Dietitians of Canada partners with other health professional organizations and Health Canada to develop evidence-based guidance on feeding infants and toddlers and monitoring their growth and development.
The positions of Dietitians of Canada (DC) on feeding infants and young children are contained in the following Joint and endorsed Statements:
Breastfeeding - exclusively for the first six months, and continued for up to two years or longer - and a daily vitamin D supplement of 10 µg (400 IU) for breastfed infants
Iron-rich foods such as meat, meat alternatives, and iron-fortified cereal, as an infant's first complementary foods - may be introduced a few weeks before or just after the sixth month
Common food allergens, such as peanut, fish, wheat (including iron-fortified infant cereals with wheat), milk products, soy and whole eggs - can be introduced from about six months of age and then continue to offer these foods regularly
Routine growth monitoring using the WHO Growth Charts for Canada
Responsive feeding of infants to promote the development of healthy eating skills, including feeding that is responsive to infant’s cues, promotion of self-feeding and use of an open cup
Nutritious family foods, offered in a variety of textures
Regularly scheduled meals and snacks for young children, from one year of age.
Actions and Public Policy Statements
Dietitians of Canada has been a partner with Health Canada and the Canadian Paediatric Society (CPS) since national guidance for health professionals on infant feeding (Nutrition for Healthy Term Infants) was first released in 1998. These organizations, joined by the Breastfeeding Committee for Canada, collaborated through the Infant Feeding Joint Working Group to revise guidance from 1998 and 2005. Revised guidance for feeding infants ages 0-6 months was released in 2012, followed by revised guidance for older infants/toddlers, ages 6-24 months in 2014. DC supports implementation of the policies and practices of the Baby-Friendly Initiative (BFI) for hospitals and community health services.
We collaborated with CPS, the College of Family Physicians and the Community Health Nurses of Canada to develop the public policy statement on Promoting Optimal Monitoring of Child Growth in Canada in 2010. Together with the Canadian Pediatric Endocrine Group (CPEG), the WHO Growth Charts Adapted for Canada were redesigned and released in 2014.
DC also endorsed the 2014 Rourke Baby Record, an evidence-based health supervision guide for health care providers to use in their care of children from birth to five years.
Dietitians of Canada, the Canadian Paediatric Society and Health Canada do not endorse the use of any homemade infant formulas. Breastfeeding is the normal and most beneficial method of feeding infants. Commercial infant formulas are the only recommended alternative for parents/caregivers of infants who have made an informed decision to transition from breastfeeding or breastmilk. For infants between 9-12 months of age who are no longer breastfed, pasteurized, whole cow milk or commercial infant formula is recommended.
Concerns About the Use of Homemade Infant Formulas
(November 2014) - Dietitians of Canada, with the Canadian Paediatric Society and Health Canada, advises Canadian parents and caregivers of the potential health risks associated with homemade infant formulas.
Feeding Infants and Toddlers
(2013) Guidance for parents on breastfeeding and the introduction of first foods for 0-24 months: a series of eleven factsheets, about feeding infants and toddlers, 0-6 months, 6-12 months, 12-24 months.
Nutrition for Healthy Term Infants: Recommendations from Birth to Six Months – A joint statement of Health Canada, Canadian Paediatric Society, Dietitians of Canada, and Breastfeeding Committee for Canada
(September 2012) This on-line document is intended as guidance for health professionals, to promote communication of accurate, consistent advice to parents and caregivers on infant nutrition in the first six months. It includes recommendations for breastfeeding and first complementary foods, as well as information about the use of infant formula or breastmilk substitutes.
Nutrition for Healthy Term Infants: Recommendations from Six to 24 Months – A joint statement of Health Canada, Canadian Paediatric Society, Dietitians of Canada, and Breastfeeding Committee for Canada
(April 2014) This on-line document is intended as guidance for health professionals, to promote communication of accurate, consistent advice to parents and caregivers on infant and toddler nutrition between six to 24 months. It includes recommendations for offering a variety of nutritious family foods with different textures and promoting healthy eating skills, as well as specific information about iron-rich foods, potentially allergenic foods, and food safety.
Feeding Infants and Toddlers
(2013) With leadership and support from the BC Ministry of Health, DC created and focus tested messages and tips for parents on feeding infants and toddlers from 0-24 months, with a focus on breastfeeding and the introduction of first foods. This link will take you to a series of fact sheets, available as of March 2013, which were created using these motivational messages and related tips. Links to these 11 fact sheets are also available to the public via the DC website. Available in English only.
Member Resources A-Z: Infant Nutrition
(2012, 2013) This link connects you to DC's recommendations and input for Nutrition for Healthy Term Infants (NHTI): addressing the draft 0-6 months (final version published September 2012) and the draft 6-24 months NHTI (final version published April 2014).
Feeding Babies and Food for Toddlers - Consumer Message and Resource Development
(2013) A description of the process of developing and testing of consumer messages for feeding infants and food for toddlers (0-24 months), with final key and supporting messages in Appendix A of the report. To access the fact sheets visit http://bcfsg.dietitians.ca/default.aspx