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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
3 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Choose My Plate
4 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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
5 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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)
6 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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
7 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Foods come in a variety of colors
8 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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.
9 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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
10 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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
11 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Division of Responsibility
Parents decide: – What, When, and Where to eat
Child decides: – Whether hungry, How much to eat
12 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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
13 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Sweets
Natural preference for sugar
Limit / offer in moderation
Out of sight, out of mind Fruit can be a very satisfying dessert
14 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Junk food
High in fat, sodium and/or sugar Commercials promote them Eye level snack foods Kids meals Vending machines
15 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Food allergies
Common allergies:
Cow’s milk Soy
Fish or shellfish Wheat
Egg whites Corn
Strawberries Citrus
Peanuts or tree Tomatoes nuts
16 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Food allergies
How to check – One at a time
Symptoms – Diarrhea – Vomiting – Skin Rash – Hives – Breathing problems
17 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Choking
No “eating on the run”
Choking Culprits Hot dogs Carrots Hard Candy Celery Grapes Whole nuts Meat Sticks Cherries Beans Popcorn Peanut Butter
18 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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)
19 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Active play
At least 60 minutes everyday
Fitness = Fun
20 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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
21 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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.”
22 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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.
23 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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.
24 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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
25 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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!
26 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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
27 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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
28 November 14, 2016 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
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