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Your Growing and Changing Body

  • Brush your teeth twice a day and floss once a day.

  • Visit the dentist twice a year.

  • Wear your mouth guard when playing sports.

  • Eat 3 healthy meals a day.

  • Eating breakfast is very important.

  • Consider choosing water instead of soda.

  • Limit high-fat foods and drinks such as candy, chips, and soft drinks.

  • Try to eat healthy foods.

  • 5 fruits and vegetables a day

  • 3 cups of low-fat milk, yogurt, or cheese

  • Eat with your family often.

  • Aim for 1 hour of moderately vigorous physical activity every day.

  • Try to limit watching TV, playing video games, or playing on the computer to 2 hours a day (outside of homework time) .

  • Be proud of yourself when you do something good.

Healthy Behavior Choices

  • Find fun, safe things to do.

  • Talk to your parents about alcohol and drug use.

  • Support friends who choose not to use tobacco, alcohol, drugs, steroids, or diet pills.

  • Talk about relationships, sex, and values with your parents.

  • Talk about puberty and sexual pressures with someone you trust.

  • Follow your family's rules.

How You Are Feeling

  • Figure out healthy ways to deal with stress.

  • Spend time with your family.

  • Always talk through problems and never use violence.

  • Look for ways to help out at home.

  • It's important for you to have accurate information about sexuality, your physical development, and your sexual feelings. Please consider asking me if you have any questions.

School and Friends

  • Try your best to be responsible for your schoolwork.

  • If you need help organizing your time, ask your parents or teachers.

  • Read often.

  • Find activities you are really interested in, such as sports or theater.

  • Find activities that help others.

  • Spend time with your family and help at home.

  • Stay connected with your parents.

Violence and Injuries

  • Always wear your seatbelt.

  • Do not ride ATVs.

  • Wear protective gear including helmets for playing sports, biking, skating, and skateboarding.

  • Make sure you know how to get help if you are feeling unsafe.

  • Never have a gun in the home. If necessary, store it unloaded and locked with the ammunition locked separately from the gun.

  • Figure out nonviolent ways to handle anger or fear. Fighting and carrying weapons can be dangerous. You can talk to me about how to avoid these situations.

  • Healthy dating relationships are built on respect, concern, and doing things both of you like to do.

© 2010 American Academy of Pediatrics

Growth and Development



Bright Futures Patient Handout: Early Adolescent Visits (11-14 years)

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Physical Growth and Development

Risk Reduction

Emotional Well-Being

Social and Academic Competence

Violence and Injury Prevention