Supplementation for Some Children
Vitamin supplements are rarely necessary for toddlers who eat a varied diet. However, supplemental iron may be needed if your child eats very little meat, iron-fortified cereal, or vegetables rich in iron. Large quantities of milk (more than 32 ounces [960 mL] per day) also may interfere with the proper absorption of iron, thus increasing the risk of iron deficiency anemia.
Your child should drink 16 ounces (480 mL) of low-fat or nonfat milk each day. This will provide most of the calcium he or she needs for bone growth and still not interfere with his or her appetite for other foods—particularly those that provide iron.
Note: The American Academy of Pediatrics (AAP) recommends that children stay on whole milk until they are two years of age—unless there is a reason to switch a baby to low-fat milk sooner. Whole milk contains approximately 4% milk fat. It may help to gradually switch your child from whole milk to a lower-fat milk. Therefore, many pediatricians recommend that children get reduced fat (2%) milk for a few weeks before switching them to low fat (1%) or no fat (skim) milk.
According the AAP clinical report, Optimizing Bone Health in Children and Adolescents, infants under 12 months require 400 International Units (IU) of vitamin D per day and older children and adolescents require 600 IU per day. This amount of vitamin D can prevent rickets—a condition characterized by the softening and weakening of bones. If your child is not regularly exposed to sunlight or is consuming enough vitamin D in his or her diet, talk to your pediatrician about a vitamin D supplement. See Vitamin D: On the Double for more information and a list of vitamin D-enriched foods.
Last Updated 3/16/2017
Source Section on Obesity (Copyright © 2017 American Academy of Pediatrics)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
