TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER c: LONG-TERM CARE FACILITIES
PART 390
MEDICALLY COMPLEX FOR THE
DEVELOPMENTALLY DISABLED FACILITIES CODE
SECTION 390.TABLE B DAILY NUTRITIONAL REQUIREMENTS BY AGE GROUP
Section 390.TABLE B Daily
Nutritional Requirements By Age Group
Average Size Serving of Food for
Various Age Levels
Food Group
|
No. of Servings Per Day
|
Size
of Servings Per Age Group
|
1-2 Yrs
|
2-4 Yrs.
|
4-6 Yrs.
|
*Milk and Milk Products
|
4
|
½ cup
|
½ to ¾
|
¾ to 1 cup
|
**Meat Group
|
At least 3
|
|
|
|
Lean meat, fish, poultry
|
|
2 tbsp.
|
2-4 tbsp.
|
2-3 oz.
|
Eggs
|
|
1
|
1
|
1
|
Natural or Processed Cheese
|
|
1 oz.
|
1 oz.
|
2 oz.
|
Cottage Cheese
|
|
1-2 tbsp.
|
2-4 tbsp.
|
¼-½ cup
|
Dried Peas, Beans
|
|
1-2 tbsp.
|
2-4 tbsp.
|
¼-½ cup
|
Peanut Butter
|
|
None
|
1 tbsp.
|
1-2 tbsp.
|
* Cheese and ice cream may be used to replace part of the milk.
Equivalents, figured on the basis of calcium, are as follows:
1 inch cube cheddar cheese = ½ cup milk
2/3 cup of cottage cheese = ½ cup milk
1 cup ice cream = ½ cup milk
If cheese is used as a serving of milk, it may not be also
counted as a serving of protein in the meat group.
Milk should be fortified with Vitamin D or Vitamin D prescribed
as a supplement by the attending physician.
** Liver is an excellent source of Vitamin A and Iron. It is
recommended, but not required, that liver be served at least once a week.
Food Group
|
*No. of
Servings Per Day
|
Size of Servings Per Age Group
|
6-12 Yrs
|
12-18 Yrs
|
18 Yrs
& Over
|
**Milk and Milk Products
|
4
|
1 cup
|
1 cup
|
1 cup – 2
or more servings (Minimum of 16 oz. per day)
|
***Meat Group
|
At least 3
|
|
|
|
Lean meat, fish, poultry
|
|
3-4 oz.
|
4 oz. or
more
|
2-3 oz.
(Minimum of six (6) ounces)
|
Eggs
|
|
1
|
1 or more
|
|
Natural or Processed Cheese
|
|
2-3 oz.
|
3 oz. or
more
|
|
Cottage Cheese
|
|
½ cup
|
½ cup or
more
|
|
Dried Peas, Beans
|
|
½-¾ c.
|
¾ cup or
more
|
|
Peanut Butter
|
|
2-3 tbsp.
|
3 tbsp.
|
|
* Number of Servings vary for age 18 and over. Note differences
under that age category.
** Cheese and ice cream may be used to replace part of the milk.
Equivalents, figured on the basis of calcium, are as follows:
1 inch cube cheddar cheese = ½ cup milk
2/3 cup of cottage cheese = ½ cup milk
1 cup ice cream = ½ cup milk
If cheese is
used as a serving of milk, it may not be also counted as a serving of protein
in the meat group.
Milk should be
fortified with Vitamin D or Vitamin D prescribed as a supplement by the
attending physician.
*** Liver is an excellent source of Vitamin A and Iron. It is
recommended, but not required that liver be served at least once a week.
|
Fruit and Vegetable Group
|
|
5-9 Months
|
Do not begin before 5 months
|
|
|
Plain, strained spinach, green
beans, peas, carrots, squash, asparagus, beets. (No fats)
|
Start with vegetables.
Introduce one at a time. Start with a teaspoon and increase to 1-4
tablespoons fruit and a vegetable two times daily. Do not add salt or sugar.
|
Strained, unsweetened fruit
juices, such as apple or cherry, at first 2-3 ounces with equal parts of
water. Increase to ½ cup by 6 months. Begin strained fruits such as apricot,
peach, pear, apple sauce, mashed ripe banana, about 1 month after vegetables.
Delay orange juice until six (6) months.
|
|
9-12 Months
Continue a variety of
vegetables, including white potatoes, and a variety of fruits. May offer
small pieces of raw, ripe peeled fruits as finger foods. Do not give berries
or other fruits with seeds, pits or their skin.
|
|
Bread and Cereal Group
|
Do not begin before 4 months
|
4-6 Months
|
1-4 tablespoons cereal daily
|
Infant cereals – rice,
oatmeal, barley, mix and then with iron-fortified formula.
|
|
6-9 Months
Continue infant cereal. May
give mixed infant cereals after plain has been given for a period of time.
May add dry toast, melba toast, Zwieback or crackers for teething.
|
|
9-12 Months
Continue a variety of infant
cereals and breads. Unsweetened, adult-type cereals may be used as finger
foods.
|
|
*NOTE
|
The American Academy of
Pediatrics and other leaders in infant feeding practices recommend that solid
foods be delayed until 4 to 6 months for the following reasons:
|
|
1.
|
Added calories from solid
foods may cause babies to be overweight.
|
|
2.
|
Solid foods given too soon may
replace intake of important nutrients from breast milk or iron fortified
formula.
|
|
3.
|
Food allergies appear more
often among infants who receive solid foods very early.
|
|
4.
|
Infant's digestive system may
not easily manage solid foods at an early age.
|
|
The information on feeding the
infant from birth to one year is a guideline to follow in the event the
attending physician/pediatrician does not prescribe a feeding schedule in
regard to kinds and amounts of food to be served at the various age levels.
|
|
Offer baby unsweetened,
cooled, boiled water three to four times a day. This is especially important
in hot weather.
|
|
Reference: American Academy
of Pediatrics Committee on Nutrition, "On the Feeding of Supplemental
Foods to Infants," Pediatrics, Vol. 65, No. 6, June 1980.
|
|
|
|
|
|
No. of
Servings
|
Size of Servings Per Age Group
|
Food Group
|
Per Day
|
1-2 Yrs
|
2-4 Yrs.
|
4-6 Yrs.
|
Fruit and Vegetable Group
|
At least 2
fruits and 3 vegetables
|
|
|
|
Vitamin C Source
|
1 or more
|
⅓-½
cup
|
½ cup
|
½ cup
|
Vitamin A Source
|
1 or more
|
2-3 tbsp.
|
3-4 tbsp.
|
¼-⅓
cup
|
Other Vegetables
Asparagus, green beans, wax
beans, beets, cauliflower, corn, peas, potatoes
|
|
2-3 tbsp.
|
3-4 tbsp.
|
¼-⅓
cup
|
Other Fruits
Apple, banana, peach, pear,
pineapple, plums
|
|
¼ cup or
equal in whole fresh fruit
|
⅓-½
cup or equal in whole fresh fruit
|
½ cup or
equal in whole fresh fruit
|
Good sources of Vitamin C fruits
and vegetables: grapefruit, grapefruit juice, orange, orange juice, cantaloupe,
raw strawberries, broccoli, brussel sprouts, green pepper, sweet red pepper.
Fair Source of Vitamin C (need
twice as much as a good source): raw cabbage, collards, kale, kohlrabi, mustard
greens, potatoes, spinach, tomatoes, tomato juice, turnip greens.
Good source of Vitamin A fruits
and vegetables: apricots, broccoli, cantaloupe, carrots, chard, collards, kale,
persimmon, pumpkin, spinach, sweet potato, turnip greens, and other dark green
leafy vegetables, winter squash.
NOTE: To insure variety, any vegetable or fruit repeated for the day
shall not be counted as one of the required number of servings in the fruit and
vegetable group.
|
No. of
Servings
|
Size of Servings Per Age Group
|
Food Group
|
Per Day
|
6-12 Yrs
|
12-18 Yrs
|
18 Yrs
& Over
|
Fruit and Vegetable Group
|
At least 2
fruits and 3 vegetables
|
|
|
|
Vitamin C Source
|
1 or more
|
½ cup
|
½ cup
|
½ cup (1 or
more servings)
|
Vitamin A Source
|
1 or more
|
⅓-½
cup
|
½-¾ cup
|
½ cup (1 or
more servings)
|
Other Vegetables
Asparagus, green beans, wax
beans, beets, cauliflower, corn, peas, potatoes
|
|
⅓-½
cup
|
½-¾ cup
|
½ cup
|
Other Fruits
Apple, banana, peach, pear,
pineapple, plums
|
|
½ cup or
equal in whole fresh fruit
|
½ cup or
equal in whole fresh fruit
|
½ cup or
equal in whole fresh fruit
|
Good sources of Vitamin C fruits
and vegetables: grapefruit, grapefruit juice, orange, orange juice, cantaloupe,
raw strawberries, broccoli, brussel sprouts, green pepper, sweet red pepper.
Fair Source of Vitamin C (need
twice as much as a good source): raw cabbage, collards, kale, kohlrabi, mustard
greens, potatoes, spinach, tomatoes, tomato juice, turnip greens.
Good source of Vitamin A fruits
and vegetables: apricots, broccoli, cantaloupe, carrots, chard, collards, kale,
persimmon, pumpkin, spinach, sweet potato, turnip greens, and other dark green
leafy vegetables, winter squash.
NOTE: To insure variety, any vegetable or fruit repeated for the day
shall not be counted as one of the required number of servings in the fruit and
vegetable group.
|
No. of Servings
|
Size
of Servings Per Age Group
|
Food Group
|
Per Day
|
1-2 Yrs.
|
2-4 Yrs.
|
4-6 Yrs.
|
Bread and Cereal Group
|
4 or More
|
Bread
|
½-1 slice
|
1-1½ slices
|
1½-2 slices
|
|
Cooked Cereal
|
¼-⅓ cups
|
⅓-½ cups
|
½ cups
|
|
Ready to eat Cereal
|
½-¾ oz.
|
¾-1 oz.
|
1 oz.
|
|
Rice, Macaroni, Spaghetti,
Other Pasta
|
¼-⅓ cups
|
⅓-½ cups
|
½ cups
|
|
Butter or Margarine
|
1-4 Tbsp. (Used as Spreads
& in cooking)
|
1 tbsp.
|
1 tbsp.
|
1 tbsp.
|
1 tablespoon butter, margarine
= 135 calories.
|
Other Foods
|
To meet calorie needs, round
out meals, satisfy individual appetites and improve flavor.
|
Dessert and Sweets
|
Ice Cream
|
Gelatin dessert
|
Pudding, custard
|
Cookies, cake pie
|
Jellies, jams
|
Honey, syrup, sugar
|
Portion of desserts and sweets
will vary with the age of the child.
|
Fats
|
Mayonnaise, oil (1 tbsp.
mayonnaise = 135 calories)
|
Bacon (1 strip bacon = 45
calories)
|
|
No. of Servings
|
Size
of Servings Per Age Group
|
Food Group
|
Per Day
|
6-12 Yrs.
|
12-18 Yrs.
|
18 Yrs
& Over.
|
Bread and Cereal Group
|
4 or More
|
Bread
|
|
2 slices
|
2 slices
|
1-2 slices
|
Cooked Cereal
|
|
½-¾ cups
|
¾-1 cup
|
½ cup
|
Ready to eat Cereal
|
|
1 oz.
|
1 oz.
|
1 oz.
|
Rice, Macaroni, Spaghetti,
Other Pasta
|
|
½-¾ cups
|
¾-1 cup
|
½ cup
|
Butter or Margarine
|
1-4 Tbsp. (Used as Spreads
& in cooking)
|
2 tbsp.
|
2-4 tbsp.
|
2 or more
|
1 tablespoon butter, margarine
= 135 calories.
|
Other Foods
|
To meet calorie needs, round
out meals, satisfy individual appetites and improve flavor.
|
Dessert and Sweets
|
Ice Cream
|
Gelatin dessert
|
Pudding, custard
|
Cookies, cake pie
|
Jellies, jams
|
Honey, syrup, sugar
|
Portion of desserts and sweets
will vary with the age of the child.
|
|
Fats
|
Mayonnaise, oil
|
(1 tbsp. mayonnaise = 135
calories)
|
Bacon
|
(1 strip bacon = 45 calories)
|
|
|
|
|
|
|
|