Sugary, nonnutritive beverages (e.g., fruit drinks, sweetened bottled water, sports drinks, soda) should be avoided entirely.įat intake should not be limited before 12 months of age but may be limited to 30% to 40% of daily energy intake in one- to three-year-olds. 100% fruit juice should be limited to 4 oz per day in children one to three years of age and served in an open cup. In general, parents should use the approach of “the parent provides, the child decides,” in which the parent provides healthy food options, and the child chooses which foods to eat and how much.Ĭhildren one to two years of age should drink whole milk rather than reduced-fat milk.Ĭhildren older than 12 months should be offered primarily water and milk. Parents should avoid practices that lead to overeating in toddlers (e.g., feeding to soothe or to get children to sleep, providing excessive portions, pushing children to “clean their plates,” punishing with food, force-feeding, allowing frequent snacks or grazing). Parents and caregivers are responsible for modeling healthy food choices and dietary practices, which shape children's food preferences and eating behaviors. Optimal food choices for toddlers are fresh foods and minimally processed foods with little or no added sugar, salt, or fat (e.g., fruits, vegetables, lean protein, seeds, whole grains). Vitamin D and iron supplementation may be advisable in certain circumstances, but multivitamins and other micronutrient supplements are usually unnecessary in healthy children who have a balanced diet and normal growth. Allergenic foods such as peanuts should be introduced early to infants at higher risk of allergies. Sugar-sweetened beverages should be avoided in all toddlers, and water or milk should be offered instead. Breast milk or whole cow's milk should be offered as the primary beverage between one and two years of age. Classifications for faltering weight (also called failure to thrive or growth faltering) and overweight are based on World Health Organization child growth standards (for children younger than two years) and Centers for Disease Control and Prevention growth charts (for children two years and older). During this time, children acquire the motor skills needed to feed themselves and develop preferences that affect their food selections. The establishment of eating practices that contribute to lifelong nutritional habits and overall health begins in toddlerhood.
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