Feeding your 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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Helpful Resources | Nutrition | CDC
If you would like more information on topics related to feeding your baby or toddler, here are some resources:
General
CDC’s Infant and Toddler Nutrition microsite syndication
CDC offers a free Web Content Syndication service that gives public health partners the opportunity to syndicate CDC content directly to their sites without having to monitor or copy updates.
To search the CDC infant and toddler nutrition website available for syndication as well as other resources you can share, visit the CDC Public Health Media Library and browse or search for “infant and toddler nutrition”. Learn more about content syndication and how to add CDC syndicated content on your site.
CDC’s Child and Teen Resources
This collection of resources provides parents and caregivers, health care providers, and partners with tools and information to help children and teens maintain a healthy weight and prevent obesity.
CDC’s Child Development Positive Parenting Tips (Infants)
This CDC website provides information about infants’ development, as well as tips for positive parenting and promoting the safety and health of infants.
CDC’s Learn the Signs. Act Early.
This website includes tools to track children’s milestones and resources about children’s development.
CDC’s Parent Information
This CDC website provides resources and information on pregnancy, infants and toddlers, children, and teens.
Learn how to handle common parenting challenges through interactive activities, videos, and more. Healthcare professionals and researchers can also find information on children’s health and safety.
CDC’s Division of Oral Health
Tooth decay (cavities) is one of the most common chronic diseases of childhood in the United States. Untreated tooth decay can cause pain and infections that may lead to problems with eating, speaking, playing, and learning. CDC’s Division of Oral Health provides information on what parents and caregivers can do to ensure good oral health for your child.
Dietary Guidelines for Americans 2020–2025 pdf icon[PDF-30.6MB]external icon
These guidelines provide science-based advice for Americans on what to eat and drink to promote health, reduce chronic disease, and meet nutrient needs. The 2020–2025 edition provides recommendations for all life stages, including infants and toddlers.
Feeding Guidelines for Infants and Young Toddlers: A Responsive Parenting Approachexternal icon
This report presents recommendations for promoting healthy nutrition and feeding patterns for infants and toddlers from birth to 24 months, with an emphasis on dietary quality, portion sizes, and mealtime environment.
Healthy Childrenexternal icon
This website was developed by the American Academy of Pediatrics for parents. It features thousands of articles in English and Spanish on children’s health and safety, as well as interactive tools.
United States Department of Agriculture Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)external icon
The WIC Program provides support to low-income pregnant, postpartum, and breastfeeding women, babies, and children up to age 5. WIC provides nutritious foods, information on healthy eating, breastfeeding promotion and support, and referrals to health care.
United States Department of Agriculture Supplemental Nutrition Assistance Program (SNAP)external icon
SNAP provides benefits to low-income individuals and families and provides economic benefits to communities.
Feeding and Beverage Recommendationsexternal icon
Healthy Eating Research, a national program of the Robert Wood Johnson Foundation, offers science-based recommendations for parents and caregivers.
Tips are available for feeding children from birth through 24 monthsexternal icon and beverages for children from birth through 5 yearsexternal icon. Tips for older children are also available.
U.S. Food and Drug Administration (FDA) and Environmental Protection Agency’s (EPA) Advice About Eating Fishexternal icon
The U.S. FDA and EPA provide advice regarding eating fish. This advice can help people make informed choices when it comes to the types of fish that are nutritious and safe to eat. It is especially important for those who might become pregnant, who are pregnant, or who are breastfeeding, as well as for parents and caregivers who are feeding children. This advice supports the recommendations of the Dietary Guidelines for Americans.
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Breastfeeding
CDC’s Breastfeeding Information
CDC’s Division of Nutrition, Physical Activity, and Obesity (DNPAO) is committed to increasing breastfeeding rates throughout the United States.
CDC provides information for public health professionals and others to help support breastfeeding mothers, such as managing breastfeeding during various maternal and infant illnesses and conditions, any precautions for vaccines during breastfeeding, and recommendations for proper storage and handling of expressed human milk.
International Lactation Consultant Association (ILCA)external icon
ILCA is the member association for professionals who care for breastfeeding families. ILCA’s “Find a Lactation Consultant Directory” can help you find a lactation consultant to get the breastfeeding support you need.
United States Lactation Consultant Association (USLCA)external icon
USLCA is a professional association for International Board Certified Lactation Consultants (IBCLCs) and other health care professionals who care for breastfeeding families. USLCA’s “Find an IBCLC” can help you find a lactation consultant to get the breastfeeding support you need.
WIC, the Special Supplemental Nutrition Program for Women, Infants, and Children—Breastfeeding Support external icon
The United States Department of Agriculture Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Breastfeeding Support website includes resources for expectant and current mothers about breastfeeding, overcoming common challenges, and thriving to make breastfeeding work for their families.
La Leche League USAexternal icon
La Leche League USA helps mothers to breastfeed through mother-to-mother support, encouragement, information, and education and promotes a better understanding of breastfeeding as an important element in the healthy development of the baby and mother.
Office on Women’s Healthexternal icon
The Office on Women’s Health’s vision is for all women and girls to achieve the best possible health outcomes. They provide information on breastfeeding to help women make infant feeding decisions and to guide mothers through the breastfeeding process.
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Infant Formula
Questions & Answers for Consumers Concerning Infant Formulaexternal icon
The U.S. Food & Drug Administration regulates infant formula and has a list of questions and answers about infant formula.
Infant Formula Do’s and Don’tsexternal icon
The U.S. Food and Drug Administration provides information on infant formula preparation and storage, as well as other tips on how to keep infant formula safe.
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Food Safety
Food Safety Concerns for Children Under Fiveexternal icon
Food safety is particularly important for young children. Foodsafety.gov provides information on safely preparing food for your child.
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Meal Time
Fruits & Veggies—Have a Plant Movementexternal icon
A resource designed to help spread the word about the health benefits of adding more fruits and veggies to your diet.
USDA MyPlate Kitchenexternal icon
This online tool features a large collection of recipes and resources to support building healthy and budget-friendly meals. Site features include:
- Extensive search filters on cuisine, cooking equipment, nutrition content, and more.
- Detailed nutrition information.
- Cookbooks to browse and download or build your own.
- Recipe star ratings, review comments, and sharing on social networks.
Video Series on How to Introduce Solid Foods
1,000 Days has developed helpful videos about introducing solid foods to your baby.
Topics include:
- Is your baby ready to start eating foods?
- What is a good first food for your baby?
- What to expect when introducing first foods
- How much should I feed my baby?
- How to win at mealtimeexternal icon
- What foods should my baby avoid?
- What should your baby eat in the first year?
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Vitamins and Minerals
Vitamin and Mineral Fact Sheetsexternal icon
The National Institutes of Health’s Office of Dietary Supplements has fact sheets for consumers and health professionals about vitamins, minerals, and dietary supplements.
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Optimal nutrition for children aged 2 to 5 years
Submitted by Mironova Irina on Mon, 10/11/2021 - 15:35
In your baby's second year, you learned about their nutritional needs, food choices and how to prepare them, got to know your baby's habits, and overcame challenges. Perhaps, from the third year, the attention of parents is more focused on other activities and needs of the child.However, remember that nutrition is still one of the key factors in helping a child grow and reach their potential. A quality, balanced diet is an effective prevention of health problems later in life, such as obesity, diabetes, heart and blood vessel disease.
What and how much a child should eat
- Children between the ages of two and five usually grow about seven centimeters and gain about two kilograms a year. After two years of age (up to four years), for normal growth and weight gain, a child should consume 1300 calories per day. However, calorie requirements vary depending on the activity as well as the constitution of the child and his metabolism, so do not worry if your child does not eat as much as you expect.
- Appetite is variable at this age, higher at some times, but often decreases when the child is tired or agitated. Children love to use their own cutlery with meals, and using baby utensils will also help determine the appropriate portion size for a child.
- The child should be offered a variety of foods from all five food groups. A variety of nutrients are essential for the maintenance of bodily functions and the healthy development of its systems and brain. The basis of nutrition at this age is similar to that of adults, but the amount varies.
- After the second year of life, milk with 2-3% fat content can be offered instead of whole milk, the volume should not exceed approximately 500 ml per day (if there is no allergy to cow's milk). It is permissible to consume juice no more than 120 ml per day.
- In natural products, various groups of vitamins are contained in optimal ratios, the most effective form of intake of nutrients into the body and the best for their absorption is their natural consumption with food and daily presence in the child's diet. If your child eats a lot of fresh fruits, vegetables and grains, then at this age he will not need additional vitamin supplements.
- Foods and drinks high in sugar and salt should be avoided (thick juices, sugary cereals, chips, sweets, pastries, etc.
)
When and how a child should eat
- The optimal diet is when meals are frequent, the portions are small (usually three meals a day and two snacks between them). Your child should receive three equal meals each day, which must not be skipped or combined. Meals should be arranged at approximately the same time each day.
- Breakfast should be in the first hour after waking up. It gives the necessary energy to start the day; and a child who is used to having breakfast at home will have less desire to snack in canteens, cafes and bakeries.
- The remaining meals are scheduled at intervals of two to three hours. The last meal should be at least an hour before bedtime.
- Try to diversify your baby's menu with new ideas and cooking methods. Children love colorful, beautifully presented food.
- Snacks should be offered between meals because it is difficult for a young child to provide the required calories and nutrients in just three main meals.
They are also convenient for introducing new food, often the child first takes it as a snack.
The habits of proper nutrition, laid down in childhood, remain throughout life
The skills that we acquire in the early years accompany us throughout our lives. Therefore, it is extremely important to teach a child to eat properly in order to eliminate many negative factors that provoke the development of various diseases, as well as to ensure the full growth and development of the child. One of the most valuable gifts we can give a child is to teach him how to make good choices when it comes to food, so that he is ready to give preference to healthy foods, to forego the many negative alternatives that are readily available at the present time.
Eating is much more than food.
You determine:
- What the child eats - all kinds of foods: cereals, fruits, vegetables, meat, fish, eggs, milk and dairy products.
- Who feeds the child or supervises the feeding (the feeding of the child must be in the presence of an adult).
- When the child eats, if possible, at about the same time: breakfast, snack, lunch, snack, dinner. A child needs habits and routines that create a sense of security.
- Where the child eats - at the table, the younger one is on a chair, the older one is on a chair. Whenever possible, gather more family members together at meals.
The child determines:
- Whether he will eat what he is offered or not. If your child says no, offer another meal (up to ten times) of the food he doesn't take. Maybe in some other form, with some other food he likes to eat. Be patient and understanding.
- How much will he eat. Put less on your plate, and add more if needed. Don't force your child to eat whatever you put on the plate. Let the younger child eat with their fingers, teach the older ones how to use cutlery.
For optimal growth and development of your baby and the formation of good habits, it is important not only what and how much the child eats, but also when, how and where he eats, who feeds the child or looks after him during meals. By the age of two, your toddler has developed enough motor skills to eat unassisted and should be allowed to do so. It is worth being more tolerant of childish "ill manners" at the table and the mess associated with this. Just keep showing your child your good manners and he/she will learn from you. A child at this age has to figure out what he likes and doesn't like, and this can be very time consuming for you and drag out your meal times.
At the age of three, a child can use a spoon and fork. He or she will most likely be looking for their favorite food (often sweets) and she or he may need the same food for several days in a row. Children love to help in the kitchen and play "cooking". From an early age, teach your child to eat at the table, chew every bite, never rush or talk while a bite is in your mouth.
If you start teaching your baby to eat with the rest of the family early, your child will quickly learn that food is both a time for communication and pleasant family moments, he will learn to enjoy it.
Be an example for your child! Toddlers watch and adopt the habits of their parents and family, regardless of what they are told and advised. Taking care of healthy eating for children is also an opportunity for the family to review their eating habits and make some positive changes. It is easier to move forward in small steps, gradually incorporating what you have achieved into your daily habits. You may be surprised how small changes can make a big difference in your family's health.
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Diet for a child aged 4
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.
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 introduction is between 4 and 6 months, 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.
When is it advisable to introduce complementary foods as early as 4 months, and when can you wait until 5.5 or even 6 months? To resolve this issue, be sure to consult a pediatrician.
The optimal time to start introducing complementary foods to a healthy baby is between 5 and 5.5 months of age.
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 the big
practical experience and scientific research, this is possible only in cases where the child was born at term, without malnutrition (because in these cases the mineral reserves are very small), he is healthy, grows and develops well.
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.
The first food product 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.
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.
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.
With the start of the introduction of complementary foods, the child is gradually transferred to the 5-time feeding regimen.
Complementary feeding rules:
- 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 introduced 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
- new products are not introduced 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.
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.
Spoon-feed 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.
Children suffering from food allergies are introduced 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 to make a diet, it is better on several examples that will help to navigate the menu for your child.
From 5 months, the volume of one feeding is on average 200 ml.
Option 1.
I feeding
6 hours
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
Supplemental breast milk 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
* - Children's dairy mixture (VHI)
** - diluted with breast milk or VHI
Option 2.
002
Another diet option for a 6-month-old baby, if complementary foods were introduced from 4-5 months:| I feeding | Breast milk or VHI* | 200 ml |
| II feeding | Dairy-free porridge** | 150 g |
| III feeding | Vegetable puree | 150 g |
| IV feeding | Fruit puree | 40 g |
| V feeding | Breast milk or VHI* | 200 ml |
* - infant formula
** - diluted with breast milk or VHI
Option 3.
Learn more
