High Energy Eating for Infants & Toddlers

Disclaimer: This fact sheet is for education purposes only. Please consult with your doctor or other health professional to make sure this information is right for your child.

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This information is for babies and toddlers who have poor appetites and/ or need to gain weight. If you are concerned about your child's growth you should speak to your GP, Paediatrician or Early Childhood Nurse. A dietitian can provide advice on feeding your child.

General Tips:

  1. Encourage your child to eat as much food as they can at each meal and snack.
  2. Offer nutrient dense foods regularly.
  3. Make every mouthful count with added fats into the foods they already eat. See ideas below to increase the energy (calories) into everyday foods.

Breakfast

  • High energy toppings for breads
    • Spread hot crumpets, English muffins or toast thickly with margarine (or butter) and allow it to soak in.
    • Other topping ideas include melted cheese, avocado, cream cheese, peanut butter, fruit jam.
  • Omelette/Eggs - Scramble eggs with cream and margarine. Then top with grated cheese and ham or bacon if desired.
  • High Energy Milk for your cereal - Use milk instead of water when preparing cereal. Make high energy milk by adding 1 of the following to 100-250mls breast milk/full fat milk or infant formula:
    • 1 tablespoon of cream
    • 1 tablespoon of skim milk powder
    • 1-2 tablespoon(s) or 1-2 scoops of carbohydrate supplement
    • 1 scoop of formula powder.

Lunch & Dinner

  • Sandwiches
    • Always add a spread to the bread such as cream cheese, cheese spread, avocado, mayonnaise and/or margarine / butter. Use plenty!
    • Include a protein filling such as: mashed egg, cheese, ham, turkey, devon, chicken, sausage, tinned tuna or salmon (remove bones), peanut butter. If your child does not want it in the sandwich try it on the side.
  • Puree/mashed baby foods (home cooked or commercial baby foods)
    • Heat the food and stir through 1-2 teaspoons of margarine or oil (canola/olive).
    • Add some sour cream, avocado and /or grated cheese.
    • Add some extra protein such as cooked and mashed egg, tinned fish, chicken or beef
  • Vegies - add extra fat to vegetables when cooking or serving. Ideas include adding a cheesy white sauce, melting grated cheese or margarine onto vegies (eg cauliflower & broccoli with cheese sauce, baked beans with melted cheese, melting margarine onto corn cobs). Also mashing potato/sweet potato or pumpkin with some cream and/or margarine/oil.
  • Pasta Dishes - Stir cream, sour cream, grated cheese or some oil through hot cooked pasta. Ideas include ravioli filled with meat/cheese and topped with extra cheese and a cream based meat sauce with pasta and topped with cheese.
  • Fish - Fry fish in oil rather than grill or bake and serve with mayonnaise, tartare sauce or white sauce.
  • Meats - Fry meat (red meat/chicken or mince) in oil rather than dry fry, grill or bake. Chop meat and serve with potato, rice, noodles or pasta.
  • Soups - Stir through meat and pasta/rice or vegies to make a nutrition packed soup. Add extra energy by stirring through some oil or milk/plain yoghurt/sour cream/coconut milk or cream.

Tips for fussy eaters

To help infants to manage lumps gradually stir in small amounts of more lumpy food into smooth purees eg. add 1 tsp of home-cooked food into a commercial jar of smooth (4-6 month) baby food... then gradually increase amounts added day by day.

Remember, infants often need to become familiar with a food before they will even try it. If a food is refused, it doesn't mean your child doesn't like it, but that they just don't trust it yet! You may need to try more than 10 times before your child will like the new food. Keep offering the rejected food item every couple of days - eventually it will be more familiar!

Provide a limited quantity of favourite foods only - otherwise your child may not be hungry to try new foods.

You may need to look at when and what your child is drinking - is your child filling up on too much milk (or juice) and so has no appetite for solids? General recommendations are no more than 600mls milk/day for toddlers and limit or avoid juice, offering water between meals. Discuss any questions or concerns regards your child's intake with your health professional.

Make sure your child has a break from being offered food and drink to enable them to build up an appetite. Avoid allowing your child to "graze" on foods and drinks over the day by having food free time between snacks and meals. One snack time between meals is a good idea.

Finger foods - when ready (usually from 9 months) allow your child to pick up soft pieces of food and feed themselves. Foods such as soft pieces of fruits & vegetables, dried fruits, toast, pasta pieces, cheese cubes/slices, crackers and cereals such as Cheerio's.TM

Food play - allow your child to get a little messy and be involved. Give them a spoon. Learning to eat means making a lot of mess! Until they get the hang of it you will probably need to help guide the spoon to their mouth.

Finger Foods & Snacks

  • High energy biscuits & crackers - Biscuits and crackers can be spread with margarine and/or other toppings (cream cheese, peanut butter, cheese) or used with a dip such as hommous and cheese spread. Biscuits such as Jatz, BBQ / Pizza Shapes, Sao, Country Cheese, Cracker bread, Milk Arrowroot, Tiny Teddies and Scotch Fingers all work well.
  • Dried Fruit - sultanas, apricots, apples, peaches, pears or other dried fruit.
  • Other ideas
    • Iceblocks (*see recipe ideas)
    • Cheese (sticks, slices, grated or cubed)
    • Pikelets with jam and cream
    • Fruit dipped into full fat yoghurt

Dessert

  • Fancy fruits - Dress up fresh, tinned or commercial fruits by adding ice-cream, custard, yoghurt, cream or smooth ricotta.
  • Try dairy desserts - Yogo, rice pudding, Fruche or yoghurt with a dessert spoon of cream or condensed milk stirred through.
  • Make your own dairy dessert - use high energy milk (see recipe under breakfast) to make desserts such as custard or rice pudding

Recipe Ideas

Pastry Cheese Straws - sprinkle grated cheese on a sheet of puff pastry. Cut into strips, twist and bake in hot oven until golden.

Risotto - toss rice in oil, then slowly add water / stock / milk, stirring constantly until rice is soft. Add chicken, peas, cream and sliced mushrooms.

Milk Jelly - use half water quantity when making up jelly. Allow to cool for a few minutes, then add milk to make up the remaining fluid required.

Fruit Crumble - rub 1 tablespoon of margarine/butter in with ½ cup flour and sprinkle on top of stewed fruit. Oven bake until golden on top. Serve with cream or ice-cream.

Creamy Rice Pudding - simmer white rice in milk, stirring constantly, until soft. Add sugar and coconut cream to taste.

Iceblocks - Fill iceblock containers with ½ milk, ½ cream + flavouring & freeze.

Noodles - Toss canned tuna/ salmon & cooked egg through hokkien noodles.

Mini Meatballs - Mix mince (beef/lamb/pork or chicken) with a beaten egg to hold it together - roll into little balls & fry in oil until browned. Transfer to baking dish, cover with sauce (if applicable) and bake till cooked through. Ideas include:

  • Chicken mince with mashed sweet potato.
  • Pork mince with a dash of soy & honey.
  • Lamb mince with grated cheese.
  • Beef mince with grated zucchini, carrot & tomato based pasta sauce.

Couscous - soak couscous grains in equal quantity of boiling water or stock. Add grated cheese and margarine/butter. Serve with chicken, meat or fish and vegetables. Another idea is to try mashing pumpkin through the couscous to help it stick together. Form into little balls which toddlers can then feed to themselves.

A note about FAT

Not all fats are the same. There are 4 types of fat that you have probably heard about: Saturated, Monounsaturated, Polyunsaturated and Trans fats. Encourage your child to have a mixture of fats that are found in foods such as dairy products & meats. When adding extra fat to their foods use "healthy" fats as these are better for your child's long term health and heart health and will provide a better balance of fat for your child.

Healthy fats to add to foodsFats better to limit
Monounsaturated fats: largely found in margarine spreads eg: canola or olive oil based and oils such as olive, canola and peanut. Also in avocado, nuts such as peanuts, hazelnuts, cashews and almonds. Home baking (cakes/biscuits/desserts) and cooking with above oils/margarines recommended.Saturated fats: found in fatty cuts of meat, butter, ghee, full fat dairy products (full fat milk, cheese, cream and ice-cream). Hydrogenated vegetable oils such as palm oil and coconut which are found in most commercially available baked products. These include pastries (quiche/pies/croissants), cakes and biscuits, most deep fried take-away foods, chips (potato/soy/ cheezels etc).
Polyunsaturated fats: largely found in fish, seafood, polyunsaturated margarines, vegetable oils such as safflower, sunflower, corn or soy and foods cooked with these. Also found in nuts such as walnuts, brazil nuts and seeds. Home baking (cakes/biscuits/desserts) and cooking with above oils/margarines recommended.Trans fats: foods that are cooked with hydrogenated or partly hydrogenated vegetable fats are high such as hot chips, baked products such as pies, cakes & biscuits. Also some margarines.

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Kids Health (CHW)
The Children's Hospital at Westmead
Tel: (02) 9845 0000
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www.chw.edu.au
Sydney Children's Hospital, Randwick
Sydney Children's Hospital, Randwick
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www.sch.edu.au
Kaleidoscope, Hunter Children's Health Network
Kaleidoscope, Hunter Children's Health Network
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www.kaleidoscope.org.au