During the first 3 months of life, breast milk or formula provides all the nutrients a newborn needs. The following chart summarizes the generally accepted guidelines for introducing new foods to babies under 1 year of age. It should be noted, however, that all babies are different; consequently, the timing varies considerably from one baby to another. Check with your pediatrician when your baby is ready.
FIRST MONTH
Breast milk; enough for weight gain and to yield regular soft stools and six or more wet diapers a day. Formula, 2 to 4 oz (60 toll 8 mL) per feeding (every 2 to 4 hours).
SECOND AND THIRD MONTHS
Breast milk and formula; 4 to 5 oz (118-148 mL) each feeding; six feedings a day. Milk and Dairy Cereal and Other Starchy Foods Vegetables and Fruits Meat and Meat Alternatives Occasional Foods and Foods to Avoid
4 TO 6 MONTHS
Total intake: About 30 to 40 oz (887 to 1,183 mL) of breast milk or formula per day, plus small amounts of new foods—start with 1 to 2 tsp (5 to 10 mL) and work up—at two or three feedings a day. 5 to 6 oz (148 to 177 mL) breast milk or formula per feeding five or six times a day. Iron-fortified single-ingredient baby cereals. Avoid honey in the first year due to its link to botulism in infants, and egg white to reduce risk of egg allergy.
6 TO 9 MONTHS
Total intake: 28 to 36 oz (828 to 1,064 mL) of breast milk or formula; 2 to 4 oz (60 to 118 mL) of cereal and/or pureed baby food at each of the baby’s three meals. 6 to 8 oz (177 to 237 mL) breast milk or formula per feeding four or five times each day. Iron-fortified baby cereals (mixed grains is okay). Daily intake: ¼ to ½-oz (59 to 118 mL) starchy food over three meals. Plain, cooked mashed vegetables; plain, soft, mashed fruits. Daily intake: Four ¼-oz to ½-oz (59 to 118 mL) servings of fruits and vegetables. Plain, or pureed meat or poultry; cooked egg yolk; mashed legumes, lentils, and tofu. Daily intake: Two ½-to ¾-oz (14 to 21 g) portions.
9 TO 12 MONTHS
Total intake: 20 to 30 oz (591 to 887 mL) of breast milk or formula; 750 to 900 total calories needed per day divided into three meals and two snacks. 6 to 8 oz (177 to 237 mL) per feeding three to four times a day; yogurt; cheese; cottage cheese. Soft breads; dry unsweetened cereals; crackers; cooked pasta and rice. Daily intake: ½ oz to ¾ oz (118 to 177 mL) total a day. Soft, bite-size pieces of cooked vegetables; mashed potatoes; soft, ripe, peeled fruit or canned fruits. Daily intake: Six ¼-oz (59-mL) servings a day. Minced or diced lean tender meats, poultry, fish; soft, whole legumes or lentils; diced tofu. Daily intake: Total of 2 oz (57 g) of meat a day. May use moderate amounts of butter (unsalted) and small amounts of jam on bread, toast, and crackers. Do not give peanut butter, which can cause choking. Spices and seasonings can also be added.
AGES & STAGES:
Childhood Between the ages of 2 and 20, the human body changes continuously and dramatically. Muscles grow stronger, bones grow longer, height may more than double, and weight can increase as much as fivefold. The most striking changes take place during puberty, which usually occurs between the ages of 10 and 15 in girls and between the ages of 12 and 19 in boys. Sexual development and maturity take place at this time, which results in a startling physical transformation.
QUICK TIP:
Recruit kids as sous chefs
You can involve children in family meals by having them help out with simple mealtime tasks, such as peeling potatoes, preparing salads, or setting the table. If mealtime is a pleasant event, children may practice healthful eating habits later on in life.
Children need energy for all the growing years: typically 1,300 calories a day for a 2-year-old, 1,700 for a 5-year-old, 2,200 for a 16-year-old girl, and 2,800 for a 16-year-old boy.
The amount of food that a child needs varies according to height, build, gender, and activity level. Left to themselves, most children will usually eat the amount of food that’s right for them; however, it is up to the parents to make sure that their children have the right foods available to choose from. Don’t fall into the age-old trap of forcing them to eat more food than they want or need. Yesterday’s notion of “cleaning your plate” can lead to overeating and weight problems in some cases, or to a lifelong dislike of particular foods. Parents may find it better to serve smaller portions in the first place or to allow children to serve themselves.
TODDLERS (1 TO 4 YEARS): ADJUSTING APPETITE
In most children, appetite slackens as the growth rate slows after the first year; it will then vary throughout childhood, depending on whether the child is going through a period of slow or rapid growth. It is perfectly normal for a young child to eat ravenously one day and then show little interest in food the following day. Choking hazards are still an issue at this age. Don’t give them whole nuts or other foods they may choke on. Follow these suggestions for guiding your toddler to a healthy diet:
Serve several small meals. After the first year, children can eat most of the dishes prepared for the rest of the family. Toddlers, however, have high energy requirements and small stomachs, so they may need five or six small meals or snacks a day. Schedule a toddler’s snacks so they don’t interfere with food intake during meals. An interval of about an hour and a half is usually enough.
Ride out odd preferences. Toddlers often go on food jags—for example, eliminating everything that’s white or green. Such food rituals are often short-lived, although they can be annoying or worrisome if they get out of hand. Respect the child’s preferences without giving in to every whim; offer a reasonable alternative.
SCHOOL-AGE CHILDREN (5 TO 9 YEARS): BALANCE AND VARIETY
Children need a wide variety of foods. Carbohydrates—breads, cereals, fruits, and vegetables—should make up the major part of the diet. Protein foods can include meat, fish, milk, soy products (such as bean curd), and combinations of grains and legumes. Milk is an important source of calories, minerals, and vitamins. Children 5 to 9 years old should have two to three milk-product servings every day (some of the milk may be in the form of cheese or yogurt). You can switch from whole to skim or 2% milk at this stage. Grilled and baked foods are preferable to fried and fatty ones for children of all ages.
Include dietary fats. We all need a certain amount of fat for important body functions. Several vitamins (A, D, E, and K) can be absorbed only in the presence of fat, and fats are necessary for the production of other body chemicals, including the hormones that transform boys and girls into men and women. Despite the benefits of fat intake, excessive fat intake in childhood may lead to obesity and many adult diseases. The current recommendation for fat intake is similar in the United States and Canada. Children should consume a diet containing no more than 30% of energy as fat and no more than 10% of energy as saturated fat.
Pump up iron. Iron is an essential mineral for normal growth and development for a child. Unfortunately, many children have inadequate stores of iron because of insufficient intake of iron-rich foods. Foods that contain heme iron, which is easily absorbed, include meat, eggs, fish, poultry, and seafood. While breakfast cereals, legumes, grains, breads, seeds, nuts, dried fruits, and dark green leafy vegetables contain the nonheme variety, which is poorly absorbed. Children should have a variety of iron-containing foods in their diet. In addition, the consumption of vitamin C–rich foods improves the absorption of dietary iron.
QUICK TIP:
Sneak in vegetables
Many parents have a battle when it comes to getting children to eat vegetables, but you can win children over by appealing to their taste for bright colors and interesting textures. Choose crisp, raw carrot sticks and other attractive crunchy veggies. Substitute minced vegetables (zucchini, eggplant, mushrooms) for ground meat in spaghetti sauce, or chop chickpeas with grains and other vegetables to make veggie burgers.
FOOD FOR GROWING UP
As children grow, their nutritional needs change; some needs vary between the sexes. The chart below gives an overview of the Recommended Dietary Allowances (RDAs) of certain nutrients for children from ages 1 to 18.
AGES 1-3 4-8 9-13 14-18
Vitamin A (mcg)
Boys 300 400 600 900
Girls 300 400 600 700
Vitamin D (mcg) 5* 5* 5* 5*
Vitamin E (mg) 6 7 11 15
Vitamin C (mg) 15 25 45 65–75
Niacin (mg)
Boys 6 8 12 16
Girls 6 8 12 14
Thiamine (mg)
Boys 0.5 0.6 0.9 1.2
Girls 0.5 0.6 0.9 1.0
Riboflavin (mg)
Boys 0.5 0.6 0.9 1.3
Girls 0.5 0.6 0.9 1.0
Folate (mcg) 150 200 300 400
Vitamin B6 (mg)
Boys 0.5 0.6 1.0 1.3
Girls 0.5 0.6 1.0 1.2
Vitamin B12 (mcg) 0.9 1.2 1.8 2.4
Calcium (mg) 500* 800* 1,300* 1,300*
Iron (mg)
Boys 7 10 8 11
Girls 7 10 8 15
Zinc (mg)
Boys 3 5 8 11
Girls 3 5 8 9
Asterisks (*) represent daily Adequate Intake (AI). The term Adequate Intake is used rather than RDA when scientific evidence is insufficient to estimate an average requirement.
TWEENS AND TEENS (10 TO 16 YEARS): FUELING FOR FAST GROWTH
Eating patterns change with the onset of the adolescent growth spurt. Teenagers usually develop voracious appetites to match their need for additional energy. Adolescents need more of everything to keep up with the massive teenage growth spurt: calories and protein for growth and to build muscles; and protein, calcium, phosphorus, and vitamin D for bone formation. For many the demands of school and social life mean that they eat meals away from home. Suddenly, they are responsible for choosing the major part of their diet. Some may not make the best choices. Others may use food to establish an identity, such as by becoming a vegetarian, without knowing how to maintain proper nutrition. Both obesity and eating disorders can plague adolescents. A sensitive approach is necessary in order to help an adolescent maintain a positive self-image and professional help may be necessary. Here’s how to keep them healthy:
Build bone. Calcium is important for forming strong, healthy bones during adolescence and preventing osteoporosis later in life. Youths 10 to 16 years old need 3 to 4 milk-product servings a day—the equivalent of 2 cups (473 mL) of milk and 1 to 2 oz (28 to 57 g, or two slices) of cheese, or 3 to 4 cups (710 to 946 mL) of yogurt—every day. If teens are not drinking milk, they can try a smoothie, fortified soy beverages, cheese on a sandwich, or even chocolate milk.
Emphasize simple swaps. Teenagers often prefer snacks loaded with fat, sugar, and salt: potato chips, french fries, hamburgers, hot dogs, pizza, and candy bars. These are high in sodium and strike a poor balance between calories and nutrition. Encourage some easy-to-remember swaps. For example, ask your teen to choose grilled chicken over breaded, sandwiches with lean meats, or a slice of vegetarian pizza.
Set out healthy snacks. You can generally keep your teenager out of nutritional danger by providing snacks that are high in vitamins, minerals, and protein but low in sugar, fat, and salt. This means buying healthful snack foods, such as fresh and dried fruits, juices, raw vegetables, nuts, cheese, whole grain crackers, unadulterated popcorn, and yogurt. Set them on the kitchen table and place them front and center in the refrigerator so they’re handy for your on-the-go teen.
THE BOTTOM LINE
• Set a good example for your child to copy. Share mealtimes and eat the same healthy foods.
• Discourage snacking on sweets and fatty foods. Keep plenty of healthy foods, such as fruits, raw vegetables, low-fat crackers, and yogurt, around for children to eat between meals.
• Allow children to follow their natural appetites when deciding how much to eat.
A GROWING EPIDEMIC: OBESITY
In North America, children are becoming obese (defined as being 20% or more above desirable weight) or overweight in growing numbers and at earlier ages. Overweight children may become overweight adults. The consequence: high blood pressure, high cholesterol, type 2 diabetes, some cancers, sleeping disorders, and orthopedic problems. To keep your kids at a healthy weight, limit foods high in saturated fat after they turn two; give them more fruits, vegetables, and whole grains; encourage them to get at least 60 minutes of physical activity every day; and foster a positive body image.
FIRST MONTH
Breast milk; enough for weight gain and to yield regular soft stools and six or more wet diapers a day. Formula, 2 to 4 oz (60 toll 8 mL) per feeding (every 2 to 4 hours).
SECOND AND THIRD MONTHS
Breast milk and formula; 4 to 5 oz (118-148 mL) each feeding; six feedings a day. Milk and Dairy Cereal and Other Starchy Foods Vegetables and Fruits Meat and Meat Alternatives Occasional Foods and Foods to Avoid
4 TO 6 MONTHS
Total intake: About 30 to 40 oz (887 to 1,183 mL) of breast milk or formula per day, plus small amounts of new foods—start with 1 to 2 tsp (5 to 10 mL) and work up—at two or three feedings a day. 5 to 6 oz (148 to 177 mL) breast milk or formula per feeding five or six times a day. Iron-fortified single-ingredient baby cereals. Avoid honey in the first year due to its link to botulism in infants, and egg white to reduce risk of egg allergy.
6 TO 9 MONTHS
Total intake: 28 to 36 oz (828 to 1,064 mL) of breast milk or formula; 2 to 4 oz (60 to 118 mL) of cereal and/or pureed baby food at each of the baby’s three meals. 6 to 8 oz (177 to 237 mL) breast milk or formula per feeding four or five times each day. Iron-fortified baby cereals (mixed grains is okay). Daily intake: ¼ to ½-oz (59 to 118 mL) starchy food over three meals. Plain, cooked mashed vegetables; plain, soft, mashed fruits. Daily intake: Four ¼-oz to ½-oz (59 to 118 mL) servings of fruits and vegetables. Plain, or pureed meat or poultry; cooked egg yolk; mashed legumes, lentils, and tofu. Daily intake: Two ½-to ¾-oz (14 to 21 g) portions.
9 TO 12 MONTHS
Total intake: 20 to 30 oz (591 to 887 mL) of breast milk or formula; 750 to 900 total calories needed per day divided into three meals and two snacks. 6 to 8 oz (177 to 237 mL) per feeding three to four times a day; yogurt; cheese; cottage cheese. Soft breads; dry unsweetened cereals; crackers; cooked pasta and rice. Daily intake: ½ oz to ¾ oz (118 to 177 mL) total a day. Soft, bite-size pieces of cooked vegetables; mashed potatoes; soft, ripe, peeled fruit or canned fruits. Daily intake: Six ¼-oz (59-mL) servings a day. Minced or diced lean tender meats, poultry, fish; soft, whole legumes or lentils; diced tofu. Daily intake: Total of 2 oz (57 g) of meat a day. May use moderate amounts of butter (unsalted) and small amounts of jam on bread, toast, and crackers. Do not give peanut butter, which can cause choking. Spices and seasonings can also be added.
AGES & STAGES:
Childhood Between the ages of 2 and 20, the human body changes continuously and dramatically. Muscles grow stronger, bones grow longer, height may more than double, and weight can increase as much as fivefold. The most striking changes take place during puberty, which usually occurs between the ages of 10 and 15 in girls and between the ages of 12 and 19 in boys. Sexual development and maturity take place at this time, which results in a startling physical transformation.
QUICK TIP:
Recruit kids as sous chefs
You can involve children in family meals by having them help out with simple mealtime tasks, such as peeling potatoes, preparing salads, or setting the table. If mealtime is a pleasant event, children may practice healthful eating habits later on in life.
Children need energy for all the growing years: typically 1,300 calories a day for a 2-year-old, 1,700 for a 5-year-old, 2,200 for a 16-year-old girl, and 2,800 for a 16-year-old boy.
The amount of food that a child needs varies according to height, build, gender, and activity level. Left to themselves, most children will usually eat the amount of food that’s right for them; however, it is up to the parents to make sure that their children have the right foods available to choose from. Don’t fall into the age-old trap of forcing them to eat more food than they want or need. Yesterday’s notion of “cleaning your plate” can lead to overeating and weight problems in some cases, or to a lifelong dislike of particular foods. Parents may find it better to serve smaller portions in the first place or to allow children to serve themselves.
TODDLERS (1 TO 4 YEARS): ADJUSTING APPETITE
In most children, appetite slackens as the growth rate slows after the first year; it will then vary throughout childhood, depending on whether the child is going through a period of slow or rapid growth. It is perfectly normal for a young child to eat ravenously one day and then show little interest in food the following day. Choking hazards are still an issue at this age. Don’t give them whole nuts or other foods they may choke on. Follow these suggestions for guiding your toddler to a healthy diet:
Serve several small meals. After the first year, children can eat most of the dishes prepared for the rest of the family. Toddlers, however, have high energy requirements and small stomachs, so they may need five or six small meals or snacks a day. Schedule a toddler’s snacks so they don’t interfere with food intake during meals. An interval of about an hour and a half is usually enough.
Ride out odd preferences. Toddlers often go on food jags—for example, eliminating everything that’s white or green. Such food rituals are often short-lived, although they can be annoying or worrisome if they get out of hand. Respect the child’s preferences without giving in to every whim; offer a reasonable alternative.
SCHOOL-AGE CHILDREN (5 TO 9 YEARS): BALANCE AND VARIETY
Children need a wide variety of foods. Carbohydrates—breads, cereals, fruits, and vegetables—should make up the major part of the diet. Protein foods can include meat, fish, milk, soy products (such as bean curd), and combinations of grains and legumes. Milk is an important source of calories, minerals, and vitamins. Children 5 to 9 years old should have two to three milk-product servings every day (some of the milk may be in the form of cheese or yogurt). You can switch from whole to skim or 2% milk at this stage. Grilled and baked foods are preferable to fried and fatty ones for children of all ages.
Include dietary fats. We all need a certain amount of fat for important body functions. Several vitamins (A, D, E, and K) can be absorbed only in the presence of fat, and fats are necessary for the production of other body chemicals, including the hormones that transform boys and girls into men and women. Despite the benefits of fat intake, excessive fat intake in childhood may lead to obesity and many adult diseases. The current recommendation for fat intake is similar in the United States and Canada. Children should consume a diet containing no more than 30% of energy as fat and no more than 10% of energy as saturated fat.
Pump up iron. Iron is an essential mineral for normal growth and development for a child. Unfortunately, many children have inadequate stores of iron because of insufficient intake of iron-rich foods. Foods that contain heme iron, which is easily absorbed, include meat, eggs, fish, poultry, and seafood. While breakfast cereals, legumes, grains, breads, seeds, nuts, dried fruits, and dark green leafy vegetables contain the nonheme variety, which is poorly absorbed. Children should have a variety of iron-containing foods in their diet. In addition, the consumption of vitamin C–rich foods improves the absorption of dietary iron.
QUICK TIP:
Sneak in vegetables
Many parents have a battle when it comes to getting children to eat vegetables, but you can win children over by appealing to their taste for bright colors and interesting textures. Choose crisp, raw carrot sticks and other attractive crunchy veggies. Substitute minced vegetables (zucchini, eggplant, mushrooms) for ground meat in spaghetti sauce, or chop chickpeas with grains and other vegetables to make veggie burgers.
FOOD FOR GROWING UP
As children grow, their nutritional needs change; some needs vary between the sexes. The chart below gives an overview of the Recommended Dietary Allowances (RDAs) of certain nutrients for children from ages 1 to 18.
AGES 1-3 4-8 9-13 14-18
Vitamin A (mcg)
Boys 300 400 600 900
Girls 300 400 600 700
Vitamin D (mcg) 5* 5* 5* 5*
Vitamin E (mg) 6 7 11 15
Vitamin C (mg) 15 25 45 65–75
Niacin (mg)
Boys 6 8 12 16
Girls 6 8 12 14
Thiamine (mg)
Boys 0.5 0.6 0.9 1.2
Girls 0.5 0.6 0.9 1.0
Riboflavin (mg)
Boys 0.5 0.6 0.9 1.3
Girls 0.5 0.6 0.9 1.0
Folate (mcg) 150 200 300 400
Vitamin B6 (mg)
Boys 0.5 0.6 1.0 1.3
Girls 0.5 0.6 1.0 1.2
Vitamin B12 (mcg) 0.9 1.2 1.8 2.4
Calcium (mg) 500* 800* 1,300* 1,300*
Iron (mg)
Boys 7 10 8 11
Girls 7 10 8 15
Zinc (mg)
Boys 3 5 8 11
Girls 3 5 8 9
Asterisks (*) represent daily Adequate Intake (AI). The term Adequate Intake is used rather than RDA when scientific evidence is insufficient to estimate an average requirement.
TWEENS AND TEENS (10 TO 16 YEARS): FUELING FOR FAST GROWTH
Eating patterns change with the onset of the adolescent growth spurt. Teenagers usually develop voracious appetites to match their need for additional energy. Adolescents need more of everything to keep up with the massive teenage growth spurt: calories and protein for growth and to build muscles; and protein, calcium, phosphorus, and vitamin D for bone formation. For many the demands of school and social life mean that they eat meals away from home. Suddenly, they are responsible for choosing the major part of their diet. Some may not make the best choices. Others may use food to establish an identity, such as by becoming a vegetarian, without knowing how to maintain proper nutrition. Both obesity and eating disorders can plague adolescents. A sensitive approach is necessary in order to help an adolescent maintain a positive self-image and professional help may be necessary. Here’s how to keep them healthy:
Build bone. Calcium is important for forming strong, healthy bones during adolescence and preventing osteoporosis later in life. Youths 10 to 16 years old need 3 to 4 milk-product servings a day—the equivalent of 2 cups (473 mL) of milk and 1 to 2 oz (28 to 57 g, or two slices) of cheese, or 3 to 4 cups (710 to 946 mL) of yogurt—every day. If teens are not drinking milk, they can try a smoothie, fortified soy beverages, cheese on a sandwich, or even chocolate milk.
Emphasize simple swaps. Teenagers often prefer snacks loaded with fat, sugar, and salt: potato chips, french fries, hamburgers, hot dogs, pizza, and candy bars. These are high in sodium and strike a poor balance between calories and nutrition. Encourage some easy-to-remember swaps. For example, ask your teen to choose grilled chicken over breaded, sandwiches with lean meats, or a slice of vegetarian pizza.
Set out healthy snacks. You can generally keep your teenager out of nutritional danger by providing snacks that are high in vitamins, minerals, and protein but low in sugar, fat, and salt. This means buying healthful snack foods, such as fresh and dried fruits, juices, raw vegetables, nuts, cheese, whole grain crackers, unadulterated popcorn, and yogurt. Set them on the kitchen table and place them front and center in the refrigerator so they’re handy for your on-the-go teen.
THE BOTTOM LINE
• Set a good example for your child to copy. Share mealtimes and eat the same healthy foods.
• Discourage snacking on sweets and fatty foods. Keep plenty of healthy foods, such as fruits, raw vegetables, low-fat crackers, and yogurt, around for children to eat between meals.
• Allow children to follow their natural appetites when deciding how much to eat.
A GROWING EPIDEMIC: OBESITY
In North America, children are becoming obese (defined as being 20% or more above desirable weight) or overweight in growing numbers and at earlier ages. Overweight children may become overweight adults. The consequence: high blood pressure, high cholesterol, type 2 diabetes, some cancers, sleeping disorders, and orthopedic problems. To keep your kids at a healthy weight, limit foods high in saturated fat after they turn two; give them more fruits, vegetables, and whole grains; encourage them to get at least 60 minutes of physical activity every day; and foster a positive body image.