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