Kids’ Development – Mom Dishes It Out

September 22, 2015

Eat Like A Baby

By Dina Cohen, MS, RDN, CEDRD

Photo Credit: Mait Jüriado via Compfight cc

My girls are confident self-feeders by now, and it’s a lot of fun to watch them eat. When I put a new food on their trays, they curiously examine it, poking and prodding with great interest, and finally cramming it into their little mouths. By the time they are done, their noses, ears, eyebrows, and hair have all had a share in the meal, and naturally, the floor is a disaster, but it’s great fun for them, and for me! The babies are fascinated by new colors, textures, and tastes. While they recognize their favorites and will grin and gurgle at each other in appreciation when I serve something that they think is fabulous, they’re still very open-minded, and I take full advantage. It’s so entertaining to see their expressions after I shock them with an entirely new texture or flavor. I love that they are so curious and will always try at least a bite or two, no matter how different a new food looks, smells, or feels. I don’t know how long this will last, but I hope it always will! I’m certainly appreciating it for the moment.

Eating with my girls is showing me how enjoyable a meal can be when you involve all your senses and approach it with a sense of discovery and adventure. Watching their active participation in their meals reinforces how valuable it is to eat mindfully. Mealtime is about more than simply filling your stomach and moving on to your next activity. Eating is a much more satisfying experience if it involves noticing and appreciating the color, texture, and flavor of your food. Is it as good as you expected? If you were brave enough to try something new, how much did you enjoy it? Is it worth going back for another bite? Not everything you eat is always going to taste super-amazing, but once you’re eating, your food should taste good to you! My girls aren’t finicky, but they don’t compromise, either. They enjoy a variety of textures and flavors, but if they aren’t impressed with a particular food, they’ll abandon it after a few bites. They listen to their stomachs and will leave over food when they are full.

I try to vary their menu to keep them curious and so that we don’t get into a Cheerio rut. It’s important to me that their meals are stimulating and fun, as well as nourishing and tasty. But I’ll admit that my own meals don’t always receive the same level of attention. As moms, even dietitian moms, it can be easy to put ourselves last and eat the same thing day after day just because it’s easy, and, well…mindless. How different might our eating look if we ensured our meals included a variety of colors and flavors? When did you last try a new ingredient or a unique recipe? How much time do you take for your meals, and how much do you enjoy them? Are your meals enjoyable? Satisfying?

Eating mindfully is something we were born knowing how to do. Noticing how food makes us feel while we’re eating it and how satisfied we are afterwards is not a special talent. We all started out with this ability. Somewhere along the way, though, most of us were socialized to focus more on external signals as opposed to what’s going on internally. We eat in a hurry. We eat past the point of fullness. Sometimes we might finish a meal barely noticing what it was we just consumed. None of this is a crime; sometimes, when life is busy, it’s a necessity. But there’s no question that it’s a less-than-ideal way to eat. The good news is that mindful eating is something that can be relearned. You’ve done it before, and you can do it again. If there’s an opportunity in your day (or even a day in your week), when you can slow down enough to enjoy a meal that’s appealing to your senses and satisfying to your body, you’ll be eating the way it’s meant to be done. So as I amusedly watch my babies’ gleeful faces as they squish and smash their way through their gloriously messy mealtime, I can’t help but think, “Hey…they’ve got a point!”

August 18, 2015

Suiting Up For School

By Christie Caggiani, RDN, LDN, CEDRD

School shopping. Two words that come with a bundle of emotions, not the least of

which include excitement, frustration, anxiety and anticipation. As parents, it can

give us pause, as we stop for a moment and notice the speed at which our kids are

growing up. It’s amazing how quickly a school year flies, and more amazing still,

how fast summer seems to evaporate. And now it’s time to shop for school

supplies…..and new clothes.

Clothes shopping is one time when we have an amazing opportunity to dialogue

with our children about the normalcy of growth, bodies and change. While our

bodies as adults can fluctuate and continue to evolve, our kids’ bodies are

transitioning at a pretty rapid pace. It’s vital that we know how to support them

when they have questions, and it’s important that they understand we love them as

individuals, not based on any aspect of their physical appearance. And while that

may sound extremely logical, we need to be aware of the subtle messages we send

our kids. Don’t be surprised when they have grown out of their clothes, in many

cases needing new duds from just a few short months ago. Catch yourself before

commenting, “I just bought that. How come it doesn’t fit anymore?” implying that

she’s done something wrong simply by growing.

One of my very favorite articles discusses how to talk to – or not talk to – our

daughters about their bodies. Read on for some inspiration and reinforcement as

you work to support your own growing kids!

How to Talk to Your Daughter about Her Body

Step one: Don’t talk to your daughter about her body, except to teach her how it

works.

Don’t say anything if she’s lost weight. Don’t say anything if she’s gained weight.

If you think your daughter’s body looks amazing, don’t say that.

Here are some things you can say instead:

“You look so healthy!” is a great one.

Or how about, “You’re looking so strong.”

“I can see how happy you are — you’re glowing.”

Better yet, compliment her on something that has nothing to do with her body.

Don’t comment on other women’s bodies either. Nope. Not a single comment, not a nice

one or a mean one.

Teach her about kindness towards others, but also kindness towards yourself.

Don’t you dare talk about how much you hate your body in front of your daughter, or talk

about your new diet. In fact, don’t go on a diet in front of your daughter. Buy healthy

food. Cook healthy meals. But don’t say, “I’m not eating carbs right now.” Your daughter

should never think that carbs are evil, because shame over what you eat only leads to

shame about yourself.

Encourage your daughter to run because it makes her feel less stressed. Encourage your

daughter to climb mountains because there is nowhere better to explore your spirituality

than the peak of the universe. Encourage your daughter to surf, or rock climb, or

mountain bike because it scares her and that’s a good thing sometimes.

Help your daughter love soccer or rowing or hockey because sports make her a better

leader and a more confident woman. Explain that no matter how old you get, you’ll never

stop needing good teamwork. Never make her play a sport she isn’t absolutely in love

with.

Prove to your daughter that women don’t need men to move their furniture.

Teach your daughter how to cook kale.

Teach your daughter how to bake chocolate cake made with six sticks of butter.

Pass on your own mom’s recipe for Christmas morning coffee cake. Pass on your love of

being outside.

Maybe you and your daughter both have thick thighs or wide ribcages. It’s easy to hate

these non-size zero body parts. Don’t. Tell your daughter that with her legs she can run a

marathon if she wants to, and her ribcage is nothing but a carrying case for strong lungs.

She can scream and she can sing and she can lift up the world, if she wants.

Remind your daughter that the best thing she can do with her body is to use it to mobilize

her beautiful soul.

Sarah Koppelkam

How to Talk to Your Daughter About Her Body

August 11, 2015

The Power Struggle: Kickin' and Screamin' About Food

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By Mommy Laura Cipullo RD, CDE, CEDRD

Now it is always a RD’s recommendation to never have a power struggle around food. But what happens when your kid is the one who is running the show? I have seen this with clients, where the kid becomes so picky with the food, the parent obliges. A few weeks ago, I was thinking to myself, was this happening in my home with my youngest son.

School was out. We moved homes on the last day of school and literally left one week later for South Carolina. Billy just seemed off. He had heat stroke one day and as a result hadn’t eaten much or well for a few days. Then when we went on a Pirate Ship tourist trap kind of cruise and the employee commented on his height. Now this is something I am sensitive about. I do wonder if his shorter stature is just him or is it because he is a picky pescatarian. He eats one fish and only some of the time. With all of the emotional change he was definitely being pickier. I got to worrying.

Billy wasn’t even willing to try any foods. I made him a veggie burger with cheese on both sides while I served Bobby his chicken. This was the Bell and Evans Chicken Tenders. Meanwhile at the restaurants, Bobby and I share steak and other normal foods. I thought a veggie burger was a very nice compromise for Billy. Of course he did not agree.

The power struggle began. But I really didn’t want to give up. I hate that it had to come to this but I was legitimately worried about his health. I was not asking him to eat the veggie burger; rather I was asking him to try it. The fact that he would not try it, really got to me and I decided I was not giving in. I was ready to sit with him until he tried the veggie burger.

At first this was a game for him, until he realized I was serious and 45 minutes later still sitting with him. He would leave the table and I would bring him back. The night before he had refused his fish sticks so I was without options. Soon Billy was crying to me. I explained I was concerned and as a parent I would irresponsible to not feed him adequately. Plus I was really worried for his health emotional and physically without proper protein. And that is when he said it!

He said, “Mommy, I will eat chicken.” He whispered it. I said, “Really, you rather eat chicken than a veggie burger?” He was on board with eating Billy’s chicken. So I made him a chicken tender and he ate it. It was a small tender but he was cool with it. And guess what, her ordered chicken tenders the next night at the restaurant. And on Saturday night he ate chicken parmesan at a very fancy restaurant.

Just last week, I retuned from the South. My sister was watching my boys and gave all of the children chicken nuggets. Guess who ate them? Yeah, my Billy. My husband who had not been privy to the power struggle form the week prior told me Billy ate the nuggets without hesitation but later told my hubby that this chicken was not good like ours and was different in texture. He didn’t prefer these. But he did eat them.

Now call me crazy, but Billy grew. This could be coincidental or potentially the result of his new diet. I am grateful for both!!! The growth whatever the reason is timely, because Billy now thinks eating protein means growing tall. It is no longer mommy and daddy just saying it.

I have no idea if he will continue with the chicken. I have no idea if the chicken initiated the growth spurt. I just know that the power struggle was necessary in order to get my very strong willed child to eat something with all 8 essential amino acids. So while I hate that it had to happen, the end result seems to be okay.

I guess I won’t know until he is older and comes home to tell me that I ruined his relationship with food per his therapist. This is a joke of course, but at the same time, my worst nightmare ever. I hope my sharing of this situation can help you to set boundaries around feeding and eating with your own child. I hope you learn from my mistakes and benefit from our successes. Raising kids to have positive relationships with eating and neutral relationships with food is super hard but super necessary for our future generations.

Please let me know if you find this helpful and if you do, please share with your friends. I work with many clients who suffer from eating disorders and this is the last thing you would ever want for your child. Please spread Positive Nutrition and #AllFOODFITS!

July 21, 2015

Finally Free from Fruit Fears?

Photo Credit: woodleywonderworks via Compfight cc

By Christie Caggiani, RDN, LDN, CEDRD

So you may recall my disclosure in a previous blog, sharing that my son is anything

but a fruit lover. He politely refuses whenever offered any – whether it’s the

sweetest, most amazing strawberry, or the crunchiest red apple. When he has tried

the occasional bite, his eyes water, he gags, and just can’t move beyond it. He’s

made it into his teens allowing only raisins, applesauce and an occasional juice into

his otherwise varied nutritional palate. While he enjoyed fruit as an infant and

toddler, something switched when he became a more independent preschooler, and

while I accepted that there must be a lesson of humor and irony for me as his

nutritionist-mom, I inwardly believed that he would just shift out of it as he became

older and around other kids who ate fruit freely.

While I’ve held onto that hope, I’ve become a little more concerned that the mood

may never just strike him out of the blue. I doubt he’ll wake one morning saying,

“Cool – today’s the day I’m super excited to try blueberries”, unless I give him a little

more assistance. And that help must somehow go beyond “just try a little bite”. A

wise friend and extremely gift occupational therapist, Wendy Chen-Sams, MS, OTR,

NDT, actually confirmed my suspicions. She said that the likelihood for young adults

to expand their palates greatly diminishes once these teens have left their childhood

home, particularly when there are strong aversions to flavor and/or texture, as is

my son’s case. Fortunately for him (and me!), he’s become more curious and

actually would like to explore and expand. He’s motivated to grow to his height

potential, and assist his overall health. Cool – the critical first step of motivation is

achieved!

Wendy recommended that we not only move slowly, but also focus on only one

sensory area at a time. Since he seems to have some taste and texture aversions, she

suggested we begin first with introducing a new, mild flavor. Of particular interest

to me was the fact that colder fruits would be much less likely to trigger his gag

reflux, and will slightly numb the sensors so it’s less overwhelming — homemade

popsicles are going to be our new friends!

Our first step will be to combine familiar flavors – banana (which he loves in

pancakes & bread) and orange juice – with a new one, pear. Because we aren’t

exploring texture yet, we will be blending them together until smooth, then pouring

into popsicle molds. Once they’re ready to go, he will explore the taste receptors on

his tongue, particularly on the tip and sides. The receptors at the back of the tongue

are more sensitive, so we’ll gradually make it to those.

Once he’s tolerating (hopefully enjoying, too!), we will introduce some ever-so-

slightly larger pieces of pear within the pops, and graduate to even more texture.

As his acceptance of taste and texture improve, we’ll gradually introduce the same

pear flavor at refrigerator temp. The ultimate goal is for him to eat a pear or new

fruit without any processing. As important as it is for kids to repeatedly try new

and different foods as they begin to acquire a taste and tolerance, it’s also crucial

that we don’t try the new food every single day. A few times a week is just fine, says

Wendy.

So this is part of our summer adventure, and you can be sure that I will keep you

posted as it unfolds!

________________________

Of course there are a plethora of different sensory food aversions, and I am aware

that my son’s are quite mild. If you have a child struggling in a manner that is

interfering with his development or quality of life, it is crucial that you seek some

additional assistance, first checking with your pediatrician who may then refer you

to an occupational therapist, speech pathologist and/or registered dietitian who

specialize in this arena.

Two suggested reads:

Meals Without Tears: How to get Your Child to Eat Healthily and Happily,

by Dr.Rana Conway

Just Two More Bites! Helping Picky Eaters Say Yes to Food,

by Linda Piette

July 14, 2015

Trusting your child’s gut

Photo Credit: Marina K Caprara via Compfight cc

By Maria Sorbara Mora, MS, CEDRD, PRYT, RYT

My friend and colleague Joe Kelly recounted a story to me one day about his children. He told me that when his kids started school he noticed that both children complained about their stomachs hurting constantly. After ruling out illness and allergies he sat them down and asked them what they noticed when they would get stomach aches. His children told him that their stomach’s started to hurt before going to school and would feel better when they got home. He realized that his kids were not comfortable in the school system and were having a body reaction. His neighbors were home schooling their children and he decided to do the same. He was faced with others telling him it was a bad idea, that children whom are home schooled lack social skills and that the children would eventually adapt to their environment if he kept taking them to school. Joe did something really, really smart. He trusted his children’s guts and went ahead with home schooling. Both children’s excessive and consistent stomach problems disappeared never to be seen or heard of again. Several years later, Joe says both his children, adults now, are well adjusted, successful and happy.

I wondered to myself how often our children’s body’s communicate to us via their guts and how difficult it might be for a parent to trust them as accurate. But most of us have felt at least once in our lives, something in our guts to be true before our brain could process the situation. Because I’m a nutritionist and a yoga therapist, I am always considering the mind-body connection. I realized that the answer to why Joe’s children’s guts should be trusted lie in the relationship between the Enteric Nervous System (ENS) and the 3^rd Chakra.

The Enteric Nervous System is located in the digestive track and is known as the gut’s brain or the second brain. It comprises an estimated 500 million neurons! The ENS was first only thought to control digestion but now we understand that it plays an important role in our physical AND mental well-being. Just like our brain’s in our heads, this system sends and receives impulses, records experiences and responds to emotions. The first brain and the second brain interact and react with each other. However, the ENS can work independently from the brains in our head meaning that information that the gut sends to the brain doesn’t have to come from consciousness. The ENS helps you sense environmental threats and then influences your response. In addition, the gut’s brain is reported to play a role in good and bad feelings. Over 30 neurotransmitters are produced that are identical to those found in the first brain-one of which is serotonin. A whopping 90% of serotonin is located in the gut. Serotonin is the ‘fee-good’ hormone that regulates sleep, appetite and mood. So now we know why Joe’s kids had stomach aches! Their Enteric Nervous system was communicating, from a subconscious place, that something in their external environment was creating stress. Joe’s kids, 5 and 6 at the time didn’t have knowledge of why their tummies ached but their Enteric Nervous system did!

The 3^rd Chakra gives us even more information about why Joe’s kids were having this reaction. The word Chakra means wheel or disk. In yoga, meditation and Ayurveda, this term refers to the wheels of energy throughout the body. There are seven main Chakras which align the spine starting from the base of the spine through to the crown of the head. The 3^rd Chakra or the Solar Plexus Chakra is located between the navel and the solar plexus. This Chakra governs among other things, the digestive system. The solar plexus chakra regulates how centered we feel during the day in relation to our cognitive emotions. This Chakra, also called Manipura Chakra is all about sensing your personal power, being confident, responsible and reliable. It is the center of self-esteem and governs our sense of self, the power that we have within and over our destinies. When there is injury to the 3^rd Chakra, we feel powerless. Our bodies respond to this tension by developing digestive distress or disorders.

Manipur or Solar Plexus Chakra represents ages 6 years to adolescence. This is the time frame when a child begins school and interacts with others such as teachers and friends but their primary influence is still their home. During this time, children must find their own identity within the family. If they are able to develop a sense of self while living in a family system they are able to develop confidence. So now we know why Joe’s children’s stomachs ceased hurting when Joe began home schooling. When Joe’s kids first entered school they may have felt that something wasn’t quite right but remained powerless to change their destinies thus digestive distress ensued. When Joe acknowledged, trusted and acted on what their children’s guts was telling him, his children gained a sense of personal power even though they didn’t cognitively know what was needed. Furthermore, they had space to begin developing the all the confidence and reliability needed to move into their adulthood.

What an amazing example of why it is so important to trust your child’s gut. Next time your child has a stomach ache, suffers from gastric distress or digestive issues, consider that their body is trying to communicate something important that they may not be aware of.

May 26, 2015

And He Eats!

And He Eats!
By Laura Cipullo, RD, CDE, CEDRD and Mom

Photo Credit: sean dreilinger via Compfight cc

Six years later, Billy finally eats. As many of you know, my two boys challenge my feeding and eating expertise on a daily basis. I think from all the Mommy RD stories here on Mom Dishes It Out, you now know that RDs have their fair share of food and nutrition conundrums. But like you, we need to separate our emotional-selves and work with our child. This is probably the hardest part. Being an objective feeder is quite the challenge. Don’t despair, your kids may surprise you..

I constantly have to remind myself to lighten up around the food and sometimes set more food boundaries. Just the other night, I bought chicken apple sausage and potato rolls for my oldest son. Bobby loves chicken apple sausage. However, it seems he only likes the sausage from Brooklyn. Anyway, we tried two new brands just yesterday. Bobby was trying it as a side to his dinner of rotisserie chicken with mashed potatoes and spinach. Billy excitedly comes into the kitchen declaring he will have a hot dog bun with peanut butter, two cheeses and a yogurt with a side of strawberries.

Here is conundrum number one. Do I allow him to dictate his meal? Conundrum two is whether he should try the chicken sausage. Because of my work with food phobias and eating disorders, I never want to force the boys to eat food and prefer exposure therapy. I let Billy know, he must first try chicken sausage on the hot dog roll. Of course, he verbally refuses. I have yet to understand if this is an animal thing, a chewing thing, a control thing or perhaps just a taste preference. I feel my blood begin to boil.

It is so hard to be objective. I proceed to make the sausage and set it on Billy’s plate. He is of course performing a song and dance. I also make Billy his requested dinner. I serve him both the sausage in a bun and his dinner preferences on the same plate.

Amazingly, he tries the sausage with one small bite. Not shockingly, he doesn’t like it. He eats his dinner. He doesn’t complain nor does he remove it from his plate. These are signs of his progress.

So, in the end we both faired well. I still feel defeated because he only took a small bite and he didn’t like it. But then I think back to March. The boys and I were eating dinner together. It was a simple dinner of tortellini. Bobby and I were eating it. I made Billy something else. All of the sudden, Billy says I want tortellini. I almost fell off my chair. Really??

Photo Credit: quinn.anya via Compfight cc

Well, he did want it. He tried it and said it was dry. He wanted to try it with marinara sauce. He loved it. He basically had marinara soup with tortellini. Wow, that made my night and my month for that matter. The point is, after seeing us eat tortellini a million times, he tried it and liked it. Just like he has done with most fruit, breads and salsas. He typically tries food now without an issue. As long as it is not of animal origin. Well, the majority of the time.

In the end, Billy eats tortellini. We can go for Mexican and Italian food as a family and Billy can order off the adult menu. What a relief!! It has taken him six years to find a pasta he enjoys. I can’t wait to see what he likes over the next 6 years. Thank you Billy for teaching me patience is key while a little push is necessary, too.

Moms and dads, keep up your efforts to expose the kids to all foods and encourage trying foods. The act of trying is the most important thing. I know six years seems like a long time, and it is. But each child has his/her own process. Find what works for you and your child. Share with us your trials and tribulations. We can all learn and support each other. If you find yourself having a hard time keeping your feelings out of the kitchen, consult a registered dietitian or even a speech and language pathologist.

Looking for more tips? Check out our 7 Steps to Progress Your Picky Eater.

May 19, 2015

Yes, Yes, Panera Bread Co!

By Laura Cipullo, RD, CDE, CEDRD and Mom

unnamed Just two weeks ago I was invited to a very special dinner with head chef, Dan Kish, and nutritionist, Katie Bengston of Panera Bread Co. here in NYC. On this evening Dan and Katie shared Panera’s big update on their next “clean” journey milestone. It was the No No List. And I was impressed! I am placing my stamp of approval on Panera Bread Co. as a place moms can take their kids for lunch now and especially after 2016. Panera is removing artificial ingredients including the likes of sucralose and words you can even pronounce. Now I am not sure why they were in there in the first place, but I am ecstatic they are vowing to deliver wholesome and real food.

When visiting the burbs, I find it hard to find food to grab on the go for the kids and me. There is a Panera near my parent’s home that I sometimes frequent. I already loved the kid’s grill cheese with organic milk and a Stonyfield Farms yogurt squeezer. Now I can go there feeling confident that the kids and I are getting real food. My new favorites from the evening with the Panera Bread team are their flatbreads and their Mediterranean Chicken and Quinoa Salad! Dan made us a delicious flatbread with tomato, and mozzarella. We all sat down at a big beautiful table and dined on their new delicious sprouted grain rolls, the Strawberry and Chicken Poppyseed Salad and the Power Kale Caesar Salad with Chicken. It was such as great evening, tasting the food and learning about Panera’s efforts to provide healthy and wholesome foods to all of us. I was so happy to learn that fresh dough is brought to each Panera Bread Co. from their dough centers. The trucks carrying dough from their 22 main facilities are also bringing in fresh greens, herbs, and even berries on a daily basis. Kudos to Dan Kish and his team. I hope other food establishments follow your lead. Thank you for thinking of our children and their health!

Here is the Panera Bread Co. No No List. It reads “We are committed to removing artificial preservatives, sweeteners, colors and flavors
from the food in our bakery-cafes by the end of 2016. That list includes, but is not limited to:”

https://www.panerabread.com/panerabread/documents/panera-no-no-list-05-2015.pdf

April 28, 2015

DIY: 7 Steps to Progress Your Picky Eater

DIY: 7 Steps to Progress Your Picky Eater
By Laura Cipullo RD CDE CEDRD CDN and Mom

Picky eaters

“I just want to go home and eat what I eat everyday for lunch.”

Is this your child? It is most definitely my child, as this is what he said to me on Friday when we walked into the burger joint known for its burgers and milkshakes. When he said this, I just let out a deep breath and decided it would be milkshakes for lunch. He doesn’t like change, and therefore he doesn’t like change in food, rules, or where he puts the furniture in Minecraft.

But this does not mean that you or I should take the summer off from exposing our kids to new foods and/or textures. Actually, summer is ideal because schedules are changing, and you can create a new schedule that incorporates trying new foods, say, twice a week. There is no school, stress, or homework, so take advantage of this time.

I am trying to incorporate different foods into dinner meals on Sundays and Wednesdays. Just yesterday, the boys tried fresh mozzarella, which neither would eat. They liked it melted but not cold. Last week they tried vegetarian sushi with avocado (they both licked it). Remember, touching, licking, or just getting it on their plate can help. Of course, they get these new foods alongside their faves or sometimes before their favorites are served. They tried a falafel burger and cocoa-dusted almonds!

My oldest, Bobby, has taken to eating fresh corn on the cob with butter and salt each night with his dinner, while Billy has incorporated strawberries without the skin at each of his dinner meals. That’s right, no skins. One night he said, “Mommy, I like the insides of strawberries.” My husband told me that Billy would eat the strawberries’ flesh, but he could not take a big bite. So I got the peeler out and voila!! He is now my strawberry man. So as summer begins, we will take this opportunity to continue exposing the boys to new foods and even former foods.

The food exposure may follow this progression or something similar.

Recognize that this is helpful for toddlers, children, and even pre-teens.

First, get the food on the same plate
Next, get touch involved. Maybe your child touches the food with their fingers or puts the food to his/her cheek or lips
Employ the One Lick Rule
Employ the One Chew and Spit—if you must
Use the One Bite Rule
Use the Three Bites Rule if your child has achieved the One Bite with that food
Make the food part of the main meal on a regular basis

If you think that your child may have issues with sensory integration, get the expert advice of a speech pathologist and/or an occupational therapist. Books that may help include Happy Mealtimes with Happy Kids: How to Teach Your Child About the Joy of Food by Melanie Potock, MA, CCC-SLP, and Ellyn Satter’s Secrets of Feeding a Healthy Family: How to Eat, How to Raise Good Eaters, How to Cook.

Keep your eyes open for MDIO’s (Mom Dishes It Out’s) upcoming blog on when to get a consult from a speech therapist versus, occupational therapist or dietitian.

And of course, let us know what works for you. Does your child fit the description of Potock’s case examples, or does your child easily follow the flow set by Satter’s “Division of Responsibility”?

April 19, 2015

Dining Out With Your Young Food Allergic Child

by Melanie Potock, MA, CCC-SLP

*This post was originally published on The Tender Foodie Blog. The original article can be found here.

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DO YOU DINE OUT?

Many parents feel overwhelmed at the thought of bringing their child with food allergies to any restaurant for fear of exposing him/her to an allergen that could make them horribly ill or worse. Yet, according to Restaurants USA Magazine, Americans eat out for 4.2 meals per week! Dining out with our families and friends is part of our social routine. It’s possible to enjoy this time together as a family, but it requires a bit of planning. One strategy that may soothe some fears is assembling your own “Restaurant Backpack” filled with everything you need to create a safe and fun dining experience for your entire family.

SETTING UP

While it might be tempting just to wrap the chair in your coat, as this parent has done (above picture), start instead with a washable highchair cover to shield your little one from those germy, possibly allergy-laced wooden restaurant highchairs. Fisher Price™ makes a padded version that includes tether straps to attach to toys so they won’t fall on the equally dirty floors. The carry pouch is included. Tuck a package of sanitizing wipes in the carry pouch so that when you arrive at your seat, the first thing you do is wipe down the table, highchair and anything that is within reach of your child. Then add the cover, then add the kid. Speaking of toys, it’s ideal to bring quiet toys that won’t disturb the other patrons, lightweight toys that keep the backpack manageable and socially interactive toys that focus on you and your child being together and enjoying the moment. My top three favorites?

MESS-FREE CREATIVITY!

Aquadoodle Travel N Doodle is a soft, mess-free, portable and foldable drawing mat that includes a refillable “water pen” that magically makes red appear on one side of the mat and blue appear on the other. The most your child gets on him/herself is a bit of water. One suggestion: store the pen in a re-sealable plastic baggie or empty it before going home. It can leak in the backpack.

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April 12, 2015

Helping Your Large Child Thrive in a Fat-Phobic World

by Julie Dillon, MS, RD, NCC, LDN, CEDRD

“As a parent of a larger child, the difficult challenge is the voice inside my head telling me that I am doing something wrong. It’s telling me I am ‘letting’ her get fat and not doing something about it.” —Jennifer, mom

We live in a world where fat bodies are discriminated against, bullied, and considered unacceptable. What if your child is larger than what society deems ok? It is important for you to teach your large child how to respect his or her body since our society will not. You will be your child’s advocate for healthy ways of experiencing food, exercise, and body image. Where do you start?

216-small — Source: Yale Rudd Center for Food Policy & Obesity

Unconditional Acceptance

Let your child know through your words and actions you accept him or her unconditionally. If your child comes to you upset about his/her large body, let your child know you love them as he/she is, that you love them no matter what and no matter what size. Do not suggest a diet or exercising together. If you were to do so, the suggestion sets up a condition. It says, “No, you are not ok as you are. I will help you change.”

Meals and Snacks

Set up regular meal and snack times so your child knows when food will be served. Older children and teens may start to feel ashamed of eating enough in public. They may restrict themselves to low-calorie foods when eating with friends. This way of eating is often referred to as “eating for show.” It means that even though your son or daughter is hungry for a variety of foods, he/she may feel like he/she should be restricting in order to repent for their large body. This leads many kids (and adults!) to eat more in private and even binge eat.

If your child knows your meal and snack times and falls into this “eating for show” trap, he/she can avoid binge or secret eating by consuming enough at the next meal or snack time.

Consistent eating times also offer the opportunity for every child in your home to learn how to detect, respect, and satisfy hunger and fullness cues. Besides promoting healthy eating, this also promotes positive body image.

High-Calorie Fun Foods

By banishing certain fun foods, you may set your child up to sneak foods or binge eat. Be sure to stock your house with a wide variety of wholesome nutritious foods. This variety will include fun foods too. Fun foods include cakes, cookies, and chips. I encourage all families (no matter what body size) to offer cookies at snack time once a week. I also encourage a few fun sides such as potato chips a couple times a week with meals. Offering fun foods alongside nutrient-dense foods helps in many ways. It satisfies cravings, models moderation, and prevents shame and binge eating high-calorie low nutrition foods.

Jennifer has found strength thanks to professionals and others who have gone through the same thing. “I have to get grounded by people who understand. While I know my family is concerned, their way of ‘shaming’ her or me because of her food choices or size and trying to manipulate her diet makes helping my daughter so hard. Having other parents to talk to that have been there, BUT also agree with the Body Positive philosophy is essential for support. I also have needed the support of a Registered Dietitian Nutritionist to help me let go of my anxiety about this.”

244-small — Source: Yale Rudd Center for Food Policy & Obesity

Exercise

Every body is meant to move—not just fat bodies. Encourage all of your children to find activities they enjoy. If time and finances allow, let your children pick one organized physical activity per week. Maybe they will enjoy soccer, tae kwon do, salsa dancing, or ice-skating!

Do not make your large child do an activity that he/she does not feel comfortable doing. Avoid “no pain no gain” cliché philosophies. Instead of motivating, they will only shame your child more. Also do not single out any child and make him/her do an exercise while others do not. Moreover, don’t encourage more exercise in relation to foods consumed nor discuss completing a certain amount of exercise to burn off calories consumed. Thinking about food in this way is disordered and could set up genetically predisposed children to start practicing an eating disorder.

Jennifer states: “I try to listen to my daughter’s sadness and frustration about not fitting into ‘skinny jeans’ and not tell her she is wrong for feeling that way. But I also talk to her about how her body is going to change and grow forever and how learning to love it is the best gift. I talk to her a lot about how strong her legs are and how graceful she is when she is figure skating. Not about what her body looks like but the amazing things it can do.”

Your large child needs you to communicate unconditional acceptance in order to thrive in a world stereotyped against his/her body type. Avoid shame-based language, singling out, or punishment. Rather engage in modeling healthy eating, pleasurable movement, and respectful body image for all your children, no matter their size.