Nutritional Guidance for 14-Month-Olds: What to Feed Your Baby - Nutrition

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What is the best diet for a one-year-old baby?


Hello.
My baby is now over 14 months old.
When she was 2 to 3 months old, we discovered she had a hemangioma.
We previously treated it with corticosteroids.
Later, when she turned one, the doctor said she could stop taking the medication since it would gradually improve after the age of one.
However, the doctor mentioned that the medication did not show much improvement for her.
Now that she has stopped, I have noticed that her physical strength and immunity seem weaker than those of other children, which makes me very concerned about her nutrition.
I used to take care of her myself, but due to life pressures, I have now entrusted her care to my mother-in-law.
I am unsure how to communicate with her because I used to feed my baby porridge every three and a half hours, along with snacks in between.
My baby is not particularly picky; she will eat as long as she is hungry.
Just yesterday, she finished her porridge at noon and went to sleep, waking up around 4 PM.
Normally, I would give her porridge again, but my mother-in-law gave her bread, pudding, and water instead.
Later that evening, she refused to eat, and I realized she had a bloated stomach.
My baby has had digestive issues since she was little and is prone to bloating.
I used to feed her porridge three times a day, with milk in the morning and evening, and snacks at other times.
Is this approach correct? I would like to know if bread is nutritious.
Should children eat whatever they can as long as they are willing? My mother-in-law, however, restricts her intake, fearing that she will gain weight if her stomach stretches.
What other foods are more nutritious? Sometimes she sweats cold while sleeping.
Please advise me.

Xiao Yu, 20~29 year old female. Ask Date: 2008/06/17

Dr. Shi Guimei reply Nutrition


Dear Xiao Yu,
Hello! Regarding nutrition during early childhood, the Food Information Network of the Department of Health provides very rich and detailed information for reference (http://food.doh.gov.tw/children/children/infant/02h.htm).
As for sweating during sleep, you may want to check if the child is wearing too many clothes or if the sleeping environment is too stuffy.
If necessary, you can turn on the air conditioning.

Wishing you peace and health.
Sincerely,
Dietitian Shih Kuei-Mei
Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2008/06/17

More Info


Feeding a 14-month-old baby requires careful consideration of their nutritional needs, especially given your concerns about their health and development. At this age, children are transitioning from a diet primarily based on milk to one that includes a variety of solid foods. Here are some guidelines to ensure your baby receives a balanced diet:

Nutritional Needs for a 14-Month-Old
1. Balanced Diet: A well-rounded diet for a toddler should include:
- Fruits and Vegetables: Aim for a variety of colors and types. Fresh, cooked, or pureed options are great. Fruits like bananas, apples, and berries, and vegetables like carrots, peas, and sweet potatoes are nutritious choices.

- Grains: Whole grains are preferable. Offer oatmeal, whole grain bread, rice, and pasta. While bread can be part of the diet, it should not replace more nutrient-dense foods like fruits and vegetables.

- Proteins: Include sources like lean meats, poultry, fish, eggs, beans, and legumes. These are essential for growth and development.

- Dairy: Whole milk, yogurt, and cheese are important for calcium and vitamin D. If your baby is still breastfeeding, that’s great, but you can also introduce whole milk if you choose to wean.

2. Meal Frequency: At this age, toddlers typically eat three meals and two to three snacks a day. It’s important to establish a routine that includes regular meal times. This helps regulate their appetite and ensures they receive adequate nutrition throughout the day.

3. Hydration: Ensure your child is drinking enough fluids. Water is essential, and you can also offer milk. Limit sugary drinks and juices, as they can lead to poor nutrition and dental issues.


Addressing Specific Concerns
- Gastrointestinal Issues: Since your child has a history of gastrointestinal discomfort, it’s crucial to monitor their diet closely. Foods that are high in fiber (like fruits and vegetables) can help with digestion, but introduce them gradually to avoid gas. Avoid overly processed foods and those high in sugar, as they can exacerbate digestive issues.

- Communication with Caregivers: It’s essential to communicate your feeding routine and preferences to your mother-in-law. Explain the importance of maintaining a consistent diet that includes nutritious foods. You might consider providing her with a simple meal plan or a list of acceptable snacks and meals.

- Nutritional Value of Bread: While bread can be a part of your child's diet, it should not be the main component. Whole grain bread is more nutritious than white bread, but it should be complemented with other food groups to ensure a balanced intake.

- Cold Sweats During Sleep: If your child is experiencing cold sweats while sleeping, it could be related to the sleeping environment (too warm or too many layers) or possibly an underlying health issue. Ensure that the room is at a comfortable temperature and that your child is dressed appropriately for sleep.


Conclusion
In summary, focus on providing a variety of foods that meet your child’s nutritional needs while being mindful of their gastrointestinal health. Establishing a routine and communicating effectively with caregivers will help ensure your child receives the best possible nutrition. If concerns about your child’s health persist, consider consulting a pediatrician or a registered dietitian for personalized guidance.

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