Playtimes HK Magazine Spring 2019 Issue | Page 28

health D uring the first year, a baby grows more quickly than at any other time in his or her life. This rapid period of growth means that babies need a lot of energy and nutrients to ensure that they can grow well. Well-planned vegan and vegetarian diets can meet the nutritional needs of your baby, and complementary feeding (weaning) is an opportunity to introduce babies to a wide variety of plant and/or dairy foods. When should I introduce complementary foods? The Department of Health (DH) recommends exclusive breastfeeding or suitable formula milk until six months of age, and to then introduce smooth, mashed and finger foods to your baby’s diet. (Please consult first food guidelines in links below). Offering a variety of foods will help make sure they get all the nutrients they need. Every infant is an individual, so if you are thinking of introducing food to your baby between four and six months, please speak to a health professional. Food should not be introduced before your baby is four months old as generally the digestive system is not sufficiently developed to cope with solid foods. Smooth or mashed foods can be fed to your baby using a spoon. Baby-led weaning is a different approach, which initially involves offering soft finger foods that your baby can hold in their fist, explore and chew. You may wish to use a combination of these two approaches. Is it safe to wean onto a vegetarian or vegan diet? Children can grow and develop normally on a vegetarian or vegan diet, although more attention needs to be given to ensure that nutritional needs are met. Vegetarian and vegan diets can be high in fibre, and this can lead to lower energy (calorie) intake, and reduced absorption of some important minerals, such as iron and zinc. Speak to your health visitor or a paediatric dietitian for advice on a vegetarian or vegan diet for your baby. 26 www.playtimes.com.hk What type of first foods should I offer my vegan or vegetarian baby? Due to the reduction in, or lack of, animal based food sources, particular attention should be paid to iron and calcium in vegetarian and vegan baby’s first foods. In addition to fruit, vegetables and baby rice, first foods from six months should include iron- rich options such as beans, chickpeas, lentils and tofu. Iron can also be found in fortified cereals, dark green vegetables and whole-grains. Offer with vitamin-C rich foods to increase iron absorption. Dried fruits high in iron include apricots, figs and prunes. To help prevent tooth decay, try to offer these with meals. Children can grow and develop normally on a vegetarian or vegan diet, although more attention needs to be given to ensure that nutritional needs are met. Calcium rich foods should be offered with each meal. Plain fortified soya yoghurt and calcium-set tofu are suitable for vegan baby weaning, as is cooking food with unsweetened fortified soya milk. Whole cow’s milk can be used in cooking from six months for vegetarian babies, and offered as a drink from one year. Vitamin B12 is found in animal foods including cheese, eggs and milk. If your baby has a vegan diet they will need fortified foods or supplements. Omega-3 fatty acids are mainly found in oily fish such as salmon and mackerel. Alternative good vegan and vegetarian sources include ground nuts, seeds or nut butters which can be offered daily. Does my baby need supplements? The UK Health Department recommends that all babies aged six months onwards be given a supplement containing vitamins A and C unless they are drinking 500ml of infant formula a day. Additionally, it is also recommended that all babies under one year old are given a daily supplement containing 8.5-10mcg of vitamin D, unless they are drinking 500ml of infant formula daily. Vitamin D2 is suitable for babies who have a vegan diet, and supplements containing vitamin D3 derived from lichen are also available. Is my child getting enough calories? Young children need lots of energy to grow and develop. Vegetarian and vegan foods can be higher in fibre and lower in calories than a diet that includes meat. When it comes to starchy foods, in addition to wholegrain and wholemeal versions, your child needs some lower- fibre foods, such as white bread and rice until they are five years old. This is because whole-grains are high in fibre and can fill your child up before they have taken in enough calories and nutrients. If you are concerned your child is not getting enough energy, offer them higher- calorie foods, such as hummus, bananas, and smooth nut and seed butters, and consult energy requirement information detailed in the links below. What are suitable drinks? The only drinks that are recommended for infants in the first year are breast milk, or an appropriate infant formula, with the addition of water from 6 months. Unsweetened calcium-fortified soya milk alternative can be used in cooking for vegan children from six months, and cow’s milk can be used in cooking for vegetarian babies. However, neither should be used as the main milk drink