In: Nursing
Nutrition for toddlers and
prescolers
Key Concepts:
1-Children continue to grow and develop physically, cognitively,
and emotionally during the toddler and preschool-age years, adding
many new skills rapidly with time.
2-Learning to enjoy new foods and developing feeding skills are
important components of this period of increasing independence and
exploration.
3-Children have an innate ability to self-regulate food intake.
Parents and caretakers need to provide children nutritious foods
and let children decide how much to eat.
4-Parents and caretakers have tremendous influence on children’s
development of appropriate eating, physical activity, and other
health behaviors and habits formed during the toddler and
preschool years. These lessons are mainly transferred by
example.
Energy Needs:
The formula for Estimated Energy Requirements (EER) for children
ages 13–36 months is (89 × weight of child [kg] – 100) + 20 (kcal
for energy deposition)
For example, a healthy 24-month-old girl who weighs12 kg would
have an EER of (89 × 12 kg – 100) + 20 = 988 kilocalories
Beginning at age 3, the DRI equations for estimating energy
requirements are based on a child’s gender, age, height, weight,
and physical activity level (PAL).
Categories of activity are defined in terms of walking
equivalence.
Protein
Needs:
Adequate energy intake to meet an individual child’s needs has a
protein sparing effect; that is, with adequate energy intake,
protein is used for growth and tissue repair rather than for
energy.
Ingestion of high quality protein, such as milk and other animal
products, lowers the amount of total protein needed in the diet to
provide the essential amino acids.
Dietary Reference Intakes
for protein.
Age. 1–3 years. 4–8 years
RDA* g/kg/ 1.1 g/kg/d or 13 g/day* 0.95 g/kg/d or 19
g/day*
Vitamins and Mineral
Intakes:
DRIs for vitamins and minerals have been established for the
toddler and preschool-age child. Most children from birth to 5
years are meeting the targeted levels of consumption of most
nutrients, except for iron, calcium, and zinc.
Dietary Reference Intakes for key nutrients for toddlers and
preschoolers
Age. Iron Zinc Calsium 1-3 yrs 7 3 500
4-8yrs 10. 5. 800
Four food-safety
practice messages
Clean: Wash hands and surfaces often. Separate: Don’t
cross-contaminate.
Cook: Cook to proper temperatures.
Chill: Refrigerate promptly.
Prevention of Overweight and Obesity :
● Limiting sugar-sweetened beverages
● Encouraging consumption of recommended amounts of fruits and
vegetables
● Limiting television and other screen time by allowing a maximum
of 2 hours of screen time per day and removing televisions and
other screens from children’s bedrooms
● Eating breakfast every day
● Limiting eating out at restaurants, especially fast food
restaurants
● Limiting portion sizes
● Eating a diet rich in calcium
● Eating a diet high in fiber
● Eating a diet that follows the Dietary Reference Intakes for
macronutrients (carbohydrates, protein, and fat)
● Promoting moderate to vigorous physical activity for at least
60 minutes each day
● Limiting energy-dense foods