Start with the story. Then go through each chapter, one lesson at a time. Each lesson has three short checks. Each chapter ends with a review. The unit ends with a wrap-up.
Your body and your mind are a team. When you sleep well, you think more clearly. When you feel worried, your stomach may feel tight. When you run and play, your mood often lifts. In this unit, you will learn how the mind and body work together.
First, you will learn that mental health is part of health. You will learn what stress is and what helps, like breathing, moving, talking and sleep. You will meet the people who help, and learn that every mind works in its own way.
Then you will learn how bodies grow and change. You will learn about growth spurts, teeth, eyes, ears and muscles. By the end, you will be able to explain how to care for your whole self, and whom to ask when you have questions.
When it happened
c. 400 BCE
Greek writers in the Hippocratic tradition teach that the brain is where feelings and thoughts come from
1790s
Doctor Philippe Pinel in Paris calls for kinder care of people with mental illness
1840s
Dorothea Dix travels the U.S. asking for better hospitals for people with mental illness
1879
Wilhelm Wundt opens one of the first psychology labs, in Leipzig, Germany
1946
The World Health Organization says health includes body, mind and life with others
1975
A U.S. law gives children with disabilities the right to a free public education
Late 1990s
The word neurodiversity comes into use to describe natural brain differences
2016
The American Academy of Sleep Medicine publishes sleep advice for children
2018
U.S. guidelines say kids ages 6 to 17 need at least 60 minutes of activity a day
2022
The U.S. starts 988, a phone number to call or text for mental health help
13
Chapter
Mental Health Is Health
Mental Health
Big questionHow can we take care of our minds and feelings the way we take care of our bodies?
The story
The Worry Gets Lighter
Maya carried a worry for weeks. Then she told someone.
Maya was in fourth grade. For three weeks, she had a worry. Her grandma was sick, and Maya thought about it all the time. She thought about it at lunch. She thought about it in bed at night. Her stomach felt tight most mornings.
Maya did not tell anyone. She thought the worry was too small for grown-ups. She also thought it was too big to say out loud. So she kept it inside, and it felt heavier each day.
One morning her teacher, Mr. Ortiz, noticed she was quiet. He asked if she wanted to visit Ms. Bell, the school counselor. Maya said yes. Ms. Bell had a calm room with a soft chair and a bowl of smooth stones.
Maya told Ms. Bell about her grandma. Ms. Bell listened without rushing. She said many kids feel worried when someone they love is sick. She showed Maya a slow breathing trick. They made a plan to talk with Maya's mom that night.
Walking back to class, Maya noticed something. The worry was still there, but it felt lighter. Telling someone had not fixed everything. It had made the worry easier to carry.
Talk about itWhy do you think the worry felt lighter after Maya talked to Ms. Bell, even though her grandma was still sick?
Section 1
Your Brain and Your Feelings
13.1
Feelings Start in the Brain
Main ideaYour brain makes feelings, and feelings are signals that help you notice what is going on.
Think about the moment before a spelling test. Your heart may beat fast. Your hands may feel sweaty. That is your body reacting to a feeling. The feeling started in your .
Your brain is the control center of your body. It sits inside your skull. It helps you think, move and remember. It also makes your . Emotions are feelings like happy, sad, scared, angry and excited.
Every feeling is a kind of signal. Fear can tell you to be careful. Sadness can tell you that you miss someone. Happiness can tell you that something is good for you. No feeling is bad to have. What matters is what you do with it.
Words to know
brain
the organ inside your head that controls thinking, moving, remembering and feeling
emotions
feelings such as happy, sad, angry, scared or excited
Check yourself
1. Where do feelings start?
Why: The reading says feelings are made by the brain, the body's control center.
2. What is an emotion?
Why: Emotions are feelings such as happy, sad, scared, angry and excited.
3. What does the reading say about feelings?
Why: The reading says every feeling is a signal, and no feeling is bad to have.
13.2
Mental Health Is Health
Main ideaMental health is how we think, feel and get along, and it matters as much as body health.
When you scrape your knee, you clean it and put on a bandage. You take care of your body. Your mind needs care too. How you think, feel and get along with others is called .
Everyone has mental health, just like everyone has body health. Some days it feels strong. Some days it feels shaky. That is normal. A hard day does not mean something is wrong with you.
Doctors and scientists agree that mind and body are connected. The World Health Organization says health means doing well in body, mind and with other people. Taking care of your feelings is part of taking care of your whole self. This is called .
Words to know
mental health
how well we think, feel, handle stress and get along with others
well-being
feeling well in your body, your mind and your life with others
Check yourself
1. What is mental health?
Why: Mental health is about thinking, feeling and getting along with others.
2. What does a hard day mean, according to the reading?
Why: The reading says some days feel shaky, and that is normal.
3. Which three parts of health does the World Health Organization name?
Why: The WHO describes physical, mental and social well-being.
13.3
Naming Your Feelings
Main ideaPutting a name on a feeling can help you understand it and calm it.
Picture a boy named Theo. He stomps into the house after soccer. His mom asks what is wrong. At first he says, "Nothing!" Then he stops and says, "I feel embarrassed. I missed the goal."
Theo just did something helpful. He named his feeling. Saying "I feel embarrassed" is clearer than stomping. Now his mom knows how to help. Theo knows too.
Scientists who study the brain have found that putting feelings into words can help calm strong feelings. A list of feeling words is sometimes called a . The more words you know, the better you can say what is going on inside. Words like frustrated, nervous, proud and lonely are good ones to learn.
Words to know
feelings vocabulary
the words you know for naming your feelings
frustrated
upset because something is hard or is not going the way you want
Check yourself
1. What did Theo do that helped?
Why: Theo said, "I feel embarrassed," which named his feeling.
2. What is a feelings vocabulary?
Why: A feelings vocabulary is the set of words you use to name feelings.
3. What does frustrated mean?
Why: Frustrated means upset because something is hard or not going the way you want.
Section 2
Stress and What Helps
13.4
What Stress Feels Like
Main ideaStress is the body's way of getting ready for a challenge, and a little is normal.
Imagine it is the morning of the school play. Your stomach flutters. Your mouth feels dry. You keep going over your lines. This is . Stress is how your body and mind react to a challenge.
When you feel stress, your body makes chemicals called . One is adrenaline. It makes your heart beat faster and your breathing speed up. Long ago, this helped people run from danger. Today it can help you focus for a play or a race.
A little stress can help you do your best. Too much stress for too long can make you feel tired, grumpy or sick to your stomach. It can make it hard to sleep. The good news is that there are many ways to help your body calm down.
Words to know
stress
how your body and mind react to a challenge or a worry
hormones
chemicals your body makes that carry messages through your blood
adrenaline
a hormone that makes your heart beat faster when you feel stress or excitement
Check yourself
1. What is stress?
Why: The reading defines stress as how your body and mind react to a challenge.
2. What does adrenaline do?
Why: Adrenaline is a hormone that speeds up your heart and breathing.
3. What can too much stress for too long do?
Why: The reading says too much stress can make you tired, grumpy and unable to sleep well.
13.5
Breathing and Moving
Main ideaSlow breathing and moving your body are two simple tools that help calm stress.
Ms. Bell taught Maya to breathe in slowly while counting to four. Then she breathed out slowly while counting to six. After a few breaths, Maya’s shoulders dropped. Her tight stomach eased a little.
Slow breathing sends a message to your body that you are safe. Your heart can slow down. This is sometimes called , because your belly rises as you breathe in. You can do it anywhere, even at your desk.
Moving your body also helps. Running, dancing, biking or walking the dog can burn off stress. Health experts say exercise can improve mood. Many people find that moving outside helps even more. Even a short walk can help you feel calmer.
Words to know
belly breathing
slow, deep breathing where your belly rises as you breathe in
exercise
moving your body in ways that make your heart and muscles work
Check yourself
1. How did Ms. Bell tell Maya to breathe?
Why: Ms. Bell taught Maya to breathe in for four counts and out for six.
2. Why is it called belly breathing?
Why: In belly breathing, your belly rises as you take a slow, deep breath.
3. Which of these is an example of moving to calm stress?
Why: The reading says a walk, dancing or biking can help burn off stress.
13.6
Talking and Sleeping
Main ideaTalking to someone you trust and getting enough sleep both help your mind handle stress.
Maya felt better after she told Ms. Bell her worry. That is common. Sharing a problem with a can make it feel smaller. A trusted adult is a grown-up who keeps you safe and listens, like a parent, teacher or coach.
Sleep matters too. While you sleep, your brain sorts out the day. It stores what you learned. It also helps you handle feelings. When you are tired, small problems can feel huge.
The American Academy of Sleep Medicine says children ages 6 to 12 need about 9 to 12 hours of sleep each night. Going to bed at the same time each night helps. A quiet, dark room helps too. A calm , like reading a book, tells your body it is time to rest.
Words to know
trusted adult
a grown-up who keeps you safe and listens, like a parent, teacher, coach or nurse
bedtime routine
the same calm steps you do each night before sleep
Check yourself
1. What is a trusted adult?
Why: A trusted adult is a grown-up like a parent, teacher or coach who listens and keeps you safe.
2. About how much sleep do children ages 6 to 12 need?
Why: The American Academy of Sleep Medicine says 9 to 12 hours for ages 6 to 12.
3. What does the brain do while you sleep?
Why: The reading says the brain sorts out the day and stores learning during sleep.
Section 3
Getting Help
13.7
Worry and Sadness Are Common
Main ideaMany kids feel worried or sad, and help is available when those feelings stay a long time.
Everyone feels worried sometimes. Everyone feels sad sometimes. A pet dies. A friend moves away. A test is coming. These feelings are a normal part of life. They usually pass after a while.
Sometimes a worry or sadness stays for weeks. It may get in the way of school, play or sleep. When worry is strong and lasts a long time, doctors may call it . When sadness is deep and lasts a long time, doctors may call it .
These are real health conditions, like asthma is. They are nobody’s fault. The CDC reports that anxiety and depression are among the most common mental health conditions in children. Many kids get better with help, such as talking with a counselor. Telling a trusted adult is the first step.
Words to know
anxiety
strong worry or fear that stays a long time and gets in the way of daily life
depression
deep sadness or loss of interest that lasts a long time and needs care
Check yourself
1. What does the reading say about worry and sadness?
Why: The reading says everyone feels worried and sad sometimes, and that is normal.
2. When might a doctor call strong worry anxiety?
Why: Anxiety is strong worry that lasts a long time and gets in the way of daily life.
3. What is the first step if sadness stays a long time?
Why: The reading says telling a trusted adult is the first step.
13.8
People Who Help
Main ideaCounselors, psychologists and doctors are trained to help with feelings and mental health.
Many schools have a , like Ms. Bell. A counselor helps students with feelings, friendships and school problems. You can ask your teacher to visit the counselor. Some schools also have a school social worker who helps students and families.
A is someone who has studied the mind for many years. Psychologists talk with people and teach them skills to handle worry, sadness or anger. Some work in schools. Others work in clinics or hospitals.
Doctors help too. A family doctor or pediatrician checks both body and mind at a checkup. A is a medical doctor who focuses on mental health. Asking for help is a strong and smart choice, just like seeing a doctor for a broken arm.
Words to know
school counselor
a trained helper at school who supports students with feelings, friends and school problems
psychologist
a person trained to study the mind and help people with thoughts and feelings
psychiatrist
a medical doctor who focuses on mental health
Check yourself
1. What does a school counselor do?
Why: A school counselor supports students with feelings, friendships and school problems.
2. How is a psychiatrist different from a psychologist?
Why: The reading says a psychiatrist is a medical doctor who focuses on mental health.
3. What does the reading say about asking for help?
Why: The reading compares asking for help to seeing a doctor for a broken arm: a strong, smart choice.
13.9
Different Minds
Main ideaPeople's brains learn and feel in different ways, and each mind has strengths.
In Mr. Ortiz’s class, Leo remembers every fact about trains. Zara draws amazing comics. Sam learns best by moving around. Nia needs quiet to focus. Each brain works in its own way.
Scientists use the word to describe how brains naturally differ. Some people are autistic. Some have ADHD, which can affect focus and energy. Some have dyslexia, which affects how the brain handles written words. These are different ways of learning and feeling.
What helps is finding the right tools. A student with dyslexia might use audiobooks. A student with ADHD might take movement breaks. Headphones can help someone who notices sounds strongly. Tools like these are called . Every mind has strengths to grow.
Words to know
neurodiversity
the natural differences in how people's brains learn, think and feel
supports
tools or changes that help a person learn or feel comfortable, like audiobooks or quiet spaces
Check yourself
1. What does neurodiversity mean?
Why: Neurodiversity describes the natural ways people's brains differ.
2. Which support might help a student with dyslexia?
Why: The reading says a student with dyslexia might use audiobooks.
3. What is dyslexia?
Why: The reading says dyslexia affects how the brain handles written words.
Section 4
Caring for Each Other
13.10
Kindness and Including Others
Main ideaBeing kind and including others helps everyone's mental health, including your own.
At recess, a new student named Hana stood alone by the fence. Diego walked over and asked, "Want to play four square?" Hana smiled. By the end of the week, she had three new friends.
Feeling left out can hurt. Feeling helps people feel safe and happy. Including someone means inviting them in, listening and making room. Small acts count, like saving a seat or saying hello.
Kindness helps the helper too. Studies have found that doing kind things can lift your own mood. Putting yourself in someone else’s shoes is called . When you notice how someone feels and act kindly, you make your whole school a healthier place.
Words to know
included
invited in and made to feel part of a group
empathy
understanding and caring about how someone else feels
Check yourself
1. What did Diego do for Hana?
Why: Diego asked Hana to play four square, which included her.
2. What is empathy?
Why: Empathy is understanding and caring about someone else's feelings.
3. How can kindness help the helper?
Why: The reading says studies found kind acts can lift your own mood.
13.11
Screens and Sleep
Main ideaPutting screens away before bed helps your brain rest and your mood stay steady.
It is 9:30 at night. Jordan is in bed playing a game on a tablet. One more level, he thinks. Then one more. At 10:45 he finally puts it down. The next morning he is tired and cranky.
Screens like phones, tablets and TVs give off bright light. Some of this is . Bright light at night can tell your brain it is still daytime. Your body makes a sleep hormone called when it gets dark. Bright screens can delay it.
Games and videos also keep your brain busy and excited. The American Academy of Pediatrics suggests keeping screens out of the bedroom at night. It also suggests turning them off 30 to 60 minutes before bed. A book, a bath or quiet music can help you wind down instead.
Words to know
blue light
a kind of bright light given off by screens and the sun
melatonin
a hormone your body makes in the dark that helps you feel sleepy
screen time
the time spent looking at phones, tablets, computers or TV
Check yourself
1. What does melatonin do?
Why: Melatonin is a hormone made in the dark that helps you feel sleepy.
2. How can bright screens at night affect sleep?
Why: The reading says bright light at night can trick the brain into thinking it is day and delay melatonin.
3. What does the American Academy of Pediatrics suggest?
Why: The AAP suggests turning screens off 30 to 60 minutes before bed and keeping them out of the bedroom at night.
13.12
Your Calm-Down Plan
Main ideaA calm-down plan lists the tools that help you, so you can use them when feelings get big.
After her talk with Ms. Bell, Maya made a card. On it she wrote: breathe four in, six out. Squeeze a smooth stone. Draw. Talk to Mom or Ms. Bell. She kept the card in her backpack.
Maya made a . It is a short list of things that help you when feelings get big. Having it written down helps, because strong feelings can make it hard to think of ideas.
Every plan is different. Some people like music. Some like to stretch or hug a pet. Some need a quiet corner. The best plan always includes at least one trusted adult to talk to. Practicing your tools on calm days makes them easier to use on hard days. This is called .
Words to know
calm-down plan
a short written list of things that help you when feelings get big
coping
using healthy ways to handle hard feelings or problems
Check yourself
1. What is a calm-down plan?
Why: A calm-down plan lists tools that help you when feelings get big.
2. Why does writing the plan down help?
Why: The reading says strong feelings can make it hard to think, so a written plan helps.
3. What should every calm-down plan include?
Why: The reading says the best plan always includes a trusted adult.
Chapter review
Mental Health Is Health
0 / 8
1. What does Maya's story show about sharing a worry?
Why: Maya's worry felt lighter after she told the school counselor.
2. Which part of the body makes feelings?
Why: The brain is the control center that makes emotions.
3. Which is a healthy way to calm stress?
Why: Slow belly breathing tells the body it is safe and helps it calm down.
4. Which hormone speeds up your heart when you feel stress?
Why: Adrenaline makes your heart and breathing speed up.
5. Who is a medical doctor who focuses on mental health?
Why: A psychiatrist is a medical doctor who focuses on mental health.
6. What does neurodiversity describe?
Why: Neurodiversity means brains naturally learn and feel in different ways.
7. Why can screens at bedtime make it harder to sleep?
Why: Bright light at night can trick the brain and delay the sleep hormone melatonin.
8. What is empathy?
Why: Empathy means understanding and caring about someone else's feelings.
Send it to your teacher
14
Chapter
Growing and Changing
Growing Up
Big questionHow does your body grow and change, and how can you help it grow well?
The story
Marks on the Door Frame
Every year, two friends stand against the same door and see how much they have grown.
In Aunt Rosa's kitchen in Chicago, there is an old wooden door frame. It is covered in pencil marks. Each mark has a name and a date. Two names show up over and over: Luis and Ben.
Luis and Ben have been best friends since kindergarten. Every summer, they take off their shoes and stand with their backs to the frame. Aunt Rosa lays a book flat on their heads and draws a line.
When they were six, Ben was taller. When they were eight, they were the same. This year, at ten, Ben had grown only a little. Luis had shot up almost three inches. Ben frowned. "Why am I so slow?" he asked.
Aunt Rosa smiled and pointed at the old marks. "Look. Your cousin Mateo was the shortest in his class at eleven. Now he is taller than your dad. Every body grows on its own clock."
Ben looked at all the lines, up and down the frame. Each one was a different kid, growing at a different time. He stood a little taller and said, "Same time next year."
Talk about itWhy do you think the marks on the door frame helped Ben feel better about his own growth?
Section 1
How Bodies Grow
14.1
Growth Spurts
Main ideaChildren grow steadily, and sometimes the body grows quickly in a burst called a growth spurt.
Luis grew almost three inches in one year. Ben grew only a little. Both are normal. Most school-age children grow about 2 inches a year. But growth does not always come at a steady pace.
Sometimes the body grows fast for a while. This is called a . During a growth spurt, your shoes may suddenly feel tight. Your pants may look too short. Some kids feel achy legs at night. People call these growing pains, but they may not come from growing itself.
How do bones get longer? Near the ends of long bones, like the ones in your legs, are areas called . New bone forms there as you grow. When a person is fully grown, the growth plates close and turn into solid bone.
Words to know
growth spurt
a time when the body grows faster than usual
growth plates
areas near the ends of long bones where new bone forms as a child grows
Check yourself
1. About how much do most school-age children grow each year?
Why: The reading says most school-age children grow about 2 inches a year.
2. What is a growth spurt?
Why: A growth spurt is a burst of fast growth.
3. Where does new bone form as a child grows?
Why: The reading says growth plates near the ends of long bones make new bone.
14.2
Fuel for Growing
Main ideaA growing body needs more food, water and sleep to build bones and muscles.
Have you ever eaten a big dinner and been hungry again before bed? When you are growing fast, that can happen. Your body is building new bone, muscle and skin. Building takes energy.
Food gives your body energy and building blocks called . Protein from beans, eggs, fish or meat helps build muscles. from milk, yogurt, cheese or leafy greens helps build strong bones. Fruits, vegetables and whole grains give you vitamins and steady energy.
Sleep is fuel too. During deep sleep, your body releases a that helps you grow. Kids need more sleep than adults. Drinking water helps every part of your body work well. If you notice you are extra hungry or tired, talk to a parent or doctor about what your body needs.
Words to know
nutrients
the parts of food your body uses for energy, growth and repair
calcium
a mineral found in milk, cheese and leafy greens that helps build strong bones and teeth
growth hormone
a chemical message the body releases, much of it during deep sleep, that helps you grow
Check yourself
1. Why might a growing kid feel extra hungry?
Why: The reading says building new bone, muscle and skin takes energy.
2. Which nutrient helps build strong bones?
Why: Calcium, found in milk, cheese and leafy greens, helps build bones.
3. When does the body release much of its growth hormone?
Why: The reading says growth hormone is released during deep sleep.
14.3
Every Body Has Its Own Clock
Main ideaBodies grow and change at different times, and that is normal.
Look at any fourth-grade class photo. Some kids are tall. Some are short. Some have lost many baby teeth. Some have lost only a few. They are all the same age, and they are all growing normally.
Your help decide how tall you may be and when you will grow. Genes are instructions you get from your birth parents. They are like a recipe your body follows. Food, sleep and exercise help your body follow that recipe well.
Doctors track growth at checkups. They measure your height and weight and mark them on a . A doctor looks at whether you are growing steadily along your own path. They do not expect you to match your friends. Ben and Luis are both on their own paths.
Words to know
genes
instructions passed from birth parents to children that help shape how the body grows
growth chart
a graph doctors use to track a child's height and weight over time
Check yourself
1. What are genes?
Why: Genes are instructions you get from your birth parents, like a recipe.
2. What does a doctor look for on a growth chart?
Why: The reading says doctors look for steady growth on your own path.
3. What does the class photo example show?
Why: The reading says kids of the same age grow differently and are all normal.
Section 2
Teeth, Eyes and Ears
14.4
Baby Teeth and Adult Teeth
Main ideaKids have 20 baby teeth that fall out and are replaced by up to 32 adult teeth.
Ben wiggled his front tooth with his tongue all through math class. At lunch it finally came out. There was a small gap, and underneath, a new tooth was already pushing through.
Children have 20 , also called primary teeth. Most kids start losing them around age 6. An , also called a permanent tooth, grows in to take each one’s place. Adults can have up to 32 teeth, including four wisdom teeth in the back.
Adult teeth have to last the rest of your life. The American Dental Association says to brush twice a day for two minutes with fluoride toothpaste. is a mineral that helps make teeth harder to damage. Flossing, cutting back on sugary drinks and dentist checkups help too.
Words to know
baby teeth
the first 20 teeth a child has, which later fall out
adult tooth
a permanent tooth that replaces a baby tooth and must last for life
fluoride
a mineral in many toothpastes that helps protect teeth from cavities
Check yourself
1. How many baby teeth do children have?
Why: The reading says children have 20 baby teeth.
2. Around what age do most kids start losing baby teeth?
Why: The reading says most kids start losing baby teeth around age 6.
3. What does fluoride do?
Why: Fluoride is a mineral that helps protect teeth from damage and cavities.
14.5
Eyes and Glasses
Main ideaEyes can change as you grow, and glasses help bend light so you see clearly.
Luis kept squinting at the board. The words looked fuzzy from his desk in the back. Up close, his book looked fine. The school nurse did a vision screening. She suggested his family visit an eye doctor.
The eye doctor found that Luis was . That means he sees close things clearly, but far things look blurry. It happens when the eye’s shape makes light focus in front of the right spot. Being is the opposite. Far things are clearer than close things.
Glasses use curved clear pieces called . Lenses bend light so it focuses in the right spot. Luis got glasses, and the board looked sharp. Eyes can change as kids grow. Regular eye checks help. Many eye doctors also suggest time outdoors and breaks from close-up screens.
Words to know
nearsighted
able to see close things clearly while far things look blurry
farsighted
able to see far things more clearly than close things
lenses
curved clear pieces in glasses that bend light so you can see clearly
Check yourself
1. What does nearsighted mean?
Why: Nearsighted people see close things clearly while far things are blurry.
2. What do the lenses in glasses do?
Why: Lenses bend light so it focuses in the right spot in the eye.
3. What was Luis's clue that he needed an eye check?
Why: Luis squinted because the words on the far board looked fuzzy.
14.6
Protecting Your Hearing
Main ideaYour ears turn sound into signals, and very loud sounds over time can harm hearing.
At a fireworks show, Ben covered his ears. The booms made his chest thump. His grandpa handed him a pair of soft foam earplugs. The fireworks still looked great, and the sound felt much better.
Sound travels as waves in the air. Your ear catches the waves. Deep inside is a tiny snail-shaped part called the . It holds thousands of tiny hair cells. They turn sound into signals your brain can understand.
Loudness is measured in . A normal talk is about 60 decibels. Health agencies say long or repeated time around sounds of 85 decibels or more can harm hearing. Damaged hair cells do not grow back. Earplugs, turning the volume down and taking breaks from noise help protect your ears.
Words to know
cochlea
a snail-shaped part deep in the ear that turns sound into signals for the brain
decibels
the unit used to measure how loud a sound is
Check yourself
1. What does the cochlea do?
Why: The cochlea's tiny hair cells turn sound into signals the brain can understand.
2. What are decibels?
Why: Decibels measure loudness.
3. Why is it important to protect hair cells in the ear?
Why: The reading says damaged hair cells do not grow back.
Section 3
Getting Stronger
14.7
Muscles Grow with Use
Main ideaWhen you use your muscles, they grow stronger over time.
In September, Ben could hang from the monkey bars for five seconds. He practiced at recess every day. By spring, he could swing across all ten bars. His arms had gotten stronger.
Your body has more than 600 . Muscles pull on bones to make you move. When you use muscles again and again, they get stronger. Your bones get stronger too when you run, jump and climb.
Your heart is a muscle as well. Running, swimming or biking makes it pump hard. Over time it gets stronger. Exercise that makes your heart and lungs work hard is called . It helps your heart pump blood well.
Words to know
muscles
body parts that pull on bones to make you move; the heart is a muscle too
aerobic exercise
activity like running or swimming that makes your heart and lungs work hard
Check yourself
1. What happened to Ben's arms after daily practice?
Why: Ben practiced every day and his arms got stronger.
2. What do muscles do?
Why: The reading says muscles pull on bones to make you move.
3. Which is aerobic exercise?
Why: Aerobic exercise, like swimming or running, makes your heart and lungs work hard.
14.8
An Hour of Moving
Main ideaHealth experts say kids need about an hour of active play every day.
Count up Luis’s day. He bikes to school for 15 minutes. He plays tag at recess for 20 minutes. After school, he shoots baskets for 30 minutes. That adds up to more than an hour of moving.
The CDC says children ages 6 to 17 need at least 60 minutes of each day. Most of it should make them breathe harder. Some of it should build muscles, like climbing. Some should build bones, like jumping.
It does not have to be a sport. Dancing, walking a dog, raking leaves and playing at the park all count. Moving also helps your mood and your sleep. Bodies of every size and shape can find ways to move that feel good.
Words to know
physical activity
any movement that uses your muscles and energy, like playing, walking or dancing
CDC
the Centers for Disease Control and Prevention, a U.S. health agency
Check yourself
1. How much physical activity does the CDC say kids need each day?
Why: The CDC says children ages 6 to 17 need at least 60 minutes a day.
2. Which activity builds bones, according to the reading?
Why: The reading gives jumping as an example of bone-building activity.
3. Which of these counts as physical activity?
Why: The reading says dancing, walking and playing all count, not just sports.
14.9
Asking About Changes
Main ideaAs you grow, your body will change, and trusted adults can answer your questions.
One day, Ben noticed his feet had grown two sizes in a year. He also noticed his voice cracked once in a while. He had questions. He was not sure whom to ask.
In the years ahead, bodies go through many changes as children grow toward being adults. This time of growing up is called . It starts at different ages for different people. Everyone goes through it on their own clock.
Having questions is normal. The best people to ask are a parent, the or your doctor. They can give you true answers. Doctors also talk about growing at yearly . You can write your questions down before a visit so you remember them.
Words to know
puberty
the time when a child's body changes as it grows toward being an adult
school nurse
a nurse at school who helps with health questions, injuries and care
checkups
regular doctor visits to see how you are growing and staying healthy
Check yourself
1. What is puberty?
Why: Puberty is the time the body changes as a child grows toward adulthood.
2. Who does the reading say is best to ask about body changes?
Why: The reading names a parent, school nurse or doctor as the best people to ask.
3. Why did Ben write questions on a sticky note?
Why: The reading says writing questions down helps you remember them at a visit.
Chapter review
Growing and Changing
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1. What did the door-frame story teach Ben?
Why: Aunt Rosa showed Ben that each person grows at a different time.
2. What are growth plates?
Why: Growth plates near the ends of long bones make new bone as you grow.
3. How many teeth can an adult have, including wisdom teeth?
Why: Adults can have up to 32 teeth, including four wisdom teeth.
4. A student can read a book easily but cannot read the far board. What might they be?
Why: Nearsighted people see close things clearly and far things blurry.
5. Which sound level can harm hearing with long or repeated exposure?
Why: Health agencies say long time around 85 decibels or more can harm hearing.
6. What helps muscles grow stronger?
Why: The reading says muscles get stronger when you use them again and again.
7. Which nutrient from milk and leafy greens helps build bones?
Why: Calcium helps build strong bones and teeth.
8. What does a doctor use to track height and weight over time?
Why: A growth chart tracks a child's height and weight over time.
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Unit wrap-up
Mind and Body
Twelve words, twelve meanings
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Tap a word, then tap its meaning. A right pair locks in green.
Words
Meanings
Unit test
Fifteen questions across the unit
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1. Which part of the body is the control center that makes feelings?
Why: The brain makes emotions and controls thinking and moving.
2. According to the World Health Organization, health includes which parts?
Why: The WHO describes physical, mental and social well-being.
3. Which tool can calm stress anywhere, even at your desk?
Why: Slow belly breathing can be done anywhere and helps the body calm down.
4. About how much sleep do kids ages 6 to 12 need?
Why: The American Academy of Sleep Medicine says 9 to 12 hours for ages 6 to 12.
5. Worry that is strong and lasts a long time may be called what?
Why: Anxiety is strong worry that lasts a long time and gets in the way of daily life.
6. Who is a trained helper at school for feelings and friendships?
Why: A school counselor supports students with feelings, friends and school problems.
7. What is an example of a support for a student who notices sounds strongly?
Why: Headphones can help someone who notices sounds strongly.
8. Why is turning off screens before bed helpful?
Why: Bright light at night can trick the brain and delay the sleep hormone melatonin.
9. What does including others mean?
Why: Including means inviting someone in, listening and making room.
10. Why do growing kids often need more food and sleep?
Why: Growing takes energy, and growth hormone is released during deep sleep.
11. Why can two kids of the same age be very different heights?
Why: Genes and each body's own clock shape when and how much a child grows.
12. How many baby teeth do children have?
Why: Children have 20 baby teeth that are later replaced by adult teeth.
13. What do the lenses in glasses do?
Why: Lenses bend light so it focuses in the right spot in the eye.
14. Which helps protect your hearing at loud events?
Why: Earplugs and lower volume help protect the ear's hair cells, which do not grow back.
15. Whom does this unit say to ask about body changes as you grow?
Why: Parents, school nurses and doctors can give true answers about growing up.
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Spiral review
Five questions from earlier units
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1. (Unit 6) Who founded the American Red Cross in 1881?
Why: Clara Barton founded the American Red Cross in 1881.
2. (Unit 5) Why won't an antibiotic help a cold?
Why: Antibiotics work on bacteria, not viruses.
3. (Unit 4) On a food label, 20 percent Daily Value of a nutrient is usually thought of as...
Why: As a rough guide, 5 percent is low and 20 percent is high.
4. (Unit 6) What is the main idea of the Hippocratic Oath?
Why: The oath promises to help the sick and never harm them.
5. (Unit 5) How does a vaccine help?
Why: Vaccines let the body practice fighting a germ.
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Write it
Which matters more for a fourth grader's health: sleep or exercise? Make a claim. Use two or three facts from this unit to support it, and explain how your choice helps both the mind and the body.
Start with one clear sentence that states your claim.
Name where each fact comes from, like the CDC or the American Academy of Sleep Medicine.
Explain how your choice helps both mind and body.
Say one good thing about the other choice, to be fair.
Use unit words like stress, melatonin or growth hormone.
0 wordsSaved on this device as you type.
Practice rooms
Rooms already on the site that belong to this unit — cards, quizzes, a lab.
Every lesson keeps its own three checks; a lesson is ticked when all three are right. Chapter reviews, the unit test and its spiral review (five questions from earlier units in this band) score on the page. When the site is connected to your sheet, or the link carries ?dest=, each one also has a Send box: the first-try score, the standards, the supports used, the attempt number and the minutes go to your sheet as an IEP data point.
Print this page for a paper copy of the readings, the sources, the words and the questions; the answers print as dashed boxes under each question.
Fact-check notes for this course live in the handoff: quotes marked (paraphrased) were set that way on purpose.