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Healthy Beverages

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December 20, 2023 Children

Healthy Beverages

By: Christina mcGeough, mph, rd, cdces, CLC

The period from birth to five years old is a time of rapid physical and developmental growth for children. During these years children learn a lot of new skills like feeding themselves, communicating with others, and expressing their feelings. They are like sponges absorbing new information rapidly and curious about their environment and surroundings – including what they eat and drink. The foods and beverages you offer children early in life can shape their food preferences and behaviors into adulthood. Consuming too many sugar-sweetened beverages can lead to too much weight gain in childhood. Children’s tummies are small, so drinking a lot of beverages can decrease their appetite and the amound of food they eat at mealtimes.

Here are some beverage choices, suggested amounts by age group, and ways to offer drinks to them as they grow. Let’s look at beverage recommendations by the American Academy of Pediatrics (AAP) and start with the obvious choices: water and milk.

Water

  • Begin to introduce water after 6 months of age.

Recommendations by age

6 – 12 months

12 – 24 months

2 – 5 years

½ – 1 cup per day

1 – 4 cups per day

1 – 5 cups per day

Water

  • Begin to introduce water after 6 months of age.

Recommendations by age

6 – 12 months

½ – 1 cup per day

12 – 24 months

1 – 4 cups per day

2 – 5 years

1 – 5 cups per day

Cow’s Milk

  • By 12 months, many infants are weaned from breastmilk and/or formula and are also starting to incorporate solid foods into their diets.
  • After 12 months, whole cow’s milk is recommended because it contains vitamins and minerals necessary for children’s growth and development like protein, calcium, vitamins A & D, and zinc.
  • After the age of 2 years, it’s best to switch to low-fat or fat-free milk.

Recommendations by age

12 – 24 months

2 – 5 years

2 – 3 cups
whole milk per day

2 – 2½ cups
1% or non-fat milk per day

Cow’s Milk

  • By 12 months, many infants are weaned from breastmilk and/or formula and are also starting to incorporate solid foods into their diets.
  • After 12 months, whole cow’s milk is recommended because it contains vitamins and minerals necessary for children’s growth and development like protein, calcium, vitamins A & D, and zinc.
  • After the age of 2 years, it’s best to switch to low-fat or fat-free milk.

Recommendations by age

12 – 24 months

2 – 3 cups
whole milk per day

2 – 5 years

2 – 2½ cups
1% or non-fat milk per day

Plant-Based Milk

  • Some children have dairy allergies or milk intolerances that prevent them from drinking cow’s milk. For some families, plant-based milks are preferred for cultural and/or personal reasons. It is important to note that not all plant-based milks are created equal, and many do not provide enough calcium, vitamin D, or protein. Soy milk is the only plant based milk that is recommended as a substitute for cow’s milk. Talk to your child’s healthcare team about their nutritional needs if your child cannot drink cow’s milk or soy milk.

Juice

  • Avoid offering your child juice before they are 12 months old.
  • Offer juice in a cup not a bottle.
  • Consider mixing juice with water to limit sugar and calories.
  • AAP recommends limiting juice to 4 ounces per day for children under 3 years and no more than 4-6 ounces for children 4-5 years old.

Beverages that should be avoided

  • Sugar-sweetened beverages like sodas, sweet teas, sports drinks, and lemonades can cause dental cavities and lead to excessive weight gain.
  • Caffeinated drinks can lead to poor sleep, headaches, and nervousness and should be avoided.
  • Children do not need beverages beyond water and milk, but many are often preferred due to their sweetness. Consuming flavored, sweet tasting beverages even if they are calorie free, may prevent your child from drinking or liking plain water.
Be mindful of what types of beverages you offer and how much of these beverages your child drinks. Remember after 12 months, it’s best to offer water, milk, and other beverages in a cup (not a bottle) to support oral motor development and help prevent cavities.

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    Side-Lying Hold

    1. For the right breast, lie on your right side with your baby facing you.
    2. Pull your baby close. Your baby’s mouth should be level with your nipple.
    3. In this position, you can cradle your baby’s back with your left arm and support yourself with your right arm and/or pillows.
    4. Keep loose clothing and bedding away from your baby.
    5. Reverse for the left breast.

    This hold is useful when:

    • You had a C-section
    • You want to rest while baby feeds
    • You are breastfeeding in the middle of the night
    • You and your baby are comfortable in this position
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    Cross-Cradle Hold

    1. For the right breast, use your left arm to hold your baby’s head at your right breast and baby’s body toward your left side. A pillow across your lap can help support your left arm.
    2. Gently place your left hand behind your baby’s ears and neck, with your thumb and index finger behind each ear and your palm between baby’s shoulder blades. Turn your baby’s body toward yours so your tummies are touching.
    3. Hold your breast as if you are squeezing a sandwich. To protect your back, avoid leaning down to your baby. Instead, bring your baby to you.
    4. As your baby’s mouth opens, push gently with your left palm on baby’s head to help them latch on. Make sure you keep your fingers out of the way.
    5. Reverse for the left breast.

    This hold is useful when:

    • Your baby is premature
    • Your baby has a weak suck
    • Your baby needs help to stay latched
    • Your baby needs extra head support
    • You and your baby are comfortable in this position
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    Clutch or “Football” Hold

    1. For the right breast, hold your baby level, facing up, at your right side.
    2. Put your baby’s head near your right nipple and support their back and legs under your right arm.
    3. Hold the base of your baby’s head with your right palm. A pillow underneath your right arm can help support your baby’s weight.
    4. To protect your back, avoid leaning down to your baby. Bring baby to you instead.
    5. Reverse for the left breast.

    This hold is useful when:

    • You had a C-section
    • You have large breasts
    • You have flat or inverted nipples
    • You have a strong milk let-down
    • You are breastfeeding twins
    • Your baby likes to feed in an upright position
    • Your baby has reflux
    • You and your baby are comfortable in this position
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    Cradle Hold

    1. For the right breast, cradle your baby with your right arm. Your baby will be on their left side across your lap, facing you at nipple level.
    2. Your baby’s head will rest on your right forearm with your baby’s back along your inner arm and palm.
    3. Turn your baby’s tummy toward your tummy. Your left hand is free to support your breast, if needed. Pillows can help support your arm and elbow.
    4. To protect your back, avoid leaning down to your baby. Instead, bring your baby to you.
    5. Reverse for the left breast.

    This hold is useful when:

    • Your baby needs help latching on
    • You and your baby are comfortable in this position
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    Laid-Back Hold

    1. Lean back on a pillow with your baby’s tummy touching yours and their head at breast level. Some moms find that sitting up nearly straight works well. Others prefer to lean back and lie almost flat.
    2. You can place your baby’s cheek near your breast, or you may want to use one hand to hold your breast near your baby. It’s up to you and what you think feels best.
    3. Your baby will naturally find your nipple, latch, and begin to suckle.

    This hold is useful when:

    • Your baby is placed on your chest right after birth
    • You have a strong milk let-down
    • You have large breasts
    • You and your baby are comfortable in this position