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Top 5 Mistakes Parents Make with a Picky Eater

  1. Forcing a child to eat everything put on the table for a meal
  2. Bargaining with a child to eat healthy items in a meal in order to get a dessert or treat
  3. Not re-introducing a food item if the child doesn’t like it the first time
  4. Parents don’t eat healthy food themselves but expect their children to eat healthy food
  5. Stocking the refrigerator and pantry with junk food but expecting a child to choose healthy items over the non-nutritious snacks

1. Forcing a child to eat everything put on the table for a meal

  • A child doesn’t have to eat everything on the table, but should try at least one bite. If after the bite he says, “No, thanks” at least you’ve exposed the child to the new food.
  • Don’t force a child to eat an entire serving of something she doesn’t like, but don’t make a separate meal for the child
  • Remember, kids will not starve! They will learn to be more flexible with food choices rather than go hungry.
  • If a child skips a meal because he doesn’t like anything, the child will be hungry enough at the next meal to be more willing to eat what is served
  • Try to include at least one item the child likes at every meal, but don’t avoid all items the child does not like.
  • Don’t threaten or punish—this only results in power struggles with your child!

2. Bargaining with a child to eat healthy items in a meal in order to get a dessert or treat

  • Bargaining does not work long term to help the child learn to eat and enjoy healthy food such as vegetables.
  • It also promotes the false belief that a cookie or cupcake or other dessert item has more value than the healthy food item

3. Not re-introducing a food item if the child doesn’t like it the first time

  • The 10-15 Rule: Studies show that it can take up to 10-15 tastes of one kind of food before a child accepts or likes the food. Repetition is important!

4. Parents don’t eat healthy food themselves but expect their children to eat healthy food

  • Parents are the best role model for their kids. It helps if they eat the kind of food they want their children to eat. If parents don’t eat vegetables or fruits, chances are, their kids won’t either. 
  • If kids see their parents ENJOYING vegetables and fruits, they are more likely to choose to eat them as well.

5. Stocking the refrigerator and pantry with junk food but expecting a child to choose healthy items over the non-nutritious snacks

  • Don’t stock unhealthy items like candy. If a child is hungry, give her the choice of two healthy snacks to eat instead of giving in to the candy that she requested
  • Put healthy foods like cut up fruit where your toddler or teenager can quickly find them when they are hungry.
  • Avoid giving milk or juice before a meal to pacify hunger. This prevents kids from eating the rest of the meal
Home made macaroni and cheese, with some dried...

Home made macaroni and cheese, with cauliflower. (Photo credit: Wikipedia)

Some ideas to encourage your kids to eat a healthier, wider variety of food:

  • It is normal for kids to eat less as they turn one year of age because of slowing of their growth at this age. At age two toddlers want to make their own food choices. Many toddlers appear to be picky eaters to parents because they don’t like to try new foods and prefer to snack.
  • It’s normal for kids to like one thing one day and not like it the next, or want the same food three days in a row and then say they are sick of it. In general, try to avoid preparing only the things a child eats—say prepared chicken nuggets, hot dogs and macaroni and cheese, to the exclusion of other food.
  • Involve your child in food shopping so that she can choose the vegetables and fruits she wants to try. Kids are more likely to eat a food they picked out. Remember not to bring your kids to the grocery store when they are hungry. Set ground rules in advance of shopping: no candy, no soda, no sugary snacks or cereal. They can choose any fruits and vegetables as long as they are willing to try them when brought home.
  • Involve your kids in making meals. They are more likely to eat the food “masterpiece” they made. Making cooking a fun experience will encourage kids to eat the food they cooked.
  • Kids are also more likely to eat food they have helped grow, so a having your child involved in a home garden or going to the farmer’s market will encourage them to eat more vegetables.
  • Avoid “grazing” all day long, because prevents a child from learning when he is hungry or full. Kids learn to manage their appetites by knowing when meals and snacks will be available.
  • Don’t encourage filling up on snacks, especially junk food or sugary snacks, because kids will learn to skip meals and eat only the unhealthy snacks.
  • Breastfed or formula fed babies should eat on demand because this is a period of high growth. Toddlers also need three meals and up to three snacks a day, so they should be encouraged to have a healthy snack before meals.
  • Let kids as young as 9 months of age feed themselves. Children should be able to use utensils by age 15-18 months. Having this control will help kids learn how much food it takes to fill them up and not overeat.
Healthy Berries are Good Food for Health

Photograph used with permission from epoSo.de

It is ok to disguise healthy foods in your kids’ favorite dishes:

  • Kids generally love pizza. Kids will eat vegetables like broccoli or spinach if it is on a pizza
  • Add a healthy vegetable like cauliflower to a kid pleaser like macaroni and cheese.
  • Add fruits or even vegetables to “milk shakes” Adding pre-frozen fruit to smoothies gives them a creamier texture similar to a milkshake.
  • Combine dried fruits, unsalted nuts and unsweetened cereal for a healthy snack mix
  • Make yogurt parfaits with fruit and granola. Even kids who won’t eat yogurt, fruit or granola separately tend to like them when they are served up as an appealing parfait.
  • Kids love peanut butter and jelly. Add peanut butter to celery sticks or apples for a healthy snack.
  • Add pureed vegetables like spinach to homemade hamburgers or turkey burgers
  • Add vegetables like squash or zucchini to spaghetti sauce. Kids tend to like pasta, so adding any vegetable to a pasta dish makes it more palatable to kids.
  • Add pureed cauliflower to mashed potatoes
  • Substitute sweet potatoes for French fries, and bake in the oven instead of deep frying.
  • Make baked vegetable “fries” or “fingers” by coating zucchini, eggplant or squash with egg substitute and bread crumbs
  • Make homemade baked chicken fingers coated with parmesan cheese and breadcrumbs instead of the fast food variety.
  • Légumes

    Photo credit: Wikipedia

    Carrots and corn are vegetables with high natural sugar content, so these are good vegetables to make in a pinch for picky eaters

Pay attention to the texture of foods or the way it is prepared. For example, some kids love applesauce but not raw apples.

Some kids will only eat vegetables if it is with a sauce, and others will eat only if there isn’t any sauce

Kids often prefer stir fried veggies (use a small amount of canola or olive oil) to steamed

  • Add vegetables like broccoli to a baked potato
  • Sometimes kids don’t like “mushy” foods. Cooking vegetables so they are tender-crisp may be more appealing to these children.
  • Yes, it is ok to add a small amount of ketchup or barbecue sauce to any food item including broccoli if it will encourage your child to eat the food item.
  • Make healthy whole grain waffle “sandwiches” (no syrup) containing lunch meat or vegetables inside. Use hummus or salad dressing as a spread inside the waffle.

Last Updated by Dr. Vee on October 22, 2012

  • English: vegetables

    (Photo credit: Wikipedia)

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Photographs courtesy of epSos.de

The INCA study was a placebo controlled study carried out in the Netherlands that showed a hypoallergenic diet helps treat hyperactivity, inattentiveness and oppositional defiant behavior (such as temper tantrums!) in children not on stimulant medication.

The restriction elimination diet included turkey, lamb, rice, water, salt and pepper, and many vegetables, including cauliflower and cabbage. Children were then challenged with foods, added back one by one, to see which foods caused worsening attention and behavior symptoms. Surprisingly, foods that worsened symptoms in an individual child did not correlate to high IgG immunoglobulin levels as would be expected in food allergy/intolerance. IgE allergy to food was not tested. The authors recommend that food allergy testing not be used to guide food therapy in children with ADHD, instead eliminating food that clinically caused problems in a particular child.

The details of the restriction elimination (RED) diet and the Food Journals used by families enrolled in the study are included n the appendix of the journal The Lancet.

An important detail of this study is that all children were screened to determine if they actually met criteria for ADHD, were of school age and did not take any stimulant medication.

Remember that many kids with ADHD have been found to have zinc deficiency, so it is a good idea to supplement with a multivitamin/mineral. High doses of zinc are not recommended.

Here is my WJXT Morning Show interview discussing a hypoallergenic diet and ADHD.

Reference:

Dr Lidy M Pelsser MSc, Klaas Frankena PhD, Jan Toorman MD, Prof Huub F Savelkoul PhD, Prof Anthony E Dubois MD, Rob Rodrigues Pereira MD, Ton A Haagen MD, Nanda N Rommelse PhD, Prof Jan K Buitelaar MD. Effects of a restricted elimination diet on the behaviour of children with attention-deficit hyperactivity disorder (INCA study): a randomised controlled trial. The Lancet, Volume 377, 5 February 2011 doi:10.1016/S0140-6736(10)62227-1.

Last updated by Dr. Vee on October 22, 2012

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Photograph of Pumpkin Soup Courtesy of Egal


Superfoods are foods packed with higher than average nutrients and antioxidants to fight cancer and heart disease

1. Berries. Blackberries, blueberries, strawberries, raspberries and cranberries—rich in antioxidants.

• Chokeberries and elderberries (difficult to find) are berries with the greatest antioxidant content

2. Pumpkin—use canned pumpkin (not pumpkin pie mix).

• Has antioxidants vitamin A, E and beta carotene.
• Use in pumpkin pancakes, soup, pumpkin ravioli (fun to make with the kids).

3. Dark Chocolate

• Avoid chocolate with refined sugar, milk fats and hydrogenated oils.
• Want high purity cocoa powder that is high in antioxidants. Avoid cocoa that has been alkalinized by the Dutching process (boils away nutrients). Label should state cocoa/dark chocolate has not been alkalized, has been dried and cold pressed rather than roasted.
• Should consist of at least 70% cocoa
• use cocoa butter instead of milk fats or hydrogenated oils
• contain natural, low glycemic sweeteners such as raw sugar cane rather than refined sugars

4. Nuts have omega 3 Fatty acids.

• Almonds and walnuts are the healthiest source. Almond butter.
• Child’s handful daily.

5. Popcorn—lots of fiber.

• Use unsalted and unbuttered.
• No more than three cup serving (not the huge bag at the theater!).
• It is better to pop popcorn yourself (and more fun with the kids!) than to eat pre-packaged microwave kind. Microwave containers have perfluorooctanoic acid (PFOA), a fluorotelmer in the lining of the bag. Can leak into popcorn during microwave cooking. to infertility, liver, testicular, and pancreatic cancer. Popcorn manufacturers have promised to voluntarily phase out PFOA by 2015 under a voluntary EPA plan. Accumulates in the body and stays there for years.
• Wait until age one to serve corn and age four for popcorn to avoid choking hazard

6. Antioxidant Lycopene in tomatoes (and tomato ketchup—does that make it a health food????).

•prevention of cancers of the prostate, pancreas, stomach, breast, cervix and lung
•prevention of heart disease
•Better available when tomatoes are cooked, packed in oil or in tomato juice (but these forms have high levels of sodium or dietary salt)
Whole wheat pasta with marinara sauce is a good source of lycopene

7.Cruciferous (like a cross) vegetables (cauliflower, broccoli, Brussel Sprouts)—steam lightly–nutrients remain even after cooking. (Nutritious value of broccoli INCREASES when cooked).

Vitamin C and K, beta carotene (powerful antioxidant converted to vitamin A in the body), iron, folic acid and potassium.

Contains phytochemicals which prevent cancer by preventing damage to cell DNA. Sulphorophanes prevent damage from carcinogens.

Broccoli sprouts have more sulphorophanes than bean sprouts.
Healthiest cruciferous plant is kale, which is a superfood because it is a great source of antioxidant vitamin C, vitamin A, vitamin K, and micronutrients that help eye health (lutein and zeaxanthin). Mix a little in a fruit smoothie or mix in cooked dishes.

8. Beans/lentils-Black beans have the highest concentration of the antioxidant anthocyanin phytonutrients. Other beans with high levels of antioxidants include soybeans, navy beans, split peas, lentils, pinto beans and garbanzo beans.

•Can make soups and hummus.
•Packed with protein, complex carbohydrates (low glycemic index) and fiber.
•Good source of iron, magnesium, folate, calcium, potassium, and zinc. Use in hummus, soups.

9. Sweet potatoes
•twice the recommended daily allowance of vitamin A
•42 percent of the recommendation for vitamin C
•four times the RDA for beta carotene,
•When eaten with the skin, sweet potatoes have more fiber than oatmeal.
•130 to 160 calories for small to medium sweet potato
•Cinnamon added to sweet potato helps stabilize blood sugar.
•Sweet potato digests more slowly than white potatoes so they are lower glycemic load.

10.Whole grain breads instead of wheat or white bread. Whole grains are rich in fiber and vitamin E

•very low in fat
•The germ and outer coating in wheat and other grains has most nutritional value. Avoid refined grain foods such as white bread and certain breakfast cereals.
•Whole grains typically fortified with folic acid, B vitamins, iron, and zinc.me whole grain breakfast cereals contain added calcium and vitamin D, too.
•Give kids whole grain breakfast cereals instead of highly processed, sugary cereals. Use whole grain breads for toast and sandwiches, whole grain crackers for snacks, oat bran muffins.
•brown rice instead of white
•quinoa, buckwheat, barley
•whole wheat pasta.
•Add roiled oats to meat loaf

11. Red grape juice—has resveratrol (a flavenoid antioxidant that protects agains blood clots and heart disease) like in red red wine.

• Be careful of sugar—dilute with water and limit intake, especially in toddlers.
•Cranberries and pomegranate juice provides antioxidants, but be careful of the concentrated sugar in juices.

Fatty Cold Water Fish- heart healthy omega-3 fatty acids.

• Choose wild-caught Alaska salmon over farmed salmon. Farmed salmon has been shown to contain 10 times more toxins, including Polychlorinated biphenyls (PCB) and dioxin, than wild salmon. Farmed salmon are fatter, and the PCBs are stored in this fat. In addition, salmon farms can harbor parasites. Some salmon farms use artificial colorings, which may be harmful to health.
• No more than two or three ounces fish/week for children between the ages of two and six years old.
• Canned tuna is composed of smaller tuna types such as skipjack and albacore (more mercury in albacore than white tuna). In general, the smaller the fish, the less potential for mercury.
• Stick with one tuna fish sandwich weekly in children
• Careful with tuna steaks (made from larger, older tuna which have accumulated mercury).
• Avoid fish such as grouper, tilefish, shark due to high mercury content

Last Updated by Dr. Vee on February 14, 2011

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Super Foods for Valentine’s Day (or any special day of the year)!

Last edited on February 24, 2010

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