Finally Free from Fruit Fears?

Photo Credit: woodleywonderworks via Compfight cc
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

What we Learned at “Thinking Outside the Lunchbox”

By Nutrition Student, Deanna Ronne and Laura Cipullo Whole Nutrition Services

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Are you at a loss when it comes to creative kid friendly food? Well, Dishing with the Media gave Mom Dishes it Out some fabulous new recipe ideas! We attended the “Thinking Outside the Lunchbox” event in SoHo a few weeks ago, kid’s cooking expert and professional chef, Cricket, along with 15 year old Season One winner of MasterChef Jr., Chef Alexander Weiss, introduced us to some fabulous recipes and parenting strategies. They shared ways to incorporate nutritious foods into more common kid-friendly recipes, and some new recipes for them to try! Most importantly they shared helpful ways to get kids, as young as 2 years old, excited about helping in the kitchen!

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The event began with samples of a refreshing green smoothie, “Nutribullet University Blast #2”, a delicious and nutritious summer snack for you and your kids. Even if you are dealing with picky eaters, you can show them how great it tastes by drinking it yourself! Cricket reminded us that the best way to promote healthy habits is to model eating behaviors yourself.

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Another great way to include unfamiliar foods in your kid’s diet is to incorporate them in recipes they are familiar with. Cricket and Alexander introduced us to two creative recipes using foods kids know and love with others they might be less comfortable with. Cricket’s “Broccoli Cheddar Mac and Cheese Cups” are the perfect way to sneak some veggies into a delicious bite of mac and cheese. They are fun to eat and easy to pack in a lunch box! You can even individually wrap them to freeze and use later on.

Tip from Cricket: Try cooking the broccoli in the same pot as the pasta (add it a few minutes after the pasta) to reduce dishes!

Chef Alexander uses a similar approach with his “Tofu Bao”, a recipe he created to mimic the Pork Sticky Buns many of us know and love. Instead of using pork belly however, he replaces it with tofu to create this tasty and easily packed lunch option.

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Chef Alexander explained how tofu is available in many varieties types of firmness, pre-baked, cubed, etc.  For those of you unfamiliar with tofu, it is a low calorie, high protein, soy-based product that can be used to replace protein and vegetables in many common dishes. Soft tofu can be blended and used to replace eggs in many recipes to make them healthier. (He advises not to use it in baking as it will make the desert too dense.) Because it is used to replace meat in this recipe, Chef Alexander recommends using a firm variety and to blot it to remove excess water before cooking. He also recommends a non-stick pan for searing tofu in his savory marinade. This sweet and salty dish was one definitely our favorite- delicious!

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Another one of our favorite recipes from this event is “Libby’s Veggie Confetti Dip.” It’s a great afterschool snack including a vegetable, protein, and dairy. Cricket showed us how Libby’s vegetable cups can be used to make a tasty dip using only a few simple ingredients: a microwavable Libby’s vegetable cup, yogurt, raisins, and herbs. During her demonstration, Cricket stressed the importance of getting kids involved in the kitchen and turning into a learning experience. Both Chefs agreed that “everyone can cook” so give your kids a task they can complete; an 8 year old can read the recipe out loud and measure ingredients, a 4 year old can use a plastic or butter knife, and even a two year old can help by tearing the herbs! Cricket believes that the more kids are involved in preparation, the more they will want to try the food. She also reminded us to give children “choice within your boundaries” by letting them choose the type of Libby’s vegetable cup!

Tip: This dip goes great with crackers, salmon, grilled chicken, burgers, and can also be blended in a Nutribullet to make a sauce.

We are so excited to get our very own Nutribullet and to recreate these recipes ourselves! All recipes from this event can be found here!

Something More Than Fish

 

Charlie tells his younger sister: “These are not fish sticks. These are ocean nibbles from the supermarket under the sea—mermaids eat them all of the time.”

—I Will Never Not Ever Eat a Tomato by Lauren Child

As you know, I’m not perfect. Rather, I’m the real deal! I am the dietitian with the picky kids. My children definitely give me much practice about what I preach. And then, thank goodness, there are other times. I continue on this long journey of exposing my children to foods and trying my best to allow them to develop positive relationships with eating and neutral relationships with food. Mind you, this is no easy task. It’s a difficult balancing act. 

Our latest feat was fish sticks. Just remember that when we talk about fish sticks, we are really referring to something of a metaphor for life. Read on to learn more.

My youngest son Billy has been picky and often frustrating about food since the day he was born. At one point he loved Dr. Praeger’s Fish Sticks; he would eat four or five of them in one sitting. Billy’s enjoyment was of brief duration and he never seemed ready to reincorporate these ocean nibbles onto his personal “I really like this!” list despite our best efforts. Well, for some reason, this week was different. Once again, we offered fish sticks to Billy. To be exact, I made both boys fish sticks—a very child-friendly food—and put them on their dinner plates. However, I put only one fish stick on Billy’s plate. My husband and I were eating kale salad, herbed pork tenderloin and roasted potatoes. I know the boys won’t eat this dinner and I don’t make a big deal about it. This frustrates my husband, especially as the boys get older. However, when we push, like I did with the sweet potato puree (Read my recent blog, The Imperfect Food Mom), the boys push back.

In recent months, I’ve seen Billy eat a fish stick. I’ve actually seen him gobble it down! I can’t remember the specific circumstances around that particular meal. The one thing I realized was that he’s been playing us with the darn fish sticks. The way he scarfed down that fish stick made it clear that he really likes the taste or, at least, doesn’t mind the taste. Lately, I’ve been telling the boys how important it is to try new things whether they are sports activities or different foods. I have also been telling them: “You don’t need to eat your favorite foods every night. Mommy and Daddy sometimes make a meal that we don’t particularly enjoy, but we eat it anyway. Every meal doesn’t have to taste great. We just need to get nutrition from eating it. Eating our favorite meals happens just some of the time.”

So Billy looked down at his fish stick and immediately said: “I don’t like fish sticks.” I don’t recall my exact response at that moment, but by the end of our conversation, Billy was expressing his desire for Smart Puffs. (Note: I’m not a fan of Smart Puffs, but I do buy them on occasion because Billy is!) So I clearly told him: “You need to eat something with nutrition. You need to meet your body’s needs for growing. You can have Smart Puffs, but you haven’t eaten enough protein today.” As you might imagine, the little gamer asked: “Can I have some Smart Puffs if I eat my fish stick?” Well, of course! And he did. He happily ate his fish stick and then his Smart Puffs.

The next night we found ourselves with the same situation. This time, however, I put two fish sticks on Billy’s plate. He asked for his Smart Puffs and he got them after eating one and then the other fish stick. Please understand that this was not a food reward. I was not rewarding Billy for eating his fish stick. Rather, I was letting him know it’s okay to have all foods some of the time. You can eat foods lower in nutrition but not at the sacrifice/cost of a more nutritious food when growing…or just on a regular basis. 

After two consecutive nights of fish sticks, Billy asked if he could have fish sticks every other night rather than every night. Sure he can. I wasn’t planning to put fish sticks on his plate every night or even every other night. But since he thought I was—and he now thinks he made the decision about when to have them—I went with it!

I realize fish sticks are not the most nutritious nor desirable food one would want their children to eat. But when you have a picky eater, you must start somewhere. Knowing whether your child is playing you, knowing when to push, and knowing when a child is truly revolted by a food is a hard task to tackle. I choose to walk this line very carefully…and without any rush factor. I choose to do so because I clearly see the negative effects of creating power struggles around food between parents and children in my office. I successfully used this approach with my oldest son Bobby. He has become the best intuitive eater—slowly but surely reincorporating familiar foods and trying new foods almost daily now that he has turned six.

I do believe in the process of food exposure and sometimes even giving a little push. I remember my personal pickiness when I was a child. I actually think my vegetarianism and then veganism in high school and college were in part to send a direct message to my family. My message said: “You made me eat meat…and I didn’t like it!” It also said I am different from you because I eat different foods than you. The same things happen with my clients. I have teenagers either refusing to eat anything at all, or eating only certain foods. And they’re doing this partly to control their parents or get their attention. 

I don’t want to have power struggles about food with my children, so perhaps I am a bit more relaxed with food than others would think. As a parent, this is your decision too. Just recognize that feeding and eating isn’t simply a straight forward matter. Ultimately, it’s how individuals identify, label and communicate their inner selves to the world. This is the metaphor: What happens with food typically represents what’s happening with life at that time!

 

 

 

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?

Photo Credit: Abdulla Al Muhairi via Compfight cc

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!!!

 

 

 

Is Your Tween Hiding Her Lunch?

REAL GRANDMOM ASKS: My 11 year old granddaughter is hiding her sandwiches and lunchables that are packed for her lunch in her room; sometimes before she even leaves for school. She takes a bite out of the sandwich or lunchable and puts in back in the container and seals it up, then hides it in her room. She doesn’t have an explanation for this and you can tell she is embarrassed when you talk to her about it. None of the food is new or disliked, that is why this is such a puzzle to us. My daughter is going bonkers over this and I simply don’t know how to advice her. Maddie has hidden evidence of “sneaked” food before when she was very young but this is a new behavior.What do you think? Thanks,Debbie A., a perplexed Grammy

 

REAL MOM LAURA ANSWERS:

Thank you Debbie for your heartfelt question.  I am sure many other grandparents and parents share in your sincere concern for both their daughters and their  granddaughters. There are a few things you can do without alarming your granddaughter. Be sure to keep this a confidential as possible. It is  a very sensitive subject and privacy will help to ensure your granddaughter’s privacy and thus minimize any shame or embarrassment. I will answer the question directed at a mom (or dad) since mom (or the primary caregiver) will need to do the follow through.

Photo Credit: sherimiya ♥ via Compfight cc

In general when any tween is hiding food, consider checking in with the school nurse or guidance counselor (in private) to see if your tween is:

A)   Eating a different type of food at school?

B)   Eating any lunch at school?

C)   Attending lunch at school (some students hide during the lunch period to avoid social anxiety, bullying or to enable skipping the meal for restriction purposes)?

This will give you a better idea of what is happening for your daughter.  There are many things to consider such as is your child:

A)   Embarrassed to bring a home packed lunch?

B)   Perhaps your child doesn’t like the way their food smells?

C)   Perhaps your child is uncomfortable with their changing tween body?

D)   Has anyone said anything to your tween to make them feel shameful of their body?

E)   Is your child restricting their intake in effort to gain a false sense of control due to changes in friends, family, school…?

F)    Is your tween newly aware of her body and thus restricting her intake to prevent it from maturation?

Next and most importantly, sit down with this wonderful child and let them know you are there to listen. Let them know you promise not to be angry (if you truly do) and can help to support them. Validation is the most important piece. Moms don’t need to solve every problem rather we just need to listen.  Tell your tween you love them and are there for them when they feel ready to share. Giving your tween an unbiased outlet and a few hugs may get them to be honest with you.

If your tween is not ready to confide, you can also offer to take the tween food shopping to see if that helps to resolve the issue. This may give you a better sense of what is going on if your tween actually takes you on the offer.

If the issue continues, it is best to have your tween see a Certified Eating Disorder Specialist (therapist specializing in eating disorders) or a Certified Eating Disorder Registered Dietitian (RD specializing in eating disorders). This accreditation is only given to experts trained in the  prevention and treatment of eating disorders by the International Association of Eating Disorder Professionals (www.iaedp.com).

Mom Asks, MDIO Answers: Are your children hiding bites of food?

Are your children hiding bites of food?
By Laura Cipullo, RD, CDE, CEDRD, CDN and Mom of Two

 

A real mom asks:

MDIO recently received a question about how to handle a young child who hides her food. The mom explained that her daughter regularly showed her empty dinner plates. Her regular response would be: “What a great job!” Later, she would find her child’s food hidden somewhere. When this mom asked her daughter why she was hiding her food rather than eating it, the child responded: “I don’t know.” I’m sure many parents can relate to this in one way or another.

 

A real mom/RD answers:

There always seem to be so many challenges when feeding our little ones! Here are some suggestions to explore…and hopefully help to resolve your “missing” food dilemmas.

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1. Eat meals with your children or at least sit down at the table during their meal times. Not only will this prevent your children from having easy opportunities to get up to hide their food but it may also foster valuable conversations and enjoyable family time together. Your children may be acting out…or silently asking for attention…or just trying to gain approval for dessert!

 

2. Stop giving praise for finishing all of their dinner! Yup, that’s right! Praise your children for trying foods, sitting at the table, and sharing their day’s activities with you…but definitely not for cleaning their plates! Keep in mind that your kids will typically overeat or hide their food to garner praise for eating 100% of their meal…or sometimes just to follow the table rules you mistakenly may have set!

 

3. Start talking with your children about listening to their bodies’ cues for hunger and fullness. Teach them to notice how they feel at the beginning of a meal, the middle of a meal, and at the end of a meal. Then check in with them to see how they feel an hour after. This will help your children learn to use “self talk” and check in with their own bodies as they get older—and hopefully cultivate a lifetime of  internally regulating their food intake by way of mind and body clues. And please let your children know they do not need to eat everything on their plate!

 

4. Give your children a choice of two different dinners. The act of choosing helps to give your children feelings of pride and independence. For example, you might ask: “Do you want roast chicken with sweet potatoes and green beans tonight or would you prefer rice and beans with ham and green beans?”

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5. Cook with your children to help identify which foods they like while also teaching them some of the fundamentals of living. Learning how to cook, set the table, clear the table, and even clean up the kitchen help children to understand the basics of nutrition, the time spent, and the constant effort required to feed a family. Your children will be more likely to respect meal times and less likely to hide their food…and then start “grazing” later.

 

6. Play detective! Observe if your children are grazing…or eating more snack foods or just some specific foods…before or after the meal. (And don’t forget to check out whether instances of food hiding have occurred.)

 

7. Finally, don’t forget that heart-to-heart talks are always helpful. Sit down with your children and let them know you will not be angry…or yelling…at them! (But you must remember to keep that promise!) Then try to explore their feelings about and behaviors during the meal and, perhaps even more revelatory, other things that may be affecting their food consumption behaviors.

 

Have a question for Laura? Ask her by clicking here