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Children's Health

Childhood Nutrition: What to Do, in Order

Childhood Nutrition: what is worth doing, what is worth avoiding, and when to stop and see a doctor.

Dr Priya Raghunathan, DClinPsy Clinical psychologist 3 min read 1 views
Childhood Nutrition: What to Do, in Order

Feeding children to support growth and establish lifelong eating patterns. Vitamin D and free sugar are the two areas where UK children most consistently miss the mark.

Key takeaways

  • Vitamin D, 1-4 years: 10 micrograms daily, all year
  • Vitamin D, breastfed babies: 8.5-10 micrograms daily from birth
  • Most useful single change: Give vitamin D drops to under-fives as advised.
  • Commonest mistake: Sugary drinks in bottles or sippy cups.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

Do

  • Give vitamin D drops to under-fives as advised
  • Offer water or milk between meals rather than juice
  • Offer new foods repeatedly without pressure; acceptance takes many exposures
  • Eat together where you can; modelling works better than instruction

Do not

  • Sugary drinks in bottles or sippy cups
  • Whole nuts before age 5, because of choking risk
  • Adding salt to food for under-ones
  • Honey before 12 months, because of infant botulism risk

The numbers behind the list

The list is built from the numbers below, which come from the bodies cited at the end.

Published figures for Childhood Nutrition
MeasureFigure
Vitamin D, 1-4 years10 micrograms daily, all year
Vitamin D, breastfed babies8.5-10 micrograms daily from birth
Free sugar, ages 4-6no more than 19g a day
Free sugar, ages 7-10no more than 24g a day
Whole cows' milk as a main drinkfrom 12 months

If you change one thing

Give vitamin D drops to under-fives as advised. If you only change one thing, make it that.

Where to go next

When to speak to a doctor

See a GP or health visitor for faltering growth, persistent food refusal, or if a child is losing weight. Seek urgent help for choking, and for a child who cannot keep fluids down or shows signs of dehydration — fewer wet nappies, dry mouth, sunken eyes or unusual drowsiness.

Where this comes from

  • NHS — What to feed young children
  • NHS — Vitamins for children

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Dr Priya Raghunathan

Clinical psychologist writing on sleep, stress and mood. Insists that every technique we publish has been tried by someone with a job, a commute and no spare hour in the morning.

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