Unit 1 1 Support Healthy Lifestyle
Unit 1 1 Support Healthy Lifestyle
Unit 1 1 Support Healthy Lifestyle
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AC 1.2 Evaluate national and local The Schools Fruit and Vegetable
initiatives which promote healthy Scheme (SFV)
eating It is recommended that children – like adults – eat
The Eat Better, Start Better programme at least five portions of fruit and vegetables every
day. Children aged between four and six who
This programme is run by The Children’s Food
attend a fully state-funded infant, primary or special
Trust and aims to help early years providers meet
school are entitled to receive a free piece of fruit or
children’s nutritional needs more consistently, and
vegetable each school day.
to help families with young children to develop
the cooking skills and confidence they need to
cook and eat more healthily. Their practical guide Feeding Young Imaginations
includes the government-backed Voluntary Food The Pre-School Learning Alliance’s campaign,
and Drink Guidelines for Early Years Settings Feeding Young Imaginations, supports parents and
in England, as well as advice on encouraging early years groups by providing information to
children to eat well, including managing fussy promote a balanced diet for under-fives.
eating and special dietary requirements.
medium 1glass
3 whole driedof Just Eat More 3 heaped 16 okra
apricots (fruit & veg) tablespoonsof cooked
kidney beans
Figure 1.1.1 ‘Just eat more’ portion poster for the NHS 5 A DAY programme
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The Children’s Food Campaign ● babies aged under 12 months may instead receive
dried baby milk made up to 189ml (one-third of a
Sustain (the alliance for better food and farming)
pint).
launched the Children’s Food Campaign to improve
young people’s health and wellbeing through: Day care providers who have been approved to
supply milk under the scheme can be reimbursed
● good food and real food education in every
for the cost of the milk they supply.
school
● protecting children from junk food marketing Eat Smart, Play Smart
● clear food labelling that everyone, including
children, can understand. Eat Smart, Play Smart is a Food Standards Agency
teaching resource developed for primary school
Cool Milk teachers throughout the UK to use with children
aged five to seven years. Eat Smart, Play Smart
Cool Milk works in partnership with local
materials have been developed to:
authorities and early years groups to supply free
and subsidised school milk to children in pre- ● help children to understand the need for healthy
schools, nurseries and primary schools. Cool Milk diets and to choose appropriately from different
aims to make the provision of milk easier for food groups for their meals
schools, nurseries, local authorities and parents, ● encourage children to be more active in their
while promoting the important health benefits and home and school lives and to understand the
learning opportunities that school milk offers. benefits of being active in fun, energetic and
easy-to-follow ways.
Change4life
The School Food Trust supports the NHS Change4life Activity
programme by ensuring that as many children as Find out about and evaluate local initiatives to
possible are eating healthy school food. All school promote healthy eating in your area. See, for
lunches must now meet nutrient-based standards to example, the information for Change4life in the
ensure that they provide children with the fuel they Useful Resources section on p 27.
need to lead a healthy, active lifestyle. Change4life also
provides guidance and resources on the following:
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● Some types of fish, such as shark, swordfish and High levels of mercury
marlin, must be avoided altogether High levels of mercury can harm a baby’s developing
nervous system. Women should eat no more than two
tuna steaks a week (or four cans of tinned tuna). High
levels of mercury can cross the placenta and may cause
delayed development.
● Unwashed raw fruit and vegetables Toxoplasmosis
● Raw or undercooked meat Toxoplasmosis is an infection caused by a parasite
● Unpasteurised goat’s milk or goat’s cheese found in cat faeces. It can also be present in raw or
undercooked meat, and in soil left on unwashed
fruit and vegetables. Although rare, the infection can
occasionally be passed to the unborn baby, which can
cause serious problems, such as:
● miscarriage
● stillbirth
● eye damage
● hydrocephalus.
● Liver and liver products (e.g. liver pâté) Too much vitamin A
Women should avoid eating liver and liver products such
as pâté and avoid taking supplements containing vitamin
A or fish liver oils (which contain high levels of vitamin
A). If high levels of vitamin A build up in the body it can
cause serious problems, including birth defects.
● Peanuts and foods that contain peanuts Peanut allergy
Avoiding foods like peanuts – and foods that contain
peanuts – may reduce the baby’s chances of developing
a potentially serious peanut allergy. This is especially
true if there is a history of allergies, such as hay fever or
asthma, in the family.
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Starchy foods Bread, potatoes, sweet Carbohydrate, fibre, B Four portions each day
potatoes, starchy root vitamins and iron
vegetables, pasta, Provide a portion as part
noodles, rice and other of each meal (breakfast,
grains, breakfast cereals lunch and tea) and
provide as part of at least
one snack each day
Fruit and vegetables Fresh, frozen, canned, Carotenes (a form of Five portions each day
dried and juiced fruit and vitamin A), vitamin C,
vegetables, and pulses zinc, iron, and fibre Provide a portion as
part of each main meal
(breakfast, lunch and tea)
with some snacks
Meat, fish, eggs, beans Meat, poultry, fish, Protein, iron, zinc, omega Two portions each day
and non-dairy sources of shellfish, eggs, meat 3 fatty acids, vitamins A
protein alternatives, pulses, nuts* and D Provide a portion as part
of lunch and tea
Milk and dairy foods Milk, cheese, yoghurt, Protein, calcium, and Three portions each day
fromage frais, custard, vitamin A provided as part of meals,
puddings made from milk snacks and drinks
* Nuts: children under five should not be offered whole nuts as they may cause choking. Nut butters and ground or
chopped nuts in recipes are fine. However it is important to check if a child has a nut allergy before offering nuts.
See pp 21–22, for information on allergies.
Table 1.1.2 Summary of the four food groups and the nutrients they provide
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A healthy diet for young children combines foods from AC 3.2 Use current government
each and all of the four food groups in Table 1.1.2.
guidance to identify the nutritional
Foods that are high in fat and sugar can be needs of babies until they are fully
included every day in addition to, but not instead weaned
of, the other food groups. Once the child is two
The nutritional needs of babies
years old, you can gradually lower the amount of
fat in their diet. Some foods will increase the levels The way in which babies are fed involves more than
of saturated or ‘bad’ fat in the diet. Cheap burgers, simply providing enough food to meet nutritional
crisps, chips, biscuits, cakes and fried foods are all requirements; for the newborn baby, sucking milk is
high in saturated fat. It can help to think of these a great source of pleasure and is also rewarding and
sorts of foods as ‘extras’ once the child has eaten enjoyable for the mother. The ideal food for babies
well from the four other main groups. to start life with is breast milk, and breastfeeding
should always be encouraged as the first choice in
Activity infant feeding; however, mothers should not be
made to feel guilty or inadequate if they choose not
Explain the nutritional value of the main food groups. to breastfeed their babies.
How does your setting ensure that all snacks and
meals are healthy and nutritious? Have a look at your Breastfeeding
setting’s food policy.
During pregnancy, the breasts produce colostrum,
a creamy, yellowish fluid, low in fat and sugar,
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which is uniquely designed to feed the newborn high protein and salt content of cow’s milk, and it is
baby. Colostrum also has higher levels of antibodies likely to cause an adverse reaction. Soya-based milks
than mature milk and plays an important part in can be used if the baby develops an intolerance to
protecting the baby from infection. Mature milk is modified cow’s milks (this happens very rarely). For
present in the breasts from around the third day the first four to six months, the baby will be given
after birth. Hormonal changes in the mother’s infant formula milk as a substitute for breast milk; he
bloodstream cause the milk to be produced, and the or she may then progress to follow-on milk, which
sucking of the baby stimulates a steady supply. may be offered until the age of one year.
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AC 3.3 Explain how to plan a If parents do choose to introduce solid foods before
26 weeks, they should consult their health visitor
weaning programme
or GP first. There are also some foods they should
The principles of weaning and avoid giving their baby. These include:
its importance to the baby’s
development ● foods containing gluten, which is in wheat, rye,
barley, oats
Weaning is the gradual introduction of solid food to ● eggs
the baby’s diet. The reasons for weaning are to: ● fish and shellfish
● meet the baby’s nutritional needs – from about
● liver
six months of age, milk alone will not satisfy
● citrus fruit juices
the baby’s increasing nutritional requirements,
● nuts and seeds.
especially for iron NB Babies under the age of one year should not
● satisfy increasing appetite be given honey because it is not pasteurised and
● develop new skills – for example, use of feeding can cause infant botulism – a rare but very serious
beaker, cup and cutlery illness, which occurs when Clostridium botulinum
● develop the chewing mechanism – the muscular or related bacteria produce toxins in the intestines
movement of the mouth and jaw also aids the of babies under one year old.
development of speech
● introduce new tastes and textures – this enables
the baby to join in family meals, thus promoting Stages of weaning
cognitive and social development. Every baby is different. Some enjoy trying new
tastes and textures, moving through weaning
When to start weaning quickly and easily, while others need a little more
Department of Health guidelines advise parents time to get used to new foods.
to wait until their baby is around six months’ old
before starting him or her on solid food. When the Stage 1 (around six months)
following three key signs are present together, it Give puréed vegetables, puréed fruit, baby rice and,
means that the baby is ready for solid food: finely, puréed dhal or lentils. Milk continues to be
the most important food.
1 The baby can stay in a sitting position while
holding his or her head steady. Stage 2 (about six to eight months)
2 The baby can coordinate his or her eyes, hands Increase variety; introduce puréed or minced meat,
and mouth – that is, look at food, grab it and put chicken, liver, fish, lentils and beans. Raw eggs
it in his or her mouth by him or herself. should not be used, but cooked egg yolk can be
3 The baby can swallow his or her food – if the baby introduced from six months, along with wheat-
is not ready, most of it will be pushed back out. based foods – for example, mashed Weetabix® and
Babies who are born prematurely should not be pieces of bread. Milk feeds decrease as more solids
introduced to solid foods just because they have rich in protein are offered.
reached a certain age or weight. They will need
Stage 3 (about nine to twelve months)
individual assessment before weaning.
Cows’ milk can safely be used at about 12 months,
Giving solids too early – often in the mistaken belief along with lumpier foods such as pasta, pieces of
that the baby might sleep through the night – places cooked meat, soft cooked beans, pieces of cheese
a strain on the baby’s immature digestive system. and a variety of breads. Additional fluids can be
It may also make the baby fat and increases the given – for example, water. Three regular meals
likelihood of developing allergies. should be taken, as well as drinks.
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Food can be puréed by: ● offers the baby the opportunity to discover what
other foods have to offer, as part of finding out
● rubbing it through a sieve using a large spoon
about the world around him or her
● mashing it with a fork (for soft foods such as
● utilises the baby’s desire to explore and
banana or cooked potato)
experiment, and to mimic the activities of
● using a mouli-sieve or hand-blender
others
● using an electric blender (useful for larger amounts).
● enables the transition to solid foods to take place
Finger foods as naturally as possible – by allowing the baby
Finger foods are any foods that can be given to a to set the pace of each meal, and maintaining an
baby to manage by him or herself. After weaning, emphasis on play and exploration rather than on
encourage the baby to chew – even if there are no eating.
teeth – by giving finger foods or foods that have a For more information, visit this website:
few lumps. Examples of finger foods include: http://babyledweaning.com
● wholemeal toast
● pitta bread Progress check
● banana or peeled apple slices
Weaning is the gradual introduction of solid food to
● cubes of hard cheese – for example, Cheddar the baby’s diet.
● chapatti
Giving solids too early places a strain on the baby’s
● breadsticks immature digestive system.
● cooked carrots or green beans.
The Department of Health recommends that babies
Always stay near to the baby during feeding to be started on solid food at around six months.
make sure he or she does not choke, and to offer Babies usually start chewing food at around the age
encouragement. of six months, whether or not they have teeth.
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