Volume 6 - February 2010 Families Breast Milk or Formula During the first 3 months of life, babies need only breast milk or formula to meet their nutritional needs. Cow’s milk is best for baby cows and breast milk or approved infant formulas are best for human babies! Also, never put cereal in the formula bottle or put a baby to bed with a bottle. Age Appropriate Foods ‘When should I feed the baby cereal?’ ‘Could I just put some cereal in the bottle so he will sleep better? How do I know she is ready for table food?’ Those questions and many others are common when feeding infants. Children of different ages have very specific food needs. Infants Babies’ development follows a pattern and will affect their ability to eat and how they are fed. Babies’ reactions with food go from: • Rooting – when the baby’s mouth, lips, cheek or chin are touched, he turns toward the object and opens his mouth. This allows the baby to find the bottle or breast. • Swallowing- after opening her mouth, the baby makes sucking motions to push the food to the back of her mouth for swallowing. • Thrusting - when the baby’s lips are touched, his tongue moves out of the mouth. This means he can take the breast or bottle, but not eat from a spoon or cup. • Gagging- when an object is placed in the baby’s mouth, her tongue moves the object out of her mouth. This gagging reflex is one reason for waiting until a baby is 4 to 6 months old for solid food. Solid Foods By the ages of 4 to 6 months, your baby may be ready to start solid foods like infant cereal. Until then, their swallowing and digestive systems are not ready to handle solid food. You will know when the baby is ready when: • The birth weight has doubled • The baby has good control of head and neck, can sit up with some support • The baby can indicate a full tummy by turning his head away or not opening his mouth • The baby begins to show interest in food when others are eating and opening her mouth when she sees food coming Start solid food with iron-fortified baby rice cereal mixed with either breast milk or formula to a thin, runny consistency. Once the baby is able to eat cereal, introduce other types of iron-fortified cereals, one at a time. This allows for identifying possible allergies. Pureed vegetables, fruits and meats are next on the menu. These foods should be simply meat, fruit or vegetable with no added filler. This gives the child a chance to experience the taste for individual foods. Dr. Steven L. Paine State Superintendent of Schools Finger Foods Infants (continued) Finger foods are the next to be introduced. Soft cooked vegetables, washed, peeled fruit, and graham crackers are good examples. If children are teething, foods such as iron-enriched teething biscuits, toast, or toasted bagels could be introduced, too. Children are ready to learn to eat from a spoon when they can: • Hold their necks steady, • Draw in the lower lip as a spoon is removed from their mouths, • Keep food in their mouths and swallow it rather than push the food out on their chins. Let your infant decide when they’ve had enough and do not try to force them to eat more than they want. Look for signs that the baby can express fullness or disinterest by: • Leaning back from the food, • Turning away, • Pushing food out of the mouth, • Closing their mouths deliberately, • Playing with the food, or • Pushing the food away. Never give your infant honey during the first year. Honey contains substances that could cause botulism, a deadly food poisoning. Choking Gradually build on a child’s ability to chew, going from small pieces of soft, moist foods to more textured items such as drier meat, crunchy vegetables, or larger food pieces. Avoid foods that may cause choking problems such as popcorn, nuts, chips, whole kernel corn, berries, grapes, hot dogs, raw vegetables cut in small pieces, raisins or small dry cereal pieces. A toddler can be messy and probably needs to sit in a booster chair or highchair. Give him time to experience new foods by letting him touch, smell, and taste each new food. Children can relax and develop a sense of trust when they know they will not be forced or coerced to eat something they don’t want or eat more than they want. They shouldn’t be rushed through the meal. 3-5 year olds At this stage of life and into adolescence, it is important that your children’s diet include a variety of foods for healthy development. Healthy children should get their nutrition from foods rather than vitamin supplements, unless otherwise instructed by your child’s doctor. Be reliable with meal time and children will learn to trust you and be reassured they are cared for. Regularly scheduled meals keep the ‘hungries’ away, help create a routine and help avoid some of the struggles with food. Take your role in feeding children seriously. Know that you are the gatekeeper for the supply of food that comes in the house. If you manage this in a healthy manner, children will soon come to accept food more readily because the food will be more familiar to them and they will see others eating the same foods, too. By following these techniques, you will help children develop a healthy approach to food that will be so important the rest of their lives. Nutrition Saucy Spaghetti - Serves 4 1 small yellow onion, chopped 4 -6 large, fresh tomatoes or 4 cups canned tomatoes 1 teaspoon basil, dried 1 teaspoon oregano, dried 1 teaspoon Italian seasoning 1-2 year olds Provide a variety of food to help make certain the child is receiving all the nutrients they need for health and growth. Keep in mind that toddlers do not grow as fast as babies, so their nutritional needs may slow down in their second year. Toddlers continue to grow and gain weight, but not as rapidly as the first year of life when they double their weight. This is the time when children are exploring their world and learning some self control. One day the child eats willingly and another he may not show much interest. Regularly scheduled meal times are most important. ¼ teaspoon garlic powder ¼ cup tomato paste 4 cups cooked whole wheat spaghetti noodles Directions Heat skillet over medium to low heat, add onions and cook until soft and golden. Remove from heat. Add the rest of the ingredients except the cooked spaghetti to a blender and cover. Let children help by turning on blender and process until mixed together, but still have some tomato pieces. Pour mixture into sauce pan with onions and heat for about 10 minutes to blend flavors. Serve over spaghetti. West Virginia Board of Education 2009-2010 Priscilla M. Haden, President; Jenny N. Phillips, Vice President; Robert W. Dunlevy, Secretary Delores W. Cook, Member; Michael I. Green, Member; Burma Hatfield, Member; Lowell E. Johnson, Member; L. Wade Linger Jr., Member; Gayle C. Manchin, Member Brian E. Noland, Ex Officio; James L. Skidmore, Ex Officio; Steven L. Paine, Ex Officio Sources: U.S. Department of Health and Human Services and U.S. Department of Agriculture. Dietary Guidelines for Americans, 2005. 6th Edition, Washington, D.C.: U.S. Government printing office, January 2005. Team Nutrition, U.S. Department of Agriculture Satter, How To Get Your Kid To Eat…But Not Too Much, Palo Alto CA U.S. Department of Agriculture. Feeding Infants:A Guide for Use in the Child Nutrition Programs U.S. Department of Agriculture. Crediting Foods in the Child and Adult Care Food Program , 2008 In accordance with federal law and U.S. Department of Agriculture (USDA) policy, this institution is prohibited from discriminating on\ the basis of race, color, national origin, sex, age, disability. To file a complaint of alleging discrimination, write: USDA, Director, Office of Civil Rights; 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call toll free (866) 632-9992 (Voice) TDD users can contact the USDA through local relay or the Federal Relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice users). USDA is an equal opportunity provider and employer.