How To Get Picky Kids To Eat Healthy Foods by Liz McGowen, LCSW http://www.lizmcgowen.com Copyright 2009 All Rights Reserved You may email this to as many friends, colleagues, teachers and family as you wish – as long as this document is not altered in any way. No part of this document may be reproduced or copied without the author’s express written consent. How To Get Picky Kids To Eat Healthy Foods By Liz McGowen, LCSW http://www.lizmcgowen.com Table of Contents Introduction page 3 Chapter 1: Set the Stage page 4 Chapter 2: Nutrition page 8 Chapter 3: How to Get Picky Eaters to Actually Eat page 12 Chapter 4: What Not to Feed Your Child page 15 Chapter 5: Away from Home page 20 Conclusion page 24 How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 2 Introduction This book speaks to parents and caregivers who are struggling with the eating habits of children. Toddlers are notorious for being picky, for binge eating, and for mysterious changes in eating habits. Older children can be equally picky eaters, and may be solidly attached to awful eating habits. The information here is based on my many years of professional experience working day-by-day as a social worker (I am a licensed clinical social worker in Illinois). It is also based on my years of experience as a parent -- both working full-time and, later, staying-at-home. These are the strategies I have found that work for people of all income levels, in all environments. They are also the strategies that have worked with my own three daughters as they test my parenting skills every day. Please know that the information in this book is in no way medical advice or a substitute for any doctor's instructions. Your relationship with your child's pediatrician is of the utmost importance. I hope you will share the details with your pediatrician, and discuss with him/her any questions you have about parenting. At times your child might need special intervention. If you have a child with special needs, or if special circumstances arise, there may be medications, special nutrients, or procedures that are needed. This is all perfectly acceptable – thousands of parents need extra help every day. If you have not already done so, please find yourself not only a pediatrician but also a team of people whom you trust - and let them help you. I encourage you to keep asking questions, and keep looking for the methods that are the most natural and least intrusive in providing treatment. It's quite likely that you will need more information as you try to get your children to eat, and there are two books that I highly recommend. • • The first is Jessica Seinfeld's book, Deceptively Delicious: Simple Secrets to Get Your Kids Eating Good Food. The second is less well-known but has more info on nutrition: The Sneaky Chef: Simple Strategies for Hiding Healthy Foods in Kids' Favorite Meals. Both are excellent guides with lots of recipes. This one is my favorite. I wish you all the happiness that is possible. Parenting is both a joy and a struggle, but part of the struggle doesn’t have to revolve around what your child eats, as you will soon see. Before you put down this book, I encourage you to do two things: 1) 2) Pass it along to all your friends, family and neighbors who might find it helpful. Be sure to visit http://www.lizmcgowen.com and hang out. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 3 Chapter 1: Set the Stage Let me begin with a little story. I grew up in a very small town in Nebraska. When I was in about first grade, one of my closest friends was very sick and we learned that she had juvenile diabetes. I'll never forget her mom sitting down with me and explaining the situation. As she put it, my friend had been given a gift and it was something she could share with me. My friend needed to become healthy. She was going to make me and everyone else around her healthier. Part of the way we were going to do this was to only eat good foods when we were around her from then on. This little speech, and my friend's new habits, have stuck with me for the past 30 years. They had a profound impact on me. I hope these words will have an impact on you, too. You become what you think about, so you need to start thinking like this: Your child is a gift. From now on, your child is going to make you and everyone around you healthier. From now on your child is going to eat good, healthy foods, and so are you and your child's friends. If you follow this simple way of life, you, your child, and your community will be better off. In the following chapters I'm going to show you how to do this simply and easily, and how to handle any issues that arise along the way. Let's get started. Remember who's in charge Until your child is old enough to choose foods for himself – and to actually purchase groceries himself -- never forget that you are in charge. I hear from many parents who are concerned because their child refuses to eat healthy foods, refuses to eat meat, avoids veggies, etc. Yet, when I look at their shopping list and start asking questions about their habits, I find that other foods like chips, candy, and sugary cereal are readily available. In some households, finding healthy food is a challenge. If you want your child to eat healthier, you need to make the foods you want him to eat the most accessible. On the kitchen table and on the shelves, let him find apples, bananas, boxes of raisins, healthy crackers, whole-grain bread, and other snacks he can have. Let the refrigerator contain grapes, string cheese, yoghurt, carrots, milk, and other things that are ready-to-go. The boxes of sugary treats and salty snacks need to be stored out of sight and out of reach. Better yet, get rid of them altogether... or at least only give them once-every-so-often. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 4 Stand firm Once you've made the decision and taken charge, don't give in. You have taken an important step and one that will have lasting effects on your children and everyone around them. It is possible to make this change. I have done it, and have helped many families over the years make these changes. Within just a couple of days, you can see a substantial change in your child's eating habits if you simply stick with your decision. It is likely that your decision will meet some initial resistance. If that happens, be ready with patience and lots of extra hugs. Keep in mind that your child may be used to having lots of processed sugar, fat, and preservatives in his diet. Removing these substances can give your child withdrawal symptoms that can in some cases have physical effects (digestive changes, headaches, etc.). In just a few days these symptoms will disappear and you will have a completely different child. Keep in mind, too, that other adults or older children in your home may cause resistance. If you explain to them your goals (to feel better, eat healthier, and experience fewer health-related problems caused by foods) and ask for their support, you may get far. Having this support is quite likely to determine the success or failure of your efforts, so take time to make sure your housemates are on-board with your plans. If they will not outright support you, then ask them to at least not openly disagree. Once they see the results, it’s very likely they will join you. Although every day is a time for unconditional love with your child, you may find that a bit of extra attention is needed as you make these changes. Remember that you are not alone. Millions of people just like you are fighting to improve their children's eating habits. Hang in there, and before you know it you will see a difference. It's OK to be sneaky I'm going to come right out and say it: if you want your child to get more nutrients in her diet, sometimes you just have to be sneaky. There are some parents who won't like this. If you really think it will be helpful to let your child know exactly what is in his macaroni and cheese, go right ahead. For now, however, I strongly suggest you keep it to yourself. As your child grows older you will provide more choices, and you will provide the "real" foods, in terms of grown-up versions and portions of foods. My secret weapon: adding pureed fruit, veggies, or other nutrients to what kids already like. By using this technique, you can turn nearly every food into something containing some veggies, some fruit, or something else that is good. If you are a member of my mailing list, you will receive recipes that include creative ways to hide cauliflower, spinach, carrots, eggs, fish oil, and pretty much anything you like in your child's food. There are also instructions for making your own purees in case you have never done this before. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 5 Keep it simple Stop working so hard. You already know what foods your child likes. She doesn't need a sevencourse meal every night. If there is one food she will eat, start with that. If your child loves apples, let that become your "primary" food for now. Let everything relate to the apple. It can be dipped in yoghurt or peanut butter, or sprinkled with a little flax seed meal for protein (even a fussy eater will like this if you add some cinnamon and a bit of sugar, too). You can make another dip that contains veggies, or you could introduce another veggie and let your child dip. Or, let's say macaroni and cheese is the food your child loves. You can mix so many things with your regular mac-and-cheese mix. A little cauliflower puree, bean puree or mashed potato won't change the flavor (my kids actually like the version with cauliflower better than plain). You can use plain yoghurt instead of milk, and if you bake it you can sprinkle some breadcrumbs and flax seed on top. You can use whole-grain pasta... you are only limited by your imagination. Can you see where I'm going with this? You can create nearly anything, just using your child's favorite foods as a foundation. Extreme Eating Some kids go from one extreme to the next. One day you have the infant who will eat anything. The next day, nothing is acceptable. Once, on a grocery shopping trip with my sister-in-law, my two-year-old daughter literally went through the entire produce department of the unfamiliar store, pointed to everything, and loudly informed everyone "I don't like that". While this makes for a cute story when she is older, at the time it was horrifying. The child would literally eat only cereal and milk for weeks. As we discussed earlier, your child is under your control. There will, however, be days when you feel your child is in control. Don't give in. If you have set the stage properly, dig in your heels. If you have declared that there is no juice in your household, be prepared to be asked 20 million times for juice. There will be begging. There may be sit-ins and other protests. This will not last long. Once your child knows that it is useless to continue, he'll give up. After a few days, you may have an initial request for juice, followed by calm acceptance of milk or water as his options. After a few more days he will ask for milk or water instead. Trust me, you can do it. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 6 As we all know, there will be times when your child goes on a "binge diet". By this I mean he will seem to eat large quantities of exclusively one food. He will switch from macaroni-andcheese-only to cinnamon-toast-only to cereal-and-milk-only, and then... That's OK. Amazingly enough, he will not disintegrate on this strange diet. It is important that you do three things to maintain your sanity and his well-being. These are very simple. 1. Pick your battles. My advice is not to worry if your child goes on the cinnamon-toastonly diet. View it as simply a phase that will likely be over next week at the latest. Stock up on what you need, and move on. Don’t fight about it. 2. Make his choice as healthy as possible. Use every opportunity to slip some additional nutrients into what your child actually wants to eat. 3. Identify those items you just can't allow, and don't bend your rules (see Chapter 1). If you just can't tolerate sugary cereal, get rid of it. Offer other options and prepare for possible tantrums. It won't last long, and you will win. In the next chapter, we'll explore what your toddler needs to maintain a healthy diet. As you'll see, even the binge diet won't have too much of an adverse effect. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 7 Chapter 2: Nutrition Amazingly, your child’s nutritional needs are well within control even on a "binge" diet. As you'll see, with a little tweak here and there, you need not worry about your child's survival as she goes through her dietary exploration. Please keep in mind that your nutritional needs and your child’s nutritional needs are completely separate. Toddlers are tiny. A serving size must be tailored to weight, so if your toddler doesn't eat all her rice at dinner, consider that she may have eaten a few bites. This, in relation to her body weight, is a "full" serving for her. As children get older, they get nearer to needing to eat an adult-sized portion. Activity also plays a role, so an active nine-year-old may eat you out of house and home while a sedentary twelveyear-old may not eat as much. Knowing your child and her level of activity will help you judge how large a serving is normal. It's quite likely that you will need more information as you try to understand child nutrition. The Sneaky Chef: Simple Strategies for Hiding Healthy Foods in Kids' Favorite Meals is by far my favorite book on this subject. It has excellent information on nutrition, and on how to pair one food with another to get the maximum nutritional power. When to eat Your child (and you, too) should eat about every 3 hours. This doesn't mean you need a full meal every 3 hours. You need something that contains protein and some carbohydrate, which is a good balance for keeping blood sugar steady. A handful of crackers with a slice of turkey is fine. A few grapes and about 1/2 cup of milk works great. If you keep a steady stream of fuel going into your child, you will have fewer tantrums caused by hunger. This makes life much, much easier. The carbs-and-protein rule Too much sugar (or carbohydrates that quickly turn into sugar in the bloodstream) can make little monsters out of some children. It makes a monster out of me, too, and usually results in a headache. Anyone who has been exposed to diabetes knows the cardinal rule: always eat a protein with a carbohydrate. This rule applies to everyone, including kids. It must become something you follow. Thus every snack of an apple must contain a protein (some cheese, some peanut butter, some turkey, even milk -- something that contains protein). If you and your family are vegetarian or How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 8 are on a milk-restricted diet, you already know there are plenty of non-meat and non-dairy options. If you ignore this rule, you will pay the price and have a cranky, unhappy child on your hands. Protein To figure out how much protein your child should have every day, take her weight and divide by 3. So if your toddler weighs 24 pounds, 1/3 is 8. She needs at least that number of grams of protein every day. If she has more, which she will some days, that is fine. Eight grams of protein is not a lot. So if she has some milk, maybe some yoghurt, and an egg or peanut butter during the day, you're right in the ballpark. Obviously the older and larger the child, the more protein will be needed. This is a general guideline, not an absolute. If your child wants more protein, give it to her. As long as it's healthy and wholesome, go for it. On the other hand, if it's deep-fried chicken smothered in sugary sauce (like you'll find at many Asian fast food restaurants), your child is requesting more in spite of the protein. In this case, set a limit of a couple of pieces and stick to it! Fruits & veggies As far as fruits and veggies are concerned, my philosophy is all-you-can-eat. Most kids will eat strawberries, grapes, apples and other fruits. When they're finished, they just stop eating (or they start using them for entertainment and seeing how far they can spit them or whether the dog will eat them). Veggies can be a little more difficult, which is why I tend to puree many veggies and stick them into other foods that they like. A great way to get your kids to fill up on fruits and veggies is to offer them first. While you are preparing dinner, your kids are hungry, right? If they're like mine, they're trying to get into the refrigerator and asking every 30 seconds when dinner will be ready -- or attempting to climb the pantry shelves. This is when any bag of chips is a huge temptation. Grab some carrot sticks, grapes, or whatever you have on hand, and put these out for your kids to munch on. You'll notice this will dramatically reduce the tension. Although dips (such as salad dressing) are fun, your kids don't need these -- let them just eat the real food and enjoy it. Then go back to getting dinner ready. You'll be surprised how much of the fruits and veggies your kids will consume as an appetizer, and they might actually eat less of the higher-calorie foods that follow. I do this nearly every day, and now my kids actually look forward to eating these fresh fruits and veggies. What about the carbs-and-protein rule? Offer a glass of milk (or a milk-substitute if you limit dairy) along with the appetizer. You'll also be surprised how much your child may drink (which is good and a healthy way to fill up). How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 9 Grains Grains and cereals should be part of every meal. Whole grains are the best option, so try to find whole grain pasta, bread, and other items as you shop. Portion size is important when you deal with this category. As I said earlier, try to think of what your child needs in terms of her proportion to your size. If she is ¼ your size, then ¼ of the recommended portion listed on the package is about right. A few crackers, a small amount of cereal, a bit of rice, a slice of bread, a few spoonfuls of noodles... these are the portions your child needs. There are a growing number of people who have a condition called "celiac's disease", meaning their body cannot process gluten (gluten is an ingredient in most bread products). Basically, this inability to digest gluten means that products containing gluten (bread, noodles, and lots of products that are breaded) cause extreme stomach and intestinal irritation. If you believe this runs in your child's family, or if you notice your child having digestive problems, talk with your doctor and get help. Knowing that your child needs gluten-free products can be enormously beneficial in avoiding other problems down the line. Dairy If your child can consume dairy products (there are many people who are lactose intolerant) try to get as much into him as you can. Milk, low-fat ice cream, cheese, yoghurt -- all are great sources of calcium, protein, and other nutrients. Some children just don't like milk (my oldest daughter has never liked drinking milk). You can overcome this quite easily without resorting to chocolate milk (delicious as a special treat, but too sugary). If this sounds like your child: • • • • There are many recipes that call for milk, cheese, and other dairy. Use these to your advantage, offering one at each meal if you can. Ice cream is another good option, and a good low-fat ice cream is almost always offered as a dessert in our house. Yoghurt, fruit smoothies made with dairy products, and homemade popsicles are other good options. If your child doesn't like milk, it could be that your child's dislike of milk is his natural way to avoid something that hurts him. If you suspect that dairy products are causing digestive problems (or if there is a history of this in your family), check with your pediatrician. Try a week of replacing dairy products with soy-based products, and see if there is improvement. Drinks Perhaps no one ever told you this, but babies don't need water. Milk contains everything they need. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 10 Children certainly shouldn’t drink soda on a regular basis, nor do they need to drink juice. In fact, they don't need anything other than milk and water. There are a number of reasons for this: • • • • • Juice (even in its purest forms) contains a lot of easy-to-digest sugar, meaning it goes right into the bloodstream. With a real piece of fruit, small pieces go into the body, get broken down, and then the sugar is distributed more gradually. Juice is fruit stripped of its fiber. That means when you eat an apple, you not only get the nutrients of the apple but you get the fiber. This is good for your body. With juice, you get no fiber. Because of the way juice is consumed (via a cup) it goes right onto the teeth. And it sits there causing tooth decay. Again, eating a real piece of fruit offers chewing opportunities with less sugar staying in the mouth to rot teeth. Many brands of juice contain lots of added sugar. Even the brands you might think of as very wholesome may not pass the test when you read the label. Containers also cause concern. The plastics used to line juice boxes, pouches and bottles are processed with chemicals. I prefer to avoid exposure to chemicals as much as possible. So, instead of juice, give your kid fruit. It's much better for her body to process, and eating a piece of fruit is much more interactive -- with lots of colors, textures, cool sounds (like crunching) and tastes to explore. OK, that's it for my sermon on nutrition. Let's move on to the most crucial element -- how to get all those nutrients into your child! How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 11 Chapter 3: How to Get Picky Eaters to Actually Eat Eating, much like everything else in a child’s life, is an experience. Most of the fun is how the food gets there. If your child gets stubborn and won't eat, here are some things to try: The "mooch method" Have you ever noticed that the food on your child’s plate goes untouched... but the food on your plate is like gold? If this is the case, go with it. Try a more communal-style of eating, where there's a big bowl of fruit or a veggie tray for everyone to eat from. Or, if you are comfortable with this, go ahead and let your child pick what he wants off from your plate. As you know from breaking up fights caused by not sharing, the concepts of ownership and privacy don't apply in the child world. You have plenty of time to teach your child to dine with the Queen of England. For now, get him accustomed to eating good things. Allowing the "mooch" method for now can alleviate a lot of frustration. Stop forcing it If you're trying to get your child to eat foods that are better for him, make the change gradually. Provide some old foods that he likes, and introduce the new foods as you can. If there are new foods that he doesn't like, reintroduce them in a few months and see what happens. Be completely sneaky if you have to If your child insists on eating only Frosted Flakes but you don't want him to, you could just stop buying Frosted Flakes. But let's say that breakfast cereal plays a big role in your morning routine, and having a temper tantrum over the issue just isn't something you want every morning for the next week. There's nothing wrong with being sneaky. Just switch what's inside the box. Find a cereal that has lower sugar content that you can live with, and make the switch. One of two things will happen: He will like the new cereal and continue to eat it, or he will decide that he doesn't like Frosted Flakes as much as he thought and will request something else. Either way, you win. Take your child to a salad bar Have you been frustrated when cleaning out the fridge as you throw away the fruits and veggies that you wanted your kids to try? Or have you ever watched your child order a new food at a restaurant, knowing she'll hate it (while you know you'll hate paying for the uneaten food even more)? How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 12 Instead of trying new foods after buying large portions, go through the salad bar and get a few samples. If your child wants more now, you have an ample supply right at the salad bar. If something receives a good reception, then you know it's safe to go ahead and buy more the next time you shop. This is also a wonderful alternative to restaurant food on a night you don't want to cook. Go through a salad bar or a buffet bar and make a little feast. It's much better than lots of fried foods, and it won't be any more costly. Eat better yourself I'm going to be quite honest: I think what some parents do is unfair. They have a cheeseburger and fries or go through the drive-thru for tacos, but expect their kids to eat their veggies. If you're not going to take the time to eat what's good for you, why should your kids? If you follow the mooch method, if something is on your plate then that food just became the most appealing food in the world for your child. So, eat better yourself and see whether your child will follow. Let your child participate If your child isn't eating, maybe he's ready to do more himself. Show him how to make his own sandwich. Then it becomes delicious. Let him help prepare dinner. My mom started me off by putting me in charge of the salad, and I do the same with my kids. Let them pick out what will be in the salad, wash, chop, mix, and get everything ready. Once it’s on the table they will definitely eat it. Do be sure, if your kids are often in the kitchen with you, that you keep your little food secrets to yourself if they will cause a mutiny. You may not want them to see what you add to the scrambled eggs, but you can always send them on a quick errand while you do it! Vitamins and nutritional supplements I recommend that you speak with your pediatrician about vitamins – particularly if you are concerned about how much nutrition your child is getting every day. There are many excellent supplements out there, but it's my policy not to try to encourage you to buy something without your pediatrician's input. Personally, we're a "Flinstone's Chewables" family. Something that I will highly recommend to you, however, is fish oil. Cod liver oil, in particular, is something I give my kids at every opportunity. I take it myself, too, and have since I was a kid. Yes, it's yucky, but the rewards are worth it. There are two forms of cod liver oil -- capsules and liquid. The liquid can be plain or flavored (usually with lemon). I simply put a few drops of the liquid into other foods my kids will eat. This works out fine with smoothies (the lemon flavored cod liver oil even adds something my How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 13 kids like), soup, macaroni and cheese... pretty much anything that you can mix and that has a strong flavor of its own. I encourage you to experiment. Just be careful and put only a few drops in. If you put in too much it will taste fishy. Many people swear by other types of fish oils, with shark oil seeming to come out the winner according to what I've read and what my friends have told me. While this is great, my goal here is trying to give you options that are reasonable and fairly inexpensive. Shark oil is extremely expensive ($30+ per bottle) and hard to find, whereas cod liver oil is inexpensive and available at most pharmacies and health food stores. I'd suggest starting with the cod liver oil and, if you use it and like it, consider making the more expensive purchase after you've already used a bottle of cod liver oil. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 14 Chapter 4: What Not to Feed Your Child There are certain foods that you should eliminate if you also wish to avoid behavior problems. In this chapter you'll find my basic suggestions on what not to feed your child (or anyone, for that matter). This is heavily based on my own experience with raising three girls, as well as information I have researched and the advice of family and friends. The relationship between food sensitivity and behavior Each child has her own internal program, including the foods that are her "triggers". These foods can be a significant contributor to behaviors that make life more difficult for your child. Closely related to food allergies, food sensitivity triggers a physical reaction. That reaction, and its severity, is different for each child depending on her physical makeup, the overall environment, and the concentration of the "trigger" food. In her work on food allergies, Dr. Doris Rapp (www.drrapp.com) describes each child as an empty cup. Each child's natural sensitivity to chemicals fills the cup to an unique level to start. The allergens and "triggers" in the child's environment (such as chemicals and toxins in cleaning products, fragrances in laundry detergent, substances in toiletries, etc.) then contribute to filling the cup a little more. The foods the child eats (and the chemicals within these foods) tops off the cup. If the child is already very sensitive to certain foods, lives in an environment with many toxins, and/or eats lots of "trigger" foods, the cup overflows. The overflow is the tantrum, or the other unwanted behavior. This is real I have to admit that once upon a time I paid little attention to my kids' diet. Our whole family ate pretty much what we wanted - a diet heavy on convenience foods partly because that's what we felt we should eat and that’s what we felt we had time to prepare. Then, when my middle daughter was about 18 months old, I began to notice that my lovely, even-keeled child suddenly turned into an unstoppable jumping bean who screamed for no apparent reason. Unlike her older sister, this child could literally change from calm and cool one moment to biting me the next. I began to notice that these episodes happened after she had eaten, and that some days she was fine but others she was terrible. One night while putting her to bed, she literally couldn't stop her arms and legs from moving. She was so tired and wanted so much to go to sleep, and eventually collapsed after about an hour of struggle. Another time my lovely girl went to the park, had a chocolate donut with sprinkles, and went crazy... she had to be hauled from the park kicking and screaming. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 15 Eventually I found by eliminating certain preservatives from her diet, I can drastically limit the number of episodes (aka, tantrums) she has. The same is true of my other kids, who have fewer headaches, mood swings, and sleep problems. I've gone through so much to find this out, and the many of the other parents I know whose children have food sensitivities have struggled even more. My hope is that I can help you understand the impact food has on our toddlers, and what you can do about it. How to control the ingredients in your child's diet The lesson I learned from all this: read food labels. My own simple rule is if you don't understand what's on the label, don't buy it. This will probably, at first, be a major undertaking for you. You'll be surprised how many foods are not what they seem. Here’s an experiment for you. When you shop this week at your usual store, see if you can not buy things that have additives, preservatives or dyes. Take a look at what's already on your shelves, and set aside those that contain ingredients discussed here. You can very likely find alternatives made from natural ingredients or simply stop eating that food. What Not to Buy I've found it easiest to include the names of the ingredients I don't want right on my shopping list (I use a wordprocessing template since I frequently buy the same things from week to week). That way if I hand off the list to my husband at the last minute, I can be assured that he knows what to avoid. You could do months of research on the topic of what foods you should not eat, but I’ve boiled this down into the most important key areas to avoid: Preservatives, artificial colors, and artificial flavorings. Here are the details. Preservatives These ingredients are listed on the labels of foods, often farther down in the list with the "contains less than 2%" items. I recommend that you try to not bring home foods with the following preservatives: • • • • • • Sodium benzoate Calcium propionate (common in bread) TBHQ BHA BHT MSG How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 16 Artificial Colors You will find "red dye" and "yellow dye" ingredients listed on food labels. They might be listed as "Yellow No. 5" or as "FD&C #5". These products are made from crude oil (aka, petroleum, the source for gasoline), and are not good for your system. Annatto is a common natural food color, derived from plants. There are many reports of this, although natural ingredient, causing behavior problems. If possible, you may also wish to add this to your list of "don't buy". It's often found in cheese and yellow-colored foods like crackers. Artificial Flavorings In today's highly processed foods, chemicals create the flavors. If possible, it is wise to avoid these as much as possible. In particular, beware of a vanilla-flavored chemical that is used in a wide variety of desserts called "vanillin". It is a waste product that you just don't need. What to Buy Meat Meat should be meat. If the label says it contains things you can't identify - and you'll be surprised how many meats have juices, flavorings and preservatives added to them - then leave it alone. This can make buying some things, like hot dogs, very difficult. I recommend the following: • • • If you can, just buy something else. If you really must have hot dogs, buy them at an organic store where you feel confident that the product is safe. Another option that I sometimes use is to buy meat that is kosher or halal (fortunately I live in an area where these meats are an option). These meats are processed under strict guidelines because of the religious views of their intended consumers and, as a result, I feel more comfortable that the processing is clean and safe and that they are free from unnecessary ingredients. I'm very careful about the meat I allow my children to eat, because of my own ethical and safety concerns. You'll hear my complete diatribe on the subject in the next chapter... so let me move on for now. Produce It's my opinion that a vegetable should be a vegetable. Fruit should be fruit. If you buy foods that have already been processed (such as carrots, apples, etc.) be sure to read the label and make sure there aren't hidden ingredients. You may be very surprised. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 17 Seasonings and condiments Salt, pepper, flour and butter are fine -- as long as they are real. Read the labels of other items you might use as substitutes and sort out those containing preservatives, added colors and added flavors. You may find the salt mix, the spreadable margarine, or the pancake mix has some "not to buy" ingredients on your list. Condiments -- ketchup, mustard, relish, barbecue sauce, salad dressing, etc. -- are an area to keep a close eye on. Be aware that ketchup can contain a whopping amount of sugar, as can the other condiments. Salad dressings are notorious for containing awful ingredients. I personally prefer to make my own salad dressings, and my kids like to experiment with the ingredients. Drinks I can't say this enough: milk and water are perfect beverages. Many juices have added colors -after all, bright orange or neon blue are not natural juice colors. If you can keep juice to a minimum, your kids will benefit. If you really believe that your child won't drink water (you'd be surprised, they actually will), squeeze some lemon, lime, or orange into it for flavor. Tastes great, and much better than juice. Shopping suggestions When you start to shop, focus on the areas around the edge of the store - where you'll find produce, dairy, and meat. You may need to detour down an aisle for pasta or rice, but try you'll find the middle aisles contain lots of processed foods. The Feingold Association offers an extremely helpful shopping guide. Their little book is very comprehensive, listing brand-name foods, frozen foods, and literally every type of food you might want or need. The ingredients have already been checked to see whether the food is "safe" and free from artificial ingredients. The guide is part of the membership fee (most recently it was $65 per year with other benefits), and is something you might want to consider. I have great respect for the Feingold Association and their mission. Although I disagree slightly with a few points, the organization does offer marvelous support and resources for children with behavior problems. You're a smart, competent parent so I know you can make the decision for yourself as to whether you need their guide. You can find more information at www.feingold.org. Treats There are treats you can buy that are made from real ingredients, or you can make things yourself. Certain brands of ice cream, chips, pretzels and other snacks are all-natural. Real chocolate and real vanilla are available (beware, the brand of chocolate chips you buy may contain "vanillin", a toxin). I often make up a big batch of cookie dough, put it in the refrigerator or freezer and bake up a few cookies as needed. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 18 Sugar Refined sugars can be a problem for some children. I suggest sticking to the absolute basics for a few days with no added sugar or sweets. Once you have gotten used to eating real foods, you can add some sugar or a natural sweetener (such as honey) in limited amounts and see what happens. If there is no change in your child's behavior, then sugar may be a "safe" food. Artificial sweeteners, in my opinion, fall within the "don't buy" foods list. These sweeteners are made with chemicals that simply don't need to be in the diet. If your child becomes hyperactive with sugar, try sweetening foods with fruits, sweet potatoes, raisins, honey, etc. If your child is sensitive to sugar, then I highly recommend you discuss this with your pediatrician at your next visit. If there is a family history of diabetes, you may wish to meet with a nutritionist and/or have extra testing done. You also need to pay close attention to the carbsand-protein rule so that your children don't get used to experiencing the "sugar roller coaster" in which they have big highs and lows in blood sugar levels. This is hard on their kidneys (and frequently comes with extreme mood swings). As I said earlier, your child might experience "sugar detox" if he is used to a diet with lots of sugar. He might be very grumpy, have more tantrums than usual, or experience other side effects. It will pass shortly, but be prepared to provide extra love and understanding. When needed, use my advice on temper tantrums found on this site. Before long, your child's whole personality may change as all the sugar leaves his system. Sample meal plan A very basic sample meal plan as you get started is this: • • • • • • Breakfast is toast with butter, peanut butter or cheese, and a glass of milk. Morning snack is some cheese, crackers, and milk. Lunch is a couple of turkey slices (all-natural lunchmeat or leftovers), bread and butter, a piece of fruit, and milk or water. For an afternoon snack, some fruit with yoghurt for dipping, and milk or water. Dinner is an "appetizer" of sliced apple and carrot slices, followed by meat (broiled and seasoned with salt and pepper), some bread and butter, a baked potato with salt and pepper, and milk or water. For dessert, some ice cream or yoghurt, with some milk before bed. You can easily branch out from here, using all natural real foods. I hope you'll try this for a few days (perhaps over a break from your normal work/daycare routine) and see if you notice a change. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 19 Chapter 5: Away from Home No parent can keep a child in a bubble. Going to restaurants, babysitters, and school are just part of everyday life. This chapter provides tips for helping you avoid problems when your child is out in the big world. Let others know what you want Remember, you are in charge. You need to talk with the others who share responsibility for your child's care, and let them know if you have changed your child's diet. After all, these changes may make their lives so much better since your toddler will be easier to be around! For example, if you believe that your child will no longer be as difficult to control if grandma doesn't give him the bright red juice, then talk to grandma about this. The benefit is that things become vastly easier for grandma because your child won't be misbehaving. You can point out to her the success you've had at home. Perhaps she's already noticed a change. Provide a different beverage for a week (such as milk), ask grandma to use only that beverage, and see what happens. Let her know of other changes you've made, and ask her to help. Believe me, I know how difficult this can be. When family members give your kids unlimited access to sugary cereal, Twinkies, and neon juice, it can make you crazy. There have been times when I've been accused of being the over-protective parent, the tree-hugger, or pretty much anything you can think of. But let them experience the on-the-floor-screaming-until-you-lose-your-voice tantrum that you know will happen, and suddenly you're not so crazy after all. Hmm. You'll be that overprotective tree-hugging mom who sure knows what she's doing! So have the conversation, and save your kids the tantrums. Not having to bring home a case of Twinkies will be worth it in the long run. Find out what's on the menu It's very important, particularly before your child is able to use words to express what he will or will not eat, that you remain well informed about the food being offered to your child. Obviously, providers need to be aware of any food allergies you know of. It is also very important that you let others know about ingredients you don't want your child to have. Be prepared to educate others about this -- including other parents and school personnel. Don't assume they also avoid these foods. It may be that they aren't aware of the harmful side effects. When one of my daughters was still in daycare, I noticed that she was having tantrums a few minutes after we started home, and they matched the pattern of one of her food reactions. By the time we'd reach our house, she would be in full-blown tantrum mode. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 20 Upon talking with my daycare provider, I learned that every day before pick-up, the kids had crackers and milk. She had recently bought a couple of boxes of crackers that were on sale, and together we read the label. These crackers (although almost exactly the same as the other brand she usually used) contained TBHQ (a preservative that caused lots of problems in my daughter's behavior). We switched brands, and the tantrums went away. If you are noticing crabbiness, tantrums, aggression, or other problematic behaviors, go back through your child’s day and find out what is happening. It could be that you pick him up just before the snack happens at daycare -- so he's hungry. Handing him a quick snack while you get his coat and shoes on (or delaying your pickup time by 15 minutes so he can eat snack at daycare) might eliminate 30 minutes of tantrum-time from your day. Or it could be that the snack contains something you believe is a "trigger" food -- so a 10 minute conversation with your babysitter could save you (and others) hours of frustration. Now that my girls are old enough to be in school, I always hand them a snack when I pick them up in the afternoon. It’s usually something fairly non-glamorous (like an apple), but it sure does make life easier. They munch away while we get into the car and drive home, and it’s just become part of our routine. Tips if you send food with your child If your child is in school I encourage you to keep a close watch on what your child is having to eat during the day. I prefer to send lunch so I can be in control of what my kids are eating. Keep in mind that your child only needs small portions. I find that smaller portions of a variety of foods is better for younger children, rather than a larger portion of just one or two foods. A typical lunch for my kids at preschool age was a bread-and-butter sandwich (for some reason they preferred to eat the fillings separately), a slice of turkey and a slice of cheese, a tiny box of raisins, a small apple, a handful of cheddar crackers, a bottle of water, and one small piece of real chocolate or a small cookie. As my kids got older, they became more involved in packing lunches. There is no reason why, with your supervision, your kids can’t get lunch ready for themselves by the time they are in second or third grade. Putting a sandwich, some yoghurt, a piece of fruit and a bottle of water into a lunchbox isn’t beyond their capability. Even salads or what seem like more complicated items are really quite manageable. I have found this also makes my kids more likely to eat their lunches. If my daughter is able to prepare even part of her lunch at home, she is more excited about it at lunchtime. Or, consider sending along things that are interactive for your child at lunchtime. A sandwich is even more fun if you get to put on the butter, the ham, the cheese, and eat it all yourself. The same goes for anything that can be dipped - like carrots in ranch dressing (a favorite even with my older kids). If you'd like more ideas for school lunches, there are more ideas in cookbooks at your local library and bookstores, as well as magazines, that can give you simple ideas that you can use or adapt to your children's tastes. My advice is to keep it very simple. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 21 Meat in school lunches Before leaving the subject, let me mention one of my personal concerns with school lunches: meat. If you have read the book Fast Food Nation you'll know exactly why I'm concerned. If you haven't read this book yet, run (don't walk) to your local library and get a copy. It will forever change the way you view meat. Let me just say that I am extremely careful about the kind of meat my family consumes. Although I can't afford to buy completely organic foods, I scrimp and save to be able to buy as much of my meat as I can from reputable, organic providers who can assure me of the food safety measures taken during slaughter and processing of their meat. During warmer months, I try to buy meat as often as possible from a provider at our local farmer's market who raises her own cattle and then has all the meat processed on Monday mornings (after the facility's cleaning on Sundays). As far as I'm concerned, the meat used in school lunches is questionable at best. My children are too valuable to eat something that may not be good for them, so I try to provide them with the best I can. I hope you will find this is true, too. For more information on school lunches (and a great look at how parents are taking on this issue), visit www.twoangrymoms.org or the work of "Renegade Lunch Lady" Chef Anne Cooper at www.lunchlessons.org. Tips for eating out When my oldest daughter was little, I discovered how awful eating out can be with a toddler. It's such a huge change from eating out as a couple - and many new parents may never have experienced this (and the frowns of waiters). Here are a few tips for handling eating out with a toddler (or a child who is difficult at meal time): • • • • Ask for what you need. Even the most upscale restaurants will, on request, be happy to make a child something special. If your child must have cinnamon toast today, then ask the waiter if that is possible. Most will have a fresh fruit cup that can be tailored to your needs if you ask. On the side... Ask for noodles to be served plain, with sauce on the side. Ask for salad to be served in the same way (or ask simply for a few cucumbers and tomatoes if you know that lettuce will elicit a loud "I don't like that"). Make the most of the salad bar or buffet. Kids absolutely love to see the way food is prepared and served, so lift your little one up if necessary. Remember that words to young children are new -- your toddler might not remember that spaghetti is something she likes but she might be able to point to it if she can see it! Allow "mooching". Instead of ordering your child his own meal, just ask for an extra plate and share. This is a wonderful opportunity to try new foods. If mom is having fish, dad is having a steak, and there are different kinds of side-orders, give your child a spoonful of everything and see what goes over best. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 22 • • • • Don't sit too long. If you want a quiet meal and a talk, get a babysitter. Any meal with a child younger than seven is going to be short and may require lots of entertainment. A trip to the restroom to wash hands while waiting for the meal to arrive, a walk over to look at a fish tank after your toddler has finished -- all can allow the others at the table (and nearby) to finish their meals without interruptions. Bring something to do. Although many restaurants commonly have kids' menus and crayons, don't bet on it. Bring along a little bag with a couple of crayons, a small notebook, a doll, or perhaps a small travel puzzle or game. These can all be fun ways to stay entertained (and to stay out of trouble). I keep a bag with "extras" in the trunk of the car - it has extra hats, sweaters, crayons and paper, and a few toys just in case plans change at the last minute. Bring wipes. Your child is likely to get messy. A little baggie with a couple of baby wipes may come in very, very handy. Never, ever, ever wear white. In fact, I always try to buy clothes with patterns and colors. A shirt with butterflies will camouflage a mashed potato stain much better than a plaincolored shirt. A special note on fast food restaurants Fast food is part of our culture. A trip to McDonald's or Pizza Hut is something all of our children enjoy, and we parents often enjoy a break from cooking, too. One of the appeals of many fast food restaurants is that they are kid-friendly. Some offer play areas, and you don't have to worry about your kids being themselves (a little messy, a little loud). While it's important to consider that the food at many fast food restaurants can be loaded with additives, preservatives, dyes, and processed sugar, most of the time you can find a reasonably healthy option or two. There is another factor about eating at fast food restaurants that I'd like to mention if you are trying to limit your child's exposure to chemicals. If you believe that your child might be chemically sensitive (e.g., he acts wild or aggressive after being in contact with cleaners, fragrances, or other toxins), be aware that the cleaning supplies used in the fast food environment may send your toddler over the edge. The disinfectants used to clean counters, tables, and other areas are very strong -- often stronger than the ones used in the home. The detergents used to clean the floors give off a strong odor that may be a problem. The fumes from the drive-thru window may come into the restaurant via doors or windows. The play area may get regularly hosed down with disinfectants. Whatever the case, be aware of the signs. When your child gets unusually wild in the outdoor playground that has been freshly sprayed down with detergents and that is next to the drive-thru, you'll know why. How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 23 Conclusion As parents, I know that we sometimes look at our children and think to ourselves, “Will it ever get better?” Whether you are dealing with health issues, behaviors, emotional difficulty or something else, eating better makes a huge difference. It just helps you and your child feel so much better. When I started this project to improve my children’s diets, I did so because they were suffering from headaches, temper tantrums and behavior problems. Today, so many years later, things are so much better. Sure, we have our ups and downs just like every family. But eliminating the unnecessary items like preservatives from my children’s foods makes them so much more even-tempered. Making sure they fill up first on things that are good for them helps all of us. Recently, my oldest daughter was over at a friends’ house for a play date. She and her friend decided to make up a batch of yoghurt smoothies for a snack. You know what she did, and what she told me later? She actually read all the labels on the items they included (just like she sees me do every day). Based on this, they decided to sweeten the smoothie with a low-sugar jam rather than sugar (something that is a brilliant idea). Years ago, I never thought I’d be able to say this. Based on my 9-year-old, who is taking responsibility for her food choices and choosing to eat wisely even around her friends, it already has gotten so much better. I wish you and your family all the health that is possible. You can do it. -Liz McGowen PS: If you enjoyed this book, I encourage you to do two things: 3) 4) Pass it along to all your friends, family and neighbors who might find it helpful. Be sure to visit lizmcgowen.com and subscribe to my blog. You’ll find lots of other fun things, and we can hang out. You might also enjoy the “Elephant Manifesto” and my e-course on toddler tantrums (both found there). How To Get Picky Kids To Eat Healthy Foods ©2009 www.lizmcgowen.com Page 24
© Copyright 2025