Infant anorexia and the introduction of complementary foods?
Hello, my daughter is currently 8 months old and weighs 8.5 kg.
She does not drink milk except when she is sleeping or extremely hungry (after more than 7 hours).
I am quite worried that she may not be getting enough nutrition, so I have been adding supplements to her milk.
Is this appropriate? Her current feeding schedule is as follows: she drinks 180 cc at 12:30 AM, 180 cc at 5:30 AM, has a rice porridge meal around 12:00 PM that is about 80% full, and drinks 180 cc or has another rice porridge meal at 6:30 PM.
Is this enough nutrition for her? She shows interest in our food and wants to eat, but refuses to drink milk.
What should I do? Could you please provide some methods and information regarding the introduction of solid foods and caloric needs? Thank you!
Shuhui, 20~29 year old female. Ask Date: 2003/03/04
Dr. Tang Weili reply Nutrition
At eight months old, children are very curious about their external environment and may sometimes neglect their diet.
Your baby’s growth is on track, and she needs about 800-1000 calories per day.
Infant formula should be given three to four times a day, with each feeding being approximately 200 c.c., which provides around 500 calories.
The rest of her caloric intake should come from complementary foods, such as 1-2 tablespoons of fruit (or vegetable) puree, 2 egg yolks, and 2-3 bowls of rice cereal, among others.
For adult foods, just ensure that the texture is adjusted to prevent choking, and she can share a little bit.
A child's activity level influences their appetite; generally, more active children tend to eat more.
Mothers need not worry excessively, as a child's body will naturally adjust their food intake according to their growth rate.
Reply Date: 2003/03/04
More Info
It’s understandable to be concerned about your daughter’s nutrition, especially at such a critical stage of her development. At 8 months old, infants are typically transitioning to solid foods, and it’s common for them to show preferences for certain foods over others, including milk. Here’s a comprehensive approach to address your concerns regarding her milk refusal and the introduction of solid foods.
Nutritional Needs of an 8-Month-Old
At this age, infants require a balanced diet that includes a variety of nutrients to support their growth and development. The American Academy of Pediatrics recommends that infants receive breast milk or formula as their primary source of nutrition for the first year, but they also need to start incorporating solid foods around 6 months of age.
Milk Refusal
Your daughter’s refusal to drink milk can be concerning, but it’s important to remember that many infants go through phases where they prefer solid foods over liquids. Since she only drinks milk when she’s very hungry or sleepy, it may be a sign that she is ready to explore more solid foods. However, it’s crucial to ensure that she is still getting enough calcium and vitamin D, which are essential for bone development.
Introducing Solid Foods
Given that your daughter is showing interest in solid foods, this is a great opportunity to expand her diet. Here are some suggestions:
1. Variety of Foods: Introduce a variety of pureed or mashed fruits and vegetables, grains, and proteins. Foods like sweet potatoes, bananas, avocados, and well-cooked carrots are excellent choices. You can also introduce iron-fortified cereals mixed with breast milk or formula.
2. Texture Progression: As she becomes more accustomed to eating solids, gradually increase the texture of the foods. You can move from purees to mashed foods and eventually to small, soft pieces that she can pick up and feed herself.
3. Finger Foods: At this age, many babies enjoy self-feeding. Offer soft finger foods like small pieces of ripe banana, cooked peas, or soft-cooked pasta. This can encourage her to eat more and develop her motor skills.
4. Incorporating Dairy Alternatives: If she continues to refuse milk, consider introducing yogurt or cheese, which can provide similar nutritional benefits. These dairy products can be easier for some infants to accept.
Nutritional Supplements
Adding nutritional supplements to her milk can be appropriate if advised by a pediatrician. However, it’s essential to consult with her healthcare provider before making any changes to her diet or introducing supplements. They can help determine if she needs additional nutrients based on her overall diet and growth patterns.
Monitoring Growth and Development
Keep track of her growth by regularly visiting her pediatrician. They will monitor her weight and height to ensure she is growing appropriately. If there are concerns about her nutrition or growth, they may recommend specific dietary adjustments or supplements.
Encouraging Milk Intake
To encourage her to drink more milk, you might try:
- Offering Milk in Different Forms: Experiment with different temperatures (warm or cold) and types of cups (sippy cups or regular cups) to see if she prefers one over the other.
- Routine: Establish a routine where milk is offered at specific times, making it a regular part of her day.
- Modeling Behavior: Let her see you or older siblings drinking milk. Children often mimic the behaviors of adults and older children.
Conclusion
In summary, while it’s important for your daughter to receive adequate nutrition, her refusal to drink milk can be addressed by diversifying her diet with solid foods and dairy alternatives. Ensure that she is getting a balanced diet rich in essential nutrients, and consult her pediatrician for personalized advice. With patience and creativity, you can help her develop healthy eating habits that will serve her well into the future.
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