How to Encourage Healthy Eating Habits in Picky Toddlers - Pediatrics

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The child does not allow me to feed them?


Hello Dr.
Chang, my sister is currently one year and one month old.
At one year old, her height was 76 cm and her weight was 9.1 kg.
Recently, it seems she has lost some weight.
She was previously cared for by our grandparents, but we have had her back for over a month now.
We have continued the feeding method used by our grandparents: we have her stand at the living room table while I sit behind her, allowing her to play while I feed her.
We prepare different types of porridge every day, blending fish, meat, and vegetables into the porridge.
We feed her three times a day, with one bowl each time.
Before bed, we give her about 150 cc of milk.
During our meals, she also grabs a little food for herself.
However, in the past few days, when I try to feed her porridge, she often refuses to open her mouth or just keeps playing with her toys while holding the food, showing a lack of appetite.
She barely eats five bites in a meal.
She tries to grab utensils to feed herself, but when given the utensils, she just plays with them instead of eating.
While we eat, she shows interest in grabbing food from her plate, but after a few bites, she starts playing again and stops eating.
Since she is not drinking much milk either, we are very worried and almost in tears.
We hope Dr.
Chang can respond to us so that we can help our child eat normally.

Mrs. Hong, 20~29 year old female. Ask Date: 2004/07/30

Dr. Zhang Peixin reply Pediatrics


Hello: Please consult a physician nearby to rule out any diseases such as throat inflammation that may affect eating habits.
If it is confirmed that there is no illness, then it may be an issue related to growth and development.
You can seek advice from an experienced nutritionist to adjust dietary habits, ensuring that even if the quantity of food is small, the nutritional quality is adequate.
Sincerely, Dr.
Chang Pei-Hsin, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/07/30

More Info


Encouraging healthy eating habits in picky toddlers can be a challenging yet rewarding endeavor. It's essential to understand that toddlers are naturally curious and often more interested in exploring their environment than in eating. Here are some strategies to help foster healthy eating habits in your one-year-old niece:

1. Create a Positive Eating Environment
- Family Meals: Eating together as a family can create a positive atmosphere around mealtime. When toddlers see their family enjoying a variety of foods, they may be more inclined to try new things.

- Minimize Distractions: While it can be tempting to let toddlers play while eating, it’s better to minimize distractions. Try to have meals at the table without toys or screens to help them focus on eating.


2. Offer a Variety of Foods
- Colorful Plates: Present a variety of colorful fruits and vegetables. The visual appeal can entice toddlers to try new foods.

- Different Textures: Experiment with different textures and shapes. Some toddlers may prefer crunchy foods over soft ones, or vice versa.


3. Involve Them in Food Preparation
- Let Them Help: Involve your niece in simple food preparation tasks. Even at a young age, toddlers can help wash vegetables or stir ingredients. This involvement can increase their interest in the food being prepared.


4. Encourage Self-Feeding
- Finger Foods: Provide healthy finger foods that are easy for her to grasp, such as small pieces of soft fruits, cooked vegetables, or small bits of cheese. This encourages independence and self-feeding.

- Child-Sized Utensils: Offer child-sized utensils that are easy for her to handle. Allow her to explore using them, even if it leads to more mess.


5. Be Patient and Persistent
- Repeated Exposure: It can take multiple exposures (sometimes 10-15 times) for a toddler to accept a new food. Keep offering the same foods without pressure.

- Avoid Force-Feeding: If she refuses to eat, avoid forcing her. This can create negative associations with mealtime. Instead, remain calm and offer the food again later.


6. Model Healthy Eating
- Eat Together: Show her that you enjoy eating a variety of foods. Children often mimic the behavior of adults, so if they see you eating vegetables and fruits, they may be more willing to try them.


7. Limit Milk Intake
- Balanced Diet: While milk is an important source of nutrition for toddlers, excessive consumption can lead to reduced appetite for solid foods. Ensure that her milk intake is balanced with her food intake.


8. Monitor Portion Sizes
- Small Portions: Offer small portions to avoid overwhelming her. If she finishes, you can always offer more. This can help her feel more in control of her eating.


9. Stay Calm and Positive
- Positive Reinforcement: Praise her for trying new foods, even if she only takes a small bite. Positive reinforcement can encourage her to keep trying.

- Avoid Stress: If mealtime becomes a source of stress, it can lead to further food aversion. Keep the atmosphere light and fun.


Conclusion
It's important to remember that picky eating is a common phase in toddler development. As long as she is growing and developing normally, occasional fluctuations in appetite are typical. If you continue to have concerns about her weight or eating habits, consulting a pediatrician or a registered dietitian can provide tailored guidance. By creating a positive, engaging, and pressure-free eating environment, you can help your niece develop healthy eating habits that will last a lifetime.

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