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Feeding your Young ChildNutrition Services

Nutrition Advice: (916) 614-4979 or email [email protected] (include Kaiser medical record #)

Health Education Department- Nutrition Services

mailto:[email protected]

How are things going with feeding your child? What would you like help with?

2 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

Agenda

How to feed children 2-6 years old

How to deal with common feeding challenges

How to help your child develop healthy eating habits for life

Resources


Choose My Plate


Serving sizes per day

Food Group 2-3 Years 4-6 Years Grains 4 oz 5 oz

Vegetables 1 ½ cups 2 cups Fruits 1 cup 1 ½ cups

Milk products 2 cups 2 cups Protein foods 2-4 oz 5 oz


Serving sizes per day- Example of 1 oz of grains

1 oz grains =

1 slice bread 1 cup ready-to-eat cereal (or serving size on box) ½ cup rice, pasta or cooked cereal (oatmeal) 1 corn tortilla (6” across) 3 cups plain, air-popped popcorn 5 whole wheat crackers (or serving size on box)


Serving sizes per day- Example of 1 oz of protein

1 oz protein = 1 oz fish, chicken, turkey, beef, pork 1 egg 2 egg whites or ¼ cup egg substitute 2 Tbsp peanut butter or other nut butter ¼ cup nuts or seeds ½ cup beans, lentils or tofu


Foods come in a variety of colors


1.

Dirty Dozen: buy these organic and local

Apples Celery Strawberries Peaches Spinach Nectarines

7. Grapes Sweet bell peppers Potatoes Blueberries Lettuce Kale/collard greens

2. 8. 3. 9. 4. 10. 5. 11. 6. 12.

The recipe for removing 98% of bacteria and pesticides is: Soak pr oduce in 3 parts w ater and 1 part vinegar for up to 5 minutes, scrub, rinse with fresh water, eat.


Portion sizes

Rule of Thumb – 1 tablespoon per year

Adult v. Toddler – 1/4-1/3 portion

Frequent Feeds – Every 2-3 hours – Child’s choice whether they eat


Advancing foods

Offer a wide variety of foods Limit milk to 2 cups per day Allow child to feed himself with child-size

utensils Keep mealtimes relaxing No bribing or forcing child to eat


Division of Responsibility

Parents decide: – What, When, and Where to eat

Child decides: – Whether hungry, How much to eat


Picky eaters

Offer one meal for the entire family but include a food your child will like Involve little kitchen helpers Be patient; offer a food over and over and in different ways As a parent, practice eating a variety of foods y ourself Don’t comment on someone’s pickiness, it may make it worse


Sweets

Natural preference for sugar

Limit / offer in moderation

Out of sight, out of mind Fruit can be a very satisfying dessert


Junk food

High in fat, sodium and/or sugar Commercials promote them Eye level snack foods Kids meals Vending machines


Food allergies

Common allergies:

Cow’s milk Soy

Fish or shellfish Wheat

Egg whites Corn

Strawberries Citrus

Peanuts or tree Tomatoes nuts


Food allergies

How to check – One at a time

Symptoms – Diarrhea – Vomiting – Skin Rash – Hives – Breathing problems


Choking

No “eating on the run”

Choking Culprits Hot dogs Carrots Hard Candy Celery Grapes Whole nuts Meat Sticks Cherries Beans Popcorn Peanut Butter


Preventing overweight

Limit juice (1/2 cup or less/day), soda, and fast food Offer water, nonfat or lowfat dairy, and plenty of fruits/veggies Don’t force child to “clean the plate” Eat at regular meal times as a family as often as possible Limit screen time to 1 hour/day (TV, videos, computers; not during meals/snacks, not in child’s bedroom)


Active play

At least 60 minutes everyday

Fitness = Fun


What can parents do to encourage activity?

Set a good example: try walking or exercising with your child. Let them see you being active. Plan active things to do as a family: a trip to the park, the pool, the local rec. center, a game of basketball– anything you all enjoy doing. Make being active a normal part of the day


How do I talk about weight with my child?

Explain to your child that people come in different shapes and sizes and that you love them whatever their size. Avoid saying “skinny,” “fat,” “obese” or teasing your child about her weight.

It is best to address eating and activity as a family issue, not as the child’s “problem.” There is no “good food” or “bad food.”


How can I help my child have a healthy bodyimage?

Avoid commenting excessively about weight: your child’s, your own, and other people’s. Do not allow anyone to tease or harass a child about his weight. Teach children to listen to their bodies: “eat when you’re hungry and stop when you’re full.” Teach children to question the images of “perfect” models and actresses.

Teach children to love and respect their bodies by taking good care of them.


What can parents do to encourage healthyeating?

At the store or farmers’ market, let your child help pick out new fruits and vegetables to try. Stock your house with plenty of healthy foods. Do not use food as a reward. Be a good role model.


Why are family meals so important?

Better nutrition: more fruits and vegetables, less fried food and soda Better behavior: do better in school, less likely to smoke, drink, or use drugs when older Better communication: a time to check in, improves values, bonding, and sense of security


4 Key Messages for All Families

Get moving

Aim for at least 60 minutes of activity a day. Escape the pull of the couch-get up and get moving.

Pull the plug

Limit screen time (TV, computers, and video games) to 1 hour a day. Move screens out of the bedroom.

Eat smart

Aim for 5 to 7 servings of fruits and vegetables a day. Fuel up with breakfast every day.

Drink well

Choose water or non-fat milk. Limit soda, sports drinks, juice, and sweetened drinks – one can is equal to drinking a candy bar!


Resources

Health Education Department- My Plate Books

– “Child of Mine, Feeding with Love and Good Sense,” Ellyn Satter, RD

– “Healthy Eating for Kids,” Jodie Shield, Mary

Catherine Mullen

– “How to Get Your Kid to Eat, But Not Too Much,” Ellyn Satter, RD

– “Love Me, Feed Me,” Katia Rowell, MD – “Secrets of Feeding a Healthy Family…,” Ellyn Satter,

RD – “400 Moms, Discover What 400 Nutrition Experts

Feed Their Kids”, Jill West, RD


Resources- Websites

Websites – Kaiser Permanente: www.kp.org – Kids Health: www.kidshealth.org – Children’s Nutrition Research Center Resources for

Parents: www.bcm.edu/cnrc/resources/general.html – Food Allergy Network: www.foodallergy.org – www.parenting.com, www.tinytummies.com – USDA: www.mypyramid.gov/preschoolers – www.weelicious.com,

www.wholesometoddlerfood.com


http:www.wholesometoddlerfood.comhttp:www.weelicious.comwww.mypyramid.gov/preschoolershttp:www.tinytummies.comhttp:www.parenting.comhttp:www.foodallergy.orgwww.bcm.edu/cnrc/resources/general.htmlhttp:www.kidshealth.orghttp:www.kp.org

Feeding your Young Child�Nutrition ServicesHow are things going with feeding your child? What would you like help with?AgendaChoose My PlateServing sizes per dayServing sizes per day- Example of 1 oz of grainsServing sizes per day- Example of 1 oz of proteinFoods come in a variety of colorsDirty Dozen: buy these organic and localPortion sizesAdvancing foodsDivision of ResponsibilityPicky eatersSweetsJunk foodFood allergiesFood allergiesChokingPreventing overweightActive playWhat can parents do to encourage activity?How do I talk about weight with my child?How can I help my child have a healthy body image?What can parents do to encourage healthy eating?Why are family meals so important?4 Key Messages for All FamiliesResourcesResources- Websites

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