By Jennie Gropper Biggs, MD
As printed in Around Town Publishing, January 2008
In general, infants under 1 year of age should be drinking either
breast milk or a milk-based formula as their main source of nutrition.
They usually require about 28 to 32 ounces per day of these milk
products to maintain weight gain and good nutrition. Once a child turns
1 year old, however, their nutritional needs change. These children
should be getting a majority of their calories from solid foods. We
generally suggest switching them from formula or breast milk to whole
milk, and we advise them to cut back to about 10 to 15 ounces of milk a
day. This will provide them with the calcium and vitamin D that their
bodies need for bone growth, and they will get adequate fat for brain
and nerve development. Taking in significantly more milk can lead to
stomach irritation and excessive weight gain. Drinking large volumes of
milk can also suppress a child's appetite for other foods.
Once a child turns 2 years old, the American Academy of
Pediatrics suggests switching them to a low fat or fat free milk and
continuing with about 10 to 15 ounces a day. Young children need about
500 mg a day of calcium. Skim milk contains the exact same amount of
calcium (about 300 mg per 8 oz) as whole milk, though without any fat.
Whole milk contains about 8 grams of fat and 150 calories per 8 ounce
serving. 2% milk contains about 5 grams of fat and 120 calories, and 1%
milk contains about 2.5 grams of fat and 120 calories per 8 ounce
serving. If your child does not like drinking milk, his or her calcium
needs can be met with yogurt (300 mg calcium per serving), cheese
(about 300 mg of calcium per slice of cheddar or American cheese),
calcium fortified juices, soy milk ( 300 mg per cup), beans, green
leafy vegetables, or even oatmeal.
As children move into the preteen and teen years, their calcium
requirements increase to about 1300 mg per day. It is essential that
low-fat products be used to make up a majority of this calcium need in
order to prevent excessive fat and calorie intake. If you have any
specific questions about your child's nutritional needs, be sure to
talk to your pediatrician.
Dr. Jennie Gropper Biggs practices general pediatrics with Pediatric Physicians, PC of Roswell and Windward.
If you have a pediatric question of general interest, please submit it to advice@PediatricPhysiciansPC.com.
One of the board certified pediatricians from Pediatric Physicians, PC
will answer a selected question in this column each month.
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