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The UK picture. What children are actually eating
Ultra-processed food dominates UK children's diets
A major 2024 study from the Universities of Cambridge and Bristol, the first UK analysis of ultra-processed food consumption specifically among adolescents using NDNS data, found:
- UK teenagers aged 11 to 18 consumed an average of 861g of UPF per day
- This accounted for 66% of total daily calories. The highest of any UK age group (adults average around 54%)
- The UPF proportion was higher in teenagers from disadvantaged backgrounds (68.4% vs 63.8% from more advantaged homes)
- The proportion fell slightly between 2008 and 2019 (from 68% to 63%), partly attributed to growing awareness of sugar and the soft drink reformulations driven by the sugar tax. But still very high
The most common ultra-processed foods in UK teenagers' diets: bread and baked goods, breakfast cereals, flavoured yogurts and dairy desserts, crisps and savoury snacks, processed meat (chicken nuggets, sausages), biscuits and confectionery, sugary drinks and flavoured milks, ready meals. See the UPF guide.
Childhood obesity. The scale
The National Child Measurement Programme (2024/25):
- 10.5% of reception-year children (aged 4 to 5) are living with obesity. The highest level since measurements began in 2006
- 22.2% of Year 6 children (aged 10 to 11) are living with obesity
- Obesity is more than twice as common in reception-age children from the most deprived areas (12.9%) as in those from the least deprived (6.0%)
The nutrient deficiency picture
The latest National Diet and Nutrition Survey (NDNS 2019 to 2023) found that UK children are falling short on several key nutrients:
- 23% of children aged 11 to 18 were vitamin D deficient, rising to 36% in winter
- Iron deficiency anaemia remains a concern, particularly in teenage girls
- Fibre intake is well below recommended levels across all age groups. See the fibre guide
- Fruit and vegetable consumption falls well short of the 5-a-day minimum for most children
The picture is one of energy abundance alongside micronutrient deficiency. Many UK children eat enough calories but not enough of the nutrients those calories should be delivering.
What children need. By age group
Children's nutritional needs change substantially at different growth stages. Use the links below to jump to your child's age group.
Under 2. Different rules apply
Children under 2 have specific nutritional needs that differ from older children and adults:
- Full-fat dairy is recommended, not reduced-fat. Young children need a higher proportion of calories from fat for brain development and energy density.
- Cow's milk as a main drink is appropriate from 12 months.
- Vitamin D. Babies should receive 8.5 to 10µg per day from birth unless they drink more than 500ml of infant formula (which is already fortified).
- Solid foods introduced from around 6 months. Department of Health advises exclusive breastfeeding to 6 months, with introduction of solids from that point.
- The Eatwell Guide does not apply to children under 2.
This guide focuses primarily on children aged 2 and over. For specific guidance on infant feeding, speak to a health visitor or GP.
Ages 2 to 5. Transitioning to family foods
From age 2, children gradually move towards eating the same foods as the rest of the family, in the proportions shown in the Eatwell Guide.
Key considerations
- Vitamin D supplement continues. 10µg per day is recommended by the NHS for all children under 5 (unless drinking over 500ml of formula daily).
- Wholegrain foods. A mix of white and wholegrain is appropriate at this age. Very high-fibre diets can fill young stomachs without delivering adequate calories.
- Full-fat dairy until age 2; semi-skimmed from age 2 if growing well; skimmed not suitable under 5.
- Fussy eating is developmentally normal at this age. See the fussy eating section below.
- Portion sizes. Young children have small stomachs. 3 meals + 2 snacks works better than fewer larger portions.
Ages 5 to 11. School-age children
School-age children need a varied, balanced diet that supports rapid growth, brain development, learning, and energy for physical activity. The Eatwell Guide proportions apply:
- Fruit and vegetables. At least 5 portions per day. Most UK children do not meet this. Variety of colours matters.
- Starchy carbohydrates. Wholegrain varieties where possible (wholemeal bread, brown rice, oats, wholegrain cereals) for fibre and sustained energy.
- Protein. Meat, fish, eggs, dairy, legumes, nuts (with supervision for younger children due to allergy/choking risk). Include oily fish at least once a week.
- Dairy. An important source of calcium and iodine for bone development and thyroid health.
- Vitamin D. The NHS recommends 10µg per day from age 1, especially in autumn and winter.
Breakfast matters for learning
Children who eat breakfast perform better cognitively in the morning. Better concentration, attention, and memory. The effect is most pronounced in children who are undernourished or food-insecure. Breakfast options that combine protein (eggs, dairy, nuts) with fibre-rich carbohydrates (oats, wholemeal toast) sustain energy better than high-sugar cereals.
Ages 11 to 18. Teenagers
Adolescence involves the most rapid growth since infancy. Demands on calcium, protein, iron, and energy all increase. It is also the age group in which UK UPF consumption is highest.
Calcium. Building peak bone mass
Peak bone mass (the maximum bone density achieved in a lifetime) is established between the mid-teens and mid-20s. The calcium deposited during this window largely determines fracture risk in later life. UK reference values:
- Boys 11 to 18: 1,000mg per day
- Girls 11 to 18: 800mg per day
- Significantly higher than adult requirements (700mg/day)
Iron. Especially for teenage girls
Iron requirements rise substantially in adolescence, especially for girls from the onset of menstruation. Iron deficiency anaemia is one of the most common nutritional deficiencies in UK teenage girls. Causing fatigue, impaired concentration, and reduced physical performance.
- Teenage girls (menstruating) need 14.8mg of iron per day. Significantly more than teenage boys (11.3mg/day).
- Vitamin C tip: Pair non-haem iron foods (lentils, fortified cereals, leafy greens) with a vitamin C source (orange juice, peppers, kiwi). Avoid tea and coffee with iron-rich meals. See the protein guide for iron sources.
Vitamin D and protein
The NHS recommends all teenagers take 10µg (400 IU) vitamin D daily, especially October to March. Most UK teenagers get adequate protein. Variety and quality matter more than quantity. Pulses, eggs, fish, and dairy are more beneficial protein sources than processed meats (sausages, nuggets, deli meats) which carry high sodium and saturated fat loads.
Energy drinks. Not appropriate for children or teenagers
Up to 160mg of caffeine per can (more than a double espresso), often very high in sugar. Associated with sleep disruption, anxiety, headaches, and impaired school performance. UK law restricts sale to under-16s in many retailers, but enforcement is inconsistent. The NHS advises children and young people should not consume energy drinks.
The three nutrients to prioritise
These are the nutrients most commonly deficient or borderline in UK children, with the greatest practical consequences.
Calcium
Children and teenagers need more calcium relative to body weight than adults, because they are actively building bone density. Insufficient calcium during growth is a silent deficit that only becomes apparent decades later as increased fracture risk.
Best UK sources: milk, yoghurt, cheese, calcium-fortified plant milks, tinned sardines with bones, kale, fortified bread.
Targets: 350mg under 5s; 550mg ages 5–11; 800–1,000mg ages 11–18.
Vitamin D
Essential for calcium absorption and bone mineralisation. Also important for immunity, muscle strength, and mood. UK sunlight is insufficient October to March; supplementation through winter is effectively necessary for most children.
NHS recommendation: 10µg (400 IU) daily for all children aged 1+, especially in autumn and winter.
23% of UK 11–18s are vitamin D deficient. 36% in winter (NDNS 2019–2023).
Iron
Iron deficiency causes fatigue, difficulty concentrating, impaired learning, and reduced physical capacity. Particularly concerning in teenage girls after puberty.
Best UK sources: red meat (limited liver to weekly), fish, eggs, lentils, chickpeas, fortified cereals, leafy greens, pumpkin seeds. Pair with vitamin C.
Teenage girls need 14.8mg/day. 30% more than boys.
Calcium sources at a glance
| Food | Approximate calcium |
|---|---|
| Cow's milk (200ml glass) | ~240mg |
| Plain yoghurt (125g pot) | ~200mg |
| Cheddar cheese (30g) | ~220mg |
| Calcium-fortified plant milk (200ml) | ~240mg |
| Tinned sardines with bones (100g) | ~350mg |
| Calcium-set tofu (100g) | ~200–350mg |
| Kale, cooked (80g) | ~100mg |
| Fortified bread (2 slices) | ~100mg |
| Almonds (30g) | ~75mg |
The vitamin D connection. Calcium cannot be absorbed properly without adequate vitamin D. Meeting calcium targets while being vitamin D deficient is ineffective. Both need to be addressed together.
The milk-iron paradox. Cow's milk contains virtually no iron, and very high milk consumption in toddlers (more than 500ml per day) can displace iron-rich foods and suppress appetite. Moderate dairy is appropriate. It should not crowd out variety.
UPF and children. The practical picture
The finding that UK teenagers get 66% of their calories from ultra-processed food is not an argument for guilt or panic. It is context for understanding why children often fall short on key nutrients despite eating plenty of calories.
What UPF displaces in children's diets: fruit and vegetables (polyphenols, vitamin C, folate, fibre), whole grains (fibre, B vitamins, magnesium), whole-food protein sources (iron, zinc), dairy (calcium, iodine), and healthy fats (omega-3 from oily fish or eggs). In their place, UPF provides energy, refined carbohydrates, saturated fat, salt, and added sugar. See sugar and salt guides for the broader UK picture.
The most impactful shifts. Five practical swaps
Swap this
Sugary fizzy drinks, fruit drinks, squash, juice cartons
Try this instead
Water (the ideal drink for children) or milk. The single most impactful drink habit.
Swap this
Crisps, biscuits, chocolate bars, sweet packets
Try this instead
Fresh or dried fruit, plain rice cakes or oatcakes with nut butter, plain yoghurt with fruit, cheese with wholemeal crackers, vegetable sticks with hummus.
Swap this
Highly processed children's breakfast cereals (high sugar, low fibre)
Try this instead
Porridge oats, Weetabix, Shredded Wheat, unsweetened muesli, wholemeal toast with eggs or nut butter.
Swap this
Not enough fruit and vegetables on the plate
Try this instead
5 portions per day in whatever form children will eat. Frozen peas, tinned sweetcorn, baked beans, vegetable-based pasta sauces, fruit on cereal, fruit in smoothies (within 150ml limit). Don't let perfect be the enemy of good.
Swap this
No oily fish in the weekly diet
Try this instead
Once a week, in a child-friendly form. Tinned mackerel or sardines in pasta, salmon fishcakes, tuna sandwich. Provides DHA, vitamin D, iodine. Build acceptance gradually.
Fussy eating. Evidence-based approaches
Fussy or picky eating is developmentally normal between approximately 18 months and 5 years, affecting the majority of children to some degree. It peaks at around 2 to 3 years and typically improves through middle childhood. Persistent for some children into adolescence.
Most parents are not doing it wrong. Fussy eating is a developmental phase, not a failure of feeding. The evidence supports five strategies that consistently help.
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Repeated exposure without pressure
A child may need to see, smell, or taste a new food 10 to 15 times before accepting it. Offering repeatedly without pressure or bribery is more effective than forcing or rewarding. Rejection is not a signal to stop offering.
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Modelling. Eat what you want them to eat
Children are significantly more likely to eat foods they see adults and other children eating. Family meals where the same food is eaten by everyone are strongly associated with better diet variety.
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Calm, positive food environments
Eating at a table, without screens, in a relaxed atmosphere supports better food acceptance. Pressure, bribery, and distress at mealtimes reinforce food aversion.
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Involve children in food
Children who help choose, prepare, or grow food are more likely to try and accept it. Even supervised washing of vegetables or mixing of ingredients increases familiarity and acceptance.
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Don't give up on vegetables
Vegetables are the foods children most often reject. The evidence strongly supports continuing to offer rejected vegetables alongside accepted foods. Most children broaden their acceptance over time with persistent, low-pressure exposure.
When to seek support. If fussy eating is associated with weight loss, growth faltering, a very restricted range of foods (fewer than 20 foods), or extreme distress at meals, speak to a GP or health visitor who can refer to a paediatric dietitian or feeding specialist.
Healthy eating habits. What actually works
The evidence on family food environments and long-term eating habits points to a set of practical strategies that most families can implement without requiring perfect mealtimes or expensive food.
- Family meals at a table. Children who eat with family members regularly eat more fruit and vegetables, have better diet quality, and are less likely to be overweight. Even three or four family meals per week is associated with meaningful benefit.
- Make water the default drink. Remove sugary drinks from the home environment as the default. Keep a jug or bottle of water on the table. Children drink what is available.
- Breakfast every day. Children who eat breakfast regularly perform better academically, have better concentration, and are less likely to overeat at other meals. Porridge, eggs on wholemeal toast, plain yoghurt with fruit. All quick, nutritious options.
- Healthy food is visible food. A fruit bowl on the counter, cut vegetable sticks in the fridge at eye level, and whole fruit within reach increases healthy food consumption without parental negotiation.
- Portion sizes appropriate to age. Children's stomachs are smaller than adults'. Forcing children to finish plates can override hunger and fullness signals and is associated with worse eating behaviour and overweight in the long term.
- Limit the purchase of ultra-processed snacks. The most effective way to reduce ultra-processed snack consumption is not to have it in the house as the default. Children eat the environment they are in.
- School food as a resource. UK school food standards mandate minimum nutritional requirements. For children who receive a hot school lunch, this can be the most nutritionally balanced meal of their day. Apply for free school meals if eligible.
Supplements for UK children. The practical summary
| Age | Supplement | Dose | Notes |
|---|---|---|---|
| Birth to 1 year | Vitamin D | 8.5 to 10µg (340 to 400 IU) daily | Unless drinking >500ml infant formula (already fortified). Healthy Start vitamin drops are suitable. |
| 1 to 5 years | Vitamin D | 10µg (400 IU) daily | NHS / Department of Health recommendation. Available free via Healthy Start for eligible families. |
| 5 to 18 years | Vitamin D | 10µg (400 IU) daily | Especially important October to March. Year-round if limited sun exposure or darker skin. |
| 1 to 18 years | Children's multivitamin | A–C–D (or A–C–D–E) per NHS | A standard NHS-recommended children's vitamin A, C, D supplement is appropriate for most. Not a substitute for a varied diet. |
| Teenage girls | Iron monitoring | — | Not routinely supplemented prophylactically. GP testing and supplementation if anaemia confirmed. |
Key numbers at a glance
Sources and references
- Chavez-Ugalde Y et al. Ultra-processed food consumption in UK adolescents: distribution, trends, and sociodemographic correlates using NDNS 2008/09 to 2018/19. European Journal of Nutrition 2024;63:2709–2723.
- NHS England / Health Survey for England. Children's overweight and obesity, 2024. digital.nhs.uk.
- NHS England. National Child Measurement Programme 2024/25. November 2025.
- MRC Epidemiology Unit. National Diet and Nutrition Survey 2019 to 2023: highlights. June 2025.
- British Dietetic Association. Healthy eating for children. bda.uk.com.
- British Nutrition Foundation. Nutrition for children. nutrition.org.uk.
- NHS. Vitamins and minerals for children. nhs.uk.
- NHS. Healthy Start scheme. healthystart.nhs.uk.
- Department of Health and Social Care. Vitamin D supplements for children under 5. GOV.UK.
- Scientific Advisory Committee on Nutrition (SACN). Vitamin D and Health, 2016.
- NDNS. National Diet and Nutrition Survey 2019 to 2023 report. GOV.UK, June 2025.
Ultra-Processed Foods →
What UPF means, the 2024 BMJ umbrella review of 10 million people, and why over half of UK calories now come from it.
The Eatwell Guide →
The UK government's official healthy eating model. Applies to children from age 2.
Sugar and Free Sugars →
UK children eat more than double the recommended free sugar limit. Where it hides and how to cut back.