Lecture 6 Flashcards
What age are toddlers and preschoolers?
Toddlers: 1-3 yrs
Preschool: 3-5
What are eating patterns that can be established at a young age?
Learning food preferences
Developing feeding skills
Developing eating habits
Innate ability to self regulate
When do energy and nutrient needs decrease?
Around 12 months
When does food intake increase for toddlers/preschoolers?
Increase food intake during periods of rapid growth
-appatite varies (ups and downs)
What varies more, daily energy intake or meal intake?
Meal intake
- Kid has smaller appetite as they progress past that first year of life
- Theres a difference in day to day in how much a toddler will eat, some a lot others less
How much milk should kids be getting/day?
Over 2yrs no more than 16oz/day
What are the energy needs of toddlers/preschoolers?
Individual needs vary widely
-based on growth physical activity
Total needs increase with age
Need/kgBW decrease gradually
What are the AMDRs for toddlers/preschoolers?
Fat:
30-40%(1-3yrs)
25-35%(3-5yrs)
Carb:
45-65%
Protein:
5-20%(1-3yrs)
10-30%(3-5yrs)
What do we need to consider interns of protein for toddlers/preschoolers?
Quality of protein consumed (eat high quality)
Decrease amount of total protein needed in the diet to provide essential amino acids
What is the amount of protein based on need/kgBW for toddlers/preschoolers?
RDA 1-3yrs: 1.1g/kgBW/day (13g/day)
RDA 4-8: 0.95g/kgBW/day (19g/day)
Why shouldn’t we restrict fat in young children?
Important source of energy and essential nutrients
Provides essential fatty acids for Brian development
-oils, avocados, nut, seed butter
What kind of milk should kids get if they are 12-24months and not nursing?
Whole milk
Why isn’t skim, 1% 2% and milk alternatives not appropriate for kids?
Not appropriate for <2 years because there is not enough fat
Why are kids constipated?
High cheese intake
Low intake of fiibre
Low intake of water
Stool holding
What is stool holding?
Chiild doesn’t completely empty bowl=over distension, large fecal mass in belly, painful to have BM=more stool holding
What are the problems with too much fibre?
May displace other energy dense food
May decrease bioavailability of some minerals
Diarrhea
How do you determine how much fluid a child should get?
<10kg: 100ml/kg
10-20kg: 1000ml+50ml/kg
20gk+: 1500ml+20ml/kg
What are the key nutrients of children?
Fe Ca Zn Vitamin D -need increase with age
What nutrient does a healthy balanced diet lack?
Fe
- diet has to be really well planned
- Fe demand coupled with growth rate can lead to anemia if not adequate intake
How should children get enough Fe?
Meals/snack should be Fe rich
- meats
- cereals
- green peas
- rasisn/dried apricots
- beans
Consume less than 24oz
What is the most common deficiency?
Fe deficiency anemia
- more common in low income kids
- associated with longterm delays in cognitive development and behavioural disturbances
How much Fe, Zn and Ca should a toddler 1-3yrs get?
Fe 7mg
Zn 3mg
Ca 700mg
How much Fe, Zn and Ca should a kid 4-8yrs get?
Fe 10mg
Zn 5mg
Ca 1000mg
What do kids multivitamins look like?
Contain Fe, Zn, Ca Fruit flavoured Chewable Cartoon snapped Extra colours and sugars
Who should use multivitamins?
Deprived families Malnourished Anoorexic/poor eating habits Vegetarian diets without adequate intake of dairy Chronic diseases
Is there a danger to taking vitamins?
Fe Poisoning
Who does not require multivitamin supplementation?
Most children consuming a variety of basic foods
-supplementation is unnecessary
What is the UL for Fe?
0-13yrs= 40mg/d
-max quantity safe for most children