Martin D. Fried MD Pediatric Gastroenterology and Nutrition
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Toddler Feeding Essentials Male1: You survived the first year the child is one year old. The kid is cruising a little bit what is the nutritional guide you can give? Male2: Now your transition in the child away from formula and on to regular foods. They need about a thousand calories a day of which 500 of calories come from either breast or formula. And 500 calorie should come from food it could be something like a wheat mix cereal a potato or a pasta for starch now that would be about three quarters of a cup a day, six one quarter cup or two ounce servings of fruit and vegetables a day. Male1: A kid is probably at that point which the whole milk will switch there is one little concern I have in practice. We get the milk for 16 ounces because milk is iron poor and why they are causing iron deficiency anemia is a huge milk drinker. Sometimes four or five full eight ounce bottle a day and you know the kid is going to get iron deficiency. Male2: According to the American Academy of Pediatrics at year of age, when you win children of formula, you don’t need to replace that with milk. That should really be all food intake for the reasons that you are mentioning that milk is iron poor. Male1: So it is a milk myth so Frank Oski wrote mediocre articles and new alike but the milk myth. Male2: Well Frank Oski was the one who said that you don’t need milk. The cow’s milk is for cows and when cows weaned of milk they graze. They don’t ever drink milk for the rest of life and that we are. It is industry pressure milk is good for little cows same as good for you to build strong bones. Lots of ways you can get calcium besides milk in a lot of other foods. Male1: Well the wet problem is trying to put skim milk on kids are ages now. Most wanted to get all milk but limited to 16 ounces is a little pressure going back and forth. But liming the milk to no more than 16 ounces is by pretty good guideline for people. Male2: I think 16 ounces is the maximum. Along the lines of one year of age, you want a child to be eating things again that are not allergic. So egg yolk instead of egg white the egg white has all the protein in it and embryo in the egg yolk has the omega three fats and the cholesterol. And that young age you are not worried about cholesterol and if you want your child to have egg you could. Male1: Of course you actually you need to make all the hormones we don’t want to limit at that particular age. Male2: Other things that you want to avoid if they are allergic would be wheat, soy, nuts that could be peanuts that could be other kinds of nuts. Male1: Did you mentioned nuts, there is a little danger with that because one of the nuts are a danger food for kids don’t have molars to grind it down and could get in the lungs is that correct? Male2: It could aspirate, it could get stuck in the esophagus as well. Male1: So that includes popcorn and some other things you want to mention? Male2: Popcorn, hotdogs are all foods that you don’t want to give children before they are three years of age. Male1: Is it to eat them to take the skin of the hotdog, these concerns is that correct? Malw2: The skin as well as the hotdog because kids just don’t really chew it well.

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