How to Grow a Healthy Eater, Naturally

By Dina Cohen, MS, RDN, CEDRD

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When my friend Esther told me that her kids prefer broccoli to pizza, I knew we had to talk

some more. Esther is a mom to three children under the age of five, and she is also one of the

most relaxed, serene individuals I know. I’ve chosen her as one of my “role model moms” (I

collect them) and the way she feeds her children is just one of the many things I admire about

her. I’ve asked Esther to share her techniques for raising healthy eaters. Here are her tips!

1.    Expose kids to a wide variety of foods. Kids each have their own preferences, so by

exposing them to many different foods, you enable them to find their healthy favorites. Esther

doesn’t get stuck in a rut of serving only things she knows they’ll eat. In her house, “Kids taste

everything. After that, they can have an opinion. If they don’t like something, it’s not a big a

deal. They’ll meet their needs at another meal.” Esther finds that involving kids in meal prep is a

great way to motivate them to try new foods. She suggests saying something along the lines of

“Libby helped make the salad today. Doesn’t it look delicious? Thank you, Libby!”

2.    Know that whatever Mommy eats is exciting. There is nothing more powerful than role

modeling. “Kids pick up on your vibes,” Esther says. “Let them see you eating and enjoying

healthy foods. I love fruits and vegetables. I really think they taste good, and so do my kids. I

stocked up on of fruits and veggies at the beginning of the week and cut them up into snack

bags for my kids to take to day camp. They were ecstatic. My four-year-old ran over to me with

her veggie bag and said, ‘Mommy, smell it! Smell it! It’s so yummy!’ ” Esther shares how she

recently bought fresh cherries and her daughter was so excited she tried to climb up to the top

shelf of the fridge to get them. Her younger son loves imitating his big sister as well as his mom,

and he eats plenty of fruits and veggies too. Cherry tomatoes are a family favorite. “They enjoy

putting one in each side of their cheeks and looking weird.” Mealtime is a wonderful time for

role modeling healthy behaviors. Esther makes a point of sticking around during mealtime. “Sit

at the table with them and they will have an easier time eating. The more people at the table,

the better. I’ve noticed that whenever we have guests, they’ll do better at meals. It’s always

best if you can eat with them. You can beg them to eat a bowl of cereal and they’ll refuse, but

sit down and have one yourself and they’ll come crowding around.”

3.    Help kids build healthy habits early on. Because her daughter refused water at a young

age, Esther began giving her juice, but she always dilutes the juice with water. “I dilute it so

much, it’s like flavored water. The other day I’d diluted the juice while it was still in the

container, and when I poured some for my daughter, she said, ‘Hey, you didn’t put in water!” I

try to give my kids whole grain products and while it doesn’t always go over successfully, it

often does. They aren’t fans of whole wheat bread, but they really like brown rice.  “Get away

with it when you can.”

4.    Provide all foods. Esther sets the stage for healthy choices but she knows when to step

back. “I do let go because I don’t want my kid to be the one eating candy under the table.”

Recently, her four-year-old has been asking for a freeze pop upon coming home from day camp

because she sees the neighborhood kids having them, and Esther has no problem allowing her

to have too. She’s ok with it because her daughter enjoys many healthy foods as well and she

does not want her to feel deprived. She knows her daughter is used to a healthy routine and

understands that all foods can be part of a balanced lifestyle.

5.    Understand that it will be challenging. Things don’t always go smoothly at Esther’s table.

“It’s hard when you put in a lot of work to prepare a meal you think they’ll really like but then

they don’t eat it.” However, Esther believes that this is because “Children are challenging! It’s

not food-specific. They don’t always do what you want, and you’ll have to readjust your

expectations. Don’t drop the whole thing, but know that you might have to rework the

scenario.”

6.    Don’t have an agenda. Esther feels it’s important not to get too worked up about your

children’s eating. “When they feel you are anxious for them to eat something, they won’t want

it. It’s like when you’re anxious for them to go to sleep on time because you have a babysitter

coming; they’ll sense it and won’t go to sleep.” She believes it’s best not to be overly invested in

the outcome, or at least to “pretend you don’t care!” When I asked Esther to share some

rewarding moments, she replied, “I don’t view it that way because I don’t put in intense effort. I

don’t have an agenda. We keep trying things, and when something doesn’t work, it doesn’t

work. And something that didn’t work at first might work later on. So rather than individual

rewarding moments, I get slow, gradual gratification. I’m seeing that the seeds I’ve planted

have successfully grown.”

Children as Intuitive Eaters: How Parents Unintentionally Sabotage This Innate Cueing System

Children as Intuitive Eaters: How Parents Unintentionally Sabotage This Innate Cueing System
By: Maria Sorbara Mora, MS, CEDRD, PRYT, RYT

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As a nutritionist who specializes in the care and treatment of individuals with eating disorders, the concept of intuitive eating comes up often. Intuitive eating is a nutrition philosophy based on the premise that becoming more internally attuned to the body’s signals is a more effective way to attain a healthy weight and relationship to food, rather than using external cues to control how much one eats.

I often remind my clients that intuitive eating is the most organic process we have…and the earliest one that we develop. And although I pride myself on an Ivy League education and over fifteen years of experience in the field, my two children have served as better teachers of intuitive eating than both.

We are born intuitive eaters. Newborns instinctively crawl up to their mother’s breast and latch on moments after birth. Children innately self-regulate their food intake, knowing what they want, when they are hungry, and when they have had enough.

Leann L. Birch, a professor of Human Development at Pennsylvania State University, found that children instinctively self-regulate their food when:

a) Given a variety of foods to choose from

b) Given access to foods when they first become hungry  

c) Allowed to eat to satisfaction 

Although these three tenets may seem basic, many parents unintentionally sabotage intuitive eating cues in their children by asserting or inserting assumptions about feeding.  Let’s consider how this happens:

 

Offering Children a Variety of Foods vs. Only “Healthy Foods

I once had a mom proudly announce to me that she had never given her child juice…“only water.” I almost fell off my chair at the thought of a child going several years without being offered a cup of juice. I shared, “I give my children what they want.” She looked like she was going to fall off her chair.

 

The message is as parents, we may unintentionally restrict our children’s intake.  In 2000, Carper, Fischer and Birch found that when five-year-old girls were pressured to eat “healthy” foods, they began to restrict certain foods, eat emotionally, and eat with abandon. This is certainly not what a parent is intending to do when he/she innocently says that fruit is more healthy than chips. However, children get the message that their cues and choices are wrong if they want chips.

 

Within this premise is the practice of seeing all foods as equal.  I often remind my clients that foods are inherently neutral.  As parents we reflect our own judgments about food onto our children, which ultimately misinforms their intuitive nature.  In other words, it’s great to feel proud of our kids when they choose fruit, but is it possible for us to stay neutral when the choice is chips?

 

Access To Foods When Hungry vs Rigid Meal Times:

I remember feeling inadequate as a new mother when I got into discussions with other moms who put their newborns on rigid feeding schedules. I fed my children on demand and wondered why it was so hard for me to conform to a schedule.  I realize now however that it was difficult for me to put them on a feeding schedule because I practice and counsel intuitive eating. I trusted that my children knew better than I when their bodies need nourishment…then and now.

 

How many parents have at least once hollered at your kids for snacking too close to meal time? I’d be lying to say I haven’t done it myself! It’s an easy pattern to fall into. In our minds, we believe we know when our children need to eat. But, I’m here to tell you that this is a faulty premise to live by!

 

About a year ago I observed that when my children asked for food it was way earlier than my own meal or snack times. Many nights when I was cooking dinner they were already looking for something to eat. So I began doing something novel…I responded to what I observed. Instead of deciding that their meal times had to coincide with my meal times, I honored what their bodies were telling me about what they needed.

 

Now, I keep the snack drawer within reach of my 3 and 5 year old so that they can explore what they want WHEN they want. Sometimes my daughter says to me, ‘Mommy, I want a snack’. Other times, I’ll offer and they will check in with themselves. My son has a one liner he always says when he’s not hungry, ‘no thank you, I’m OK’. And you know what? He is!

 

The other thing I’ve learned from my children is the most fundamental rule of parenting…NOTHING STAYS THE SAME! My daughter was the most enthusiastic early morning eater. Just recently, she has decided that breakfast is not her thing. No matter what I put in front of her she doesn’t feel hungry first in the morning. By late morning however she’s ready to eat.

 

For those parents who believe in a more strict meal time schedule for your children, I ask you to consider this important fact… Children and teens have higher rates of metabolism than adults due to the massive growth they are undergoing. Bottom line is that our children will get hungry more often than we do and may need less or more in amounts than we think.   How can we adjust our understanding of meal and snack times as our children’s bodies grow without letting them feel as though they’ve done something wrong?

Photo Credit: orangeacid via Compfight cc

 

Eating until Satisfaction vs. Portions or Full Plate

Finally, the most impressive characteristic of children as it pertains to their eating habits is their keen sense of self-regulation. We notice our newborns pulling away from the breast or bottle when they’re full. Infants wolf down all their sweet potatoes one day while on other days seal their mouths shut after just a few spoonfuls. Later on in childhood we notice our children losing interest in foods as they near satiation.  This skill does NOT go away over time…unless we train our children to do something else.

 

The typical culprits of this is when parents either 1) impose an allotted amount of a food (pre-portion meals and snacks), 2) unilaterally determine when they’ve had enough (“You can’t be hungry for another yogurt, you just had one”), or 3) demand that they eat all of what was put in front of them (“Eat everything on your plate”). When we impose these rules on our children, we teach them to distrust their hunger and satiety and rely on external cues instead. We know that when individuals use external cues to assess hunger and satiety levels they are at higher risk for eating disorders.

Children come equipped with all the skills necessary to eat intuitively. As parents we can support this innate gift by observing our children’s natural eating habits rather than imposing our own agendas about what is healthy or enough. If we let go of our assumptions, we may just realize how much our kids DO know about how to feed themselves. They may also teach us a thing or two about what unadulterated listening to one’s body really looks like: eating what you want, when you want and eating the amount that your body needs.

 

Sources:

1)   Carper, J. L., J. Orlet Fischer, and L. L. Birch, “Young Girls’ Emerging Dietary Restraint and Disinhibition Are Related to Parental Control in Child Feeding.” Appetite 2, no. 35 (October 2000): 121–29.

2)   Birch, Leann L., et al., “Clean Up Your Plate: The Effects of Child Feeding Practices on the Conditioning f Meal Sizes.” Learning & Motivation no. 18 (1987): 301–7.

Back-To-School Pancakes

We love to make pancakes for breakfast on the weekends at our house. The kids each have their roles in the preparation and we all get to sit down and enjoy a leisurely breakfast together. One thing I love to do is make large batches at one time and save them for the week! All you need is a zip-top bag or a food container and you’ve got weekday breakfasts at the ready. Check out this video of my son and his friend helping me with a fun pancake recipe.

[youtube https://www.youtube.com/watch?v=m9bhLOgtvOY]

What is your favorite pancake recipe or topping? Let us know in the comments below!

Kids Eat Right

On Teaching Healthy Lifestyle Habits to Families
Erica Leon, MS, RDN, CEDRD, CDN
Certified Eating Disorders Registered Dietitian
Certified Intuitive Eating Counselor

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Hardly a day goes by without a headline warning of the dire consequences of our kids’ increasing weights and BMIs (body mass indices). Yes, we know that obesity leads to many chronic health conditions, from diabetes and heart disease to joint and breathing problems. All too often, however, I have seen the negative consequences of focusing exclusively on a child or adolescent’s weight and body mass index. I am seeing an increase in the number of kids and teens on diets, and I am also seeing an increase in eating disorders and disordered eating as a result. I believe there must be a middle ground—and a different way of reacting to expanding waistlines.

 

I believe this middle ground is a philosophy called Health at Every Size (HAES) and a way of eating called “Intuitive Eating.” Simply put, we change the focus from the number on the scale to healthy behaviors from the inside out. We must educate families to take an active role in preventing weight issues in kids. Embracing a healthy lifestyle means honoring and respecting our genetic body types, fueling them with health-promoting, satisfying foods, learning to distinguish between physical and emotional hunger, and moving our bodies because it just feels good!

 

Having taught weight management programs for overweight children in the past, I have seen the stress levels caused by frequent weight checks on a scale. I am excited to implement a wonderful program called Healthy Habits, written by Laura Cipullo, RD, CDE, CEDRD, into my practice to teach families how to eat in this healthy, balanced way using a system of “everyday” and “sometimes” foods. This eight-week curriculum is grounded in the health at every size philosophy, teaches parents and kids how to make healthy but non-depriving food choices, and promotes movement and exercise for pleasure. There are no good foods or bad foods. Parents learn limit-setting skills while kids learn portion control, honoring hunger and fullness and coping with challenging situations around food. I believe our best hope at preventing health problems associated with overweight and obesity is involving and educating the entire family about a healthy lifestyle.

 

I would like to share part of an essay that my nineteen-year-old daughter, Rebecca Leon, wrote:

I have what my family calls the “round genes,” which basically means that due to good old-fashioned genetics, I’m destined to have curvier hips and a slightly fuller figure than most. Throughout my 19 years, I’ve struggled with accepting this fact and have fallen in and out of love with my body more times than Justin Bieber has gotten into trouble with the law! Although I’ve never had an eating disorder myself, admittedly, I’ve grappled with some dangerous dieting habits. Last year I auditioned for very competitive musical theater college programs where looks are as important as skill.

“My solution was to eat less (way less) and exercise a lot more, even though I was already dancing 3 hours a day. I won’t go into any more detail, but to make a long story short, for a few months, I wasn’t eating nearly enough food for the amount of calories I was burning. Although happy with my looks and feedback I was getting, to put it mildly, I felt like crap. I felt cranky all the time, had no energy, wasn’t satisfied with the way I was performing, and I would freak out at any sign of bloating. Luckily I have a supportive, nutritionist mother who has been teaching me about healthy eating since the day I was born. The truth is, your body needs fuel in order to perform at its best. I soon realized that by depriving my body of its needs, I was, in turn, putting myself at a disadvantage. When it came time for my auditions, I went back to eating more regularly. Thankfully, I was accepted into many programs, which would have been impossible had I not given my body the energy it needed to perform well.

 “The best way to feel good is to live a healthy, balanced lifestyle. Living in this manner is the key to honoring and accepting your body. Let’s face it…human beings are lazy. Most of the time we look for shortcuts and the easy way out. Well, unfortunately there is no shortcut or easy way out when it comes to health. Depriving your body of food may seem like the quickest way to lose weight, but in reality, it’s not at all worth the emotional or physical stress, not to mention putting yourself in danger. Even though maintaining a healthy lifestyle is difficult, the hard work pays off. Personally, I feel the happiest when I have a daily exercise routine planned out and stick to a balanced, healthy diet that allows me to indulge in a yummy dessert every other night.”

 

August is “Kids Eat Right Month,” an initiative from the Academy of Nutrition and Dietetics to educate and empower our children towards a healthier lifestyle. I believe Healthy Habits enables families to do just that.

 

For more information on Healthy Habits, click here.

For additional free resources on “Kids Eat Right,” click here.