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Building Blocks for Health Tower Hamlets Primary Care Trust Building Blocks for Health Eating well for 2-5 year olds Information for Parents, Carers and Children Children need lots of energy to grow, play and learn. Help build your child a healthy future by choosing the right foods at mealtimes and for snacks. Children can enjoy the same foods as the rest of the family. Eating meals together helps them to eat well. Good eating habits last a lifetime. No food is good or bad, it’s the overall balance that counts. Each of the food groups in this leaflet is a vital building block for good health, so include each group everyday. Many meals contain a variety of foods from the five food groups. Think about which food groups are missing from your child’s meals and add these. 1 Building Blocks for Health Fruit and vegetables Full of vitamins including Vitamin C, which help to fight infections and disease, you should aim for five child-sized portions a day. Fruits can include a small banana, half an apple, a kiwi, a tangerine, a slice of mango, diluted fruit juice, tinned fruit in natural juice and dried fruit. Vegetables can include carrot, celery, salad, sweetcorn, peas and broccoli. Vegetables can be fresh, frozen and /or tinned. Remember, try not to cook fruit and vegetables for too long as this can reduce the amount of vitamins they contain. Bread, cereals and potatoes These provide energy and vitamins. These foods should be included at every meal. Try a variety, from sliced bread, pitta, chapatti, bagels, pasta, yam, rice, noodles, breakfast cereals or plantain. Milk and dairy products Meat, fish, and alternatives Full of protein and iron to help your child grow and develop. Give your child these foods at least twice a day. Try chicken, meat and meat products, oily fish such pilchards or sardines. Fresh, tinned and frozen - all count. If your child is vegetarian or does not eat fish or meat, you can give them eggs, baked beans, lentils, tofu, soya, humous and peanut butter. Don’t give whole nuts to children under five years olds as there is a risk of choking. If you have a family history of allergies, do not give your child nut products, such as peanut butter before they are three years old. 2 These contain lots of calcium and protein, which are important for strong bones and teeth. Choose full fat products, not low fat, as young children need the extra energy from the fat to grow. Milk and diary products include full fat milk, cheese, paneer, yoghurt, lassi and fromage frais. If your child does not eat any of these foods ask your health visitor or doctor for advice. Building Blocks for Health Foods containing fats and foods containing sugar A good source of energy, but low in vitamins and minerals. Let your child choose some of these foods, but don’t let them have too much. These foods include sweets, chocolates, crisps, cakes, biscuits, ice creams and sugary drinks. They also include butter, margarine and oils used in cooking. Sugary foods can cause tooth decay. The more often your child has sugary foods the greater the risk. So try to keep these foods for the end of mealtimes only. __________ Is there anything else I should think about? __________ Drinks Iron Make sure that your child does not fill up on drinks instead of eating. Limit milk to one pint a day. Too much squash and fruit juice can stop your child from eating well. If you do give these make sure they are well diluted as they can cause tooth decay. Fizzy drinks are not recommended, even diet and low sugar types. Iron reduces the risk of children getting a blood disorder called anaemia. Make sure your child has iron-rich foods such as meat, liver, kidney, eggs, dahl, baked beans, kidney beans and other pulses, green leafy vegetables such as spinach, methi and callalloo, dried fruit and nuts, and fortified breakfast cereals. Oily fish such as pilchards or sardines are also good sources of iron. Water and milk are the most tooth friendly drinks for between meals. Vitamin C helps your child absorb iron, so try to include fruit, vegetables or fruit juice with every meal. If you are worried that your child is not getting enough iron, speak to your health visitor. Do not give iron tablets to children unless prescribed by a doctor. Salt Alert Hidden Sugar Try not to add extra salt to your child’s food as many foods already contain some. There may be hidden sugars added to food. These might be called, sucrose, fructose, glucose, maltose, maltodextrin or honey. Look out for these names on labels. Too much salt can cause health problems in later life. 3 Building Blocks for Health Breakfast It is important that your child has breakfast. Breakfast provides your child with energy to start the day. A bowl of fortified cereal is a great provider of iron. Vitamin Drops Some children need to take vitamin drops until they are five years old. Ask your health visitor about this. Fussy Eaters Children can be fussy eaters. If your child is growing well and including a food from each food group, it is unlikely that being fussy will cause them harm. Give them the foods they do like and gradually encourage them to try other foods from each of the groups. Big meals can put them off. Four of five smaller meals may be easier to manage. Healthy snacks Toast with peanut butter or cheese spread Fruit Yoghurt or fromage frais Chunks of cheese Chappati, pitta bread or potato cakes Raw crunchy vegetables such as carrot or peppers Plain popcorn Fortified breakfast cereal and milk Matzos, rice cakes or cream crackers Crumpets or scones Fruit smoothies – blended fruit and milk Breadsticks For further information and advice about eating well for 2 to 5 year olds, speak to your health visitor or doctor. Text provided by East London and The City Health Authority & Nutrition and Dietetic Department, Barts and The London NHS Trust. Thank you to all at Comberton Road Nursery E5 and to all the children who took part. Designed by Health Information East London ©2004 4