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Public Health and Environment

Childhood Nutrition


Feeding a family can sometimes be a challenge, especially when you have young children and a busy schedule. Let's face it, everyone is busy! It is important to establish good eating habits at a young age not only to provide the nutrients for proper growth but also to prevent chronic diseases for a lifetime.

These guidelines are recommended for generally healthy children. If you have a child with a medical condition or special needs, please follow your health care provider's suggestions regarding nutrition and feeding.

The Food Guide Pyramid is the foundation for healthy eating. The following tips and suggestions offer more specific information on feeding children.

Infant Feeding Recommendations


Breastfeeding is undoubtedly the best source of nutrition for your baby for the first 12 months of life.
If you choose to supplement breastfeeding with a substitute formula we recommend using an iron fortified infant formula until age one and whole milk between ages 1 and 2.

Wait to introduce solid foods until the baby is 4-6 months old and is starting to sit up with little support. Plain infant rice cereal is the first food and is least likely to cause allergies, or other digestive problems.

When introducing new foods, wait at least 5 days between each new food and watch for signs of intolerance such as rashes, vomiting or diarrhea. Omit the newest food and make note to try it again in a month or so. The symptoms may or may not have been caused by the new food but at least if you have an idea of what is new in your baby's life you can start to determine the possible causes for the reaction. If symptoms are serious or do not improve within 24 hours contact your health care provider.

Introduce your baby to drinking from a cup at 5-6 months of age using small amounts of juice or water at meal times. This will help them prepare for weaning from the bottle and most babies are very interested in cup drinking by this age.

If your baby is bottle fed here are a few guidelines:
  • Offer only breast milk, formula, or small amounts of water in bottles.
  • Do not put you baby down to sleep with a bottle as this can promote tooth decay, disrupted sleep patterns (for both the baby and parents) and makes it harder to wean off the bottle when you are ready.
  • Weaning off the bottle is recommended at 12-15 months of age.
  • Do not put juice in a bottle as it can lead to malnutrition or inappropriate weight gain and tooth decay. Wait to introduce juice until your child is able to drink from a cup -- usually by 5-6 months old.
  • Avoid giving your baby the following items until they are at least 1 year old: honey, chocolate and eggs. Honey can contain bacteria that are dangerous to an infant's digestive system and chocolate and eggs are common allergens.
  • Chips, popcorn, hot dogs, raw carrots, grapes, nuts and peanut butter are foods that often cause choking. A general rule is to wait to give these foods until your child is 2 years old. Be sure to cut them into small pieces and always stay with your child when they are eating. Be prepared for the worst by taking a class in CPR.

Toddler And School-Aged Nutrition Tips

Be a good role model - kids watch everything you do and will want to do it too.

Let yourchildren decide how much they will eat - they are more likely to try new things if there is no pressure to eat a specified amount.

Offer and eat a variety of foods - try a new recipe once a week.

Offer new foods with ones they already like and are comfortable with.

Buy healthful foods - whole grains, fruits, vegetables, lean meats and low-fat dairy products after age 2. Offer whole milk dairy products between ages 1 and 2.

Limit the use of sodas, candy and empty calorie foods like chips in your household.

Keep mealtimes pleasant - avoid food struggles and short-order cook syndrome. If you know that the main entree will not appeal to your child, make sure there will be plenty of bread or potatoes or pasta and milk. They can fill up on these foods at an occasional meal and can skip the " eggplant hot-dish" without any ill effects.

Serve regular meals and snacks - children have small stomachs and need to eat three meals and 2-3 snacks per day. It is a good idea to wait 1 1/2 to 2 hours between meals and snacks in order to promote a good appetite for meals.

Snacks should resemble small meals and include foods from 2-3 food groups. Some examples are:

  • crackers with cheese and 100% juice
  • yogurt with added fruit and granola cereal topping
  • apple wedges with peanut butter dip and chocolate milk
  • whole grain crackers, baby carrots, cauliflower and broccoli with dip
  • fruit and cheese kabobs using pretzel sticks

Encourage kids to get involved with food choices and food preparation - limit the number of items they will choose from, for example: "Would you like a red or green apple?" carrots or green beans? rice or pasta? Smaller children can help set the table, wash produce, pick the color of food items or count out ingredients. Older children can follow simple recipes and measure ingredients. Letting kids make some of the decisions and enlisting their help with food preparation lets them get used to those foods and can boost their confidence when trying unfamiliar foods.

Adolescent Nutrition


It is very common for adolescents to experiment with new eating styles such as skipping meals in favor of snacks or even going vegetarian. It is also common for adolescents to have large appetites so if you keep healthy foods like pre-washed and cut up vegetables and dip, yogurt, cheese, bagels and fresh fruit on hand chances are that they will eat some of those foods too. Try not to over react to these preferences and their eating habits will probably return to whatever is typical for your family.

One of the most important food groups for this age is dairy. Encourage flavored milk, shakes, yogurt, ice cream, cheese and of course limit the use of sodas whenever possible.
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