What to Feed Your Baby and Toddler
New studies shed light on the importance of good nutrition for babies.
Posted May 11, 2018
When Is the Right Time for Vegetables?
Early exposure has been linked to greater consumption and decreased incidence of obesity later in life.
Although the entirety of an infant’s development is critical, the period between 6 and 12 months is a special time when you can expose your baby to a wide variety of tastes and textures. By the time your baby reaches 6 months, the introduction of solids is ideal, not only for her health but also because your baby is most accepting of new foods during this 6-month period. When you think about it, developmentally this makes sense: At this point your child is eager to explore and learn about the world around her. Exposure is how we learn to like new and different things, so why not take advantage of this opportunity to introduce baby to a wide variety of tastes, textures, and colors while she is most open to trying them? Early exposure to fruits, vegetables, whole grains, and other nutrient-dense foods has been linked to greater consumption of these healthy foods and decreased incidence of obesity later in life. After 12 months, exposure to new foods seems to have less of an effect, whether or not your child likes the food. Simply trying to expose your child to new foods can be problematic, especially considering that between ages 2 and 5 years, children are particularly neophobic (or hesitant to try new things) about food.
How Much Food Does Baby Need?
I don’t really like to focus too much on calories or other numbers (like body weight or servings per day) when it comes to babies (or adults, for that matter), because eating a variety of healthy foods is more important than matching some arbitrary number. If you are feeding baby lots of different fruits, vegetables, grains, and protein, and he is taking in food regularly at mealtimes, you don’t need to worry about how much he is eating.
That said, it is helpful to have some gauge so you can know roughly how much a typical baby at a given age needs. Also, it is helpful to have a general breakdown of where calories should be coming from (as it can vary for infants vs. toddlers).
When babies are infants (6 to 12 months old), their total daily energy intake should be around 35 to 50 calories per pound of body weight per day. So if your 9-month-old baby girl weighs 18 pounds, she needs 630 to 900 calories a day from breast milk or formula and foods. To us, 630 to 900 calories might seem like a whole lot for a little baby. Especially when most adults, who are much larger than babies, need just 2,000 to 2,500 calories per day. Babies’ needs are so high compared to their body weight because they are growing so fast, whereas adults need energy only for general maintenance (unless they are athletes or expending a lot of energy each day in, say, manual labor).
When Should Baby Start Solids?
Before babies reach the age of 6 months, all the calories, vitamins, and minerals they need come from breast milk or formula alone. This means that there is no need to be giving rice, cereal, juice, and other foods before 6 months. In fact, if you do, you can actually cause problems for baby.
Vegetables: When and How Much?
Here is a general timeline for how much vegetables baby might be eating, and when. Note that this is just a guide, and every baby is going to differ. By no means should you worry if baby is not keen on following this plan, but it is a good reference for parents.
- 6 to 8 months: 2 to 3 tablespoons, 1 to 3x/day
- 9 to 12 months: 2 to 4 tablespoons, 2 to 3x/day
- 1 to 2 years: ¼ cup cooked, 2 to 3 servings
What Happens If Baby Becomes Nutrient Deficient?
Given our relatively affluent and increasingly inactive lifestyles, caloric requirements are too often met with high fat and sugar-rich foods, and we don’t eat enough dietary fiber, fruits, and vegetables. This can have a number of detrimental effects on the health of toddlers and infants, including dental caries (aka cavities), constipation, and obesity.
A multivitamin I have found to be great is the new line from Rainbow Light, Nutristart Plus, which is made with organic fruits and vegetables (and is also non-GMO and gluten-free).
Which Nutrients Does Your Baby Need?
Now let’s review the macro- and micronutrients that your baby needs to grow healthy and strong. I will discuss the macronutrients. This is a pretty exhaustive list, and I will provide some ideas on vegetable and fruit sources that are high in each nutrient, so you can be aware of foods that might be good to build into baby’s diet.
- Carbohydrates: starchy vegetables like corn and peas
- Fat: avocado
- Protein: soybeans and soy milk, chickpeas, black beans, and legumes
- Vitamin A: soft carrots, sweet potatoes, butternut squash, cooked spinach or kale, small pieces of bell peppers (even green ones!), broccoli (pureed, or tiny, well-cooked stalks for toddlers who are ready), and peas
- Vitamin B1 (or thiamine): acorn squash, avocados, peas, watermelon, navy beans
- Vitamin B2 (or riboflavin): spinach and broccoli
- Vitamin B3 (or niacin): sweet potatoes, squash, peas, beets, mushrooms, and bell peppers
- Vitamin B6 (or pyridoxine): baked potato, cooked spinach, pureed prunes, chickpeas, banana, and avocado
- Folate (or Vitamin B9): avocado and papaya
- Vitamin B12 (or cobalamin): fortified cereals
- Vitamin C (or ascorbic acid): raw fruits and vegetables: fresh soft fruits like berries, kiwi, and oranges and vegetables like red bell peppers and leafy greens
- Vitamin D: from fortified foods, like milk
- Vitamin K: green leafy vegetables, cabbage (cooked and pureed), broccoli (pureed, or cooked stalks for the older kids), cucumbers (pureed or in very small pieces) and prunes (pureed)
- Calcium: greens (except spinach), peas and beans.
- Fiber: most veggies (especially winter squash, broccoli, and carrots)
- Iron: lentils with red bell peppers, fresh fruit dessert after a legume meal
- Magnesium: broccoli and spinach
- Manganese: cooked spinach and sweet potatoes
- Potassium: fresh vegetables, sweet potatoes, cooked winter squash, and bananas (pureed, or cut into appropriate-size pieces)
- Selenium: plant-based foods
- Zinc: chickpeas, kidney beans, and collard greens
Al-Salem AH. (2014) Nutrition and caloric requirements for infants and children. In: Al-Salem AH, An Illustrated Guide to Pediatric Surgery. Switzerland: Springer International Publishing.
American Academy of Pediatrics. (2017) Infant food and feeding. https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/HA…. Accessed September 1, 2017.
Brown University. (2017) Pediatric Nutrition Handbook. http://med.brown.edu/pedisurg/Brown/Handbook/Nutrition.html. Accessed September 7, 2017.
Huh SY, Rifas-Shiman SL, Taveras EM, et al. (2011) Timing of solid food introduction and risk of obesity in preschool-aged children. Pediatrics, 127(3):e544-e551.
Johns Hopkins Medicine. (2017) Feeding guide for the first year. https://www.hopkinsmedicine.org/health/wellness-and-prevention/feeding-…. Accessed September 14, 2017.
Montana WIC. (2017) Infant feeding guide. Accessed September 14, 2017.
Naylor AJ, Morrow A. (2001) Developmental readiness of normal full term infants to progress from exclusive breastfeeding to the introduction of complementary foods: reviews of the relevant literature concerning infant immunologic, gastrointestinal, oral motor and maternal reproductive and lactational development. Wellstart International and the LINKAGES Project/Academy for Educational Development. http://pdf.usaid.gov/pdf_docs/Pnacs461.pdf. Accessed September 7, 2017.
Owen CG, Martin RM, Whincup PH, et al. (2005) Effect of infant feeding on the risk of obesity across the life course: a quantitative review of published evidence. Pediatrics, 115(5):1367-1377.
WIC Works Resource System. (2017) Guidelines for feeding healthy infants. https://wicworks.fns.usda.gov/wicworks/WIC_Learning_Online/support/job_…. Accessed September 14, 2017.
World Health Association. (2008) Persistent organic pollutants (POPs). www.who.int/ceh/capacity/POPs.pdf. Accessed August 29, 2017.
UNICEF. (2017) WHO/UNAIDS/UNICEF infant feeding guidelines. https://www.unicef.org/nutrition/index_24811.html. Accessed September 1, 2017.
Allen RE, Myers AL. (2006) Nutrition in toddlers. American Family Physician, 74(9):1527-1532.
American Academy of Pediatrics. (2012) Breastfeeding and the use of human milk. Pediatrics, 129(3):e827.
Black RE, Victora CG, Walker SP, Bhutta ZA, et al. (2013) Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890):427-451.
CDC. (2016) Vitamin K FAQs. https://www.cdc.gov/ncbddd/vitamink/faqs.html. Accessed June 28, 2017.
Drake VJ, Angelo G, Delage B. (2017) Vitamin A. Oregon State University, Linus Pauling Institute, Micronutrient Information Center. http://lpi.oregon-state.edu/mic/vitamins/vitamin-A. Accessed June 28, 2017.
Ehrlich SD. (2013) Vitamin C (ascorbic acid). University of Maryland Medical Center. https://umm.edu/health/medical/altmed/supplement/vitamin-c-ascorbic-acid. Accessed June 28, 2017.
Ehrlich SD. (2013) Vitamin K. University of Maryland Medical Center. https://umm.edu/health/medical/altmed/supplement/vitamin-k. Accessed June 28, 2017.
Ehrlich SD. (2014) Calcium. University of Maryland Medical Center. https://umm.edu/health/medical/altmed/supplement/calcium Accessed June 28, 2017.
Ehrlich SD. (2015) Vitamin B2 (riboflavin). University of Maryland Medical Center. https://umm.edu/health/medical/altmed/supplement /vitamin-b2-riboflavin Accessed June 28, 2017.
Gidding S, Dennison BA, Birch LL, Daniels SR, et al. (2006) Dietary recommendations for children and adolescents: a guide for practitioners. Pediatrics, 117(2):544-559.
Hochholzer W, Berg DD, Giugliano RP. (2011) The facts behind niacin. Therapeutic Advances in Cardiovascular Disease, 5(5):227-240.
Kennedy DO. (2016) B vitamins and the brain: mechanisms, dose and efficacy—a review. Nutrients, 8(2):68.
Mayo Clinic. (2013) Vitamin B12. http://www.mayoclinic.org/drugs-supplements/vitamin-b12/dosing/hrb-2006…. Accessed June 28, 2017.
Mayo Clinic. (2013) Zinc. http://www.mayoclinic.org/drugs-supplements/zinc/background/hrb-20060638. Accessed June 28, 2017.
National Institutes of Health, Office of Dietary Supplements. (2016) Folate: fact sheet for consumers. https://ods.od.nih.gov/factsheets/Folate-Consumer/ . Accessed June 28, 2017.
Schleicher RL, Carroll M, Ford ES, Lacher DA. (2009) Serum vitamin C and the prevalence of vitamin C deficiency in the United States: 2003-2004 National Health and Nutrition Examination Survey. The Journal of Nutrition, 90(5):1252-1263.