Picky eaters


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Picky eaters

  1. 1. • • • • Healthy Eaters No h/o Food Intolerance Normal Weight and Height No parental concern about child’s eating No psychological and behavioural factors
  2. 2. Eating Problems • • • Food refusal Poor appetite Inappropriate food for age • Extreme or very limited food choices • Poor table behaviour
  3. 3. Picky Eaters •• •• •• Some have past h/o. organic difficulties Some have past h/o. organic difficulties Have psychological based feeding problem Have psychological based feeding problem Failure to Thrive Failure to Thrive
  4. 4. You know! My son hardly takes four gulps at lunch. Picky Eaters Oh! My son Eats only two gulps.
  5. 5. Eating Problems • Failure to thrive • Developmentally delayed • Infantile anorexia • Picky eaters
  6. 6. Picky Eating Definition: Food refusal of the child for at least one month that may involve all or certain types of foods.
  7. 7. Doctor’s Role Solve our problem, Pl.
  8. 8. Picky Eaters • What was wrong? • Why were these kids such picky eaters?
  9. 9. Doctor’s Goals • Identification and management of eating problems in childhood. • Appropriate management strategy. • Provide opportunities for early detection. • For suggestions about prevention and treatment of eating problems.
  10. 10. NO NO NO NO NO ….if someone yells “no” daily at your dinner table, you’re not alone.
  11. 11. Why toddlers are picky Being a picky eater is part of what it means to be a toddler. (Between 1 and 3yrs). • After a year of rapid growth, toddlers gain weight more slowly. So,they need less food. • The fact that these little ones are always on the go also affects their eating patterns. They don't sit still for anything, even food. • Snacking their way through the day is more compatible with these busy explorers' lifestyle than sitting down to a full-fledged feast.
  12. 12. Battle for Control • Children fight with parents for control during mealtime • Conflict can develop around: – What the child will eat – How much they will eat – Where they will eat it. Parenting styles may interfere with self-regulation of children’s feeding behaviour.
  13. 13. If you don’t eat ….. .. I wo tal n’ yo k to t u! gi ve .. I you good ! g atin be .. I take you to Doctor and get you an Injection
  14. 14. Child’s Response Parental Response – Highly controlling – Laissez faire – Responsible
  15. 15. Medical Assessment • Clinical history: Exclude organic and severe psychological problems • Physical examination • Laboratory profile • Treat and monitor medical problems Often a combined medical and dietary approach to the management of constipation can be beneficial.
  16. 16. Treatment Options • Behavioural interventions • Mealtime suggestions • Oral supplements
  17. 17. Mealtime Suggestions for Parents • Make meals a pleasant family time • Eat as a family at the earliest age possible • Serve the nonpreferred or new foods -frequently encourage tasting new foods • “Neophobia” – Children are vary of new foods. • Familiarity promotes shifts in food preferences
  18. 18. Toddlers from one to three years need between 1,000 and 1,300 calories a day, yet they may not eat this amount every day. Toddlers like to binge on one food at a time. They may eat only fruits one day, and vegetables the next. Expect your child to eat well one day and eat practically nothing the next. Aim for a nutritionally-balanced week, not a balanced day.
  19. 19. Tactics for Parents To tempt little taste buds & minimize mealtime hassles.
  20. 20. 1. Offer a nibble tray Toddlers like to graze their way through a variety of foods, so why not offer them a customized smorgasbord? Use an ice-cube tray, a muffin tin, or a compartmentalized dish, and put bite-size portions of colorful and nutritious foods in each section. Call these finger foods playful names that a two-year-old can appreciate
  21. 21. 2. Dip it Young children think that immersing foods in a tasty dip is pure fun (and delightfully messy). Some possibilities to dip into: Cottage cheese, fruit juice-sweetened preserves, pureed fruits or vegetables, yogurt, plain or sweetened with juice concentrate.
  22. 22. 3. Spread it Toddlers like spreading, or more accurately, smearing. Show them how to use a table knife to spread cheese, peanut butter, and fruit concentrate onto crackers, toast, or rice cakes.
  23. 23. 4. Top it Toddlers are into toppings. Putting nutritious, familiar favorites on top of new and less-desirable foods is a way to broaden the finicky toddler's menu Favorite toppings are yogurt, cream cheese, melted cheese,tomato sauce, applesauce, and peanut butter.
  24. 24. 5. Drink it If your youngster would rather drink than eat, don't despair Make a smoothie – together. Milk and fruit – along with supplements such as juice, egg powder, wheat germ, yogurt, honey, and peanut butter – can be the basis of very healthy meals. So what if they are consumed through a straw? One note of caution: Avoid any drinks with raw eggs or you'll risk salmonella poisoning.
  25. 25. 6. Cut it up How much a child will eat often depends on how you cut it. Cut sandwiches, pancakes, waffles, and pizza into various shapes using cookie cutters.
  26. 26. 7. Package it Our kids enjoy the unexpected and fanciful when it comes to serving dishes – anything from plastic measuring cups to ice-cream cones.
  27. 27. 8. Become a veggie vendor "Doctor, he won't eat his vegetables" So if you aren't the proud parent of a veggie lover, try the following tricks •Plant a garden with your child. •Slip grated or diced vegetables into favorite foods •Use vegetables as finger foods and dip them in a favorite sauce or dip. •Concoct creative camouflages. •Cut the vegetables into interesting shapes (Make veggie art).
  28. 28. 9. Share it If your child is going through a picky-eater stage, invite over a friend who is the same age or slightly older whom you know “likes to eat.” Your child will catch on. Group feeding lets the other kids set the example.
  29. 29. 10. Respect tiny tummies Dole out small portions at first and refill the plate when your child asks for more. This less-is-more meal plan is not only more successful with picky eaters, it also has the added benefit of stabilizing blood-sugar levels, which in turn minimizes mood swings.
  30. 30. 11. Make it accessible Give your toddler shelf space. Reserve a low shelf in the refrigerator for a variety of your toddler's favorite (nutritious) foods and drinks. This tactic also enables children to eat when they are hungry, an important step in acquiring a healthy attitude about food.
  31. 31. 12. Use sit-still strategies One reason why toddlers don't like to sit still at the family table is that their feet dangle. Try sitting on a stool while eating. Children are likely to sit and eat longer at a child-size table and chair where their feet touch the ground.
  32. 32. 13. Turn meals upside down. The distinctions between breakfast, lunch, and dinner have little meaning to a child. If your youngster insists on eating pizza in the morning or fruit and cereal in the evening, go with it – better than her not eating at all. This is not to say that you should become a short-order cook, filling lots of special requests, but why not let your toddler set the menu sometimes?
  33. 33. 14. Let them cook. Let your child help prepare the food. Use cookie cutters to create edible designs out of foods. Give your assistant such jobs as tearing and washing lettuce, scrubbing potatoes, or stirring batter.
  34. 34. 15. Make every calorie count. Offer your child foods that pack lots of nutrition into small doses. Nutrient-dense foods that most children are willing to eat include: •Pasta,Brown rice and other grains, Potatoes,Cheese, Poultry, Eggs, Squash, Fish, Sweet potatoes, Kidney beans,Yogurt, etc.
  35. 35. 16. Count on inconsistency What and how much they are willing to eat may vary daily. Don't be surprised if •your child eats a heaping plateful of food one day and practically nothing the next, •adores spinach on Tuesday and refuses it on Thursday • wants to feed herself at one meal and be totally catered to at another. "The only thing consistent about toddler feeding is inconsistency."
  36. 36. 17. Relax "Try to make mealtime a really relaxed atmosphere talking about the day. Don't bribe and reward your child with things like 'eat your peas and you'll get your desert'. - Breton • • • • It's not easy to reason with an opinionated two-yearold. Better to learn to make the sandwich the child's way. Don't interpret this as being stubborn. Toddlers have a mindset about the order of things in their world. Any alternative is unacceptable. This is a passing stage.
  37. 37. Golden Rules No child has ever died of starvation when presented with an array of healthy food choices. Kids often simply don't want to be bothered with having to eat. For them, meal times often represent an unwelcome interruption in their playtime. When children are truly hungry, they will eat.
  38. 38. Golden Rules Enforcing meal times and/or requiring kids to eat a certain amount of food at mealtimes only serves to frustrate both child and adult, and can also lead to the development of life-long eating disorders. Children come to associate food with conflict, and may turn down an offering of their favorite foods just to avoid this situation • DON'T force kids to eat. Instead, offer children the opportunity to sample a variety of healthy food choices at all meal times. • Don't expect a complete turn-around over night. • Don't expect your kids to like every new recipe the first time they try it. • Don't give up!
  39. 39. Why Children Should Grow Healthy? • Child under-nutrition or failure off children to grow properly in early childhood ,, results in greatly increased child mortality.. • At more than 3000 infants a day,, the death toll from under-nutrition by far exceeds even the Tsunami or Bhuj.. • Those children that survive do so with a greatly reduced capacity to lead productive and healthy lives..
  40. 40. Causes of Infant Mortality Malnutrition 55% S I L E N T K I L L E R
  41. 41. Danger of Picky Eating • Prolonged eating problems can seriously affect a child’s growth and development Role of Oral Supplements
  42. 42. Role of Supplements For any child, it is important to get some food from each of the food pyramid groups every day. That's because, for the most part, nutrients aren't shared between them.
  43. 43. Pickiness is a Challenge Yes, but one that is worth meeting.