Food Fights: A Pediatrician’s Attempt to Get her Kids to Eat Well

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Food Fights: A Pediatrician’s Attempt to Get her Kids to Eat Well

Food Fights: A Pediatrician’s Attempt to Get her Kids to Eat Well

I used to gloat that my four-year-old would eat salad, but now I have a three-year-old that refuses anything green and is seriously challenging my best pediatric dietary practices.  My four kids, now one, three, six and eight years old, have each presented their own dietary challenges.  Here are my tried-and-true tricks of the trade to get your kids to eat well.

Kids eat what you eat. 

Healthy kid’s diets start with healthy parent’s diets.  Parenting challenges us to become better people, even when it comes to our food.  You already know that you can’t eat treats in front of your kids without them asking for some.  Your long term dietary habits will become those of your children.  What are your dietary guilty pleasures?  Do you want your kids to share them?   If not, this may be your motivation to change.

Moms actually have higher body mass indexes and are more likely to drink sweetened drinks compared to women without children.  Why?  Because parenting is hard and moms need our pick-me-ups.  If you just can’t give up a personal treat, save it for when you are alone.  I have my stash of dark chocolate hidden on a top shelf in the kitchen.

Young kids will regulate their own calories

Most toddlers have a built-in dietary trick: they actually auto-regulate their own calories.  Toddlers will eat the same amount of calories each day whether those calories come from vegetables or cookies.  So, if a toddler eats one 100 calorie cookie after lunch, they will eat about 100 calories less for dinner.  Toddlers quickly learn to hold-out for their favorite foods, be it dessert, chicken nuggets, or macaroni and cheese, and they happily skip the vegetables. This is why toddlers are notoriously picky eaters.  It’s also why obesity is less common in this age group.

Armed with this knowledge I offered by picky three-year-old only oatmeal with fruit for breakfast and a healthy lunch and dinner that included vegetables.  He started eating two or even three helpings of oatmeal for breakfast and simply skipping lunch.  He’d skip dinner too if he talked someone into giving him a mid-afternoon snack, or if he got a free cookie from the grocery store or his sister’s soccer game.  Now he’s only permitted one serving of breakfast and we try to leave him home from events that include free treats.  Occasionally we give in.  Yesterday we took him to a business picnic and he had his fill of junk food.  He did start eating vegetables again about twenty-four hours later…

Exposure, Exposure, Exposure

Kids will eat almost anything if they are repeatedly exposed to it in a positive context. Let kids look at salad and green stuff on their plate every day.  Talk about how good you think it tastes.  Never force them to eat it.  Usually, I eat my salad and then eat half of what I put on my kids plates.  Eventually they will eat it, especially if they are not filling up on other calories.      

Don’t let your kids drink their calories

Sugary drinks are the fastest way to consume calories.  In just a few seconds a child can consume as many calories as a candy bar or fast-food hamburger.  Most parents are good about limiting soda, but sports drinks, lemonade, iced tea and juice can be just as bad.

The recommended serving size of juice in a toddler diet is four ounces per day, according to the American Academy of Pediatrics.  That is less that almost all juice boxes.  “Mots for Tots” is a juice box brand targeted towards toddlers that provides watered down apple juice such that one-serving per day is still within the recommended range.  But even when I bought these I found my kids just begged for me.  I recommend just cutting juice out of your regular diet.  In our house, juice is a special treat reserved for birthday parties and other special events.  What about vitamins?  If your kids eat fruits and vegetables they will get plenty.  If you are still worried about vitamins, try a kids multivitamin.

My salad-eating toddler became a school-aged child with an elevated BMI.  How?  He drank too much lemonade.  A few years ago he talked me into buying lemonade drink-mix so our family could have a lemonade stand.  They sold a few cups of lemonade and we spent a month using up the rest of the lemonade mix.  It turned into habit and lemonade became a regular part of his diet.  We limited quantities but our son started putting eight scoops of sugar-laden drink mix into six ounces of water.  We didn’t recognize the problem until a doctor’s visit revealed a BMI more than two standard-deviations above the norm…

Tune in next month for the conclusion of this article.

Please follow Dr. Kathleen on Twitter @CatholicDoc and “like” CatholicPediatrics on Facebook!

Copyright 2012 Kathleen Berchelmann, MD

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About Author

Kathleen M. Berchelmann, M.D., is a pediatrician at St. Louis Children’s Hospital and Assistant Professor of Pediatrics at Washington University School of Medicine. Kathleen is the co-founder and director of ChildrensMD, a blog written by five dynamic mom-pediatricians who share their true confessions of trying to apply science and medicine to motherhood. Kathleen and her husband are raising five children. Connect with her at KathleenBerchelmannMD.com. Dr. Berchelmann is a frequent contributor to health and parenting TV news segments including Fox New’s “Happening Now,” with Jenna Lee and Jon Scott, and St. Louis stations KTVI (Fox) and KSDK (NBC). On the radio, Kathleen has a weekly segment on EWTN’s Son Rise Morning Show with Brian Patrick. Her written work has been featured in print and online publications including the St. Louis Post-Dispatch, the Chicago Tribune, and TIME magazine. Prior to medical school, Dr. Berchelmann attended divinity school at Weston Jesuit School of Theology. Together with her husband Greg, she created CatholicPediatrics.org, which features a searchable directory of Catholic pediatricians. She is also a regular contributor to Aleteia as well as CatholicMom.com. Follow Dr. Kathleen Berchelmann on Facebook: ChildrensMomDocs, Twitter: @MomDocKathleen and connect with her on Google+ and LinkedIn.

5 Comments

  1. I love your article! I count my blessings that my two children (ages 6 and 3) love fruits and vegetables. And I’m always amazed when other parents are surprised. My husband and I set the bar high and love whole foods. Since both kids attend daycare or school 5 days a week and receive more than enough processed foods and refined sugar, we make a point to eat lots of fruits and vegetables at home. It works! The kids still get cookies and the occassional glass of lemonade, but when presented with veggies on their plates at dinner, they’re always the first to be eaten–often with requests for seconds. I encourage our friends to be persistent and not succumb to the mentality of “short order cook” hoping that one day their kids will love fruits and veggies just as much as our two.

  2. I second Esther’s love of this column. Dr. Kathleen, my teenage son has become an “intermittent” vegetarian – any thoughts on the health of this for growing teens?

  3. There is a small percentage of “picky eaters” who have medical reasons for doing so (e.g., GI problems, reflux, sensory problems, to name a few). I highly recommend the book Food Chaining about this topic (check it out on Amazon). It is a helpful book for those parents who have tried everything and their child eats maybe 10 or 20 foods, and omit entire food groups (e.g., vegetables, fruit, or meat). Feeding therapy can help. My son is receiving help for it now and is expanding his diet, but he still has a long ways to go. Keeping food fun, mealtimes not stressful, and learning about new foods helps. Having a routine is good, too; we schedule snacks/meals about every 2.5-3 hours and only allow water in between. Otherwise, he doesn’t have much of an appetite at meal time. I second limiting juices to make a child’s body want the type of calories that are more important.

  4. One more thought: the cookbook Deceptively Delicious is a nice way to “squeeze” in vegetables into a family’s diet. The title indicates not telling your children what vegetables are in in a food, but I recommend telling them–but not until after they eat it and say “it’s good!” That way, they can learn that they do like squash, carrots, spinach, beets, etc. (at least, when it’s mixed with other ingredients).

  5. Apple may pretend to be unperturbed by such unofficial statistics, but the company cannot brush them off either. With Cook dismissing Scott Forstall, the executive in charge of iOS and bring the company’s hardware design chief, Jony Ive, to lead the human-interface team, it appears that Apple yearns for changes in the way iOS has been perceived by consumers over the years.

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