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8/1/2012
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Eat Vegetables!
The Nutritionist’s Advice
Eat Vegetables!
The Nutritionist’s AdviceElizabeth M.Limos, RN-D
Clinical Dietitian
Philippine General Hospital
University of the Philippines Manila
26 July 2012
OutlineOutline
• Definition of terms
• Goal of early childhood nutrition
• Feeding schedules
• Feeding tips
• Sample menu
Elizabeth M. Limos, RN-D 7/18/12
8/1/2012
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What are nutritional guidelines?What are nutritional guidelines?
• Primary recommendations
to promote good health through proper nutrition.
Elizabeth M. Limos, RN-D 7/18/12
PSPGHAN Food Guide Pyramid
NUTRITIONAL GUIDE PYRAMID FOR FILIPINOSNUTRITIONAL GUIDE PYRAMID FOR FILIPINOSNUTRITIONAL GUIDE PYRAMID FOR FILIPINOSNUTRITIONAL GUIDE PYRAMID FOR FILIPINOS
1 – 6 Years Old1 – 6 Years Old 7 – 12 Years Old7 – 12 Years Old TeensTeens AdultAdult
ElderlyElderly PregnantPregnant LactatingLactating
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• Water & beverages = 8 glasses8 glasses8 glasses8 glasses
• Rice, Rice Products, Corn, Rootcrops, Bread, Noodles = 5555----8 8 8 8 servingsservingsservingsservings
• Fruits= 2222----3 servings3 servings3 servings3 servings
• Vegetables = 3 servings3 servings3 servings3 servings
• Milk & milk products = 1 glass1 glass1 glass1 glass
• Egg = 1 piece1 piece1 piece1 piece
• Fish, Shellfish, Meat & Poultry, Dried Beans & Nuts = 3333----4 4 4 4 servingsservingsservingsservings
• Sugar, sweets = 5 5 5 5 –––– 8 servings8 servings8 servings8 servings
• Fats & Oils = 6 6 6 6 –––– 8 servings 8 servings 8 servings 8 servings
Advice for parents and other members of the family
Advice for parents and other members of the family
Elizabeth M. Limos, RN-D 7.26.12
8/1/2012
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My Plate
Advice for parents and other members of the family
Advice for parents and other members of the family
Elizabeth M. Limos, RN-D 7.26.12
8/1/2012
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Goal of Early Childhood NutritionGoal of Early Childhood Nutrition
• Ensure children’s current and future health by
fostering the development of healthy eating
behaviors.
Elizabeth M. Limos, RN-D 7.26.12
Food for 6 to 8 monthsFood for 6 to 8 months
• Lugaw is the first semi-solid food given to the baby.
• Other grain cereals: oats
• Begin with 1 teaspoon lugaw (thin or very runny)
• Gradually thicken consistency and increase to 1 tablespoon, twice a day.
FEEDING TIP: If your baby won’t eat the cereal on the first try, offer it again in a few days.
lugao
Elizabeth M. Limos, RN-D 7.26.12
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Food for 6 to 8 monthsFood for 6 to 8 months• Signs to readiness for Solid
Food
• Breast milk
• Cereals like lugaw, soft cooked rice, oats
• Pureed or strained fruits (banana, apple, papaya)
• Pureed or strained vegetables (well-cooked carrot, squash, sweet potato, chayote, upo)
• 3 to 9 tablespoons cereal, in 2 to 3 feedings
• 1 teaspoon vegetables, gradually increased to ¼ to ½ cup in 2 to 3 feedings.
Papaya
Banana
Apple
SquashUpo
Elizabeth M. Limos, RN-D 7.26.12
Food for 6 to 8 monthsFood for 6 to 8 months
FEEDING TIPS
• Introduce new foods one at a time, with at least three days in between to make sure your baby’s not allergic.
• Preferences for sweet taste observed shortly after birth.
• Preferences for the flavors of energy-rich foods.
• Acceptance of other foods is not immediate and may occur after 8 to 10 exposures to those foods in a noncoercive manner.
Elizabeth M. Limos, RN-D 7.26.12
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Food for 8 to 10 monthsFood for 8 to 10 months
• Signs of Readiness for Solid and Finger Foods
• Same as 6 to 8 months, plus
• Pick up objects with thumb and forefinger
(pincer grasp)
• Can transfer items from one hand to the other
• Puts everything in his mouth
• Moves jaw in a chewing motion
Elizabeth M. Limos, RN-D 7.26.12
Food for 8 to 10 monthsFood for 8 to 10 months
What to Feed
• Breast milk plus
• Cereals (rice, wheat, oats, mixed cereals)
• Mashed fruits and vegetables (bananas, apples, avocados, cooked carrots, squash)
• Mashed potatoes, sweet potatoes
Carrots Avocado
PotatoSweet Potato (Camote)
Elizabeth M. Limos, RN-D 7.26.12
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Food for 8 to 10 monthsFood for 8 to 10 months
• Finger foods (lightly toasted breads, cut up small pieces of ripe banana; well-cooked spiral pasta, teething crackers, low-sugar cereal)
• Small amounts of protein (egg, pureed meats, poultry, and boneless fish, tofu, well-cooked and mashed beans with soft skins like lentils, split peas, pintos, black beans, mongo)
• Non-citrus juice (apple or pear)
Chicken, flakedTofu
Mung beans, boiledFish, boiled
Elizabeth M. Limos, RN-D 7.26.12
Food for 8 to 10 monthsFood for 8 to 10 months
• ¼ to ½ cup cereal
• ¼ to ½ cup vegetables
• 1/8 to ¼ cup protein foods
• 3 to 4 oz. Non-citrus juices
Feeding Tip
• Introduce new foods one at a time, with at
least three days in between to make sure your
baby’s not allergic.
Elizabeth M. Limos, RN-D 7.26.12
8/1/2012
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Food for 10 to 12 monthsFood for 10 to 12 months
• Signs of Readiness for Additional Solid Foods
• Same as 8 to 10 months plus
• Swallows food more easily
• Has more teeth
• No longer pushes food out with tongue
• Is trying to use a spoon
Elizabeth M. Limos, RN-D 7.26.12
Food for 10 to 12 monthsFood for 10 to 12 months
What to Feed
• Breast milk plus
• Cereals (rice, wheat, oats, mixed cereals)
• Fruit cut into cubes or strips, or mashed
• Bite-size, soft-cooked vegetables (peas,
carrots)
Elizabeth M. Limos, RN-D 7.26.12
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Food for 10 to 12 monthsFood for 10 to 12 months
• Combo foods (macaroni, casseroles)
• Protein (egg: pureed or finely ground meats,
poultry, and boneless fish; tofu, well-cooked
and mashed beans)
• Finger foods (lightly toasted bread or bagels,
small pieces of ripe banana, spiral pasta,
teething crackers, low-sugar O-shaped cereal)
Elizabeth M. Limos, RN-D 7.26.12
Food for 10 to 12 monthsFood for 10 to 12 months
• Non-citrus juice
• ¼ to ½ cup cereal
• 1/8 to ¼ cup combo foods
• 1/8 to ¼ cup protein foods
• 3 to 4 oz. Non-citrus juices
Elizabeth M. Limos, RN-D 7.26.12
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Food for 10 to 12 monthsFood for 10 to 12 months
Feeding Tips
• Introduce new foods one at a time, with at
least three days in between to make sure your
baby’s not allergic.
• If tolerated, move on to the next food item.
• Mix and match tolerated food items to expand
menu.
Elizabeth M. Limos, RN-D 7.26.12
Food for Toddlers to School-Age Children
Food for Toddlers to School-Age Children
• Have your child sit at the dinner table with the family.
• Children learn by watching others and will gradually change from using their fingers to using the spoon first and the fork later.
• Buy child-size spoons and forks and plates with separate compartments.
• Some toddlers do not like it when foods mix together.
Elizabeth M. Limos, RN-D 7.26.12
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Sample MenuSample MenuSample MenuSample Menu
• Breakfast– Papaya*
– Omelette with Malunggay
– Pandesal or Rice
– Milk
• Lunch/Supper– Pumpkin (squash) soup
– Lumpiang shanghai w/ vegetables
– Rice
– Banana*
• Snacks– Tanglad juice/buko juice/melon juice
– Spaghetti with eggplant
Papaya Malunggay
Squash
Banana
Eggplant
BucoCantaloupe
L. shanghai
Elizabeth M. Limos, RN-D 7.26.12
Sample Menu 4Sample Menu 4--6 yrs old6 yrs oldDiet Rx: 1,400 kcal C185g P38g F55gDiet Rx: 1,400 kcal C185g P38g F55g
BreakfastBreakfast AM SnackAM Snack LunchLunch
1 pc. Papaya1 pc. Papaya1 pc. Egg 1 pc. Egg omeletteomelette with with MalunggayMalunggay1 pc. 1 pc. PandesalPandesal1 cup Milk1 cup Milk
1 pc. Banana 1 pc. Banana cupcakecupcake1 glass Pink Lady 1 glass Pink Lady ((CamoteCamote Tops Tops Juice)Juice)
½ cup Squash Chowder Soup½ cup Squash Chowder Soup2 2 pcspcs. . LumpiangLumpiang Shanghai with Shredded Shanghai with Shredded CarrotsCarrots½ cup Rice½ cup Rice1 slice Watermelon 1 slice Watermelon
Elizabeth M. Limos, RN-D 7.26.12
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PM SnackPM Snack DinnerDinner
1 pc. Banana cupcake1 pc. Banana cupcake1 glass 1 glass TangladTanglad JuiceJuice
½ cup Chayote½ cup Chayote--Carrots Carrots GuisadoGuisado½ pc. Braised Chicken½ pc. Braised Chicken½ cup Rice½ cup Rice1 pc. Banana 1 pc. Banana LacatanLacatan
Sample Menu 4Sample Menu 4--6 yrs old6 yrs oldDiet Rx: Diet Rx: 1,400 kcal C185g P38g F55g1,400 kcal C185g P38g F55g
Elizabeth M. Limos, RN-D 7.26.12
Sample Menu 10Sample Menu 10--12 yrs old12 yrs oldDiet Rx: 2,000 kcal C275g P45g F80gDiet Rx: 2,000 kcal C275g P45g F80g
BreakfastBreakfast AM SnackAM Snack LunchLunch
1 pc. Papaya1 pc. Papaya1 pc. Egg 1 pc. Egg omeletteomelettewith with MalunggayMalunggay2 pc. 2 pc. PandesalPandesal2 2 tspstsps. Margarine. Margarine1 cup Milk1 cup Milk
1 pc. Banana 1 pc. Banana cupcakecupcake1 glass Pink 1 glass Pink Lady (Lady (CamoteCamoteTops Juice)Tops Juice)
1 cup Squash Chowder Soup1 cup Squash Chowder Soup2 2 pcspcs. . LumpiangLumpiang Shanghai with Shredded Shanghai with Shredded CarrotsCarrots1 ¼ cup Rice1 ¼ cup Rice1 slice Watermelon 1 slice Watermelon
Elizabeth M. Limos, RN-D 7.26.12
8/1/2012
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PM SnackPM Snack DinnerDinner
1 pc. Banana cupcake1 pc. Banana cupcake1 glass 1 glass TangladTanglad JuiceJuice
½ cup Chayote½ cup Chayote--Carrots Carrots GuisadoGuisado½ pc. Braised Chicken½ pc. Braised Chicken1 ¼ cup Rice1 ¼ cup Rice1 pc. Banana 1 pc. Banana LacatanLacatan
Sample Menu 10Sample Menu 10--12 yrs old12 yrs oldDiet Rx: Diet Rx: 2,000 kcal C275g P45 F80g2,000 kcal C275g P45 F80g
Elizabeth M. Limos, RN-D 7.26.12
Sample Menu 13Sample Menu 13--15 yrs old15 yrs oldDiet Rx: 2,250 kcal C356g P63 F65gDiet Rx: 2,250 kcal C356g P63 F65g
BreakfastBreakfast AM SnackAM Snack LunchLunch
1 pc. Papaya1 pc. Papaya1 pc. Egg 1 pc. Egg omeletteomelettewith with MalunggayMalunggay2 2 pcspcs. . PandesalPandesal1 cup Milk1 cup Milk
1 pc. Banana 1 pc. Banana cupcakecupcake1 glass Pink 1 glass Pink Lady (Lady (CamoteCamoteTops Juice)Tops Juice)
1 cup Squash1 cup Squash--KangkongKangkong GuisadoGuisado6 6 pcspcs. . LumpiangLumpiang Shanghai with Shredded Shanghai with Shredded CarrotsCarrots1 ¾ cup Rice1 ¾ cup Rice2 slices Watermelon 2 slices Watermelon
Elizabeth M. Limos, RN-D 7.26.12
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PM SnackPM Snack DinnerDinner
1 pc. Banana cupcake1 pc. Banana cupcake1 glass 1 glass TangladTanglad JuiceJuice
½ cup Chayote½ cup Chayote--Carrots Carrots GuisadoGuisado1 ½ 1 ½ pcspcs. Braised Chicken. Braised Chicken1 ¾ cups Rice1 ¾ cups Rice2 2 pcspcs. Banana . Banana LacatanLacatan
Sample Menu 13Sample Menu 13--15 yrs old15 yrs oldDiet Rx: Diet Rx: 2,250 kcal C356g P63 F65g2,250 kcal C356g P63 F65g
Elizabeth M. Limos, RN-D 7.26.12
TOFU CROQUETTE
Ingredients
• 1 block tofu
• 1 medium carrot, grated
• 1 piece onion, chopped
• ¼ cup kinchay, chopped
• 1 piece egg, slightly beaten
• 1/3 cup all-purpose flour
• 1 tsp fine salt
• 1/8 tsp pepper
• Cooking oil
Procedure:
• Crumble tofu with a fork.
• Add all the remaining ingredients and mix well.
• Form into rounded croquettes.
• Roll into flour until well-coated.
• Heat the oil in the frying pan and cook the croquettes until golden brown on each side.
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KALABASANG OKOY
Mga Kailangang Sangkap:
• 1 tasa kunudkod nakalabasa, hilaw
• 1 kutsara tinadtad naberdeng sibuyas
• 1 kutsara tinadtad napula o berdeng sili
• 1 itlog, binatingmabuti
• asin
• arina o dinurog natinapay
Paraan ng Pagluluto:
• Pagsama-samahinang sangkap, bilugin at saka iprito.
Lemongrass (Tanglad) Juice
Ingredients:
• 8 large stalks of lemongrass
• 4 cups of water
• 3 Tbsp honey
• 2 Tbsp calamansi juice
Procedure:
• 1. Wash the stalks with water and peel off the outer layer.
• 2. Put the stalks in the water and bring it to a boil. When the water starts to boil turn the
• flame down and simmer for 20 minutes until the water becomes light yellow in color.
• 3. Let it cool. Add honey and calamansi.
• 4. Serve it warm or chilled
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Pink Lady
Ingredients
• 5 stalks of camote tops or 22 leaves, washed (violet variety)
• 4 pcs calamansi
• 2 tbsp sugar
• 2 cups of water
Procedure
• Boil camote tops in 2 cups water for 5 minutes. Set aside to cool. Strain. Transfer to a pitcher, add calamansi extract and sugar. Add ice cubes or chill. Make 2 glasses.
• Nutri tips: High in Iron and Calcium, refreshing.
Creative Dishes with Vegetables
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Creative Dishes with Vegetables
Creative Foods with Vegetables
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Pagkain ng Gulay Ugaliin, Araw-ArawItong Ihain
Pagkain ng Gulay Ugaliin, Araw-ArawItong Ihain
Elizabeth M. Limos, RN-D 7.26.12