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 type | Allowed | 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 | - |
| Yoghurt | All | - |
| Desserts | All | - |
| Milk and cheese | All | |
| Drinks | All others | Hot drinks, e.g. tea, coffee |
| Biscuits | All | - |
| Miscellaneous | - | Alcohol |
References
- Agency for Clinical Innovation. Nutrition Standards. Sydney: ACI; 2024 [cited 7 Jul 2025].
- National Health and Medical Research Council. Australian Dietary Guidelines. Canberra; NHMRC; 2013 [cited 14 Jul 2025].
Change log
| Change date | Section updated | Change |
|---|---|---|
| July 2025 | Characteristics | Updated reduced fat dairy is recommended |
| Precautions | Updated | |
| Soups | Updated to be local policy | |
| Yoghurts, milks and cheese | Updated to remove preference for reduced fat | |
| Drinks | Updated to exclude hot drinks | |
| References | Updated |