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Nutrition Through the Life Cycle Infant Nutrition Caloric Needs • Birth–3 months – 102 kcals/kg • 4-6 months – 82 kcals/kg • 7-12 months – 80 kcals/kg • 13-35 months – 82 kcal/kg Breastfeeding • The preferred feeding for all infants. – The American Academy of Pediatrics • Many benefits Benefits of Breastfeeding • Optimal amounts of protein, carbohydrate, and fat • Protection against infection and allergies • Low risk of contamination • Reduced incidence of: diarrhea, ear infections and necrotizing enterocolitis, etc. • Increased bonding between mother and infant • Earlier return to pre-pregnancy weight Rates of Breastfeeding in the U.S. • In 2007 – 74% of mothers initiated breastfeeding – 42% continued to 6 months • In 2001 – 69.5% of mothers initiated breastfeeding – 32% continued to 6 months Rates of Breastfeeding in the U.S. • Lower rates among: – Less educated individuals – Single, young, or employed – African American & Hispanic populations The Healthy People 2010 Goals • Achieve initiation rates of 75% • Rates of breastfeeding at 6 months of 50% • Rates of breastfeeding at 12 months of 25% Formulas • Appropriate substitute for feeding • Available in 3 forms: – Ready to feed – Concentrated liquid – Powder Formulas Cont. • • • • • • Standard Cow Milk based Soy Protein hydrolysate Amino Acid based Follow-up formulas Cow milk Transition to Solid Foods • Start with rice cereal • Then vegetables & fruits • Introduce only one new food at a time • Wean from breast or bottle around 1 year old Introduction of Solids Transition to Table Foods • From 12 to 24 months old – Increase variety of table foods – Increase texture of foods ( from puree to chunky to small pieces) Feeding 12–24 months Milk and Milk Products Meat and Protein Foods Breads, Cereals and Starches Fruits and Vegetable Fats and Oils 4 servings 2 servings 4 or more servings 4 or more servings 3 servings 4-6 ounces whole milk and milk products ½ -1 ounce meat or egg ¼ cup ½ - 1 slice bread, ¼ - ½ cup cereal, rice or 3 ounces juice (limit to one serving) and 1-2 tablespoons fruits and vegetables Do not limit legumes pasta Foods to Avoid • Peanut butter, shell fish, and honey • Chocking hazards: nuts, raw carrots, popcorn, round candy, hot dogs and grapes Growth • By 1 year: – Birth wt. triples – Length increases 50% • Monitored closely • Growth charts – Boys/Girls Birth-36 month – Boys/Girls 2-20 years – Syndrome specific "To eat is a necessity, but to eat intelligently is an art." - La Rochefoucauld This material was funded by USDA’s Food Stamp Program through the California Department of Public Health’s Network for a Healthy California. These institutions are equal opportunity providers and employers. The Food Stamp Program provides nutrition assistance to people with low income. It can help buy nutritious foods for a better diet. For information on the Food Stamp Program, call 1-888-328-3483.