Salt:Sodium for Babies and Toddlers

Salt/Sodium for Babies and Toddlers

I feel like a lot of us, parents, are pretty conscious of how much sugar we’re giving to our little ones, but what about their salt intake, especially if you are doing mixed approach.

HOW MUCH SALT?

Due to insufficient data for babies, an AI (Adequate Intake) for sodium has been established.

  • For infants 6 months and younger, the AI for sodium is 110 milligrams per day (here).
  • Babies between the ages of 7 and 12 months have an AI of 370 milligrams per day (here).

So, up to 12 months of age, the recommended amount of sodium per day is less than 400 mg sodium. This includes salt found in breastmilk/formula AND solid foods. So, considering that breastmilk and formula have about 200 mg of sodium per 24 oz., this means that babies should only be consuming about 200 mg of sodium via solid food daily.

The reason for this recommended intake level is that we assume that babies’ kidneys are still very immature and won’t be able to process large amounts of salt properly. So far, we don’t have enough research yet to say that this is 100% the upper limit for salt for babies under 1 year old. They may be able to handle more, but without enough research indicating the highest level actually determined safe before developing any risk of poor health effects, sticking to this limit is advised.

SALT VS. SODIUM

Salt and sodium are often used interchangeably and you may see both on food labels. Table salt that we eat is actually made up of sodium (40%) and chloride (60%).

1 tsp salt = 2300 mg sodium 

1 g sodium = 2.5 g salt 

We definitely need both of these electrolytes (as well as potassium) as they help send messages along the nerves, enable muscles to contract,  balance the amount of fluids in the body, enhance nutrient absorption, regulate acid-base balance, absorb potassium, and control the level of bacteria present in the stomach.

SALT IN FOODS

Salt in pretty much everything store-bought, processed or packaged. It’s a preservative and it makes food taste amazing, so naturally food manufactures will put it in deliberately. Salt can be found in:

  • Processed meats like deli meats, bacon, hotdogs, ham and sausages.
  • Frozen foods like fish sticks, chicken nuggets, frozen meals.
  • Potato chips
  • Crackers
  • Canned soups
  • Gravy
  • Broths (vegetables, chicken, beef)
  • Olives, pickles, pickled vegetables (Kimchi)
  • Soy sauce

Other foods that you may not be aware as they don’t taste very salty but are very high in sodium:

  • Cheese and other dairy products like yogurt and milk
  • Bread, bagels, English muffins, tortillas, and other bread products
  • Canned tomato and pasta sauce
  • Canned vegetables
  • Canned beans
  • Box cereal

*Fresh Milk  – 100 mg sodium in 1 cup. The high sodium content is one of the many reasons milk is not recommended as a main drink until your baby turns one. A little milk in cereal or baked goods is ok, so no need to cut it out completely.

WHAT SHOULD YOU DO?

As you can see in the picture above, sodium is found naturally in foods as well as added to processed foods. It’s practically in every food. So do we need to completely eliminate salt from baby’s solid foods?

AT HOME

If you are cooking meals for your family, you can always hold off on adding salt until after you have taken out your baby’s portion. For example, when making a stir-fry, put a small portion aside before adding soy sauce to the pan.

It is important not to add salt to anything you cook from scratch, even if you think it tastes bland, taste can be different experience for your baby than it is for you. You can use herbs and spices as flavour enhancers.

During the first few months of eating, it is very unlikely that a baby will consume a large amount of sodium. Especially if you are being mindful in the purchased foods you provide. When baby’s don’t eat that much, it is just a hard proposition for them to get in a lot of sodium. And if a baby is self-feeding, it does take a while for them to start to ingest a decent amount of food!

For older baby, if we are sharing meals and eating more family-style meals, it is likely that you will need to pay a little closer attention to their foods as hidden sodium can be found in so many foods!

AT RESTAURANT

Restaurant foods tend to be much saltier than what you would make at home. It is also very hard to determine how much sodium is actually in a dish. Even if the nutritional information is published, many chefs will add salt as they see fit, regardless of the recipe. There are a couple of ways you can approach this. My general recommendation is not to worry too much. As long as you aren’t eating at a restaurant daily, or multiple times a day, it will all even out. Try to order something that would normally be cooked with less salt. You can even ask the waiter’s or chef’s suggestion.

If you have a baby that doesn’t eat that much yet, or in general, then you should be fine. If your baby usually eats a lot, there is always the option of bringing along some food for them that you know is low in sodium. I generally find that I can make do at restaurants with the food on the menu. I also want my child to experience the different flavors available. But if you’re unsure what is there, it never hurts to bring your own food along.

The key is being mindful and seeing how you can balance things in the next few days. Maybe one day they eat a good amount of cheese and bread, so the next day you are very conscious of only offering low or no sodium foods. Maybe one meal they eat at restaurant and the next meal you focus on fruit and a homemade muffin for snack. Pick and choose your battles and do what you can to make smart decisions wherever possible.

If it’s really only once or twice a week that you have restaurant meals, then just be sure to note that and adjust the food choices for the rest of the week! Keep it truly balanced while continually striving to plan ahead.

BOTTOM LINE

The idea is to do your best, serve homemade meals as much as possible. Read labels and practice mindfulness around what you’re eating and feeding your baby. This is a good practice to get into for the whole family.

What you feed your child today lays the foundation for taste preferences for tomorrow. 

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Adding Herbs and Spices to Baby Foods

Herbs and spices provide our foods with a multitude of flavours, fragrances, and colours. However, many parents worry about adding flavour this way to their babies’ food, believing that spices are hot and not suitable for little ones’ taste buds.

Baby food doesn’t have to be bland!

There is a big difference between hot spices and aromatic ones. Aromatic spices, such as turmeric, garlic, ginger, dill, cumin, nutmeg, garlic, dill, and cinnamon, are perfectly fine to introduce to baby after 6 months.

This guide explains why I recommend parents adding herbs and spices to baby’s food, the benefits of adding them and gives some ideas on how to start introducing them to your baby.

WHY YOU SHOULD INTRODUCE HERBS AND SPICES TO BABIES

If your baby doesn’t have any digestive problems, I always encourage parents who are just starting weaning their babies, either by purees or baby led weaning (around 6 months of age), to experiment with herbs and spices from the beginning. The more you expose your baby to a variety of tastes and flavours, between 6-12 months, the more likely it is that they’ll accept a variety of food later on in life! This means adding herbs and spices right from the beginning helps reduce the chances of pickiness.

In fact, breastfed babies are often introduced to a variety of spices even before starting solids. Breast milk can change its flavour, depending on a mum’s diet. If mum enjoys spicy and flavoursome food, then her baby will be exposed to this through her milk, helping create and develop a taste for flavoured foods. Therefore, by flavouring food with a variety of herbs and spices, you’ll continue the benefits of flavour exposure found in breastmilk.

What about exclusively formula fed babies? We know that babies are made to handle various flavours from the first day of their life, they were capable of experiencing various spices without any issues. So bland food is actually not a requirement for them and it’s natural for them to experience different flavours. If your baby is exclusively formula fed, then they wouldn’t have that exposure, and so beginning with some herbs and spices when they start solids is a great way to get those taste buds primed for new flavours.

As salt and sugar should be limited in baby food, spices and herbs are a great way to flavour food.

BENEFITS OF INTRODUCING HERBS AND SPICES AT AN EARLY AGE 

  • Trains the baby’s taste buds to enjoy variety flavors and will set the foundation for healthy eating habits.
  • Teaches the baby to expect change with food. Offering a plain mashed banana one day and a mashed banana with a dash of cinnamon the next can have a valuable influence on the child’s evolving palate.
  • Fresh herbs are packed with antioxidants, vitamins and minerals.
  • Herbs and spices are great flavour enhancers without adding unnecessary sugar and salt.
  • Helps babies transition to family food, as your baby will be familiar with those tastes and more likely to accept them.

WHAT ABOUT HOT SPICY FOODS?

Hot spicy foods (cayenne pepper or jalapeño) can hold off for a while. But, it is recommended to use aromatic spice first, such as curry, cumin, oregano, turmeric, cinnamon, mint, basil, allow them to experience those flavours first, before adding small amounts of hot spices. We live in Malaysia, the 3 major cultures that have influenced Malaysian food are Malay, Chinese and Indian. A lot of Malaysian dishes can be classified under the hot and spicy category. So, once you start, use mild spices in small dosages, therefore, you can cook a dish that the whole family can enjoy.

POPULAR FLAVOUR COMBINATIONS 

Here is a list of baby friendly herbs, spices and natural flavor enhancers and the foods that pair well with them:

Vegetables 

  • Asparagus: Parmesan cheese
  • Banana: rolled in unsweetened coconut
  • Broccoli: nutritional yeast
  • Butternut squash: cinnamon, nutmeg, allspice or ginger
  • Carrots: basil and garlic; or cinnamon
  • Cauliflower: curry powder
  • Green beans: garlic powder
  • Mashed potatoes: dill or garlic
  • Pumpkin: cinnamon, nutmeg, or ginger
  • Sweet potato: cardamom, cinnamon, cajun spice or nutmeg

Fruits 

  • Applesauce: cinnamon, nutmeg, allspice, or ginger
  • Avocado: cilantro or parsley
  • Bananas: cinnamon or allspice
  • Pears: ginger or cinnamon

Grains/Cereals

  • Oatmeal: cinnamon and nutmeg
  • Pasta: basil, oregano, or garlic
  • Rice: cinnamon, nutmeg, cardamom, or ginger
  • Quinoa (sweet): cinnamon, nutmeg, cardamon, or ginger
  • Quinoa (savory): garlic powder, pepper, onion powder, basil, or oregano

Dairy

  • Plain yogurt: cinnamon or mint

Meat 

  • Chicken: ginger; rosemary, sage and thyme; lemon zest and pepper; or basil and oregano; paprika
  • Beef: garlic and pepper; or onion powder and pepper
  • Salmon: dill, lime or lemon

TIPS TO ADD SPICES & HERBS TO BABY FOOD

When adding herbs and spices, make sure to start simple and try not to add too much so as to overpower the food. Start out by adding one herb or spice to your baby’s food and then building it up from there by mixing with other flavours.

  • Storage: Store spices in airtight containers away from light and heat. Whole spices will keep for around 1-2 years but after around six months, ground spices will start to lose their aroma and flavour. So buy in small amounts and use often!
  • Pre-mix spice blends: Always read the packaging when using pre-mix spice blends (as they often have added sugar and salt), try making your own blends.
  • Start slowly: Start with plain foods so baby can try the taste of the food on its own.
  • Use small amounts: Once baby has tasted the food plain, you can gradually add spices and herbs you use when cooking for the rest of the family. Use small amounts to start with to allow your baby to get used to different flavours. You don’t want to overpower the food. Start out by adding just a pinch.
  • Prepare fresh leafy herbs properly: Wash fresh herbs and then puree or finely mince before adding to baby food. Large leaves can be a choking hazard
  • Don’t give up: If your baby rejects the flavour of the spices/herbs just remember that it can take up to 10-20 exposures for a new flavour to be accepted.

Let’s give our babies something other than tasteless mush or finger foods to eat!  I’m a firm believer that babies deserve the tasty goodness we feed ourselves. When you implement these tips, you will create a change in taste and expectation for your baby. When babies learn to accept change with food, they become less likely to get stuck in food ruts.

If you’ve added herbs and spices to your baby food, what’s your little one’s favourite combinations?

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Why Shouldn’t Babies Eat Honey?

The American Academy of Pediatrics (news) and the World Health Organization advises that honey should not be added to food, water, or formula that is fed to infants younger than 12 months of age. This technically, applies to raw and unpasteurized honey, local honey; even applies to all foods and baked goods containing honey.

Honey can contain spores of bacterium called Clostridium Botulinum, which can germinate in a baby’s immature digestive system and release the toxin that causes Infant Botulism – a potentially fatal illness.

Honey should never be given to a child under the age of 12 months old.

SIGNS AND SYMPTOMS OF INFANT WITH BOTULISM 

Symptoms typically appear within 12-36 hours after eating contaminated food, but may occur as early as a few hours and as late as 10 days.

  • muscle weakness
  • flat facial expression 
  • decreased movement 
  • lethargy in feeding or weak sucking
  • weak cry
  • constipation 

These are all a result of the muscle paralysis caused by bacterial toxin. If your infant has signs of botulism, it is recommended you visit the emergency room immediately as this is a life-threatening illness.  Be sure to keep samples of the potentially contaminated food for testing.

IS HONEY SAFE FOR TODDLERS, OLDER CHILDREN AND ADULTS? 

These spores are usually harmless to adults and children over age one. In adults, the amount of botulism spores ingested (if any) from honey is really quite negligible because we have mature intestines. The intestines of an adult contain enough acids to counteract the production of toxins the botulism bacteria produce. Once an infant reaches the age of 1 year or older, their immune system is well developed and intestines have a balance of acids that help destroy and fight off any toxins that the botulism bacteria produce. 

WHAT ABOUT FOODS CONTAINING HONEY?

Children under age 1 should not be offered any foods with honey, including yogurt with honey and cereals and crackers with honey, such as honey graham crackers, honey nut cheerios, honey wheat bread. Cooking and baking do not reach temperatures high enough to kill or destroy the botulism spores. 

Honey is unsafe in any form under one.

BOTTOM LINE

Honey contains modest amounts of B vitamins and vitamin C, it can be a nice addition to your baby’s diet, but it’s important to wait until after 12 months of age. Remember, honey, a sweetener, does have a lot of calories, just like other natural sugars. Read labels carefully to see if processed foods contain honey.

Did you know that I provide personalized nutrition consultation service for families? If this is something you’d like to learn more about, check out here

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How to Help Your Child to Gain Weight

So often in the media we hear about the obesity epidemic and how too many children are overweight or obese. But what about those on the flip side of the coin? The ones that may not eat much, may be very selective with their food choice, may have an aversion to food, or may have other underlying medical concerns that it is hard for them to keep weight on?

Being underweight is not the same as being thin or slender. Some children have a naturally slight build and maintain it with a well-balanced diet and physical activity.

The child’s weight can cause great worry to the parents.

THIN OR UNDERWEIGHT? CHECK THE GROWTH CHART 

Children show us they are thriving through their normal growth and development as demonstrated on the Growth Chart. Your public health nurses or paediatrician plots your child’s weight and length/height routinely at well-visits and check-ups.

There are 4 nutrition indices to define nutritional status of children as measure through anthropometric measurements – body weight and height.

  1. weight-for-age (risk for underweight)
  2. height-for-age (risk for stunting)
  3. body mass index (BMI)-for-age (risk for overweight)
  4. weight-for-height (risk for wasting)

Percentiles (from 3 to 97) represent the normal window of growth we can expect for children.

The 50th percentile shows the average. This is where most children are.

It means that below 50th percentile is lower than the average, but still normal. Above 50th percentile is above the average, but still normal too!

Here’s what the percentile values on a growth chart do mean:⠀

A 2 year old boy who places on the 48th percentile on the weight-for-age growth chart means that 52% of all the boys (same age) out there weigh more than him and 48% weigh less than him.⠀

OR

Even if your child is at the 8th percentile for his weight, meaning that 92% of kids his age weigh more than he does, if he has always been at the 8th percentile, then he is likely growing normally. It would be concerning and it might mean there was a problem with his growth if he had previously been at the 50th or 75th percentile and had now fallen down to the 8th percentile

What you should actually look at is how they progress over time on the growth chart and whether or not they’re staying on THEIR particular curve. Children who are growing normally will track their growth predictably on their own personal growth curve. Whether 48th percentile or 8th percentile, it doesn’t mean that his particular weight is good, bad, right or wrong. There is no “goal” to reach here. It just shows that body come in all shapes and forms. Some children are meant to be more petite or smaller, some are meant to be more largely built or much taller. Just look at their parents and family history as a good indicator! Genetics will win!

If time passes and you notice they’ve dropped from the 48th to the 15th percentile, that’s more of a concern! Same thing goes when it’s a big jump from the 60th percentile to the 85th percentile. That’s more of what we would call “falling off the growth curve”. It could be, of course, due to over/under-eating, malabsorption issues or some other underlying medical issue or it could be something as simple as a growth spurt.⠀

The key message here is that there’s no right or wrong percentile for your toddler! Every child has their own established growth curve. Where another child has nothing to do with where your child should be. Having a chubby or a skinny toddler does not mean they are healthy or not healthy. And trying to actively change their natural curve does a lot more harm than good.⠀

Last, the growth chart is a good indicator of your child’s overall nutritional status.  If your child appears to be maintaining a usual and predictable pattern on the curve, you can rest assured that your child is getting adequate calories for normal growth.

It is not just about extra calories.

START WITH HEALTHY MEALTIMES

Sometimes, parents use ineffective strategies to get their child to gain weight and grow, including negative feeding practices, in an attempt to feed them high calorie foods to boost their weight.

First, building a healthy food relationship (not just calories) is more important.

Understand the Feeding Relationship 

A parent’s role is to choose what foods to offer, when, and where. Parents should provide healthy foods and offer regular meals and snacks.

A child’s role is to decide how much to eat and whether or not to eat at each meal.

Zero Pressure

Sometimes your child may refuse meals or snacks. Don’t beg, bribe or threaten your child to eat certain kinds or amounts of food.

Pressuring a child to eat can make them eat less. 

Away from Distraction 

Families should enjoy healthy eating together. Your child shouldn’t be singled out from the rest of the family. Everybody eats at the table together. Your child will focus on eating with fewer distractions. Turn off the TV, computer, IPad, and put toys aside around feeding time.

Stick to Mealtime Schedule

Regular meals and snacks will help your child eat enough food to grow well and be healthy. Offer food every 2-3 hours at planned times.

Offer 3 meals and 2-3 snacks each day. 

Watch Empty Calories

Limit foods like sugary drinks, candies, potato chips and donuts. These foods don’t help children grow well.

Set Mealtime Boundaries

Set some table rules at meal times such as “everyone stays at the table until dad/mum’s finished”, even if your child doesn’t want to eat what you’ve served. Because they are sitting with food in front of them, they may end up picking at it! This is useful if your child wants to rush off and play rather than eat. But don’t force or nag them to eat. You’re just asking them to stay at the table. You don’t want to turn meal times into a battle.

Avoid Filling Up on Fluids 

Drinking too many fluids like milk and juice may make a child less hungry for meals and snacks.

Serve no more than 2-3 cups of milk each day. Limit fruit juice to 0-1/2 cup each day.  

Read Label

Limit foods and drinks labelled “light”, “low fat”, “fat-free”, “low calorie” or “sugar-free”.

Watch Your Languages 

Watch your language and conversation around body size and shapes. If you talk about people being fat, on a diet, over-eating, or you are watching your own weight by counting calories or you obsess over food labels and your own body shape, then a child picks up on this quickly. Children mirror a parent’s pattern and chatter. Catch yourself out and avoid this kind of chatter, especially if your child has suddenly started eating less and is starting to lose weight, they may have started dieting because of this unhealthy conversation.

FOODS TO GAIN WEIGHT 

Every Bite Count 

Every bite of food and every gulp of liquid can make a contribution to your child’s ability to gain weight and grow. Offer foods high in calories and rich in nutrients at every meal and snack.

Make some simple switches to double up their energy intake without making them eat more. 

Parents with an underweight child are usually struggling with knowing which foods to feed their child to help them gain weight.

If your child is thin or underweight and you are worried about whether he or she is getting enough nutrition, here are some ideas to help calm your fears and feed your child:

  • Vegetables and Fruit
    • Cooked vegetables with cheese sauce or grated cheese
    • Fruit with yogurt or peanut butter
    • Avocado as a spread, in smoothie, or as a dip (guacamole)
    • Potatoes, sweet potatoes, squash (butternut squash or spaghetti squash), or turnips mashed with milk and butter (or non-hydrogenated margarine)
    • Dried fruit (apple, prunes, apricots, raisins, cranberries) added to baked goods
  • Grain Products
    • Bread, crackers, muffins with cheese, cream cheese, hummus, nut butter
    • French toast, pancakes, waffles made with eggs, oil, milk. Serve with syrup, fruit, yogurt on top
    • Hot or cold cereal with milk, nuts and fruit
    • Granola or muesli with yogurt and fruit (recipe here and here)
    • Wheat germ added to baked goods
    • Meat (fried in oil) with vegetables and rice
  • Milk and Alternatives
    • Choose whole or full fat milk. Offer as a drink or use it in place of milk in recipes
    • Cream soup or sauce made with whole milk
    • All types of cheese. Sliced or grated onto foods
    • Yogurt as a dip, mixed with fruit, or added to smoothie
    • Fortified soy beverages can be use as a drink or in recipes
    • Plant-based milk are often lower in calories and protein. Not recommended !!
  • Meat and Alternatives
    • Meat with gravy or other sauces (curry or sweet and sour sauce)
    • Scrambled egg with cheese
    • Egg salad sandwich
    • Omelette with cheese, ham, tomato, peppers
    • Quiches
    • Hummus with crackers or pita bread
    • Fish cake (recipe: Easy Salmon Cake)
    • Nut butter spread on bread, or added to smoothie or muffins
    • Tofu
    • Nuts or seeds offered as snacks or add to baked goods, granola, or muesli

I’ve also got another free FOODS TO GAIN WEIGHT guide you can use for your children to get you started so you can start feeling better about every bite your child takes.

ACTIVE LIFE 

Give your child more time to be active. Being active can make children hungrier for meals and snacks. Limit screen time, like watching TV and using other electronics. Read this post to learn how to increase physical activity level of your child.

BOTTOM LINE 

If you’re a parent struggling to put weight on your child, remember that at the end of the day, you want a healthy, happy and confident child. So, yes while it is important for your child to eat, do not make it a battle or power struggle. If you’re concerned about their growth, be sure to talk to your doctor, dietitian, or public health nurses.

Are you worried about your thin child? Are you thinking that you might want some one-on-one nutrition counselling, either for you, or your baby or child? Check out my one-on-one nutrition counselling services here. 

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Understanding Lactose Intolerance

WHAT IS LACTOSE? 

Lactose is is a naturally occurring sugar found in milk and other dairy products (yogurt, cheese and ice cream). When you consume food or drinks containing lactose, an enzyme named lactase in the small bowel will break down lactose into two simple sugars: glucose and galactose. These nutrients are then absorbed in the small intestine.

Image source: http://www.evo-ed.org/Pages/Lactase/cellbio.html

WHAT IS LACTOSE INTOLERANCE? 

However, some people might produce less lactase than the others. If the small bowel has insufficient lactase, the lactose consumed will not be digested properly and will continue through to the large bowel. Lactose in the large bowel will be fermented by the gut bacteria, which produces gases including hydrogen, carbon dioxide and methane. This gas production not only can lead to unpleasant gastro-intestinal symptoms such as distention, bloating, flatulence and constipation but can also draw water into the large bowel resulting in loose stools or diarrhea.

Some people may have a temporary lactose intolerance due to  viral infection like the stomach bug, while others can experience it when they have a digestive disorder like celiac disease. Still others may experience lactose intolerance their entire lives.

SYMPTOMS  

  • bloating
  • abdominal pain due to gas
  • tummy cramps
  • nausea
  • loose stool or diarrhea

If you are lactose intolerant, the symptoms may vary and are dose-dependent. That is, the more lactose you consume, the worse the symptoms become. Symptoms may occur immediately after drinking milk or eating dairy products, or they may be delayed for hours.

Lactose intolerance is NOT an allergy to milk. 

DIAGNOSIS 

To diagnose lactose intolerance, the hydrogen breath test is a simple, non-invasive and reliable investigation test. Lactose intolerance is indicated when hydrogen and methane levels of breath meet a certain criteria following the oral consumption of standard dose of lactose.

Another simple way to diagnose lactose intolerance is an elimination diet which involves removing lactose in the diet and assessing whether symptoms improve, followed by a re-introduction of lactose in the diet to assess whether symptoms return.

WHAT FOODS CONTAIN LACTOSE? 

Read the ingredient list on product labels to find out if the product contains a lactose-cotaining food. Food items to look out for include: milk, milk solids, malted milk, buttermilk, curds, cheese flavours, non-fat milk powder, non-fat milk solids, sweet or sour cream, lactose, whey and yogurt.

Note: 1) the cultures in yogurt help to digest lactose 2)Products that contain lactic acid, lactalbumin, lactate and casein do not contain lactose. 

IF YOU ARE LACTOSE INTOLERANT, SHOULD ALL DAIRY PRODUCTS BE AVOIDED? 

Yes, you will need to modify the diet in order to alleviate the discomfort and symptoms at the beginning. The first step is to remove all sources of lactose in the diet that can cause problematic symptoms, including milk and dairy products.

The second step is to find nutritious substitutions for those items you’re removing:

Note: 1)”Lactose free” means that there is no detectable lactose in the food. 2)”Lactose-reduced” means that at least 25% of the lactose in the product has been removed.

Recent research has suggested that most people with lactose intolerance can consume up to 12 to 15g of lactose without any symptoms. You can still tolerate some foods that contain lactose like yogurt or cheese, even if you are lactose intolerant.

OTHER TIPS ABOUT INCLUDING LACTOSE IN YOU AND YOUR CHILD’S DIET: 

  • Drink milk in smaller quantities. Most people with lactose intolerance can tolerate 1/2 cup milk at a time.
  • Eat small amounts of lactose-containing foods spaced throughout the day.
  • Eat with other solid foods may delay digestion, offering more time for the lactase enzyme to break down lactose.
  • Yogurt may also be tolerated (plain better than flavoured), because the live bacteria in the yogurt partially digests the lactose before consumption. Yogurt is also a semisolid, which moves slowly through the digestive tract.
  • Aged cheese tend to have lower lactose content.
  • Try lactase enzyme drops or tablets from the pharmacy. Tablets are taken before eating foods that have lactose. Enzyme drops can be added to milk before drinking.
  • Soy products do not contain any lactose and can be a suitable substitute for dairy products, providing they have calcium added.

Do you have a child with lactose intolerance? How are you managing? Did you know that I provide one-on-one nutrition counselling service for children and families? If you are diagnosed with lactose intolerance, I can help to ensure you are not missing out on important nutrients such as Calcium. This is particularly important for children. If this is something you’d like to learn more about, check out here

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How to Prevent Food Allergy When Starting Solids

Food allergies are on the rise. In the past, some expert recommended that dairy products and other common food allergens like eggs, peanuts and fish not be introduced until after an infant’s first birthday. More recently, evidence has shown that there is no reason to delay introduction of these foods beyond 6 months of age. In fact, delaying the introduction of these foods may increase your baby’s risk of developing allergies (here).

Current recommendations for solid food introductions are to wait until around 6 months of age. Look for your child’s readiness cues and provide only breast milk or formula until that time. There are no hard and fast rules as to what order or exactly what age to introduce certain foods to a baby. Babies really can go to town and eat what the rest of the family are eating (making sure the foods are an appropriate texture to avoid choking).

Read my article on When to Start Solids and How to  Start Solids for more info.

What Is a Food Allergy? 

A food allergy is when the body’s immune system mistakes a food as harmful and this cause a reaction. A food allergic reaction appear after a few minutes of giving a food and often will happen within two hours of having the food. Signs can also show up hours or days later. They can be mild (flushed face, abdominal pain, rash/hives, stuffy/runny nose) to severe (vomiting, diarrhea, blood in stools). The most extreme allergic reaction is anaphylaxis, where the throat starts to close and there is difficulty breathing.

Which Foods are Most Likely to Cause an Allergic Reaction? 

The most common food allergens are:

  • Eggs
  • Fish
  • Milk
  • Tree Nuts (Walnuts, Almonds, Cashew, Pecan, etc)
  • Peanuts
  • Sesame
  • Shellfish
  • Soy
  • Wheat

So should you feed your baby these foods? or avoid it? As of now, here’s what you need to know…

Risk of Developing Food Allergies? 

Your baby may be at high risk for developing food allergies if a parent, sister or brother has an allergic condition such as: food allergies, eczema, asthma or hay fever. Your baby is at lower risk if no parent, sister or brother has an allergic condition.

What to Eat When Pregnant and Breastfeeding

When you are pregnant or breastfeeding, good nutrition is extremely important, and you should continue to eat all of the nutritious foods that you usually eat. You do not need to avoid common food allergens while pregnant or breastfeeding. Go ahead and eat peanuts or drink a milkshake. Avoiding potential allergens will not decrease your baby’s chance of having an allergy to these foods. Breastfeeding itself maybe protective against food allergies.

If you choose to avoid certain foods while pregnant or breastfeeding, speak with a Registered Dietitian or your health care provider to make sure you are getting all the nutrients you and your baby need.

When Can You Feed Babies Highly Allergenic Foods

For low risk baby, there is no benefit to delaying common food allergens past 6 months.

For high risk baby, there is no reason to wait until the baby is older before introducing highly allergenic foods, and some studies suggest that it may even be helpful to introduce foods early. Talk to your allergist about whether it would be help to do a food allergy test before feeding these foods to your baby or speak with your dietitian about a personalized plan for food introduction.

The goal is to choose foods that provide the most nutrition. 

Here are a few steps that you could follow:

    Try other food first

The first foods that you give your baby should not be the most allergenic ones. Start with other single ingredient foods, such as rice or oat cereal, yellow and orange vegetables (sweet potato, squash and carrots), fruits (pears, banana, apples) and green vegetables (peas, broccoli, spinach), tender meat. Once things are going well with these other foods you can then start to introduce the common food allergens.

    Go slowly

Introduce just one food at a time, and then wait 3-5 days before trying the next new food (whether it is a highly allergenic food or not).

    Choose the right time

When you are ready to introduce a highly allergenic food, pick a time when you’ll be at home and you will be able to watch your baby closely for any signs of reaction. Along these lines, it may be better to do this earlier in the day and not right before a nap or bedtime. Do not try these foods right before you need to leave the house to go somewhere, such as to drop the baby off at day care or take your other children to school. Although many babies react the first time they eat a food, you should be cautious for the first two or three times that your baby tries an allergenic food. After that you can relax knowing the chances of a reaction are extremely small.

    Start with a small quantity

Don’t give your baby a full serving of a highly allergenic food on the first feeding. Start with a just a little. If there does not appear to be a reaction, then you can gradually increase the quantity during the next few feedings.

    Use nut butters, not nuts

Never feed nuts to a baby. Babies can choke on nuts. To introduce nuts into your baby’s diet, use nut butters or pastes.

You can do so in small amounts and can even try rubbing some of the food on their chick and then lip to see if it produces a rash, before giving/feeding that food.

Bottom Line

If your baby has severe allergic reaction, carry an epi pen. Make sure your baby is on a balanced diet, if it is quite restricted, please talk to your dietitian. Also, you will need to become an expert on reading food label and searching for all of the various names for the food you are avoiding.

If the allergies are mild, you can always try re-introducing the food after a few months.

If you have questions about food allergies. Contact Me about starting a nutritional counselling program.

Introducing Solids to Your Baby: Baby-Led Weaning Vs. Spoon Feeding

Introducing Solids to Your Baby: Baby-Led Weaning Vs. Spoon Feeding

When I was a nutrition student, I was taught at school that there is ONLY one way to introduce solids to baby – the traditional “puree, spoon-fed” way.

After being a first-time mom, I was first introduced to the concept of “Baby-Led Weaning” by a friend of mine when my son was around 6 months of age. I had never heard of this before and didn’t know what to think, the questions keep popping in my head “what about the importance of iron-rich foods when first starting solids?” and “what about choking?”. I was so curious and I decided to do some research to learn more about it.

WHAT IS BABY LED WEANING? 

The name itself is a bit misleading (I was fooled by it for a while) as we usually think of weaning as the process of stop breastfeeding. Baby-led weaning is DIFFERENT. It is the term used to describe a way of introducing solid foods where babies feed themselves starting about six months of age. Breastfeeding (or formula feeding) continues during this process. For their first solid foods, babies are given larger pieces of soft foods that they can grasp and eat instead of the more Traditional Method of feeding where parents spoon-feed mashed or minced foods to babies. The idea behind baby-led weaning is that the baby can share the same (or similar) foods that the rest of the family is eating and that they sit and participate in the family meal while everyone eats.

TWO APPROACHES TO INTRODUCING SOLIDS TO YOUR BABY 

Baby-led weaning and the Traditional Method of introducing solids have similarities. They both recommend you:

  • Start introducing solids at about 6 months of age (when baby shows they are ready)
  • Let your baby choose how much to eat
  • Introduce safe finger foods starting at 6 months
  • Encourage eating with the family
  • Move toward offering the same foods as the rest of the family
  • Never leave the baby unattended while eating

WHAT YOU NEED TO KNOW BEFORE CHOOSING AN APPROACH 

Age: Start at 6 months

For both approaches, it is recommended to start at 6 months when your baby can sit up and control her/his head movements. Most babies can grasp larger pieces of food and will try to put them in their mouth at this stage.

Follow Baby’s Hunger and Fullness Cues

With whatever method you choose, practice responsive feeding. This means watching for the cues and clues your baby gives you. Follow your baby’s lead and make sure that she/he decides whether or not she/he eats, what she/he eats (of what you offer), how much she/he eats and how fast or slow she/he eats.

Type of Foods: Offer Iron-Rich Foods as First Foods

Babies need a lot of iron (11 mg/day at 7-12 months of age) and that is why it is recommended that the first foods offered to babies be iron-rich. Please read: Best Started Foods for Baby-Led Weaning

With baby-led weaning it may be more difficult to ensure your baby is getting the iron she/he needs. Some parents will start with vegetables and fruit as first foods because they are easy finger foods. However, these foods don’t have enough iron to meet baby’s needs. Offering iron-rich food at least twice a day will help give your baby the iron she/he needs.

Safety: Avoid Foods that are Choking Hazards

The risk of choking is a concern with infants no matter what method of feeding you use. To minimize the risk, always ensure that your baby is sitting up and facing you when eating, learn about how to avoid/decrease the risk of choking and brush up on your infant first aid/CPR course to help keep your baby safe.

DIETITIAN’S THOUGHTS 

Self-feeding usually takes longer than spoon-feeding, so allow time for your baby to eat. Some babies will be better than others at getting food into their mouths and eating it. If you’re trying BLW and find that baby continues to have a hard time, try a mixed approach (TW+FF). Offering some food on a spoon in addition to finger foods may help them meet their energy, iron, and general nutrition needs. It may also help them avoid feeling frustrated if they want to eat but don’t quite have the movements down. I certainly don’t think that you should be made to feel guilty about the way you choose to introduce solids.

If your baby was born early, is not growing well, is developmentally delayed or has a condition that makes chewing or swallowing difficult, then BLW may not be appropriate for them.

Whether you choose to try BLW, traditional approach or a combination of the two, the main goals are:

1) to provide your baby with the nutrients and energy she/he needs

2) to expose her/him to new flavours and texture

3) to help her/him safely learn eating skills in a relaxed environment with no parental pressure or distractions

In the end, the best approach is the one that makes you both feel comfortable and confident. Feeling good about how things are going helps to make the eating experience pleasurable for the whole family.

Do you have any questions about feeding your baby? Worry about choking? Contact Me about starting a nutritional counselling program.

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Milk Matters for Children: When, What and How Much?

Milk is a hot topic in parent’s group. When, how much and what type/kind of milk to choose? Due to more and more organic stores in the market, the confusing messages and nutrition myths, more parents are turning to milk alternatives (plant-based beverages) to fulfil their little one’s milk needs.

Unfortunately, the plant-based beverages (fortified or non-fortified) don’t provide enough nutrition. (here)

Your children are growing right before your eyes! Children more than double their height and weight between the ages of 2 and 12. During this time, a base is built for a body that will last them a lifetime.

Milk provides the building blocks children need – 16 essential nutrients, plus energy for fuel to grow. (here

WHAT YOU NEED TO KNOW ABOUT YOUR MILK CHOICES 

Children under 12 months of age should have breast milk or formula for their main drinks.

Milk is key not only for energy as well as tissue growth, but also for building strong bones and teeth and regulating muscle control.

It is safe to introduce cow’s milk between the ages of 9-12 months of age, however, I recommend waiting until 12 months. There are a few reasons why you should think twice about introducing fresh milk too early.

  1. The proteins present in fresh milk are hard for babies to tolerate and digest. (WHO, 2009)
  2. Milk contains too much sodium, potassium and chloride which can tax your baby’s kidney. (WHO, 2009)
  3. Milk is lack of important vitamins and minerals such as iron, Vitamin E and Zinc.
  4. Higher risk for iron deficiency anemia and if your baby drinks too much cow’s milk, he or she is also at a risk for internal bleeding.

That being said, once your baby reaches about 12 months, his/her digestive tract is mature enough to handle milk and reap the many nutrition benefits from it. It’s a nutrition powerhouse full of protein, carbohydrates, Calcium, Vitamin D and Vitamin A.

When they turn one, I encourage moms to continue breastfeeding if they are already, even with the introduction of cow’s milk. If your baby is on formula, you can slowly transition to homogenized cow’s milk (assuming your baby does not have  a milk allergy) at one year. Don’t rush, because your baby’s digestive system needs time to adapt to the new proteins and other nutrients present in fluid milk. Start with 1-2 tbsp a day and slowly increase this amount until fully transitioned. Again, you can continue breastfeed as long as possible.

Recommendations:

1-2 years old: 2-3 cups (16-24 oz) of milk per day.

2-8 years old: 2 cups (16 oz) of milk per day.

(Lower-fat milk or fortified plant-based beverages can be offered).

9-18 years old: at least 2 cups (16 oz) of milk per day.

P/S: If your baby is still breastfeeding, he/she may not need as much.

PLANT-BASED BEVERAGES 

Plant-based beverages are made from plant foods such as soy, rice, almond, coconut, oat, potato and hemp. They look like milk and are often called “milks” but may not have the same nutrition as cow’s milk.

Plant-based beverages are often lower in protein and energy than cow’s milk. They may also be lower in important nutrient like Calcium and Vitamin D, especially if homemade. Also, these milks often do not contain enough calories, protein or fat for a growing toddler. Some plant-based beverages can also be high in certain minerals that can be harmful if a child drink too much.

Added sugar: Oligosaccharide and cane sugar
Added sugar: Oligosaccharide
1 servings of Pink Lady drink contains 70.5 mg of sodium and 3.8 g (approx. 1 tsp) of sugar.
High CHO content.

Read the Nutrition Facts table on each beverage package. Some beverages are fortified (have nutrients added) and some aren’t. The nutrients in plant-based beverages can vary.

CHOOSE A PLANT-BASED BEVERAGES FOR YOUR 2 YEARS OLD 

Plant-based beverages are not recommended for children under age 2 because they can be low in important nutrients like fat, protein and calories. If offering a plant-based beverage instead of cow’s milk to a child age 2 and older, choose a product that:

  • is labelled as fortified or enriched (example: fortified with Calcium or Vitamin D) Most milks in Malaysia don’t fortified with Calcium or Vitamin D. 
  • provides at least 6 g of protein per 1 cup (250mL)
  • provides at least 30% Daily Value of Calcium and Vitamin D per 1 cup (250 mL)
  • contain less than 10 g of sugar per 1 cup (250mL)

Since plant-based beverages are generally low in protein, children 2 years of age and older who are drinking a plant-based beverages as their main milk sources should be offered a variety of lean meats, poultry, fish, beans and lentils, eggs, tofu and nuts to ensure adequate intake of protein.

What types of milk are appropriate for a child under 2 years of age who is allergic to cow/goat’s milk or lactose intolerance

If your child is allergic to milk or lactose intolerant, you may want to consider keeping him/her on formula or a follow-up formula until the age of 2 to ensure proper nutrition. There are soy varieties or hydrolyzed protein/hypoallergenic varieties out there for babies with allergies or intolerances. You should offer the same quantity as you would cow’s milk. Check with your child’s doctor or a dietitian.

In Malaysia, there are 3 main companies providing infant formula – Nestle, Abbott, MeadJohnson.

Do you have a child who has milk allergy or lactose intolerance? You not sure what type/kind of milk to choose for your toddler? Contact Me about starting a nutritional counselling program.

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Can I Give Finger Foods If My Baby Doesn’t Have Teeth Yet?

According to the new infant feeding guidelines, it is now recommended that babies be introduced to a variety of textures within the first few months of starting solids. Spoon-feeding purees is no longer the one and only way. In fact, you can jump right in with soft finger foods (Baby Led Weaning) if you feel comfortable with it.

As a dietitian, I’m often asked this question:

My baby doesn’t have any teeth yet? Can I give him finger foods?

ANSWER: YES !!!

BABIES CHEW WITH THEIR GUMS

Babies can enjoy soft finger foods before they have teeth. They can mash foods into smaller pieces using their gums.

Finger foods are small pieces of food that your baby can pick up and eat easily. Introducing finger foods early, soon after starting solids, helps your baby get used to different food textures, improve coordination and encourages self-feeding. These are important feeding skills. Most babies are ready for finger foods by 6-7 months, some babies start right at 6 months (BLW). Many won’t have teeth (or very many teeth) by this age.

You baby is likely ready for finger foods when you see the following:

  • He can sit upright with minimal support.
  • He is very interested in watching people eat and the food on your plate.
  • He can eat thicker purees (the consistency of mashed potatoes).
  • He can bring food to his mouth using his hand.

SAFE FINGER FOOD IDEAS FOR BABIES 

Choose soft foods that baby can grasp easily with fingers or hands. Offer your baby different kinds of finger foods from all 4 food groups.

Vegetables (soft cooked) and Fruits

  • Soft cooked vegetable (grating, cut into bite-sized pieces or strips): Carrot, broccoli, green beans, yam, sweet potato, potato, cauliflower, zucchini, squash
  • Soft, ripe, peeled fruit (grating, cut into bite-size pieces or strips): apple, pears, ripe slices of kiwi, mango, papaya, melon, cantaloupe, banana, fresh or canned unseated peaches, ripe avocado, oranges, thawed frozen fruit and berries
  • Seedless grapes don’t have to peel but should cut into four bite-size pieces

Grain Products 

  • Whole wheat toast, bagels or buns (cut into strips)
  • Pieces of roti or tortilla
  • Unsweetened oat ring cereal like Cheerios
  • Cooked pasta
  • Rice balls

Milk Products 

  • Grated or small cubes of pasteurized cheese

Meat & Meat Alternatives (soft and well cooked)

  • Ground meat or poultry
  • Small (pea sized) pieces of tender meat or poultry
  • Fish (de-bonded and flaked)
  • Quartered meatballs
  • Well cooked eggs (cut in to pieces)
  • Small cooked beans (black beans and navy beans)
  • Larger cooked beans (kidney beans – cut in half)
  • Tofu
  • Smooth nut or seed butter (spread thinly on a cracker or bread to make it easier to swallow)

Mealtimes will be messy and slow at first. This is part of learning how to eat.

FOODS TO AVOID 

Hard and sticky foods can cause choking and should be avoided.

  • Whole nuts or seeds
  • Raisins
  • Popcorn
  • Gum
  • Hard candies or jellybeans

No HONEY during baby’s first year. Honey may cause botulism, a type of food poisoning, that could make your baby sick.

BOTTOM LINE

It is amazing to watch what little ones can handle with their gum. So go ahead and offer finger food versions of a wide variety of food that your family eats. I enjoy watching my boy, Aiden, discovers the amazing variety of tastes and textures that food comes in.

Are you still waiting for your baby to get a tooth?  For more help with baby led weaning and how to help you baby succeed with eating, be sure to check out my 3 months TRANSFORM program. 

How to Start Solid Foods

How to Start Solid Foods

Last blog we talked about When to Introduce Your Baby Solid Foods. It is important that parents wait until their healthy babies are at least 6 months of age before starting solid foods to maximize the time that they exclusively breastfeed and to ensure that their digestive systems are mature enough to handle solid foods.

Today, I am going to write about HOW to introduce solids. Get ready for your camera, take a video and watch the funny faces that your baby makes. Here are some tips that make it easier for you to transition your baby to solids:

  • Good Mood. Offer new foods when baby is alert, relaxed and happy. I like to offer food after breastfeeding (wait 30-60 minutes) or waking up from nap. This may increase the chance of your baby trying a new food.
  • Give your baby 1 new food a day. Offer a variety of foods, can set your baby up to be a more adventurous eater. The ONLY exception is the highly allergenic foods. You can start serving them regularly to your baby around 6 months, but you have to wait 1-2 days before adding the next new allergenic food. This makes it easier to tell if baby is allergic to the food.
  • Start with small amounts. Offer 1-3 tsp (5-15 mL) of food. Offer more food if baby is still showing signs of hunger.
  • Follow baby’s cues. Have your baby sit in a high chair and make sure that you are at approximately eye level. Hold the spoon a few inches in front of your baby’s mouth and wait for baby’s mouth to open when you offer food. Feed as slowly or as quickly as baby wants. Stop feeding when baby shows signs of fullness. If you go with Baby Led Weaning approach, you just let your baby do the eating job.  NEVER FORCE BABY TO EAT. NEVER COMPARE YOUR BABY TO ANOTHER.
  • Start by offering solid foods once a day. Baby will be ready to eat more than once a day soon. Gradually increase to 2-3 times per day and then again to 3-4 times per day.
  • Try new foods and flavours. Some babies are cautious eaters and need time to trust that a new food is okay to eat. Babies may need to be offered a food many times (approximately 15 times!!!) before deciding to eat it.
  • Let your baby touch and explore new foods. Please expect a mess. Messy hands and face help baby get used to new foods. Let’s them have fun.
  • Baby’s appetite will change from day-to-day. Some days a baby will eat a lot, other days not as much. From 6-12 months, baby will slowly start to drink less breast milk and eat more solid food.

“Be cognizant of your baby’s hunger and satiety cues and do not force your baby to eat or over-feed”.

SIGNS OF HUNGER 

  • Lean forward or reaches for food
  • Sucks or smacks lips
  • Open mouth when food is offered
  • Chew on hands
  • Follows foods with their eyes
  • Gets excited when they see food
  • Reaches out to grab for food

SIGNS OF FULLNESS  

  • Turns head away from food
  • Closes mouth when food is offered
  • Covers mouth with hands
  • Fusses or cries
  • Spits food out
  • Pushes food or spoon away
  • Throws food, plate or bowl
  • Tries to leave the highchair

FEEDING TOOLS 

There are so many products out there for feeding your baby. It can get overwhelming to know what exactly you need for starting solids. Here are the TOP 6 must have tools to get you started:

1. High Chair or Booster Seat

  • I think getting an actual high chair is a must, it is nice to have a dedicated seat for baby, having that big high chair tray makes a great food-catcher. This IKEA Antilop high chair with tray is totally affordable.

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  • A booster seat can strap to your own chairs. This seat is foldable for easy storage. I took it with me to grandparents visits and to restaurants.

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2. Bibs

  • You certainly can use the “drooler/cloth” bibs. However, they need to be washed in the laundry after a one-time use.

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  • I recommend you get a separate set of larger, waterproof, easy-to-clean feeding bibs. I like the ones that have a big pocket in the front (to catch solid food).

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  • If your baby is an active explorer, your may prefer Kushies Long Sleeved Waterproof Bib. This will allow your baby to enjoy his mealtimes to the full, without you having to worry that he is ruining his clothes.

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3. Spoons

  • Make sure the spoons contain any plastic, the plastic itself is BPA-free. BPA is a harmful chemical contained in plastic, and it can leach into food when the plastic itself is heated.
  • Munchkin 6-Pack Soft Tip Infant Spoon: A small plastic-coated options is much easier on tender gums. Have several on hand during feedings (one for you and one for baby) to foster baby’s sense of independence and avoid power struggles.

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  • Once your baby’s ready to try self-feeding, you may want to get OXO tot Fork & Spoon Set. This set makes it easy for young eaters to get their food from bowl to mouth.

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4. Dishes

  • When you’re first introducing solids, you will just need a handful of small, plastic bowl (BPA-free, of course).

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  • Calibowl. A deep bowl makes it easier for your baby scoops up their food and the super suction cup on the bottom keeps it from being tossed to the floor. It includes fitted lids, which makes food storage a snap.

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  • Once your baby’s ready to try self-feeding, you may want to pick up a divided plate like this one from OXO tot Divided Plate. I like the removable, raised outer ring keeps food on the plate and helps guide it into utensils.

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5. Straw Cup or Open Cup with/without handles

  • Aiden wasn’t a big fan of bottle, so I was very anxious to start introduce straw cup around 6 months. He would bite on the straw very often but he would sip from it time to time. Using a straw cup does not have the same concerns as a sippy cup. It can actually help with oral motor skills development and will not cause for dental caries because baby’s teeth are not bathed in the liquid. Here are three straw cups that I use:
    • Playtex Sipsters Stage 1 Straw Cup,trainingtime_out_of_pack_green_blue_straw_290x334
    • Munchkin Click Lock Weighted Flexi Straw Trainer Cup71MMm8ir4EL._SY355_
    • Playtex Sipsters Stage 3 Insulated Spill Proof Straw Cup
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  • Offer water in an OPEN CUP as soon as when your baby starts eating solids. They learn quickly how to drink from an open cup.

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6. Snack Catcher

  • No more spilled snacks on the floor or car seat. Perfect idea on-the-go: doctor’s appointment, shopping, grocery shopping, evening walk, etc.

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A HEALTHY FEEDING RELATIONSHIP 

Babies learn by watching people. When families eat together, baby learns that mealtime is a time to come together, eat and share.

  • As a PARENT it’s your job to choose WHAT foods to offer. As baby start to eat solid foods, your are responsible for WHEN and WHERE baby is fed.
  • It’s BABY job to choose HOW MUCH food to eat.

Trust baby to know when he is hungry and full. Your are teaching baby to listen to his body (mindful eating).

Introducing solids to your baby is lots of fun. Try to be PATIENT and know that it may take a while for your baby to warm up to certain new foods — this is completely normal. You may have a baby that loves every food from the first bite! In this case, congratulations! you have a super good little eater.

Bon Appétit babies!

Happy Shopping Mommies!!

Next, we will be talking about The First Food. Stay tuned.