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Good eating habits start young. Food
provides the raw material for growth. Nutrients provide
for a healthly immune system. There are a number of
important ways in which a child's food requirements
differ from those of an adult. Children grow at a
tremendous rate and need much more energy in proportion
to their body size. High fiber and low fat diet is not
suitable for children under two. Toddler's small stomachs
full up quickly and fiber rich foods may fill them
without providing enough calories. For them more
important are energy rich foods such as fats and dairy
products. Janet Coleman of the British Dietetic
Association believes "One of the most important are
energy. Restricting fat reduces their caloric intake.
After the age of two, if the child has a good diet and
adequate caloric intake, you can reduce the amount of
saturated fat they eat". Dairy products are a good
source of protein and calcium and they provide calories.
Encourage them to have milk, yogurt and cheese with meals
and between meals.
Breast milk is the best for the child. He must be fed on
that as much and as frequently as possible. The more the
child draws on this source of food, the more milk will be
produced by the mother's breasts. If and when the child
reduces his draw on this source, the supply gets reduced
in geometric progression. It is therefore, extremely
desireable that the demand of the child on his mother's
milk is not reduced. Utmost effort must be made not to
bring in cow's milk goat's milk or some formula milk to
supplement the mother's milk in the first four to six
months of the child's life. Concentrate efforts on the
various steps mentioned in the chapter on breast feeding
to increase breast milk. If all efforts in that direction
fail to give results then perforce milk will have to be
fed from the bottle.Bottle Feeding
Most popular
form of milk for the bottle is the cow's milk delivered
to your door step by your friendly and reliable milkman.
It should be boiled, sterilised and diluted with water.
It may be sweetened with very little sugar. Use a clean
funnel to fill the bottles if necessary. Warm the feed to
about 38 degree C (100 degree F) by placing the bottle in
warm water for a few minutes. The bottle may not be
heated otherwise. Bottle-feeding is simple but make sure
that the baby can swallow properly and that he does not
take in air with the milk. It is diffcult for the baby to
swallow when he is lying flat. In that position he may
even vomit. Do not try to force the baby to finish the
bottle after he has stopped sucking. The baby knows when
he has had enough. Hold the bottle at such an angle that
the nipple is always full of milk. That will ensure that
least amount of air is swallowed. It is better if the
baby is in an upright or propped up position while being
fed from a bottle. Babies feel happier when burped.
Burping makes you relax, slow down, hold your baby
gently, and stroke or pat him, and this is good for both
of you. Do not give your baby a bottle full of milk in
bed. His teeth will get discoloured and full of cavities.
If he needs a bottle as a 'lovey' to go to bed with him,
give him a bottle with water. Fortify the milk of the
bottle with vitamins and iron.
Wash the bottle soon after use. Rinse every thing. Use
brush for the inside of the bottle. Nipples should always
be washed by hand. Needle or tooth pick should be twished
in each nipple hole. Boil the nipples and caps for five
minutes. In selecting the nipple ensure that it is the
standard one which releases the milk at two drops a
second when the bottle is held upside down.
Solid
Foods
More children
are being fed solid foods at an earlier age while
nutritionists encourage a delay in introducing solid
foods at least into the second half of the first year of
life.
There is a temptation to feed solids as early as sixteen
weeks. Such a premature attempt to introduce solids
during the first four months invites enough to handle
solids competently. His tongue protection and lip
constriction patterns are so dominant that they interfere
with normal swallowing mechanisms. Solids, if given
early, upset the mother's milk balance also. It may
result in marked reduction or over production of the
mother's milk.
Not until 20 to 24 weeks is the baby likely to mature and
interested enough to handle solids. At this period the
mother is capable of maintaining an adequate milk supply
over a full 12 hour interval without the stimulus of the
infant's sucking. There is a special advantage if the
child persists in demanding an early morning feed.
For giving the first solids begin with the mid-day meal.
Start by feeding him from one breast. Then give him one
or two teaspoons of food. After that give him to other
breast. Then give him one or two teaspoons of food. After
that give him the rest of the milk. As soon as the baby
starts having any quantity of solid food, start with 20
millilitres of water at a time. You may feed him upto 100
millilitres of water during a whole day.
Start with home prepared cereals. It is best to start
with rice as a cereal, well cooked and mushed. Wheat
should come after a few months of the first rice feeding
because wheat causes allergy more often than other
cereals. Fruit is often the second solid added to the
diet after cereals. Babies take to fruits
enthusiatically. Banana should be very ripe. Mash it and
add a little milk to it, if necessary. Stew the other
fruits for the first few months of solids. You could add
apples, pears and apricots etc. Postpone grapes till he
is 2 years old. You could include fruits even twice a
day.
Strained cooked vegetables should be the next to be added
to his diet. Start with carrots and sweet potatoes.
Squashed turnips and onions should be started late and
spinach should be taken up even later. If a vegetable
causes looseness or mucus, postpone taking that vegetable
on board by a month or so.
Introduce solid foods gradually-one food at a time.
Introduce a second food after a week and another one
every week. This will provide a clue if he is allergic to
some foods. Consistency of food is very important. The
food should be in a thin and creamy form. Babies hate
lumpy foods.
Learning to chew comes later. Foods should not be bulky.
These foods should be energy rich with fats in the form
of butter, cheese etc. You must ensure that he gets the
fuel for growth. Dried fruits are also concentrated
caloric source- could be wetted and mashed. Do not add
any salt or sugar to any of these foods. Let the tastes
formed be in favour of low salt and low sugar content,
Egg yolks are out unit six months and egg whites until
one year due to allergy risks. Do not start including
refined foods. Start with complex carbohydrates. Serve
fruits, not puddings. Put cooked vegetable through a
blender or a sieve. Always prefers home prepared foods.
Do no feed him on food from jars. Never forget that baby
tastes are being formulated every day and that baby
tastes are different from the adult tastes. Cater to the
taste of your baby.
Finger foods may be introduced at age 7-8 months. A small
portion of a carrot stick and crust of a whole-wheat
bread are good. These provide good training.
Shift to chopped foods gradually. All babies choke a
little as they get used to eating lumpy foods just as the
babies fall while learning to walk. No problem. Add eggs
to diet only after 9-10 months. Never give a raw egg. Egg
can be given with any meal if the baby likes it. Egg
could be given along with cereals. Do no give more than
three or four eggs a week.
In fever do not feed solids to the baby. Must curb the
quantity of sucrose and fizzy drinks that the child is
likely to demand. For sweetening foods use honey, or
dates, etc. If the babies do not begin to bite and chew
food around 6 to 8 months age, they are likely to resist
longer. Parents should aim to have a baby weaned off
sloppy foods and start eating family meals by the end of
18 months. Learn to say No to junk food. If parents give
in to the children into bad eating habits. Wean them from
biscuits sweets and crispies and try them to get attached
to cheese cubes, grated cheese, raisins, slices of apples
and pears, bananas home-made pop corn without salt or
sugar rice cakes carrot sticks and grapes etc.
Feeding
Battles!
At about one
year and with walking ability and with a negative
attitude towards almost everything, starts the struggle
between the child and the parents. Endangered
relationship starts to go beyond food. It goes to
dropping food and even smearing messy foods. When the
child gets on the war path, you should try to get out of
the struggle. You cannot win and you really should not
win. Do not take the baby's resistance personally. You
should allow the child necessary freedom to explode, to
refuse and to test limits. After the very first bout
remove the food. Soon he will begin to eat again.
Fix limits on how long feeding will continue and stick to
those limits. Getting him to eat more is not important
enough to justify the toddlers walking around while
eating. Total development of the child is more important.
The baby will survive nutritionally a few missed meals.
Feeding should not develop into battle ground. Evolve a
system and a routine. After a particular age, adopt
regular feeding times if you want to avoid battles. Give
up the idea of feeding on demand in the early months.
Have no snacks in between. After a maximum feeding time
of, say, 20 minutes, put the toddle down and put away the
food. Give small amounts of food at a time. When the
child finishes that, give more. As soon as he get
attention by his food, end the meal. The child wants to
get attention by his provocative behaviour. He is not
after more food. You should deny him such an excitement.
Instead of feeding battles, feeding should be a pleasant
communicative area.
Faulty management may be the cause in some cases. Parents
should not be disturbed by periods of stationary weight.
The subtlety of body chemistry and child behaviour are
one. The poor eater may manifest himself as early as
12-16 weeks. He may be a vomiter. He insists on being fed
the same food, the same way, at the same place by the
same person. He is a poor eater. It is this very person
who generally likes to enter the feeding battles. By
about 4 or 5 years of age, such a child also outgrows
much of his indifference and propensity to fight.
After two years the energy needs of the children reduce
dramatically and they start asking for funny foods. They
would much rather play than eat. On this new battle front
your strategy has also to change. If the child refuses
food, do not press. One missed meal will not hurt. Make
food look attractive. Offer small portions at a time. Do
not rush the child. Put a small amount of every thing on
the plate, even if some food items have been rejected
before. Say no to food that are a waste of stomach space.
Offer raw vegetables and attractive salads before the
regular meal. This could be the start of eating healthy
foods - no fried stuff, no white refined wheat products,
no sucrose rich or salty foods. Give children under two,
full cream milk of cow or goat. From age two introduce
low fat milk.
Nutrition
Tips
Fruits and
vegetable are most nutritious when fresh. Peel tough
skinned fruits and vegetables. Cook soft skinned fruits
and vegetables in their skins so as to retain their
vitamins and fiber. Cook fruit and vegetables in steam or
in a tightly covered pan with as little water as
possible. This helps to retain the vitamins which are
otherwise lost in cooking. If you want to give meal to
the baby, cook and puree it and thin the puree with
vegetable water or soup. Use poly - or uni-unsaturated
fats. Limit the use of butter and saturated fats after 2
years of age. Enrich mashed vegetables with little fat.
Do not buy burised or wrinkled fruit and vegetables. Do
not soak them in water. Just wash them. Do not overcook
foods. Cook food just before eating. Let the food go
directly from the fire to the table. As it is usually not
possible to cook fresh food for a child five or six times
a day, cook three times a day. Fill the remaining three
slots with breast feeding, dried foods, fruits, bread,
nuts and other clean home-made snacks which can be stored
for long periods.
The child needs energy for basic metabolism of the body
at rest, for baby activities, for processes of digestion
and excretion and for growth. The figures given below are
meant to indicate to you the requirements of an average
metabolism and average activity. These figures do not
limit you because your child may have a metabolism
wherein he burns more calories or may be hyper-active and
thus need more energy:-
| Age |
Calories
requirements per day |
| Upto 6 months |
120 calories per
kg body weight |
| 7-12 months |
100 calories per
kg body weight |
| 1-3 years |
1200 |
| 4-6 years |
1500 |
Over nutrition could be as
harmful as under nutrition. Just to give you an Idea, one
gram of fat yields 9 calories, one gram of protein 4
calories and one gram of carbohydrates 4 calories.
When consulting tables of representative values of foods
for nutrients, do not forget that those values are based
on averages and in fact would depend on the amount of
nutrients in the soil on which those foods were grown.
Another variable factor is the physical capacity of the
child as to how much energy, fat, protein etc he can
extract or draw from the food he eats. Those tables are
just for you general guidance.
Prefer foods on which no insecticides have been sprayed
and which have ripened on the trees and not ripened by
use of chemicals.
Shakespeare, in Hamlet, provides a tip in this behalf
when he says, "Fruit unripe, sticks on the tree; But
fall, unshaken, when they mellow be".
In childhood, adequate intake of vitamins A, B and C is
necessary Natural sources of these vitamins are: vitamin
A-yellow and green fruits and vegetables, milk and milk
products, egg yolk and liver. Carrots are very rick in
vitamin A; Vitamin B (generally B2, B6 and B12)-whole
grains, milk, legumes, liver, brain, banana, peanuts,
raisins, eggs, fresh fish, meat and yellow and green
vegetable. Vitamin C - citrus, papaya, mango, tomatoes,
potatoes and other fruits and vegetables.
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