Is 4 months too early to feed baby food
Most babies are fed solid food too soon, study finds
Health news
By Linda Carroll
Most mothers may be starting their infants on solid foods months sooner than specialists recommend, mistakenly believing their children are old enough to graduate from breast milk or formula – but many say they’re simply following doctors’ orders, according to a study published today.
Parents should wait until their little ones are at least 6 months old before offering them solid foods, say many child-nutrition experts, including the American Academy of Pediatrics.
But researchers at the Centers for Disease Control and Prevention – who surveyed 1,334 new moms – discovered that almost 93 percent of those women had introduced solid foods to their infants before 6 months, that 40 percent did it before the 4-month mark, and that 9 percent had offered solids to their babies before they were even four weeks old, according to the study, published today in Pediatrics.
“Fifty percent said that their health care provider told them it was time to introduce solid food,” said Kelley Scanlon, a co-author of the study and lead epidemiologist in the nutrition branch in the division of nutrition, physical activity and obesity at the CDC.
“That, for us, indicates that health care providers need to provide clearer guidance and really support women in carrying out the recommendation,” Scanlon said.
Physicians' groups settled on the 6-month cut-off after earlier research determined that children who get solid food at too early might be at a greater risk for developing chronic diseases, such as diabetes, obesity, eczema and celiac disease, Scanlon said.
The mothers who volunteered for the CDC study filled out food diaries and questionnaires designed to ferret out their opinions on why and when solid foods should be offered.
Among the moms offering solid foods to infants younger than 4 months, the most commonly cited reasons for doing so included: “My baby was old enough;” “My baby seemed hungry;” “I wanted to feed my baby something in addition to breast milk or formula,” “My baby wanted the food I ate;” “A doctor or other health care professional said my baby should begin eating solid food;” and “It would help my baby sleep longer at night,” researchers reported.
What’s more, moms who fed their babies formula were far more likely to start solids too early versus those who exclusively breast-fed (53 percent versus 24 percent), the study showed.
One food expert unaffiliated with the CDC study suggested that some health-care providers may simply be unfamiliar with current baby-feeding recommendations.
“I think this is worrisome,” said Ann Condon-Meyers, a pediatric dietician at the University of Pittsburgh Medical Center and Children's Hospital of Pittsburgh. “I think it may show that word isn’t getting out that … it is 6 months before solid foods should be offered.”
Still, the study’s findings didn’t surprise Condon-Meyers, who added: “I work in pediatrics and we see a lot of early introduction of solid foods when we do patient histories.”
In addition to possibly boosting, a child’s risk for contracting certain chronic diseases, introducing solid foods too early often means babies don’t drink an adequate amount of breast milk or formula, and that can translate into poorer nutrition, Condon-Meyers said.
Breast milk and formula have all the nutrients and vitamins a baby needs and in the right proportions, Condon-Meyers said.
“If you start giving solid food too early then you are diluting the nutritional intake,” she said. “You’re getting more calories, but less of the nutrients a baby needs to grow.”
Related:
Most parents don't follow doctors' orders
Peanuts, eggs and milk OK for young babies, report claims
Child food allergies may be twice as common as thought
Linda Carroll
Four in 10 Babies Given Solid Foods Too Early, Study Finds – WebMD
Hunger, inability to sleep through the night often cited as reasons
Written by WebMD Editorial Contributors
By Serena Gordon
HealthDay Reporter
MONDAY, March 25 (HealthDay News) -- Child development experts advise parents not to introduce solid foods, such as baby cereal, into an infant's diet until the infant is at least 4 to 6 months old. However, new research suggests that about 40 percent of parents aren't heeding this advice and are giving their babies solid food much sooner.
The researchers also found that formula-fed infants were much more likely to be given solid foods too early than were breast-fed infants.
"Health authorities do advise parents to wait until after 4 months because infants aren't developmentally ready to eat solid foods before then," explained the study's senior author, Kelley Scanlon, an epidemiologist at the division of nutrition, physical activity and obesity at the U.S. Centers for Disease Control and Prevention (CDC) in Atlanta.
Scanlon said there are a number of other reasons why experts don't recommend early feeding. One is that the early introduction of solid foods has been linked to a shorter duration of breast-feeding. Early solid food consumption has also been linked to the development of chronic conditions, such as childhood obesity, celiac disease, diabetes and eczema, according to background information in the study.
To see how often the expert recommendations on solid foods are followed, Scanlon and her colleagues reviewed data provided by more than 1,300 mothers with infants.
The investigators found that 40 percent of mothers introduced solid foods before their infants were 4 months old. About 24 percent of exclusively breast-feeding moms introduced early solid food, while close to 53 percent of formula-fed babies were given solid foods early on. Slightly more than 50 percent of babies that were fed both breast milk and formula were introduced to solid foods before 4 months.
Reasons cited by the moms included, "My baby was old enough," "My baby seemed hungry," "I wanted to feed my baby something in addition to breast milk or formula," "My baby wanted the food I ate," "A doctor or other health care professional said my baby should begin eating solid food," or "It would help my baby sleep longer at night," according to the study.
Scanlon said that mothers who formula-fed their babies were more likely to report having a health care provider tell them that solid foods before 4 months were OK.
That suggests that there's a real need for doctors and other health care providers "to provide accurate and clear information," Scanlon said. These experts "can help parents better understand their babies' cues for feeding," she said. "A baby who's crying a lot isn't always hungry."
The researchers also found that mothers who introduced solid foods earlier were more likely to be younger, unmarried, have less education and be participating in government food programs for women, infants and children.
Dr. Ruby Roy, an attending physician at La Rabida Children's Hospital in Chicago, said she wasn't surprised by the study's findings. "A lot of these parents say that at 3 months, their children are more hungry. And, that's true. There's usually a growth spurt at 3 months, so increasing breast-feeding or the amount of formula is appropriate," said Roy.
Roy said she doesn't tell parents to wait for a specific age, but rather to look for signs that the baby is ready for solid foods. "Some children will be ready at 6 months, while others are fine at 5 months and 2 weeks, so instead of an absolute rule, I explain that they're waiting for the baby to be ready," she said.
According to Roy, babies aren't ready for solids until they can sit up by themselves when they're well-supported and when they've lost what's known as the "tongue thrust" reflex. If you try to feed your baby solid foods on a spoon and your baby pushes the food out with his or her tongue, your baby isn't ready for solids yet, Roy said.
Roy and Scanlon agreed that parents shouldn't try to work around this reflex by adding baby cereal to bottles.
"Solid foods are not intrinsically better or more calorically dense than breast milk or formula," said Roy. And she added, "Solid foods can harm kids when started too early."
Results of the study were released online March 25 in advance of publication in the April print issue of Pediatrics.
Complementary foods from 4, 5 months - what foods to introduce into the first complementary foods, starting from 4-5 months: table
07/29/2020 Reading time: 3 min 132779
The earliest start of complementary foods is 4 months 1 . When exactly to introduce your baby to "regular food" - check with your pediatrician. Complementary foods must not be introduced 2 :
- during illness
- 3-5 days before and after vaccinations.
What is complementary foods. Complementary food is everything that a baby up to a year eats, except for mother's milk and infant formula 1 .
What foods should be introduced at 4-6 months
1The first complementary foods at 4 months are cereals or vegetable purees. How to choose:
- if your baby has a lot of weight or hard stools - try vegetables,
- if the child adds no more than average or he has loose stools, try cereals.
From 4 months, add oil to complementary foods: vegetable or butter. The baby needs fat.
Porridge. Dairy-free and gluten-free: rice, buckwheat or corn. Use a commercially produced cereal such as Nutrilak Premium PROCEREALS. Cook it with breast milk, formula or water. Offer milk and gluten-containing cereals after rice, buckwheat or corn.
Vegetables. Start with one type of vegetable: courgette, cauliflower or broccoli 1 .
Meat . After cereals and vegetables - from 6 months: beef, lean pork, turkey, rabbit. Add to vegetables.
From 6 months you can give mashed pears or apples. By 7 months, up to 60 g of fruit puree is possible if the baby eats other complementary foods well.
How to introduce complementary foods at 4 or 5 months
1. For the first time - no more than 1 teaspoon, if meat - ¼ spoon. In the first half of the day.
2. Every day - a spoonful more.
3. After weaning, supplement with breast or formula.
4. After 7-10 days you will reach the required amount: 150 g.
5. After 14 days - a new type of complementary food 1.2 .
This feeding pattern is suitable from 6 months - but the later you start, the higher the risk of anemia in the child.
Which products are too early to introduce
When you introduce a child to regular food, you also influence what he will like to eat. You should not be accustomed to sweets. Give fruit puree after the introduction of vegetables and cereals, and juices - not earlier than 8 months 1 .
What else to enter early? Dairy products, whole milk, eggs, any drinks, bread, fish.
What foods cause allergies
There can be an allergic reaction to any product, so complementary foods are introduced gradually. Of those offered from 4 to 6 months, butter, beef (veal) are more likely to cause allergies.
One percent of people cannot tolerate gluten, which is found in cereals made from wheat, rye, millet, barley and oats 2 . The admixture of these grains in food also causes a reaction if gluten is not allowed.
Sample menu
If complementary foods start at 5 months, then an approximate menu at 6-7 months looks like this:
6:00 | Breast milk or formula |
10:00 | 150 g of porridge. After feeding, offer a breast if the baby is breastfeeding |
14:00 | Breast milk or formula |
18:00 | Vegetable puree 150 g, meat puree 30 g. After that, offer a breast if the baby is breastfeeding |
22:00 | Breast milk or formula |
What to do if the child refuses complementary foods
Did the kid spit it all back out? Suggest tomorrow. There are children who are wary of a new taste. Sometimes they agree only for 10-15th time. What to do if nothing helps?
Refuses any complementary foods. If the child refuses complementary foods, do not worry. Patiently offer to try new foods.
Refuses one product. Does the kid stubbornly close his mouth in front of zucchini? Offer him a spoonful of broccoli or try porridge with regular breast milk or formula.
When you find that he eats willingly, new food can be mixed into the dish you like. Both “little unwilling” and allergic children gradually manage to find the right complementary foods. Your consistency and calmness will be rewarded. Eventually, all children begin to eat "more adult" food.
Sources:
1 https://xn--b1aaisgq1jga.xn--p1ai/Files/RussiaGuid/Programma2019.pdf
2 https://www.worldgastroenterology.org/UserFiles/file/guidelines/celiac-disease-russian-2005.pdf
(23 ratings; article rating 4.3)
Rules for the introduction of complementary foods for a child 4 - 12 months: first complementary foods, menus, diagrams, tables, principles of nutrition for a baby
Modern principles of complementary feeding for children is a kind of fusion of practical experience and the latest scientific developments. They are based on the recommendations of the European Association of Pediatric Gastroenterologists, Hepatologists, Nutritionists ESPGHAN , the American Academy of Pediatrics AAP and national recommendations of relevant ministries and associations.
Modern recommendations are based on the analysis of the results of many studies on the composition, timing of the introduction of complementary foods in Europe for healthy term newborns, taking into account various aspects of the introduction of complementary foods, its impact on indicators of physical and mental development. Timely introduction of complementary foods contributes to the optimal development of all systems and organs of the child, physical parameters, psychomotor development, and the activity of the nervous system. The period of introduction of complementary foods is very important for the growth and development of the child, as well as an outstanding stage in the transition of the child from breastfeeding to feeding from the general table.
- It is inappropriate to develop separate recommendations for the introduction of complementary foods for breastfed or artificially fed children, the approaches in these cases are the same Maternal breast milk remains the gold standard of exclusive breastfeeding for at least 4 months (17 weeks) of an infant's life, up to 6 months (26 weeks) of exclusive or predominant breastfeeding
- The digestive tract and kidney function are mature enough for a baby to accept complementary foods at 4 months of age, and between 5 and 6 months the baby develops the necessary motor skills to consume solid foods. Therefore, at this age, it is important to give food of the right consistency and in the right way
- A well-nourished mother can provide all the nutrients, vitamins, and minerals her baby needs through exclusive breastfeeding up to a maximum of 6 months of age
- Some children may need iron supplementation earlier than 6 months
- It is important to continue breastfeeding in parallel with the introduction of complementary foods. This has been shown to reduce the risk of gastrointestinal and respiratory infections, as well as hospitalizations in a child
- When comparing initiation of complementary foods at 4 or 6 months of age, no significant differences were found in the effect on growth and body weight, development of obesity during the first 3 years of life
- At the same time, a high risk of developing overweight and obesity has been established with the introduction of complementary foods before 4 months of age
- Complementary foods (solid or liquid food other than breast milk or infant formula) should be started not earlier than 4 months and not later than 6 months
- With age, with the introduction of complementary foods, the child should be offered food varied in texture, texture, taste, smell
- Children have an inborn tendency to distinguish and prefer sweet and salty foods, reluctantly eat bitter, which we cannot change. But we can shape and adjust the child's taste preferences through training, systematically offering the child foods with different tastes, including sour, bitter green vegetables
- Whole cow's milk is not recommended for infants under 12 months of age. The use of cow's milk is associated with the intake of an increased amount of energy, protein, fat, and lower - iron. Therefore, children who consumed large amounts of cow's milk at an early age had a higher risk of developing iron deficiency anemia
- Eating more protein when complementary foods increase the risk of overweight and obesity, especially in individuals with a predisposition to this, so protein intake should not exceed 15% of energy intake during the day
- The baby's requirement for iron is very high during the entire period of complementary feeding, therefore it is necessary to provide iron-rich foods, especially for children who are breastfed
- Allergenic products can be administered from 4 months of age at any time, since this is the period when immune tolerance to the allergen is formed. For example, children at high risk of developing allergic reactions to peanuts should be administered at 4-12 months of age under specialist supervision. No relationship was found between the timing of the introduction of allergenic complementary foods and the development of allergic or immunological diseases. However, this does not mean the need for early introduction of allergenic products to everyone, but it emphasizes that there is no need to postpone the introduction of allergenic products after 4 months for a longer period;
- Gluten can be offered to a child aged 4-12 months, however, large amounts of gluten should be avoided during the first weeks after the start of its introduction, thereafter a safe amount has not been established. The type of feeding (breast/artificial) was not identified with the introduction of gluten to reduce the risk of developing celiac disease, type 1 diabetes;
- Sugar or salt should not be added to complementary foods, and sweetened drinks and juices should be avoided. Sugary drinks are liked by babies in the first months, but if they are not given, but after 6 months, the children no longer like them very much. Sugar affects future eating behavior. Sugar is an important factor in the development of caries - it contributes to caries, as glucans can be formed, which increase the adhesion of bacteria to tooth enamel, disrupt the diffusion balance of acid and buffer systems, which ultimately contributes to damage to the enamel.
- Vegetarian diets are contraindicated in young children due to the risk of vitamin B12, iron, zinc, folate, long-chain fatty acid, protein and calcium deficiencies, which can lead to irreversible adverse effects and impaired cognitive development;
- Vegetarian diet can only be used under the close supervision of a doctor and nutritionist, with the obligatory additional administration of vitamins B, D, iron, zinc, calcium, proteins, PUFAs, which can ensure the appropriate growth and development of the child. It is important that parents should be aware of the risk of irreversible harmful consequences (mental disability, death of the child) that may develop if they do not follow the recommendations of specialists.
General rules for the introduction of complementary foods for children of the first year of life:
- Introduce the first complementary foods It is better in the morning feeding in the morning to trace the reaction of the child to the new product.
- Sugar and salt free .
- Give the first complementary foods to the child when he is calm and not tired .
- Start with 0.5-2 teaspoons. If the child refuses, do not insist, try to give later or the next day.
- If the reaction is normal - no rash, no skin changes, no change in stool, double the dose the next day. Gradually bring the baby's first complementary foods to the age norm 80-200 g
- If there is an allergic reaction or other intolerance reaction - refuse to introduce this complementary food for three days, if the adverse reaction occurs again - do not give this product, contact your pediatrician.
- Each subsequent new complementary food must be one-component only: marrow, cabbage, broccoli, buckwheat, meat, etc.
- Mixed food dish give when the child has already become acquainted with all the products separately.
- It is not advisable to introduce new products three days before and after vaccinations.
If you are thinking about introducing complementary foods, then your child should already have certain signs of readiness for this:
- Holds head
- Able to stand alone, practically without support, sit on a special high chair with side support
- Opens mouth when a spoonful of food is brought
- Turns away from a spoonful of food when not hungry
- Closes mouth with spoon in mouth holds food in mouth and then swallows rather than pushing or spitting it out
First complementary foods at 4 months
The age of 4 months as the minimum for the introduction of complementary foods was also chosen because at 4 months the child's gastrointestinal tract becomes more mature: the initially increased permeability of the small intestine mucosa decreases, a series of digestive enzymes, a sufficient level of local immunity is formed, the child acquires the ability to swallow semi-liquid and thicker food, associated with the extinction of the “spoon ejection reflex”.
Therefore, to the question whether it is necessary to give complementary foods to a 3-month-old baby , one can unequivocally answer: no, it's too early!
But 4 months, this is the time when you can think about the introduction of complementary foods. At the same time, it should be remembered that at the age of 4 months, the child has enough mother's milk or a highly adapted milk formula for its full development. In addition, when they talk about complementary foods at 4 months, they usually mean the end of the 4th month of life. It is important to continue breastfeeding in parallel with the introduction of complementary foods.
Video: complementary foods at 4 months
If you enter complementary foods at the 4th month of life of the child -this is usually a single-component Vegetable or fruit puree , if the child is not enough well. , then it can be gluten-free cereals: rice and buckwheat . It is better to start with vegetable puree. Kids are smart and if he tries a sweeter fruit puree, he can refuse vegetable puree for quite some time and you may have difficulty introducing this very healthy dish.
What is useful in vegetable supplements and what is the best way to prepare it?
Vegetable puree - for the first feeding can be prepared from cauliflower, zucchini, pumpkin, broccoli - these are low allergenic products, are among the ten most useful vegetables in the diet of children, contain a large amount of useful proteins, fiber and vitamins, microelements ! Fiber helps move food through the digestive tract and promote beneficial microflora in the gut. Pectins absorb and remove toxins from the baby's body. Vegetables have a positive effect on the acid-base balance of the body, creating conditions for the proper functioning of all organs and systems.
Cauliflower - is a good source of fiber, protein, minerals and vitamins: A, B1, B2, B3 (PP), B6, as well as a small amount of vitamins K, D and tocopherol (vitamin E). In the inflorescences of cabbage there is a lot of magnesium, sodium, potassium, phosphorus, calcium, iron. It contains twice as much iron as green peas, peppers and lettuce. Cauliflower protein is easily digestible and its content is quite high. Cauliflower protein contains essential vitamin U (methionine). It is one of the essential amino acids that cannot be synthesized by the human body. Other essential amino acids are also present in a small amount: arginine, tryptophan.
Zucchini - rich in vitamins and microelements. It contains potassium, magnesium, phosphorus, calcium, vitamins C, B1 and B2 and others, folic acid. Which plays an important role in the processes of hematopoiesis. Zucchini is rich in such important trace elements as iron and copper. They are necessary for the formation of nervous tissue, normalization of metabolism, as well as for the formation of hemoglobin, which is a good prevention of anemia.
Broccoli is a very useful vegetable, which is a kind of cauliflower. Pleasant soft taste and good digestibility of the product, unique composition have a beneficial effect on the health of both adults and children. Eat unopened cabbage inflorescences. This is also a low-allergenic vegetable, rich in protein, fiber, vitamins, calcium, iron, trace elements and even phytoncides. The content of calcium and magnesium is sufficient to balance the functioning of the nervous system, ensure the normal regulation of the child's sleep and wake cycle, and good stress resistance. A child with such nutrition becomes calmer, less excited and naughty.
Broccoli is the leader in choline and methionine content. Only 50 g of broccoli provides the baby with a full set of nutrients for a day.
Pumpkin is the largest vegetable on Earth. It is one of the ten most useful vegetables in the diet of children, contains a large amount of useful proteins, fiber and vitamins, including beta-carotene, vitamin C, E, K, iron, potassium, magnesium, trace elements that are indispensable for children's nutrition, as they strengthen immunity and help fight inflammation, have a beneficial effect on the nervous system. By the content of carotene, pumpkin exceeds carrots by 5 times.
Vitamins and microelements contained in pumpkin help the child grow, provide healthy sleep, are responsible for the condition of the skin and eyes, improve metabolic processes, and accelerate the removal of harmful substances from the child's body. Due to its beneficial qualities, pumpkin can be one of the first types of complementary foods for an infant.
All vegetable purees have a specific vegetable smell, this is absolutely normal
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Introduction of vegetable puree
Vegetables should be introduced into the child's menu gradually. Start giving each new vegetable in the form of a monocomponent puree in the amount of ½ teaspoon, preferably at breakfast, so you can track the manifestations of food allergies or intolerance reactions to this product. If all is well, then the next day, offer him a teaspoon. So gradually you need to bring the portion to 50-100 grams. A serving of vegetable puree per day for an 8-month-old baby is approximately 80 grams. In a year, you can increase up to 150 grams. The next product can be administered no earlier than 4-5 days later. If a child has skin rashes, his stool has changed, then you need to remove the product from the diet and consult a pediatrician.
If the child does not like the dish, for example, broccoli, do not give up and continue to offer this vegetable in small quantities - 1-2 spoons a day, maybe 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 form the right taste habits in the child.
Fruit puree introduction
Fruit purees are a definite alternative and addition to vegetables. It can be made from apples, bananas - by the way, do you know what a berry is?, sweet varieties of pears. These fruits contain substances useful for babies, vitamins and minerals, including iron, which is extremely necessary for children. Prune puree is somewhat separate, it has a good effect on the baby's digestion, especially with a tendency to constipation, and, of course, also contains many useful substances.
Porridge in the diet of a child in the first year of life.
Porridge can be introduced into the baby's diet at the end of 4 months or at the fifth, sixth month of life. As a rule, they go as a second food after vegetable or fruit puree. But if your child is not gaining weight very well, or you have been feeding your child with breast milk or infant formula until almost the end of 6 months, then complementary foods can be started with the introduction of cereals.
It is important to start with one-component, low-allergenic cereals which do not contain gluten : these are buckwheat, rice, corn porridges .
gluten-containing cereals include: wheat, oats, rye, barley, millet .
According to modern data the period of introduction of gluten into the child's diet is not of fundamental importance, but the latest recommendations draw attention to the fact that its amount in the baby's diet should not be large. Therefore, it is better to add semolina and oatmeal to other porridge in a limited amount, and not to give it on its own. No relationship was found between the timing of the start of complementary foods that contain gluten and the development of celiac disease in a child. If your child hasn't tried porridge yet, start with a dairy-free, gluten-free, one-ingredient buckwheat or rice porridge.
Rice - very useful for growing baby. It has a low content of vegetable proteins, therefore it is easily digested and is especially useful for toddlers with unstable stools. Rice has a high nutritional value and, to a certain extent, protects the delicate intestines of the baby due to its enveloping effect. This is a hearty and nutritious dish with a good content of carbohydrates and proteins, potassium and magnesium, calcium and phosphorus, beneficial amino acids and vitamins. It replenishes energy costs, energizes and gives strength. Rice is not recommended for overweight children and those who suffer from severe constipation.
Gluten-free buckwheat porridge - very nutritious and rich in iron, fiber, rich in various vitamins and microelements. This is also a good option for starting a child's acquaintance with adult food. These porridges can be prepared with water, breast milk, milk formula, which your child is used to. No need to add salt and sugar.
Rules for introducing porridge into baby food
If the child already eats porridge from 5 months, then at 6 months you can offer a more complex porridge - for example, rice porridge with apricot or raspberries, rice porridge with banana (this is very successful a combination both in taste and in its properties) or even more complex porridge - corn-rice with banana.
Over time, apple, banana, pear, plum and prunes, apricot and dried apricots, broccoli, carrots, berries, can be added to the porridge, provided that the child is not allergic to them.
The rules for introducing cereals are the same as for vegetable puree. In order for the child to get used to the new product and its consistency more easily, first prepare 5% porridge (5 g of cereal per 100 g of water), if you make it yourself. Porridge is usually cooked with water, but can be made with breast milk, infant formula. First, give the baby one teaspoon, then, within 7-10 days, bring the volume of porridge of the same percentage to the full volume of feeding (150 g). If all this time the porridge is well tolerated, i.e. there are no skin rashes, the child has stable stools, they switch to a gradual (starting from 20-30 g) introduction of porridge of the same cereal, but already at a 10% concentration (10 g of cereal per 100 g of water). In other words, a thicker porridge is administered no earlier than 7-10 days from the beginning of the introduction of porridge. The complete introduction of 10% porridge to the baby is also carried out in 7-10 days. The third week falls on the complete addiction of the child to a new dish. Only after that you can introduce a new cereal (in the form of 10% porridge) or the next complementary foods.
Video: feeding porridge
You need to give porridge with a spoon, better in the morning for breakfast. After porridge at the stage of its introduction, the child should be offered breast or milk formula. With artificial feeding, the volume of the mixture after a portion of porridge should be such that, together with porridge, it is 200 ml with five meals a day.
Norms for the introduction of cereals
In the future, the volume of the portion of porridge gradually increases, amounting to:
- 7-8 months - 160-170 ml
- 8-9 months - 170-180 ml
- 9-12 months - up to 200 ml (there is a complete replacement of one feeding of the child with complementary foods.)
Cereal schedule
- Day 1 – 1 teaspoon (5 g)
- Day 2 - 2 teaspoons (10 g)
- Day 3 - 3 teaspoons (15 g)
- Day 4 - 4 teaspoons (20 g)
- Day 5 - 50 ml (50 g)
- Day 6 - 100 ml (100 g)
- Day 7 - 150 ml (150 g)
Meat complementary foods - the rules for introducing meat into the child's diet
Meat is usually the third, very important product of complementary foods, after vegetables and cereals. The meat contains amino acids, complete animal protein, B vitamins (B1, B2, B6 and B12), heme iron, potassium, calcium, zinc, phosphorus, which are necessary for the growth and development of the child. It is very important to understand that mashed meat contains iron, which is easily absorbed. And the addition of meat to vegetables improves the absorption of iron from them, from vegetables.
Iron deficiency can seriously affect the intellectual development of the child, his immunity, hematopoiesis. Since your task is to raise a healthy and intelligent child, meat complementary foods must be introduced without fail and in a timely manner.
Heme iron - found in meat products and easily digestible (red meat-veal, liver), absorption is about 25%.
Non-heme iron - found in plant foods (beans, beans, lentils, peas, nuts, tomatoes, cauliflower, green leafy vegetables, apples, dried fruits, but it is absorbed from plants much worse - only 3-5% Iron absorption from other animal products (eggs, fish) is 10-15%. 0010
It is important to know that human milk enhances , while cow's milk reduces iron absorption .
Timing of the introduction of meat complementary foods
It is advisable to introduce meat puree to a child aged 6-8 months . This, to some extent, depends on when cereals and vegetable/fruit purees were introduced. if your baby has been eating vegetables and cereals since 4 months, meat can be introduced at 6 months. From 7 months it can be administered if the child is not gaining weight. From 8 months to children who started complementary foods at 6 months.
Children at risk of anemia are advised to introduce meat earlier at 5-6 months of age.
It has been proven that only the daily use of children's enriched porridge and meat puree can fully meet the needs of children in iron, zinc and other micronutrients.
You can start meat complementary foods with lean beef, veal , but better with less allergenic poultry meat ( turkey, chicken ), or rabbit, these are the most easily digestible meats.
Goose and pork are fatty for the baby, and the meat of duck and other birds of the reservoirs is also not suitable for the first feeding. They are recommended to give only after 3 years;
Horsemeat is perfect for your little one. The product is rich in carbohydrates and proteins, but it is almost impossible to find horse meat for sale.
Meat should be introduced into the child's diet gradually, at lunchtime, first a quarter of a teaspoon and, gradually adding, bring it up to the daily norm: At 8 months, about 50 g, at 9months-60-70 g.
Video: Power feeding meat
Scheme of meat puree
- 1 spoon with vegetables 11
- Day 2 - ½ teaspoon
- Day 3 - 1 teaspoon
- Day 4 - 2 teaspoons
- Day 5 - 3 teaspoons
- Day 6 3-4 teaspoons + vegetables
At first, it is better to give meat with vegetable puree, which the child has already eaten, so that he adapts better to the new product, and iron is better absorbed. Children at the end of the first year of life can already be given 3 varieties of mashed meat.
Baby menu at 7-8 months
At 7-8 months you can start giving children . baby cottage cheese Start with 1/2 teaspoon. Within a month, the daily volume of cottage cheese consumption by a baby can be increased to 30-40 g. In addition, a child of 8 months is recommended to give sour-milk infant formula. But ordinary yogurt from the store should not be given. At this age, the child should receive 5 g of butter and 5 g (1 teaspoon) of vegetable oil, ¼- yolk - 2-3 times a week. Baby's menu at 9 months At the age of 9 months Your baby is already familiar at this age already usually familiar with: , egg yolk
At this age, the child usually gets complementary foods 3 times a day . His diet depends on the age of the start of complementary foods. If the baby began to give new food at 4-5 months, the list of allowed foods will be much wider than if this happened at 6-7 months. Therefore, all this is very individual, there are no absolutely rigid frameworks and recommendations. On the Internet you will find a lot of different advice on baby food, if you are not sure about something, it is better to consult your pediatrician.
From vegetables the baby can be given what he ate before, mixing them: pumpkin, zucchini, cauliflower, broccoli, carrots and others, adding 1 tsp. vegetable oil . If the baby does not have skin reactions, then you can give beets . It is also possible to give two-, three-component vegetable purees and soups , but only on condition that he is already familiar with these products and has not had a reaction to them.
If you have introduced complementary foods, then you need to remember that water is an important part of baby food. You can use purified water or special water for children .
In addition, at 9 months you can give special baby wheat cookies , which the baby will be happy to eat on his own as an adult, white wheat bread, this improves hand motility, improves eating skills, but at the same time he must be supervised.
At this age, you can start giving fish puree from low-fat varieties: river perch, pollock, hake, haddock, zander, pollack - start with ½ teaspoon, bringing up to 40-50 g , watching the reaction of the child , give at lunchtime instead of mashed meat, 1-2 times a week. But a number of pediatricians do not advise giving it up to a year, it is a useful, but highly allergenic product.
Baby menu at 10 months
B 10 months usually 2 times a day the child receives the mother's breast or special milk formulas . Various porridges : buckwheat, rice, corn, oatmeal, wheat, semolina porridge . Add 5-10 g of butter to cereals . At this age, it is already possible to make complex cereals from 2-3 cereals with which the child is familiar, add various fruits, vegetables: apple, banana, pear, plum and prunes, apricot and dried apricots, broccoli, carrots, berries , provided that the child is not allergic to them, or use ready-made cereals with fruit.
From vegetables the baby can be given what he ate earlier, mixing them: pumpkin, zucchini, cauliflower, broccoli, carrots, beets and others, adding 1 tsp. vegetable oil . It is also already possible to give two-, three-component vegetable purees and soups, but only on condition that he is already familiar with these products and he did not have a reaction to them.
At this age, the baby already usually eats about 40-50 g of baby meat puree from chicken, turkey, rabbit , with good tolerance to cow's milk proteins from veal or beef. If he has been eating meat for a month or more, you can start giving him two-component meat purees , such as chicken and turkey.
At this age, fish puree from low-fat varieties is usually started: river perch, pollock, hake, haddock, zander, pollack with ½ teaspoon, bringing up to 40-50 g, following the reaction of the child, it is better to give at lunch time instead of mashed meat, 1-2 times a week .
At 10 months, children's cottage cheese should be given 2 times a week. Start with 1/2 teaspoon if you have not given it before, the daily amount of cottage cheese at this age 40-50 g .
It is recommended to give special sour-milk baby formulas.
At this age, the child can receive 5-10 g of butter and 5 g (1 teaspoon) of vegetable oil, and 2-3 times a week½ - yolk .
Child's menu at 1 year old
The child is one year old. He has already grown up, he already has 6-10 teeth, with which he gnaws everything he sees, he is interested in chewing food, his digestive enzymes already work well and he has already become acquainted with various products: vegetable and fruit purees, various cereal cereals, meat and fish, sour-milk mixtures. In fact, he is already prepared for the transition to a more adult diet. In a year, changing the diet involves turning to new products and gradually changing the way they are prepared and the degree of grinding.
You need to eat 5 times a day at intervals 3.5-4 hours .
semi-liquid dishes should still remain the basis of nutrition, but not only mashed, but also containing small pieces of food . Too dry food should not be given to the baby yet, as he may have difficulty swallowing.
In the year the child already tries to eat with his hands and he should be encouraged to do so. Finely chopped, soft foods can be given eg: small pieces of soft fruit, vegetables, cheese, well-cooked meat, pasta , etc. and products that dissolve quickly, children's cookies, children's bread - as food with the help of hands.
Must avoid products that can enter the respiratory tract and cause asphyxia - sausages and other hard meat products , nuts (especially peanuts), grapes, raisins, raw carrots, popcorn, round candies . Hold off on this for now.
In a year, part of the children are without mother's milk. But if your baby is still not weaned - do not rush, if possible, give him a breast before bed at night. You can also breastfeed between main meals. At this age, the child receives all the main vitamins and minerals from food, but he can get a number of biologically active components from breast milk.
Dairy products
Dairy products still occupy an important place in the child's diet, it is a source of calcium, B vitamins, protein, milk sugar and fat. It is better to use special baby milk (marked with a triple on the package), baby fermented milk products: kefir, yogurt in total 500-600 ml per day .
Cottage cheese
The child should be given cottage cheese. The daily dose of cottage cheese after 1 year can be increased up to 70 g per day . It can be given pureed or combined with fruit puree, pudding, casserole. This contributes to the development of chewing skills.
Butter
Butter can be added to cereals or smeared on wheat bread, cookies in a dose of up to 12 g per day.
Low fat sour cream and cream
After 1 year, you can give low-fat sour cream and cream in small quantities.
Vegetables
Every year a child must be given various vegetables , it is good to combine them with protein products, meat . The vegetable diet can now be diversified with green peas, tomatoes, turnips, beets, carrots, spinach in the form of mashed potatoes. Legumes are still better not to give.
Fruits and berries
After 1 year, you can gradually introduce the baby to new fruits and berries: strawberries, cherries, cherries, kiwi, currants, gooseberries, chokeberries, sea buckthorn, raspberries, blackberries, cranberries, blueberries, lingonberries and even citrus fruits . But do it gradually, watching the reaction of the child. Berries with a dense peel (gooseberries) are best mashed, while soft juicy fruits (peaches, strawberries, apricots, kiwi) can be offered to the baby in pieces.
Daily dose of fruit - approx.
Meat products
Meat products can be given in the form of steam cutlets, meatballs, meatballs, meat soufflé and pudding in amounts up to 100 g daily - beef, veal, lean pork, rabbit, turkey, chicken.
Fish
Fish can be given once or twice a week for 30-40 g per meal as a substitute for meat dishes
Eggs
Chicken, quail eggs give boiled or in the form of omelettes in milk, you can try with vegetables.
Kashi
Porridge can be cooked from rice, oatmeal, buckwheat, corn, millet, semolina. At this age, they should still have a uniform consistency, so it will be easier for him to swallow. You can use ready-made industrial, children's instant cereals, for example, various multi-cereal cereals, in which fruits, crackers, cereals have already been added. Give 1 time per day.
Water
Be sure to give the child to drink clean water, better than bottled water for children, as much as he wants . In addition to her baby can drink vegetable and fruit juices, dairy products, compotes, weak tea.
No need to give:
1 year old child still no need to give confectionery and sweets . From sweets at this age, you can sometimes give marmalade, dried fruits and cookies.
Do not give sausages and sausages , they are rarely prepared from high quality meats and are rich in various food additives
Calories and volume
9018 1200 ml .