Child
Care Nutritional Articles
salt intake
Sodium is an important electrolyte that controls fluid balance,
blood pressure and blood volume. In adults the majority of
sodium in our diet comes from salt. The kidneys regulate sodium
balance and if we eat too much salty food the kidneys need
to remove the excess sodium from the urine. Historically salt
has been linked to high blood pressure. Adults with high blood
pressure are at increased risk for coronary heart disease,
stroke and kidney failure. Decreasing daily sodium intake to
within the recommended dietary intake (RDI) 920-2300mg may
be one way to reduce heart disease risk in the adult population.
salt and preschoolers
Salt (sodium) in the child’s diet comes from:
- where it is naturally present in food e.g. milks
- being added to food in processing
- being added to foods prepared at home
When your
littlie is aged 0-6 months their kidneys are NOT mature – this
means they can not remove any excess sodium from the urine. A
high level of sodium can lead to dehydration and can be dangerous.
So the rule for littlies is ‘Bland Food is Best!’
recommended salt (sodium) intake for children
| Age |
Mg Sodium |
| 0 - 6 months |
140 - 280 |
| 7 -12 months |
320 - 575 |
| 1 - 3 years |
320 - 1150 |
| 12 + |
920 - 2300 |
Breast
milk and infant formula are important sources of sodium in the
infant diet. As solids are introduced the sodium content of the
diet increases.
Salt is used in the preserving of food so all processed foods
have greater sodium content than those in a more natural state.
If a child’s diet is not monitored it is easy for them
to exceed the recommended limit. Data from the NZ Total Diet
Survey estimated that sodium intake in 1-3 year olds could
be 1518mg (not including salt added to cooking or at the table)!
salt (sodium) intake of commonly eaten children’s
food
85g pkt chicken flav. instant noodles 1920mg
1 sausage 700mg
1 slice lean ham 275mg
1 slice luncheon 306mg
1 cup Cornflakes 304mg
1 cup choc puffed cereal 300mg
1/8
of a tomato & cheese pizza 360mg
2 fish fingers (baked) 218mg
6 chicken nuggets 792mg
1 small potato fries 148mg
1
teaspoon ‘Vegemite’ 427mg
1
teaspoon ‘Marmite’ 286mg
50g packet flavoured potato chips 335mg
1 cup chicken noodle soup 600mg
5 rice crackers 220mg
25g cheese dip with crispbreads 238mg
foods prepared in the home
Commercially made infant foods do not have salt added during
processing. However, salt may be sneaking into a littlie’s
diet when they are eating family food made at home. It is suggested
that a child’s food be removed from the family food before
salty flavourings are added.
sample
diet – 4 year old
breakfast
1 Weetbix 45mg
100ml Homogenised Milk 37mg
1 Wholemeal Toast 179mg
1 teaspoon margarine 0mg
1 Tablespoon Honey 3mg
100ml juice + 100ml water 3mg
morning tea
Banana 0mg
lunch
2 Wholemeal bread 358mg
1 ½ teaspoons
margarine 0mg
1 boiled egg 81mg
1 semi-sweet biscuit 28mg
1 apple 0mg
afternoon tea
100ml apricot frozen yoghurt 26mg
dinner
1 chicken drumstick 57mg
1 boiled potato (no salt added) 5mg (salt added = 140mg)
2 Tablespoons carrot 12mg
1 Tablespoons peas 1mg
2 Tablespoons ice cream 20mg
1
pear ½ canned
in juice 5mg
total 860mg
salt and iodine
Iodine
is vital for the regulation of the body’s metabolism
and is concentrated in the thyroid gland.
New Zealand soils are relatively iodine deficient so local foods
and water are iodine deficient.
Iodine was added to salt to prevent iodine deficiency – Goitre.
Most dietary iodine is derived from breast milk, infant formulae,
eggs, fish, shellfish, dairy products and iodised salt. However
fish and shellfish are not favoured by many children so therefore
iodine consumption may be impaired due to dietary preferences.
Food containing seaweed (sushi) is an excellent dietary source
of iodine – however seaweed supplements are NOT recommended.
There is concern that New Zealander’s may be experiencing
reduced levels of iodine due to less salt (especially iodised
salt) being used and the decreased usage of iodophors used as
detergents in the dairy industry.
It
is important to avoid sodium overloading in littlies diet when
preparing food in the home or purchasing processed food
however iodine still needs to be considered due to New Zealand
soils being deficient. A few grains of iodised salt (not rock
salt) added to cooking water is all that is necessary to achieve
adequate iodine status. It doesn’t need to be added to
their food directly and only needs adding to mixed meals (parent
and littlie food combinations – for example the evening
meal).
It’s not about eating more salt to achieve adequate iodine
status – its about selecting iodised salt when cooking!
(The
above article was prepared by - Nikki Hart, NZ Registered Dietitian)
Further
Child Care Nutritional Articles
breakfast
calcium
for toddlers
fluid
fruit
vegetable
iron-rich
meal plan
juice
debate
obesity
salt
intake
snack
foods
three
year old meal plan
underweight
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