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Fussy Action Plan

A planned approach to help manage persistent fussy eating in the under 5's.

Classification: PiL (Patient Information Leaflet) Enforcement of healthy eating messages for self-management - advice is easily understood requiring no additional explanation.

You may be interested in the Foodtalk Game

  • To support

    • Introducing solids, including through milk intolerance
    • Healthy eating for children aged 1 - 12
    • Weight gain for children who may struggle to eat enough
    • Establishing eating patterns for children with eating difficulties

    Problems with eating

    • Know why eating difficulties arise and have practical strategies to tackle these and build a regular eating pattern

    Healthy eating

    • Know the health benefits of healthy eating
    • Understand how to choose a balanced diet
    • Recognise the importance of establishing regular eating patterns
    • Be able to address nutritional issues e.g. constipation, and know when/where to get further help
    • Be aware of strategies to use to encourage weight gain/loss
    • Be aware of benefits of being a healthy weight
    • Know practical steps to have healthy meals/snacks
    • Be aware of the value of exercise and strategies to achieve guideline amounts
    • Be aware of triggers to seek professional advice
    • Be aware of reasons for poor growth/weight
    • Know how to make meals and snacks more nourishing and how to adapt 5 food groups to increase energy

    Evidence Base:

    • Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. Report on Health and Social Subjects No. 41. HMSO, London Department of Health (1991)
    • Dr Helen Crawley (Caroline Walker Trust), Eating Well for under 5s in child care - Practical and nutritional guidelines 2006
    • First Steps Nutrition Trust 2016, Good Food Choices and Portion Sizes for 1-4 year olds
    • First Steps Nutrition Trust 2017 Eating Well: the First Year
    • Good Food Choices and Portion Sizes for 1-4 year olds First Steps Nutrition Trust 2016
    • NICE (Clinical Knowledge summary) Cows’ milk protein allergy in children 2015
    • NICE Faltering growth guidelines (NG75) 2017
    • NICE Vitamin D: supplement use in specific population groups (PH56) 2017
    • Nutrition matters for the early years - Public Health Agency of Ireland
    • RCPCH Position Statement: breastfeeding in the UK 2017
    • Santos I.et al. Late preterm birth is a risk factor for growth faltering in early childhood: a cohort study, BMC paediatrics (2009) 9;71:1-8
    • Scientific Advisory Committee on Nutrition (SACN) 2011 Energy Requirements
  • Publication Details

    NDR-UK Ref No:


    Publication Format:

    A5 leaflet



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