Increasing caloric density of beverages and foods for toddlers

Fortifier	Calories	Add to:
Nonfat dry milk	25 kcal/tablespoon	Potatoes, ground meats, cereals, pudding, yogurt
Cheese	100 kcal/ounce	Vegetables, casseroles, fish
Sour cream	30 kcal/tablespoon	Beans, squash, potatoes, gravies, casseroles, salad dressing
Whipping cream (also called heavy cream)	60 kcal/tablespoon	Gravies, casseroles, salad dressings, hot chocolate, cereal, potatoes, eggs
Butter, margarine, oil	40 kcal/teaspoon	Gravies, mashed potatoes, cereal, rice, pasta, bread, muffins, tomato sauce
Instant breakfast preparation	130 kcal/packet
Recipes
One jar (4 ounces) strained fruit plus one scoop formula powder*
8 ounces whole milk + 2 tablespoons nonfat dry milk powder = 24 kcal per ounce*
8 ounces whole milk + 3 tablespoons nonfat dry milk powder = 28 kcal per ounce*
4 cups whole milk + 1 cup nonfat dry milk powder = 28 kcal per ounce*^¶
Mix 1 cup whole milk, 1 package instant breakfast, and 1 cup ice cream in blender (430 kcal)*
Mix one-half cup whole milk and one-half cup "half-and-half" to increase calories^¶

1 kcal = 1 calorie.
* If making any of these changes causes your child to have diarrhea, stop and call your child's health care provider.
¶ Can be used in cooking (eg, mashed potatoes), baking (eg, muffins, waffles), desserts (eg, pudding, custard), etc.

Data from:

Bithoney WG, Dubowitz H, Egan H. Failure to thrive/growth deficiency. Pediatr Rev 1992; 13:453.
Frank DA. Failure to thrive. In: The Zuckerman Parker Handbook of Developmental and Behavioral Pediatrics for Primary Care, 3rd ed, Augustyn M, Zuckerman B, Caronna EB (Eds), Lippincott Williams & Wilkins, Philadelphia 2011. p.204.
Texas Children's Hospital. High-calorie, high-protein diet.

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Increasing caloric density of beverages and foods for toddlers