Sante Booklet Alimentation Du Nourrisson 20221031 en
Sante Booklet Alimentation Du Nourrisson 20221031 en
edition
I N FA N T
FEEDING
LEGAL NOTICE
Infant feeding, 128 pages
Editors:
Direction de la santé
13A, rue de Bitbourg
L-1273 Luxembourg
www.gimb.lu
[email protected]
ISBN 978-2-919797-52-3
– 2 –
FOREWORD
The guide “Infant feeding” is part of a series of guides on balanced nutrition.
These guides are produced as part of the national programme “Gesond
iessen, Méi beweegen” (GIMB).
They are an update of the national recommendations for baby nutrition and
are regularly updated on the GIMB website (gimb.lu).
They were written in collaboration with the Ligue médico-sociale and a
group of experts from the field of early childhood.
– 3 –
SUMMARY
1 BREASTFEEDING
/ 9
1 .1 .1 . Some advantages and benefits for baby / 9
1 .1 .2 . Some advantages and benefits for the mother / 10
1 .1 . 3. Clusterfeeding / 11
3 REGURGITATION / 22
4 BURPING / 24
5 DRINKS / 26
– 4 –
6 MEAL TIMES / 28
7 INTRODUCTION OF COMPLEMENTARY
FEEDING / 32
– 5 –
SUMMARY
8 NUMBER OF MEALS / 60
10 TASTE EDUCATION
10.1 . In practice / 68
/ 64
11 PRACTICAL TABLES / 70
12 MEAL PREPARATION
/
74
75
12 .1 .1 . Vegetable meals / 75
12 .1 .2 . Cooking tips for carbohydrates. / 76
12 .1 . 3. Cooking tips for meat and fish. / 76
12 .1 .4. Preparation of fruit meals / 77
12.2 . The quantities of vegetable meals / 77
12. 3 . Hygiene / 78
13 RECIPES / 80
– 6 –
14 SHORT OVERVIEW OF NUTRITIONAL RECOMMEN-
DATIONS BETWEEN 12 AND 36 MONTHS / 110
16 BIBLIOGRAPHY / 120
17 ANNEX / 124
– 7 –
1 B RE ASTFEED I NG
1. BREASTFEEDING
– 8 –
The World Health Organisation (WHO) recommends exclusively
breastfeeding until the age of six months, and beyond then,
breastfeeding should continue with the introduction of food until
the age of two or older.
The introduction of new foods is recommended at the earliest at
4 months of age (4 months + 1 day, i.e. 17 weeks) and at the latest
at the beginning of the 7th month. It is important to be aware of
the developmental signs of your chil
Breast milk has the ideal composition to nourish your baby and
is the best food for development and growth. Extending breast-
feeding increases its benefits.
– 9 –
1 B RE ASTFEED I NG
– 10 –
1.1.3. Clusterfeeding
Some infants ask to nurse several times during the day at short
intervals. They do not let go of the breast for 2-4 hours before
taking a break. It is important to know that this variability in
feeding frequency is normal and you can accommodate the
infant’s requests.
– 11 –
2 BOT TLE FEED I N G WITH I N FANT FO RM U L AS AN D FO LLOW- U P M I LKS
– 12 –
When baby is not breastfed or in the case of mixed breastfeeding,
it is essential to use an infant formula. Infant formulas meet
the needs of infants at different ages.
There is a wide variety of milks, some of which are reserved for
special situations. Ask your pediatrician or dietician for advice.
Shops sell formulas in liquid form, ready to use or in powder form
to be diluted and are subject to legislation.
Milk from animals (cows, goats, mares, sheep, etc.) or vegetable
“milks” (almond milk, soy milk, etc.) are not suitable for feeding
infants. The composition of these drinks is not adapted to the needs
of infants and cannot ensure optimal development of your baby.
– 13 –
2 BOT TLE FEED I N G WITH I N FANT FO RM U L AS AN D FO LLOW- U P M I LKS
2.5. IN CONCLUSION
In recent years, many new infant formula products have
TIPS appeared on the market. Some of them meet the needs of infants
and the expectations of parents. They are based on scientific
Use milk recommended at the research and are regularly evaluated and adapted based on new
maternity hospital or one rec- knowledge. Others respond more to a “marketing” concern than
ommended by your pediatrician. to a real need.
Do not change your milk unless
advised by your pediatrician or 2.6. TEATS AND BOTTLES
dietician.
There are different types of teats: choose one according to baby’s
age and the consistency of the milk. Above all, do not pierce the
teats, and replace them as soon as they are damaged, as there is a
risk that baby will swallow broken pieces.
Favour glass or stainless steel bottles. This way you can be sure
that no undesirable substances will get into the milk.
– 14 –
2.7. CLEANING THE BOTTLE
It is advisable to clean bottles and teats as soon as possible after
use. They should be cleaned well with soapy water using a clean
brush provided for this purpose. They should then be rinsed un-
der running water.
Washing the bottles in the dishwasher ≥ 65°C is also possible.
– 15 –
2 BOT TLE FEED I N G WITH I N FANT FO RM U L AS AN D FO LLOW- U P M I LKS
Clean everything.
– 16 –
2.8.1. Water
Use mineral water that is “suitable for the preparation of baby
food”. This is indicated on the label of the bottle. Any opened bot-
tle of water should be kept in the fridge and used within 24 hours.
Fresh tap water is suitable for bottle feeding from the time of
feeding. However, do not use water that has been left standing in
the pipes. Let the water run until cold water comes out of the tap.
Never use water that has gone through a filtration system such
as an anti-limescale system for example.
– 17 –
2 BOT TLE FEED I N G WITH I N FANT FO RM U L AS AN D FO LLOW- U P M I LKS
→ Measure the desired volume of water into → Heat in a bottle warmer or bain-marie (pan
the bottle or a sterilised container. of hot water).
→ Add the recommended number of level → Shake the milk well so that the temperature
scoops of milk powder for the chosen volume is evenly distributed.
of water. → For reasons of hygiene, do not leave bot-
→ Put the cap on. tles in the bottle warmer for longer than
→ Shake the milk well so that the powder necessary.
dissolves.
OUR TIPS
– 18 –
2.9. FLOURS AND FLAKES FOR BABY BOTTLES
The addition of flour to the bottle is not recommended for
proper feeding. Infant formulas contain enough energy to cover
baby’s needs. Adding flour to the bottle may cause an imbalance
in baby’s diet.
Flours and flakes are dissolved in the milk. They increase the
energy intake and prolong the feeling of satiety. It is important to
make sure that baby always drinks the daily amount of milk
recommended for his age to avoid deficiency symptoms.
However, if fortification is recommended by your doctor or
dietician, it is important to make sure that you:
► do not feed your baby flours or flakes before the age of
4 months;
► gradually introduce the flour: start with a bottle and add one,
then two teaspoons per 100 ml of liquid;
► choose flours or flakes without added sugar and flavouring;
► do not use milk flours to add to the bottle. They already contain
milk and must be diluted with water;
► choose a suitable teat.
Cooking flours, such as cornstarch, are not suitable for thickening
the bottle. Baby formula cannot be boiled.
– 19 –
2 BOT TLE FEED I N G WITH I N FANT FO RM U L AS AN D FO LLOW- U P M I LKS
pleasant positive
atmosphere attitude
communication
and eye contact
with the baby
comfortable
– 20 –
2.11. VOLUME AND NUMBER OF BOTTLES
The table below provides an idea of the usual amounts that infants
drink during a 24-hour period (based on the average weight for
the age of the baby). Infant feeding is however on demand, so
trust your baby to adapt her intake to her needs. There is no need
to insist if she does not drink the indicated quantities as long as
her growth and weight curve evolves normally.
IMPORTANT
– 21 –
3 REGU RGITATION
3. REGURGITATION
– 22 –
Some babies drink too much milk and because of the immaturity
of the stomach sphincter, they spit up excess milk. Even if baby
spits up a good amount of milk, there is no need to worry as long
as she is developing normally.
When in doubt, ask your pediatrician for advice.
– 23 –
4 BU RPI N G
4. BURPING
– 24 –
Baby swallows air during feeding. The air will be released from
the stomach when baby burps after a feed or bottle. To do this,
hold baby in an upright position until she burps. However, do not
insist on this for more than 15 minutes.
Breastfed babies swallow less air and do not burp as often as
bottle-fed babies.
– 25 –
5 DRI N KS
5. DRINKS
– 26 –
A healthy infant does not need to drink outside of breastfeeding
or formula feeding. In hot weather, a baby who is still exclusively
breastfed may ask for the breast more often and should have free
access to feed as much as she wants. The mother should ensure
that she drinks enough water to avoid baby being thirsty, despite
multiple feedings. A baby receiving mixed feeding or a non-
breastfed baby may be offered water that is suitable for
preparing baby food. Do not add anything to the water, such as
herbal tea or fruit juice. Above all, never add sugar or sweetened
herbal teas, as this will accustom baby to a sweet taste and will
constitute a significant intake of sugars. For the same reason, do
not give her any other drink. This could also lead to baby refusing
her milk, which is so important to her.
– 27 –
6 M E AL TI M ES
6. MEAL TIMES
– 28 –
From birth, your baby needs to be fed if she is hungry. Respect
her feeding rhythm, she knows how to feed according to her
needs. You don’t need to insist on a fixed schedule by giving her
food without her asking for it.
Feeding should respect baby’s needs, without confusing crying
with hunger. For babies who are not breastfed, or who are bottle- TIPS
fed, and to promote good digestion, a minimum interval of 2-3
hours must be observed between bottles. ☞ The number of bottles, as
well as the volume drunk,
After birth, baby has no reserves to fast and her fluid needs must
varies from one child to
be covered throughout the day (24 hours). You may be inclined to
another and for the same child
do everything you can to have a good night’s sleep, but wanting
from one day to the next.
to space out feedings too quickly is dangerous and causes
hypoglycaemia (low blood sugar) in infants. This is because
energy reserves before the age of 3 months are very limited, even
if your baby is of an appropriate weight. Night feeds should be
given at the time your baby wants them.
The gap between the night feeds will gradually increase and the
times will eventually coincide with your usual times. Good
sleeping habits are not established in the first few months of life.
– 29 –
6 M E AL TI M ES
OUR TIPS
Observe your child carefully, he or she is unique and the best solution is to adapt the time-
table and volumes to his or her rhythm.
– 30 –
I AM HUNGRY
I AM VERY HUNGRY
CALM BABY
► Hugs
► Skin to skin
► Talk
► Caressing
Stretches Moves a lot Hand in mouth
IMPORTANT
– 31 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
7. INTRODUCTION OF
COMPLEMENTARY FEEDING
– 32 –
Complementary feeding is the gradual introduction of foods
other than milk. It is also the transition from liquid foods to
increasingly solid textured foods, also known as “weaning”. Baby
will develop the skills to eat from a spoon and then to eat by
herself with her fingers.
MONTHS
Gradual
Breastfeeding introduction of a Breastfeeding Breastfeeding
or infant vegetable or or infant or infant
formula carbohydrate formula formula
meal
FAMILIARISATION 6 to 8
Vegetable or
Breastfeeding Breastfeeding
carbohydrate
or follow-on Fruit or follow-on
meal with meat
milk milk
or fish or egg
8 TO 12 MONTHS 8 to 12
Breastfeeding Breastfeeding
or follow-on Vegetable or or follow-on
milk with starch meal with milk with
Fruit
bread or meat or fish or bread or
fingerfood or eggs fingerfood or
milk porridge vegetable meal
– 33 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
– 34 –
7.2. HOW TO PROCEED?
TIPS
7.2.1. Phase 1
The addition of salt or salt-
Around 5-6 months, the first stage is the initiation of eating
based preparations (industrial
with a spoon and the discovery of new smells, tastes, textures,
flavour, broths, soy sauce, etc.)
flavours, etc. The aim is to gradually replace a feed or bottle with
to the infant’s diet is strongly
a vegetable meal.
discouraged.
7.2.2. In practice
See also the recipes section at the end of the guide
► Around lunchtime (or in the evening). ► As soon as baby eats a whole meal, she no
► Before or after a feed or bottle. longer needs milk after the meal.
► Your baby is slightly hungry (if she is very ► You can now also offer water as a drink, bear-
hungry she may not have the patience to try ing in mind that vegetable purée is often rich in
new foods). water and that baby may refuse to drink water
► Your baby is in a good mood. at first. You should not force it, but continue to
► The atmosphere around the meal is pleasant. offer it.
► You keep her in a high chair opposite you with ► The amount of the meal will depend on baby’s
eye contact. appetite.
► Start slowly and patiently. ► Introduce the meal with a spoon. If the child is
► You give as many spoonfuls of pureed vegeta- not yet ready, it is better to delay the introduc-
bles as baby wants. tion and offer it again later.
► At first, baby will only take a few spoonfuls. ► To prevent your child from “swallowing the
Then supplement with the child’s usual milk wrong way”, present the spoon from under-
or offer the breast. neath, i.e. from her chin towards her mouth.
IF BABY ACCEPTS
– 35 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
7.2.4. Phase 2
At around 6 months of age vegetable meals are usually well
accepted and the variety of foods offered can be expanded
further. This is the age when protein, such as meat, fish, eggs and
beans are introduced and gradually added to the vegetable meal.
In addition, it is time to replace an afternoon feed or bottle with
a meal of fruit and water.
At around 8 months of age, some babies become hungrier. Do not
increase the daily volume of milk (2 to 3 feeds or bottles, 500 to
600 ml of milk per day), but add carbohydrates to morning and
evening meals to increase energy intake. This is when bread
should be introduced.
– 36 –
7.3. THE VEGETABLE MEAL IN PRACTICE
Meals offered at the time of the introduction of complementary
feeding can be homemade or commercially purchased (baby TIPS
food), but homemade meals are preferable: they can offer the
opportunity for a greater variety of textures and flavours Already at the beginning of
while corresponding to the family’s socio-cultural habits complementary feeding, it is
and they also allow for control of the ingredients used. recommended to expose the
child fairly quickly to a variety
7.3.1. Composition of the vegetable meal of foods by changing the
flavours every day. This method
Phase 1: vegetables
promotes the appreciation of
After 1 to 2 weeks: vegetable + carbohydrate + fat
all kinds of tastes in the future.
Phase 2: vegetable + carbohydrate + fat + protein
7.3.2. Vegetables
– 37 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
7.3.3. Pulses
Pulses (lentils, chickpeas, beans, soya, peas, etc.) are very rich in
essential nutrients. However, they contain a high amount of
fibre, which makes them more difficult to digest. We recommend
offering pulses from the age of 6 months. To increase tolerance,
we recommend soaking the pulses and cooking them in fresh
water. After cooking, leave them to swell for 15 to 60 minutes to
increase digestibility. It is essential to ensure that they are well
cooked (without salt).
Start with red (coral) lentils as they are peeled and contain less
fibre. Peeled lentils do not need to be soaked, but should be
washed well before use and cooked thoroughly (15-20 minutes).
Introduce gradually in small quantities from the age of 6 months.
Lentils increase in volume by 2.5 times when cooked, so 40 g raw
will be 100 g cooked.
Canned pulses contain a lot of salt and should be avoided.
7.3.4. Carbohydrates
After a few days, add carbohydrates to the vegetable meal. This
increases the energy content of the meal.
→ Start adding potatoes or sweet potato.
→ Provide the same amount of carbohydrates as vegetables.
→ Afterwards you can also use rice, millet or quinoa, wheat
grains, pasta, couscous, spelt, oats, rye, and barley.
– 38 –
7.4. FATS
A young child needs a diet rich in healthy fats. It is therefore
essential to add 10 to 15 g (1 to 2 tablespoons) of fat to the vegetable TIPS
meal from the moment the milk is removed. It is best to vary the
sources of fat: oils of different origins and/or butter. The most suitable fats are
butter and oil. Among the oils,
► Add 1 to 2 tablespoons of oil (rapeseed, olive, etc.) or butter per we especially recommend
vegetable meal. rapeseed oil, which is rich in
► Add the fat after cooking, just before eating. polyunsaturated fatty acids
that are essential for the
development of the nervous
system and the brain.
IMPORTANT
– 39 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
7.5. NUTS
Nuts (in powder form) are very nutrient-rich foods and contain
healthy fats.
They can be used from the time of feeding.
→ Only use powdered or pureed nuts as they are hard and a real
choking hazard.
→ Use unsalted and unroasted nut powder.
→ Store the nut powder in a closed container in the fridge.
→ Add 1 to 2 tablespoons to the vegetable purée after cooking or
to the fruit purée.
– 40 –
7.6. MEAT, FISH, EGGS
Meat should be offered after introducing vegetables and carbo-
hydrates between 6 and 7 months. TIPS
→ All types of meat are allowed.
The recommended amount of
→ No processed meat (sausage, ham, salami, minced meat, etc.).
meat, fish or egg is only 15-20 g
→ Prefer lean and tender cuts of good quality and vary your
per day, 4-5 times a week.
choice: chicken, turkey, beef, veal, pork ...
→ Choose boneless fish fillets with white flesh except for sword-
fish and tuna.
→ Eggs must be hard-boiled.
Eggs (first the yolk and then the white) should be introduced
from the age of 6 months. Hard-boil the egg, add 20 g of the yolk
at first, then also the white. Later on, pieces of a well-cooked
omelette can be added to the meal
Eggs should always be well cooked because of the bacteriological
and allergenic risks.
PER WEEK:
See the recipes and cooking methods at the end of this guide.
– 41 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
– 42 –
AGE QUANTITY VEGETABLES CARBOHYDRATES PROTEIN FAT
20 g raw
4 to 5
120 - 150 g 50 - 60 g 50 - 60 g 50 - 60 g 10 - 15 g
MONTHS
cooked
20 - 30 g
6 to 8 raw
150 - 200 g 60 - 80 g 60 - 80 g 15 - 20 g 10 - 15 g
MONTHS 60 - 80 g
cooked
30 - 40 g
9 to 12 raw
200 - 250 g 80 - 100 g 80 - 100 g 15 - 20 g 10 - 15 g
MONTHS 80 - 100 g
cooked
– 43 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
– 44 –
7.8.1. Introduction of complex textures
In order to promote the correct development of the teeth and
jaw, it is advisable to adapt the texture of the meals to baby’s
abilities. Texture is one of the properties of food that requires the IMPORTANT
most adaptation on the part of the child to manage and swallow
the food. However, caution should be
taken with hard and/or round
The window for introducing textured foods is between 8 and
foods (whole peanuts, grapes,
10 months (certainly before 12 months) so as to best guide the
hazelnuts, cherry tomatoes,
child towards normal chewing. It is important to adapt the size
raw apple pieces, etc.) in chil-
and hardness of the pieces to the child’s oral abilities.
dren under 3 years of age
(choking hazard).
– 45 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
7.8.2. Fingerfood
At around 7 or 8 months, depending on baby’s
development, it is possible to introduce small
pieces of food in the form of “finger food”.
→ As a complement to purees for the
discovery of foods.
→ From 8 months onwards, depend-
ing on baby’s motor skills.
IMPORTANT
– 46 –
In practice:
► Only give food that is recommended for the child’s age.
► Offer pieces that are easy to grip.
► Soft consistency, without being too soft or too hard.
► Expand the types and preparations according to age and
motor skills.
► Avoid all kinds of choking foods such as whole grapes, whole
cherry tomatoes, whole strawberries, nuts, hard lumps, meat, etc.
For example:
► Vegetables, potatoes, sweet potatoes, cooked pasta, polenta, ...
► Cooked in unsalted water, without spices or broth, or in steam.
► Soft raw fruit such as banana, peach, raspberry, tangerine, kiwi,
avocado, ..., ripe fruit or cooked fruit.
► Small pieces of buttered breadcrumbs.
► Small pieces of fish, chicken, well-cooked meat, well-cooked
omelette, ...
– 47 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
7.9. SEASONING
The addition of salt or salt-based preparations (industrial
seasonings, broths, soy sauce, etc.) to the infant’s diet is strongly
discouraged. The reason is that kidney function is immature in
infants, and excess dietary salt is not yet eliminated. A baby’s
taste is very sensitive and the perception of saltiness in a baby is
not the same as in an adult.
Let the child discover the taste of the food.
SUITABLE SEASONINGS
– 48 –
– 49 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
– 50 –
7.11. DRINKS
If baby does not take milk after the vegetable meal, water can be
offered to drink during the meal.
Regularly offer your child water suitable for baby food prepara-
tion (50-150 ml per day) or fresh tap water. The only recommend-
ed drink is pure water and it is important to get your child used
to it from the start.
Exceptionally, and as late as possible, you can allow freshly
squeezed, unsweetened fruit juice or unsweetened herbal teas.
These are to be enjoyed in special situations only for pleasure.
To be avoided:
► All other drinks such as lemonades, syrups, colas, infusions or
sweetened juices, as they are too sweet (even those specially
designed for babies). This creates a craving for sweetness. Excess
sugar unbalances the diet with a long-term risk to health (tooth
decay, obesity).
► “Light” drinks, sports drinks, energy drinks and drinks containing
alcohol are prohibited for children.
► Tea and coffee contain stimulants and are not suitable drinks for
small children.
– 51 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
– 52 –
7.12.1. Some important recommendations for the fruit meal
You may be tempted to add a biscuit to a fruit meal, but biscuits
IMPORTANT
add no nutritional value and most contain far too much sugar.
Biscuits also mask the natural taste of the fruit.
Do not add sugar or sweeten-
If the fruit alone is not enough or if you want to thicken the purée, ers to fruit meals. They mask
you can add instant sugar-free cereal flakes to the fruit purée. the natural flavour of the food
and accustom the child to a
sweet taste.
– 53 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
7.13. BREAD
From the age of 8 months, you can offer your child a small slice
of bread (possibly buttered) that she can chew. You can choose
finely ground grey bread without seeds (no sunflower, sesame,
flax or walnuts, etc.). Bread is much better than biscuits or crisps,
even those sold especially for children. Also avoid all pastries and
cakes. These contain a significant amount of sugar and fat. Get
into good habits from the start.
– 54 –
7.14. MILK PORRIDGES
From the age of 6 months onwards, some children prefer to eat
more often with a spoon. For others, a bottle of milk alone is no
longer enough. Instead of increasing the volume of milk in the
bottle, offer a thickened milk porridge with instant baby flour.
This flour should not contain sugar.
7.14.1. Preparation of a milk porridge
→ Pour the flour into the warm “follow-on” milk or breast milk
and mix. Wait a few minutes while the mixture thickens.
→ There are flours mixed with milk powder: these are called milk
flours. They are dissolved in water to obtain a milky porridge.
→ Mixed fruits can be added to vary the taste.
– 55 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
– 56 –
7.15. MILK AND MILK PRODUCTS
– 57 –
7 I NTRO DUCTIO N O F CO M PLEM ENTARY FEED I NG
– 58 –
AVOID SMALL JARS THAT CONTAIN THE FOLLOWING INGREDIENTS
Cow’s milk, yoghurt, cottage cheese, Cow’s milk, yoghurt, cottage cheese,
cheese, cream cheese
Salt Salt
Honey, sugar, malt sugar, glucose, Honey, sugar, malt sugar, glucose,
fructose, concentrated fruit juice, ... fructose, concentrated fruit juice, ...
Ham Ham
– 59 –
8 N U M B ER O F M E AL S
8. NUMBER OF MEALS
– 60 –
From the very first months, a child is able to adapt the quantities
she eats according to her needs. Babies regulate their food intake
throughout the day: if they eat “too much” in one meal, they will
eat less in the next... (This is an ability that we “unlearn” as we
grow up). Trust her, and if she is no longer hungry, do not force
her to finish her plate.
In general, children eat 4 to 5 meals a day, 3 main meals (break-
fast, lunch, dinner) and 1 to 2 snacks.
TIPS
– 61 –
9 FOODS NOT SU ITAB LE FOR FEED I N G TO CH I LD REN U N D ER 3 YE ARS OF AGE
– 62 –
A number of foods are not suitable for feeding to children under
3 years of age due to:
IMPORTANT
SMALL SIZE:
No supplements should be
given to a child unless pre-
► small cylindrical or spherical foods that resist crushing such as scribed by a doctor.
nuts, (peanut, hazelnut, almond), grapes and candies should not be
eaten whole because of the risk of choking.
CONTAMINANT CONTENT:
MICROBIOLOGICAL RISK:
– 63 –
10 TASTE EDUCATIO N
– 64 –
Taste and smell cells appear between the 8th and 12th week of
pregnancy and are functional from the 6th month in utero. By
ingesting the amniotic fluid, the fetus can become familiar with
certain aromas in the mother’s food repertoire.
The attraction of the newborn to aromas perceived before birth
has been confirmed by various studies. At birth, certain tastes
are more appreciated, especially sweet and fatty tastes, which are
found in breast milk. In contrast, the newborn rejects acidic and
bitter flavours, sensory markers of potentially toxic foods. This
liking and disliking of certain f lavours is innate, yet it is
important to know that these preferences are in fact highly
adaptive. Unlike taste, odours are not innate. Olfactory pleasure
and rejection is exclusively a matter of cultural learning.
After birth, it is through breast milk that the baby continues to
become familiar with the flavours of the mother’s food. Breastfed
babies show a wider acceptance of foods than bottle-fed babies
who have not experienced as much flavour variety.
With the introduction of complementary feeding, which begins
between the 5th and 7th month, a wide variety of tastes, textures
and consistencies are presented to the child.
– 65 –
10 TASTE EDUCATIO N
– 66 –
WHY WORRY ABOUT YOUR CHILD’S TASTE?
Babies, children and adolescents will eat more of the foods and dishes they like.
Developing your child’s taste to appreciate foods and dishes that are beneficial
to their health is an important pillar for the development of lifelong, healthy
eating habits.
– 67 –
10 TASTE EDUCATIO N
10.1. IN PRACTICE
1. Create a warm environment during the meal, have a
TIPS positive attitude.
2. Depending on the age of the child, let him or her assist in the
If the infant does not like a food preparation in the kitchen.
or a dish, nothing is final! 3. Let the child discover food and dishes with all senses.
4. Offer foods and dishes with a variety of tastes and textures.
Studies show that 8 to 10 repe-
5. Pay attention to the presentation of the dish. Offer colour-
titions of the same food, in the
ful dishes.
same form, in small quantities
6. Set a good example by eating a healthy and varied diet, and
and without forcing, familiar-
if possible, eat foods the child eats.
ises the child with its taste and
7. Respect the child’s appetite and taste.
can be appreciated afterwards
8. Explain what there is to eat, verbalise, name the food
and dishes.
9. Let them look, touch, smell, taste a little. Allow the child to
like or dislike what they eat.
10. Repeat the dishes to familiarise.
– 68 –
10.2. AROUND THE MEAL
– 69 –
11 PR ACTICAL TAB LES
– 70 –
COMPLEMENTARY FEEDING
– 71 –
11 PR ACTICAL TAB LES
– 72 –
→ All kinds of vegetables → Processed meats
→ Add meat, fish and egg yolk to the vegetable (sausage, ham, salami,
meal week-by-week at a rate of 15-20 g pâté, etc.)
per meal → Processed fish (smoked,
→ All kinds of well-cooked meat (chicken, canned, prepared, etc.)
turkey, beef, pork, veal and lamb) are allowed → Tuna, swordfish
→ All well-cooked fish types are allowed: → Canned and prepared
boneless fillets vegetables
→ Carbohydrates: potatoes, sweet potato, rice, → Salt, broth, ...
millet, quinoa, pasta, wheat, couscous, → No panades with
6 to 7
bulgur, ... biscuits, sugar, honey, ...
MONTHS
→ Always add 1 to 2 tablespoons of fat to the meal
→ Per week: 2 to 4 vegetable meals with meat, 1
to 2 vegetable meals with fish, 1 vegetable meal
with egg and 2 to 3 vegetarian vegetable meals
→ Introduction of fruit meals in the afternoon
→ Fruits: to begin with: apple, banana, pear,
peach, melon, ... then all kinds
→ Ripe fruit, cleaned, washed and mixed
→ Possibility of adding plain instant cereal
flakes (without other ingredients)
– 73 –
12 M E AL PREPAR ATIO N
– 74 –
12.1. COOKING METHODS
Parboil
This cooking reduces the loss of nutrients because the cooking
water is mixed with the vegetables and cooking time is relatively
short, depending on the size of the pieces to be cooked.
In a small saucepan, cook over low heat in a little water, with the
lid on, until the vegetables are tender. Add more water to cook
the cereals. Mix with a little cooking water depending on the
desired consistency.
Suitable for :
► all vegetables;
► potatoes and sweet potatoes;
► rice, millet, quinoa, couscous, ...;
► poultry, meat and fish.
– 75 –
12 M E AL PREPAR ATIO N
COOKING PULSES
AMOUNT OF
LIQUID COOKING SWELLING
PULSES FOR SOAKING TIME TIME
COOKING (MINUTES) (MINUTES)
(ml/g)
– 76 –
12.1.4. Preparation of fruit meals
For reasons of hygiene it is important to:
→ work on a clean work surface;
→ clean and wash the fruit well;
→ cut the fruit on a board with a clean knife;
→ mix or cut;
→ serve immediately (if not, put in a clean, closed container and
keep in the fridge for a maximum of 24 hours).
20 g raw
4 to 5
120 - 150 g 50 - 60 g 50 - 60 g 50 - 60 g 10 - 15 g
MONTHS
cooked
20 - 30 g
6 to 8 raw
150 - 200 g 60 - 80 g 60 - 80 g 15 - 20 g 10 - 15 g
MONTHS 60 - 80 g
cooked
30 - 40 g
9 to 12 raw
200 - 250 g 80 - 100 g 80 - 100 g 15 - 20 g 10 - 15 g
MONTHS 80 - 100 g
cooked
– 77 –
12 M E AL PREPAR ATIO N
12.3. HYGIENE
Personal hygiene:
► Wash your hands thoroughly with soap, wipe them with a clean
cloth and keep your fingernails short and clean.
► Cover any wounds with a waterproof bandage.
► Do not cough or sneeze on food - turn away, put your elbow or a
handkerchief in front of your mouth or nose. Then wash your hands
thoroughly.
► If you have a contagious disease, avoid working in the kitchen,
wear a mask over your mouth and nose.
Food hygiene:
→ When buying food, pay attention to the expiry date and reg-
ularly check the food in the cupboards, refrigerator or freezer.
→ Transport food quickly and coolly and store it in the refriger-
ator until you are ready to prepare it, so that the so-called
“cold chain” is never interrupted. Cook delicate foods quickly.
→ Periodically check the temperature of the refrigerator (max.
5°C) and freezer (max. -18°C) with a thermometer. Defrost
appliances containing frost. Do not overload refrigerators and
freezers with food.
→ Never put defrosted food back in the freezer.
→ Discard spoiled food immediately. Only removing spoiled
parts is not effective - the toxins produced by the micro-
organisms will invade the whole food.
→ Perishable foods (e.g. raw meat, dairy products) should be
stored in closed containers. Separate raw and cooked food
during storage and preparation. After preparing sensitive
foods, always clean the work surface and utensils. Wash your
hands every time.
→ Use different cooking utensils for the preparation of sensitive
foods (meat, fish, raw eggs ...) and the preparation of other
foods.
– 78 –
→ Heat raw food to a minimum temperature of 70°C, right to
the core.
→ Eat ready meals as soon as possible. Keep cold food in the
refrigerator (max. 5°C) until consumed. Put leftovers in closed
containers and store them immediately in the refrigerator at
max. 5°C. Eat them as soon as possible.
→ Vinegar and boiling water can be used to disinfect worktops
and utensils.
→ When tasting, be careful that your own saliva does not
contaminate the puree. Therefore, to taste, take a small portion
of the food with a clean spoon and put it in a small bowl or
directly on another spoon you want to taste with.
→ If not consumed immediately, place in a clean glass with a lid
and place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C) or place in the fridge for 1 hour and then in
the freezer (can be kept for up to 2 months at -18°C). To
defrost, place the container in the fridge the day before.
→ Defrost food at room temperature but keep it in the fridge.
– 79 –
13 RECI PES
13. RECIPES
5
MONTHS
– 80 –
CARROT PURÉE
5
MONTHS
Ingredients Gross weight Net weight
Preparation
1. Peel the carrots and cut off the ends, put in a colander.
2. Rinse well with cold water. TIPS
3. Cut into pieces on a clean board.
4. Cook the carrots with 50 ml of fresh water in a small After a few days you can
saucepan with the lid on for 10-15 minutes. replace the carrots with fennel,
5. Place in a mixing bowl with the cooking water. courgettes, parsnips, pumpkin,
6. Puree the mixture in the blender. kohlrabi, cauliflower, broccoli,
7. Add the butter or oil. celery, etc.
8. Add a little water if the purée is too thick.
9. Use immediately or put in a clean glass with a lid and
place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C).
10. Or place in the fridge for 1 hour and then in the freezer
(keeps for 2 months at -18°C).
11. To thaw, place in the fridge the day before.
– 81 –
13 RECI PES
MONTHS
Ingredients Gross weight Net weight
Broccoli 100 g 75 g
Potatoes 100 g 75 g
170 g lunch 20 min. Rapeseed oil or butter 10 - 15 g
PORTION TIMEFRAME P R E PA R AT I O N
Preparation
1. Wash the potatoes, peel and rinse well in cold water.
TIPS 2. Clean the broccoli: cut off the florets, peel the stalk, place
in a colander and rinse well with cold water.
☞Replace broccoli with car- 3. On a clean board, cut the broccoli and potatoes into pieces.
rots, fennel, kohlrabi, cauliflow- 4. Put the broccoli and potatoes in a small saucepan and add
er, courgettes, pumpkin, etc. 50 to 100 ml of fresh water.
5. Cook over a low heat, with the lid on, for 10 to 15 minutes.
☞ Replace the potato with
6. Place in a mixing bowl, add cooking water according to the
sweet potato.
desired consistency.
☞ Add a cooked egg yolk from 7. Puree the mixture in the blender.
6 months onwards. 8. Add the butter or oil.
9. Add a little water if the purée is too thick.
10. Use immediately or put in a clean glass with a lid and
place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C).
11. Or place in the fridge for 1 hour and then in the freezer
(keeps for 2 months at -18°C).
12. To thaw, place in the fridge the day before.
– 82 –
COURGETTE AND SWEET
POTATO PURÉE 5
MONTHS
Ingredients Gross weight Net weight
Courgette 100 g 75 g
Preparation
1. Wash the sweet potatoes, peel and rinse well in cold water.
2. Wash the courgette and cut off the ends, do not peel.
3. On a clean board, cut the courgette and sweet potato
into pieces.
4. Put the courgette and sweet potato in a small saucepan
and add 50-100 ml of fresh water.
5. Cook over a low heat, with the lid on, for 10 to 15 minutes.
6. Place in a mixing bowl.
TIPS
7. Puree the mixture in the blender.
8. Add cooking water according to the desired consistency.
Replace the courgette with
9. Add the butter or oil.
pumpkin, broccoli, carrots,
10. Add a little water if the purée is too thick.
fennel, kohlrabi, cauliflower,
11. Use immediately or put in a clean glass with a lid and
spinach, etc.
place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C). An egg yolk or 15-20 g of meat
12. Or place in the fridge for 1 hour and then in the freezer can be added from 6 months
(keeps for 2 months at -18°C). onwards.
13. To thaw, place in the fridge the day before.
– 83 –
13 RECI PES
MONTHS
Ingredients Gross weight Net weight
Millet 40 g
200 g lunch 20 min. Orange juice ½ orange 1 tbsp.
PORTION TIMEFRAME P R E PA R AT I O N
Water 180 ml
Preparation
1. Peel the carrots and cut off the ends, put in a colander.
TIPS 2. Rinse well with cold water.
3. Cut into pieces on a clean board.
Replace carrots with fennel, 4. Place the millet in a sieve and rinse well under
kohlrabi, green beans, broccoli, running water.
courgettes, etc. 5. Bring 180 ml of water to the boil, add the carrots and pour
in the millet.
Millet is an iron-rich cereal.
6. Cook on a low heat for 15 minutes.
Iron from plants is better ab-
7. Squeeze the juice from half an orange.
sorbed in the presence of vita-
8. Place in a blender and add 1 to 2 tablespoons of orange juice.
min C. For this reason, orange
9. Puree the mixture in the blender.
juice is added to this puree.
10. Add the butter or oil.
Replace the orange juice with 11. Add a little water if the purée is too thick.
half a grated apple. 12. Use immediately or put in a clean glass with a lid and
place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C).
13. Or place in the fridge for 1 hour and then in the freezer
(keeps for 2 months at -18°C).
14. To thaw, place in the fridge the day before.
– 84 –
– 85 –
13 RECI PES
MONTHS
Ingredients Gross weight Net weight
Millet 40 g
200 g lunch 20 min. Apple ½ apple 50 g
PORTION TIMEFRAME P R E PA R AT I O N
Water 180 ml
TIPS
– 86 –
COURGETTE, PARSNIP
AND RICE PURÉE 5
MONTHS
Ingredients Gross weight Net weight
Courgette or pumpkin 70 g 50 g
Parsnip 70 g 50 g
Water 200 ml
Preparation
1. Peel the parsnips and cut off the ends, place in a colander.
2. Cut off the ends of the courgette and place in a colander.
3. Rinse the vegetables well in cold water.
4. Cut the vegetables into pieces on a clean board.
5. Bring 200 ml of water to the boil, add the vegetables and
pour in the rice (add the chicken).
6. Cook over a low heat for 15 minutes with the lid on. TIPS
7. Place in a mixing bowl.
8. Puree the mixture in the blender. Replace parsnips with turnips,
9. Add the butter or oil. fennel, celeriac, kohlrabi, cauli-
10. Add a little water if the purée is too thick. flower, broccoli, etc.
11. Use immediately or put in a clean glass with a lid and
From 6 months onwards, meat
place immediately in the fridge (can be kept for 1 day in
or a cooked egg yolk can be
the fridge at 4°C).
added.
12. Or place in the fridge for 1 hour and then in the freezer
(keeps for 2 months at -18°C).
13. To thaw, place in the fridge the day before.
– 87 –
13 RECI PES
MONTHS
Ingredients Gross weight Net weight
Kohlrabi 100 g 60 g
Apple 100 g 40 g
240 g lunch 20 min. Rice 35 g
PORTION TIMEFRAME P R E PA R AT I O N
Orange juice ½ orange 1 tbsp.
Water 180 ml
Preparation
1. Peel the kohlrabi and place in a colander.
TIPS 2. Rinse well with cold water.
3. Clean and peel the apple and rinse under running water.
You can replace the kohlrabi 4. Cut into pieces on a clean board.
with fennel, celeriac, etc. 5. Bring 180 ml of water to the boil, add the kohlrabi, apple
and pour in the rice.
Replace the rice with millet or
6. Cook on a very low heat for 15 minutes.
couscous.
7. Squeeze the juice from half an orange.
8. Place in a blender and add 1 to 2 tablespoons of
orange juice.
9. Puree the mixture in the blender.
10. Add the butter or oil.
11. Add a little water if the purée is too thick.
12. Use immediately or put in a clean glass with a lid and
place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C).
13. Or place in the fridge for 1 hour and then in the freezer
(keeps for 2 months at -18°C).
14. To thaw, place in the fridge the day before.
– 88 –
– 89 –
13 RECI PES
6
MONTHS
– 90 –
LENTIL, CELERY, PARSNIP
AND QUINOA PURÉE 5
MONTHS
Ingredients Gross weight Net weight
Parsnip 70 g 50 g
Water 200 ml
Preparation
1. Peel the parsnips and cut off the ends, place in a colander.
2. Peel the celery and place in a sieve. TIPS
3. Rinse the vegetables well in cold water.
4. Cut the vegetables into pieces on a clean board. Replace the parsnip and celery
5. Put the quinoa and lentils in a sieve and rinse well under with other vegetables.
running water.
Quinoa is an iron-rich cereal.
6. Bring 200 ml of water to the boil, add the vegetables and
Iron from plants is better ab-
pour in the quinoa and lentils.
sorbed in the presence of vita-
7. Cook over a low heat for 15 minutes with the lid on.
min C. For this reason, orange
8. Place in a mixing bowl.
juice is added to this puree.
9. Puree the mixture in the blender.
10. Add the butter or oil and 1 tablespoon of orange juice.
11. Add a little water if the purée is too thick.
12. Use immediately or put in a clean glass with a lid and
place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C).
13. Or place in the fridge for 1 hour and then in the freezer
(keeps for 2 months at -18°C).
14. To thaw, place in the fridge the day before.
– 91 –
13 RECI PES
MONTHS
Ingredients Gross weight Net weight
Carrots 80 g 50 g
Courgette 80 g 50 g
250 g lunch 20 min. Potatoes 120 g 100 g
PORTION TIMEFRAME P R E PA R AT I O N
Beef, veal, pork, lamb
20 g
or chicken
Preparation
1. Wash the potatoes, peel and rinse well in cold water.
TIPS 2. Peel the carrots and cut off the ends, put in a colander.
3. Cut off the ends of the courgettes and place in a colander.
Replace carrots or fennel with 4. Rinse the vegetables well in cold water.
kohlrabi, cauliflower, broccoli, 5. On a clean board, cut the carrots, courgette and potatoes
courgettes, pumpkin, leeks, into pieces.
spinach, peas, green beans, 6. Put the carrot, courgette and potato pieces in a small
celeriac, turnips, etc. saucepan and add 50-100ml of fresh water.
7. Cut the meat into small pieces and add to the vegetables.
Replace the potatoes with
8. Cook over a low heat, with the lid on, for 15 minutes.
sweet potatoes.
9. Place in a blender, puree with the blender and add the oil.
10. Add a little water if the purée is too thick.
11. Use immediately or put in a clean glass with a lid and
place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C).
12. Or place in the fridge for 1 hour and then in the freezer
(keeps for 2 months at -18°C).
13. To thaw, place in the fridge the day before.
– 92 –
CARROT, FENNEL, POTATO AND
SALMON PURÉE 6
MONTHS
Ingredients Gross weight Net weight
Carrots 80 g 50 g
Fennel 80 g 50 g
Butter or oil 10 - 15 g
Preparation
1. Wash the potatoes, peel and rinse well in cold water.
2. Peel the carrots and cut off the ends, put in a colander.
3. Clean the fennel, cut in half and put in a sieve.
4. Rinse the vegetables well in cold water.
5. On a clean board, cut the carrots, fennel and potatoes
into pieces.
6. Cut the salmon fillet into 20 g pieces (freeze the excess
portions), check that there are no bones left.
7. Place the carrots, fennel, potatoes and salmon in a small
TIPS
saucepan and add 75 ml of fresh water.
8. Cook over a low heat, with the lid on, for 10 to 15 minutes.
Replace the salmon with other
9. Place in a blender and puree with the blender.
fish fillets: haddock, cod, sea
10. Add the butter or oil.
bream, monkfish, etc.
11. Add a little water if the purée is too thick.
12. Use immediately or put in a clean glass with a lid and
place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C).
13. Or place in the fridge for 1 hour and then in the freezer
(keeps for 2 months at -18°C).
14. To thaw, place in the fridge the day before.
– 93 –
13 RECI PES
MONTHS
Ingredients Weight
Vegetables: carrots,
1.5 kg – net weight
broccoli, fennel, pumpkin
Butter 150 g
Preparation
1. Peel and wash the potatoes and cut into small pieces –
weigh them.
2. Clean and wash vegetables and cut into pieces – weigh them.
3. Cut the meat into pieces.
4. Steam the vegetables, potatoes and meat for 15 to 20 minutes.
5. Puree the vegetables with the meat in the blender.
6. Add the potatoes and mix with the vegetables.
7. Add the butter and oil.
8. Add a little water if the purée is too thick.
9. Portion out the purée into clean glasses with lids or
freezer bags and place immediately in the fridge.
10. Write the date and name of the contents on the
glasses or bags.
11. Leave in the fridge for 1 hour and then put in the freezer
(can be kept for 2 months at -18°C).
12. To thaw, place in the fridge the day before.
– 94 –
– 95 –
13 RECI PES
6 VEGETARIAN PURÉE
MONTHS
Ingredients Gross weight Net weight
Millet flakes 20 g
Egg yolk 1
- lunch 20 min. Carrots 130 g 100 g
PORTION TIMEFRAME P R E PA R AT I O N
Fresh orange juice ½ orange 1 tbsp.
Apple 1 small
Preparation
1. Peel the carrots and cut off the ends, place in a colander
and rinse well with cold water.
2. Cook in a pan with 150 ml fresh water for 10 minutes.
3. Peel the apple, wash and cut into pieces.
4. Squeeze the orange.
5. Crack open the egg, separate the white from the yolk.
6. Pour the millet flakes into the pan and mix well.
TIPS 7. Add the egg yolk to the pan and mix.
8. Let the purée simmer while stirring.
Millet is very rich in iron, and 9. Remove from the heat source.
the vitamin C contained in 10. Add the juice, oil and apple.
orange juice further improves 11. Puree with a blender.
the absorption of iron. 12. Use immediately or put in a clean glass with a lid and
place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C).
13. Or place in the fridge for 1 hour and then in the freezer
(keeps for 2 months at -18°C).
14. To thaw, place in the fridge the day before.
– 96 –
APPLE - BANANA PURÉE
6
MONTHS
Ingredients Weight
Banana 1 piece
- afternoon 10 min.
PORTION TIMEFRAME P R E PA R AT I O N
Preparation
1. Peel and core the apple, wash and cut into pieces,
TIPS
place in a bowl.
2. Peel the banana, cut into pieces and add to the bowl.
☞ If you do not have a blender,
3. Using the blender, puree the mixture.
grate the apple and mash the
4. Serve immediately or put in the fridge.
banana with a fork.
– 97 –
13 RECI PES
6 CEREALES - FRUIT
MONTHS
Ingredients Weight
Oil 10 g
Preparation
1. Squeeze the orange.
TIPS 2. In a mixing bowl, combine the orange juice with
the flakes.
If you do not have a blender, 3. Peel and core the apple, wash and cut into pieces, add
grate the apple and mash the to the flakes.
banana with a fork. 4. Peel the banana, cut into pieces and add to the bowl.
5. Using the blender, puree the mixture.
Choose instant cereal flakes
6. Add the oil.
without added sugar and
7. Serve immediately or put in the fridge.
flavourings.
– 98 –
– 99 –
13 RECI PES
8
MONTHS
– 100 –
PUMPKIN RICE, PARSNIPS
AND OMELETTE 8
MONTHS
Ingredients Weight
Oil or butter 10 - 15 g
Preparation
1. Cut off the pumpkin shell and remove the seeds and
filaments with a spoon, wash the flesh.
2. Or peel the beetroot and wash.
3. Peel the parsnips, cut off the ends and wash.
4. Cut into small pieces (brunoise).
5. Bring 150 ml of water to the boil.
6. Pour the vegetables and rice into the pot of boiling water.
7. Cook over a low heat, covered, for 15 minutes.
8. Beat the egg with a fork.
9. Cook in a frying pan with a little oil to make an omelette.
10. Cut 20 g of omelette into small pieces.
11. Mix the omelette with the vegetable rice.
12. Chop or blend the vegetables to the desired consistency.
13. Add the oil or butter.
14. Serve immediately or put in the fridge.
– 101 –
13 RECI PES
MONTHS
Ingredients Gross weight Net weight
Carrots 100 g 60 g
Preparation
1. Peel the carrots and cut off the ends, put in a colander.
TIPS 2. Clean the leek, remove the green leaves and cut the white
part lengthwise.
Replace the carrots with other 3. Rinse the vegetables well in cold water.
vegetables. 4. Cut the vegetables into small pieces on a clean board.
5. Place the millet in a sieve and rinse well under
running water.
6. Bring 180 ml of water to the boil, add the carrots and leeks
and pour in the millet.
7. Cook on a low heat for 10 minutes.
8. Put in a container to blend or serve without blending.
9. Puree the mixture in the blender.
10. Add the butter or oil.
11. Add a little water if the purée is too thick.
12. Use immediately or put in a clean glass with a lid and
place immediately in the fridge (can be kept for 1 day in
the fridge at 4°C).
13. Or place in the fridge for 1 hour and then in the freezer
(keeps for 2 months at -18°C).
14. To thaw, place in the fridge the day before.
– 102 –
– 103 –
13 RECI PES
9
MONTHS
– 104 –
PASTA WITH CARROTS
AND BROCCOLI 9
MONTHS
Ingredients Weight
Preparation
1. Clean and wash the carrots and broccoli. TIPS
2. Dice the carrots and divide the broccoli into small florets.
3. Steam or boil the carrots and broccoli for 10 to 15 minutes. ☞ Replace the broccoli with
4. Mash or blend the vegetables to the desired consistency. cauliflower or peas.
5. Cook the pasta separately in unsalted water and drain.
☞ Replace the carrots with
6. Add the oil and the pasta.
pumpkin.
7. Serve immediately or put in the fridge.
☞Add 20-30 g of boneless fish
fillet (steamed) to the mash.
– 105 –
13 RECI PES
MONTHS
Ingredients Weight
TIPS
Preparation
Replace the fennel with cour-
gettes. 1. Clean and wash the fennel.
2. Cut the fennel into small cubes.
Add 20-30 g of boneless fish
3. Cook the fennel in water (40 ml) for 10 minutes.
fillet (steamed) to the mash or
4. Wash the tomatoes and peel them.
chicken fillet.
5. Add the tomatoes to the fennel and cook for another
15 minutes.
6. Chop or blend the vegetables to the desired consistency.
7. Cook the pasta in water and drain.
8. Add the oil and the pasta.
9. Serve immediately or put in the fridge.
– 106 –
BOULGOUR WITH FENNEL
AND SALMON 9
MONTHS
Ingredients Gross weight Net weight
Fennel 75 g 60 g
Carrots 75 g 60 g
Fresh salmon 20 g
Preparation
1. Clean and wash the fennel.
TIPS
2. Clean, peel and wash the carrot.
3. Cut the fennel and carrot into small cubes.
☞ Can be frozen in a clean
4. Bring 180 ml of water to the boil.
container for 3 months.
5. Pour in the vegetables and bulgur.
6. Place the salmon in the pan. ☞ Replace the fennel with
7. Cook over a low heat, covered, for 10 to 15 minutes. courgettes or leek white.
8. Chop or blend the vegetables to the desired consistency.
☞ Replace bulgur with millet
9. Add the oil.
or couscous.
10. Serve immediately or put in the fridge.
– 107 –
13 RECI PES
9 CHICKEN COUSCOUS
MONTHS
Ingredients Weight
Chicken fillet 20 g
Preparation
1. Peel and wash the carrots and turnip.
TIPS 2. Clean and wash the courgettes.
3. Cut the vegetables into small cubes.
You can add a little cumin. 4. Clean the chicken fillet and cut into small cubes.
5. Bring 180 ml of water to the boil.
Replace the courgettes with
6. Pour the vegetables and couscous into the pot of
celeriac.
boiling water.
Can be frozen in a clean con- 7. Add the chicken.
tainer for 3 months. 8. Cook over a low heat, covered, for 10 minutes.
9. Chop or blend the vegetables to the desired consistency.
10. Add the oil.
11. Serve immediately or put in the fridge.
– 108 –
– 109 –
14 SHORT OVERVI EW OF N UTRITIO NAL RECO M M EN DATI O NS B ET WEEN 12 AN D 3 6 M O NTHS
– 110 –
From 24 months onwards, your child can eat with the family and
starts to learn the family’s eating habits.
– 111 –
14 SHORT OVERVI EW OF N UTRITIO NAL RECO M M EN DATI O NS B ET WEEN 12 AN D 3 6 M O NTHS
– 112 –
Milk and dairy products provide protein and are an excellent
source of calcium. These nutrients are important for strengthening TIPS
our bones, i.e. our bones become harder and stronger.
“Milk bars” should not be
Creamy desserts, puddings, etc. are not considered to be dairy
considered as a dairy product,
products because of their high sugar and fat content: if in doubt,
but as a sweet, as they are low
seek advice from a health professional.
in calcium and high in sugar.
– 113 –
14 SHORT OVERVI EW OF N UTRITIO NAL RECO M M EN DATI O NS B ET WEEN 12 AN D 3 6 M O NTHS
– 114 –
► Choose lean cuts.
► Regularly replace meat with fish.
► Sausages, cold cuts, salami and processed meats are very high in
saturated fat and salt and should be avoided.
► Vegetarian alternatives (Tofu, Seitan, ...), also rich in protein, can
be introduced between 12-18 months (well cooked, mashed or in
soup) and can replace meat.
14.1.6. Fats
The diet should still be relatively high in good quality fats. How-
ever, limit the intake of foods rich in hidden, lower quality fats
(sweets, pastries, biscuits, cold cuts, ready meals, fried foods, ...).
Fats are essential for growth. It all depends on the quality of the
fat. To have a balanced intake of fatty acids, it is important to vary
the sources: butter, cream, rapeseed oil, olive oil, walnut oil,
linseed oil, soya oil, corn oil, sunflower oil, etc.
In order to meet the requirements of essential fatty acids, it is
advisable to consume 1-2 tablespoons of oil every day, adding it to
mashed potatoes, salads, soups, pasta, rice and using oil for cooking.
– 115 –
14 SHORT OVERVI EW OF N UTRITIO NAL RECO M M EN DATI O NS B ET WEEN 12 AN D 3 6 M O NTHS
QUANTITY QUANTITY
FOOD TYPE
12-24 MONTHS (1-2 YEARS) 24-36 MONTHS (2-3 YEARS)
Meat-poultry-fish-
eggs-vegetarian 20 g 30 - 40 g
alternative
Cooked
carbohydrates (rice, 100 - 120 g 120 - 150 g
pasta, quinoa, etc.)
– 116 –
14.3. IF THEY REFUSE CERTAIN FOODS
Refusal of certain foods is frequently observed in children,
depending on age. In general, these are transitory episodes. This
does not affect their health.
Vary within the same food family:
TIPS
► Does your child not like milk?
Play with presentation and
Offer her a portion of another dairy product (yoghurt, yoghurt
colours. Involve your child in
drink, cheese, grated cheese on vegetables or in soup, cottage
the preparation of the meals.
cheese, etc.).
Let your imagination run wild.
– 117 –
15 N EO PH O B IA: TH E FE AR O F TASTI N G N EW FOO DS
– 118 –
Food neophobia is a phase in which children refuse foods and
dishes they are not familiar with. This fear of the new, neophobia,
does not occur in all children and can be more or less pronounced
and of varying duration. Neophobia is not an eating or
behavioural disorder, but is part of development; however, it can
be exhausting for adults.
Forcing and punishing a child can reinforce neophobia and make
eating a real struggle. Patiently and repeatedly offering food in
the presence of familiar people can have a positive influence on
neophobia. Most of the time, neophobia disappears after a while.
Recent studies on food neophobia show the value of persisting in
learning new flavours.
It often takes 7 to 10 attempts before the child appreciates the
new taste. Don’t give up, but never force it: by repeatedly offering
a certain food in a friendly atmosphere, you will see the
reluctance disappear with time.
Some studies suggest that selectivity can be limited by offering a
wide variety of tastes from the beginning of diversification, for
example by changing the foods offered daily. Encourage dietary
diversity by, for example, allowing the child to participate in the
selection of vegetables and fruit while shopping or to participate
in the preparation of meals. Allow the child to touch and taste all
the foods on offer. If the difficulty persists, seek advice from your
paediatrician or doctor.
– 119 –
16 B I B LIOGR APHY
16. BIBLIOGRAPHY
► World Health Organization. Recommendations for breastfeeding.
[Consulté le 24.01.2022].
Disponible sur : https://www.who.int/health-topics/breast-
feeding#tab=tab_2
► Fewtrell M., Bronsky J., Campoy C., Domellöf M., Embleton N., Mis N.
F., Hojsak I., Hulst J. M., Indrio F., Lapillonne A. & Molgaard C. (2017).
Complementary feeding: A position paper by the European Society for
Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN)
committee on nutrition. Journal of Pediatric Gastroenterology and
Nutrition. 64(1). 119 – 132.
► Koletzko B., Bauer CP., Cierpka M., Cremer M., Flothkötter M., Graf C.,
Heindl I., Hellmers C., Kersting M., Krawinkel M., Przyrembel H., Vetter
K., Weißenborn A. (2017). Ernährung und Bewegung von Säuglingen
und stillenden Frauen. Aktualisierte Handlungsempfehlungen von
„Gesund ins Leben – Netzwerk Junge Familie“, eine Initiative von IN
FORM. Monatsschrift Kinderheilkunde. Sonderdruck (September). 25.
► Agostoni C., Braegger C., Decsi T., Kolacek S., Koletzko B., Michaelsen
K. F., Mihatsch W., Moreno L. A., Puntis J., Shamir R., Szajewska H.,
Turck D., & Van Goudoever J. (2009). Breast-feeding: A commentary
by the espghan Committee on Nutrition. Journal of Pediatric Gastroen-
terology and Nutrition. 49(1). 112 – 125.
– 120 –
► Victora C. G., Bahl R., Barros A. J. D., França G. V. A., Horton S.,
Krasevec J., Murch S., Sankar M. J., Walker N., Rollins N. C., Allen K.,
Dharmage S., Lodge C., Peres K. G., Bhandari N., Chowdhury R., Sinha
B., Taneja S., Giugliani E., Richter L. (2016). Breastfeeding in the 21st
century: Epidemiology, mechanisms, and lifelong effect. The Lancet.
387(10017). 475 – 490.
► Bjørnerem Å., Ahmed L. A., Jørgensen L., Størmer J., & Joakimsen R. M.
(2011). Breastfeeding protects against hip fracture in postmenopausal
women: The Tromsø study. Journal of Bone and Mineral Research.
26(12). 2843 – 2850.
► Center for Disease Control and Prevention. How to Clean, Sanitize, and
Store Infant Feeding Items. [Consulté le 24.01.2022].
Disponible sur : https://www.cdc.gov/healthywater/hygiene/
healthychildcare/infantfeeding/cleansanitize.html
– 121 –
16 B I B LIOGR APHY
► Schaal B., Marlier L., & Soussignan R. (2000). Human foetuses learn
odours from their pregnant mother’s diet. Chemical Senses. 25(6).
729 – 737.
– 122 –
► Lefebvre C., Nicolas C. (2020). Les végétarismes, Chez l’enfant,
l’adolescent, la femme enceinte et allaitante. EME Editions. 169.
► Politzer N., Nosbusch J. & Krier D., (2021). Mon enfant à la découverte
du goût. Ecole du goût, Ligue médico-sociale.
– 123 –
17 AN N E X
INTRODUCTION OF
COMPLEMENTARY FEEDING
AGE MONTHS 1 2 3 4 5 6 7
BREAST MILK
OR FORMULA MILK AND
FOLLOW-ON MILK
VEGETABLES/FRUIT
OIL/FATS
STARCHY FOODS/
POTATO
MEAT/EGGS/
FISH/LEGUMES
DAIRY PRODUCTS
– 124 –
8 9 10 11 12 13 AGE MONTHS
– 125 –
17 AN N E X
Direction de la santé
Dr Masi Silvana Division de la médecine scolaire et de la santé
des enfants et des adolescent
Direction de la santé
Mme Anelli Nathalie
Division de la sécurité alimentaire
Direction de la santé
Mme Clabots Fabienne
Division de la sécurité alimentaire
Direction de la santé
Mme Zeghers Laurence
Division de la sécurité alimentaire
Direction de la santé
M Zust Danny
Division de la sécurité alimentaire
Direction de la santé
Dr Vergison Anne
Division de l’Inspection sanitaire
– 126 –
NOTES
– 127 –
17 AN N E X
NOTES
– 128 –