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    Tuesday, April 29, 2008
    Are the under-5’s being under-fed?
    (another one... this time from bbc.co.uk - proves how tricky having kids is!)

    Are the under-5’s being under-fed?

    Children aged 1 to 4 have very specific nutritional needs, so if they eat a healthy diet designed for adults it can give them too much fibre and not enough sugary goodness. A recent report from one local authority area found that their nurseries weren’t all getting the balance right, and controversially claimed that some were giving kids ‘excessive amounts’ of fruit and veg. So if childcare institutions can’t get it right, what hope have parents got? We hear from mums and carers on what they think is important to give their under-5’s, and Jenni talks to Sam Montel, a nutritionist from the Food Standards Agency and Judy More, a paediatric dietician, to find out exactly what you should feed a toddler.

    *****
    (from eatwell.co.uk)

    Toddler
    Just like adults, young children need energy (calories) from food and nutrients such as protein, fat, carbohydrate, vitamins and minerals, to make sure their bodies work properly and can repair themselves.

    If you want more information than is given here, contact your health visitor or GP.

    What to give Babies and toddlers
    At this age, children grow very quickly and are usually very active, so they need plenty of calories and nutrients. A healthy and varied diet should provide all the nutrients your toddler needs.

    Remember to include these sorts of foods every day:
    * Milk and dairy foods - these provide calories, protein, vitamins and minerals.
    * Meat, fish, eggs, beans, peas and lentils - these are rich in nutrients such as protein, vitamins and minerals. You can give boys up to four portions of oily fish a week, such as mackerel, salmon and sardines, but it's best to give girls no more than two portions of oily fish a week.
    * Bread, and other cereals such as rice, pasta and breakfast cereals, and potatoes, yams and sweet potatoes - these starchy foods provide calories, vitamins, minerals and fibre.
    * Fruit and vegetables - these contain vitamin C, and other protective vitamins and minerals, as well as fibre.

    How a toddler's diet is different
    Although toddlers can eat the same food as adults, before they're two years old children can't eat large amounts of food at one sitting. So, until then, give your child meals and snacks packed with calories and nutrients (nutrient dense foods) such as:
    * full-fat milk and dairy foods
    * meat
    * eggs

    Don't forget to give them fruit and vegetables and starchy foods as well.

    But if you tend to eat high fibre foods, remember that young children's stomachs can't cope with foods such as wholemeal pasta and brown rice. Also, too much fibre can sometimes reduce the amount of minerals they can absorb, such as calcium and iron.

    By the time they're five years old, young children should be eating family food, which is more bulky as it contains lots of starchy foods and plenty of fruit and vegetables. But make sure it doesn't contain too much saturated fat, which is found in butter, hard-fat spreads, cheese, fatty meat and meat products, biscuits, pastry and cakes.
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    What to avoid
    Take care to avoid the following foods:
    * Raw eggs and food that contains raw or partially cooked eggs because of the risk of salmonella, which causes food poisoning. If you give eggs to your toddler, make sure the eggs are cooked until both the white and yolk are solid.
    * Whole or chopped nuts for children under five years old because of the risk of choking. It's a good idea to crush or flake them.
    * Shark, swordfish and marlin because these fish contain relatively high levels of mercury, which might affect a child's developing nervous system.

    You might also want to avoid giving raw shellfish to your toddler to reduce their risk of getting food poisoning.

    There's no need to add salt to your toddler's food. From the age of 1 to 3, children should be having no more than 2g a day. If you're buying processed foods, even those aimed at children, remember to check the information given on the labels to choose those with less salt.

    There's no need to add sugar or honey to food for your toddler.

    Don't give sweet drinks such as fizzy drinks and fruit squash because they cause tooth decay. If you do give fruit squash or sugary drinks, make sure they're well diluted with water and drunk at mealtimes. Between meals, it's better to give water or milk to drink.
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    Full-fat or semi-skimmed milk?
    From two years old, you can start giving your toddler semi-skimmed milk. Fully skimmed milk isn't suitable as a main drink until they're five years old, because it doesn't contain enough calories for a growing child.

    Vegetarian diet
    If you want to give your toddler a vegetarian diet, it's important to make sure their diet is balanced and includes all the necessary nutrients.

    Make sure you give them foods rich in nutrients such as milk, cheese and eggs. This will mean their diet won't be too bulky and they'll get plenty of protein, vitamin A, calcium and zinc.

    Iron is found in many vegetables and pulses (beans, lentils and chick peas), in dried fruit (such as apricots, raisins and sultanas) and in some breakfast cereals, but it's more difficult to absorb from vegetable sources than from meat, so:

    * give your toddler foods containing iron each day
    * try to give foods high in vitamin C - such as fruit and vegetables or diluted fruit juices at mealtimes - because these make it easier to absorb the iron
    * don't give young children tea or coffee, especially at meal times, because this reduces the amount of iron they can absorb

    If you want more information than is given here, contact your health visitor or GP.

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    Seven medicines you shouldn't give your child
    (from Babycenter.com)

    Children are much more likely than adults to have adverse drug reactions, so giving your child prescription or over-the-counter (OTC) medication is serious business. Here are some medicines you shouldn't give your preschooler:

    Aspirin
    Never give your child aspirin or any medication containing aspirin. Aspirin can make a child susceptible to Reye's syndrome — a rare but potentially fatal illness. Don't assume that the children's medicines found in drugstores will be aspirin-free. Aspirin is sometimes referred to as "salicylate" or "acetylsalicylic acid." Read labels carefully, and ask your doctor or pharmacist if you're not sure whether a product contains aspirin.

    Over-the-counter cough and cold medicines
    In October 2007 a U.S. Food and Drug Administration advisory committee voted to recommend that these medicines not be given to children under 6 years old. Little or no testing has been done to determine how effective they are in young children (although studies have shown them to be no better than a placebo in kids under age 2) and what dosages are safe. And an overdose can cause dangerous side effects. So if your preschooler is miserable with a cold, try other options, like a humidifier and plenty of liquids.

    Anti-nausea medications
    Don't give your child an anti-nausea medication (prescription or OTC) unless his doctor specifically recommends it. Most bouts of vomiting are pretty short-lived, and children usually handle them just fine without any medication. In addition, anti-nausea medications have risks and possible complications. (If your child is vomiting and begins to get dehydrated, contact his doctor for advice on what to do.)

    Adult medications
    Giving your child a smaller dose of medicine meant for an adult is dangerous. If the label doesn't indicate an appropriate dose for a child, don't give that medication to your preschooler.

    Any medication prescribed for someone else or for another reason
    Prescription drugs intended for other people (like a sibling) or to treat other illnesses may be ineffective or even dangerous when given to your child. Give him only medicine prescribed for him and his specific condition.

    Anything expired
    Toss out medicines, prescription and OTC alike, as soon as they expire. Also get rid of discolored or crumbly medicines — basically anything that doesn't look the way it did when you first bought it. After the use-by date, medications may no longer be effective and can even be harmful. Don't flush old drugs down the toilet, as they can contaminate groundwater and end up in the drinking water supply. See what our expert says about how to safely dispose of expired medication.

    Extra acetaminophen
    Some medicines contain acetaminophen to help ease fever and pain, so be careful not to give your preschooler an additional separate dose of acetaminophen. If you're not sure what's in a particular medicine, don't give her acetaminophen or ibuprofen until you've first gotten the okay from your doctor or pharmacist.

    A cautionary note
    These two types of medications aren't 100 percent off-limits, but you should carefully consider whether and how to give them to your child:

    Chewables
    Most preschoolers can handle chewable tablets, especially those that are fast-melting. But keep an eye on your child when you give him a chewable, especially if he isn't proficiently chewing solids yet. If you think chewables might be a choking hazard for your child, crush the tablet and put it in a spoonful of soft food, like yogurt or applesauce. (Of course, you need to make sure your child eats the entire spoonful in order to get the complete dose.)

    Some herbal remedies
    Many herbal remedies are gentle and safe, but just because something is natural, or derived from a plant, doesn't mean that it's safe for your preschooler. Herbal products can cause allergic reactions, liver damage, and high blood pressure. In certain doses or when combined with the wrong medications, they can be fatal.

    Check with your child's doctor or an alternative medicine practitioner before giving your child any herbal products. And always let the doctor know about herbal remedies your child's taking before she prescribes a medication.

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