Linear growth, composed of both the elongation of the bone and accretion of the muscle mass, happens rapidly during childhood and adolescence. Rapid growth and development depend on the supply of adequate building blocks required for these tissues to develop and nutrients for regulating and supporting these processes. The average height of a two-year-old boy is usually twice as much, and the weight increases five times more than the initial weight by the age of 20. Proteins and calories act as fuel for linear growth. It is a main structural element of the muscle tissue, which grows at a faster rate. Protein should be present in high quality and in enough quantity to deliver nine essential amino acids. The main sources for a high-quality protein required to be taken with complementary proteins to provide the essential amino acids are milk, meat, egg, poultry, and plant proteins such as soy, peas, and nuts. The calories or energy from the foods are also needed to build the body tissues. Like protein, the calorie requirements associated with the body’s weight are much higher in childhood and adolescence compared to adulthood. Insufficient calories may slow the growth rate and lead to weight loss along with stunting. In developed countries, taking sufficient proteins and calories to support appropriate growth and development is hardly a concern.
Importance of Calcium and Vitamin D in Growth and Development
Almost 98% of the calcium is present in the bones. Childhood and adolescence are critical times for the opportunity to elongate and develop bone mass; around 90% of the bone masses are built by the age of 20. A study composed of almost 20 nations observed that insufficient calcium consumption is prevalent; in adolescence, about one-third of the boys and half girls are under the recommended daily diet. Vitamin D is a nutrient that also acts as a hormone in the body. It supports the body to utilize the calcium by enhancing the absorption from food and helps in accumulating calcium in the bones. Consumption of too much or too little than the required amount of vitamin D can cause bone issues in young children and increase the risk of fractures. Although some vitamin D is produced in sun-exposed skin, it is still an important part of the diet. According to The American Academy of Paediatrics recommendation, children and adolescents should intake natural and fortified sources of vitamin D.
Zinc is Needed for Several Metabolic Reactions Necessary for Growth
While several nutrients act as building blocks for the developing tissues, others support growth and development by gene expression modification or supporting the formation of proteins for these growth processes. Zinc is one of the significant sources of the body, which acts as a catalyst for several reactions, specifically for those metabolic processes that are related to sexual maturity and growth. The Deficiency of zinc in the body affects growth. It is also found associated with pneumonia and causes death, diarrhea as well as malaria in young children. The occurrence of zinc deficiency globally is predicted to be greater than 30%, especially in developing nations where foods with high zinc animal proteins are limited or unavailable. In contrast, dietary compounds like phytate that cause inhibition of zinc absorption are common. Even slight deficiencies have significance on growth and development.
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