Please be brief and avoid too many medical terms Dear Doctor,
Please help.
my baby is 1 year old. She completed one year Aug 2007. I need your help to give her healthy diet.
In the morning I give her formula milk abt 120-150ml and after 1 hr some fruits and then for lunch 1 roti with different soups. then after 4-5 hrs i give her suji kheer or nachni kheer or anything with cows milk and after that for dinner rice with moong dal or sometimes with vegetables. and at night formula milk upto 200mldepends on her requirement. Also sometime i give her readymade fruit yogurts,soups and food made for baby.
Is this diet is ok for her? I am maharashtrian and vegetarian so pl. suggest healthy food for my baby. Now her wt is 7.8 Kgs. at birth time her wt is 2.5 kgs.
Thanks,
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considering your kid about 10 kg as expected at 1 year age, his calorie requirement should be around 1000 cal per day with protein requirement upto 8 gm/day,
7.8 Kg although is a lower weight as per growth charts, it can be easily improved with diet modifications if the child doesnt suffer from any other health element. Yet his diet modification aim should be to achieve 1000 cal per day over 2 months.
remember 2 principles for good diet intake at this age: 1.give more palatable feeds with variety.2. feed in small quantity but more frequently.
children at this age have two important reasons for slow weight gain 1. frequent throat infections 2. increased activity
You have added enough variety of feeds, thats a good sign that your child shows acceptance to variety.
weight loss is seen only when diet is less or lacking in calorie , that is it is the quantitative defect hence can be easily adjusted
your kid takes: formula 120-150ml +some fruits +soups 1chapati +kheer rice +with moong dal+200ml
equal to to around 600-700 cal per day. did u notice that you are feeding your kid only 5-6 times a day when they need to be offered some or other food every 3 hourly. you did not specify quantity of kheer erc, on an average a feed should contain 100 - 150 ml per feed. i
f the child refuses feed, he may need a burp or break and then retry feed after some time.
you may enrich your feeds with calories by using ghee, oil, curds. Making feeds thicker. making daal thicker. adding sago or soya in addition to naachani. fruits should be easily palatable.. abnana are best accepted. so do potatoes and tomatoes to satisfy his chewing desires. keeping a kheer cup handy to the child at home always improves frequency of feeds. avoid unnecessary milk, as the current market milks hardly have nutritious elements rather improve diet. Let me suggets adding one wati sago in morning, reducing the formula quantity to half; and adding a banana at night with breaks. and may be we will reasses your situation after a month for weight gain.
per feed quantity should not exceed weight into 15ml over 2 hours. feed slowly. respect the child when he refuses feeds. check for full tummy or need to burp. maintain activity during / while feeding that will permit more intake.
you may add khichri instead of dal rice, mash the feeds to improve acceptability.
get back to me if any further queries.
when diet fails.. calorie and protein rich concentrated protein supplements may help . but not to be recommended as routine.
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Date/Time: 2007-11-29 02:12:55 PST
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3 comments:
Thank you very much Dr. for your suggestions.
Dr. can you give me detail chart for her diet means in the morning what I have to give her with different food options and same for the whole day.
Also I want to ask you that can I give her banana in winter and also at night?
Actually Dr. mean time she don't ask me for food then also I have to give her food every after 3 hrs.?
Thanks,
xxxxxxxxx
in children upto 3 years of age its preferable not to follow strict diet protocols. what i mean by this is, there is no need to insist on fixed diet at fixed time. Instead you should be fluctuant enough to modify schedules as per childs needs. There is even no need to give only breakfast in morning; if the child takes well you may convert into a mealsome.
its always preferable to have sweet morning. So better options will be kheers, paneer, butter slice. biscuit pastes, noodles etc
a heavy meal should follow once you prepare meals for every body lese in family. its preferable to use same diet items as you prepare for elder family members. But it may be more cooked, more soft, easy to swallow, tasty or enriched with ghee or milk. in addition, mashed boiled potato or banana in addition to meals may make them full.
yes, you can give banana in winter andf night too. iT doesnt cause common cold.
you should offer some food every 3 hour, if she dosnt take dont force, you may insist.
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