My Food Pyramid Grains Veggies Fruits Oil Dairy Meat, fish, egg The colored sections stand for six food groups Orange = Grains as biscuit, bread, cereal, crackers, muffin, noodle, pasta, rice, and etc. Green = Veggies as asparagus, beans, broccoli, cabbage, cucumbers, lettuces, and etc. Red = Fruits as apples, bananas, berries, grapes, oranges, pears, plums, and etc. Yellow = Oils and fats as bacon, butter, cream, dressing, nuts, cooking oils, and olives Blue = Dairy products as milk, yogurt, and cheese Purple = Meats and poultry, fish and seafood, and eggs Healthy eating The areas of the colored section indicate how much you need from the each group of foods. The areas of orange, green, red, and blue are wider because you need plenty of grains, vegetables, fruits, dairy products each day. And the areas of yellow and purple are relatively narrow because you only need limited oil/fat and meats daily. Get regular physical activity The litter child is going up is a reminder to get regular exercise. New Pyramid food and exercise plans are designed for adults and children ages 2 and over, which set up by United States Department of Agriculture in 2005. 1 More whole grain Please expose us more whole grain foods and tell us why. Please read food labels for whole grain foods. Please read the ingredient list to see whether it is a whole grain or not. Please give us whole-wheat bread/noodles instead of white ones; Please give us brown rice instead of white rice; Let us choose whole grain snacks such as cereal, cookies or popcorns… We are building up eating habit for whole grain foods during our toddler years. Carbohydrates: Make the carbohydrates you offer mainly whole grains, such as whole grain cereals, pasta, and, bread. Brown grains are better than white grains. Tip: If we are overweight or born in families with histories of being too heavy (overweight), having high sugar levels (diabetes), or having heart and vessel problems, please gives us less carbohydrate /grains and less sweet foods. 2 Protein- lean meat, dairy, fishes, beans… lean meat dairy bean Shopping for lean meats Please select lean beef, and lean pork for us, Please choose skinless chicken, or turkey parts for us, Please buy lean turkey, roast beef, ham, or low-fat luncheon meats for us, Please keep thinking lean meats and poultry when you are shopping for you and for us, Esp. if we are growing fast, overweight or born in families with histories of being too heavy (overweight), having high sugar levels (diabetes), or having heart and vessel problems. Healthy cooking to keep meats lean Please take off part or whole skin of chickens and turkeys before cooking; Please trim away the visible fat from meats and poultry before cooking. Please boil, steam, bake, broil, grill, or roast meat, poultry, fish, and shrimp instead of frying. Please add less oil, butter, or dressing, avoid fat sauces or gravies when you cook. Please drain off any fat that appears during cooking. Please Take off part of skin off for fried chicken when you eat out Please keep meats lean when you are cooking for you and for us. This can prevent us from being overweight, having high cholesterol, or heart and vessel problems. Vary foods rich in protein There are different kids of nutritional protein foods in the market, They work all together well to promote our growing and development. Please select fish for us such as salmon, trout, cod… Please cook beans and tofu for us such as bean soup, boiled beans, bean salad… Please choose nuts for us as a snack, on salads, with pasta to replace meat or poultry, Please provide enough milk and dairy products for us to strong our bones, Please give egg white, not too much egg yolk to us as boiled egg, steam egg, stir egg, on salads… Please keep serving various protein foods for you and for us. Protein: Needless to say, infants and toddlers need adequate intake of protein in their food for healthy growth. About 40% of their total calorie consumption should be from protein. Egg whites, lean meats, fish, poultry, beans, and, dairy are some examples of foods rich in protein. 3 Adequate fat Function of fat Fat is a building block needed to make neurons and allow brains to grow, Fat can fuel the body, Fat aids in the absorption of fat soluble vitamins (A, D, E, and K), Fat gives food flavor and texture, Fat helps us feel full, so we don’t eat too much. Eating adequate amounts of fat is an important part of a healthy diet Sources and types of fat Fat can’t always be produced by the body, So they have to be eaten. There are good fats (unsaturated fats), saturated fats, and trans fats. Good fats are found in plant (nuts, fruits, and vegetables) foods and fish, These fats are neutral or even beneficial to our heart. The saturated fats and trans fats are found in meat, butter, cheese, milk, margarine, and fried foods… Eating too much of them can raise blood cholesterol levels and increase the risk of heart disease. Neurons/brain connections Adequate fat Our brain and neuron are growing and developing fast, We need fat to support the growing. When we are below 2 years old, fat should not be restricted and we need whole milk. Starting at 2 years old, we should have low fat or non-fat milk and Eat a varied diet with about 30-35% of calories coming from fat. When we turn to age 4, the fat should decrease to about 25-35% of our total intake calories When we turn to 2 years old Please keep our fat intake in check. Please give us naturally low-fat foods, such as fruits and vegetables, whole grains, lean meats, and Low-fat milk and low-fat dairy products. Please boil, bake, broil, grill, steam foods instead of frying. Please don’t let us eat too much junk food. We don’t want extra unhealthy fat bite our heart. Fat Babies still need fat. Fat is a building block needed to make their neurons and allow their brains to grow. It’s important not to place them on a low fat diet in their second year of life. If no longer breast-feeding, you should give whole milk until age two years. After they turn 2, it’s okay to go to 2% milk, and moderate their fat intake parallel to the rest of the family. Trans-fat consumption is not to be encouraged at any age. Keep the fat intake to healthy unsaturated fats as much as possible. Fat has more than twice as many calories as protein or carbohydrates (1 gram of fat provides 9 calories, whereas 1 gram of both carbohydrates and protein provide 4 grams each). So fat is, therefore, a great source of energy but also adds twice the amount of calories to a meal. 4 More veggies, more fresh fruits, and less juice Vegetables and fruits Five subgroups of vegetables Most are naturally low in fat, sodium, and calories, high in dietary fibber and vitamins. None of veggies and fruits has cholesterol. Veggies and fruits contain many nutrients as dietary fiber, potassium, vitamin A, E, C, and folic acid. Dietary Fibers Provide a feeling of fullness with fewer calories and reduce risk of overweight Reduce blood cholesterol levels and may lower risk of heart disease. Helps to keep the child’s bowel habits regular to prevent constipation. Potassium Lower risk of high blood pressure Keep muscles and nerves function properly Reduce the risk of developing kidney stones and decrease bone loss Maintain electrolyte and acid-base balance Vitamin A Keep eyes healthy to prevent night blindness Regulate gene for growth and development Protect against infections Vitamin E Regulate fat-soluble vitamins absorption Act to the body cell oxidation and protect the cells which may reduce the risk of cardiovascular disease and cancer Play a role in immune function Vitamin C Act to repair of body tissues and heal cuts and wounds Help iron absorption Keep teeth and gums healthy Protect against infections. Folic Acid Helps to form red blood cells. Helps to make new cells. Dark green vegetables as broccoli, dark green leafy lettuce, spinach… Orange vegetables as yellow squashes, carrots, pumpkin, sweet potatoes… Dry beans and peas as beans (black, kidney, lima, navy, or white beans), peas, tofu (bean curd)… Starchy vegetables as corn, green peas, lima bean, potatoes… Other vegetables as asparagus, bean sprouts, beets, cabbage, cauliflower, celery, cucumbers, eggplant, green beans, peppers, mushrooms, okra, onions, tomatoes, vegetable juice, zucchini… Daily recommendation for Veggies: 2-3y: 1cup; 4-5y: 1.5 cup Fruits: 2-3y: 1cup; 4-8y: 1-1.5 cup If we are very active, we may need more veggies or fruits to meet our calorie needs. Not necessary to eat vegetables from each subgroup daily. Over a week, we need veggies from each subgroup to provide nutrients for health. Fresh fruits are high in dietary fiber; fruit juices contain little or no fiber. Diets rich in potassium Vegetable sources: sweet potatoes, white potatoes, white beans, tomato products (paste, sauce, and juice), beet greens, soybeans, lima beans, winter squash, spinach, lentils, kidney beans, and split peas. Fruits sources: bananas, prunes and prune juice, dried peaches and apricots, cantaloupe, honeydew melon, and orange juice. Diets rich in fibers Whole-grain cereal, bread, and pasta Legumes, nuts & beans: almonds, beans, lentils… Fruits apple, peach, berries, orange, pear, raisins… Vegetables broccoli, sprouts, cabbage, carrot, cauliflower, spinach, turnip, zucchini… 5 More veggies and fresh fruits Eat more veggies and fruits, reduce risk of Overweight High blood pressure Cardiovascular disease Coronary heart disease Type 2 diabetes Stroke Constipation Cancers as mouth, stomach, and colon-rectum cancer Protect against infections! How can I make my child eats more vegetables and fruits? The earlier you start introducing them to us, the more likely we will adopt them. Show us how do you cook and enjoy eating vegetables and fruits, we like to observe and imitate. Let us pick vegetables and fruits while shopping. Let us help clean veggies and fruits. Let us select vegetables and fruits for lunch, dinner, or snack. Buy fresh vegetables in season to keep their peak flavor. Vary veggie choices to keep our meals interesting. Prepare veggies as raw, lightly steamed, boiled, grilled, and cut-up ones. Add veggies on salad, in soup, in dumplings, in pasta sauce, and with snacks… Make veggies and fruits salad colorful to attract our eyes. Provide different smells, flavors and textures of veggies and fruits for us to try. Try low-fat dip or dressing to make veggies more taste. Cut veggies and fruits into big and small circles, squares, and triangles to make eating fun. Keep a see-through bowl of cut-up vegetables and fruits so we can pick up here and there. Please learn the skills of how to attract our attention to veggies and fruits. Please learn the skills of how to make eating fun for veggies and fruits. We will gradually adopt new veggies and fruits and build our food preferences in our toddle years. 6 More calcium-rich foods Calcium An essential mineral for our growth. An essential building block for our bones and teeth. An essential element for muscle contraction and hormones/enzymes secretion. An essential factor for our neuron and brain function. Daily recommendation for Calcium Calcium requirement varies by age: Age Group 0-6 months 7-12 months 1-3 years old 4-8 years old Female 9-13 years old Male 9-13 years old Female 14-18 years old Male 14-18 years old Calcium (mg) 210 270 500 800 1300 1300 1300 1300 Daily recommendation for dairy products Dairy products: milk, yogurt, cheese, The American Academy of Pediatrics recommended 16 oz of dairy products for kids < 9 years old and 24 oz for kids 9 years old and above. milk-based dessert as puddings, ice milk, and ice cream. Vitamin D Essential for promoting calcium absorption in the gut Essential for maintaining adequate serum calcium and phosphate Essential for bone growth and bone remodeling Essential for preventing rickets in children Role for modulation of neuromuscular and immune function Role for reduction of inflammation. Sources of vitamin D Food: flesh of fish as salmon, tuna, and mackerel, beef liver, milk, cheese, and egg yolks Sun exposure Dietary supplements: fortified foods as cereal AAP recommendation for vitamin D in 2008 Daily requirement: 400 IU/day in pediatric and adolescent populations. Supplementation: 400 IU/day for exclusively and partially breastfed infants shortly after birth until they consume ≥1,000 mL/day of vitamin D-fortified formula or whole milk. 400 IU/day for non-breastfed infants ingesting <1,000 mL/day of vitamin D-fortified formula or milk 400 IU/day for older children and adolescents who do not obtain 400 IU/day through vitamin D-fortified milk and foods should take. American Academy of Pediatrics (AAP ) Build up good habit for calcium and vitamin D intake Toddler years are the key period to build up healthy eating habits. Please provide us appropriate dairy products, Please introduce calcium and vitamin D rich foods early, Please take us outside to enjoy sunshine, Let us get enough calcium and vitamin D for our growing. 7 More calcium-rich foods Our child like table foods and refuse to drink milk. How can we make our child drink more milk? Please let us drink milk before eat solid foods. Please Let us drink milk first when we are thirsty. Please vary dairy products such as yogurt, cheese, cream, ice cream, milk soup, milk bread, milk with cereals. Please vary the containers for milk or yogurt such as sipping cup, cup, bowel, or frozen yogurt tube… Please keep eye contact with us and tell us why we need calcium and vitamin D “Get one sip of milk/take one spoon of yogurt to make your bone more strong.” Then gradually increase the volume. Please don’t blame or yell us. Please give us your support and encourage for any little improvement we have achieved such as a kiss, a hug, or a smile. Please be patient for us to accept milk or other dairy products gradually. Our child drinks 60 ounces of milk a day and refuses to eat solid foods except solid junk foods. The daily milk intake should not over 24 ounces. Too much milk intake will decrease appetite for ironrich foods and other nutritious foods. Too much calcium and vitamin D intake can cause abdominal pains, constipation, kidney stone, bone pain, muscle sprain, or decrease absorption of iron, zinc, magnesium, and phosphate. If we can eat junk foods or some solid foods that means we have good swallowing function. Please let us eat solid before drinking milk. Please vary solid foods and mixed solid foods with milk or other dairy products to enhance taste. Please vary solid foods with different color, textures, and tastes. Please keep eye contact with us and tell us why we need solid foods. Let us get some bites of solid food in the beginning. Then gradually increase the amount. Please don’t blame or yell at us. Please give us your support and encouragement for any little improvement we have achieved such as a kiss, a hug, or a smile. Please be patient with us in accepting new solid foods gradually. Type of Food Dairy Plain yogurt, fat-free Fruit yogurt, low-fat, fatfree American cheese Ricotta cheese, part skim Cheddar cheese Mozarella cheese, part skim Milk, fat-free, low-fat, whole Cottage cheese, 2% fat Cottage cheese, 1% fat Macaroni and cheese Frozen yogurt, fat-free, Serving Size Calcium (mg) 1 cup 1 cup 450 315 2 oz ½ cup 1 ½ oz 1 oz 348 337 305 207 1 cup 300 ½ cup ½ cup ½ cup ½ cup 78 69 180 105 ½ cup ½ cup 84 147-160 ½ cup ½ cup 1 cup ½ cup ½ cup 179 118 90 90 80 1 oz 161 ½ cup ½ cup ½ cup 1 cup 122 99 90 80 1 slice 30 3 tortillas 1 oz 1 tbsp 132 1 muffin 175 1 cup 8 oz ½ cup ½ cup 1 cup 250-300 300 260 450 150-300 10 figs 3 oz 269 100 low fat Ice cream Pudding made with milk Vegetables Collards, boiled, frozen Collards, boiled Broccoli, cooked or fresh Kale, boiled Bok choy, cooked or fresh White beans, cooked, dried Spinach Turnip greens Soybeans, cooked Garbanzo beans Grains, Nuts, Seeds Bread, white or whole wheat Corn tortillas, limetreated Almonds, dry roasted Sesame seeds, whole, dried English muffin, whole wheat Calcium Fortified Foods Soy milk Orange juice Tofu with calcium Frozen yogurt, fat-free Rice beverage Other Foods Dried figs Shrimp 71 88 8 More Iron Rich Foods Iron-rich foods Iron: Iron is essential for healthy red blood cell production. Healthy red blood cells improve oxygen distribution to vital organs in the body. Iron is also required for nerve/brain cell growth and development. If we don’t take enough iron rich foods, The red blood cell volume will decrease, Iron deficiency anemia will follow. Low iron will affect our growth Low iron will affect our memory. Low iron will lead to learning and behavioral problems. As toddler age 1 to 3, We need 7 to 10 milligrams of iron from our foods each day. As toddler age 1 to 3, We build healthy eating habits for iron rich foods. Pleas do not miss this critical molding years for us, Introduce to, and let us eat more iron rich foods! Tips: When iron is obtained from food source, it’s almost impossible to get too much or overdose on it, however, iron can be overdosed from taking external supplements, with a detrimental outcome, so, please do consult your pediatrician before you decide to place your precious one on an iron supplement. 9 More Iron Rich Foods Daily recommendation for iron Age Group 0-6 months 7-12 months 1-3 years old 4-8 years old Female 9-13 years old Male 9-13 years old Female 14-18 years old Iron (mg) 0.27 11 7 10 8 8 15 Iron rich foods liver, beans, red meats, fish, oysters, clams, eggs, dried peaches, prune juice, figs, dried apricots, raisings, leafy green vegetables, tomato, spinach and other green leafy vegetables, potato with skin, enriched grains, and iron-fortified cereals. Type of Food Meats, Seafood Calf liver Chicken liver Beef liver Beef, chuck, lean only Beef, tenderloin Turkey, dark meat Beef, eye of round Turkey, light meat Chicken, dark meat Chicken, breast Lunch meat Pork, loin Tuna, canned in water Shrimp Hot dog Dairy Egg Milk, skim Cheddar cheese Fruit Peaches, dried Prune juice Figs Apricots, dried Raisins Other Foods Tofu, firm Blackstrap molasses Brewer’s yeast Serving Size Iron mg 4 oz 3 ½ oz 4 oz 3 oz 3 oz 3 oz 3 oz 3 ½ oz 3 ½ oz 3 oz 2 slices 3 oz 3 oz 4 large 1 16 12.8 6.5 3.2 3 2.3 2.2 1.6 1.6 1.1 0.9 0.8 0.8 0.7 0.5 1 large 1 cup 1 oz 1 0.1 0.2 6 halves 8 oz 5 10 halves 4 oz 3.1 3 2 1.6 1.5 3 oz 1 tbsp 1 tbsp 2–7 3.5 1.4 Type of Food Vegetables Lentils, boiled Kidney beans, boiled Lima beans, Navy beans, boiled Tomato paste Black beans, boiled Pinto beans, boiled Spinach, boiled Beet greens Potato, with skin Sweet potatoes Spinach, canned Artichokes, raw Spinach, frozen Black-eyed peas, boiled Pumpkin Tomato puree Peas, broccoli Tomato sauce Potato, without skin Grains, Nuts, Seeds Iron fortified cereals Cream of Wheat Instant oatmeal Pasta, enriched Sunflower seeds Almonds, peanuts Bread, whole wheat Brown rice Serving Size Iron mg 1 cup 1 cup 1 cup 4 oz 1 cup 1 cup ½ cup 1 cup 1 4 oz ½ cup ½ cup ½ cup 1 cup 4 oz 4 oz 2 cups 4 oz 1 6.6 5.2 4.5 3.9 3.6 3.6 3.2 2.7 2.7 2.5 2.5 2 1.9 1.8 1.7 1.1 1 0.8 0.6 1 oz 4 oz 1 serving 4 oz 1 oz 1 oz 4-8 5 2 1–2 1.9 1 1 slice 1 cup 1 1 10