Solids on demand

Carlos González

Energy needs(kcal/day)

month

FAO/WHO/

UNU 1985

WHO/UNICEF 1988

Butte 2000

6-8 784 682 615

9-11 949 830 686

12-23 1170 1092 894

Energy needs (± 2 SD)Age (mo.) boys girls

3 327 - 728 342 - 685

6 392 -879 351 - 819

9 504 - 924 459 - 860

12 480 - 1158 506 - 1013

18 704 - 1211 509 - 1168

24 728 - 1302 662 - 1273

Butte, NF. et al. Am J Clin Nutr 2000;72:1558-69

Joan’s history (14 m)“Not enough weight”

Blood tests (normals)

“Cow’s milk allergy”, hidrolysed

“Force him”. Ciproheptadine

Vomiting. “GER”. Omeprazole

Mother depressed

Vitamin C needs(mg/day)

9-11 mo. 12-23 mo.

UK RNI 1991 25 30

USA DRI 1997 50 15

FAO/WHO 2002 30 30

Andrés’ history

Premature 24 w. Age 4 y 3 mo

“My son has never eaten, always

purée and by force, but since one

year agoy we cannot even force

him; he eats purée by tube.”

Andrés’ history

“His health is perfect,

he walks and runs,

climbs and descends stairs.

He is a happy child,

he plays and laughs a lot.”

Mandel, D. et al. Pediatrics 2005;116:e432-e435

Breast milk energy

Age (months ) 2-6 12-39

Kcal/100 ml 74,3 88,1

Energy, kcal / 100 g

Boiled potato 65Apple 52Boiled carrot 27Vegetables with meat 50

(homemade)Breast milk 70

Education,not nutrition

Never, never forcea child to eat

Never!

But, then, he won’t eat any food he dislikes!

Just so!