Women’s & Children’s Hospital High Fibre Diet for Children Information for parents and caregivers What is fibre? Fibre is the part of food that cannot be digested by the body. For this reason, when we eat fibre, it moves into our intestine and helps to keep our bowel healthy. It is found only in plant foods, particularly in the skins and seeds of fruit and vegetables and in the bran or outside layers of grains (wholegrain breads and cereals). There is no fibre in animal foods such as meat, fish, chicken and dairy products. What does fibre do? Fibre is not just one substance - there are a number of different types of fibre found in food. You will often find more than one type of fibre in the same food. Soluble fibre Soluble fibre forms a gel when mixed with water, making your bowel contents more viscous, so food stays in the digestive tract for longer. This is important for people who suffer from diarrhoea. It is also beneficial to help lower blood cholesterol levels. It is found in fruits such as apples, bananas, oranges, strawberries, grapefruit and vegetables such as potatoes, peas, beans, cabbage, cauliflower. It is also found in legumes such as lentils and other grains such as oats and barley. Insoluble fibre Insoluble fibre increases stool bulk, helping to improve bowel function and increase the rate at which contents travel through the bowel. This can help to relieve constipation. It is found in wholegrain and wholemeal breads and cereals, pasta, nuts and seeds and the skins of fruit and vegetables. Resistance starch Resistant starch is a type of starch found in plant foods that escapes digestion in the small bowel. Resistant starch may provide similar benefits to other types of fibre, such as helping to prevent constipation. It is found in firm bananas, boiled long grain rice, baked beans and cornflakes. Why is fibre important for my child? Fibre is an important part of a healthy diet. Children who have a low fibre diet are at risk of poor bowel health or constipation. Encourage your child to have nutritious high fibre meals and snacks throughout the day. This includes plenty of fresh fruits, vegetables and wholegrain breads and cereals. Reduce unhealthy, lower fibre snacks such as lollies and chips. Fluid is important too! Dietary fibre absorbs water to help keep the stool soft and for this reason it is essential that children have enough fluid. It is important to encourage your child to drink plenty of fluid (mainly water) throughout the day. Good sources of fibre Bread > Wholemeal and multigrain breads are an excellent source of fibre. High fibre white breads have less fibre than wholemeal bread but are still a reasonable choice. > Try making sandwiches with one slice of wholemeal bread and one slice of white bread. > Choose wholemeal muffins and crumpets over ordinary varieties. > Wholemeal pita and Lebanese breads are also excellent sources of fibre. > Toasted fruit loaf makes a great snack! Cereals > Choose wholegrain varieties (e.g. weetbix, vitabrits, sultana bran, mini wheats, fruity-bix, muesli) > Porridge made with rolled oats. > Add a spoonful of wheat bran, oat bran or a bran mix to breakfast cereal. > Add dried fruit to breakfast cereals. > Try fruit balls made with crushed weetbix and diced dried fruit (see recipe). > Encourage whole fruit rather than canned fruit or fruit juices. Whole fruit contains much more fibre than fruit that has been processed. Other bread and cereal products > Choose wholemeal cracker biscuits (e.g. wholemeal saladas or wholemeal premiums) for a snack. > Offer brown rice and wholemeal pasta for a change. > Try baking cakes, biscuits or scones with a mixture of ½ wholemeal and ½ ordinary flour. > Use wholemeal breadcrumbs or oats in rissoles and burgers or for toppings on mornays and casseroles. > Crushed weetbix or rolled oats make excellent crumble toppings for desserts. > Add almond meal or LSA (linseed sunflower and almond meal) into cereal, or bread/cake mixes Fruit > Encourage whole fruit rather than canned fruit or fruit juices. Whole fruit contains much more fibre than fruit that has been processed. Wash it thoroughly and eat the skin where possible. > Add dried fruit to cakes and biscuits. > Cut up fruit for a platter after school. > Freeze wedges of fruit on paddle pop sticks for an icy fruit snack. Try frozen grapes for a change. Vegetables > Eat a wide variety of fresh vegetables. > Where possible, leave the skin (washed) on potatoes, zucchini, carrots and other vegetables. > Add grated or chopped vegetables to hamburger patties, pasta sauces (eg. spaghetti bolognese) and casseroles. > Offer salads as an alternative to vegetables. > Puree up numerous mixed vegetables and use as a base for soups and sauces (such as spaghetti bolognese) > Try oven based veggie chips such as carrot or sweet potato. > Make the most of tinned or frozen vegetables as they are also very nutritious. Dried peas, beans and lentils > Try baked beans on toast for a fast healthy meal. > Add a can of red kidney beans to taco mix for a Mexican flavour. You can use them together with mince meat in dishes such as chilli con carne and spaghetti bolognese. > Try lentil burgers as an alternative to meat patties. > Buy bean sprouts at the market or ‘sprout’ your own and add these to salads or stir fries. > Try chick pea dip (hommus) on wholemeal dry biscuits for an after school snack. Bran It may not be necessary to add bran to your child’s diet as enough fibre can usually be obtained from wholegrain breads and cereals, fresh fruit and vegetables. If required, wheat, oat and rice bran can be used to: > Add to breakfast cereals, stewed fruit and yoghurt. > Mix into meat patties, mince, casseroles and thick soups. > Add to biscuits, muffins, cakes and pancakes. Psyllium husks are another source of fibre that can be added into foods. Nuts and seeds Nuts and seeds (including coconut) are high in fibre. However, these foods are not suitable for younger children because they are at risk of choking on foods (see next section). Whilst healthy, nuts and seeds are also high in fat and should only be eaten in small quantities if your child has a weight problem. For younger children: > Nut pastes that are smooth can be used e.g. smooth peanut butter > Use almond meal or LSA (linseed, sunflower and almond mix) in cereal, smoothies, yoghurt or homemade breads, cakes and muffins For older children: > Try a handful of nuts and dried fruit as a snack. > Try muesli for a breakfast cereal or sprinkle on other cereals and on ice cream and fruit. > Add to cakes and biscuits. > Try spreading peanut butter on wholemeal bread for an after school snack. Recipes Vegetable patties Ingredients 2 zucchini, grated 1 parsnip, peeled and grated 1 carrot, washed and grated 1 red capsicum, de-seeded & finely chopped ½ cup grated matured cheese ½ cup grated parmesan cheese 1 tablespoon parsley, chopped 2 eggs, lightly beaten 1 cup wholemeal breadcrumbs salt, pepper to taste Method Combine vegetables, cheeses, parsley, eggs, breadcrumbs and season to taste. Shape into patties. Lightly fry in oil or microwave 6 patties at a time uncovered, on High for 2 minutes. Fruit balls Ingredients 10 crushed weetbix (can use weetbix hi-bran or use 7 weetbix and ¼ cup bran) 1 cup mixed dried fruit, diced (sultanas, dried apricots or dried fruit medley) ½ cup crushed nuts 2 tablespoons cocoa 1 tin sweetened condensed milk Method Mix all ingredients together. Place bowl of mixture in the refrigerator for an hour. Roll into balls and toss in coconut. Variation Combine ingredients with 1 cup desiccated coconut. Mix well. Press into a lamington tin. When firm, cut into squares. How much fibre do children need? Children have lower fibre requirements than adults, but still need enough fibre to keep them regular. Their requirements are as follows: 1-3 yrs: 14g/day 4-8 yrs: 18g/day 9-13 yrs: Boys: 24g/day. Girls: 20g/day 14-18 yrs: Boys: 28g/day. Girls: 22g/day The following table shows the amount of fibre in common food choices: FRUIT Serve FIBRE (grams) Pear 1 medium 5 Banana 1 medium 4 Apple with skin 1 medium 3.5 Orange 1 medium 3.5 Peach 1 medium 2.5 Grapes 1 cup 2 Plum 1 medium 2 Strawberries ½ punnet 2 Nectarine 1 medium 1.5 Apricot 1 medium 1 Sultanas 1 heaped Tbsp 2.0 Prunes 6 4.7 Fruit juice 1 glass 0 Peas ½ cup 4.5 Spinach ½ cup 4.5 Potato with skin 1 medium 3 Potato no skin 1 medium 2 Broccoli ½ cup 3 Carrot/Sweetcorn ½ cup 2.5 Cauliflower/Pumpkin ½ cup 2 Zucchini ½ cup 1.5 Tomato (raw) 1 medium 1.5 VEGETABLES (cooked) BREADS & CRACKERS Serve FIBRE(grams) White bread 1 slice 1 White “hi-fibre” bread 1 slice 1.5 Multigrain bread 1 slice 1.5 Wholemeal bread 1 slice 2 Jatz 5 0.5 Vita Wheat Crackers 4 3 Sultana Bran 1 cup 6.5 Muesli ½ cup 6 FibrePlus 1 cup 6 Just Right 1 cup 5 Weet bix 2 biscuits 3.5 Porridge 1 cup 3.5 Sustain 1 cup 3.5 Weeties 1 cup 4 Cornflakes Wholegrain 1 cup 3 Rice bran 1 Tablespoon 2.5 Oat bran 1 Tablespoon 2 Cornflakes 1 cup 1 Nutrigrain 1 cup 1 Rice Bubbles 1 cup 0 Baked beans ½ cup 6 Red kidney beans ½ cup 6.5 3 bean mix ½ cup 6.5 CEREALS LEGUMES Safe eating for younger children Babies and young children are more likely to choke on their food. Young children do not have the back teeth to chew and grind lumps of food properly. These teeth may not be fully developed until around five years of age. If young children run, play, laugh or cry while eating they are more likely to choke. Children should be encouraged to sit quietly while they eat and should never be force fed. Parents or caregivers should always watch young children carefully when they are eating. Some foods should not be offered to children under five years because they can be unsafe: > Don’t give foods that can break off into hard pieces. For example, avoid raw carrot sticks, celery sticks, apple pieces and whole grapes. These foods should be cut up, grated, cooked or mashed. > Tough skins on sausages and frankfurts should be removed. Sausages, frankfurts and other meats should be cut into small pieces. > Don’t give popcorn, nuts, hard lollies or other similar foods to young children. Consider doing a first aid course. This can give you the skills to help in a situation where your child is choking, or where other first aid care is needed. Food product information contained in this resource was up to date at the time of revision. If you are not sure about a food, check with the manufacturer. Produced by Children, Youth and Women’s Health Service Nutrition Department 72 King William Road North Adelaide SA 5006 Non-English speaking: for information in languages other than English, call the interpreting and Translating Centre and ask them to call The Department of Health. This service is available at no cost to you, contact (08) 8226 1990. © Department of Health, Government of South Australia. All rights reserved. Revised and printed March 2010.
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