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Nutritious disguised as delicious! A nutritionist in a lunch box! |
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Fussy eating, is it all a fuss over nothing? Should I be worried? Toddlers and preschoolers often request fad foods, turn up their noses at any food with a hint of green or only eat food presented in an unusual way. They tend to dawdle over meals and quickly lose interest or be tempted elsewhere. We call this stage ‘picky eating’. It is quite different from a more troublesome eating problem called food neophobia (a fear of new foods) which tends to be related to personality issues such as anxiety, making it harder to resolve. Because picky eating is a developmental stage, it generally doesn’t inhibit healthy development in children. However, true neophobia can reduce dietary variety and place stress on parents and caregivers.
How long will this go on for? I hear you ask, despairing of your little one’s nutrition. For some, the picky eating phase may persist right up until school age. Given the right environment, most children will spontaneously grow out of this phase at around that time. Healthy children rarely starve themselves and in fact are very good at meeting their daily energy needs even if it isn’t in the pattern we would prefer. The best advice is to be persistent, don’t make a fuss, and accept that the behaviour will pass. As long as your child is offered healthy food, all you can do is trust that what they choose to eat will be good for them.
So, don’t despair, take consolation in the fact that your child’s behaviour is quite normal, and keep offering them a wide variety of foods along with their “flavour of the month”. Use positive reinforcement and fun, and be a good role model.
Why is my child a picky eater? Children reject foods for many reasons. It may be that they find the appearance and smell of the food off-putting. Perhaps they see other family members or their peers rejecting the food and wonder why they should be made to eat it. They may even be having trouble getting the food onto a fork or into their mouths; perhaps they are unwell or they might even be teething. Other reasons could be a natural suspiciousness of new things and their increasing ability to exercise their independence or control. So, as you can see, there are many possible explanations for picky eating and each child will be different.
But wait, is your child really a fussy eater? I recently had cause to question what really constitutes a fussy eater. If you refer to the literature a common classification of a fussy eater (a term that is vague to say the least) is a child (generally referring to toddlers) who refuses to try a new food at least half of the time. Not surprisingly about 50% of toddlers fit this description. I wouldn’t mind betting that an even greater number of preschoolers fit the bill also.
After resigning myself to the belief my four year old was a fussy eater, I recently had cause to challenge this. Have I unfairly labelled my cherub? As a nutritionist working for dozens of parenting and child organisations I am asked about fussy eating a great deal.
Of course I have my trusty tips box of helpful hints, you know them… ¶ Be a good role model ¶ Don’t make a fuss ¶ Involved the kids ¶ Eat as family ¶ Keep offering
And while these are excellent ideas, even I know in reality you can lead horse to water but you can’t convince it that it is delicious. I get many mums with sheer desperation in their voices asking me ‘what can I do now; I have tried all the things I was told to do? Nothing works’.
There are four truths about fussy eating, that it: 1. Is a nutritional challenge, 2. Is a very normal stage, 3. Will pass and; 4. Is stressful.
But there are four handy realities I personally find comforting: 1. When ‘they’ say ‘it will pass’ keep in mind this is not likely to be anytime soon, it can be years, but yes it often does pass. 2. You have to be sneaky about hiding the good stuff which is why Sneakys was created. 3. You have to go with it (and number two goes a long way to helping you do this). 4. Perhaps we worry about some children who exert their own preferences more than we should.
So really isn’t the focus better to be on what we do, rather than getting them to bend? As a stage it will pass and we do have control over what is offered and how. Isn’t it true to say fussy eating is more important to us than them? Is the label ‘fussy eater’ having its own undesirable impact? I know I have heard my four year old tell someone he is a fussy eater.
What can I do to ensure my child isn’t missing out? ¶ Forcing or coercing a child to eat a food is inadvisable. Try to set up a good meal-time routine and also discourage snack-eating too close to main meals as main meals tend to be more nutritious. ¶ Always encourage your child’s choices: they are more likely to eat a food they themselves have chosen. ¶ Another way of involving your child in their food selection is allowing them to gather food, ie: growing/picking vegetables in your own garden or picking them at the supermarket and involving them in the preparation of meals. ¶ keep in mind that fruit and vegetarian foods (such as lentils) also help bridge the vegie void.
Remember that food rejection is a normal behaviour for most toddlers and preschoolers. Meal-times should always be family-orientated and enjoyable. Do not overestimate the importance of togetherness during meals for a child’s overall development. And don’t forget that children learn from you so be a good example. Try to invent ways to incorporate rejected foods and make the meals attractive to the eye. Remove the plate when they have finished and offer a healthy snack later if you feel they may still be hungry. See the tips box over page for more ideas.
Can I make it worse? Don’t coax, beg, use trickery or rewards (which can have the reverse effect) as this will always backfire on you and cause more strife. Children can be put off their food when eating becomes stressful. Take it gently, don’t rush your child through their meals, teach them to eat slowly – remember, it takes up to 20 minutes for the brain to tell the body that it has been sufficiently fed; this will also avoid overeating. Whenever possible, ensure that your child does not eat alone. Again, let me emphasise the value of togetherness during meal-times for your child’s overall development. Eating in front of the TV is not advisable as the meal and those eating it should be the centre of attention.
Remember, it’s up to parents and carers to offer nutritious food for children to choose from!
When should I worry?
But there is more to it ... Who can help? Sometimes fussy eating can be a behavioural issue for example after a child has been sick they may reject foods often from fear of discomfort from eating certain foods. Janet Cater is a fabulous early childhood consultant and in NZ you could contact Parents Centre NZ Inc for details of a consultant near you.
other times it can be a mechanical issue related to the mouth for example where a little one gags on food especially lumpy foods or hasn't been able to progress to coarse or lumpy foods and so on. Issues can include tongue tied, over enlarge tonsils and all sorts of hard to pinpoint but simple to fix conditions. An excellent organisation to contact is No Fuss Feeding who specialise in feeding difficulties.
Practical Tips ¶ Involve your little one in meal preparation, cooking, serving etc. ¶ Grow vegies or vegie bits (i.e. carrots and sprouts in containers on the bench). ¶ Be clever with food by hiding fruit and vegies where you can: for example, you can include pumpkin in scones, grate vegies into meals, puree fruit into smoothies or include fruit in their yoghurt. I try to consider colour so I put red vegies into tomato-based pasta sauces, white vegies into baking etc. ¶ Try to involve others – such as carers – in your child’s meal-time. For example, if your child attends family day care, try asking the carer to give them a main meal at lunch. ¶ Try to be creative with food: make hedge hogs, faces, houses, and discuss the foods you child is selecting, for example, ‘Oh my goodness, are you eating the clown’s nose, now how will he smell things?’. It is a great way to make meal-times fun. ¶ Consider using iron-fortified cereals as they offer more absorbable iron than many foods and this will help with growth and immunity. ¶ Be persistent and don’t give up. Continue to put a variety of foods on your child’s plate and don’t make a fuss if it goes uneaten. Simply take the plate away (even if it means the dog is getting a little plump!). Even if the meal is rejected, your child is still being exposed to food that will form a part of their diet later on. ¶ Don’t let children fill up on snacks too close to meal-time ¶ Remember, excessive milk can affect iron uptake so don’t rely too heavily on this drink ¶ Ensure all meals – including snacks – include some form of protein (meat, dairy, egg, nuts, seeds, pulses, fish etc). Grind up nuts and seeds and add them to your child’s breakfast each morning, add to smoothies, frittatas, baking etc. With smoothies, don’t forget to add natural yoghurt and opt for additions such as almonds, oats or rice that have around 100mg of calcium per 100ml. ¶ Freeze smoothies and make cool iceblocks that are a meal in themselves. ¶ Add tiny amounts of treats to foods; for example, make cream cheese crackers with a smidge of additive-free hundreds and thousands. Or pop a few on a banana and freeze etc. ¶ And remember to always be a good example.
* Caution with nut allergy
Created by Leanne Cooper Nutrition Consultant to Huggies and other parenting organsiations This tip sheet may be reproduced in whole or in part for education and non-profit purposes with acknowledgement of the source. It may not be reproduced for commercial use or sale. The information is not designed to replace medical advice always consult your health care professional if in doubt.
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Privacy | Copyright Leanne Cooper 2007 | PO Box 313 Manly NSW AUSTRALIA 61 2 9949 5712 |info@sneakys.com.au |
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