303-431-8588

Child Diet and Nutrition

Dietary Considerations

Caloric Requirements

Experts recommend that from birth to at least age 1, an infant's diet consist of breast milk. Non-formula cow's milk is not recommended especially prior to 1 year of age. This is due to its ability to cause allergies, gastrointestinal tract bleeding, and because it lacks sufficient vitamins and essential fatty acids vital for infant development. If formula must be used, limit it to 1/3 of the day's total caloric intake.

Caloric requirements are:

  1. Infants: 80-140 kcal/kg/day
  2. Children: 40-90 kcal/kg/day
  3. Adolescents: 30-50 kcal/kg/day
  1. Barnes L. Infant feeding: formulas, solids. Pediatric Clin North Am 1985;32:355-362.
  2. The use of cow's milk in infancy. Pediatrics 1992;89:1105-1109.

Are Children Getting Enough Fruits and Vegetables

A recent study shows that US children are not eating enough fruits and vegetables. In a week long study, eating habits of 168 preschoolers (group aged 2 and 5 years) were recorded. None of the children met the 5 daily servings of fruits and vegetables recommended. According to researchers, most children consumed just 2 servings of fruit and less than 1/2 of a serving of vegetables per day. Also, 1/2 of the total fruit servings generally were in the form of juice, which experts say, in excess can cause diarrhea, growth failure, failure to thrive, and obesity in some children. Researchers wrote, "Low intakes of fruits and vegetables were associated with inadequate intakes of vitamin A, vitamin C, and dietary fiber, in addition to high intakes of total fat and saturated fat." High consumption of fruits and vegetables has been shown to significantly lower the risk of many types of cancers. The researchers urge parents to provide their children with a wide variety and abundance of fruits and vegetables and be role models for their children by also eating moderate amounts of fresh fruits and vegetables.

  1. Journal of the American College of Nutrition 1998;17:371-378.


The Truth Regarding Fruit Juices and Other Drinks

As stated in the "Are Children Getting Enough Fruits & Vegetables" above, fruit juices as well as other drinks can be harmful in the growing child. Fruit and non-fruit juices are high in simple sugars and deficient in complex carbohydrates, protein, fat and fiber. They also tend to be low in vital vitamins and minerals. This can result in the following:

  • diarrhea and intestinal bloating (due to difficulty digesting fructose and sorbitol)
  • caloric deficiencies (fill up on juice and not calorie dense food)
  • nutritional deficiencies (fill up on "nutritionally empty" juice products)
  • dietary imbalances (fill up on juice and do not eat adequate foods containing protein, complex carbs, fat)

Experts recommend adding small amounts of juice (2-3 tablespoons) to water if juice must be given to children. It should be noted that juice prior to bed contributes to the development of dental caries.

  1. Smith MM, Lifshitz F. Excess fruit juice consumption as a contributing factor in nonorganic failure to thrive. Pediatrics 1994;93:271-277.

Food Allergies and Intolerances

Food allergies and intolerances are common in infants and children. Foods that cause the most problems include:

  • dairy products (i.e. cow's milk and eggs)
  • pork and fish
  • citrus fruits
  • wheat and yeast
  • nuts
  • soy products
  • many food additives

Symptoms include diarrhea, vomiting, failure to thrive, runny nose, sneezing, asthma inducement, wheezing, and skin problems such as hives. As identifying foods causing the problems can be very difficult experts recommend slowly introducing infants and children to foods one at a time. This way problematic foods can be identified early on and with little question as to the food culprit.

Most commonly, cow's milk is the cause and should be avoided, especially in those under 1 year of age. Soy or rice milk can be substituted for those allergic to cow's milk.

Breast Feeding vs. Formula

It's important for the new mother to understand the significance breast milk has on their baby's health. A great number of studies have consistently shown babies fed breast milk (compared to formula) are significantly healthier with a much lower incidence of various infections and diseases.

Breast Feeding Reduces Infant Illnesses - A recent study has shown that breast feeding significantly reduces the occurrence of common infant illnesses such as respiratory tract infections, pneumonia, ear infections, and gastrointestinal disorders. In the 2 year study of 977 babies, a community program was implemented which urged women to breastfeed their infants rather than use baby formula. The program resulted in a significant increase in breastfeed babies - 54.6%, up from 16.4%. During this time, the number of babies who developed pneumonia in the first year of life declined by 33% and the cases of gastroenteritis decreased by 15%.
According to researchers, their results suggest that "breast milk itself or the process of breast feeding provides protection against infant illnesses." The American Academy of Pediatrics recommends that mothers breastfeed their babies for at least one year, "and longer if mutually desired by the mother and child."

  1. Pediatrics 1998;101:837-844.

Breast milk is better for premature infants - Experts believe breast milk contains a number of immune-boosting compounds which "jump-start" the infants immune system and assist the infant in fighting off infections. In this study, researchers found that preterm infants fed breast milk developed significantly fewer infections. 212 preterm, very low birth weight infants (under 3 pounds) were fed either breast milk or formula. After adjusting for all other factors, researchers determined that infants fed breast milk decreased their odds of infection by 57% - a dramatic decrease. Also, many immune system agents normally found in breast milk are in higher concentrations in the breast milk of mothers who deliver prematurely compared with mothers who delivery at term.
The American Academy of Pediatrics has long advocated the use of breast milk as the primary food source of newborn, full-term infants. In 1997, this advisory was extended to cover premature infants.

  1. Pediatrics Electronic Pages 1998;102:e38.

Breast milk lowers occurrence of diarrhea - Diarrhea is common in infants and small children. When diarrhea is severe or present with other symptoms the child should be evaluated by a doctor. Diarrhea can be naturally and safely treated in many cases by supplementing with either normal flora (the naturally occurring intestinal flora which become depleted with diarrhea and gastrointestinal infection). Also, bovine colostrum can be fed to infants to provide added natural immunity. Both supplements are safe and increase immunity within the infant/child.

Breast milk lowers occurrence of middle ear infections - This infection of the middle ear has been shown to respond to chiropractic care in many cases. Nutritionally speaking, children who breast feed dramatically lower their chances of suffering from otitis media. In one such study, infants breast fed for 4 months or more decreased their incidence of otitis media by 50% compared with non-breast fed infants. Also, in those infants who did suffer from a bout of otitis media, subsequent recurrence was twice as common in non-breast fed infants.

  1. Duncan B, Ey J, Holberg CJ, Wright AL, et al. Exclusive breast-feeding for at least 4 months protects against otitis media. Pediatrics 1993;91:867-872.

Breast feeding enhances intellectual development - Research has shown breast feeding can enhance intellectual development. In a study of 229 healthy infants, those breast fed infants consistently scored higher on psychomotor skills.

  1. Temboury MC, Otero A, Polanco I, Arribas E. Influence of breast-feeding on the infant's intellectual development. J Pediatric Gastroenterology Nutrition 1994;18:32-36.

Childhood Obesity

The rate of childhood obesity has been rising significantly over the last 30 years. Studies have shown that obesity in childhood dramatically increases the odds of obesity in adulthood, a condition which compromises health and overall well being. Obesity is a difficult condition to treat as it requires a very high level of self-discipline in order to overcome. It is thus especially important to prevent obesity from occurring during childhood or seeking immediate and effective treatment if it does exist. Obesity is defined as weighing more than 20% of your ideal body weight.

If obesity is present or is becoming increasingly evident, nutritional and fitness counseling should be sought immediately. In addition, parents should be role models for their children - eating healthy and engaging in regular physical activity.

Nutritional Supplementation

Iron

According to the American Academy of Pediatrics, women should breast feed until at least the age of 1 year and should not feed infants under 1 year cow's milk. Doing this can lead to deficiencies of iron. Generally speaking, iron supplementation is not recommended for infants; excess iron can cause retardation of growth, increased bacterial replication in infections, and can also compete for uptake with other essential minerals in the gut.

Vitamin A

Vitamin A (retinol) is available in liquid form and is also added to most baby formulas. Occasional supplementation in infants and children is recommended if deficiency is suspected. Research has shown a single dose of 100,000 IU (International Units) in children under 12 months of age and 200,000 IU in children over 12 months of age can reduce the risk of death from measles and, according to a study on Brazilian children, can help treat severe diarrhea.

  1. Butler JC, Havens PL, Sowell AL, et.al. Measles severity and serum retinol (vitamin A) concentration among children in the United States. Pediatrics 1993;91:1176-1181.
  2. Barreto ML, Santos LM, Assis AM, et. al. Effect of vitamin A supplementation on diarrhea and acute lower-respiratory tract infections in young children in Brazil. Lancet 1994;322(Jul 23):228-231.

Vitamin B's

Vitamin B is passed to the fetus and to the baby (via breast milk) by the mother. Thus, if the mother is deficient so to can the baby become deficient. In the case of mothers with vitamin B deficiencies (more common in vegetarians and vegans), supplementation may be necessary for mother and child.

Vitamin D

Vitamin D is another vitamin in which there may be a deficiency. Generally, a deficiency is most common when the mother is a vegetarian and/or lacks adequate sun exposure. In both cases, supplementation of the mother and infant is recommended. Like vitamin K, vitamin D is usually given to infants at the time of birth.

Vitamin K

In some infants and neonates, including those with certain malabsorption disorders, vitamin K deficiency may occur. This can cause unexpected hemorrhagic disease (bleeding). Almost always, babies are given intramuscular vitamin K shots at birth to prevent this condition.

Zinc

Zinc deficiencies can occur in infants whose mothers are deficient in zinc or if there exists a problem with zinc uptake from the mammary glands in the mother's breasts. Zinc deficiencies are also common in premature infants and children with malabsorption syndromes. Zinc deficiencies are generally not found in infants who breast feed, assuming the mother is not deficient. Signs of deficiency include:

  • skin lesions (appear as diaper rash or candida)
  • diarrhea
  • growth failure
  • alopecia (baldness)
  • irritability
  • anorexia

Newsletter Signup

Office Hours

Our Regular Schedule

Monday:

9:00 AM-12:00 PM

2:30 pm-6:00 PM

Tuesday:

Closed

Wednesday:

9:00 AM-12:00 PM

2:30 pm-6:00 PM

Thursday:

Closed

Friday:

9:00 AM-12:00 PM

2:30 pm-6:00 PM

Saturday:

Closed

Sunday:

Closed

Locations

Find us on the map

Testimonials

  • "could barely walk at 9 months pregnant she worked a miracle! My 5 year old is so much better also. Plus when I noticed that the new baby always held her head to one side and had a problem breastfeeding on one side we went in. They were able to fix it and it became so much easier to breastfeed and the baby is so much happier."
    Sarah S.
  • "I will shout it from the rooftop! This place has changed my life. I didn't even realize how much pain I was living with until Dr. D and Dr. J started my treatment. I'm so much more aware of my body and am nearly pain free. I'm stronger. I'm happier. I'm not self medicating anymore. They are miracle workers here! My heart is filled with gratitude."
    Jessica C.
  • Your Spinal IQ

    Your IQ that's measured in school has to do with problem solving - mental gymnastics. Your spinal IQ also has to do with problem solving - these are "problems" of the physical kind.How far to bend over to lift those grocery bags out of your car's trunk? How much muscle force is necessary to pick up and ...

    Read More
  • What's Your Sign?

    "Who you are speaks so loudly I can't hear what you're saying." This truism is well-known in human potential circles and can often be heard at personal growth-and-development seminars. But the implications of this meaningful phrase are often ignored in our day-to-day activities and relationships. Sometimes ...

    Read More
  • Vitamin D - The Superstar Supplement

    You may remember the public health slogan, "Vitamin D helps build strong bones". This message could be seen on colorful school posters and heard on radio and television programs as early as the1950s. Getting enough Vitamin D was a major health issue, primarily for its role in preventing childhood rickets ...

    Read More
  • Staying Well In Winter

    Simon and Garfunkel [and later, The Bangles] had it right. Winter light is hazy - it's more diffuse. The sun is lower in the sky and the sun's rays reach the Earth at an angle, losing much of their power. And of course, there's less sunlight during each 24-hour day of winter than during the rest of the ...

    Read More
  • Five To Stay Alive

    It's the rare child who actually wants to eat fruits and vegetables. Kids are bombarded by television and radio ads for cereals, candy, and chips that contain huge amounts of sugar and large quantities of saturated fat. The sugar craving begins in childhood - kids quickly develop a taste for sweets. ...

    Read More
  • Coming Up for Air

    Both Abraham Lincoln, 16th President of the United States, and Charles Darwin, author of The Origin of Species and creator of the theory of natural selection, were born on February 12, 1809. Modern evolutionary theory, of course, is based on Darwin's theory of natural selection. The evolutionary history ...

    Read More
  • Your Personal Health Insurance Policy

    Everyone is aware of the extremely high cost of most health care services. These costs can be measured not only in cash outlays, but also in time spent at a doctor's office. Waiting times can often be an hour or more for a comprehensive physical examination at a family physician's or internist's office. ...

    Read More
  • Your Personal Corporation

    You are the CEO of your own personal enterprise. In addition to whatever business you might be running or might be in, your personal corporation consists of the value you generate during your time on Earth. Some persons such as government officials make choices and take actions that obviously affect ...

    Read More
  • Your Inner Ecology

    In April 2010 the BP Deep Horizon drilling rig exploded in the Gulf of Mexico, resulting in a catastrophic offshore oil spill. Millions of barrels of oil have spilled into the Gulf since the explosion, representing an unprecedented environmental disaster. Many complex ecosystems are affected by the oil ...

    Read More
  • Will you be comming?

    An old cliche for getting to know someone in a new social situation entails asking, "What's your sign?" The notion, of course, is that a simple identifier such as astrological sign would provide grounding for a potential relationship - romance, friendship, or even a new bowling partner. As there are ...

    Read More
No form settings found. Please configure it.