2.2 CME

Addressing Nutrient Requirements in Toddlers and Preschool Children

वक्ता: Dr. Reeta Bora

Professor and the Head of the Department of Pediatrics at Assam Medical Collegeand Hospital Dibrugarh, Assam.

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सारांश

  • The discussion highlighted the critical period of toddlerhood for growth and development, emphasizing motor, cognitive, social, and physical aspects. Proper nutrition and stimulation are crucial epigenetic factors influencing development during this phase, where brain growth, immunity buildup, and cognitive skills are rapidly progressing.
  • Toddlers have increased nutritional needs due to rapid growth, requiring higher calorie, protein, and fat intake compared to adults. Micronutrients like iron are also essential to prevent deficiencies. Factors contributing to nutritional deficiencies in India include inadequate food quality and quantity, late introduction of complementary feeding, and prevalent micronutrient deficiencies.
  • Iron deficiency anemia is a major concern in toddlers, with iron requirements changing from birth. Iron storage from the mother diminishes, making iron-rich complementary foods crucial. Nutrients like calcium, phosphorus, and vitamin D are vital for bone mineralization, while protein, calcium, iron, and zinc are essential for muscle growth, coupled with physical activity.
  • Brain development continues significantly during toddlerhood, with size and connectivity increasing. Key nutrients for brain development include iron, vitamin B12, DHA, choline, and protein. Gut health and immunity are interconnected, with gut microbiota playing a vital role in immune function. Factors affecting microbiota include delivery method, breastfeeding, and diet.
  • Dietary recommendations for toddlers include a balanced diet with complex carbohydrates, quality protein, and healthy fats. Parents should promote healthy eating habits by serving as role models, offering colorful and seasonal foods. Breastfeeding should continue, and artificial milk formulas should be used judiciously. Using growth charts and seeking early intervention are also recommended.

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