Do 13 year olds really think about six-pack abs?

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Do 13 year olds really think about six-pack abs?
By Mom and RD, Elyse Falk

 

Boys and body image! Wow…what a perfect topic for me to be blogging about right now. The scenario goes something like this: My almost 13-year-old son comes home after a Bar Mitzvah party for one of his friends. It’s 12:00 am. I drag my butt out of bed to make sure he’s OK and to ask him how his evening was. As I walk sleepily down the hallway, I unintentionally catch a glimpse of his reflection in the bathroom mirror. He’s standing there, shirtless, flexing his muscles in the mirror and pulling in his abdominals. “Really?”…I think to myself. Not knowing quite what to say at that exact moment, I utter something innocuous: “OK. You can look at yourself tomorrow. It’s past midnight. Get into bed.” He quickly pulls on his shirt, and I, in turn, make a mental note about it.

 

As the days followed, I became aware of a noticeable decrease in his food intake…especially one night while we were eating dinner together. So I asked him: “Aren’t you hungry?” He answered: “Well, I’ve just been watching how much I eat and my stomach looks smaller when I eat less.” Because I’m a registered dietitian who specializes in counseling clients with eating disorders, I almost had a heart attack when I heard his response! “Listen to me, dude!” I said. “Your body is strong from karate and the recreational sports you participate in during the year. Your body is healthy from all the different foods you eat. You’re getting bigger and taller because you’re a teenager. Your body is changing so much right now! You’re starting to become a man! Your belly has gone through many changes throughout the last two years. It’s gotten bigger and then, when you grew taller, your belly became smaller again because that’s precisely what happens when you go through puberty!” He seemed to listen to what I was telling him, looked at me briefly, and simply said “Hmm….” He came into the kitchen a little bit later and, without any hesitation, ate some cookies. I didn’t say a word. The conversation hasn’t come up again since!

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Here’s what I’ve learned: The knowledge that boys (as well as girls) can and do fall prey to those troubling messages in the media about body image and dieting. In addition, puberty is often a very difficult life passage for any tween. When our bodies undergo various changes during puberty, our psyches do too. Many suffer with dismal thoughts and awkward feelings; throwing in the need to “fit in” by “looking a certain way” during this adolescent stage directs even more attention to their bodies. Please understand that it’s natural for your tween to be curious about his/her body’s new changes and how food affects those changes. And it’s most important for you to know that this is a crucial time for us, as parents, to watch our words and to keep our eyes pried wide open for the little (sometimes almost microscopic) clues our kids may be displaying. A particularly vital task at hand is helping our boys understand how food helps their bodies and that the changes to their tummies, their voices, and their broadness are all normal and need to be balanced with the consumption of healthy foods and fun physical activities…but most definitely not controlled!

 

Elyse Falk is a registered dietitian who specializes with clients who have disordered eating/eating disorders and practices in Northern Westchester and can be reached at ebfalkrd@gmail.com.

Guest Blog: Elyse Falk

Hi, I’m Elyse Falk and I am a registered dietitian in Westchester, NY and a mom of 3 wonderful, energetic boys, ages 11, 8, and 4. I initially decided to become an RD because I love good food—you know, the kind that makes your body healthy and strong—and immediately knew I wanted to raise a family that would grow up appreciating good, wholesome food as much as I do.

Through my education as well as my professional and personal experiences, I have learned that both parents and their children must play active roles in cultivating a healthy relationship with food.
As a parent, I am responsible for determining the types of food that are in the home and preparing these ingredients in a way that my family will actually eat and enjoy. In order to do this, I am always planning a day ahead and thinking about how to serve meals that include at least 3 to 4 food groups. Looking at my childrens’ diets as a whole, I ask myself: Did they get their fruits and vegetables for the day? What about lean proteins and low-fat dairy?

But it’s not just about what they eat; I am also in charge of structuring their meals and snacks throughout the day, deciphering how they eat too. My ultimate parental role is to educate my children so that they understand the difference between when to eat foods that “do good things” for the body versus when to eat “sometimes foods,” otherwise defined as those products or ingredients that don’t offer much nutrition for the body.   
Something I’ve discovered is that “sometimes foods,” like cookies (my boys love chocolate chip cookies), don’t necessarily need their own place and time. Instead, I find that they should be neutralized in order to eliminate the notion of treats. If they ask for cookies, for example, I allow my boys to eat them with their dinner, a decision which neutralizes dessert so that it is not necessarily the highlight of their evening intake. When I first started combining dinner and dessert, I was fascinated that my son actually went back and forth between eating his veggie burger and cookie at the same time, finishing both without an issue. This also proves how insignificant dessert really is to children; all they’re really hoping for is a “sometimes food” at some point during their meal.

All parents, myself included, need to serve as a role model for healthy eating. One way I accomplish this is by sitting down for meals with my children and showing them how I enjoy consuming delicious, wholesome food. As for the kids, at the end of the day, they are the ones who are in charge of how much food to eat and whether they want to eat certain kinds or not. While I encourage them to try new foods, I won’t ever push them to the point where it becomes an issue. (I do expect them to say, “no thank you” and “please,” though. Manners are important too.)

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As my boys get older, they seem to be developing more adventurous tendencies. If one tries a new food, the others seem to want a taste too. (This is incredibly funny to watch as an outsider.) As they’ve grown, I’ve also learned a thing or two about their eating habits. For instance, I don’t celebrate if one of them tries a new food, because as soon as they see my contentment, they’ll stop eating it (it has to do with control). I’ve also discovered that some days they can eat me under the table whereas other days they’re just not as hungry.

Being an RD and working with clients with disordered eating habits has made me particularly sensitive to the way my boys experience food at home. As a mother of 3, I know that food can be both necessary and fun, and yet I’m also aware that it can cause stress and concern at times too.
Laura, my friend and colleague for 10 years, has asked me to join her efforts on Mom Dishes It Out and to contribute my experiences and expertise to give her readers yet another perspective on finding joy and balance in moderate parenting and feeding. I am happy to be a part of this project and hope all the feeders and eaters out there know that it is a constant balancing act, but it is one that is worth every minute.

Raising Children With Different Nutrition Needs

By Laura Cipullo, RD, CDE with Elyse Falk, MS, RD

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A Real Mom’s Question

How should a parent handle instances when one child has a HUGE sweet tooth, and is underweight but the other kids in the same family are a normal weight or overweight?  For example, at dessert time, all the kids want ice cream – maybe one child shouldn’t have a ton and the other really could use it.  How does a parent deal with this situation in a way that doesn’t create food issues?

Two Real Moms’ Answers

Focus on Equality

First and foremost, everyone should be treated equally at the dinner table. In order to prevent any type of discord between the kids, you’re far better off teaching them the importance of nutrition and their health in a more neutral setting.

Regardless of weight, children need to focus on eating balanced meals and snacks. Sweets, like cake, cookies, and candy, are what we like to call “sometimes foods,” because they are foods that are okay to eat some of the time.

The child with the huge sweet tooth has to learn to eat an array of flavors – not just those made mostly of sugar – otherwise they may develop nutrient deficiencies or simply close their mind to the idea of fruits, vegetables, lean meats, nuts, eggs and low-fat dairy. Even an underweight child should not make sweets his or her primary source of nourishment. Instead, teach them to focus on increasing the amount of nutrient-dense foods they consume throughout the day. Young children need to learn to eat the kind of food that’s necessary for their bodies, and observe healthy role models who guide them, so that they can grow into confident eaters.

Reassess

Did your family’s pediatrician recommend that your child gain weight, or are you assuming this? Do your children’s height and weight fall into in the same percentiles on the growth chart? If so, it is probably safe to assume that both of your children are at appropriate weights. In general, the focus should not necessarily be on gaining weight. Instead, it should be on eating enough nutritious food on a daily basis. Consider seeking counseling with a registered dietitian.

If your child’s weight is truly beneath their height on the growth curve, your child has not grown in a year, or if a physician prescribed weight gain, then you’ll need to focus on increasing the quantity of food your child is consuming while simultaneously looking for ways to add nutrient-dense foods to their intake (this refers to a small serving of food that is high in calories). As Mommy Faulk reminds, children have smaller stomachs than adults and often can’t consume large amounts of food at a time. Because of this, they may need to eat smaller, nutrient-dense meals more often.

You may also want to ask yourself: Is my child a picky eater? Don’t forget that, just because school sets aside time for lunch doesn’t mean your child is eating. Perhaps something happened at school that is causing them not to eat, or maybe they don’t have enough time to eat. This may be the problem, especially if your child has lost a significant amount of weight in the past 2 months (>/= 2%) and could possibly put them at risk of developing an eating disorder. In other words, in order to remedy the situation, it’s essential to first determine why your child is not meeting their nutrition needs.

Quick Tips to Increase Intake Without Increasing Quantity

  • Add 1-2 tbsp of wheat germ to yogurt, meatloaf, cereal, muffins, etc.
  • Add an extra slice of cheese to their sandwich.
    • Add granola to low fat yogurt or allow them to eat it plain.
    • Put peanut butter on their muffin.
    • Make smoothies with protein powder and lots of berries.
    • Add a morning snack of raisins or nuts at around 10 a.m.
    • Provide a snack of crackers and a spread like hummus before bed.
    • Encourage healthy fats such as avocado, olives, olive oil, nuts, and nut butters.
    • Have all-natural nutrition bars and packaged low-fat milk available on the go.
    • Let them have a mini-meal when they get home from school, like a sandwich, grapes, low-fat cheese, hearty soup, homemade English muffin pizza, etc.
    • Add olive oil to whole-grain pasta and veggies; let child dip whole-grain bread into olive oil with their meal.

Behaviors to Implement

  • Talk to the school to help your child to remember to eat.
  • Help your child relax before meals and decrease anxiety to prevent emotional fullness.
  • Encourage your child to help choose the menu.
  • Do not discuss food issues and/or weight at the table.
  • Focus on your child’s behaviors around food and commend them for trying new foods or practicing self-care.
  • Make meals an enjoyable time so they are not rushing to finish and leave the table.
  • If the pediatrician is concerned, have them talk to the child with a parent in the room and explain why they need to get more nutrition.