Malta Independent

Diet and nutrition for babies and young children

Our eating habits, tastes and preference­s are shaped very early on in life, by the example set to us by our parents, carers and later on educators and by the food offered during infancy. These early influences often mould our attitude towards food and eat

- Christine Schembri

Healthy eating during childhood makes it easier to maintain a healthy weight and research contends that a healthy balanced diet along with physical activity (this will be dealt with in my next article), improves the child’s concentrat­ion and behaviour.

A healthy balanced diet from a very young age helps to reduce the risk of developing many common diseases later on in life such as heart disease, cancer, diabetes, dental decay, obesity and osteoporos­is.

A balanced diet promotes health and developmen­t in young children by encouragin­g them to possess healthy attitudes to food, to have an interest and enjoy eating whilst having social interactio­ns with family and friends during mealtimes.

It also aids motivation, a sharp sense of alertness, sound sleep and able to concentrat­e more. It promotes height, weight, brain growth, healthy skin, hair and nails, good digestion, bowel habits and promotes healing processes. It develops muscle tone, co-ordination, a strong posture, besides having strong bones and teeth. Lastly it helps prevent anaemia, constipati­on, dental carries, failure to thrive, infection and obesity.

A healthy balanced diet consists of eating from all the food groups (refer to Eatwell plate). The food groups are Bread, pasta, rice, cereals and potatoes (Five portions a day); Fruit and Vegetables (Four/Five portions a day); Milk and Dairy Foods (Three portions a day); Meat, fish pulses and nuts (Two portions a day); and Fatty and Sugary foods (eat sparingly).

Milk and water are the best drinks to give between meals and snacks. Ideally should be taken from a cup or a beaker and children should be offered to drink especially water several times during the day especially during the summer months to avoid dehydratio­n.

According to the Study on the Implementa­tion of the EU Action Plan on Childhood Obesity 2014-2020 draft report carried out in 2017 contends that, “the prevalence of obesity has more than tripled in many European countries since the 1980s. Since more than a decade, action has been undertaken at both National and European level to reverse this rising trend in overweight and obesity. Neverthele­ss, the proportion of children that is overweight or obese remains worryingly high” (Pg 9).

Furthermor­e, a study carried out by Prof. Victor Grech – Consultant and Paediatric­ian during 2016, states that 40% of Maltese kids are obese or overweight. (Times of Malta, May 2016).

The ideal food for babies to start life with is breast milk and breastfeed­ing should always be encouraged as the first choice in infant feeding. Breastfed babies are at a lower risk of obesity since human breast milk provides food constituen­ts in the correct balance for human growth and also provides the baby with maternal antibodies and helps protect the child from infections such as diarrhoea, vomiting, chest, ear, urine infections, eczema and nappy rash besides being cheaper due to less equipment and sterilisin­g equipment required, whilst promoting more mother and baby bonding through breastfeed­ing.

WHO encourages at least the first six months, the baby will be fed on milk. Around six months of age, the parent should start weaning the baby by introducin­g food at first pureed vegetables and fruit and later on lumpier foods such as pasta, small pieces of meat, pieces of cheese and bread along with plenty of water and diluted unsweetene­d fruit juices.

Young babies and children spend a lot of time in a Child Care Centre and later on at School, so they should be provided with healthy snacks and ample water to drink. Different types of bread should be used having different healthy fillings like tuna and tomato, chicken and salad, salmon and cucumber, hard-boiled egg with low fat mayonnaise etc.

Ideas to supplement the traditiona­l sandwich can include fresh or dried fruit, sticks of raw vegetables, cherry tomatoes, hard-boiled eggs, cheese cubes, potato salad, pasta salad, coleslaw, low fat yogurt, soup in a flask, healthy cereal bars etc.

Guidelines for making mealtimes healthy and fun: • Offer a wide variety of different foods • Be a role model • Be prepared for messy mealtimes • Do not use food as a punishment, reward or bribe • Encourage children to feed themselves • Offer regular meals and snacks • Present food in an attractive way using several coloured and different textures of food • Avoid adding salt to any food • Reduce the intake of sugar • Praise the child when meal is eaten and enjoyed

If we parents and educators and the community collaborat­e together, we can promote a more healthy lifestyle to our young children and reduce the high rates of overweight and obesity in children, thus reducing health risks later on in life.

A balanced diet promotes health and developmen­t in young children by encouragin­g them to possess healthy attitudes to food, to have an interest and enjoy eating whilst having social interactio­ns with family and friends during mealtimes.

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Couples that are due to get married this year attended a special mass for them in St John’s Co-Cathedral on Saturday. The number of couples who were present was so numerous that some had to be accommodat­ed in the space reserved for the choir at the...
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