All toddlers, not just the ones who are lower on the growth curve, need fat in their diet to help them grow. In fact, fats should make up half of a baby and toddler’s daily calories until the age of two for proper brain and body development, so it’s important to include healthier fats at most meals and snacks. Fats help our bodies absorb crucial nutrients like Vitamins A, D, E, and K, and are key in building our central nervous systems. But like all things with feeding toddlers, this can get tricky if (ahem…when) your little one has strong opinions about what they eat! And, of course, it’s also too easy for us parents to obsess about whether our kids are getting the nutrients they need.
What if our pediatrician says my toddler needs to gain weight?
It seems common for pediatricians to tell parents that they need to “fatten up” their toddler, so if that happens the first thing I’d check is whether your child is on their own growth curve. If your little one has always been in the 5% percentile for weight and haven’t suddenly dropped off their curve, they might be growing exactly how they are meant to. And if they eat and drink well, have lots of energy, and your gut tells you that they’re genetics are at play with their body type—maybe they look exactly like you did as a child—then I personally wouldn’t go too far off the ledge with adding extra fats into all of their food. Talk to your doctor about your specific concerns if this is a situation you find yourself in. And remember that the growth curve goes from 0-100, and kids that fall anywhere on that curve can be healthy!
Healthy Fats for Kids
The key with fats and kids (and all of us really) is to focus on the healthier ones—which generally speaking, are the ones found naturally in foods like nuts, seeds, plants, fish, and grass-fed meats—and less on ones that show up in packaged foods. This follows my general approach to feeding: Surround your family with more fresh, whole foods, and less packaged snacky ones when possible, but don’t make yourself crazy doing it.
Foods with Healthy Fats
You can study up on all of the different kinds of fats and know the ins and outs of which ones are better for you and your kids if you want to, but I find that that approach can be confusing for many people. Instead, I like to focus on actual foods, rather than tunnel-visioning on macronutrients, since it’s much easier to wrap my head around what to buy at the store. I don’t have to remember the difference between omega 3 and omega 6 fatty acids or what ALA means. Instead, these are the types of fat-containing foods that I like to feed my whole family.
Foods with Healthy Fats for Toddlers
- Almond butter
- Avocado
- Beef, grass-fed if possible
- Butter
- Cashew butter
- Cheese (shredded, sliced, cheese sticks)
- Chia seeds
- Chicken, dark meat
- Coconut, unsweetened shredded
- Coconut milk
- Cottage cheese, 4% fat
- Flaxseeds, ground
- Hemp seeds
- Kefir
- Lamb
- Milk, whole
- Olive oil
- Peanut butter
- Sesame oil
- Sunflower seeds
- Sunflower seed butter
- Yogurt, full-fat plain
- Wild salmon, fresh, frozen or canned
Look at Including Healthy Fats Throughout the Week
Besides the dairy, meat, and fish, I think of everything on this list as a garnish and add it in smaller amounts to the foods that we eat. This adds a range of nutrients, including fat, and helps to make the meals that we eat more filling and satisfying. (And, yes, delicious.) Of course, you don’t need to stock all of these foods in your house at once and there will be days when your toddler only wants the peanut butter or cheese or yogurt and that too is okay. Try to keep the bigger picture in mind and think of their intake over the course of a week, rather than bite-by-bite. Buy different foods at the store from week to week, like chia seeds one week and sunflower seeds the next, to easily add in some variation.
Adding Nutrition to Foods Your Toddler Already Eats
I add a small amount (usually 1/2-1 teaspoon) chia, flax or hemp seeds to smoothies, overnight oats, and oatmeal. We have peanut or sunflower seed butter sauces over noodles, rice, or veggies. I regularly make Thai curry with coconut milk, or I sometimes also use coconut milk as a base in soups. We spread nut and seed butter over toast and pancakes. I roast veggies in olive oil, saute in olive oil or butter, and buy whole milk and dairy products whenever possible. And my girls love freezer pops made with a blend of equal parts plain kefir and mango chunks.
Choose Grass-Fed Beef for Healthy Fats
We also eat grass-fed beef when we can get it (and when I can find it at an affordable price)—and I love the Butcher Box service for making this so much easier since they deliver right to your door each month! it tends to have a better ratio of healthier fats. And I try to make fish a few times a month, though that tends to be a challenge where we live since there aren’t always great options. (Salmon cakes continue to be a go-to meal for us though.)
P.S. Schools and many conventional pediatricians still recommend switching to low-fat or fat-free milk after a child turns two, but you may not want to do that. A 2013 study found that kids who drink low-fat milk tend to be heavier. And a 2016 study found that kids who drank milk with higher fat content had higher levels of Vitamin D and lower BMIs. Just something to keep in mind!
This is not meant to be a substitute for medical advice. Always contact your pediatrician as needed. This post contains affiliate links.
Heather Nichols
As specialists in newborns, infants, and toddlers, all the way up through young adults, I would argue that the vast, vast majority of Pediatricians are not going to tell you to ‘fatten up’ your toddler. In fact, those words conjure images of Hansel and Gretel rather that being the ideal way to describe the need for more calories, a more diverse diet, or the problem of Failure to Thrive! However, some kids really do have significant food preferences that effect their overall nutrition. One example is the toddler who only wants to breastfeed and eat yogurt and bananas as soon as the painful throat of Hand, Foot, Mouth set in. Sometimes these kids never go back to the nutritious diet they ate before, no matter what parents do!
As a pediatrician myself, I would say argue are well trained in what is normal and how to evaluate growth curves. I find it way more common that we wait and follow them more closely rather than ever suggest a parent offers significantly more calories, especially pure fat calories. I have seen several patients after their WIC counselor or Family Physician made this recommendation, and usually they are right on the money. In 15 years, I have NEVER seen a child for a second opinion after their pediatrician counseled more calories or fat calories who was not truly underweight or malnourished. We REALLY want to help your child avoid overweight as much as possible!
However, the problem of thinking a child is underweight when they are not is more pervasive in our culture and anyone (including a pediatrician) is capable of making this mistake. According to studies, we (parents, grandparents, child care providers, teachers, and physicians) are all more and more likely to think that normal children are underweight because of the pervasive problem of overweight changing our perspective.
I absolutely agree with you that if a parent is concerned about their child’s weight for any reason (comments from strangers, grandmother’s constant desire to feed the child more, picky diet, etc.), the parent should see the physician, and ask as many questions as they can think of to get a better handle on the situation! Don’t forget about second opinions!
This is a great article, overall, and I am happy to find this good resource with common sense infused for parents. As well as healthy suggestions! I love the grass-fed beef, salmon cakes, nut and seed butters, olive oil roasted veggies ideas. And I can’t wait to try kefir-mango pops for my own littles. You are right that there is a lot of conflicting data out there about whole milk. Based on studies and expert opinions, however, it is still advised that the majority of 2 year olds cut down their fat intake overall (and cutting down whole milk to skim is a reasonable way). For the last ten years it has also been advised that some children (with certain family history or their own individual risk of overweight) go down to 2% from 12 to 24 months since most kids are getting too much fat in their diet overall.
I will be recommending your site! Thanks for your hard work.
Amy Palanjian
Thank you so much for chiming in Heather, I really appreciate hearing your take on this topic!