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Nutrition
Good Nutrition is essential for health throughout the lifespan. Canada’s Food Guide offers guidance to all Canadians (2 years of age and older) to help meet nutrient needs, improve health and well-being and lower the risk of developing chronic diseases.
Registered Dietitians in Public Health are experts in human nutrition who focus on improving health and preventing disease. They collaborate with community partners to raise awareness about good nutrition at every stage of life. Registered Dietitians in Public Health plan, coordinate, deliver and evaluate nutrition-related initiatives within their communities. They also advocate for and provide support for creating healthier environments in addition to becoming involved in public health nutrition monitoring, surveillance and research.
Eating a variety of foods and taking a daily prenatal supplement will give you energy, help you feel your best and provide the nutrients needed to help nourish your body as well as your growing baby.
Eating well includes more than the food you eat, and may look different to everyone.
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Plan your meals and snacks; incorporate culture, food traditions and taste preferences
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Prepare and enjoy more meals at home; with others when possible
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Be mindful of your eating habits; take time to enjoy meals with minimal to no distractions
Eat a Little More Food Each Day
When pregnant, you may feel hungrier more often or fuller faster. During the second and third trimesters, your body needs a little more food each day to support baby’s growth (e.g., an extra snack or small meal). You may also experience common discomforts like heartburn or nausea that can impact eating habits. Pay attention to your body’s hunger and fullness cues. Choose foods you enjoy and that help you feel well.
Take a Daily Prenatal Supplement
In addition to eating a variety of foods, taking a daily prenatal supplement can help to ensure your body gets the extra iron and folate it needs when pregnant.
Choose a daily prenatal supplement that contains:
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0.4 mg of folic acid
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16-20 mg of iron
Note: Chewable supplements or gummies may not contain enough iron.
Ask your healthcare provider for help to find a prenatal supplement that is right for you, or if you have trouble taking your prenatal supplement.
Body Changes in Pregnancy
Your body goes through many changes during pregnancy. Monitoring weight is one of the many ways that your healthcare provider will assess your pregnancy. It is normal, and expected, that you will gain weight during pregnancy. The amount of weight gained varies from person to person and with each pregnancy. Trust that your body will change in the way that is right for you and your baby. If you are not comfortable being weighed, let your healthcare provider know.
Iron
Iron helps your body transport oxygen throughout the body. It also helps your body create new red blood cells to meet the needs of you and your baby during pregnancy.
Food sources of iron include:
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Nuts
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Seeds
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Legumes (beans, peas and lentils)
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Eggs (yolk)
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Fish and shellfish
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Dark green vegetables (broccoli, peas, spinach, Brussels sprouts)
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Lean red meat, including wild game
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Whole grains and whole grain foods
To help your body better absorb iron from plant-based food sources like nuts, seeds, legumes, dark green vegetables, whole grains and whole grain foods, include a source of vitamin C when eating these foods.
In addition to eating a variety of food sources of iron each day, it is important to take a daily prenatal supplement that contains 16-20 mg of iron.
Folic Acid (Folate)
Folic acid helps your baby’s spine, brain and skull grow properly and lowers the risk of your baby being born with neural tube defects.
Foods high in folate include:
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Oranges and other citrus fruits
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Legumes (beans, peas and lentils)
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Dark green vegetables (broccoli, peas, spinach, Brussels sprouts)
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Grain products enriched with folate
In addition to eating foods high in folate, it is important to take a daily prenatal supplement that contains at least 0.4mg of folic acid. This will ensure you are getting enough folic acid throughout your pregnancy. Some people may need more folic acid. Talk to your healthcare provider to see if you need a higher dose of folic acid.
Healthy Fats
Healthy fats like omega-3 fatty acids support the growth of your baby’s brain, nerves and eyes.
Foods high in omega-3 fatty acids include:
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Nuts and nut butters
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Seeds (pumpkin, ground flaxseed)
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Fatty fish (salmon, trout, herring, sardines)
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Vegetable oils (canola, olive, peanut and sunflower oil)
Some types of fish and seafood can have high levels of mercury, which could harm your growing baby.
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Limit canned albacore (white) tuna to 300 grams (2 cans) per week.
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Limit marlin, shark, swordfish and fresh and frozen tune to 150 grams (1 cup) per month
The Guide to Eating Ontario Fish includes information on the safety of fish in Ontario lakes and rivers. Health Canada also has general information on mercury in fish.
Calcium
Calcium helps your baby build bones and teeth, and helps their heart, nerves and muscles grow. Try to include foods high in calcium throughout the day.
Foods high in calcium include:
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Milk products (milk, cheese, yogurt and kefir)
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Fortified plant-based beverages
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Tofu
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Some dark green vegetables (okra, bok choy, leafy greens)
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Some fish and shellfish (sardines and canned salmon with bones)
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Some nuts and seeds (almonds, tahini and chia seeds)
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Some legumes (soybeans, white and navy beans)
Vitamin D
Vitamin D helps your body absorb calcium, and helps your baby build and maintain strong bones and teeth. Vitamin D is found in only a few foods. If you do not consume foods high in vitamin D daily, consider taking a vitamin D supplement.
Note: Your prenatal supplement may contain vitamin D.
Foods high in vitamin D include:
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Milk
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Plant-based beverages
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Fatty fish (salmon, rainbow trout, arctic char)
Beverages
Water is the best beverage to stay well-hydrated, especially while exercising and/or during warm weather. Other nutritious beverages that can help quench your thirst include unsweetened lower fat milk and unsweetened fortified plant-based beverages.
Limit sugary drinks such as fruit juices, pop, sports drinks, flavoured milk, flavoured plant-based beverages, specialty teas and coffees, slushies and energy drinks. Try unsweetened, flavoured carbonated or sparkling water instead. Or try adding fruit or herbs to your water for some natural flavourings.
Caffeine
Caffeine is safe in small amounts during pregnancy. Limit your caffeine intake to less than 300 mg a day, which is about 2 cups (500 mL) of coffee. Your daily total should include all sources of caffeine. Caffeine is found in coffee, tea (including black, oolong, white and green tea), some pop (e.g., colas, some citrus varieties), energy drinks, chocolate and herbs (guarana and yerba mate). To lower your caffeine intake try decaffeinated or caffeine-free beverages.
Energy Drinks
Avoid all energy drinks. Energy drinks are not only high in caffeine and usually high in sugar, but they can also contain other ingredients that may not be safe for you or your baby.
Herbal Teas
The following herbal teas are safe during pregnancy when limited to 3 cups (750 mL) a day:
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Bitter orange/citrus peel
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Ginger
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Rose hip
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Echinacea
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Peppermint
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Red raspberry leaf
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Rosemary
Avoid kombucha tea and all other herbal teas, including chamomile and teas with aloe, coltsfoot, juniper berry, pennyroyal, buckthorn bark, comfrey, labradror tea, sassafras, duck root, lobelia, stinging nettle and senna leaves.
Alcohol
Avoid alcohol when pregnant. No amount of alcohol has been shown to be safe at any point during pregnancy. Alcohol can cause birth defects known as fetal alcohol spectrum disorder (FASD). It is best to stop drinking alcohol before you get pregnant.
Also avoid:
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Non-alcoholic, low alcohol and dealcoholized versions of beer, wine, coolers, spritzers and champagnes since they can still contain small amounts of alcohol.
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Alcohol in cooking. Even though alcohol evaporates during cooking, it is hard to know for sure how much alcohol still remains in your food.
Talk to your healthcare provider if you had alcohol before you knew you were pregnant or are worried about alcohol use during pregnancy.
Your risk of food poisoning increases when you are pregnant. Wash your hands often and make sure to cook and store food safely.
Foods to avoid while pregnant
- Raw or unpasteurized dairy products, including milk, yogurt and cheese
- Pasteurized or unpasteurized soft, semi-soft and blue-veined cheese
- Unpasteurized juice and cider
- Raw or lightly cooked eggs
- Hot dogs and deli meats, unless cooked to steaming hot
- Raw or undercooked meat, poultry, fish and seafood
- Raw sprouts, including alfalfa, clover, radish and mung beans
- Pâtés, including vegetarian pâtés
Health Canada’s Food Safety for Pregnant People has a full list of foods to avoid while pregnant, including safer alternatives and food safety information.
Mercury
Fish have many health benefits, but some types of fish and seafood can have high levels of mercury which could harm your growing baby.
- Limit canned albacore (white) tuna to 300 grams (2 cans) per week.
- Limit marlin, shark, swordfish and fresh and frozen tune to 150 grams (1 cup) per month
The Guide to Eating Ontario Fish includes information on the safety of fish in Ontario lakes and rivers. Health Canada also has general information on mercury in fish.
Liver
If nausea, vomiting, heartburn or constipation are causing you to feel too sick to eat, talk to your healthcare provider. Some medications can safely provide relief, but some are not safe to take during pregnancy. Your healthcare provider can help.
Nausea and Vomiting
Nausea and vomiting is most common during the first trimester. These tips may help:
- Try eating crackers, bread (toast) or dry cereal before getting out of bed
- Eat five to six small meals each day rather than three large meals. Try not to skip meals. You may feel worse if your stomach is empty
- Try eating your foods cold
- Drink fluids before or after meals, not with meal
- Limit coffee, fatty foods and foods with strong smells or tastes if they bother you
- Try to get enough rest and manage your stress
Using cannabis to treat nausea and vomiting during pregnancy is not recommended. The safest choice is not to use cannabis when pregnant.
Heartburn
Heartburn is common during pregnancy. These tips may help:
- Eat five to six small meals each day rather than three large meals
- After eating, wait at least one to two hours before laying down
- Drink fluids before or after meals, not with meals
- Limit fried or spicy foods, coffee and carbonated beverages
Constipation
Some people will experience constipation during pregnancy. These tips may help:
- Drink plenty of water throughout the day
- Eat foods high in fibre, such as whole-grain breads and cereals, fruits and vegetables, and plant-based proteins (beans and lentils)
- Be active in ways you enjoy
Regardless of how you plan to feed your baby, it’s important to learn about infant feeding before your baby arrives. Gather unbiased information so you can make informed decisions that are right for you and your baby and know where to find support early. Be aware of the influence of marketing and how it can impact feeding decisions. Algoma Public Health’s ‘Healthy Growth and Development’ team and/or your healthcare provider can be great sources of information and support.
Health Canada, Dietitians of Canada and the Paediatric Society of Canada recommend:
- Breastmilk is the only food your baby needs from birth to 6 months
- Continuing to breastfeed for up to 2 years or more after introducing solid foods
Benefits of breastfeeding:
- Helps protect your baby from diarrhea as well as ear and lung infections
- Reduces your baby’s risk of sudden infant death syndrome (SIDS)
- Decreases your risk of breast and ovarian cancer, diabetes and heart disease
- Lower cost and does not require special equipment
- Protects the environment
Introducing solids:
Solid foods are not needed until your baby is about six months of age. Refer to Ontario Dietitians in Public Health Feeding Your Baby resource for more information on how to introduce solid foods to your baby.
While you are caring for your newborn baby, remember to also take care of yourself. Continue to take your prenatal supplement daily and try to make choices to better your health and wellbeing whenever you can. Your body may feel and look different after giving birth and it may continue to change as you heal and care for your baby. Accept and appreciate your body – it has created a human.
Some tips that may help you feel your best and recover optimally:
- Eat nutritious food and drink fluids regularly
- Follow your hunger and fullness cues
- Enjoy activity and get fresh air
- Sleep whenever you can
- Talk about your feelings with your partners or others
- Let family and friends help with chores
Do you feel overwhelmed or not able to manage?
Contact your healthcare provider, call 8-1-1 or visit Health 811 to start a live chat 24 hours a day, seven days a week.
Nutrition and Breastfeeding
There is no special diet for breastfeeding. You may notice you feel more hungry or thirsty while breastfeeding – follow your hunger and thirst cues. There are no foods to avoid to prevent fussiness or food allergies in your baby. Enjoy a variety of foods and continue to take your daily prenatal supplement.
While breastfeeding, continue to limit fish and seafood high in mercury and keep your caffeine intake to less than 300 mg a day (about 2 cups or 500 mL of coffee)
There is no known safe amount or form of cannabis to use while breastfeeding.
It is best to avoid drinking alcohol while breastfeeding. If you do choose to drink alcohol, speak to your healthcare provider first to learn how to minimize the risk to your baby.
If you need help breastfeeding, have questions, or want to find services in your community, support is available anytime by calling 8-1-1 or visit Health 811.
Babies grow rapidly in the first year of life, and being well-nourished not only contributes to their health and well-being, but it also provides the energy and essential nutrients needs for this growth and development.
0-6 Months
Exclusively Breastfed
For the first 6 months of life, breastmilk and a daily vitamin D supplement of 400 IU will provide your baby with all the nutrients they need to grow and develop.
Partially Breastfed
Babies not exclusively breastfed will need a safely prepared infant formula that is approved by Health Canada. Although infant formula contains vitamin D, babies receiving both breastmilk and infant formula are at risk of vitamin D deficiency and require a daily vitamin D supplement of 400 IU.
Exclusively Formula-Fed
Babies receiving only an infant formula (no breast milk) do not require a vitamin D supplement because infant formula contains all the vitamin D they need.
Daily vitamin D supplementation (400 IU) is recommended for all exclusively and partially breastfed babies until baby is at least one year of age and getting the vitamin D they need from foods.
Your baby will start to show signs that they are ready for solid foods around 6 months of age. Some babies may be ready a few weeks before six months of age, and some may be ready just after six months of age. Look for these signs of readiness:
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can sit up, hold their head upright and steady, and lean forward
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opens their mouth wide when offered food
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can pick up food and try to put it in their mouth
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can communicate they are full by turning their head away
Keep in mind…
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Your baby does not need teeth to start solid foods. They can chew a variety of textures using their gums.
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Although they may seem hungrier than usual, growth spurts are not a sign that your baby needs solid foods.
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Giving your baby solid foods will not help them sleep through the night.
Children who are competent eaters (do well with eating) feel good about eating, enjoy mealtimes and eat a wide variety of foods. They follow their own hunger cues to eat as much (or as little) as their bodies needs to grow and develop.
You can help your child become a competent eater by respecting the different roles that children and parents/caregivers have within Responsive Feeding; an evidence-based philosophy acknowledging that children are born with a natural ability to recognize and respond to hunger cues, therefore they intuitively eat as much as they need to grow and develop in a way that is right for them. When parents follow their roles (outlined below), children are given the opportunity to build on these natural abilities as they grow, becoming competent eaters with positive relationships with food.
During the first year, feed your baby whenever they show signs of being hungry.
Parent’s/Caregiver’s Role:
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Decide what foods to offer
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Pay attention and respond to your baby’s feeding cues
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Provide a calm and pleasant eating environment with minimal distractions.
Child’s Role:
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Show signs that they are hungry
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Reach for (or point to) food
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Open their mouth when offered food
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Get excited when they see food
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Use hand motions or make sounds to let you know they are hungry
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Show signs that they are full
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Push food away
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Close their mouth when food is offered
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Turn their head away from food
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Use hand motions or make sounds to let you know they are full
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Eat at a pace that is right for them (including taking pauses)
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Eat the amount that is right for them (from the food offered
Recognize that starting solids is a learning experience for both you and your baby. During this learning phase, breastmilk or infant formula remains an essential source of nutrients for your baby. Continue to breastfeed (or provide infant formula if you are not breastfeeding) in response to your baby’s cues. It doesn’t matter if your child breastfeeds (or drinks infant formula) before or after having solids. Decide what to offer first based on your child’s cues, which can vary.
Solid foods provide extra nutrients while introducing new flavours and textures. Gradually increase the number of times a day that you offer solid foods, working towards a regular schedule of family meals and snacks.
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Include your baby at family mealtimes. Babies learn by watching others.
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Sit your baby upright and securely in a feeding chair or high chair.
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Remove distractions like toys and screens and keep mealtimes pleasant and relaxed.
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Start with a small amount of food on the tip of a small spoon. Hold it so your baby can see it and wait for your baby to lean in towards the spoon and open their mouth before putting it in their mouth.
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Offer more food as long as they open their mouth for it. Don’t pressure your baby to eat more than they want, and don’t withhold food if your baby wants more.
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If your baby refuses to eat a certain food, that’s okay. Try again at another time. It may take 10-15 exposures to a new food before your baby likes it.
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When possible, offer new foods with foods that your baby has already accepted.
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Allow your baby to explore foods using all of their senses and expect a mess. Making a mess is part of learning how to eat.
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Stay with your baby while they are eating.
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Don’t use food as a reward or punishment. This can damage their long-term relationship with food.
Learning to Self-Feed
Learning to self-feed is part of healthy child development. You can offer finger-foods (soft, cut-up foods that can easily be picked up) and spoon-feed your baby at the same time.
Textures
When your baby is ready to begin solids, you can offer a variety of textures:
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Minced
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Ground
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Lumpy
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Pureed
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Mashed
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Shredded
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Finger Foods
Offering a variety of textures (and safe temperatures) helps your baby learn to chew and begin self-feeding.
Waiting longer than 9 months of age to offer your baby lumpy textures can lead to feeding problems later on, including eating less vegetables and fruit.
Baby-Led Weaning
Baby-led weaning is a way of starting solids that generally avoids spoon-feeding purees, allowing babies to move right into feeding themselves finger foods. If you are considering baby-led weaning for your baby, it is important to know:
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if your baby is getting the energy and iron they need, and
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how to help prevent choking.
Talk to a registered dietitian and your baby’s health care provider to learn more.
Finger Foods
Finger foods are great for helping your baby to start self-feeding. Safe finger foods include:
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Pieces of soft-cooked vegetables and fruit
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Cut-up ripe fruit such as banana, melon, berries, avocado
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Minced, ground or shredded cooked meat
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Pieces of cooked fish and poultry (without bones)
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Cubed tofu
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Scrambled eggs
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Grated or cubed cheese
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Pieces of toasted bread, naan, roti, tortilla or Bannock
Gagging & Choking
Gagging
As your baby learns to eat solid foods, there may be times when food comes too close to the back of your baby’s throat without being swallowed, causing your baby to gag. This is normal. It is your baby’s way of protecting themselves from choking on food.
Choking
Choking is when food gets stuck in the throat.
If your baby is choking and can’t breathe, cough or make sounds, call 911 immediately. If you know how to perform infant CPR, begin responding right away. Ask your baby’s health care provider for information on infant CPR training in Algoma.
Tips to reduce gagging and choking:
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Do not leave your baby unsupervised.
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Make sure your baby is sitting up straight (not slouched) and securely fastened into their high chair when eating.
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Eliminate distractions (e.g., screens, toys) when offering food.
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Be mindful of your baby’s developmental readiness when moving through textures.
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If spoon-feeding, use a smaller spoon and put less food on the spoon.
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If your baby is self-feeding and puts more food in their mouth than they can manage, put less in front of them at a time.
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Prepare hazardous foods in ways that reduce their risk of choking.
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Hard fruits and vegetables like apples and carrots à serve grated or cooked until soft
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Stringy foods like celery and pineapple à serve finely chopped
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Fish, poultry or meat with bones à serve with bones removed
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Grapes and other round-shaped foods à serve cut lengthwise, or cut up into bite-size pieces
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Peanut butter or other nut butters à serve thinly spread on toast or crackers
Avoid these hazardous foods until 4 years of age:
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Popcorn
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Dried fruit like raisins
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Seeds like pumpkin seeds or sunflower seeds
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Sticky foods like gum or marshmallows
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Raw vegetables that cannot be grated
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Small, smooth foods like peanuts, nuts, hard candy, cough drops, ice cubes
*Talk to your baby’s health care provider if your baby gags often or seems to have trouble swallowing.
Food Allergies
Current evidence shows that avoiding or delaying the introduction of commonly allergenic foods will not prevent allergies. Once your baby has started eating solid foods (at around 6 months), all commonly allergenic foods are safe to introduce.
Commonly Allergenic Foods: Eggs, Milk, Mustard, Peanuts, Seafood, Sesame, Soy, Sulphites, Tree Nuts, Wheat
Reactions to food allergens typically occur within 48 hours. Therefore, offer one commonly allergenic food at a time (in a texture that is safe for your baby) and then wait two days before introducing another commonly allergenic food. This way, if your baby reacts to a commonly allergenic food, it will be easier to know if a new food may have caused the reaction.
Common signs of an allergic reaction:
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rash or hives
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flushed face
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swelling of the face, lips or tongue
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vomiting
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diarrhea
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breathing problems
Stop feeding a food if you think it causes any of these symptoms and talk to your baby’s health care provider before offering it again. Call 911 if your baby is having trouble breathing.
Talk to your baby’s health care provider if you think your baby is at high risk of developing an allergy (e.g., has eczema or a family history of allergies).
Food Safety
Children five years of age and under are at higher risk for food-borne illness. Always practice safe food handling:
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wash your hands (and your baby’s hands before eating)
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clean kitchen surfaces, cutting boards, utensils and tools
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rinse fresh fruits and vegetables under cool, running, drinkable water (using a scrub brush on those with a firm skin like carrots, potatoes, melons and squash)
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cook foods to a safe internal temperature
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store food at appropriate temperatures
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ensure store-bought jars are safely sealed and pouches/packages have no rips, holes or tears
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avoid serving food that is past its expiry date
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avoid feeding baby directly out of a store-bought container unless using the entire amount (when saliva comes in contact with food, it increases the risk of food spoilage, even when refrigerated)
Iron-Rich Foods
Your baby is born with iron stores in their body. During the first 6 months, your baby uses the iron stored in their body to meet their nutrient needs. After 6 months of age these iron stores are very low and need to be replenished with iron-rich foods. Offer iron-rich foods a few times each day.
Iron-Rich Foods:
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Cooked beef, pork, lamb
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Fish and poultry
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Tofu
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Beans, peas, lentils
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Well-cooked eggs
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Iron-fortified infant cereal
Vitamin C can help the body absorb the iron found in plant-based foods (e.g., beans, peas, lentils, tofu). When feeding your baby plant-based sources of iron, try adding a source of vitamin C (e.g., kiwi, strawberries and broccoli).
Canada’s Food Guide
Once your baby is eating iron-rich foods at least twice a day, offer a variety of other foods that your family eats from Canada’s Food Guide. These can be offered in any order.
Beverages
Breastmilk (or infant formula if you are not breastfeeding) is your baby’s main source of nutrition for the first year. Continue to breastfeed or two years or more.
If your baby is not receiving breastmilk, they can be offered plain, pasteurized, homogenized (3.25% M.F.) cow’s milk as their main milk source at or after 9 months of age. Wait until your baby is doing well with eating a variety of foods (including iron-rich foods at least two or more times a day) before offering cow’s milk.
If fortified soy beverage will be your child’s main milk source, wait until they reach two years of age before introducing it. Until then continue to breastfeed or offer infant formula.
Pasteurized whole goat’s milk that is fortified with vitamin D and folic acid may be an alternative to homogenized cow’s milk. However, check with your baby’s health care provider if you are thinking about offering goat’s milk to your baby.
Plant-based beverages like soy, almond, rice, oat, etc. do not have enough nutrients to support proper growth and development. Check with a registered dietitian (e.g., Telehealth Ontario) for more information about plant-based beverages.
Limit cow’s milk intake to no more than 750 mL (3 cups) per day.
Municipal tap water is safe for your baby to drink. Do not give distilled, carbonated or mineral water. If you use well water, make sure it is tested regularly.
Limit offering juice to babies and young children. It has a lot of sugar and few nutrients, and can cause early tooth decay, even before teeth come in.
Sippy cups may help prevent spills, but they can also lead to babies drinking more, especially when filled with drinks other than water and offered throughout the day. Babies who drink too much milk or juice may not be as hungry for foods at meal or snack times. This may result in them missing out on consuming important nutrients. In addition, sipping on anything but water throughout the day can increase the risk of tooth decay. Using an open cup will encourage your baby to develop their drinking skills. Give your baby sips of breast milk or water in an open cup (they will need your help at first).
Foods to Limit or Avoid
Foods to limit or avoid:
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Fish high in mercury like fresh or frozen tuna steak, marlin, swordfish, shark, orange roughy and escolar (limit to less than 40g per month). Canned tuna has less mercury than fresh tuna and can be offered once a week. Dried fish is high in salt.
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Deli meats like ham, wieners, bologna, salami or sausages. They are high in salt and low in nutrients.
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Honey or foods prepared with honey (during their first year). It can cause infant botulism.
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Foods with artificial sweeteners or sugar substitutes
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Foods that contain raw eggs. It can cause food poisoning.
For more information on feeding your baby, including food preparation tips and a sample menu:
What Foods to Offer Your Baby
Iron-Rich Foods
Your baby is born with iron stores in their body. During the first 6 months, your baby uses the iron stored in their body to meet their nutrient needs. After 6 months of age these iron stores are very low and need to be replenished with iron-rich foods. Offer iron-rich foods a few times each day.
Iron-Rich Foods:
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Cooked beef, pork, lamb
-
Fish and poultry
-
Tofu
-
Beans, peas, lentils
-
Well-cooked eggs
-
Iron-fortified infant cereal
Vitamin C can help the body absorb the iron found in plant-based foods (e.g., beans, peas, lentils, tofu). When feeding your baby plant-based sources of iron, try adding a source of vitamin C (e.g., kiwi, strawberries and broccoli).
Canada’s Food Guide
Once your baby is eating iron-rich foods at least twice a day, offer a variety of other foods that your family eats from Canada’s Food Guide. These can be offered in any order.
Beverages
Breastmilk (or infant formula if you are not breastfeeding) is your baby’s main source of nutrition for the first year. Continue to breastfeed or two years or more.
If your baby is not receiving breastmilk, they can be offered plain, pasteurized, homogenized (3.25% M.F.) cow’s milk as their main milk source at or after 9 months of age. Wait until your baby is doing well with eating a variety of foods (including iron-rich foods at least two or more times a day) before offering cow’s milk.
If fortified soy beverage will be your child’s main milk source, wait until they reach two years of age before introducing it. Until then continue to breastfeed or offer infant formula.
Pasteurized whole goat’s milk that is fortified with vitamin D and folic acid may be an alternative to homogenized cow’s milk. However, check with your baby’s health care provider if you are thinking about offering goat’s milk to your baby.
Plant-based beverages like soy, almond, rice, oat, etc. do not have enough nutrients to support proper growth and development. Check with a registered dietitian (e.g., Telehealth Ontario) for more information about plant-based beverages.
Limit cow’s milk intake to no more than 750 mL (3 cups) per day.
Municipal tap water is safe for your baby to drink. Do not give distilled, carbonated or mineral water. If you use well water, make sure it is tested regularly.
Limit offering juice to babies and young children. It has a lot of sugar and few nutrients, and can cause early tooth decay, even before teeth come in.
Sippy cups may help prevent spills, but they can also lead to babies drinking more, especially when filled with drinks other than water and offered throughout the day. Babies who drink too much milk or juice may not be as hungry for foods at meal or snack times. This may result in them missing out on consuming important nutrients. In addition, sipping on anything but water throughout the day can increase the risk of tooth decay. Using an open cup will encourage your baby to develop their drinking skills. Give your baby sips of breast milk or water in an open cup (they will need your help at first).
Foods to Limit or Avoid
Foods to limit or avoid:
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Fish high in mercury like fresh or frozen tuna steak, marlin, swordfish, shark, orange roughy and escolar (limit to less than 40g per month). Canned tuna has less mercury than fresh tuna and can be offered once a week. Dried fish is high in salt.
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Deli meats like ham, wieners, bologna, salami or sausages. They are high in salt and low in nutrients.
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Honey or foods prepared with honey (during their first year). It can cause infant botulism.
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Foods with artificial sweeteners or sugar substitutes
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Foods that contain raw eggs. It can cause food poisoning.
For more information on feeding your baby, including food preparation tips and a sample menu:
Good nutrition is important for the optimal growth and development of children.
During the preschool years, children are learning to become competent eaters (those who do well with eating). Providing children with regular positive exposures to a variety of foods will help them to develop not only eating competence, but lasting positive relationships with food.
Canada’s Food Guide (hyperlink) provides nutrition guidance for anyone over 2 years of age but can also be used as a reference for 1 year olds.
Meal and Snack Routines are Important
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Offer 3 meals with 2-3 snacks at regular times each day
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Leave two and a half to three hours between meals and snacks
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Offer only water between meals and snacks to support a good appetite
Children who are competent eaters (do well with eating) feel good about eating, enjoy mealtimes and eat a wide variety of foods. They follow their own hunger cues to eat as much (or as little) as their bodies needs to grow and develop.
You can help your child become a competent eater by respecting the different roles that children and parents/caregivers have within Responsive Feeding; an evidence-based philosophy acknowledging that children are born with a natural ability to recognize and respond to hunger cues, therefore they intuitively eat as much as they need to grow and develop in a way that is right for them. When parents follow their roles (outlined below), children are given the opportunity to build on these natural abilities as they grow, becoming competent eaters with positive relationships with food.
As parents and caregivers, you decide:
-
WHERE to eat: Children should eat most meals and snacks while seated at a table
-
WHEN to eat: Follow a meal and snack routine (avoid extra snacking or grazing)
-
WHAT to eat: Offer a variety of nutritious foods from Canada’s Food Guide
*Include new foods with familiar foods. Offer a nutritious food you know your child likes at each meal and snack, but avoid serving only “favourite” foods.
*Toddlers and preschoolers have small stomachs. Offer smaller portions and let your child ask for more if they are still hungry.
Trust your child to decide:
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WHICH FOODS to eat: Let your child decide which foods to eat from the foods you offer
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HOW MUCH to eat (if at all): Trust that your child will eat the right amount for their growth and activity needs
Plan Meals and Snacks Using Canada’s Food Guide
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Include a variety of foods (vegetables and fruit, whole grains and protein foods)
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Offer iron-rich foods two to three times each day, such as beef, chicken, turkey, pork, fish, eggs, legumes (kidney beans, lentils, chickpeas), soy products (tofu, edamame) and iron-fortified cereals
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Vitamin C can help the body absorb the iron found in plant-based foods (e.g., beans, peas, lentils, tofu). When feeding your baby plant-based sources of iron, try adding a source of vitamin C (e.g., kiwi, strawberries and broccoli)
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Include a vegetable and/or fruit at all meals and snacks (in a variety of colours and textures)
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Limit highly processed foods
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Flavour food with herbs and spices instead of salt or sugar
-
Involve your child in the kitchen
Beverages
Continue to breastfeed for as long as you and your child want. While breastfeeding, give a vitamin D supplement of 400 IU daily.
If your baby is not receiving breastmilk, they can be offered plain, pasteurized, homogenized (3.25% M.F.) cow’s milk as their main milk source at or after 9 months of age. Wait until your baby is doing well with eating a variety of foods (including iron-rich foods at least two or more times a day) before offering cow’s milk.
Pasteurized whole goat’s milk that is fortified with vitamin D and folic acid may be an alternative to homogenized cow’s milk. However, check with your baby’s health care provider if you are thinking about offering goat’s milk to your baby.
If fortified soy beverage will be your child’s main milk source, wait until they reach two years of age before introducing it. Until then continue to breastfeed or offer infant formula.
Plant-based beverages like soy, almond, rice, oat, etc. do not have enough nutrients to support proper growth and development. Check with a registered dietitian (e.g., Telehealth Ontario) for more information about plant-based beverages.
Limit cow’s milk intake to no more than 750 mL (3 cups) per day.
If your child does not drink milk or a fortified soy beverage, talk to your health care provider about alternatives and/or supplements.
Municipal tap water is safe for your baby to drink. Do not give distilled, carbonated or mineral water. If you use well water, make sure it is tested regularly.
Limit offering juice to babies and young children. It has a lot of sugar and few nutrients, and can cause early tooth decay, even before teeth come in.
Sippy cups may help prevent spills, but they can also lead to children drinking more, especially when filled with drinks other than water and offered throughout the day. Children who drink too much milk or juice may not be as hungry for foods at meal or snack times. This may result in them missing out on consuming important nutrients. In addition, sipping on anything but water throughout the day can increase the risk of tooth decay. Using an open cup will encourage your child to develop their drinking skills. Give your child sips of breast milk or water in an open cup (they will need your help at first).
Choking
Foods that are hard, small and/or round, smooth and sticky, hard to chew or do not easily dissolve in the mouth can cause choking (e.g., whole grapes, raw vegetables, hard pieces of fruit, nuts, popcorn, nut butters, candy).
Always supervise your child while they are eating. Make sure they are sitting upright and eliminate distractions. Stop feeding them if they are crying or laughing.
Some foods can be made safer by preparing them in different ways:
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Spread sticky foods such as peanut butter very thinly
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Slice grapes length-wise and chop
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Grate hard pieces of vegetables and fruit (e.g., carrots, apples)
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Cook raw vegetables to soften
Avoid these hazardous foods until 4 years of age:
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Popcorn
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Dried fruit like raisins
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Seeds like pumpkin seeds or sunflower seeds
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Sticky foods like gum or marshmallows
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Raw vegetables that cannot be grated
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Small, smooth foods like peanuts, nuts, hard candy, cough drops, ice cubes
If your baby is choking and can’t breathe, cough or make sounds, call 911 immediately. If you know how to perform infant CPR, begin responding right away. Ask your baby’s health care provider for information on infant CPR training in Algoma.
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Take the time to sit down and enjoy meals together
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Eliminate distractions (toys, screens) so that the focus is on eating and talking together
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Offer your child the same foods that you eat
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Serve foods family-style so your child is able to choose which foods they want to eat, and how much, from what is offered on the table
-
If your child does not eat what you offer, do not offer something different
-
Avoid bribes, using food as a reward and/or tricking your child by hiding food in other foods
-
Accept that your child may be messy when they eat
Your child will eat best if mealtimes are relaxed, they do not feel pressured to eat, foods are easy to eat without help, and they are allowed to stop eating when they are full.
Foods from Canada’s Food Guide provide the nourishment children need to grow, learn and play. Studies also show that well-nourished children are able to concentrate longer and perform better at school.
Children who are competent eaters (do well with eating) feel good about eating, enjoy mealtimes and eat a wide variety of foods. They follow their own hunger cues to eat as much (or as little) as their bodies needs to grow and develop.
You can help your child become a competent eater by respecting the different roles that children and parents/caregivers have within Responsive Feeding; an evidence-based philosophy acknowledging that children are born with a natural ability to recognize and respond to hunger cues, therefore they intuitively eat as much as they need to grow and develop in a way that is right for them. When parents follow their roles (outlined below), children are given the opportunity to build on these natural abilities as they grow, becoming competent eaters with positive relationships with food.
As parents and caregivers, you decide:
-
WHERE to eat: Children should eat most meals and snacks while seated at a table
-
WHEN to eat: Follow a meal and snack routine (avoid extra snacking or grazing)
-
WHAT to eat: Offer a variety of nutritious foods from Canada’s Food Guide
*Include new foods with familiar foods. Offer a nutritious food you know your child likes at each meal and snack, but avoid serving only “favourite” foods.
Trust your child to decide:
-
WHICH FOODS to eat: Let your child decide which foods to eat from the foods you offer
-
HOW MUCH to eat (if at all): Trust that your child will eat the right amount for their growth and activity needs
Plan Meals and Snacks Using Canada’s Food Guide
-
Include a variety of foods (vegetables and fruit, whole grains and protein foods)
-
Include a vegetable and/or fruit at all meals and snacks (in a variety of colours and textures)
-
Limit highly processed foods
-
Flavour food with herbs and spices instead of salt or sugar
-
Involve your child in the kitchen
Beverages
Canada’s Food Guide recommends making water the drink of choice. Water keeps us hydrated and is important for physical health.
Drink plain milk for fortified soy beverage with meals.
Plant-based beverages like soy, almond, rice, oat, etc. do not have enough nutrients to support proper growth and development. Check with a registered dietitian (e.g., Telehealth Ontario) for more information about plant-based beverages.
Avoid or limit sugary beverages (e.g., juice, pop, slushies, etc.)
Research shows that taking the time to sit down and eat with family and friends, free of distractions (e.g., toys and screens), can have many benefits for the whole family:
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Better nutrition
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Stronger language skills
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Better academic performance
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Healthier relationships with food
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Lower risk of participating in high-risk behaviours (e.g., substance abuse, violence)
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Lower risk of depression and anxiety
Busy schedules can make it hard to find time to sit down together for a home-cooked meal and meaningful conversation, but this powerful family time needs to be prioritized. Not only can the dinner table be a place to instill important family values and promote a sense of belonging. It is a place where families can talk about their day, seek advice, talk about current events, or simply unwind and enjoy some laughter.
-
Take the time to sit down and enjoy meals together
-
Eliminate distractions (toys, screens) so that the focus is on eating and talking together
-
Offer your child the same foods that you eat
-
Serve foods family-style so your child is able to choose which foods they want to eat, and how much, from what is offered on the table
-
If your child does not eat what you offer, do not offer something different
-
Avoid bribes, using food as a reward and/or tricking your child by hiding food in other foods
-
Accept that your child may be messy when they eat
Involving children in planning meals, grocery shopping, growing food and preparing food all provide wonderful hands-on learning experiences. You can teach your child about:
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Where food comes from
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Planning meals and shopping for food
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Following and adapting recipes
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Preparing foods safely
Children who are involved in meal preparation are more likely to try new foods, eat better (including eating more vegetables and fruit) and be more confident in the kitchen, now and in the future. If your child starts cooking now, chances are they will keep up this good habit, as they grow older.
Look for opportunities to involve your child in the kitchen.
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Finding ingredients in the fridge or cupboard
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Put paper cups into muffin tins
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Rinse vegetables and fruit under cool running water
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Tear lettuce for a salad
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Mash potatoes
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Crack and beat an egg
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Assemble foods (e.g., a simple sandwich, pizza, fruit salad, trail mix)
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Slice soft foods with supervision
Know your feeding role
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Parents and caregivers decide where to eat, when to eat and what to offer
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Trust the child to decide which foods to eat from the foods you offer and how much to eat
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Offer a variety of foods at mealtimes (include at least one food that you know your child will eat, but avoid only serving favourite foods)
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Focus on enjoying the meal and conversation together rather than what your child is eating
Remove pressure from eating
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Eating a variety of foods is a skill that takes time to develop
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Instead of telling children to “eat one more bite” or “finish your plate”, let them decide when they have eaten enough. Your child will eat best if mealtimes are relaxed and free from pressure
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Avoid using food as a reward or punishment
Practice food neutrality
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Call food by it’s name and avoid labeling foods as “good/bad”, “healthy/unhealthy”, “treats” or “junk food”
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Moral-based labels can unintentionally cast judgement on personal food choices, which may lead to children feeling shame or guilt around eating, body image concerns, dieting or other eating problems
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Having a positive relationship with food means being comfortable eating a variety of foods that support both nutrition and enjoyment
Discover the joys of food
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Involve your child in growing, shopping or and cooking a variety of foods
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Provide your child with opportunities to explore a variety of foods using the five senses (look, feel, smell, hear and taste)
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Prioritize family meals
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Do not pressure your child to eat food that they don’t want to eat
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Let your child know that it’s perfectly ok if they don’t like a particular food, but you can remind them that their taste buds will change as they grow and it’s possible that he or she just doesn’t like that food “yet”.
Be a positive role model
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Talk about how bodies come in all shapes and sizes, and that all bodies are good bodies that deserve respect
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Enjoy a variety of foods with your child at mealtimes
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Be mindful of what you say when your child is listening and avoid sharing personal views about food, dieting and body weight with your child
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Teach students how to look at media messages and stereotypes critically; how they are usually unrealistic and can negatively impact body image
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Rethink compliments; focus compliments on unique qualities, abilities or effort instead of appearance
Move for fun
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Encourage your child to move in ways they enjoy
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Focus on how movement can help manage stress, improve sleep and build self-confidence
Our Freggie™ mascot has come to Algoma to further promote healthy eating habits and generate excitement about vegetables and fruit. You will likely see Freggie™ throughout Algoma at various community events and schools.
Algoma Public Health has also created a fun theme song for Freggie™:
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Clap, Clap Your Hands for Freggie™! (English Song)
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Tapez de Mains pour Freggie™! (French Song)
Studies show that well-nourished children are able to concentrate longer and perform better at school. Foods from Canada’s Food Guide provide the nourishment children need to grow, learn and play. Aim for plenty of vegetables and fruit, a protein and a whole grain. Don’t forget a reusable water bottle.
We all have a role to play:
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Parents and caregivers provide the food options available to be packed in the child’s lunch.
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Children decide what and how much to eat from their lunch. It’s okay if they are less hungry on some days than others.
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Schools decide when and where students eat.
Involve your child in making their lunch. Kids who help make their lunch are more likely to eat it.
Balanced School Day:
Instead of the traditional two recess breaks and a lunch break, students on a balanced school day will have two nutrition and activity breaks. Regardless of how your school organizes their day, children need the same amount of food. The only difference is when the food is eaten.
Student Nutrition Programs:
Ask your school if food is ever provided during the school day. Some schools offer a Student Nutrition Program (e.g., lunch or snack program) or something similar.
Keep it Safe:
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An insulated lunch bag, thermos, freezer packs and insulated containers help keep cold foods cold and hot foods hot.
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Thermos Tip: Warm it up by filling it with boiling water. Once warm, pour out the water and fill it with steaming hot food.
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Wash all vegetables and fruit before packing.
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Compost or throw out perishable foods that come back home. Whole fruits and non-perishable snacks can be re-packed.
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Wash reusable containers and utensils after each use with soap and hot water.
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Teach your kids to wash their hands before and after eating.
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Ask the school if they have a policy on food allergies and if there are foods that cannot be sent to school.
Algoma Public Health is a proud partner of the Northern Fruit and Vegetable Program, which provides all elementary students within the district of Algoma free servings of vegetables and fruit at least two times a week from January to June. The program aims to increase consumption of vegetables and fruit while also promoting Ontario-grown produce and educating school communities about the importance of vegetables and fruit.
Northern Fruit and Vegetable Program 2025/2026 Menu (will be updated in the new school year)
BrightBites is a website created by Ontario Dietitians in Public Health to provide school communities with evidence-based information and resources that support positive relationships with food and body image. BrightBites uses a neutral approach to food (one that presents food as morally equivalent and without judgement) and an inclusive approach to bodies (one that ensures all body shapes and sizes feel accepted and welcomed).
School administrators and school/student councils can use BrightBites to create supportive food climates.
Eat a variety of nutritious foods each day
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Cook and eat meals at home more often using fresh, whole ingredients
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Eat meals with no distractions, and ideally with family and/or friends
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Portion your plate according to Canada’s Food Guide most of the time
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Have plenty of richly coloured vegetables and fruit
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Choose whole grains, like whole wheat bread, brown rice and bran cereals
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Eat protein foods, including plant-based protein foods, lean meats and lower-fat dairy
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Include healthy unsaturated fats
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Limit foods high in sugar, salt and saturated fats
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Make water your drink of choice
-
-
Cook and eat meals at home more often using fresh, whole ingredients
-
Eat meals with no distractions, and ideally with family and/or friends
-
Portion your plate according to Canada’s Food Guide most of the time
-
Have plenty of richly coloured vegetables and fruit
-
Choose whole grains, like whole wheat bread, brown rice and bran cereals
-
Eat protein foods, including plant-based protein foods, lean meats and lower-fat dairy
-
Include healthy unsaturated fats
-
Limit foods high in sugar, salt and saturated fats
-
Make water your drink of choice
-
Working adults spend approximately 60% of their waking hours at work, so the foods eaten at work greatly contribute to an overall eating patten. A nutritious lunch and snacks are important to help you concentrate and perform optimally, reduce stress, sustain good energy levels and sleep better at night. Aim for plenty of vegetables and fruit, a protein food and a whole grain. Don’t forget a reusable water bottle.
Plan
A little bit of planning can go a long way. Planning what you eat makes it easier to eat well. You may find it easier to plan menus for a couple of days or for a whole week at a time. Do what works for you.
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Post an ongoing grocery list where it is easy to see, and encourage your family to add items to the list as they run out
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Create a list of your favourite seasonal meal ideas and ask others for meal ideas. Keep this list to use an idea starter each time you menu plan
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Check to see what you already have and what’s on sale
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Plan most meals around Canada’s food guide recommendations, including a variety of vegetables and fruit, whole grains and protein foods
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Aim to include at least one serving of vegetables and/or fruit with each meal
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It’s okay to keep things simple. Meals and snacks don’t have to be complicated
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Plan for leftovers and snacks
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Use your menu to create your grocery list…remember what you already have
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Post your menu in a visible spot to help your family stick to the plan (it may also encourage family members to take the initiative and start preparing meals or snacks if home first)
Shop
Remember your grocery list and stick to it! Look at the ingredients lists and check the Nutrition Facts tables to compare similar products and make an informed decision.
Stick to the outer perimeter of the grocery store. This is where you will find a lot of nutritious and minimally processed foods from Canada’s Food Guide.
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Don’t shop hungry, because you are more likely to buy things you don’t need when you shop hungry
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Scan flyers and online coupon sites for sales, but remember, food is not a bargain if you don’t eat it
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Ask about price-matching so you can take advantage of sale prices from other stores
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If you have freezer space, buy fresh meat, fish and poultry when it is on sale and freeze it
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Look high and low on grocery shelves to compare items and prices (store brand items are often not at eye level, yet lower in price)
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Be aware of marketing strategies used to influence your purchases
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When commonly-used items that have a long shelf life go on sale, you may want to stock-up on them (if it fits your budget)
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Whole grains like whole wheat pasta, brown rice, oatmeal
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Protein foods like dried or canned legumes (beans, peas, lentils)
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Frozen or canned vegetables and fruits
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If you have freezer space (and room in your budget), buy fresh meat, fish and poultry when it is on sale and freeze it
For more grocery shopping tips, check out our APH Grocery Store Videos.
Cook
Cook and enjoy more meals at home.
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Keep it simple – recipes do not have to be complicated.
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If you lack confidence in the kitchen, look for opportunities to enhance your cooking skills (e.g., simple recipe books, cooking classes within the community, online videos, etc.)
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Involve your kids (young and old) – it will give them the skills and confidence they need to eat well, now and in the future.
Busy schedules can make it hard to find time to share meals with others, but this practice should be prioritized, and starting with a plan can help.
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Make it a priority to eat meals family members, a neighbor, roommates or friends as much as possible
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Plan a breakfast date with friends
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Have lunch with a colleague
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Ask your local community centre about groups you could join
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Plan a weekly dinner with extended family
Enjoying food with others provides an opportunity to enjoy quality time together. It also allows for the sharing of food traditions across generations and cultures and opportunities to explore new foods that you might not normally try.
Research shows that taking the time to sit down and eat with family and friends, free of distractions (e.g., screens), can have many benefits for the whole family:
-
Better nutrition
-
Stronger language skills
-
Better academic performance
-
Healthier relationships with food
-
Lower risk of participating in high-risk behaviours (e.g., substance abuse, violence)
-
Lower risk of depression and anxiety
Not only can the dinner table be a place to instill important family values and promote a sense of belonging. It is a place where families can talk about their day, seek advice, talk about current events, or simply unwind and enjoy some laughter.
The food you eat during pregnancy gives your body energy and helps you feel your best. By eating a variety of foods (vegetables and fruits, whole grain foods and protein foods) and taking a daily prenatal supplement, you will get the nutrients needed to help nourish your body as well as your growing baby. Eating well includes more than the food you eat and may look different to everyone.
Last Modified: July 2025