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by Dina R. Rose, PhD

Entries in Infants (6)

Friday
Feb032012

Don't Baby Your Babies. Let Them Take Their Lumps.

Texture, or more accurately, the way toddlers respond to texture, is one of the potential pitfalls parents face when transitioning infants to solids.

But avoiding texture is the wrong way to go.

In my last post I discussed how the French have an advantage in the vegetable department because they introduce their infants to a wide range of vegetables from a very early age.

The French strategy—both introducing lots of different vegetables and switching up which vegetables are offered from day-to-day—exposes infants to a wide range of flavors.  Read Early Vegetable Variety: The French Advantage.

But the French strategy does more: It also exposes infants to a wide range of textures.

Variety—in both taste and texture— isn't just the spice of life; it's the key to teaching your tots to eat right.

The more varied textures you expose your infants to the better they’ll eat.

Taste and texture have a symbiotic relationship.

  • Flavor variety leads to texture acceptance.
  • Texture variety leads to flavor acceptance.  

Think of taste and texture like a food relay race: You need to optimize both racers in order to get to the finish line fast.

Make it your goal to vary the taste and texture of the food you provide as often as you can—both from day-to-day and over the course of a single day.

Here’s the study:

  • Take a bunch of 12-month-old babies.
  • Cook up some carrots so they’re nice and soft.
  • Puree some of the carrots.
  • Chop some of the carrots.
  • Dish up the carrots (pureed on one day, chopped on another).
  • See who eats what.
  • Figure out why.

Some of what the researchers discovered was pretty obvious:

  • All the babies ate more carrots when they were pureed than when they were chopped.
  • Babies who had more teeth were more willing to eat the chopped carrots.

These findings fall under the category of, "We needed researchers to tell us that?"

Some of what the researchers discovered wasn’t so obvious. 

 Look at who consumed more of the chopped carrots:

  • Infants who were accustomed to eating a wide variety of foods.
  • Children who started early with mashed foods, and who had frequent exposures to chopped versions of different foods.
  • Children whose main meal on the day of the study was either chopped or lumpy, as opposed to pureed.

The researchers concluded: The more familiar infants are with different textures, especially with chopped foods, the more likely they are to eat (and like) chopped carrots.

The researchers also concluded that:

"Infants with more experiences with different textures seem to be more confident in handling more complex textures and are less likely to reject these foods."

Many parents are reluctant to give their infants chopped foods because they worry about their children choking.

And that’s a reasonable concern.  You don't have to compromise your feeding goals, however, to keep your kids alive. You can serve mashed, chopped and lumpy foods safely.

In this study, the researchers thoroughly cooked both the pureed and the chopped carrots, and the chopped pieces were about ¼ inch in size. This complies with the American Academy of Pediatrics recommendation that to prevent choking parents leave bites no bigger than ½ inch in size. 

Other parents steer clear of challenging textures because their kids reject them.

But that's the wrong approach.  Repeatedly serving textures infants prefer reinforces their limited palates. It doesn't move them along.

Even if your child has a physical or development issue which makes tackling textures tough, you still have to introduce a variety of textures. Just see a professional. Read: What can you do about texture issues and My Child Only Eats Cheerios and Puffs: When to Seek Medical Help.

Kids who reject challenging textures need more exposure to them, not less, because they need to learn how to handle textures they find tough.

  • Make textural changes slowly.  Mix purees with mashes so they're half and half. Put teeny lumps into sauces. 
  • Serve small portion sizes so the challenge is doable.
  • Deliberately vary the textures you serve.  An easy way to do this is to vary the brands you buy (read How Brands Bite You in the Butt!) and vary the kinds of foods you serve (read Falafel for Breakfast).
  • If your child is having trouble, make smaller textural changes, but don't abandon your efforts.

The longer you wait to introduce lumpy, bumpy, and chopped up foods, the harder it becomes.

In another study, children who were introduced to lumpy foods before they were 6 months old:

  • Ate a wider variety of foods.
  • Moved on to family (or table) food more quickly.
  • Were less likely to be considered picky or difficult eaters.

The message is clear: stop babying your babies.

Instead, let them take their lumps.  It's only through exposure to textural variety that your kids will learn to eat a wide variety of foods. And that's the habit you want to teach your kids for a lifetime of healthy eating.

~Changing the conversation from nutrition to habits.~

=======================================

Sources:

Blossfield, I., A. Collins, M. Kiely, and C. Delahunty. 2007. “Texture Preferences of 12-Month-Old Infants and the Role of Early Experiences.” Food Quality and Preference 18: 396-404.

Northstone, K., P. Emmett, F. Nethersole, and A. L. S. P. A. C. S. Team. 2001. “The Effect of Age of Introduction to Lumpy Solids on Foods Eaten and Reported Feeding Difficulties At 6 and 15 Months.” Journal of Human Nutrition and Dietetics 14: 43-54.

Tuesday
Jan312012

Early Vegetable Variety: The French Advantage

The evidence keeps coming in: We should eat more like the French.

We should feed our infants their way do too.  

The French have figured out how to introduce their infants to vegetables in a way that works.  And their method doesn't just produce better vegetable eaters, their method produces better eaters. Period.

Remember all the hoopla over the book French Women Don't Get Fat? Well, excellent eating habits extend to French kids too.  Check out Karen Le Billon's French Kids School Lunch Project for a real eye-opener.  (I guess she's right, French Kids Eat Everything.)

What is the French secret?

The French introduce their infants to lots of different vegetables during the first month of weaning. And, they rotate through those vegetables regularly.  

I'm sure there are lots of other factors at work here, but check this out.  Researchers recently compared the feeding practices of French and German mothers and found some significant differences.  (Spoiler alert: We’re more like the Germans.)

During the first month of weaning:

  • The French mothers typically gave their infants 6 different vegetables. 
  • The German mothers typically gave their infants 3 different vegetables. 

More specifically:

  • More than 40% of the French infants were exposed to 7-12 vegetables.
  • None of the German infants were given more than 6.

The French mothers also rotated through more vegetables from day-to-day.

  • The French mothers made 18 or more changes in the vegetables they offered from day-to-day during the 28 day study. Some made as many as 27 changes.
  • In Germany, more than 80% of the mothers made fewer than 7 vegetable changes during the course of the study. None made more than 13.

Variety.  It really is the key to teaching kids to eat right.  Read The BIG Fix.

When asked to explain why they choose their particular feeding strategy: 

  • The French mothers mentioned taste development.
  • The German mothers talked about food allergies.

The prevalence of food allergies in infants in France and Germany is the same: 5-8%.

We’re concerned about food allergies here too. According to the CDC, though, the prevalence of food allergies in the U.S. for children under 5 is also low: 4.7%.

Maybe we should be thinking more about taste development and less about food allergies.  Read Why Toddlers Don't Eat Vegetables.

General vegetable consumption is higher in France than in Germany.

And it's higher than in the U.S. too.  I guess the French are on to something.

And here's an added bonus: Because the French mothers introduced more vegetables, they didn't have to worry when one was rejected. (That's something I can get behind.)

  • French mothers typically gave up offering an initially rejected vegetable after 1 or 2 tries.
  • German mothers usually offered the rejected vegetable 3-5 times.

So get the French Advantage!  More alternatives. Less pressure.  More success.

~Changing the conversation from nutrition to habits.~

=======================================================

Source: Maier, A., C. Chabanet, B. Schaal, P. Leathwood, and S. Issanchou. 2007. “Food-Related Sensory Experience From Birth Through Weaning: Contrasted Patterns in Two Nearby European Regions.” Appetite 49: 429-40.

Tuesday
Jan032012

Kid Eats Q&A: My 1 year old will eat anything I put in front of her, but what should I be putting in front of her?

This is a great question—thanks Lorena for asking it on my Facebook Page— because almost every parent I know underestimates their baby’s eating ability.

What should you feed your 1 year old? 

How about…

  • Ravioli with sage butter, pecorino and crispy sage leaves...
  • Cannellini beans with rosemary oil, garlic confit, and shallots...
  • Lentils with caramelized onions, and wilted arugula...

Sound too ambitious? For mere mortals, perhaps, but not if you’re New York Times food writer Keith Dixon. Read Momma, I’ll Have Some of Whatever You’re Having.  It tells the story of how Dixon and his wife bought a food mill to make “traditional” food purees for their baby but were soon churning out gastronomical mega-mashes. (Oh, how I wish I ate this well.)

Think of this early eager-eater phase as a food-training period.  Not just for your baby, but for YOU.

Let me explain.

Most 1 year olds will eat anything. It’s a delight to feed them.  And as long as you pay attention to the usual concerns—allergies, choking and overly “hot” spices—you can feel free to put anything you like in front of your little tyke. 

Sadly, the eager-eating stage usually ends sometime between 15 and 24 months, and this is when most feeding systems crash and burn.

The only thing that is going to save you, that will get you through the picky “you can’t make me eat it” phase, is to switch your mindset from nutrition to habits. That takes practice.

It's one of the great paradoxes of parenting: If you focus on nutrition your kids are most likely to develop bad eating habits because you'll be tempted to serve foods that barely pass the nutrition "sniff test" and to employ "questionable" feeding tactics.  If you focus on shaping your child's habits, however, the nutrition will naturally fall into place.

Here are some guidelines to get you through the good times...and everything else!

1) Put as wide a variety of foods in front of your eager-eater as possible.

Expose your eager-eater to a wide range of tastes and textures so more foods are familiar, not foreign.  And keep mixing up what you serve to teach the idea eating different foods on different days is the expected way to go! 

Read House Building 101.

2) Think about food from your eager-eater’s perspective.

Want your eager-eater to keep up with fruits and vegetables? Don’t overdo sweet, salty or crunchy foods otherwise these are the kinds of foods they'll gravitate to: French fries and chicken nuggets (not spinach and broccoli).

Read The Variety MasqueradePizza. Pizza. Pizza and My Toddler Used to Eat Vegetables.

3) Don’t assume your eager-eater will only like bland food. 

Lots of kids love intense flavors.  Indeed, research shows that kids who eat foods high in sugar, salt and fat—the basic “Child-friendly” diet—end up seeking out these kinds foods in order to achieve a “flavor-hit.”  They’re going for the high! Train your eager-eater to buzz from basil, crave some curry...

Read The Truth About “Child-Friendly” Foods.

4) Give up trying to predict what your eager-eater will like.

Figuring out what your eager-eater will eat is really a guessing game. Research shows parents make accurate predictions about what their children will eat or like only about 50% of the time.  In other words, you might as well toss a coin.  (And remember, just because you don’t like something doesn’t mean your eager-eater won’t!) 

Read You Can’t Feed Your Way Out of a Picky-Eater Problem and Onion Soup? No Way! Mac ‘N Cheese? OK!

5) Don’t expect your eager-eater to eagerly eat today what she eagerly ate yesterday.

Kids are fickle.  Maddeningly so. In fact, it's this characteristic of kids that trips most parents up.

Research shows that young kids don’t have stable taste preferences.  What they are willing to eat is based as much on their mood as their mouth.  So cook what you want to eat, not what you think your eager-eater will eat.

Read What "I don't like it" Really Means and The Easy Way to Solve Your Toddler’s Sudden Decision to Refuse Certain Foods

Still worried about allergies and choking?

Here are some tips.

Allergies:

Though I know a handful of experts who no longer recommend that you “test” out new foods by introducing them one at a time—if your child experiences an allergic reaction to a mixed dish you can always work backwards to identify the allergen—most pediatricians still stand by the one-at-a-time approach.  But this doesn’t mean you have to test out every ingredient. Use herbs and spices as desired.

Choking:

  • Cook food well enough so that you can easily mash it with a fork.
  • Consider adding liquid to dry foods to make them easier to swallow.
  • Cut food into bites that can be swallowed without chewing, i.e. about the size of a raisin.

Remember, it's not what you feed, but what you teach, that matters.

Good luck and let me know how it goes.

~Changing the conversation from nutrition to habits.~