solids on demand
DESCRIPTION
Solids on demand. Carlos González. Energy needs (kcal/day). Energy needs ( ± 2 SD). 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 - PowerPoint PPT PresentationTRANSCRIPT
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Solids on demand
Carlos González
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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
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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
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Joan’s history (14 m)“Not enough weight”
Blood tests (normals)
“Cow’s milk allergy”, hidrolysed
“Force him”. Ciproheptadine
Vomiting. “GER”. Omeprazole
Mother depressed
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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
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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.”
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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.”
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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
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Energy, kcal / 100 g
Boiled potato 65Apple 52Boiled carrot 27Vegetables with meat 50
(homemade)Breast milk 70
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Education,not nutrition
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Never, never forcea child to eat
Never!
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But, then, he won’t eat any food he dislikes!
Just so!