Essential Guide to Baby Food: Nutrition Tips for 11-Month-Olds - Pediatrics

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Infant complementary foods


Hello Doctor, my daughter is currently 11 months and 18 days old, weighing 7.6 kg (her weight gain has been slow, with a birth weight of 2796 g) and measuring 72 cm in height.
She is very active.
Her daily feeding schedule is as follows:
- 7:30 to 8:00 AM: 180 CC of milk (often leaving about 20 CC)
- Around 9:00 AM: 1/3 to 1/4 bowl of fruit and water
- Around 10:30 to 11:00 AM: 1 bowl of porridge with vegetables and pork (or beef or fish).
Sometimes she eats toast or noodles.
The amount of vegetables and meat is about two pieces of standard-sized ice cubes.
- 12:00 PM to 2:30-3:00 PM: Nap
- 2:30-3:00 PM: Wakes up and has 150-180 CC of milk (also not finishing it)
- 6:00 to 7:00 PM: 1 bowl of porridge with vegetables and pork (or beef or fish)
- 8:00 PM: Starts preparing for bed, so she has another 120-150 CC of milk before sleeping, usually around 9:00 PM.
I would like to ask the doctor the following questions:
1.
I understand that each child has different appetites, but how much should she be eating to be considered sufficient? I feel like she might not be eating enough, but I'm not sure what is acceptable.
2.
Should I adjust her feeding times?
3.
If my child can manage without having milk before bed, can I stop giving her the bedtime milk? It seems a bit forced since she has dinner not long before having the bedtime milk.
She shows interest in milk but doesn't drink much.
If I stop it, I worry as a mother that she might not be getting enough nutrition.
These are my questions, and I would appreciate any additional advice you could provide, or if there are any issues I haven't addressed, please correct me.
Thank you for taking the time to respond.

tina, 30~39 year old female. Ask Date: 2010/10/11

Dr. Pei Rensheng reply Pediatrics


Dear Tina: Regarding the issue of infant complementary foods, please refer to the attached document for my response.
Wishing you peace and health.
Sincerely, Dr.
Pei Ren-Sheng, Director of Pediatrics, Taoyuan General Hospital, Department of Health.

Reply Date: 2010/10/11

More Info


When it comes to feeding an 11-month-old baby, it's essential to ensure that their diet is balanced and meets their nutritional needs. At this age, babies are typically transitioning from a primarily milk-based diet to one that includes a variety of solid foods. Here are some key points to consider based on your questions and the current feeding schedule of your daughter.


1. Understanding Nutritional Needs
At 11 months, babies generally require a variety of nutrients to support their growth and development. The American Academy of Pediatrics recommends that infants aged 6-12 months consume a diet that includes:
- Fruits and Vegetables: Aim for a variety of colors and types to ensure a range of vitamins and minerals. Soft, cooked vegetables and mashed fruits are excellent choices.

- Grains: Iron-fortified cereals, whole grain bread, and pasta can provide essential carbohydrates and fiber.

- Protein: Include sources like pureed meats (chicken, beef, fish), beans, and lentils. These are crucial for growth and muscle development.

- Dairy: Full-fat yogurt and cheese can be introduced, but whole cow's milk should be avoided until after the first year.

Given your daughter's weight and height, it seems she is on the lower end of the growth curve. It's important to monitor her growth closely and consult with a pediatrician if you have concerns about her weight gain.


2. Portion Sizes and Frequency
Regarding portion sizes, every child is different, and their appetite can vary from day to day. However, a general guideline for an 11-month-old might include:
- Milk: Continue breastfeeding or formula feeding, aiming for about 16-24 ounces per day. Since your daughter often leaves some milk, it’s okay; she may be self-regulating her intake.

- Solid Foods: Offer three meals and two to three snacks daily. Each meal can include about 1/4 to 1/2 cup of grains, fruits, and vegetables, and 1-2 tablespoons of protein.

- Snacks: Healthy snacks can include small pieces of fruit, yogurt, or whole grain crackers.


3. Meal Timing and Sleep
Your current feeding schedule seems reasonable, but you may consider adjusting the timing slightly. For instance, if she is having difficulty finishing her milk after dinner, you might try offering it earlier in the evening or reducing the amount slightly to encourage her to eat more solids.

If your daughter is willing to skip the bedtime milk and still seems satisfied, it may be acceptable to eliminate it. However, ensure that she is getting enough nutrients throughout the day. If you decide to stop the bedtime milk, you can replace it with a small, nutritious snack if she seems hungry.


4. Addressing Concerns About Nutrition
If you are worried about her nutritional intake, consider keeping a food diary for a week to track what she eats. This can help you identify any gaps in her diet. If she is consistently refusing certain foods or if her weight gain remains slow, it may be beneficial to consult with a pediatric nutritionist or your pediatrician for tailored advice.


5. Encouraging Healthy Eating Habits
Encourage a positive eating environment. Allow her to explore different textures and flavors, and avoid pressuring her to eat. Children often go through phases of being picky eaters, and it’s important to remain patient and persistent. Offer a variety of foods, and let her decide what and how much to eat.


Conclusion
In summary, focus on providing a balanced diet rich in fruits, vegetables, grains, proteins, and dairy. Monitor her growth and consult with healthcare professionals if you have concerns. Adjust meal timings as needed, and foster a positive eating experience to help her develop healthy habits. Remember, every child is unique, and it’s essential to be flexible and responsive to her needs.

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