Picky eating 2018

I get calls from moms and dads all the time who swear that their toddlers simply don't eat. These parents feel lucky if the kids eat a bite or two at a meal. Amazingly enough, these same kids are growing just fine. It is quite common for young kids to be erratic eaters. Many of them have days where they can pack it away and other stretches when they barely eat anything. If you are lucky, you can avoid the picky eating if you start off on the right track. Some experts say that toddlers identify foods as either "familiar" or unfamiliar. If they haven't tried it before, this is not the age when they are apt to become adventurous eaters. For this reason I strongly encourage you to offer an assortment of foods to your children their first year of life. Make sure you are giving them a variety of colors, shapes and consistencies. Although I really advise about adding any extra salt, other spices are fair game. Let's add as many foods as possible to the list of things that they are comfortable with before they move into that stubborn toddler phase. If you have a child who seems to be having trouble with the mechanics of eating, that likely needs an office evaluation to see if we need to send you on to a feeding therapist. The "quest for attention" is something that needs its own blog post, but for our purposes here, trust me, kids love attention of any sort. If they find that they can get a big rise out of mom or dad when they don't eat, well you guessed it, they will ignore the food and sit back to watch "the make my parents nuts" show. Avoid that trap if you can. Make sure you give all that positive attention for behaviors that you want to see more of. "Wow, I like the way you tried something new." "Hey, let's feel your muscles because you just did such a good job eating that nice 'growing food." If there is another child nearby, take full advantage of the opportunity and praise good eating observations; chances are your child won't want to be left out. If they see you making a fuss over someone else it usually doesn't take long before they are modeling the same behavior "Look, I ate my broccoli too, feel MY muscles." You can also encourage safe eating by pointing it out when you see it. " I like it when you take one little bite at a time." Behaviors that you want to see less of should be ignored within reason. "Oh, you are tossing your food on the floor, that means you aren't hungry. I am going to take the food away now." Make sure you are quiet and matter of fact. Don't make a huge fuss. You can give them another chance in a bit. With many behavior challenges, consistency is key. It might take a dozen times until they realize you mean what you say. Below are some tried and true tips that may help you along. Give your kids very small amounts that they can actually finish. You can always add more. Many kids will get overwhelmed by a large portion and won't even have any of it. Not every meal has to be a performance, but there are things you can do to encourage kids to try new things. Make a face out of the food, 2 peas for the eyes, a piece of chicken for the nose,... etc. Make it a game, and laugh when they eat part of your design. There are plates that you can buy that have pictures or faces that can get uncovered when they eat. You can also consider making your own place mats. Blow up some photos of your family, laminate them and use them accordingly. "Let's see if we can eat the tofu and find mommy's face." Other creative ways to encourage eating are cookie cutters to make your sandwiches into interesting shapes. Make a meal with a theme. One meal can be things that are orange, another day you can do things that are curly. Make smoothies with all sorts of wonderful ingredients. See if your toddler wants to help drop things into the blender and help turn on the power. Pour the smoothie into a special super hero cup that is used only for the super hero drink. Many kids like to dip things. Little sticks of assorted veggies that they can dip into some hummus or yogurt dip makes a nice healthy snack. Muffin tins make great little food trays, especially for those kids that don't want their different foods to touch, heaven forbid. Kids like to eat things that they have helped with. Allow them to sprinkle spices (again, try to minimize the use of salt) or stir the food while you are preparing it. When your children are old enough (this is especially useful if you have more than one) let them take turns being on the "make the meal team". No one else is allowed in the kitchen except the chefs. Make an event out of it. They can even decorate a menu. Sugar and Dessert I like to refer to food as “growing food” or not. If your child eats a reasonable amount of growing food, it is fine to offer an occasional dessert. Please don’t associate it with a reward or “being good”. It's a delicate balance. I have found that If you completely make sweets unattainable, they become much more interesting Nothing but Noodles If you have one of those kids that is set on only one meal, prepare it in advance and allow that with no comment. Perhaps have a rule that they need to try one bite of what the rest of the family are eating. If they end up eating more, that gets a round of positive attention. Vitamins If you are concerned that your picky eater is not getting a balanced diet, a multivitamin is a safe option. During cold and flu season, A and C become especially important. Vitamin D is ALWAYS a consideration. If you are not assured that they are getting enough from fortified milk products, they should be getting a supplement Hopefully by starting off with good habits you can avoid having one of the super picky eaters on your hands, but here is the bottom line.If your child looks well and is tracking on the growth chart, you can trust them. Your job is simply to offer a nice assortment of healthy food and drink. Their job is to decide how much they want to eat.If your child at the end of the equation is doing well, relax and trust that they are getting what they need. Keep in mind that toddlers do not grow nearly as rapidly as they do when they are infants, but if you have a concern about poor weight gain or other diet related issues, don't hesitate to check in with your doctor. Baby girl growth charts up until 2 years old Big girl growth chart 2 -20 years Baby Boy growth chart birth through 3 years Big boy growth charts 2-20 years Different offices use different growth charts. In our office we use the one from the CDC. Click on the above links if you want to see where your kids are at the charts. If you are trying to get more calories into your picky eater, check out pediasure.com for a list of nutritious product options