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Yoni Freedhoff M.D.

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Do You Know How to Feed Your Children?

Posted: 11/28/11 04:45 PM ET

And here I'm not talking about nutrition, I'm talking about how you actually feed them. What are your practices surrounding food? Do you have regular meal times? Do you use coercion to try to inspire vegetable consumption? Do you reward with treats?

Parental feeding practices have been the subject of a great deal of research, and this month, the American Journal of Clinical Nutrition published a handy summary of it all.

Here are the top 10 take home messages:


  1. Pressuring kids to eat fruits and vegetables and markedly limiting their access to sweets and fatty snacks, along with using food as a reward are all strongly linked with disinhibited children's eating patterns.

  2. The more inconsistent parents are with either eating schedules or serving healthy vs. unhealthy foods, the greater the negative impact of the parenting styles listed in the first point above.

  3. Having at least one parent at the family meal is associated with better consumption of fruit and vegetables, and a lower risk of skipping breakfast.

  4. Adopting a knee-jerk pattern of dietary restriction with an overweight child may drive that child to be more, not less, likely to overeat.

  5. The availability and exposure to foods at home most certainly affects children's long-term food selections and preferences.

  6. The earlier and more broadly a child is exposed to different foods, the healthier that child's eventual adult diet.

  7. The more fruits and vegetables available at home the more fruits and vegetables your kids will consume.

  8. The more fruit juice and breakfast bars available at home the less actual fruits and vegetables your kids will consume

  9. The greater the frequency of meals in front of the television and/or the lesser the frequency of family meals, and/or the greater the use of food as a reward, the higher your kids' intake of sugar sweetened beverages.


And number 10?

I'll quote directly from the paper, as it pretty much sums up everything else up:

"Children like what they know and eat what they like."

So to make sure your children know healthy, here are some straightforward prescriptions for healthy at-home eating:


  • Encourage a wide and varied healthy diet introducing new foods frequently and early.

  • Don't pressure your children to eat (one-bite rules are fine), or withhold dessert unless they eat their veggies.

  • Don't reward them with food.

  • Disband the "clean your plate" club.

  • Keep plenty of fruits and vegetables handy, accessible, visible, washed and prepared and literally smile at your kids when they eat them.

  • Sit at the table and eat with your kids.

  • Don't skip meals.

  • Dramatically minimize meals out and takeout.

  • Ensure that as many meals as possible a week involve the transformation of raw ingredients (not mixing boxes).

  • Involve your kids in cooking.


Or put even more simply?

Live the lives you want your children to live.

Dr. Yoni Freedhoff, MD is known as a "nutritional watchdog" for his advocacy efforts for improved public policies regarding nutrition and obesity. He is the founder and Medical Director of the Bariatric Medical Institute, dedicated to the (nonsurgical) treatment of overweight and obesity since 2004, and his personal website, Weighty Matters, is ranked among the world's top health blogs.

 

Follow Yoni Freedhoff M.D. on Twitter: www.twitter.com/yonifreedhoff

And here I'm not talking about nutrition, I'm talking about how you actually feed them. What are your practices surrounding food? Do you have regular meal times? Do you use coercion to try to inspi...
And here I'm not talking about nutrition, I'm talking about how you actually feed them. What are your practices surrounding food? Do you have regular meal times? Do you use coercion to try to inspi...
 
 
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02:17 AM on 11/30/2011
Such a great post. I really appreciate the attention to 'how' we feed our kids in addition to 'what.' When our son was 2, he refused to eat anything green, yet I continued to plate it for him. I would encourage him to "just lick it" which he thought was funny, but I never pressured him to eat it when he clearly refused. Now (he's 4), he's a fruit and veggie eating machine.
04:40 PM on 11/29/2011
i have a 22 mo old at home, who used to eat anything we gave her including a few veggies and now won't eat much of anything. Im looking into supplementing with pediasure shakes. What suggestions can you make for me that will increase her food intake and reduce the "No's" i receive on a daily basis?
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YoniFreedhoff
Obesity med. doc, blogger, author, speaker, dad.
09:19 PM on 11/29/2011
Best advice I can give you is not to worry. Try, try, try again and then try, try, try again. Continual efforts at trying to reintroduce new foods, ensuring everyone else at the table is eating them as well, as noted in the post (and this has been proven clinically) flashing huge smiles when foods are tried will help.

Most importantly though, remember, emotionally well adjusted children won't starve themselves. While you'll have weeks where it may seem like your child isn't eating a thing, there'll be other weeks where they're bottomless pits. It's the nature of childhood, and so long as they're reaching their developmental milestones, is something that time will certainly take care of.
10:20 AM on 11/29/2011
I agree 100% percent. Parents need to actually BE parents and make unpopular decisions.
Carol Cottrill, CNC
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06:22 PM on 11/28/2011
So much of this seems like common sense, yet it never ceases to amaze me how many kids eat a bag of cookies for breakfast.