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updated 24 Dec 2010, 16:12
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Tue, Aug 10, 2010
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So picky

MUM, I’m not going to eat that! How many times have you heard that sentence when you put something new in front of your child during mealtimes?

Many children go through phases in their lives where they refuse to eat certain foods, sometimes refusing to eat or drink anything at all. Although more common in younger children, it can actually occur at any age and is more of a child’s way of saying, “I’m growing up and that means I can choose what and when I want to eat!”

While some may just quietly refuse to eat their meals, some may throw tantrums or cry when forced to eat something that they do not want to. Mild picky eating is often stressful for parents, but is usually a phase that children outgrow without any serious nutritional, medical, or growth problems.

However, in some cases, extreme picky eating may lead to a very restricted diet, which can cause malnutrition and other problems related to it.

Indicators of picky eating

So, how do you know whether your child is a picky eater or not? Is he the type to eat only certain foods? Perhaps he stays away from leafy vegetables, which is quite common among many children. Selective eaters, also known as picky eaters, eat only food that they prefer. These children often have very few types of food that they like to eat. They may have a higher threshold to taste, and may have a preference for sweet or salty tastes.

Some may find certain food textures like soft and mushy ones unlikeable, or the food emits an unpleasant smell to them. Colours too, may be a factor for not eating a particular food.

Sometimes, worried parents may resort to forcing their children to eat the food, to ensure that they still get their nutrients and vitamins. The child‘s reactions towards the food – mainly due to psychological reasons or due to inability to tolerate texture or smell – usually are spitting, gagging, coughing, or perhaps choking on the food.

In some cases, it links back to the past where he may have undergone a traumatic experience with the food. With such a reaction, some children may further develop a fear of trying new foods and just stick to what they like or what they are used to eating.

However, we know that extremely picky habits result in not having a wholesome and balanced diet. As some of the foods ignored are from important food groups, this will affect the nutritional intake needed for development and health. If the picky habit is not curbed, it may lead to other health problems, such as weight loss, or social matters like avoiding birthday invitations.

Environment distraction

In picky eaters, even the environments in which they eat can sometimes become a priority. By understanding your child’s preferences, you can help choose the best times, places, and ways whereby you can introduce new foods with a higher chance of acceptance.

For example, some children may be more open to eating new foods at school or at other people’s houses, while others may be more comfortable eating at home. Some children can be really distracted with bright lights and loud noises while others prefer to be distracted by music or television shows whilst eating.

When you understand your child better, there are some ways in which you could help your child overcome his fears to try out new foods. Try these suggestions:

  • Never force your child to try new foods. Instead, introduce foods to him with gentle encouragement, allowing him to try on his own.

  • Try to serve new foods when your child is hungry. Hunger creates an appetite, and makes most foods taste good.

  • Prepare the foods differently. You could try your child’s preferred textures, flavours, patterns and colours, or serve the food together with his favourite foods.

  • Keep away potential distractions, such as switching off the television and music, no toys at the table, or anything that will take your child’s attention away from the food.

  • Be a role model for your child. They tend to follow by example, so this means that you too, will need to enjoy the food.

  • Offer small meals more frequently with healthy snacks in between to expose your child to a wider variety of food. This ensures a more balanced and complete diet.

These tips may not always work with all children. You need a flexible approach when dealing with a picky eater. You may even try out new ideas that would cater better to your child’s individual needs.

Coming to terms with your picky eater

There are some picky eaters who are just too reluctant to try new foods or to diverge from foods that they already like. Despite trying different ways to entice your child to eat, he or she may just refuse your advances, as some find it very difficult to accept new foods and need time to adjust. These children tend to get less nutritional benefits as their diet does not comprise all the food groups and is not balanced.

Many extremely picky eaters lack important vitamins and minerals crucial for development. Therefore, they may have specific nutrient insufficiencies due to this lack of proper and complete nutrition. For example, toddlers aged one to three years require 25% to 35% of their energy from fats, and about 10% of these fats should be essential polyunsaturated fatty acids.

Ensuring that your extreme picky eater gets all the nutritional benefits from his diet may prove to be stressful. In order to avoid any future medical problems such as nutritional deficiencies, severe dental decay, dehydration, constipation and other growth problems, it may help to provide your child with some nutritional support. This will ensure your child gets all the nutrients he/she needs for growth and development despite having a very selective diet.

Giving nutritional support

It is important to provide the right type of nutritional support for your child, so that the child meets the requirements for good development. Generally, there are two types of supplementation.

Vitamin/mineral supplementation

Having a child who refuses to eat particular foods may lead to a lack of certain nutrients in your child’s diet. For example, a child who refuses to eat red meat or liver over a long period of time will be deprived of sufficient amounts of iron. This can be made up for by providing a supplementation that focuses on one particular nutrient at a time, such as iron, vitamin A, vitamin D or even zinc and calcium.

The correct nutrient supplementation is required to fulfil his particular nutritional needs. Hence, before giving your child a specific vitamin or mineral supplement, you should consult with your child’s paediatrician. Otherwise, a general supplement would be safer.

Complete nutritional supplementation

This type of supplementation is often used for extreme picky eaters who frequently refuse to eat most foods, resulting in them missing out on many nutrients. Complete nutritional supplementation contains all the macro- and micronutrients such as calcium, iron, protein, fat and other vitamins in the correct composition needed for children. It therefore gives your child all the necessary nutrients required for proper growth and development, preventing developmental problems that may arise from malnutrition.

As always, it is important to get your doctor’s approval before giving any supplements to your child. Not all children have the same nutritional needs and the correct composition of nutrients is required to fulfil each child’s needs.

Switch to supplements only as a last resort or as a complement to his diet. Make sure that your child is not fully dependant upon these supplements and continues to eat a much varied and healthy diet.

Parents play a huge role in a child’s health and well-being. Children are what they eat. What and how you eat too, is important, as you set the example.

But ensuring that your child gets all the nutrients he needs for growing may at times be difficult. The key to overcoming this is to be patient and to never give up. There’s no assurance that your child will take a liking to the food in a week, a month or even in half a year. However, remember that children will usually outgrow their picky eating habits. Persistence will eventually reap rewards.

 

This article is courtesy of Positive Parenting Nutrition Programme by Malaysian Paediatric Association in collaboration with Nutrition Society of Malaysia, and supported by an educational grant from Abbott Nutrition International. For more information, please visit www.mypositiveparenting.org. The information provided is for educational and communication purposes only and it should not be construed as personal medical advice. Information published in this article is not intended to replace, supplant or augment a consultation with a health professional regarding the reader’s own medical care. The Star does not give any warranty on accuracy, completeness, functionality, usefulness or other assurances as to the content appearing in this column. The Star disclaims all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.

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