3 day wait rule for baby food
When, What, and How to Introduce Solid Foods | Nutrition
For more information about how to know if your baby is ready to starting eating foods, what first foods to offer, and what to expect, watch these videos from 1,000 Days.
The Dietary Guidelines for Americans and the American Academy of Pediatrics recommend children be introduced to foods other than breast milk or infant formula when they are about 6 months old. Introducing foods before 4 months old is not recommended. Every child is different. How do you know if your child is ready for foods other than breast milk or infant formula? You can look for these signs that your child is developmentally ready.
Your child:
- Sits up alone or with support.
- Is able to control head and neck.
- Opens the mouth when food is offered.
- Swallows food rather than pushes it back out onto the chin.
- Brings objects to the mouth.
- Tries to grasp small objects, such as toys or food.
- Transfers food from the front to the back of the tongue to swallow.
What Foods Should I Introduce to My Child First?
The American Academy of Pediatrics says that for most children, you do not need to give foods in a certain order. Your child can begin eating solid foods at about 6 months old. By the time he or she is 7 or 8 months old, your child can eat a variety of foods from different food groups. These foods include infant cereals, meat or other proteins, fruits, vegetables, grains, yogurts and cheeses, and more.
If your child is eating infant cereals, it is important to offer a variety of fortifiedalert icon infant cereals such as oat, barley, and multi-grain instead of only rice cereal. Only providing infant rice cereal is not recommended by the Food and Drug Administration because there is a risk for children to be exposed to arsenic. Visit the U.S. Food & Drug Administrationexternal icon to learn more.
How Should I Introduce My Child to Foods?
Your child needs certain vitamins and minerals to grow healthy and strong.
Now that your child is starting to eat food, be sure to choose foods that give your child all the vitamins and minerals they need.
Click here to learn more about some of these vitamins & minerals.
Let your child try one single-ingredient food at a time at first. This helps you see if your child has any problems with that food, such as food allergies. Wait 3 to 5 days between each new food. Before you know it, your child will be on his or her way to eating and enjoying lots of new foods.
Introduce potentially allergenic foods when other foods are introduced.
Potentially allergenic foods include cow’s milk products, eggs, fish, shellfish, tree nuts, peanuts, wheat, soy, and sesame. Drinking cow’s milk or fortified soy beverages is not recommended until your child is older than 12 months, but other cow’s milk products, such as yogurt, can be introduced before 12 months. If your child has severe eczema and/or egg allergy, talk with your child’s doctor or nurse about when and how to safely introduce foods with peanuts.
How Should I Prepare Food for My Child to Eat?
At first, it’s easier for your child to eat foods that are mashed, pureed, or strained and very smooth in texture. It can take time for your child to adjust to new food textures. Your child might cough, gag, or spit up. As your baby’s oral skills develop, thicker and lumpier foods can be introduced.
Some foods are potential choking hazards, so it is important to feed your child foods that are the right texture for his or her development. To help prevent choking, prepare foods that can be easily dissolved with saliva and do not require chewing. Feed small portions and encourage your baby to eat slowly. Always watch your child while he or she is eating.
Here are some tips for preparing foods:
- Mix cereals and mashed cooked grains with breast milk, formula, or water to make it smooth and easy for your baby to swallow.
- Mash or puree vegetables, fruits and other foods until they are smooth.
- Hard fruits and vegetables, like apples and carrots, usually need to be cooked so they can be easily mashed or pureed.
- Cook food until it is soft enough to easily mash with a fork.
- Remove all fat, skin, and bones from poultry, meat, and fish, before cooking.
- Remove seeds and hard pits from fruit, and then cut the fruit into small pieces.
- Cut soft food into small pieces or thin slices.
- Cut cylindrical foods like hot dogs, sausage and string cheese into short thin strips instead of round pieces that could get stuck in the airway.
- Cut small spherical foods like grapes, cherries, berries and tomatoes into small pieces.
- Cook and finely grind or mash whole-grain kernels of wheat, barley, rice, and other grains.
Learn more about potential choking hazards and how to prevent your child from choking.
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Waiting period between introducing new foods to babies may be outdated advice, study say
A one-year-old baby eats his lunch of chicken and fruits in Vancouver, B.
C., in this file photo taken September 30, 2012. THE CANADIAN PRESS/Darryl Dyck
TORONTO -- Experts are questioning existing guidelines on how to best introduce new foods to infants graduating to solids, according to a new study, which suggests those recommendations may be outdated and even potentially harmful.
Both the American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC) recommend that parents introduce new single-ingredients foods one at a time and wait three to five days between each one before trying a new food to monitor for any kind of reaction.
But that practice is being called into question in a new study that surveyed 563 health practitioners -- the vast majority of whom were pediatricians -- who provide care to babies less than a year old. The survey, which focused on examining current practices by pediatric healthcare workers and was conducted in early 2019, found many of the respondents were not following AAP and CDC guidelines, and instead were recommending a shorter timeline based on clinical experience.
"There is now evidence that food diversity helps to decrease the development of allergic diseases in infants, and early peanut introduction is an important peanut allergy prevention strategy,” said lead author Waheeda Samady, a Chicago doctor and an assistant professor of Pediatrics at Northwestern University’s Feinberg School of Medicine, in a statement.
Almost two-thirds of those surveyed recommended waiting less than three days to parents. Among that group, 27 per cent recommended introducing one new food a day, while 20 per cent suggested waiting two days. Ten percent felt that introducing multiple foods in a single day was not an issue.
About 30 per cent told parents to wait three days, while just over eight per cent recommended waiting more than three days. Researchers did not find any major associations between food introduction practices and the demographics of the health practitioners.
More than two-thirds of those surveyed -- just over 69 per cent -- said they would adjust their recommendations, however, if the baby had a greater risk of developing food allergies due to a sibling or other family member with allergies, or if the infant had moderate to severe eczema.
Despite the caution around allergy risks, the National Institute of Allergy and Infectious Diseases currently recommends that infants with atopic dermatitis, or eczema, be given foods that contain peanuts between four and six months. At the same time, peanuts should only be introduced after a number of other new foods have been given first.
“If infants are required to wait three to five days between the introduction of each new food, peanut introduction may be delayed past the recommended ages,” researchers wrote in the study.
Just over 55 per cent of practitioners believed the waiting period between new foods was helpful for families, researchers found.
Even so, more than 55 per cent of those surveyed reported having seen food-related allergic reactions in less than 5 per cent of infant patients, while nearly 20 per cent reported seeing it occur in five to 10 per cent of babies.
“In practice, this recommendation may have a deleterious effect of limiting early infant food diversity, which has been reported to be associated with an increased risk of pediatric asthma and allergies,” the paper said.
“Introducing a more diverse diet in the first year of life has been shown to be associated with a reduced risk of atopic dermatitis, asthma, and food allergies up to six years of age.”
Current guidelines mean that a baby is introduced to just five to seven new food items a month, which limits their food exposure. The study noted that previous research had found that introducing certain foods later, such as potatoes, oats, rye, wheat, meat, fish, and eggs, was directly related to sensitivity to food allergens, and that earlier introductions were tied to a lower risk of allergy-related reactions like asthma and eczema.
More than half of those surveyed also felt there was a need for more training on the issue.
Close to 47 per cent of said they recommended infant cereal as the first food, but 40 per cent did not have a specific recommendation for what type of food to introduce first.
Re-evaluating current recommendations to help increase a baby’s exposure to a greater variety of foods would also support CDC’s nutritional recommendations of more food exposure in an infant’s first year to minimize “picky eater syndrome,” the paper added.
"From the perspective of food allergy detection and prevention, there is no reason why a new food can't be tried every day," said co-author Dr. Ruchi Gupta, Director of the Center of Food Allergy and Asthma Research (CFAAR) and Professor of Pediatrics at Northwestern, in a statement.
"The guidelines need to be revisited and updated to reflect the latest research on food allergy prevention and to provide greater clarity for pediatricians and parents on safe solid food introduction to infants."
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Catering in a preschool educational institution
Regulations on the organization of catering for pupils of the MDEI "Kindergarten No. 41"
Regulations on the marriage commission of the MDOU "Kindergarten No. 41"
growth processes, physical and neuropsychic development of the child.
Deterioration in the quality of nutrition leads to a decrease in the level of protective and adaptive mechanisms of the child's body and a possible increase in allergic reactions, contributes to the growth of diseases of the digestive system. Therefore, the quality of food in our kindergarten is given increased attention. nine0005
The main principles of catering in our institution are:
* Compliance of the energy value of the diet with the energy consumption of the child.
* Balance in the diet of all interchangeable and essential nutrients.
*Maximum variety of foods for a balanced diet.
* Proper technological and culinary processing of products, aimed at preserving their original nutritional value, as well as high palatability of dishes. nine0005
* An optimal diet, an environment that forms the habits of a culture of eating in children.
* Nutrition Hygiene (Food Safety)
Kindergarten Nutrition: Rules and Regulations
Every mother cares what her child is fed in kindergarten.
There are many questions about nutrition, let's try to figure it out.
The excitement of parents who have to send their "home" child to a kindergarten is quite understandable. Will the baby get everything he needs, will he be fed with calories and quality? And most importantly, will he gobble up kindergarten food with appetite after homemade delights? nine0005
We hasten to reassure all mothers and fathers: food in the kindergarten is at the required level and there is no reason to worry.
As for the baby's addictions, be prepared for the fact that, perhaps at first, your child will be a little naughty, turning away from unusual, in his opinion too insipid, food.
Yes, in kindergarten no one will offer him a spicy seasoning, his favorite fried meat or a hamburger.
But it is really better for kids to do without fried, spicy and fatty foods. All whims are temporary. Of course, the child will have to get used to the new menu, but all this is only for the benefit of his health.
nine0005
And in a cheerful company of peers, the process of tasting new dishes and getting used to them will go faster.
The basis of proper nutrition in kindergartens is the approved norms. And for different age groups - the rules of their own. If your baby is from 1 to 3 years old, he needs an average of 53 g of protein, 53 g of fat and 212 g of carbohydrates per day, and from 3 years to 6 years - 68 g, 68 g and 272 g, respectively. menu, taking into account nutritional standards. The child should receive a certain amount of meat, butter, kefir, fruits and so on per day. nine0005
There is a brokerage magazine in the kindergarten, where many indicators are recorded:
what every day children get for breakfast, lunch, afternoon tea, volume, quality.
The consumption of each type of product must correspond to the norm.
Outsourcing 44-FZ "On the contract system in the field of procurement, goods, works, services to meet state and municipal needs" on a contract basis, both at the expense of the budget, and at the expense of the payment of parents (legal representatives) for the maintenance of the child in the Institution.
The procedure for catering is determined by the municipal contract. The kindergarten has concluded an agreement on the organization of a four-single balanced meal on the territory of the kindergarten with Social Nutrition Plant LLC. nine0005
Food products delivered to the kindergarten have documents confirming their origin, quality and safety; are stored in compliance with the requirements of SanPin and commodity neighborhood in the pantry of the catering unit.
Any product supplied to the kindergarten is accompanied by mandatory documents: invoice, declaration of conformity, quality certificate and veterinary certificate. Without them, the institution will not take the product, and the product is accepted by the production manager and, of course, by the nurse. In addition, the supplier who delivers the products must have sanitary certificates for the car, a sanitary book for the driver and for people accompanying the goods. nine0005
Product labels with production date are kept in the kindergarten for two days for control.
Plant of social nutrition LLC
Address 150003, Yaroslavl, Lenina ave. :00, day off - Sunday
E-mail: [email protected]
Official website: https://socpitanie.ru/
Management:
CEO
Conditions for catering for pupils
The sacrament of preparing lunches and breakfasts takes place in the catering department. It is from here that delicious aromas spread throughout the kindergarten. All dishes are homemade; are prepared in accordance with technological maps, sanitary standards.
In accordance with the established sanitary requirements, the Institution has created the following conditions for catering for pupils:
- there are production premises for storage, cooking, fully equipped with the necessary equipment,
- the operating mode of the catering unit is carried out according to the schedule of the cold / warm period of the year (quarantine).
Arrangement, equipment, maintenance of the kindergarten food unit complies with the sanitary rules for the organization of children's public catering. The catering unit is equipped with all the necessary technological and refrigeration equipment, production equipment, kitchen utensils. nine0005
According to sanitary requirements, the kitchens have separate areas - for cutting raw products, a meat shop, a vegetable shop, a room where they wash dishes, a hot shop. Wooden cutting boards, all with inscriptions: "for vegetables", "for meat", etc. Carving knives also each have their own "customer": meat, bread, vegetables, eggs ... The latter, for example, are washed in a special container before cooking and even smashed with a special knife.
All products are processed and stored in their own refrigerator, it is completely impossible to find raw meat and, for example, butter on the shelves. Refrigerators are plentiful and necessary. nine0005
Chefs must leave one portion of each dish in the refrigerator for a day.
With any check, you can immediately make sure that the children ate on that particular day.
also include vegetable dishes, puddings or milk porridge, can be supplemented with fermented milk products or freshly squeezed juices.
Menu for the nutrition of children 1-3 years old in the MDOU "Kindergarten No. 41" dated 01/09/2019.
Menu for the nutrition of children aged 3-7 years in the MDOU "Kindergarten No. 41" dated 01/09/2019.
Menu for meals 1 - 3 years old in MDOU "Kindergarten No. 41" from 11/01/2019.
Menu for meals 3 - 7 years old in MDOU "Kindergarten No. 41" from 01.11.2019
Menu for nutrition of children with allergic pathology from 12/09/2019.
Menu for meals 3 - 7 years old in MDOU "Kindergarten No. 41" from 01/09/2020.
Menu for meals 1 - 3 years old in MDOU "Kindergarten No. 41" dated 05/18/2020
Menu for meals 3 - 7 years old in MDOU "Kindergarten No.
41" from 05/18/2020.
Menu for meals 1 - 3 years old in MDOU "Kindergarten No. 41" dated 08/05/2020
Menu for meals 3 - 7 years old in MDOU "Kindergarten No. 41" from 08/05/2020
Menu for meals 1 - 3 years old in MDOU "Kindergarten No. 41" dated 11/16/2020.
Menu for meals 3 - 7 years old in MDOU "Kindergarten No. 41" from 11/16/2020. nine0005
Menu for meals 1 - 3 years old in MDOU "Kindergarten No. 41" dated 01/25/2021.
Menu for meals 3 - 7 years old in MDOU "Kindergarten No. 41" from 01/25/2021.
Menu for meals 1 - 3 years old in MDOU "Kindergarten No. 41" from 04/05/2021
Menu for meals 3 - 7 years old in MDOU "Kindergarten No. 41" from 04/05/2021
Menu for meals 1 - 3 years old in MDOU "Kindergarten No. 41" from 06/16/2021
Menu for meals 3 - 7 years old in MDOU "Kindergarten No. 41" from 06/16/2021.
Menu for eating 1 - 3 years in MDOU "Kindergarten No. 41" from 10.01.2022 nine0005
Changes made to the menu for 1-3 years in the MDOU "Kindergarten 41" dated 14.
01.2022.
Menu for meals 3 - 7 years old in MDOU "Kindergarten No. 41" from 01/10/2022.
Menu for eating 1 - 3 years in MDOU "Kindergarten No. 41" from 02/07/2022.
Menu for meals 3 - 7 years old in MDOU "Kindergarten No. 41" from 02/07/2022.
Menu for meals 1 - 3 years old in the MDOU "Kindergarten No. 41" dated 04/20/2022
Menu as of 08/25/2022
Change the food norms for kindergartens
Preschool menus do not meet global recommendations for healthy and balanced nutrition for children.
Nutrition in kindergartens and schools is regulated by SanPiNa 2.3 / 2.4.3590-2O and methodological recommendations of Rospotrebnadzor. These norms should support the health of children - future adults.
But in practice, Russian nutritional norms are very different from the global recommendations: children are offered too many calories and sugar, but few nutrients. nine0208 Nutrition is the most important modifiable risk factor for many serious diseases - obesity, diabetes, cardiovascular disease and cancer.
Regular imbalance in nutrition is a risk factor for the development of these diseases. The growing numbers of obesity [1] among Russian children are positively correlated with this conclusion: in 2014-2018, there was an increase in the number of obese children by 21%.
What discrepancies we see:
1. Too many calories. The current caloric intake norms for kindergarteners aged 3-7 years are 1,800 kcal/day. WHO recommends that girls 4-6 years old consume 1,545 kcal per day, boys - 1,715 kcal. The average value for preschoolers, regardless of gender, will be 1,630 kcal. nine0208 World practice: in developed countries, calorie content meets WHO recommendations and takes into account differences in anthropometry and physical activity of children.
2. Enumerating free sugars. The current norms in SanPiN are 30 g for kindergarteners, the norms of world associations for the protection of children's health are up to 20 g / day. However, in fact, in the kindergartens that we analyzed, the menu contains 67 g of sugar, not counting juices.
This does not contradict SanPiN, since SanPiN does not indicate an upper permissible limit for sugar consumption, but a minimum. It turns out that every day children eat 3.5 times more than a safe amount. The main sources of free sugars in the diet of children in kindergartens are compotes, teas and fortified drinks. Probably, such a search is a consequence of an excess of calories. nine0208 3. Too much salt. Current norms - 5 g / day. This is the daily adult norm. However, WHO recommends adjusting the recommended maximum salt intake downwards for children based on their energy needs compared to adults. That is, the situation in which children in the garden eat the daily salt intake of an adult is unacceptable from the point of view of health safety.
4. Too much sugar for orphans. For orphans there is a 15% supplement to the standard menu. Taking into account such an allowance, children have a search for sugars by almost 4 times. nine0208 5. Replacing fruits and vegetables with juices.
Part of the fruit, according to the current SanPiN, can be presented in the form of juices. And this is being actively carried out, judging by the numerous photographs of the menus of various kindergartens in Russia. Replacing fruit with juice reduces fiber intake and increases an already high free sugar content.
6. Lack of fiber. The current norms, according to the methodological recommendations of Rospotrebnadzor for children over 3 years old, are 10-20 g / day. This correlates with international practice: for example, the American Academy of Pediatrics suggests calculating the daily fiber intake using the formula (number of years + 5) g, and the UK Ministry of Health norms for the same age are 15-20 g / day. nine0208 However, we do not know if this norm is maintained in the current menu: only calories, proteins, fats and total carbohydrates appear in the menu parameters, but how much of them are fiber and how much sugar is impossible to track and control.
After analyzing the menu in various kindergartens in Russia, we saw a regular replacement of fruits with juices, as well as a large amount of processed grains: bread and pastries made from premium flour, semolina, rice porridge, and so on.
It is impossible to get the recommended amount of fiber with such a diet. nine0208 Insufficient fiber intake in children can increase the risks of obesity, diabetes, and cardiovascular disease in adulthood. That is, even if the established norm for the amount of carbohydrates is observed, we cannot be sure that the norm for fiber is observed. The norm of carbohydrates in fact gets not at the expense of vegetables, fruits and whole grains, but at the expense of sugar.
It is worth remembering that children who are used to eating processed grains and drinking juices instead of fruits tend to become adults who support this eating pattern. And this, in turn, is positively correlated with risk factors for the development of cardiovascular diseases and death from them. nine0208 An adequate amount of fiber reduces the risk of developing non-communicable diseases and death from them.
6. Overkill of ultra-processed foods. This includes products of deep processing - cookies, pastries, confectionery, juices and sugary drinks.
Regular excessive consumption of ultra-processed foods is a risk factor for obesity, cardiovascular disease and cancer. In addition, such foods can crowd out other foods from the diet: children eat more white bread and pastries and drink juices and tea with sugar, but do not eat adequate amounts of vegetables, fruits, fish and legumes - important components of a healthy diet. nine0208 7. Lack of vegetable protein. The norm of 35 g of vegetable protein per day established by Rospotrebnadzor is not maintained. Vegetable protein is found in legumes and nuts, and there are very few of them in the current menu of kindergartens. However, deficiencies in these food groups lead to deficiencies in fiber and unsaturated fatty acids, the main components of dietary prevention of cardiovascular disease and cancer.
8. Unkind to fish. International scientific consensus - 2 servings of fish per week, at least 1 fatty. For children, this is about 60 grams per week. The current SanPiN includes a daily amount of 37 g of fish.
This is an adequate amount, however, in practice, fish is often replaced with approved substitutes - beef meat or cottage cheese. In this case, the norm of fish is not maintained. Fish and seafood is the only guaranteed dietary source of omega-3 fatty acids, the same fatty acids associated with a reduced risk of cardiovascular disease. nine0208 Source list:
1. Statistics of obesity in children in the Russian Federation for 2014–2018, Health Manager, 2020
2. Feeding young children - guidelines for the WHO European Region, 2003.
3. Energy In: Recommended Food & Drink Amounts for Children American Academy of Pediatrics.
4. Government recommendations for energy and nutrients for males and females aged 1 – 18 years and 19+ years, UK Department of Health, 2016
5. Children's need for energy and nutrients, Estonian Health Development Institute.
6. Sugar Intake in Infants Children and Adolescents, ESPGHAN, 2018.
7. Nutrient intakes and sources of fiber among children with low and high dietary fiber intake: the 2016 feeding infants and toddlers study (FITS), a cross-sectional survey, BMC Pediatrics, 2019.
