tAdolescent\tand\tSchool\tHealth.\tResults\nfrom\tthe\tSchool\tHealth\tPolicies\tand\tPractices\tStudy\t2014\t2015;\tAvailable\tat:
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https://www.cdc.gov/healthyyouth/data/shpps/results.htm\n.\nCenters\n\tfor\tDisease\tControl\tand\tPrevention.\tNational\tdiabetes\tstatistics\treport,\t2017\t2017;\nCenters\tfor\tDisease\tControl\tand\tPrevention,\tU.S.\tDepartment\tof\tHealth\tand\tHuman\tServices\nAtlanta,\tGA\tAvailable\tat:\t\nhttps://www.cdc.gov/diabetes/data/statistics/statistics-report.html\n.
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https://www.cdc.gov/diabetes/data/statistics/statistics-report.html\n.\nCenters\tfor\tDisease\tControl\tand\tPrevention.\t\nPrevalence\tof\tabnormal\tlipid\tlevels\tamong\tyouths—\nUnited\tStates,\t1999\t-2006\n\tMMWR\tMorb\n\tMortal\tWkly\tRep\t2,\t2010;59:\t29-33.\nChild\tTrends.\tFamily\tmeals:\tindicators\ton\tchildren\tand\tyouth\t2013;\tAvailable\tat:
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https://www.childtrends.org/wp-\ncontent/uploads/2013/05/indicator0.80414800%201369598448.html\n.\nDe\tSouza\tMJ,\tKoltun\tKJ,\tEtter\tCV.\tet\tal.\t\nCurrent\tstatus\tof\tthe\tfemale\tathlete\ttriad:\tupdate\tand\nfuture\tdirections\n\tCurr\tOsteoporos\tRep\t6,\t2017;15:\t577-587.\nDwyer\tJ,\tNahin\tRL,\tRogers\n\tGT.\tet\tal.
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Dwyer\tJ,\tNahin\tRL,\tRogers\n\tGT.\tet\tal.\t\nPrevalence\tand\tpredictors\tof\tchildren’s\tdietary\tsupplement\nuse:\tthe\t2007\tNational\tHealth\tInterview\tSurvey\n\tAm\tJ\tClin\tNutr\t2013;97:\t1331-1337.\nEaton\tDK,\tKann\tL,\tKinchen\tS.\tet\tal.\t\nYouth\trisk\tbehavior\tsurveillance—United\tStates,\t2011\n\tMMWR\nSurveill\tSumm\t4,\t2012;61:\t1-162.
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