When should you start solids Is formula safe How much milk does a toddler really need We are joined by Melody Acosta Registered Dietitian at Providence Hood River Memorial Hospital to discuss infant and toddler nutrition from birth to age 3 Topics include breastfeeding formula safety allergen introduction choking prevention cow’s milk guidelines and picky eating based on recommendations from the American Academy of Pediatrics Clear evidence based guidance for parents and caregivers
References: melody.acosta@providence.org Office Phone (541) 387-6133
Perinatal program - 0-12 mos feeding final.pptx
Perinatal - ages 1 to 2 - best practices for feeding.pptx
https://www.aap.org/en/patient-care/healthy-active-living-for-families/infant-food-and-feeding/
https://www.cdc.gov/infant-toddler-nutrition/about/index.html
https://www.hopkinsmedicine.org/health/wellness-and-prevention/feeding-guide-for-the-first-year
https://wicworks.fns.usda.gov/resources/infant-nutrition-and-feeding-guide
https://kidshealth.org/en/parents/breast-bottle-feeding.html
https://www.who.int/health-topics/infant-nutrition#tab=tab_1
Matzeller KL, Krebs NF, Tang M.Current Evidence on Nutrient Intakes and Infant Growth: A Narrative Review of Baby-Led Weaning vs. Conventional Weaning.Nutrients. 2024; 16(17):2828. https://doi.org/10.3390/nu16172828
*(Recent study from Phillipines with data from 284 parents of 2-5 year olds;Picky eating was assessed using the Children's Eating Behavior Questionnaire (CEBQ) Food Fussiness (FF) Subscale)11
1.Taylor CM, Emmett PM. Picky eating in children: causes and consequences. Proc Nutr Soc. 2019; 78(2): 161-169.
2.Coulthard H, Harris G, Emmett P. Delayed introduction of lumpy foods to children during the complementary feeding period affects child's food acceptance and feeding at 7 years of age. Matern Child Nutr. 2018; 5(1): 75-85.
3. Emmett PM, Hays NP, Taylor CM. Antecedents of picky eating behaviour in young children. Appetite. 2018; 130: 163-173.
4.Cole NC, An R, Lee SY, Donovan SM. Correlates of picky eating and food neophobia in young children: a systematic review and meta-analysis. Nutr Res. 2017; 75(7): 516-532.
5.Jansen E, Mallan KM, Nicholson JM, Daniels LA. The feeding practices and structure questionnaire: construction and initial validation in a sample of Australian first-time mothers and their 2-year olds. Int J Behav Nutr Phys Act. 2014; 11:72. doi:10.1186/1479-5868-11-72
6.Wolstenholme H, Kelly C, Hennessy M, Heary C. Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies. Int J Behav Nutr Phys Act. 2020; 17: 2.
7.Cassells EL, Magarey AM, Daniels LA, Mallan KM. The influence of maternal infant feeding practices and beliefs on the expression of food neophobia in toddlers. Appetite. 2014; 82: 36-42. doi:10.1016/j.appet.2014.07.001
8.Brown A, Lee MD. Early influences on child satiety-responsiveness: the role of weaning style. Pediatric Obesity. 2013; 10(1): 57-66.
9.Mennella JA. Biological and experiential factors that impact the acceptance of complementary foods. Ann Nutr Metab. 2025; 81: 34-43. doi:10.1159/000542296
10.Tournier C, Demonteil L, Ksiazek E, Marduel A, Weenen H, Nicklaus S. Factors associated with food texture acceptance in 4- to 36-month old French children: findings from a survey study. Front Nutr. 2021; 7:616484. doi:10.3389/fnut.2020.616484
11.Layug-Dionglay FDMG, Navarro JO, Guno MJV, Napalinga KM. The association of baby-led weaning and picky eating in children aged 2-5 years. J Pediatr Gastroenterol Nutr. 2026 Jan 4. doi: 10.1002/jpn3.70331. Epub ahead of print. PMID: 41486433.