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Group H.
Amount of energy required to raise the
temperature of one kilogram of water by one
degree at one atmospheric pressure.
 Caloric needs can be calculated by following
  Formula:
 Up to 10 kg,
      100 kcal/kg
 11-20 kg,
       1000 kcal+50 kcal/kg for each kg above 10
kg
 Above 20 kg,
       1500 kcal+20 kcal/kg for each kg above 20
kg
Age   Calories / kg / day
Infants                    110
1-3 years                  100
4-6 years                   90
7-9 years                   80
10-12 years                 70
13-15 years                 60
• 50-55 %            • 30-35%                • 10-15%

                              Fats




                                                  Proteins
Carbohydrates




                • 4 kcal/g           • 9 kcal/g              • 4 kcal/g
                • Stored as          • Form                  • Supplies
                  glycogen             integral                essential
                                                               and non-
                  in liver             part of                 essential
                  and                  cell                    amino acids
                  muscles              membran                 needed for
                                       e                       protein
                                                               synthesis
                                     • Serve as                for tissue
                                       vehicles                growth and
                                       for                     replacement
                                       Vitamins
• Minerals:
     Calcium      0.5-1.5 g/day
     Phosphorus   0.5-1.5 g/day
     Iron         6-12 mg/day
     Sodium       2-3 mEq/kg/day
     Potassium    1-2 mEq/kg/day
     Magnesium    80-270 mg/day
     Iodine       6-15 mg/kg/day
     Zinc         10-15 mg/day
• Vitamins:
      Vitamin A        1500-5000 IU/day
      Vitamin B1       0.5-1.5 mg/day
      Vitamin B2       0.6-1.5 mg/day
      Vitamin B6       0.4-1.4 mg/day
      Vitamin B12      1.0-2.5 mg/day
      Nicotinic acid   5-20 mg/day
      Folic acid       0.2-1 mg/day
      Vitamin C        30-35 mg/day
      Vitamin D        400 IU/day
      Vitamin E        5-15 IU/day
1) Feed according to the expected weight.
2) Give 110 Kcal/kg body weight per day.
3) Give 5 oz/kg milk feeding per day.
4) Water requirement is 150 ml/kg/day.
5) Milk should not be diluted after 12 weeks of age.
6) No sugar should be added to the bottle feed especially
   if the baby is also breast fed.
7) Weaning foods should be started at 4-6 months of age.
 Introducing food other than milk is called weaning.
 When solid foods are introduced, single ingredient foods
  should be chosen and started one at a time at weekly
  intervals.
 Infants should be weaned at 4-6 months of age because
  their neuromuscular development has advanced
  sufficiently so that solid foods can be swallowed.
 By 8-12 months, infants accepts finely chopped foods,
  and likelihood of choking is decreased.
 At one year, child requires 3 meals/day with two snacks
  in between.
Feeding of an infant

Initially give             Mashed banana
At 4-5 months              Cereals as rusks, toast or bread
6 months                   Vegetables like potato
7 months                   Egg yolk, minced meat, suji, etc.
At 1 year                  Child should eat the same food which
                           is cooked for rest of the family but
                           avoid chilies and spices
 Recipe 1
o Contains approx. 100 calories.
o Get milk (3 oz) and Sugar (1 TSF).
o Add it to 1 TSF of any of the following (Suji, Custard,
  Rice, Dalia).
o Boil it for few minutes and keep stirring.
 Recipe 2
o It contains approx. 300 calories.
o Get milk (8 oz) and sugar (2 TSF).
o Add 2 table spoonful of Suji, Rice, or Dalia.
o Brown the cereals and add milk and sugar and cup of
  water cook on low fire for further few minutes.
• Vitamins and minerals are important micronutrients which
  are essential for normal growth and development.
• They MUST be taken in the diet because the body either
  cannot synthesize them or insufficient amounts are
  synthesized for its needs.
• Classified into two groups:
                       •   Vitamin A
              Fat      •   Vitamin D
          soluble
         vitamins      •   Vitamin E
                       •   Vitamin K
                       •   Vitamin B complex
                       •   Thiamin (B1)
            Water      •   Riboflavin (B2)
          soluble      •   Pyridoxine (B6)
         vitamins      •   Cobalamin (B12)
                       •   Folic acid
                       •   Vitamin C
• Guidelines for usage of Vitamin A
       Age                   Vitamin A dose
       6-12 months           100,000 units
       1-5 years             200,000 units


 • Found in yellow and green parts of the plants and are
   especially abundant in carrots.
 • Also present in milk products and eggs Satisfactory
   source is breast milk and cow’s milk.
 • It strengthens immune system, maintains integrity of
   epithelial surfaces, and ensures adequate structure
   and function in vision system.
• Requirement: 400 IU/day
• Cholecalciferol (D3) is formed in skin by the action of UV
  light on 7-dehydrocholesterol.
• Ergochalciferol (D2) is found in plants after irradiation.
• Found in Fish liver oil, Vitamin D fortified milk and
  margarine, Exposure to sunlight.
• Regulates absorption and deposition of Calcium and
  Phosphorus by affecting permeability of intestinal
  membrane.
• Causes bone resorption.
• Regulates level of serum alkaline phosphatase which
  causes calcium phosphate deposition in teeth and bones.
• A fat soluble vitamin which acts as an antioxidant and
  involved in nucleic acid metabolism.
• Found in germ oils of various seeds, green leafy
  vegetables, Nuts, Legumes.
• Minimize oxidation of carotene, vitamin A and linoleic
  acid. It also stabilizes membranes.
•   Participates in oxidative phosphorylation.
•   Found in green leafy vegetables and Liver.
•   Help in prothrombin formation.
•   Several coagulation factors are Vitamin K dependent.


                      Vitamin B12
• Found in animal products such as fish, meat, eggs, milk,
  cheese.
• Essential for maturation of RBC’s in bone marrow.
• Transfers one-carbon units in purine and labile methyl
  group metabolism.
• Found in green vegetables , liver, nuts, cereals, cheese,
  fruits, yeast, beans, peas.
• Concerned with formation and metabolism of one-carbon
  units.
• Participates in synthesis of purines, pyrimidines,
  nucleoproteins, and methyl groups.
• Found in fruits (citrus fruits), and vegetables.
• Causes integrity and maintenance of intracellular
  material.
• Facilitates absorption of iron.
• Metabolism of tyrosine to phenylalanine.
• Young children are more susceptible to iron deficiency as
  a result of an increased iron requirement related to rapid
  growth during first 2 years of life and relatively low iron
  content in most infant diets.
• A good dietary iron source is strained meat. It can be
  introduced after 6 months of age.
• Required for synthesis of thyroid hormone, which in turn
  are needed for regulation of metabolic activities of all
  cells throughout life. They are also required to ensure
  normal growth, especially of brain.
• Risk associated with this deficiency is decreased by
  iodizing the edible salt.
Calculating Calorie Needs for Infants

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Calculating Calorie Needs for Infants

  • 2. Amount of energy required to raise the temperature of one kilogram of water by one degree at one atmospheric pressure.  Caloric needs can be calculated by following Formula:  Up to 10 kg, 100 kcal/kg  11-20 kg, 1000 kcal+50 kcal/kg for each kg above 10 kg  Above 20 kg, 1500 kcal+20 kcal/kg for each kg above 20 kg
  • 3. Age Calories / kg / day Infants 110 1-3 years 100 4-6 years 90 7-9 years 80 10-12 years 70 13-15 years 60
  • 4. • 50-55 % • 30-35% • 10-15% Fats Proteins Carbohydrates • 4 kcal/g • 9 kcal/g • 4 kcal/g • Stored as • Form • Supplies glycogen integral essential and non- in liver part of essential and cell amino acids muscles membran needed for e protein synthesis • Serve as for tissue vehicles growth and for replacement Vitamins
  • 5. • Minerals: Calcium 0.5-1.5 g/day Phosphorus 0.5-1.5 g/day Iron 6-12 mg/day Sodium 2-3 mEq/kg/day Potassium 1-2 mEq/kg/day Magnesium 80-270 mg/day Iodine 6-15 mg/kg/day Zinc 10-15 mg/day
  • 6. • Vitamins: Vitamin A 1500-5000 IU/day Vitamin B1 0.5-1.5 mg/day Vitamin B2 0.6-1.5 mg/day Vitamin B6 0.4-1.4 mg/day Vitamin B12 1.0-2.5 mg/day Nicotinic acid 5-20 mg/day Folic acid 0.2-1 mg/day Vitamin C 30-35 mg/day Vitamin D 400 IU/day Vitamin E 5-15 IU/day
  • 7. 1) Feed according to the expected weight. 2) Give 110 Kcal/kg body weight per day. 3) Give 5 oz/kg milk feeding per day. 4) Water requirement is 150 ml/kg/day. 5) Milk should not be diluted after 12 weeks of age. 6) No sugar should be added to the bottle feed especially if the baby is also breast fed. 7) Weaning foods should be started at 4-6 months of age.
  • 8.
  • 9.  Introducing food other than milk is called weaning.  When solid foods are introduced, single ingredient foods should be chosen and started one at a time at weekly intervals.  Infants should be weaned at 4-6 months of age because their neuromuscular development has advanced sufficiently so that solid foods can be swallowed.  By 8-12 months, infants accepts finely chopped foods, and likelihood of choking is decreased.  At one year, child requires 3 meals/day with two snacks in between.
  • 10. Feeding of an infant Initially give Mashed banana At 4-5 months Cereals as rusks, toast or bread 6 months Vegetables like potato 7 months Egg yolk, minced meat, suji, etc. At 1 year Child should eat the same food which is cooked for rest of the family but avoid chilies and spices
  • 11.  Recipe 1 o Contains approx. 100 calories. o Get milk (3 oz) and Sugar (1 TSF). o Add it to 1 TSF of any of the following (Suji, Custard, Rice, Dalia). o Boil it for few minutes and keep stirring.  Recipe 2 o It contains approx. 300 calories. o Get milk (8 oz) and sugar (2 TSF). o Add 2 table spoonful of Suji, Rice, or Dalia. o Brown the cereals and add milk and sugar and cup of water cook on low fire for further few minutes.
  • 12. • Vitamins and minerals are important micronutrients which are essential for normal growth and development. • They MUST be taken in the diet because the body either cannot synthesize them or insufficient amounts are synthesized for its needs.
  • 13. • Classified into two groups: • Vitamin A Fat • Vitamin D soluble vitamins • Vitamin E • Vitamin K • Vitamin B complex • Thiamin (B1) Water • Riboflavin (B2) soluble • Pyridoxine (B6) vitamins • Cobalamin (B12) • Folic acid • Vitamin C
  • 14. • Guidelines for usage of Vitamin A Age Vitamin A dose 6-12 months 100,000 units 1-5 years 200,000 units • Found in yellow and green parts of the plants and are especially abundant in carrots. • Also present in milk products and eggs Satisfactory source is breast milk and cow’s milk. • It strengthens immune system, maintains integrity of epithelial surfaces, and ensures adequate structure and function in vision system.
  • 15. • Requirement: 400 IU/day • Cholecalciferol (D3) is formed in skin by the action of UV light on 7-dehydrocholesterol. • Ergochalciferol (D2) is found in plants after irradiation. • Found in Fish liver oil, Vitamin D fortified milk and margarine, Exposure to sunlight. • Regulates absorption and deposition of Calcium and Phosphorus by affecting permeability of intestinal membrane. • Causes bone resorption. • Regulates level of serum alkaline phosphatase which causes calcium phosphate deposition in teeth and bones.
  • 16. • A fat soluble vitamin which acts as an antioxidant and involved in nucleic acid metabolism. • Found in germ oils of various seeds, green leafy vegetables, Nuts, Legumes. • Minimize oxidation of carotene, vitamin A and linoleic acid. It also stabilizes membranes.
  • 17. Participates in oxidative phosphorylation. • Found in green leafy vegetables and Liver. • Help in prothrombin formation. • Several coagulation factors are Vitamin K dependent. Vitamin B12 • Found in animal products such as fish, meat, eggs, milk, cheese. • Essential for maturation of RBC’s in bone marrow. • Transfers one-carbon units in purine and labile methyl group metabolism.
  • 18. • Found in green vegetables , liver, nuts, cereals, cheese, fruits, yeast, beans, peas. • Concerned with formation and metabolism of one-carbon units. • Participates in synthesis of purines, pyrimidines, nucleoproteins, and methyl groups.
  • 19. • Found in fruits (citrus fruits), and vegetables. • Causes integrity and maintenance of intracellular material. • Facilitates absorption of iron. • Metabolism of tyrosine to phenylalanine.
  • 20. • Young children are more susceptible to iron deficiency as a result of an increased iron requirement related to rapid growth during first 2 years of life and relatively low iron content in most infant diets. • A good dietary iron source is strained meat. It can be introduced after 6 months of age.
  • 21. • Required for synthesis of thyroid hormone, which in turn are needed for regulation of metabolic activities of all cells throughout life. They are also required to ensure normal growth, especially of brain. • Risk associated with this deficiency is decreased by iodizing the edible salt.