It’s getting kids to eat what parents serve that causes so many problems.

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DINA ROSE, PhD is a sociologist, parent educator and feeding expert empowering parents to raise kids who eat right.
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Dinner Together Building Healthy Families One Meal at a Time.

Food Politics Marion Nestle's intelligent take on the politics of food and nutrition.

Fooducate Like Having a Dietician on Speed dial.

Hoboken Family Alliance A terrific resource for people living in the great city of Hoboken, NJ.

The Lunch Tray Everything you need to know about improving school lunches.

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Raise Healthy Eaters One of the best blogs (other than my own) for learning to raise healthy eaters.

Real Mom Nutrition Tales from the Trenches. Advice for the Real World. From a mom-nutritionist who knows!

Stay and Play The best indoor playspace on the East Coast. Oh yeah, and it happens to be owned by my brother.

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Entries in Swallowing Disorders (3)

Friday
Jan182013

Kids Eats Q&A: Autism & Picky Eating

I've gotten a lot of questions over the years about how to teach autistic children to eat right.

I am not an expert on autism. Nor am I an expert on raising special needs children. (Remember, I'm a sociologist.) However, I have worked with, and presented workshops to, parents of children who have special needs.

This is what I know for sure: autistic children (and children who are on the autistim spectrum) have the same range of eating issues as children who aren't.

Their eating issues are sometimes more extreme (which makes them more challenging). The problems are almost always more obvious. (So they are easier to identify.)

If you have a feeding issue with your child:

1) Always make sure there is not a medical issue causing the feeding problem

Read My Child Only Eats Cheerios and Puffs: When to Seek Medical Help.

2) Create a strong feeding structure which makes feeding decisions predictable.

This will transfer your child's need for routine from knowing exactly what food she will eat to knowing exactly how eating decisions are made. Remember, children don't like it when decisions feel arbitrary.

Read The BIG Fix and You Can't Make Me Eat It.

3) Communicate your feeding goals CLEARLY

Surprises are your enemy. If new foods is your goal then make sure that you tell your child that you would like him to learn how to be comfortable tasting new foods.Then, reassure him that you'll never make him eat anything he doesn't want to eat.

Read Surprise! Surprise! and Why Some Kids Should Spit.

4) Break your goal down into the smallest, doable steps you can imagine

I once talked to a woman who was having trouble moving her son off of a feeding tube because he was resistant to the idea of putting food in his mouth.

Want to know the first step? Getting him used to being in the presence of a plate of food. That's right. This boy needed to feel comfortable and SAFE around a plate of food so we practiced sitting at the table, first with an empty plate, then with plate with some food.

Read Nix YOUR Negativity.

5) Constantly look for and eliminate PRESSURE

One way to do this is to SHARE control. One woman's child had agreed, at least in concept, to eat ice cream with blueberries instead of just plain ice cream. This was a big step.

We eliminated pressure by eliminating the parent/child interactions. We put the prepared ice cream in the refrigerator (she didn't want the blueberries to be frozen) and the child ate the ice cream when she was ready. 

Read The Pressure-Cooker Problem.

Two books I recommend:

Just Take a Bite: Easy, Effective Answers to Food Aversions and Eating Challenges!

 

 

 



Food Chaining: The Proven 6-Step Plan to Stop Picky Eating, Solve Feeding Problems, and Expand Your Child's Diet

 

 

~Changing the conversation from nutrition to habits.~

Tuesday
Aug172010

You Can't Feed Your Way Out of a Picky-Eating Problem.

You’ll never find the right food to solve a picky-eating problem.

That’s because picky eating isn’t really about food.  It is about control, a reluctance to try new things, sensory sensitivity, a chewing and/or swallowing problem, or some other issue

Read It’s Gross and You Can’t Make Me Eat It!; For extreme fruit and vegetable avoiders…; My child only eats Cheerios and Puffs: When to seek medical help.

Still, parents are always hopeful, and I am often asked to recommend a list of foods that a picky eater is likely to eat.

But searching for just the right dish is like looking for a needle in a haystack.  Actually, it’s worse. It’s like looking for a motorized needle that is constantly moving.  (Or like looking for a needle that is, perhaps, just a little bit possessed!)

Unless you’re extremely lucky, you’ll never find the needle (or that guaranteed-to-be-the tastiest noodle). Even if you did find it, discovering it today is no guarantee that you’ll do so tomorrow.  Kids (I mean needles) are fickle that way.

Kids don’t know what they like and don’t like.

It’s hard to believe this if you’ve got children who are loud and clear about which morsels will pass their lips and which ones won’t, but young kids don’t have what researchers call stable taste preferences.

Research shows that young kids don’t really know what they like or don’t like…They’re still exploring. 

For instance, in one recent investigation, kids were asked to taste and rate the same 5 flavors of ice cream on two consecutive days.   Researchers found that 3-4 year olds typically rated the ice cream flavors differently on each of the two days.  Kids 5 and up, however, were more consistent about what they liked.

In other words, if your kids are younger than 5, don’t believe what they say.

Kids don’t even know which foods they’ll try.

What do you think would happen if you presented a selection of fruits and vegetables to a group of 5-14 year old kids, asked them which items they were willing to try, and then two days later served them everything, even the offensive items?

If you are like every normal parent on the face of the planet you would expect the kids to eat the foods they had said they were willing to try, and to avoid the foods they had said they weren’t willing to try.  Surprisingly, you would be wrong.

A recent study tried this procedure and the researchers found some interesting results: not only were the kids willing to try the fruits and vegetables they had said they would try, but even the children who said they wouldn’t eat the fruits and vegetables ate them.  Not only that, on average, they ate more than half the amount they were served.

In other words, when kids predict what they will and will not try, don’t believe them.

(Of course, in this study, teachers and not parents were introducing the new foods – and we all know that kids always perform better for teachers -- but still, the kids did say they wouldn’t try the foods and they did try them.)

Parents make poor predictions about what their kids will eat or like.

Research shows that parents make accurate predictions about half of the time. That’s a pretty good average considering how flaky our kids are.

But if you can’t predict what your kids will like or eat, then you shouldn’t ...

1) Go searching for the perfect food.

2) Limit mealtime selections to foods that conform to your ideas about what your kids will eat.

In both cases, you’re just as likely to be wrong as to be right.  So you might as well serve what you want.

The only solution to a picky-eating problem is to provide a variety of foods.  To stay the course.  To resist the urge to cave in.

Giving in to your child's demands, particularly with sweet, salty and fat-filled “child-friendly” foods, only narrow’s a picky-eater’s developing palate.  Instead, continuing to provide a wide range of foods, especially fruits and vegetables, will eventually (and I stress eventually) expand your child’s palate.

I realize that providing foods to a kid who won’t eat them is stressful (you worry that he’ll go hungry or become nutrient deficient) and irritating (you did spend some time preparing the meal after all and you don’t like to waste food), but making a short-term compromise at the expense of your child’s long-term habits, is a form of Dealin’ with the Devil.  And nobody wins when dealin' with the devil.

Read House Building 101.

~ Changing the conversation from nutrition to habits. ~

===================================================

Sources:

Busick, D. B., J. Brooks, S. Pernecky, R. Dawson, and J. Petzoldt. 2008. “Parent Food Purchases as a Measure of Exposure and Preschool-Aged Children's Willingness to Identify and Taste Fruit and Vegetables.” Appetite 51: 468-73.

Coulthard, H. and J. Blissett. 2009. “Fruit and Vegetable Consumption in Children and Their Mothers. Moderating Effects of Child Sensory Sensitivity.” Appetite 52: 410-15.

Dovey, T. M., P. A. Staples, G. E. Leigh, and J. C. G. Halford. 2008. “Food Neophobia and 'Picky/Fussy' Eating in Children: a Review.” Appetite 50: 181-93.

Liem, D. G., L. Zandstra, and A. Thomas. 2010. “Prediction of Children's Flavour Preferences. Effect of Age and Stability in Reported Preferences.” Appetite 55: 69-75.

Wednesday
Jul082009

My child only eats Cheerios and Puffs: When to seek medical help.

I recently wrote about a woman whose 1-year-old daughter fusses if she is given anything other than puffs, Cheerios and other crunchy snacks to eat. I gave her a 5-point plan for correcting this problem from a behavioral perspective.  But what if your child has a puffs or Cheerios fixation because she has a problem chewing or swallowing?

The mechanics of eating are actually fairly complicated and there are lots of things that can go wrong.  If you have a child who prefers one kind of texture over another, seems to have trouble chewing foods, or in any other way indicates that there may be a problem and you should have an evaluation done. 

But where should you go?

Click to read more ...