What is a Pediatric Dietitian and How Can They Help

What is a Pediatric Dietitian and How Can They Help?

by with No Comment Consultation
Hey there, I’m Ms. Yeting, a Pediatric Dietitian, and the founder of Simple Balance Nutrition. If you’re struggling with your kids’ eating habits, you’re not alone. Feeding children can be a real challenge! That’s why I’m passionate about ensuring every parent has access to a pediatric dietitian like myself—I’m here to lend a hand!

My specialty? Working alongside parents to revolutionize how they feed their children and how their children eat. Together, we can empower your children to embrace new foods, enjoy a diverse range of options from various food groups, sit down to meals happily without any battles, and cultivate a lifelong healthy relationship with food and their bodies.

If you’re ready to dive in and work with a pediatric dietitian one-on-one, you can book an appointment with me right here. Whether you’re dealing with picky eating, a child seemingly “addicted to sugar,” weight concerns, or just need help getting nutritious meals on the table, you’ve come to the right place.

In this post, I’ll walk you through what a pediatric dietitian does, why it’s crucial to seek out a specialist in pediatric nutrition for your children, and how you can go about finding one. Plus, I’ll give you a sneak peek into what you can expect when working with a pediatric dietitian, so you can be confident in finding the perfect fit for your family.

So, if you’re ready to kickstart your journey towards happier, healthier eating habits for your children, let’s get started!

 

WHY CHILDHOOD NUTRITION IS IMPORTANT 

The global obesity crisis has worsened in recent years, with research pointing out how more and more children deal with this harmful condition. Pediatric dietitians and nutritionists are here to help prevent children from developing unhealthy body mass indexes and to support those who are on their weight loss journey.

A century ago, the notion of a child needing a dietitian would have been met with skepticism. Back then, the food they ate was generally more nutritious and less processed. Plus, the idea of seeking professional guidance for children’s diets wasn’t widely accepted.

Fast forward to today, we are dealing with more obese children than ever with pre-diabetes and diabetes, inflammatory bowel syndrome, autoimmune diseases, skin issues, and a variety of food intolerances and allergies. It’s a serious global issue that demands attention.

Despite the gravity of the situation, the importance of addressing children’s dietary preferences and involving pediatric dietitians in the conversation has become increasingly evident. Parents are recognizing the significance of seeking expert guidance to ensure their children’s nutritional needs are met and to tackle health challenges head-on.

In essence, while the prevalence of childhood obesity presents a significant challenge, the role of pediatric dietitians has never been more crucial. By working together to promote healthier eating habits and address nutritional concerns, we can strive towards a healthier future for our children.

 

WHAT DOES A PEDIATRIC DIETITIAN DO?

A pediatric dietitian is dedicated to collaborating with children and their families to enhance their dietary habits, nutrition, and feeding routines. There are various reasons why a child might benefit from consulting a pediatric dietitian, which I’ll delve into below.

During the initial consultation with a pediatric dietitian, a comprehensive nutrition assessment is conducted. This typically involves:

  1. Reviewing the child’s medical history in detail.
  2. Assessing growth parameters such as height, weight, and growth charts to track progress over time.
  3. Evaluating the child’s weight and height history to identify any trends or concerns.
  4. Gaining insight into the child’s typical dietary intake and preferences.
  5. Engaging in thorough discussions and asking pertinent questions to better understand the child’s unique needs and circumstances.

Based on this assessment, the pediatric dietitian will develop dietary modification recommendations and work closely with the family to implement these recommendations effectively. The frequency and duration of follow-up visits will vary depending on the individual needs of the child.

Overall, the primary goal of a pediatric dietitian is to support children and their families in optimizing their nutritional intake, fostering healthy eating habits, and addressing any dietary concerns or challenges they may encounter along the way.

 

WHEN TO SEE A PEDIATRIC DIETITIAN 

Wondering when it’s time to seek guidance from a pediatric dietitian? Here are some common scenarios where their expertise can make a significant difference:

1. Picky Eating

If mealtimes at your home resemble battlegrounds due to a picky eater, a dietitian can offer valuable support. They can help alleviate mealtime stress and create strategies to encourage your child to explore new foods. Picky eating is often seen in toddlers and preschoolers but can persist if left unaddressed, potentially impacting growth. Early intervention with a dietitian’s comprehensive assessment can help set your child on the right path. Check out my online course PEACEFUL MEALTIMES to help your children start trying new foods.

2. Starting Solids and Baby-Led Weaning

Navigating the transition to solid foods can be daunting for new parents. A dietitian can provide guidance on your baby’s nutritional needs, appropriate food choices, and transitioning through different textures. For those considering baby-led weaning, a dietitian can offer tailored advice and meal ideas to support this approach.

3. Nutrient Deficiencies

If your child is diagnosed with a nutrient deficiency, such as iron or vitamin D, a dietitian can help rectify the imbalance through dietary adjustments or supplements. Iron deficiency, particularly common in toddlers consuming excessive milk alternatives, requires careful management to restore optimal levels.

4. Constipation

Constipation is a prevalent issue in children, often influenced by diet. A dietitian can analyze your child’s dietary habits and recommend adjustments to promote regular bowel movements. They may suggest incorporating probiotic-rich foods or supplements and offer easy-to-follow recipes for constipation relief.

5. Child Athletes

Proper nutrition is vital for young athletes to support performance, recovery, and growth. A dietitian specializing in pediatric nutrition and sports can provide tailored guidance to optimize your child’s nutritional intake, considering their high activity levels and rapid growth.

6. Weight Concerns

If there are concerns about your child’s weight or growth, a pediatric dietitian can conduct a comprehensive assessment to determine if intervention is necessary. It’s essential to approach discussions about weight sensitively and privately, focusing on overall health rather than appearance to prevent negative associations.

7. Food Allergies

Children with food allergies may require guidance to ensure they receive adequate nutrients while avoiding allergens. A dietitian can assist in identifying suitable alternatives and designing a balanced diet that meets their nutritional needs.

8. Other Health Concerns

There are numerous other reasons to consult a pediatric dietitian, including general growth and nutrition concerns. If you have any concerns about your child’s diet or nutrition, consider discussing them with their pediatrician to explore the possibility of a referral to a dietitian.

Remember, the expertise of a pediatric dietitian can play a pivotal role in addressing various dietary challenges and promoting optimal health and well-being for your child.

 

HOW TO FIND A PEDIATRIC DIETITIAN 

When seeking a pediatric dietitian to address your child’s nutritional needs, consider the following avenues:

  1. Word of Mouth: Tap into your social network by asking fellow parents in your child’s daycare, kindergarten, or school for recommendations. Parents who have already engaged the services of a pediatric dietitian may offer valuable insights, or the educational institution itself might have information on reputable professionals.
  2. Pediatrician Referral: Consult your child’s regular pediatrician for referrals to pediatric dietitians in your area. Pediatricians often collaborate with dietitians and can provide trusted recommendations based on your child’s specific needs.
  3. Virtual Pediatric Dietitians: If you’re seeking assistance for non-medical nutrition issues such as picky eating or healthy meal planning and prefer a virtual option, you can consider working with a remote pediatric dietitian. Virtual consultations offer convenience and accessibility, allowing you to connect with a qualified professional regardless of geographical location.
  4. Local Dietitian Recommendations: If you’re having difficulty finding a local pediatric dietitian, reach out to other dietitians in your area for recommendations. Many dietitians maintain professional networks and can direct you to colleagues who specialize in pediatric nutrition. Additionally, dietitians often refer clients to specialists outside their own expertise, ensuring you receive tailored support.

By exploring these avenues and seeking referrals from trusted sources, you can connect with a qualified pediatric dietitian who can address your child’s unique nutritional needs and support their health and well-being.

 

BOTTOM LINE 

A pediatric dietitian is a registered dietitian specializing in working with children, equipped with extensive experience in pediatric nutrition. They offer invaluable support and guidance across various nutrition-related challenges, including picky eating, introducing solids, weight and growth concerns, addressing nutrient deficiencies, and devising healthy meal plans tailored to children’s needs.

Whether you opt for a local or virtual dietitian depends on your specific circumstances and preferences. The crucial factor is finding a professional with a solid background in pediatric nutrition, ensuring the best possible care for your family.

With over 13 years of dedicated experience in pediatric nutrition, I’m here to support you every step of the way. Whether you’re ready to schedule a consultation or simply have questions about your child’s nutrition, feel free to reach out. I offer a range of free resources to kickstart your journey towards better health and nutrition for your child.

Don’t hesitate to contact me for personalized assistance or to learn more about my qualifications and expertise. Your child’s well-being is my top priority, and I’m committed to providing the support and guidance you need to navigate the challenges of pediatric nutrition with confidence.

Safe Ways to Introduce Nuts to Baby

Safe Ways to Introduce Nuts to Baby

by with No Comment Baby Led WeaningChild & Family NutritionFood Allergy

Undoubtedly, introducing nuts to a baby can be scary, as they pose both a choking hazard and rank among the top nine allergens.

However, introducing nuts to your baby between the ages of 6 and 12 months can actually help lower their chances of developing an allergy. So, how can you safely introduce nuts to your baby?

WHAT CAUSES AN ALLERGY

An allergy occurs when the immune system erroneously recognizes a protein in a specific food as a potential threat. Subsequently, the immune system becomes activated and releases substances like histamines to combat this perceived danger. This immune response triggers inflammation, which results in the symptoms of an allergic reaction.

BENEFITS OF NUTS FOR BABY 

Nuts offer a wealth of nutrients and health benefits, and there are numerous ways to include them in a baby’s diet.

Different nuts have different nutrient profiles, but generally, they are rich in fats crucial for a baby’s growth and development. Additionally, they provide essential protein for muscle growth and tissue repair, along with fiber to support a healthy digestive system. Nuts are also a source of important micronutrients such as calcium, iron, folate, vitamin E, zinc, and more.

WHEN TO INTRODUCE PEANUTS AND OTHER NUTS TO BABY 

Back in 2000, parents were advised to avoid the introduction of allergenic foods for the first 1 to 3 years of life, with the belief that this would reduce the risk of developing allergies. However, recent research has shed light on this matter, revealing that delaying the introduction of allergenic foods not only fails to provide protection against allergies but can actually raise the risk of developing them.

A significant study called the LEAP study, conducted in England from 2006 to 2014, focused on infants at high risk of developing peanut allergies, including those with severe eczema, an egg allergy, or both. This study found that babies who were introduced to peanuts before the age of one and consumed them regularly in their diet had an 86% reduction in peanut allergy compared to children who avoided peanut.

Specifically, the group of children who avoided peanuts had a 17% incidence of peanut allergy, while the group that regularly included peanuts had a substantially lower rate of 3%. These findings underscore the importance of early and consistent introduction of allergenic foods like peanuts to reduce the risk of allergies in high-risk infants.

In early 2017, the National Institute of Allergy and Infectious Diseases (NIAID) release new guidelines specifically addressing peanut allergies. These guidelines received endorsement from prominent organizations such as the American Academy of Pediatrics, National Institute of Health and the American Academy of Allergy, Asthma, and Immunology, Malaysian Society of Allergy and Immunology , Canadian Society of Allergy and Clinical Immunology .

These guidelines recommend the introduction of allergenic foods at around 6 months of age, when babies are developmentally ready for solids (not before 4 months), and that all babies should have these foods by 12 months. This includes babies at high risk of allergy, unless an allergy to that particular food has already been confirmed.

Furthermore, once allergenic foods are introduced, it is beneficial to continue offering them regularly, approximately twice a week, as this practice helps in maintaining tolerance and reducing the risk of developing allergies.

WHAT NUTS CAN BE INTRODUCED TO BABY 

PEANUTS VS TREE NUTS

Peanuts and tree nuts, despite both being categorized as ‘nuts,’ do not share a botanical relationship and originate from distinct plant families. Surprisingly, peanuts aren’t true nuts; they belong to the legume family, such as soybeans, chickpeas or kidney beans. Interestingly, most individuals with a peanut allergy can typically consume other legumes safely.

  • Peanuts
  • Almonds
  • Brazil nuts
  • Cashews
  • Chestnuts
  • Hazelnuts
  • Macadamia nuts
  • Pine nuts
  • Pecans
  • Pistachios
  • Walnuts

We know that peanuts are not related to tree nuts, so most people tend to be allergic to either peanuts OR tree nuts. However, approximately 1 in 3 individuals with a nut allergy are allergic to both peanuts and tree nuts.

It’s now known that there is some cross-reactivity can occur between different foods, as well as between pollen and certain foods or latex and certain foods. So, having a tree nut allergy doesn’t necessarily indicate an allergy to all types of tree nuts, but it significantly increases the risk of being allergic to others. For this reason, each type of nut needs to be introduced separately, ideally leaving 2-3 days between each one.

NUT BUTTERS

You have the option to prepare your own nut butter or purchase a commercially available brand of any of the nuts listed above. If opting for a store-bought variety, ensure that it is free from any additives like sugar, salt, oils, or preservatives. It should only contain the specific nut you intend to introduce.

After individually introducing each type of nut to your baby, using mixed nut butter can be a convenient method to continue exposing your baby to a variety of nuts simultaneously, rather than incorporating each nut separately. This approach simplifies the process of diversifying your baby’s nut consumption while ensuring they receive a broad range of nut-related nutrients.

A useful tip for nut butter: If your nut butter is too thick and clumpy, you can transfer a small amount to a microwave-safe bowl and heat it in 20-second intervals, stirring each time, until it becomes slightly warm. The heat will aid in smoothing out the nut butter and making it thinner in consistency.

GROUND OR FINELY CHOPPED NUTS

Another way to introduce nuts to your baby is by finely grinding them and then sprinkling them on top of pureed foods, oat cereal, avocado, banana, or other solid foods. To grind the nuts, you can take a small handful and pulse them in a blender or food processor until they are finely chopped. It’s essential to check the size of the nuts while pulsing every 20 seconds to avoid turning them into a paste or nut butter. Alternatively, you can finely chop a small quantity of nuts on a cutting board. Once you have the finely chopped nuts, you can sprinkle them onto your baby’s food, leave them as they are, or stir them in for added texture and flavor.

ARE NUTS A CHOKING HAZARD FOR BABY?

Whole nuts pose a choking hazard and should not be offered to children under the age of 4. Additionally, chunky nut butter with large lumps should be avoided for the same reason. To ensure safety, serve nuts to young children in alternative forms such as puffs, nut powder, finely chopped, in the form of flours, thinned nut butter, or incorporated into purees. These preparations minimize the risk of choking and make nuts more suitable for young children’s consumption.

ARE NUTS A COMMON ALLERGEN?

Peanuts and tree nuts are all classified as top food allergens, so it’s important to be vigilant about any potential reactions when introducing foods containing nut ingredients to your baby. Allergic reactions can occur within minutes to hours after consumption, so it’s advisable to offer such foods at a time when you can closely monitor your child for a few hours, rather than during dinner.

Be attentive to possible symptoms of an allergic reaction, which may include itchy rashes, hives, vomiting, difficulty breathing, swelling of the lips and tongue, and, in severe cases, anaphylaxis. Promptly contact your pediatrician if any of these symptoms occur.

FEEDING TIPS WHEN INTRODUCING NUTS 

  1. Nuts pose a choking hazard for babies and young children, so it’s important to avoid offering whole nuts, chunks of nuts, or large dollops of nut butter to ensure their safety.
  2. Serve nuts earlier in the day: When introducing a new type of nut, offer it during breakfast or lunch so you can closely monitor your baby for any potential allergic reactions.
  3. Start with a small amount: You don’t need to give your baby a large serving to check for reactions. Begin with a small quantity to gauge their tolerance.
  4. Never rub on your baby’s skin: This will not help to identify a food allergy and can actually increase the risk of an allergy developing.
  5. Keep it on the menu: After successfully introducing a specific type of nut into your baby’s diet, aim to include it regularly in their weekly meal plan. This consistent exposure can potentially reduce the risk of developing allergies later in life.

HOW TO INTRODUCE PEANUTS OR TREE NUTS TO BABY 

Begin by introducing one type of nut early in the day, allowing you to closely monitor for any potential symptoms. To ensure safety and to thoroughly assess for any overlooked reactions, it is recommended to reintroduce the same variety of tree nuts or peanuts the following day, preferably around the same time. To monitor any allergy reactions, it’s best to wait 1-2 days before switching to a different type of nut.

Here are some of my favourite ways to introduce peanuts and tree nuts to your baby’s diet:

FOR TRADITIONAL WEANING 

  1. Add a small amount of warm water to a teaspoon of nut butter. Blend until you reach a smooth consistency, never serve a globs of nut butter as it can pose a choking hazard for young children.
  2. Infant cereal or oatmeal: Mix nut butter or finely chopped nuts into baby’s meal for added flavor and nutrition.
  3. Purees: Add a small amount of nut butter or finely chopped nuts to homemade baby purees for added texture and nutrition.
  4. Smoothies: Blend nut butter into a fruit or yogurt smoothie for a creamy, nutty flavor.

FOR BABY LED WEANING OR FINGER FOODS 

  1. Pasta tossed with pesto (if making at home, you can change which nuts or seeds you use as the base).
  2. Nut butter thinly spread on toast, pancakes, or waffles strips.
  3. Sprinkle finely chopped nuts on slices of banana, avocado, sweet potato wedges, oatmeal, applesauce, or yogurt.
  4. Mixed finely chopped nuts into the batter of pancakes, waffles, and muffins. Use a small amount of almonds to replace some of the regular flour used in baked goods.
  5. Nut butter yogurt dip.

The above methods offer versatility in introducing nuts to your baby’s diet, allowing you to choose the most appropriate option based on your baby’s age and preferences.

RELIABLE DIAGNOSIS OF FOOD ALLERGY IS IMPORTANT

It is important that allergies are accurately diagnosed and confirmed by a medical doctor. Your child’s doctor may conduct skin prick tests or blood tests to assess allergen-specific IgE levels, which can aid in confirming or ruling out potential allergens. However, it’s important to note that while these tests can establish the presence of an allergy, they do not predict the severity of an allergic reaction in individuals with allergies.

It’s also worth mentioning that some other forms of allergy testing lack scientific evidence and are therefore not recommended.

BOTTOM LINE 

Many foods are suitable for young children, but whole nuts are a choking hazard until at least age 4, and spoonfuls of nut butters can be too sticky for little mouths. The good news is that there are numerous delicious ways to serve nuts, providing healthy fats, protein, and essential nutrients. Nuts are rich in vitamins and minerals like Vitamin E and iron, making them a valuable addition to children’s diets for enhanced nutrition. I hope this blogpost can help you safely incorporate nuts into your baby’s diet while minimizing risks and promoting healthy eating habits.

Did you know that I offer personalized one-on-one nutrition counselling for children and families? If this is something you’s like to learn more about, check out my service.

understanding-lactose-intolerance-photo

Understanding Lactose Intolerance

by with No Comment Child & Family NutritionDigestive HealthInfant NutritionToddler Nutrition

WHAT IS LACTOSE? 

Lactose is is a naturally occurring sugar found in milk and other dairy products (yogurt, cheese and ice cream). When you consume food or drinks containing lactose, an enzyme named lactase in the small bowel will break down lactose into two simple sugars: glucose and galactose. These nutrients are then absorbed in the small intestine.

Image source: http://www.evo-ed.org/Pages/Lactase/cellbio.html

WHAT IS LACTOSE INTOLERANCE? 

However, some people might produce less lactase than the others. If the small bowel has insufficient lactase, the lactose consumed will not be digested properly and will continue through to the large bowel. Lactose in the large bowel will be fermented by the gut bacteria, which produces gases including hydrogen, carbon dioxide and methane. This gas production not only can lead to unpleasant gastro-intestinal symptoms such as distention, bloating, flatulence and constipation but can also draw water into the large bowel resulting in loose stools or diarrhea.

Some people may have a temporary lactose intolerance due to  viral infection like the stomach bug, while others can experience it when they have a digestive disorder like celiac disease. Still others may experience lactose intolerance their entire lives.

SYMPTOMS  

  • bloating
  • abdominal pain due to gas
  • tummy cramps
  • nausea
  • loose stool or diarrhea

If you are lactose intolerant, the symptoms may vary and are dose-dependent. That is, the more lactose you consume, the worse the symptoms become. Symptoms may occur immediately after drinking milk or eating dairy products, or they may be delayed for hours.

Lactose intolerance is NOT an allergy to milk. 

DIAGNOSIS 

To diagnose lactose intolerance, the hydrogen breath test is a simple, non-invasive and reliable investigation test. Lactose intolerance is indicated when hydrogen and methane levels of breath meet a certain criteria following the oral consumption of standard dose of lactose.

Another simple way to diagnose lactose intolerance is an elimination diet which involves removing lactose in the diet and assessing whether symptoms improve, followed by a re-introduction of lactose in the diet to assess whether symptoms return.

WHAT FOODS CONTAIN LACTOSE? 

Read the ingredient list on product labels to find out if the product contains a lactose-cotaining food. Food items to look out for include: milk, milk solids, malted milk, buttermilk, curds, cheese flavours, non-fat milk powder, non-fat milk solids, sweet or sour cream, lactose, whey and yogurt.

Note: 1) the cultures in yogurt help to digest lactose 2)Products that contain lactic acid, lactalbumin, lactate and casein do not contain lactose. 

IF YOU ARE LACTOSE INTOLERANT, SHOULD ALL DAIRY PRODUCTS BE AVOIDED? 

Yes, you will need to modify the diet in order to alleviate the discomfort and symptoms at the beginning. The first step is to remove all sources of lactose in the diet that can cause problematic symptoms, including milk and dairy products.

The second step is to find nutritious substitutions for those items you’re removing:

Note: 1)”Lactose free” means that there is no detectable lactose in the food. 2)”Lactose-reduced” means that at least 25% of the lactose in the product has been removed.

Recent research has suggested that most people with lactose intolerance can consume up to 12 to 15g of lactose without any symptoms. You can still tolerate some foods that contain lactose like yogurt or cheese, even if you are lactose intolerant.

OTHER TIPS ABOUT INCLUDING LACTOSE IN YOU AND YOUR CHILD’S DIET: 

  • Drink milk in smaller quantities. Most people with lactose intolerance can tolerate 1/2 cup milk at a time.
  • Eat small amounts of lactose-containing foods spaced throughout the day.
  • Eat with other solid foods may delay digestion, offering more time for the lactase enzyme to break down lactose.
  • Yogurt may also be tolerated (plain better than flavoured), because the live bacteria in the yogurt partially digests the lactose before consumption. Yogurt is also a semisolid, which moves slowly through the digestive tract.
  • Aged cheese tend to have lower lactose content.
  • Try lactase enzyme drops or tablets from the pharmacy. Tablets are taken before eating foods that have lactose. Enzyme drops can be added to milk before drinking.
  • Soy products do not contain any lactose and can be a suitable substitute for dairy products, providing they have calcium added.

Do you have a child with lactose intolerance? How are you managing? Did you know that I provide one-on-one nutrition counselling service for children and families? If you are diagnosed with lactose intolerance, I can help to ensure you are not missing out on important nutrients such as Calcium. This is particularly important for children. If this is something you’d like to learn more about, check out here. 

prevent-food-allergy-starting-solids-photo

How to Prevent Food Allergy When Starting Solids

by with No Comment Infant NutritionMotherhoodToddler Nutrition

Food allergies are on the rise. In the past, some expert recommended that dairy products and other common food allergens like eggs, peanuts and fish not be introduced until after an infant’s first birthday. More recently, evidence has shown that there is no reason to delay introduction of these foods beyond 6 months of age. In fact, delaying the introduction of these foods may increase your baby’s risk of developing allergies (here).

Current recommendations for solid food introductions are to wait until around 6 months of age. Look for your child’s readiness cues and provide only breast milk or formula until that time. There are no hard and fast rules as to what order or exactly what age to introduce certain foods to a baby. Babies really can go to town and eat what the rest of the family are eating (making sure the foods are an appropriate texture to avoid choking).

Read my article on When to Start Solids and How to  Start Solids for more info.

What Is a Food Allergy? 

A food allergy is when the body’s immune system mistakes a food as harmful and this cause a reaction. A food allergic reaction appear after a few minutes of giving a food and often will happen within two hours of having the food. Signs can also show up hours or days later. They can be mild (flushed face, abdominal pain, rash/hives, stuffy/runny nose) to severe (vomiting, diarrhea, blood in stools). The most extreme allergic reaction is anaphylaxis, where the throat starts to close and there is difficulty breathing.

Which Foods are Most Likely to Cause an Allergic Reaction? 

The most common food allergens are:

  • Eggs
  • Fish
  • Milk
  • Tree Nuts (Walnuts, Almonds, Cashew, Pecan, etc)
  • Peanuts
  • Sesame
  • Shellfish
  • Soy
  • Wheat

So should you feed your baby these foods? or avoid it? As of now, here’s what you need to know…

Risk of Developing Food Allergies? 

Your baby may be at high risk for developing food allergies if a parent, sister or brother has an allergic condition such as: food allergies, eczema, asthma or hay fever. Your baby is at lower risk if no parent, sister or brother has an allergic condition.

What to Eat When Pregnant and Breastfeeding

When you are pregnant or breastfeeding, good nutrition is extremely important, and you should continue to eat all of the nutritious foods that you usually eat. You do not need to avoid common food allergens while pregnant or breastfeeding. Go ahead and eat peanuts or drink a milkshake. Avoiding potential allergens will not decrease your baby’s chance of having an allergy to these foods. Breastfeeding itself maybe protective against food allergies.

If you choose to avoid certain foods while pregnant or breastfeeding, speak with a Registered Dietitian or your health care provider to make sure you are getting all the nutrients you and your baby need.

When Can You Feed Babies Highly Allergenic Foods

For low risk baby, there is no benefit to delaying common food allergens past 6 months.

For high risk baby, there is no reason to wait until the baby is older before introducing highly allergenic foods, and some studies suggest that it may even be helpful to introduce foods early. Talk to your allergist about whether it would be help to do a food allergy test before feeding these foods to your baby or speak with your dietitian about a personalized plan for food introduction.

The goal is to choose foods that provide the most nutrition. 

Here are a few steps that you could follow:

    Try other food first

The first foods that you give your baby should not be the most allergenic ones. Start with other single ingredient foods, such as rice or oat cereal, yellow and orange vegetables (sweet potato, squash and carrots), fruits (pears, banana, apples) and green vegetables (peas, broccoli, spinach), tender meat. Once things are going well with these other foods you can then start to introduce the common food allergens.

    Go slowly

Introduce just one food at a time, and then wait 3-5 days before trying the next new food (whether it is a highly allergenic food or not).

    Choose the right time

When you are ready to introduce a highly allergenic food, pick a time when you’ll be at home and you will be able to watch your baby closely for any signs of reaction. Along these lines, it may be better to do this earlier in the day and not right before a nap or bedtime. Do not try these foods right before you need to leave the house to go somewhere, such as to drop the baby off at day care or take your other children to school. Although many babies react the first time they eat a food, you should be cautious for the first two or three times that your baby tries an allergenic food. After that you can relax knowing the chances of a reaction are extremely small.

    Start with a small quantity

Don’t give your baby a full serving of a highly allergenic food on the first feeding. Start with a just a little. If there does not appear to be a reaction, then you can gradually increase the quantity during the next few feedings.

    Use nut butters, not nuts

Never feed nuts to a baby. Babies can choke on nuts. To introduce nuts into your baby’s diet, use nut butters or pastes.

You can do so in small amounts and can even try rubbing some of the food on their chick and then lip to see if it produces a rash, before giving/feeding that food.

Bottom Line

If your baby has severe allergic reaction, carry an epi pen. Make sure your baby is on a balanced diet, if it is quite restricted, please talk to your dietitian. Also, you will need to become an expert on reading food label and searching for all of the various names for the food you are avoiding.

If the allergies are mild, you can always try re-introducing the food after a few months.

If you have questions about food allergies. Contact Me about starting a nutritional counselling program.