Getting Your Kids to Dig Veggies!

Real Mom Questions – Real Mom Answer: Getting Your Kids to Dig Veggies!

By: Laura Cipullo, RD, CDE, CEDRD, CDN

Real Mom Question:

I cannot get my girls to eat vegetables (toddler dilemma).  The only veggies I can get them to eat sometimes, are edamame, carrot French fries (which are really not veggies), or veggie burgers.  I try to sneak veggies into grilled cheese sandwiches, but they spit it out in disgust; they will eat around the peas if they find them in pasta sauce.  I have even tried hummus with carrot sticks, but they only want crackers or pretzels.

Any suggestions?

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Real Mom Answer:

Our cutie pies are so sweet but sometimes so difficult–especially when it comes to feeding and eating. Sit back and relax. This is a process, a long one that for some kids can last longer than others, depending on other circumstances.

But in general, veggies are bitter and therefore not so yummy to their little palates. I would ensure those veggies stay on the plate, however. Just because the girls have given up, don’t give up on trying.

How to get your kids to eat their veggies and like them!!

1. Keep ’em coming. Continue the exposure every night even if it is just one carrot. The more the tots see the veggies, the more neutral they will become.

2. If they like carrot French fries, try similar shapes, textures, and flavors. For instance, try sweet potato fries, fried zucchini sticks, carrot muffins, and carrot juice (mixed with apple juice).

3.  Sugar coat with cheese. Veggies may be bitter, but we can get the picky palates to convert by melting cheese on them or making cheese fondue. Even if the kids use the same veggie over and over as a utensil, that’s a great step in the right direction. As moms know, getting the toddlers to just touch or handle certain foods is a feat in and of itself.

4. Host a taste-test party. Go the grocery store and get one veggie to try five ways or get five veggies to try with one dip or condiment.

In our home, I host a Sunday “Maybe Someday They Will Eat This.” Of course, the kids don’t know I call the day this. But every Sunday I buy a bunch of new foods to try and let the kids try a few of them that night at dinner. Currently, I only do it on Sundays, but it has worked for us as I could not have the sitter doing it for me during the week.

5.  Watch Copy Kids, the best DVD ever that role models toddlers eating fruits and veggies.

6. Go out to eat!!! Yes, bring your little princes and princesses to restaurants.

Both of my boys have increased their food variety by trying out food at restaurants and trying new sides with their main courses. Think cheese quesadillas with a fruit salad of mango, pineapple, avocado, and peppers or steak with veggie biscuits. 

 7. Work with their favorite color or flavor. If they love purple, make purple potatoes, purple eggplant, purple cauliflower, purple broccoli, and so on.

8. Get your veggies from the farm. They taste one thousand times better. I know order all of my produce and proteins through Farmigo. It is the best-tasting and most visually appealing food by far. I mean, who wouldn’t want to snack on beans when they taste like sugar and crunch like chips?

9. Follow that popular saying “Keep Calm and Carry On!” With consistent effort and exposure minus the power struggle, your little ones will slowly get there. A veggie is healthy but not essential for life. Just keep moving forward.

And one last thing, try the new rainbow baby carrot sticks, they are beautiful and sweet!!!

 

 

 

What Type of Parent are You at the Dinner Table?

What Kind of Parent are You at the Dinner Table?

By Melanie Potock, MA, CCC-SLP

*This post was originally published on www.DrGreene.com, the original post can be read here.

One of the fascinating aspects of being a feeding therapist that works with children in their homes is that I get to see first-hand the variations in parenting styles.

One particular family was memorable because both parents were security guards and they seemed to bring an element of their jobs to the family dinner table. They contacted me because their 5-year-old daughter, Elizabeth, wasn’t gaining weight and was a “very picky eater.” When I arrived at their home, both Mom and Dad were completely engaged with their little girl, all three laughing and playing together on the living room floor.

Interestingly, the atmosphere shifted the moment everyone sat down at the table. There was practically no conversation except to announce what was for dinner and how much the little girl was expected to eat “Remember to eat all your corn, Elizabeth,” her father stated. The parents watched over her vigilantly and occasionally reminded her to “keep eating.” When the couple had finished their meal, and Elizabeth was staring at her not-so-empty plate, her father reprimanded her for “not eating her corn…again.” Noteworthy to me was the fact that both parents felt the need to set stringent eating rules, enforce them and remind Elizabeth if she did not follow dinner time guidelines. Clearly, their concern for her growth and nutrition were in the forefront of their minds, but why did they feel this directive style of parenting was going to be helpful? What happened to those engaged, interactive parents I had just witnessed playing so beautifully with their little girl in the living room?

To read more of this article, please click here to be redirected.

To read more about Melanie click here or go to www.MyMunchBug.com.

 

It Takes a Village – And Then Some!

It Takes a Village – And Then Some!

by Erica Leon, MS, RDN, CDN

While not easy, I somehow launched my children into college and beyond. With fellow empty-nester friends who are also health professionals and moms—one a nurse, one a psychologist—I took a walk down memory lane. We reflected on teaching children good self-care, particularly when they have health concerns related to food.

Photo Credit: woodleywonderworks via Compfight cc

 

Peanut Allergy:

Carpooling was challenging enough, but when I thought three-year-old Thomas had shared my son’s peanut rice cakes, I panicked! Thomas was severely allergic to peanuts as well as tree nuts. Still parked at the nursery school, I hoisted Thomas like a football, screamed for the teachers, and rinsed his mouth, hoping I did not have to administer his EpiPen. He never ate any of the rice cakes, but I learned a valuable lesson on scrutinizing food items when you have or care for a child with allergies!

According to Hildie Kalish, RN, an elementary school nurse whose child has a severe nut allergy, “Keep your child safe by constantly checking and then rechecking ingredients in food products. Never assume an item is safe as it is not uncommon for food manufacturers to change ingredients or processing techniques. As soon as children are old enough to understand, teach them to read labels and avoid sharing food with other kids. When they are responsible enough, have them carry Benadryl and their own Epi-pen or Auvi-Q, and make sure they know how to use them.”

Dehydration:

My nutritional skills were put to the test when I rescued ten-year-old Luke, my son’s friend, who was dizzy from playing baseball in the summer heat. Driving up with hydrating sports beverages and a mom’s wisdom, I remembered that Luke had an endocrine condition that made dehydration particularly dangerous. When a child exercises, their muscles generate heat, which in turn raises body temperature. The body cools itself through sweating, which must be replaced by fluid or the body will overheat.

Dehydration is more common in children, and young athletes are particularly prone to dehydration. Encourage your young athlete to drink fluids before, during, and after sports to prevent heat-related illnesses. Recommend fluid-rich foods such as fruits and vegetables and have your youngster carry a water bottle and drink a sports beverage when his/her physical activity level exceeds one hour.

Celiac:

I became a celiac expert when Rachel, a good friend of my daughter’s, was diagnosed. From that day forward, I stocked my cabinets with gluten-free items and helped her mom educate other parents about which foods to keep on hand for play dates.

 Merle Keitel, Ph.D, counseling psychologist and parent of a child with celiac, says,

“It is important to establish a support system that is aware of your child’s dietary restrictions and has food on hand that your child can eat if at their homes for an extended period of time.  In the case of celiac, fruits and vegetables work but if other children are having sweets, it is helpful for there to be chocolate or other gluten-free sweets so the child does not feel cheated and self conscious about being ‘different.’ Friends and extended family who are educated and willing to help can be a gift to the child with special dietary needs.”

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These real-life scenarios portray what can happen when a child has a chronic health condition. Says Kalish, “At school I work with families of kids newly diagnosed with Type 1 diabetes. I always say that education is key. I see parents overcompensating with extra treats for fear that their child will feel deprived. Diabetic children do not need extra treats. It is important to treat them like any other child and learn the merits of a healthy balanced diet with plenty of ‘everyday’ foods and occasional ‘sometimes’ foods.”

While we can try to protect our children from all types of threats, educating your child, caregivers, schools, and trusted friends about a chronic health condition is essential. Allow your child to take the reigns and manage his/her own health as soon as he/she are emotionally and intellectually ready. We want our kids to remember the lessons that we teach them at home, as they will eventually leave the nest.

Color Me Red

Color Me Red

by Christie Caggiani, RDN, LDN, CEDRD 

 

As we enter February, we’re seeing Red around every corner.  Valentine’s Day and American Heart Month highlight the color, and give us a burst as the sometimes-drab days of winter continue to swirl around us.   Not only can our moods become a little blah this time of year, our food choices may become more monotonous as well.  By creating a theme, however, we can add a fun, proactive twist to eating, and bring more variety to our plates. What a great way to jazz up your kids lunchboxes, snacks or meals at home by picking a color theme– and what better color this month than RED!

Photo Credit: Kiwifraiz via Compfight cc

Our role as parent or provider is not to make sure our kids love everything they eat, but rather to present them with opportunities to explore food, develop their preferences, expand their comfort level around a variety of choices, and therefore become confident, competent eaters.  A color theme is one way that children can participate in the process, as they identify colors in the grocery store, find them in your fridge, and add them to their plate palate.  It also provides an opportunity for them to learn about the function of many foods.   For example, as you will notice below, many red fruits and veggies help promote heart health, so children can begin to connect the ways that foods work for them and support their bodies and brains.   If you are introducing a new food, make it fun and don’t be discouraged if they don’t enjoy it the first time around (or the first many times!). 

So roll out the red carpet and enjoy acquainting your family with some of these bright beauties: 

Acai: This berry from Central and South America is shown to have excellent antioxidant value, which may assist in heart health, decreased inflammation and decreased risk of some cancers.  Mix frozen acai in your blender with a splash of milk and banana, then top with granola, fresh fruit and shredded coconut for a colorful and satiating breakfast or snack. 

Cherries:  These succulent rubies give us great fiber, immune-helping vitamin C, and heart-happy potassium.  Slice up fresh or frozen cherries for a fun ice cream topping or substitute berries in your favorite recipe with equal parts (pitted) cherries. 

Cranberries:  Not only are they super for our urinary tract system, they may also help keep our digestive system protected from unhealthy bacteria and ulcers.   Pour a glass of cranberry juice, add some canned cranberries into a smoothie or mix some dried cranberries into your kids’ trail mix.

Raspberries:  Rich in vitamins C and K, and many antioxidants such as alpha and beta-carotene, lutein, zeaxanthin, and choline,  these berries can help protect our heart and prevent certain types of cancers.  Fold some fresh berries into your favorite muffin or pancake mix, or keep frozen raspberries on hand to toss into a smoothie or oatmeal

Strawberries:  They are a good source of heart-helping folate, which decreases the risk of certain birth defects, and are a powerhouse of the antioxidant vitamin C, giving a boost to our immune system.   Sprinkle some strawberries on cereal or blend up some frozen strawberries in a milk and yogurt smoothie.  Or dip into some melted chocolate for a super satisfying snack!

 

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Watermelon:  Despite popular belief that watermelon is made up of only water and sugar, it is actually considered a nutrient dense food, one that provides a high amount of vitamins, particularly A and C, mineralssuch as magnesium, potassium and zinc, and antioxidants, including high levels of lycopene.  Because it does contain 92% water, it’s also a wonderful way to help keep your kids hydrated.  Insert a popsicle stick into watermelon chunks for a fun snack, or freeze some watermelon balls to add to your kids’ water bottles. 

Beets:  With an earthy flavor that gets supersweet when cooked, beets are very nutrient-loaded, giving us 19 percent of the daily value for folate, necessary for the growth of healthy new cells.  Their rich color comes from the phytochemical betanin, which helps bolster immunity. Roast them, pickle them or shred them raw and dress them with citrus for a refreshing salad. 

Red peppers:  For the love of your eyes and your skin, include these vitamin A-packed foods.  Add a little crunch to your child’s favorite deli sandwich or have them taste test with peanut butter or hummus. 

Tomatoes:  These red beauties are heart protective and provide a great defense against prostate and potentially breast cancers.  Include a little more marinara sauce on your pasta or add some grape tomatoes into the lunchbox.  

The Harmful Happy Plate

The Harmful Happy Plate

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

My everyday mealtime chaos includes my six-year-old daughter singing at the top of her lungs while my two-year-old son eats one bite then jets from the table. I think that it would be much easier if he still used his high chair, yet he rejected that contraption as soon as he could walk. This makes mealtime a bit messier and acrobatic in nature. In the blink of an eye, he goes from noshing on dinner to dancing in the living room. “We sit to eat” crosses my lips throughout the meal, and I lead him back to the table. Toddlers are distracted by nature, so we try to keep distractions to a minimum (no TV) and give him a high five when he sits safely at the table. We are clear about when meal time is over so he can get his fill, and he will sign “All done!” when his body communicates fullness. Sometimes this happens with a bite or three helpings.

Recently I received a text from a dear friend. She is raising her children to be intuitive eaters and modeling healthy ways of relating to food. With intention, this family neutrally represents food and teaches kids to eat when their tummies have the amount they need.

Luckily, our children are born intuitive eaters—yet our world is not. My friend and I often lament about how hard we need to work in order to shield our children from learning body distrust and body hate.

So imagine her surprise when my friend’s daughter finished dinner and announced that it was now a “happy plate.” I felt sadness when she texted the details. After getting clarification, my friend learned the Happy Plate practice exists at her daughter’s childcare center.

What is the Happy Plate? Often at daycare and family dinner tables, “Make it a happy plate!” can be heard when a child wants to leave the meal with food remaining. I have been told that it is done to encourage children to eat enough and be sure they won’t ask for more food shortly thereafter.

As a pediatric dietitian and eating disorder specialist, I strongly discourage this Happy Plate nonsense. My top three reasons include:

  1. The Happy Plate mantra encourages children to discount hunger and fullness cues. When we plate a child’s food or pack his/her lunch, we are not in his/her body nor are we able to predict with 100 percent accuracy the exact amount of energy he/she will need at that meal. If a child is full, do we really need to encourage him/her to eat more? What’s more, teaching a child to ignore hunger and fullness cues lays a foundation of negative body image and body distrust.
  2. “Make It a Happy Plate” cajoling teaches a child to eat to please rather than fueling his/her body. Eating to make another person happy normalizes disordered eating while omitting innate hunger and fullness wisdom.
  3. Happiness feels good and easy, so of course we prefer it. On the other hand, the human experience includes sadness, frustration, boredom, loneliness, anger, and a myriad of other emotions. Some feel comfortable while others do not. Discounting the fullness experience in favor of a Happy Plate transforms the eating relationship—and not in a good way. It spells out that eating past fullness can make us feel happy. It also makes our loved ones happy. Do we want to teach children to eat in order to make happiness?

What’s the alternative to the ease of the Happy Plate? Here are things to consider:

  1. Be sure to structure consistent meal and snack times. This helps a child respect hunger and fullness while tolerating hunger if he/she is hungry a bit before an eating time. When a child says he/she is all done, kindly remind her when the next eating time will occur. Do not provide between-meal handouts besides planned snacks.
  2. Children make mistakes when plating their own food. In order for a child to become a competent eater, you will have food waste. Save the starving children comments and acknowledge when a child listens to his/her body. An example: “You served yourself, and you decided you didn’t need all of it.” Keep it neutral because food decisions are not good or bad.
  3. If a child eats little at a meal and requests food outside of mealtime, kindly remind him/her of the next meal or snack time. If the child says he/she is hungry, teach him/her what to do. Say “Your tummy is hungry, so remind it that food will be available soon. It is just not time to eat.” NOTE: Need to consider child’s age and time until next meal. 
  4. Hold back the praise when a child eats everything on her plate. A child who ate all of her food and another child who ate half of the food served did an equally good job at that meal. This may feel unnatural, but it is the way to promote healthy ways of relating to food and positive body image.

Avocado Toast

Who doesn’t like toast for breakfast?  There’s toast with butter, toast with peanut butter but how about avocado toast?  We found this delicious recipe from Siggi’s Dairy.  Try this spin on toast – it’s a great way to start your day!

Siggi’s Avocado Toast

Makes one open face sandwich.

Courtesy of Siggi’s

Ingredients:

  • 1 slice of whole-grain bread, toasted
  • ½ avocado
  • 3 tablespoons of Siggi’s plain-style yogurt (skyr)
  • 2 oz cherry tomatoes, halved salt and pepper to taste
  • 1 tsp red chili flakes, optional

 

Method:

  1. In a small bowl, mash the avocado and yogurt together with a fork.
  2. Season with salt and pepper to taste if desired, season with red chili flakes.
  3. Spread the mixture on toasted bread and top with tomatoes.  Finish with a touch of salt.

Not a fan of avocados?  Try some other Siggi’s recipes for something new!

Happy National Oatmeal Month!

Love Your Heart With Oats

Photo Credit: Chef Cooke via Compfight cc

The oats found in oatmeal are a rich source of beta-glucans which provide a source of dietary fiber to the body. The beta-glucans found in oats and other grains such as barley and rye contain soluble and insoluble fiber. Soluble fiber has been shown to lower cholesterol levels and can also regulate blood glucose levels due to the way it is digested in the body. The insoluble fiber helps keep your bowel movements regular! Beta-glucans have also been claimed to boost immunity.

 

5 Tips for Getting the Grains:

  1. Add oats to a cookie or muffin recipe.
  2. Include barely in soups and stews.
  3. Swap sprouted barely bread for other sandwich breads.
  4. Hide oats in your turkey meatloaf.
  5. Start your day with hot oat bran cereal and slivered almonds.
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Recipes to Rave About:

Hearty Bean and Barley Soup

Are you getting chilly from the cold weather?  Try this delicious soup recipe from Cooking Light.  We’re sure that you won’t mind the cold weather after you’re warmed up with this yummy meal!

Photo Courtesy of Cooking Light

 

Ingredients

  • 7 cups fat free, less-sodium chicken broth
  • 1/4 teaspoon crushed red pepper
  • 6 garlic cloves, crushed
  • 2 (4-inch) rosemary sprigs
  • 1 (19-ounce) can dark red kidney beans, rinsed and drained
  • 2 teaspoons olive oil
  • 1 cup chopped onion
  • 1 cup finely chopped carrot 
  • 1/4 cup chopped celery
  • 1 (14 1/2-ounce) can diced tomatoes, undrained
  • 1 cup uncooked quick-cooking barley
  • 10 cup torn spinach leaves (about 4 ounces)
  • 1/4 teaspoon freshly ground black pepper
  • 1/2 cup (2 ounces) grated fresh Parmesan cheese

 

Preparation

1. Bring first 4 ingredients to a boil in a Dutch oven; reduce heat to medium-low, and cook 15 minutes. Drain through a sieve into a large bowl; discard solids.

2. Measure 1 cup beans, and mash with a fork in a small bowl. Reserve the remaining whole beans.

3. Heat oil in pan over medium heat.

4. Add onions, carrot, and celery; cook 4 minutes.

5.  Add broth mixture, mashed beans, whole beans, tomatoes, and barley; bring to a boil.

6. Reduce heat; simmer 15 minutes.

7. Stir in spinach and black pepper; cook 5 minutes or until barley is tender.

8. Sprinkle each serving with cheese.

*To ensure rich flavor, add garlic and herbs to canned broth for a homemade taste. Mashing a portion of the beans gives the soup extra body.

The recipe and photo used in this post were courtesy of Cooking Light. To see the originally posted recipe please click here.

3 Reasons Why Kids Get Hooked on “Kids’ Meals"

3 Reasons Why Kids Get Hooked on “Kids’ Meals”… and How to Change That
By Melanie Potock, MA, CCC-SLP

*This post was originally published on ASHA’s online blog. The original can be found here.

Photo Credit: Echromatique via Compfight cc

Let me say this up front: I’m not condemning the American Kids’ Meal that is so common in fast food chains and family restaurants, but clearly I’m not keen on eating that type of food when there are other choices.   My own kids have certainly had their fair share of chicken nuggets, mac n’cheese and French fries, just to name a few of the comfort kid foods that predictably reappear on kids’ menus day after day.   This is not a blog about good vs. healthy nutrition, because most parents (including me) know that the traditional fast food fare is not healthy…and that’s exactly why parents want to change the statistics that 15 percent of preschoolers ask to go to McDonald’s  “at least once a day.”    The millions of dollars spent on advertising and toys to market kids meals certainly makes many of us frustrated when much less is spent on marketing a culture of wellness.  By hooked, I don’t mean addicted, although there is research that suggests that food addiction may be a serious component for a subset of the pediatric population Plus, the added sugars in processed foods have been found to be addictive in lab experiments.  But, for the purposes of this short article, let’s keep kids’ meals in this very small box:  Most kids love them.

Why am I writing about this for ASHA? As a pediatric SLP who focuses on feeding, one of the frequent comments I hear from parents is “As long we’ve got chicken nuggets,  then my kid will eat.”   Besides the obvious “just say no” solution, what parents truly are asking is,  “How do I expand my kid’s diet to include more than what’s on a kids’ menu?”  Whether we are considering our pediatric clients in feeding therapy or simply the garden-variety picky eater, that is an excellent question with not a very simple answer.

In feeding therapy, therapists take into account the child’s physiology (which includes the sensory system), the child’s gross motor, fine motor and oral motor skills  and also behaviors that affect feeding practices.  Therapists then create a treatment plan designed to help that specific child progress through the developmental process of eating.  While the nuances of learning to bite, chew and swallow a variety of foods are too complex to cover in a short blog post, here are just three of the reasons why kids get hooked on kids’ meals and some strategies to avoid being locked into the standard kids’ menu and begin to expand a child’s variety of preferred foods:

  1. Kids barely have to chew.  The common fast food chicken nugget is a chopped mixture of …well, if you want to know, click here.  Warning: it will ruin your appetite for chicken nuggets, so if your kids can read,  clicking might be the first solution.  However, in terms of oral motor skills, bites of chicken nuggets are a first food that even an almost toothless toddler can consume with relative ease.  Simply gum, squish and swallow.  Macaroni and cheese?  Oily French fries?  Ditto.  There’s  not a lot of chomping going on!
    • In feeding therapy, SLPs assess a child’s oral motor skills and may begin to address strengthening a child’s ability to use a rotary chew, manage the food easily and swallow safely.  Many of the families we work with eat fast food on a regular basis and we might start with those foods, but slowly over time, more variety is introduced.
    • For general picky eaters or those progressing in feeding therapy, the key is to offer small samplings of foods that DO require chewing, as long as a parent feels confident that their child is safe to do so.  Starting early with a variety of manageable solids, as described in this article for ASHA, is often the first step.   For older kids, the texture (and comfort) of “squish and swallow” foods can contribute to food jags.  Here are ten tips for preventing food jags, including how to build your child’s familiarity around something other than the drive-thru.

 

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