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Nutritional needs of a Preschooler

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Nutrients – Increased Need

Energy:-Growth progresses gradually between 1 to 6 yrs of life. As the child becomes increasingly mobile, his energy requirement also increases. Development of full dentition is observed by about 2 yrs of age. Children at around this age practice increased autonomy over every little activity they are involved in. An overall good nutrition in the form of small energy dense meals should be ideally charted out for a growing preschooler. Insufficient intake of food will not only result in poor weight gain but will also hamper growth to a great extent. This may later affect development of cognitive skills and learning, while children face academic challenges in school. Inadequate intake of calories can also lead to protein deficiency.

Protein:- Bone growth, growth of muscle mass paves way for increased demands for protein. An increase in total body size during preschool years, haemoglobin formation also requires adequate amount of protein. A protein intake of 1.5 to 2g/kg body weight is essential during this period.

Fat:-The fat intake should be around 25 g per day. This requirement takes care of the high energy density of the diet. Vitamins and Minerals:- The suggested desirable intake of minerals like calcium and phosphorus should be around 400 mg each. Inadequate calcium intake can adversely affect the bones of the growing children. The diet of a preschooler should include around two glasses of whole milk everyday. Milk also contains vitamin D that aids in calcium absorption. Children suffering from lactose intolerance or milk allergy should meet their calcium requirements from other food sources. This includes tofu, yoghurt, ragi, fortified cereals, orange juice, broccoli and leafy greens. Preschoolers are at risk of developing anemia due to dietary insufficiency accompanied by hookworm infestation.

So make sure that your child’s diet is sufficiently rich in iron. Iron rich foods include riceflakes, egg yolk, greens, lean meat, poultry, beans, tofu and enriched cereal grains. Also, supplement an iron rich diet with nutrient like vitamin C to facilitate iron absorption.

Foods rich in vitamin C are amla, guava, tomatoes, oranges, strawberries and broccoli.


The incidence of Vitamin A deficiency symptoms is particularly high in Indian preschool children whose dietary intake is less than 100 mcg. As per the ICMR, the daily allowances of vitamin A that have been recommended for a preschooler is about 400 mcg. A child whose diet lacks in vitamin A for a prolonged period of time is at major risk of developing bitot spots, night blindness and may be in severe cases total blindness also. Thus, good amounts of milk, eggs, yellow orange coloured fruits and veggies, green vegetables should be included in the diet.

Recommended Dietary Allowances for Preschool Children:
Nutrient Years
1-3 yrs 4-6 yrs
Weight kg 12 19
Energy kcals 1240 1690
Protein g 22 30
Fat g 25 25
Calcium mg 400 400
Iron mg 12 18
Vitamin A mcg 400 400
Beta carotene mcg 1600 1600
Thiamine mg 0.6 0.9
Riboflavin mg 0.7 1.0
Nicotinic acid mg 8 11
Pyridoxine mg 0.9 0.9
Ascorbic acid mg 40 40
Folic acid mcg 30 40
Vitamin B12 mcg 0.2-1 0.2-1

Nearly two out of three preschool children in India are malnourished. There could be many underlying reasons for children consuming insufficient meals. This could thereby affect their nutritional status and thus growth. Listed below are some of the observations.
  • Very often falling in the trap of infectious diseases and common illnesses like diarrhea, measles, whooping cough & other respiratory infections. This is because; an illness curbs the appetite in turn reducing the food intake for days at a stretch. Absorption of food is hindered; nutrient reserves of the body get depleted. More calories get burned during fever resulting in frequent weight loss.
  • Other factors that could be equally contributing would be poverty or ignorance about the key role of good nutrition in a child’s life.
  • Overindulging in play and other activities that leaves no time for proper nutrient dense meals well spaced in the day. A child’s food preferences and environment at home.
Constipation:- Due to frequent food jags; children may most of the time skip eating fruits and veggies completely. They may also restrain from sipping water throughout the day. Apart from this, they may also be glued to the packet of chips most of the time. This type of faulty eating regime thereby promotes Constipation problems in preschoolers. Dental problems:- Dental caries are most commonly observed in children at around this age. This in specific because of high consumption of sticky, gooey candies and sweets. The longer the tooth gets exposed to the sugar in the sweets, the greater the cariogenic effect graduates. Children should thus be taught to ape the habit of brushing their teeth twice daily. They should be encouraged to munch on raw crisp foods like chunks of apple/ pear; cucumber or carrots in the day.
Diet Plan for a Preschooler
Age: 3-5 yrs. Diet prescribed for the child: Calories: 1600 kcals/day
1katorie / 1cup-200 gm
Meal time Menu Portion size
Breakfast

8.30am-9.00am
Corn flakes/oats/muesli with milk

Or Vegetable thepla

Or Tikki sandwich

+ Any Fruit

(Banana/ apple /pear)

(strawberries/ grapes/plums/)
¾ bowl


2-3 small

2- 3 small slices


3 small wedges

½ k
Packed Tiffin Vermicelli upma

Corn pattice/ Cutlets

Or Egg toast sandwich
½ k

3-4 small pieces

3 no small slices
Lunch 1:00 pm One cereal based recipe- wheat / rice e.g.

Veg khichadi/ vegpulav with raita.

Or Bisibelle rice with any legume gravy.

Or Paratha (leafy veggies/ legume/ dal/ paneer filling) with curds.

Or Whole wheat pastas/ Noodles with veggies in a preferred sauce.

+ Fruit / Fruit chaat Non veg options in a simple daily meal

Rice

Phulkas

Chicken/ fish ( gravy)

Finger salad

+ Fruit / Fruit chaat
¾ k + ¼ k

¾ k + ½ k

2 no small( 5’’diameter)+ ¼ k

¾ k

½ k



1 small k

1.1½

2 small pieces

¼ k

½ k
Snack and tea time

4:30 pm
Peanut butter spread on bread

Or Homemade chikki

Or pancakes
2 small pieces

4-5 no

1 medium
Midevening 6.30 7.00pm Veg chowder soup ¾ th bowl
Dinner 8.00- 8.30 pm (Veg option)One cereal based recipe- wheat / rice e.g.

Veg khichadi/ vegpulav with raita.

Or Bisibelle rice with any legume gravy.

Or Paratha (leafy veggies/ legume/ dal/ paneer filling) with curds.

Or Whole wheat pastas/ Noodles with veggies in a preferred sauce.

+ Fruit / Fruit chaat

(Non veg options) in a simple daily meal

Rice

Phulkas

Chicken/ fish ( gravy)

Finger salad

+ Fruit / Fruit chaat



¾ k + ¼ k


¾ k + ½ k

2 no small( 5’’diameter)+ ¼ k

¾ k

½ k


1small k

1-1½

2 small pieces

¼ k

½ k
After dinner Masala Milk/ Plain milk ¼ cup
Oil and sugar intake:- 3 to 4 tsp per day.
*The above dietary plan gives an approximate measure of meal options for children in the age group 3-5 yrs. The energy requirements and needs for other nutrients will vary depending upon the age and activity level. For an individualised diet plan, one should consult a Health and Nutrition professional.
Dietary Guidelines:-

  • The calcium requirements of the preschoolers need to be met through milk and milk products in their meals. Around 175ml to 200 ml of milk based recipe like porridge/ smoothie to be included in the breakfast. Some amount can be incorporated in forms like curds/ custard /paneer / pudding/ low fat cheese; even tofu.
  • Make sure, you don’t make use of sugar coated cereals for porridges. Add jaggery to sweet preparations and honey to porridges. Thus making minimal use of refined sugar.
  • Always prepare meals out of fresh fruits and vegetables. Don’t opt for ready to eat and instant preparations available in the market. These convenience foods may save up on your time but they weigh poorly on the nutritional scale. Besides, they are chock full of artificial preservatives, colouring agents, milk solids and additives which does no good to your child’s health.
  • Many children may not like to eat everything that is being served to them. But you should still aim to chart out a balanced meal in simple innovative ways. For more information with this respect, check out the following topics in the Article section:-
    • Making them love those veggies.
    • Encouraging them to eat.


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