Fact sheet–Paediatric diet specifications

Published: July 2025. Next review: 2030.


Child 4-8 years

This document is part of the ACI Diet Specifications for Paediatric Inpatients. It is not to be used for patient education.

Aim

To provide a balanced diet with a variety of foods for children 4-8 years of age who are able to eat at an age appropriate level.

Characteristics

Diet contains adequate and varied nutrition for optimal growth and development in children aged 4-8 years from developmentally appropriate foods. A wide range of foods from all food groups is included. Meets the Nutrition Standards for Paediatric Patients.

A wide range of textures is provided.

Snacks contribute significantly to nutrient intake because of the wide variation in the amount of food eaten at different meal times.

Indications

Suitable for children 4-8 years of age. May be combined with other therapeutic diet orders for children who have special or high nutritional needs. This diet may be combined with thickened fluids/texture modifications.

Nutritional adequacy

Nutritionally adequate.

Age appropriate serve sizes for main meal portions and snacks are preferable, such as ½ adult serves and smaller yoghurt or dessert portions.

Refer to the Nutrition Standards for Paediatric Patients for serve size requirements for varying ages.

Precautions

At all ages children’s individual growth and development will result in a wide range of appetite.

For children with altered nutrition needs, additional therapeutic diet orders will affect textures and foods allowed and offered.

This is not a texture modified diet for children with dysphagia.

Specific menu planning guidelines

Food typeAllowed Not allowed
Hot main dishes All, ½ serve where possible -
Sauces, gravies All -
Starchy vegetables/pasta/rice All, ½ serve where possible -
Vegetables All, ½ serve where possible -
Soups

All, if hot fluids permitted by facility

All, if not permitted by facility
Sandwiches All -
Salads, dressings All -
Breads, cereals All -
Spreads

All, including jam, honey, vegemite and peanut butter

-
Hot breakfast choices All -
Fruit All -
YoghurtAll -
Desserts All -
Milk and cheese All 
Drinks All others Hot drinks, e.g. tea, coffee
Biscuits All -
Miscellaneous- Alcohol

References

  1. Agency for Clinical Innovation. Nutrition Standards. Sydney: ACI; 2024 [cited 7 Jul 2025].
  2. National Health and Medical Research Council. Australian Dietary Guidelines. Canberra; NHMRC; 2013 [cited 14 Jul 2025].

Change log

Change date Section updatedChange
July 2025 CharacteristicsUpdated reduced fat dairy is recommended
PrecautionsUpdated 
SoupsUpdated to be local policy
Yoghurts, milks and cheeseUpdated to remove preference for reduced fat
DrinksUpdated to exclude hot drinks
ReferencesUpdated
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