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Baby food before 1 year


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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Food Before One: Is it Really Just for Fun?

tags: Pediatric Feeding Disorders Program

If you belong to any parenting groups or follow any parenting blogs online, there is a good chance you’ve heard the phrase “food before one is just for fun. ” Proponents of this idea typically believe that breast milk or formula can and should meet all of a child’s feeding needs during the first year of life. So where did this idea come from, and just how accurate is it?

Many American and international health organizations recommend breastfeeding babies for the first 12 months of life, which appears to lend credence to the popular phrase. The rising prevalence of feeding practices like extended breastfeeding and baby led weaning may also contribute to the belief that babies will wean themselves off of breast milk or formula and begin consuming more solids when they are ready. Parents who do a little more research, however, may find evidence that food before one is not just for fun. For example, the American Academy of Pediatrics recommends that infants are exclusively breastfed for about the first six months, at which time breastfeeding should be supplemented with “appropriate complementary foods” until babies pass the 12 month mark. Similarly, the World Health Organization also promotes the introduction of “nutritionally adequate and safe complementary foods” to babies between 6 and 12 months “to meet their evolving nutritional requirements.” In this post, we have asked several experts from Kennedy Krieger Institute’s interdisciplinary feeding team to share their opinions on this hot topic.

First, there are several important nutritional benefits to introducing solids before a baby’s first birthday. One of our registered dietitians, Stephanie Brown, shares her perspective:

“With respect to nutrient needs, the nutrient needed most before a baby’s first birthday is iron, then vitamin C.  An infant’s stored iron supply from birth runs out after the birth weight doubles, which is long before 1 year of age.  To prevent iron deficiency, it is recommended to provide iron-fortified cereals and then meat or meat alternatives such as legumes.  Once infants are eating iron-fortified cereal, we recommend the introduction of vitamin C foods to help with absorption. The best sources of vitamin C are fruits and vegetables. By 1 year of age, breast milk does not meet 100% of a child’s nutrition needs. By gradually introducing complementary foods in infancy, the child will be at an advantage and will minimize their likelihood of not meeting their nutrition needs. For reliable information about which baby foods are safest to introduce to your infant, you can visit https://www.healthybabyfood.org/.”

Next, there are a few reasons that introducing solids between 6-12 months can be beneficial to sensory and oral motor development. Katherine Stevens, an occupational therapist from our feeding program, chimes in:

“Solids foods offered before the age of one are important for developing oral motor skills. Once a baby is showing readiness cues, including sitting unsupported, reaching for foods, and bringing items towards the mouth, it is a good time to start introducing solids (unless told otherwise by your pediatrician). Solid foods require a different set of skills and muscles than the breast/bottle use. Learning to manage foods starts as a reflex, but becomes a learned skill through practice and exposure. By delaying the introduction of solids, a biological window for learning to eat is missed and it is much harder for the child to learn to chew and swallow later.”

Lastly, there are a few behavioral benefits to introducing solids between 6-12 months. One of our behavioral psychologists, Hailey Ormand, gives us her take:

“Developing a mealtime routine with your infant serves a few important functions. By placing them in a high chair and feeding them for a set period of time, your child learns early on that we sit while we eat and that meals occur at certain times of day. Establishing this routine can help prevent grazing down the road, which can negatively affect both their meal volume and variety. Additionally, by presenting solids in a non-self-fed format before children become more independent as toddlers, we are also able to ensure that our little ones try a variety of flavors and textures. Although it is normal for children to have preferences for certain foods, such as fruits, we want to continue to expose them to foods from all food groups to help them learn to tolerate less preferred foods as well. This approach protects against picky eating later in life by teaching kids that eating our favorite foods is a bit of a treat rather than a mealtime rule or expectation.”

As you can see, introducing solids before your child’s first birthday offers a number of developmental and nutritional benefits. While we recognize that breastmilk or formula should continue to meet most of your child’s nutritional needs between 6-12 months, we think it’s a good idea to begin offering solids when your child’s pediatrician feels they are developmentally ready. Starting structured meals before your child’s first birthday can be a fun activity for both parent and child, and can help set your child up for mealtime success later in life. 

Union of Pediatricians of Russia

Nutrition for children from 1 to 3 years of age

The period from 1 to 3 years of life is a crucial stage in the transition to an adult type of nutrition, which has certain features. In order to ensure that all the necessary nutrients enter the child's body and at the same time prevent an excess of individual nutrients, nutrition should be balanced and varied. nine0003

The daily amount of food for children aged 1 to 1.5 years should be 1000-1200 g, from 1.5 to 3 years - 1200-1500 g, the amount of food in one feeding should not exceed 300-350 ml. The diet consists of three main meals per day and two snacks. It is considered optimal when breakfast is 25% of the total energy density of the diet, lunch is 30–35%, dinner is 20%, and additional meals are about 10%. In general, the child can eat the same food as the rest of the family. nine0003

In the diet of a child of 1–3 years of age , must be present daily: meat of animals or poultry, dairy and sour-milk products, vegetables, fruits, bread, cereals, vegetable and butter; fish and eggs are included in the diet 2-3 times a week.

Cereal products: bread - 2-3 servings per day, cereals and side dishes - 1 time per day
Fruit and/or vegetables: at least 5 times a day
Dairy products: at least 3 servings per day (including those used to make cereals, yoghurts, fermented milk drinks, cottage cheese, infant formula or breast milk). nine0003

Domestic pediatricians recommend, when compiling a diet for children aged 1–3 years, preference should be given to specialized children's dairy products of industrial production that meet high quality requirements and safety indicators for this age. Most children's dairy products are additionally enriched with vitamins and/or minerals and other biologically active components, taking into account the physiological needs of children of this age. At the same time, in foreign recommendations, children over 1 year old are offered the gradual introduction of whole cow's milk, which is rich in fats necessary for proper growth and development, the absorption of vitamins A and D, the development of the brain and nervous system of the child. nine0003

Meat dishes: 2-3 times a day
Fish dishes: 2-3 servings per week
Eggs: 2-3 per week
Dietary fats: 3-4 teaspoons of butter and/or vegetable oils per day

When cooking, use the minimum amount of salt and sugar, and do not add them to industrial products.

Offer your child a variety of foods and let them choose for themselves. Children love to eat on their own, so if possible, offer food that the child can eat with their hands. nine0003

It is important to remember that a baby can choke on pieces of food, so whatever you give your baby should be crushed or cut into small pieces that can be easily chewed.

Do not give to a small child: nuts, whole grapes, cherry tomatoes (unless quartered), whole carrots, seeds (such as pumpkin or sunflower seeds), round candies, legumes, raisins, because a child can eat them choke.

Also in the diet of children of the first 3 years of life should not be present:

Mushrooms; canned snacks, pickled vegetables and fruits
Home canned food
Dry concentrates for side dishes
Hot sauces, mustard, horseradish, pepper, vinegar, mayonnaise
Natural coffee
Juices and drinks in the form of dry concentrates; sweet carbonated drinks
Products containing food additives (flavorings, dyes of artificial origin, including chewing gum), popcorn
Combined fats; cakes and pastries

It is important to remember that children of this age should not be given too spicy and spicy foods.

how to choose the right baby food and what is the best?

The ideal "baby food" for an infant is breast milk. However, not all mothers can breastfeed their baby, usually this is due to the health of the mother or child. It happens that the woman herself has a serious condition after childbirth and in the early postoperative period, reduced lactation or diseases in which breastfeeding is contraindicated. In such cases, the baby is given formula milk - this is the only alternative to mother's milk. Subsequently, at four to seven months, complementary foods should be introduced into the child's diet, regardless of whether he is breastfed or artificial. The mother is faced with the task of choosing the right baby food for complementary foods. nine0061

In this article, we will talk about what foods for babies are and how to choose the best baby food.

Legislation defines "baby food" as food products that meet the physiological needs of a child under 14 years of age. And nutrition for young children is food intended for children from birth to three years[1]. It is necessary to make a diet taking into account the age of the baby and the characteristics of his physical condition.

The Union of Pediatricians of Russia created the National Program for feeding children in the first year of life and the National Program for optimizing the nutrition of children from one to three years old [2]. They describe recommendations regarding what formula to feed the baby from birth, how to introduce complementary foods and expand the baby's diet. These programs provide detailed information on what nutrients and nutrients should be included in the diet of children of different ages. nine0003

First you need to figure out what kind of baby food is [3]. Products for toddlers can be divided into two categories:

Infant formula. There are for children from birth to six months (formula 1 mixtures, or initial), from six months to a year (formula 2) and from a year (formula 3). The composition of such baby food is adapted, that is, as close as possible to the composition of breast milk.

  • In the initial mixtures, the amount of protein is reduced to 1.2-1.5 g / 100 ml - in accordance with the composition of breast milk. They also changed the fat and mineral profile. The initial mixtures are enriched with such an essential amino acid as taurine, and micronutrients, probiotics, vitamins. nine0078
  • After six months, the baby's need for protein increases, mother's milk changes its composition. And babies on artificial feeding begin to be fed with a more nutritious mixture of formula 2. Taurine is no longer always needed: the body of a baby aged from six months to a year is able to synthesize this amino acid itself. Meanwhile, the content of iron, calcium, zinc increases compared to the initial mixtures, because by this age the child's reserves of minerals received from the mother during pregnancy are depleted, and they need to be replenished. nine0078
  • A child's diet changes after one year - he is already able to eat a variety of solid foods. However, it is advisable to continue to feed him with a mixture, though already formula 3. Pediatricians recommend it as a source of vitamins and minerals that the baby can easily absorb.

Feed. As we have already noted, it is introduced when the baby is four to seven months old. This interval is referred to as the "critical window" and is considered optimal for initiating complementary foods for several reasons:

  1. The baby needs a wider range of minerals, vitamins and other nutrients. In addition, his baby's digestive system is already ready to accept more solid and complex foods than mother's milk or infant formula.
  2. At this age, the child develops an interest in food, and it is necessary to offer him the right foods to develop his taste.
  3. During this period, the risk of developing a food allergy to a new product is lower.
  4. Timely introduction of complementary foods prevents the risk of micronutrient deficiencies and iron deficiency anemia. nine0078

Usually the first food is vegetable puree or monocomponent gluten-free cereals, milk or dairy-free. Over time, cereals containing gluten, supplements from fruits and berries, and also consisting of several cereals are added. A six-month-old child can already be given several types of vegetables and cereals. Also, at about six months, they begin to give meat puree, then fruit, and from eight months - fish. A child from seven months is allowed the yolk.

From the age of 12 months, complementary foods already make up the majority of your baby's diet. At this age, it is especially important to diversify the child's diet: he can be given soups with small pieces of vegetables, meat, fish and cereals. nine0003

For information

During the first feeding, the baby's eating habits are laid, and it depends on the parents how correct they will be. Often, mothers introduce fruit juices into complementary foods too early. And because babies have an innate preference for sweet tastes, they can become naughty and stop eating the unsweetened foods they need, especially vegetables. Unhealthy taste habits are formed, which can later provoke obesity. nine0061
Domestic doctors are concerned about such irrational nutrition of young children - due to the wrong approach to nutrition, many babies experience a deficiency of vitamins and an excess of fast carbohydrates.

How to choose baby foods

Finding the right foods for your baby is not an easy task. Store shelves are bursting with boxes, jars and bottles, and manufacturers write on every second package that the baby will be healthy, strong and cheerful after feeding. Of course, the baby will receive the necessary substances, no matter what product his parents choose, because all the production of baby food is strictly controlled by the state. By the way, Russia has some of the most stringent requirements for the quality of baby food in the world. nine0003

However, products for children differ in their properties. It is necessary to select food so that by the end of the first year of life the baby has actively developed chewing skills and an interest in independence, and the diet of complementary foods is reasonably varied.

For children from one to three years of age, the diet should be even more varied. It is important that the child receives daily something new from the main food groups: dairy, vegetables and fruits, meat and fish, cereals, butter and vegetable oil. Of course, the baby's diet should be expanded taking into account his state of health. nine0003

When organizing the nutrition of a child from the moment of introduction of complementary foods and up to three years, a mother needs not only to know what can be fed, but also to consider what foods should not be included in the diet. Among the prohibited products for children under three years of age:

  • any mushrooms, vegetables and fruits in a marinade;
  • pickles, preserves in tomato sauce;
  • commercial juice concentrates, carbonated drinks, coffee and strong tea;
  • various seasonings - mustard, ketchup, hot sauces, horseradish, pepper, vinegar, mayonnaise; nine0078
  • products containing flavors, industrial colors, including chewing gum;
  • margarine and refractory fats - lamb, pork;
  • chocolates, sweets, other sweets.

To choose the right baby food, you need to know exactly what you should pay attention to and what you don't need to worry about.

When choosing mixtures it is important to check:

  • Absence of palm oil. Formula manufacturers may use palm oil (more specifically palm extract) because, like breast milk, it is rich in palmitic acid. However, in human milk, palmitic acid is in the beta position, while in palm oil it is in the alpha position. Such alpha-palmitic acid can interfere with the absorption of calcium and fats and is generally less well absorbed by the child's body. This can negatively affect the work of the intestines, lead to constipation, regurgitation. Milk fat is better suited for baby food as a source of palmitic acid[4][5]. nine0078
  • Protein ratio. Breast milk protein is primarily whey proteins and casein. A child needs both types of protein, while proteins are easily digested, which cannot be said about casein. If baby food contains a lot of casein, it stays longer in the digestive tract, which can cause problems with the baby's stool.
  • The presence of additional functional elements in the composition - lutein, nucleotides, pre- and probiotics. The task of lutein is to protect vision from ultraviolet rays. Nucleotides are low molecular weight compounds that promote the growth of beneficial bifidobacteria in the intestines. And pre- and probiotics in the composition of infant formulas help to establish comfortable digestion. nine0078

When choosing complementary foods, pay attention to:

  • Age appropriate. It is important that in the diet of a child under three years old who receives complementary foods, special children's products prevail - in their composition the components are selected taking into account the age-related needs of the baby's body. It is impossible at an early age to transfer children to "adult" foods like pickles, smoked foods, fast food, and so on.
  • Fortified foods. nine0061 It is important that the composition contains vitamins and minerals. The National Child Nutrition Optimization Program recommends choosing complementary foods that contain elements designed to prevent anemia, rickets, and vitamin deficiencies.
  • For a varied diet. The menu for a baby up to six months is quite monotonous. But as they grow older, the baby needs more various nutrients - proteins, carbohydrates, fats, vitamins, minerals.
  • To the individual reaction of the baby. nine0061 If the child is already receiving complementary foods, then it is worth introducing a new product only after the previous one has been fully introduced. If the baby is allergic to the product, then it should be administered carefully, carefully checking the reaction of the body.

Ingredient safety testing is optional. Of course, the content of any "chemistry" in the product for feeding a child, whether it be a mixture or complementary foods, is unacceptable. There is no need to worry about this: baby food is carefully checked. If it is registered on the territory of the Customs Union and hit the shelves, then it complies with SanPiN 2.3.2.1940-05 and there will be no "prohibited" components in its composition. Also, contrary to popular misconception, in Russia it is forbidden to use GMOs in children's products.

Note

Baby food in jars (usually mashed potatoes) has a short shelf life after opening, as it does not contain preservatives. However, before the jar is opened, the products can stand for quite a long time on the shelves of stores or in the refrigerator at home. This is possible thanks to a special production technology, sterilization and vacuum packaging. If a soft pop is heard when opening the jar, this is a good sign: the puree is not spoiled. But products in jars with swollen lids or a protruding bottom should not be used: microorganisms already multiply in such food, it is not suitable for food. nine0061

Features of the choice of dairy products

It is necessary to choose dairy products for babies, following the doctor's recommendations. The specialist will take into account the health of the baby, especially if he is allergic to cow protein. In Russia, such an allergy occurs in 30–40% of children [6]. Such a reaction may occur due to hereditary predisposition and immaturity of the organism. But most often, allergies go away when the child grows up.

Goat milk baby food may be a suitable option for young children with a predisposition to allergies. Its protein is perceived by the body better than cow's: alpha-s1-casein, contained in large quantities in cow's milk, makes a product based on it difficult to digest - food stagnates in the baby's gastrointestinal tract, motor skills are disturbed, as a result, allergies often occur. In goat milk, as in breast milk, there is practically no alpha-s1-casein [7]. Therefore, goat's milk, and hence the mixture based on it, are better absorbed.

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