Baby food what age to start
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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Baby's first foods: How to introduce solids to your baby
Babies are typically ready to start solids between 4 and 6 months, as long as they're showing signs of readiness, such as being able to sit upright with good head control.
Talk to your baby's doctor about which foods to introduce first, particularly if you're concerned about a risk for an allergy. In general, infant cereal and pureed, one-ingredient veggies, fruits, and meats are great first foods. Try spoon-feeding or baby-led weaning, and keep up the breast milk or formula until your baby's first birthday.
When do babies start eating baby food?
It depends. As long as your baby shows signs of readiness, your pediatrician will probably give you the go-ahead to start baby food (also called solid food or solids) any time between 4 and 6 months.
Until then, breast milk or formula provides all the calories and nourishment your baby needs. Infants don't yet have the physical skills to swallow solid foods safely, and their digestive system isn't ready for solids until they're at least 4 months old.
The American Academy of Pediatrics (AAP) and World Health Organization (WHO) recommend breastfeeding exclusively for the first six months of your baby's life and introducing solids at 6 months old.
The AAP advises breastfeeding until age 1 – and longer if you and your baby want to.
Signs your baby is ready for solids
Your baby will give you clear signs when they're ready. Look for:
- Head control. Your baby needs to be able to keep their head in a steady, upright position.
- Sitting well when supported. Your baby needs to be able to sit upright in a baby seat or highchair to swallow well.
- Losing the "extrusion reflex." Your baby's mouth and tongue develop in sync with their digestive system. To start solids, they should be able to move food to the back of their mouth and swallow it, instead of using their tongue to push food out of their mouth.
- Curiosity about food. Your baby may start showing interest in what you're eating, reaching for your food or even opening their mouth if you offer them a spoonful.
Starting solids by 6 months old is important for your baby's oral motor development (the use of their lips, tongue, jaw, teeth, and hard and soft palates).
Also, solid foods can provide specific nutrients your baby needs, such as iron and zinc. (These are especially important if your baby has been exclusively breastfed.)
What are the best first baby foods?
Start your baby with any pureed, single-ingredient food. Although it used to be standard for parents to give rice cereal as a first food, that's not necessary. In fact, pediatricians often don't recommend baby rice cereal since it can contain inorganic arsenic, and it's not as nutritious as some other first foods.
Good first baby foods include
- pureed squash
- applesauce
- mashed bananas
- mashed avocado
- pureed peaches
- pureed pears
- pureed meats
- whole-grain, iron-enriched baby cereal such as oatmeal
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If your baby is breastfed, the AAP suggests meat as a first food because the iron in beef, chicken, and turkey helps to replace iron stores, which start to diminish at about 6 months of age.
How to introduce solids to your baby
The traditional way to start solids is by spoon-feeding your baby cereal or purees, but some parents use a different method called baby-led weaning. Using this method, you put chunks of soft, developmentally appropriate food on the highchair tray or table and let your baby grab the food and feed themself.
Here's how to start spoon-feeding your baby:
For your first few feedings, start with just 1 or 2 teaspoons of pureed solid food or baby cereal about an hour after nursing or bottle-feeding (so your baby isn't too hungry or full).
Use a soft-tipped plastic spoon to feed your baby to avoid injuring their gums. Put a small amount of food on the tip of the spoon and offer it to them. If your baby doesn't seem very interested, just let them smell the food for now and try again another time.
If you're feeding your baby ready-to-eat jars or pouches of baby food, put some into a small dish and feed them from that. (If you dip the feeding spoon into the jar, it's not a good idea to save the leftovers because bacteria from your baby's mouth will now be in the jar.
) Store leftovers in the fridge and throw away any opened baby food jars or pouches within a day or two of opening them.
If you decide to start with cereal, give your baby 1 to 2 teaspoons of diluted infant cereal. Add breast milk or formula to a tiny pinch of cereal. It will be very runny at first, but as your baby starts to eat more solid foods, you can gradually thicken the consistency by using less liquid.
Begin with one daily feeding in the morning whenever your baby isn't too tired, hungry, or cranky. Your baby may not eat much at first, but give them time to get used to the experience. Don't be surprised if your baby is confused or rejects solid food at first. Some babies need practice keeping food in their mouths and swallowing.
Eventually you can start giving your baby more solid food until they're having a few tablespoons a day, over two feedings. In general, your baby could start with pureed or semi-liquid food, then move on to strained or mashed food, and finally graduate to small pieces of finger foods.
Signs that your baby is full
Your baby's appetite will vary from one feeding to the next, so a strict accounting of how much they've eaten isn't a reliable way to tell when they've had enough. Look for these signs that your baby's probably done:
- They lean back in their chair
- They turn their head away from food
- They start playing with the spoon
- They refuse to open up for the next bite (Sometimes a baby will keep their mouth closed because they haven't finished the first mouthful, so give them time to swallow.)
Food allergies and introducing solids
Experts recommend that you introduce one food at a time to your baby, and wait 3 to 5 days before introducing another food, so you can watch for any allergic reactions. It's also a good idea to write down the foods your baby samples. If they have an adverse reaction, a food log will make it easier to pinpoint the cause.
You don't have to hold off on giving allergenic foods such as eggs, peanut butter, or soy.
There's no evidence that waiting to introduce certain foods will help your baby avoid allergies. In fact, there's evidence that the opposite is true.
According to the American Academy of Allergy Asthma and Immunology (AAAAI), incorporating commonly allergenic foods into your baby's diet starting at around 4 to 6 months (and continuing through childhood) may actually help prevent the development of food allergies.
Start with traditional first foods, such as iron-fortified infant cereal, pureed veggies, fruits, and meats. Once you've tried a few of these foods and your baby seems to be tolerating them well, you can introduce more commonly allergenic foods, such as soy, eggs, wheat, fish, and peanut products.
Food manufacturers have products on the market designed to help you incorporate commonly allergenic foods into your child's diet. These stir-in powders and finger foods may contain one commonly allergenic protein or a blend of several.
Special precautions need to be taken with certain babies.
If your child falls into any of the following categories, consult with your baby's doctor or an allergist to create a customized feeding plan before adding solids to your baby's diet:
- Your baby has a sibling with a peanut allergy.
- Your baby has moderate to severe eczema despite following a doctor's treatment plan.
- Your baby previously had an immediate allergic reaction to a new food or has been diagnosed with a food allergy.
If your baby is allergic to a new food, you'll see signs of a reaction within a few minutes or hours. Most children with food allergies have mild reactions. If you notice a few hives, a new rash, or diarrhea, call your baby's doctor for advice.
If you notice wheezing, difficulty breathing, vomiting, facial swelling (including the tongue and lips), or more than two body systems affected (such as hives and vomiting), your baby may be having a life-threatening reaction called anaphylaxis. Call 911 or your local emergency number immediately.
Baby food feeding tips
- Offer fruits or vegetables in any order. Some parents may tell you to start with vegetables instead of fruits so your infant won't develop a taste for sweets. But babies are born with a preference for sweets, so you don't have to worry about introducing sweet or savory foods in any particular order.
- Feed cereal with a spoon only. Unless your baby's doctor asks you to, don't add cereal to a bottle – your baby could choke or end up gaining too much weight.
- Encourage adventurous eating. You don't have to stick with bland and boring. See how to make your own baby food and use spices and seasonings to create delicious baby food flavors.
- Give new foods time. If your baby turns away from a particular food, don't push. Try again in a few days.
- Check for added sugars and too much salt. Check the Nutrition Facts label on canned, frozen, or packaged foods for "Added Sugars.
" If there's 1 gram or more listed, give your baby something else. Also look at sodium amounts. Babies shouldn't have no more than 1,200 mg of sodium per day. - Avoid unsafe foods. Don't give your baby foods that could cause choking, such as whole grapes or popcorn. Babies under 1 can't have honey, cow's milk, or soy milk. Also, unpasteurized juices and undercooked fish, meat, eggs, or poultry could be a source of bacteria.
- Watch for constipation. Your baby's poop sometimes changes when their diet does. Although it's usually temporary, your baby may have constipation after you introduce solids. If you notice that your baby is having less frequent bowel movements, or that their stools have become hard or dry and seem difficult to pass, let their doctor know. Some doctors recommend adding high-fiber fruits such as pears, prunes, and peaches to a baby's diet, or giving a few ounces of prune, apple, or pear juice every day until bowel movements are back to normal.
Also, don't be surprised if your baby's poop changes color and odor when you add solids to their diet. If your baby has been exclusively breastfed up to this point, you'll probably notice a strong odor to their formerly mild-smelling stools as soon as they start eating even tiny amounts of solids. This is normal.
If your baby shies away from new foods, here are a few things you can try:
- Test a range of textures. If your baby doesn't like pear puree, try giving them pieces of very ripe pear instead.
- In a similar vein, try different cooking methods. If your baby doesn't like steamed veggies, try giving them roasted vegetables.
- Serve food at different temperatures. Some babies prefer broccoli cold rather than warm, for example.
- Combine the new food with a familiar favorite. If your baby rejects a new food on its own, mix it in with something you know they like.
- Add a dipping sauce! Try shredded chicken with applesauce, yogurt with baked apple slices, or hummus with well-cooked pieces of carrot.
- Above all, be patient. Sometimes it takes a while for a baby to get used to new flavors and textures, so keep trying and eventually they'll accept the new food.
How many times a day should my baby eat solids?
At first your baby will eat solid food just once a day. By around 6 to 7 months, two meals a day is the norm. Starting around 8 to 9 months, they may be eating solid food three times a day plus a snack. A typical day's diet at 8 months might include a combination of:
- Breast milk or iron-fortified formula
- Iron-fortified cereal
- Vegetables
- Fruit
- Small amounts of protein, such as eggs, cheese, yogurt, poultry, lentils, tofu, and meat
- High-allergy foods, if appropriate
See our age-by-age baby feeding guide for more detail on how much to feed your baby and when.
How much breast milk or formula does my baby need after we introduce solids?
Even after your baby starts solids, breast milk or formula will provide the majority of their calories and nutrition until they're 9 months to 1 year old.
Breast milk and formula contain important vitamins, iron, and protein in a form that's easy to digest.
You may notice that as your baby starts to eat more solid foods (around 9 months old), they'll gradually decrease their intake of formula or breast milk. This is normal. Over time, your baby will take fewer bottles with more ounces in each.
Here's how much breast milk or formula babies need after starting solids:
- 4 to 6 months old: 4 to 6 feedings a day (breastfeeding, or bottles with 4 to 6 ounces)
- 6 to 8 months old: 3 to 5 feedings a day (breastfeeding, or bottles with 6 to 8 ounces)
- 8 to 12 months old: 3 to 4 feedings a day (breastfeeding, or bottles with 7 to 8 ounces)
What equipment do I need to introduce solids?
It's helpful to have:
- A highchair
- Baby bowls and plates
- Baby spoons
- Bibs
- A splat mat on the floor
You may also want to introduce your baby to a sippy cup soon after you start solids.
If you're making your own baby food, you'll need:
- A tool to puree the food, like a blender, food processor, or baby food maker
Storage containers for refrigerating and freezing extra portions (Some parents use ice cube trays – or similar devices made just for baby food – to store and freeze individual portions.)
how to choose and what kind of baby food is better?
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. nine0005
In this article, we will talk about what foods for babies are and how to choose the best baby food.
Legislation under "baby food" means food products that meet the physiological needs of the body 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.
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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. nine0022
- 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. nine0022 - 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.
Complementary foods As we have already noted, it is introduced when the baby is four to seven months old. This interval is called the "critical window" and is considered optimal for the initiation of complementary foods for several reasons:
- 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.
- At this age, the child develops an interest in food, and it is necessary to offer him the right foods to develop his taste.
- During this period, the risk of developing a food allergy to a new product is lower.
- Timely introduction of complementary foods prevents the risk of micronutrient deficiencies and iron deficiency anemia. nine0022
Usually the first food is vegetable puree or monocomponent gluten-free cereals, dairy 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.
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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. nine0005
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.
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. nine0007
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 condiments - mustard, ketchup, hot sauces, horseradish, pepper, vinegar, mayonnaise; nine0022
- products containing flavors, industrial colors, including chewing gum;
- margarine and refractory fats - lamb, pork;
- chocolates, sweets and 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]. nine0022
- 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. nine0022
When choosing complementary foods, pay attention to:
- Age appropriate. It is important that in the diet of a child under three years of age who receives complementary foods, special children's products predominate - 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 products. nine0005 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.
- For the individual reaction of the baby. nine0005 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 because 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. nine0005
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. nine0007
Of course, with the introduction of complementary foods, other dairy products will appear in the baby's diet. Unadapted fermented milk drinks, such as kefir, yogurt, biolact, can be introduced into the diet from eight months and in an amount not exceeding 200 ml. Also during this period, it is recommended to give cottage cheese - no more than 50 g per day, but according to indications, it can also be prescribed from the age of six months. Whole milk cannot be used as the main food, and it is advised to introduce it into the diet of babies no earlier than a year (in the amount of 100-150 ml per day) [8]. As mentioned above, it must be adapted infant milk or formula 3 formula.
To choose the best baby food, it is necessary to take into account the health of the baby, his tastes, as well as individual reactions of the body. Therefore, before going to the store, you should consult a doctor. The specialist will not only tell you which baby food to choose, but also give recommendations on how to make the child's diet balanced and healthy.
Diet for a 4-6 month old baby
Your baby is already 4 months old. He has noticeably grown up, become more active, is interested in objects that fall into his field of vision, carefully examines and reaches for them. The emotional reactions of the child have become much richer: he joyfully smiles at all the people whom he often sees more and more often, makes various sounds. nine0007
You are still breastfeeding your baby or have had to switch to formula or formula feeding. The child is actively growing, and only with breast milk or infant formula, he can no longer always get all the necessary nutrients. And that means it's time to think about complementary foods.
The optimal time to start its administration is between 4 and 6 months, regardless of whether the baby is receiving breast milk or formula. This is the time when children respond best to new foods. Up to 4 months, the child is not yet ready to perceive and digest any other food. And with the late introduction of complementary foods - after 6 months, children already have significant deficiencies of individual nutrients and, first of all, micronutrients (minerals, vitamins, long-chain polyunsaturated fatty acids, etc.
). In addition, toddlers at this age often refuse new foods, they have delayed development of chewing skills for thick foods, and inadequate eating habits are formed. It is important to know that, no matter how strange it may seem at first glance, with a delayed appointment of complementary foods, allergic reactions more often occur on them. nine0007
When is it advisable to introduce complementary foods as early as 4 months, and when can we wait until 5.5 or even 6 months? To resolve this issue, be sure to consult a pediatrician.
As a rule, at an earlier age (4 - 4.5 months), complementary foods are introduced to children at risk of developing iron deficiency anemia, as well as children with insufficient weight gain and with functional digestive disorders.
The optimal time to start introducing complementary foods to a healthy baby is between 5 and 5.5 months of age. nine0007
The World Health Organization recommends that breastfed babies should be introduced to complementary foods from 6 months of age.
From the point of view of domestic pediatricians, which is based on extensive practical experience and scientific research, this is possible only in cases where the child was born on time, without malnutrition (since in these cases the mineral reserves are very small), he is healthy, grows well and develops. In addition, the mother should also be healthy, eat well and use either specialized enriched foods for pregnant and lactating women, or vitamin and mineral complexes in courses. Such restrictions are associated with the depletion of iron stores even in a completely healthy child by 5-5.5 months of age and a significant increase in the risk of anemia in the absence of complementary foods rich or fortified with iron. There are other deficits as well. nine0007
The first complementary foods can be vegetable puree or porridge, it is better to give fruit puree to the baby later - after tasty sweet fruits, children usually eat vegetable puree and cereals worse, often refuse them altogether.
Where is the best place to start? In cases where the child has a tendency to constipation or he puts on weight too quickly, preference should be given to vegetables. With a high probability of developing anemia, unstable stools and small weight gains - from baby cereals enriched with micronutrients. And if you started introducing complementary foods with cereals, then the second product will be vegetables and vice versa. nine0007
If the first complementary foods are introduced at 6 months, it must be baby porridge enriched with iron and other minerals and vitamins, the intake of which with breast milk is no longer enough.
Another important complementary food product is mashed meat. It contains iron, which is easily absorbed. And adding meat to vegetables improves the absorption of iron from them. It is advisable to introduce meat puree to a child at the age of 6 months. Only the daily use of children's enriched porridge and meat puree can satisfy the needs of babies in iron, zinc and other micronutrients.
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But it is better to introduce juices later, when the child already receives the main complementary foods - vegetables, cereals, meat and fruits. After all, complementary foods are needed so that the baby receives all the substances necessary for growth and development, and there are very few in their juices, including vitamins and minerals.
Juices should not be given between feedings, but after the child has eaten porridge or vegetables with meat puree, as well as for an afternoon snack. The habit of drinking juice between meals leads to frequent snacking in the future, a love of sweets is instilled, children have more tooth decay and an increased risk of obesity. nine0007
With the start of the introduction of complementary foods, the child is gradually transferred to a 5-time feeding regimen.
Rules for the introduction of complementary foods:
- preference should be given to baby products of industrial production, they are made from environmentally friendly raw materials, have a guaranteed composition and degree of grinding
- Complementary foods should be offered to the baby by spoon at the start of feeding, before breastfeeding (formula feeding)
- the volume of the product increases gradually, starting with ½ - 1 spoon, and in 7 - 10 days we bring it to the age norm, subsequent products within the same group (cereals from other cereals or new vegetables)
- can be entered faster, in 5 - 7 days
- start introduction with monocomponent products
- it is undesirable to give a new product in the afternoon, it is important to follow how the child reacts to it
- do not introduce new products in the event of acute illnesses, and before and immediately after prophylactic vaccination (should be abstained for several days)
When introducing a new type of complementary food, first try one product, gradually increasing its amount, and then gradually “dilute” this product with a new one.
For example, vegetable complementary foods can be started with a teaspoon of zucchini puree. During the week, give the baby only this product, gradually increasing its volume. After a week, add a teaspoon of mashed broccoli or cauliflower to the zucchini puree and continue to increase the total volume every day. Vegetable puree from three types of vegetables will be optimal. The portion should correspond to the age norm. Over time, you can replace the introduced vegetables with others faster. nine0007
After the introduction of one vegetable (bringing its volume to the required amount), you can proceed to the intake of porridge, and diversify the vegetable diet later.
If the child did not like the dish, for example, broccoli, do not give up on your plan and continue to offer this vegetable in a small amount - 1-2 spoons daily, you can not even once, but 2-3 times before meals, and after 7 - 10, and sometimes 15 days, the baby will get used to the new taste. This diversifies the diet, will help to form the right taste habits in the baby.
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Spoon-feeding should be done with patience and care. Forced feeding is unacceptable!
In the diet of healthy children, porridge is usually introduced after vegetables (with the exception of healthy breastfed children, when complementary foods are introduced from 6 months). It is better to start with dairy-free gluten-free cereals - buckwheat, corn, rice. At the same time, it is important to use porridge for baby food of industrial production, which contains a complex of vitamins and minerals. In addition, it is already ready for use, you just need to dilute it with breast milk or the mixture that the baby receives. nine0007
Children with food allergies are introduced to complementary foods at 5-5.5 months. The rules for the introduction of products are the same as for healthy children, in all cases it is introduced slowly and begins with hypoallergenic products. Be sure to take into account individual tolerance. The difference is only in the correction of the diet, taking into account the identified allergens.
From meat products, preference should first be given to mashed turkey and rabbit.
Diets for different age periods
Explain how you can make a diet, it is better to use a few examples that will help you navigate in compiling a menu specifically for your child.
From 5 months, the volume of one feeding is on average 200 ml.
Option 1.
If your baby started to receive complementary foods from 4-5 months, then at 6 months his diet should look like this:
| Breast milk or VHI* | 200 ml | |
| II feeding 10 hours | Dairy-free porridge** Supplementation with breast milk or VHI* | 150 g 50 ml |
| III feeding 14 hours | Vegetable puree Meat puree Vegetable oil Breast milk supplement or VHI* | 150 g 5 - 30 g 1 tsp 30 ml |
| IV feeding 18 hours | Fruit puree Breast milk or VHI* | 60 g 140 ml |
| V feeding 22 hours | Breast milk or VHI* | 200 ml |
* - infant formula
** - diluted with breast milk or VHI
Option 2.
* - infant formula Option 3. ** - diluted with breast milk Up to 7 months, increase the volume of porridge and vegetable puree to 150 g and introduce fruit puree. I feeding
6 hours Breast milk or VHI* 200 ml II feeding
10 hours Dairy-free porridge**
Fruit puree 150 g
20 g III feeding
14 hours Vegetable puree
Meat puree Vegetable oil
Fruit juice 150 g
5 - 30 g
1 tsp
60 ml IV feeding
18 hours Fruit puree
Breast milk or VHI* 40 g
140 ml V feeding
22 hours Breast milk or VHI* 200 ml
** - diluted with breast milk or VMS 
:
I feeding
6 hours Breast milk II feeding
10 hours Dairy-free porridge**
Breast milk supplement 100 g III feeding
14 hours Vegetable puree
Meat puree Vegetable oil
Breast milk supplement 100 g
5 - 30 g
1 tsp IV feeding
18 hours Breast milk V feeding
22 hours Breast milk 
