understanding-lactose-intolerance-photo

Understanding Lactose Intolerance

by with No Comment Child & Family NutritionDigestive HealthInfant NutritionToddler Nutrition

WHAT IS LACTOSE? 

Lactose is is a naturally occurring sugar found in milk and other dairy products (yogurt, cheese and ice cream). When you consume food or drinks containing lactose, an enzyme named lactase in the small bowel will break down lactose into two simple sugars: glucose and galactose. These nutrients are then absorbed in the small intestine.

Image source: http://www.evo-ed.org/Pages/Lactase/cellbio.html

WHAT IS LACTOSE INTOLERANCE? 

However, some people might produce less lactase than the others. If the small bowel has insufficient lactase, the lactose consumed will not be digested properly and will continue through to the large bowel. Lactose in the large bowel will be fermented by the gut bacteria, which produces gases including hydrogen, carbon dioxide and methane. This gas production not only can lead to unpleasant gastro-intestinal symptoms such as distention, bloating, flatulence and constipation but can also draw water into the large bowel resulting in loose stools or diarrhea.

Some people may have a temporary lactose intolerance due to  viral infection like the stomach bug, while others can experience it when they have a digestive disorder like celiac disease. Still others may experience lactose intolerance their entire lives.

SYMPTOMS  

  • bloating
  • abdominal pain due to gas
  • tummy cramps
  • nausea
  • loose stool or diarrhea

If you are lactose intolerant, the symptoms may vary and are dose-dependent. That is, the more lactose you consume, the worse the symptoms become. Symptoms may occur immediately after drinking milk or eating dairy products, or they may be delayed for hours.

Lactose intolerance is NOT an allergy to milk. 

DIAGNOSIS 

To diagnose lactose intolerance, the hydrogen breath test is a simple, non-invasive and reliable investigation test. Lactose intolerance is indicated when hydrogen and methane levels of breath meet a certain criteria following the oral consumption of standard dose of lactose.

Another simple way to diagnose lactose intolerance is an elimination diet which involves removing lactose in the diet and assessing whether symptoms improve, followed by a re-introduction of lactose in the diet to assess whether symptoms return.

WHAT FOODS CONTAIN LACTOSE? 

Read the ingredient list on product labels to find out if the product contains a lactose-cotaining food. Food items to look out for include: milk, milk solids, malted milk, buttermilk, curds, cheese flavours, non-fat milk powder, non-fat milk solids, sweet or sour cream, lactose, whey and yogurt.

Note: 1) the cultures in yogurt help to digest lactose 2)Products that contain lactic acid, lactalbumin, lactate and casein do not contain lactose. 

IF YOU ARE LACTOSE INTOLERANT, SHOULD ALL DAIRY PRODUCTS BE AVOIDED? 

Yes, you will need to modify the diet in order to alleviate the discomfort and symptoms at the beginning. The first step is to remove all sources of lactose in the diet that can cause problematic symptoms, including milk and dairy products.

The second step is to find nutritious substitutions for those items you’re removing:

Note: 1)”Lactose free” means that there is no detectable lactose in the food. 2)”Lactose-reduced” means that at least 25% of the lactose in the product has been removed.

Recent research has suggested that most people with lactose intolerance can consume up to 12 to 15g of lactose without any symptoms. You can still tolerate some foods that contain lactose like yogurt or cheese, even if you are lactose intolerant.

OTHER TIPS ABOUT INCLUDING LACTOSE IN YOU AND YOUR CHILD’S DIET: 

  • Drink milk in smaller quantities. Most people with lactose intolerance can tolerate 1/2 cup milk at a time.
  • Eat small amounts of lactose-containing foods spaced throughout the day.
  • Eat with other solid foods may delay digestion, offering more time for the lactase enzyme to break down lactose.
  • Yogurt may also be tolerated (plain better than flavoured), because the live bacteria in the yogurt partially digests the lactose before consumption. Yogurt is also a semisolid, which moves slowly through the digestive tract.
  • Aged cheese tend to have lower lactose content.
  • Try lactase enzyme drops or tablets from the pharmacy. Tablets are taken before eating foods that have lactose. Enzyme drops can be added to milk before drinking.
  • Soy products do not contain any lactose and can be a suitable substitute for dairy products, providing they have calcium added.

Do you have a child with lactose intolerance? How are you managing? Did you know that I provide one-on-one nutrition counselling service for children and families? If you are diagnosed with lactose intolerance, I can help to ensure you are not missing out on important nutrients such as Calcium. This is particularly important for children. If this is something you’d like to learn more about, check out here. 

a-parents-guide-to-physical-activity-for-kids-photo

A Parent’s Guide to Physical Activity for Kids

by with No Comment Child & Family NutritionToddler Nutrition

Physical activity has many benefits for children. Being active is important to help kids grow and develop. Did you know? Physical activity can also help children:

  • Lower the risk of childhood overweight and obesity
  • Promote fitness and bone health
  • Increase self esteem and social skills
  • Increase concentration, help improve academic performance in school
  • Improve sleep
  • Promote heart health and lower the risk for heart disease and Type II diabetes

Even though increasing physical activity can seem like a challenge, the benefits are worth it! Read on to learn more about physical activity and get tips on how to encourage your children to get active.

Habits formed early can last a lifetime. 

HOW MUCH PHYSICAL ACTIVITY DO CHILDREN NEED? 

Children and youth need a total of at least 60 minutes of moderate to vigorous physical activity per day. The 60 minutes doesn’t need to be done all at once to see health benefits. Any activity done for 10 minutes or more can count towards the total of 60 minutes per day.

  • Moderate aerobic activities make you sweat a little and breathe harder.
  • Vigorous aerobic activities make you sweat a lot and be out of breath.
  • Strengthening activities that build muscles and bones.

Three days a week should include activities that strengthen muscles and bones like sit ups, jumping and swinging on playground swings and bars. Vigorous activities such as running, swimming and biking should also be included at least 3 days per week.

HOW CAN I GET MY CHILDREN MORE ACTIVE? 

Here are some budget-friendly ideas to get the kids up and moving:

  • Play outside!

Encourage your kids to play outside before homework time and dinner.

Any activity is better than no activity. But more is even better!

The longer the kids are active the better! Encourage them to play tag, hide and seek, jump in the leaves or build a castle in a sandbox. Arrange an outdoor treasure hunt, search for bugs and rocks. My toddler love going for a family bike ride. Head to different areas to discover new neighbourhoods and trails.

Bike Riding
  • Walk, run or skip!

Go for a walk after dinner or head to the neighbourhood park before starting bedtime routines. This is also a good time for older children and teens to be active before working on homework. A little running around can help them think clearer and be more efficient when doing their homework.

Evening walk
  • Join a program that includes regular physical activity

Check your community or child’s school for programs near you like dance, taekwondo, karate, basketball, volleyball, indoor soccer, swimming lessons, yoga, gymnastics, trampoline, or figure skating.

Swimming
  • Let’s Dance!

Dancing is popular for both boys and girls. Turn on your favourite music and dance! There are many different kinds of dancing; find one that is right for you. A few examples are hip hop, belly dancing, tap, jazz and salsa. My favourite is Zumba. Many cultures are famous for their styles of dances. Experience a dance from across the globe!

BOTTOM LINE

Physical activity can be easy and fun. Be a role model and get active with your children so that the whole family will benefit.

If you would like to take advantages of more tips, resources and advice on nutrition for children, check out my service. 

The Important of Family Meals

The Important of Family Meals

by with No Comment Child & Family NutritionPicky EatingToddler Nutrition

We are busy! It’s challenging to find time to eat meals with friends and family. But, it’s important to share meals, because it opens dialogue, connects people and helps us eat a more balanced diet. It’s an enriching experience for people of all ages to share meals — from children to older adult.

WHY SHARE MEALS WITH OTHERS?

The biggest barriers to eating together are busy schedules like work and evening activities. It takes creativity to balance busy schedules, but it’s worth the effort because everyone benefits when you eat in the company of others!

  • Children who eat with their family have more nutritious diets, better academic performance, a lower risk for being overweight and less risk of eating disorders. Plus, children tend to have increased intake of vegetables and fruit, and a decreased intake of sugar-sweetened beverages.
  • Teens who share family meals get better grades, and are less likely to smoke, use drugs or alcohol, or to participate in serious fights.
  • Adults who eat with friends and family tend to eat more vegetables and fruits, drink less pop, eat fewer meals at fast food restaurants, and have lower body mass indexes.
  • Older adults who eat as part of a group have better diets, improved nutrient intake and lower rates of malnutrition.
  • People who come together in communities can eat together at community kitchens, where they learn to cook, share meals, try new foods, have fun and learn about nutrition.

START A CONVERSATION

For many people, sharing meals is a favourite time of day to interact with family and friends. It allows people to connect share traditions, learn, communicate and listen. If you are new to family meals, here are some Do’s and don’ts:

  1. DO give everyone at the table a chance to speak.
  2. DON’T use it as a time to scold or discipline picky eaters.
  3. DO ask questions that require more than a “yes” or “no” answer. So, instead of “did you have a good day?” try asking “tell me something interesting that happened today.”

Grab your FREE Mealtimes Conversation Starters list  HERE .

BOTTOM LINE

Sharing family meals doesn’t only mean dinner! If your evening schedule is hectic, share breakfast meals or have brunch together on the weekends. Most studies done on the benefits of family meals start with sharing at least four meals together per week. So, they all count!

Let’s enjoy the benefits of bringing families and friends together with food. How often do you have family dinner and how do you make it successful?

Adapted from the Dietitians of Canada’s Nutrition Month campaign materials. 

Teaching Children to Cook

Teaching Children to Cook

by with No Comment Child & Family NutritionPicky EatingToddler Nutrition

Starting from a young age, inspiring children to shop, cook and prepare food can set them up for a lifetime of healthy eating. A great way to teach children about food is to let them SHOP and COOK with you. Yet, a recent Ipsos survey found that 38 per cent of parents rarely or never let their child prepare a meal or snack – it’s a missed opportunity, but it can be easily fixed!

FIVE TIPS FOR COOKING WITH CHILDREN

It’s fun and rewarding to involve children in meal preparation – whether it’s at breakfast, lunch or dinner. Here are five tips for getting your children involved:

  1. Pick a recipe together: Children need to be part of the plan from the beginning, and it helps if they prepare something that they love to eat. Shop for groceries together too!
  2. Incorporate learning: Build on lessons they learn in school, such as math, social studies, media literacy, spelling, science and reading. Younger children can practice fine motor skills.
  3. Keep it fun! Imaginative play helps children get deeply involved. Make a theme night or turn your kitchen into a restaurant or reality cooking show.
  4. Be a role model: If you’re excited, they will be too. Try a new food, describe the flavour and be adventurous to inspire your eaters to do the same. Get other members of the family involved.
  5. Be cool about the mess: Spills and accidental messes happen, and it’s important to remain calm about little mishaps. Keep kitchen towels handy for cleaning up spills.

Children are much more likely to eat what they make, so cooking at home is a great tip! If you have picky eaters. It’s fun for them to eat their art creation!

Cooking with children helps reduce mealtime battles and boost their willingness to try new foods. It’s great for their self-confidence too.

WHAT CAN MY CHILD DO?

Here’s a guideline of kitchen skills based on age:

  • 2-3 year olds can wash vegetables and fruit or tear lettuce and salad greens
  • 3-4 year olds can mash potatoes and bananas or mix together batters
  • 4-6 year olds can measure dry and liquid ingredients or set the table
  • 6-8 year olds can toss salad ingredients together or make a simple breakfast
  • 8-12 year olds can make their own school lunch or help to plan meals
  • Teens can follow more complicated recipes or assemble and mix most ingredients. They can also be in charge of making one meal per week.

Did you teach your children how to shop and cook? Share your fun story. 

Adapted from the Dietitians of Canada’s Nutrition Month campaign materials. 

Top 5 Tips For Staying Cool When Feeding Kids During CNY

Top 5 Tips For Staying Cool When Feeding Kids During Chinese New Year

by with No Comment Child & Family NutritionPicky EatingToddler Nutrition

When I think about Chinese New Year in the past, many of my memories involve food. Cooking with my Mom, buying homemade cookies, preparing deep-fried spring rolls and sipping sugary-sweetened beverages or fake alcoholic drinks.

No matter what your Chinese New Year traditions are, food is always a huge part of the celebration. That’s why I think it’s important to put all weight loss goals on hold, give yourself a break and enjoy holiday foods without feeling guilty. I also think it’s important, as parents, to let our children enjoy holiday foods too — without being a food police and monitored our children’s diet for  24/7.

The Chinese New Year, in fact, present a great opportunity for our children to learn about moderation and mindfulness, if we give them the chance.

TOP FIVE TIPS FOR HOW TO MANAGE INDULGENT HOLIDAY FOODS WITH YOUR CHILDREN 

1. Have a healthy breakfast 

If there is one meal that should be non-negotiable, it’s breakfast. Children are hungry in the morning, so it’s a great opportunity to take advantage of their rumbly tummies and serve your children a balanced meal. We know that eating breakfast offers a wide range of benefits, but when protein (such as yogurt, milk, nuts, meat, eggs etc.) is included, it can tame the cookie monster later on by helping to control appetite and blood sugar levels. Breakfast is often the only meal that we can rely on timing-wise during the holidays (and even this can be random), so try to maximize nutrition here.

2. Throw your timetable out the window 

Without completely disregarding the time and allowing a food-free-for-all, try to be flexible when it comes to meal and snack timing during the holidays. Although you should ultimately maintain your role as the feeder (deciding what, when and where your child eats), it’s ok to relax a little during the holidays and go with the flow. Meals are often served earlier or later than usual, and snacking tends to be more frequent. When you do have some control over what is served (I focus on breakfast), try to include a nutritious variety of food, with milk or water to drink, and let the rest unfold as it will — holiday eating is random and fun and everyone (including children) should enjoy it.

3. Let your children decide 

At family gatherings, there will be platters of delicious foods that everyone is going to want to try (including your children). If there is a buffet, let your children explore different foods by guiding them through and allowing them to choose what they would like to try (not what you want them to eat). Try not to steer them towards healthy foods, but instead give them control over what goes on their plate. Allowing them to explore different foods that aren’t offered at home on a regular basis will help to widen their palate and give them a sense of independence and confidence when it comes to food.  Children will often choose some nutritious foods and some dessert foods–this is ok (and normal)! If you can, wait to visit the dessert table after your child has filled up on mealtime foods (or if you can’t avoid it the first round, visit it last). Sweet foods like chocolate, candy and cookies will almost always be gobbled up prior to nutritious mealtime foods, so children are more likely to fill up on them if given the chance.

Encourage balanced eating and mindfulness by modelling. Try to include veggies and fruits, lean protein-rich foods and some indulgent delicious foods too. Eat slowly and enjoy every bite. Leave foods that you don’t love (or that you’re too full to eat), behind, and have seconds of foods that you love and are hungry for. Modelling mindful, normal eating (regardless of what time of year), will benefit your child greatly, because they view how you eat as “normal”.

4. Don’t restrict treats and sweets 

The holidays present a great opportunity to teach your children about moderation and handling easy-to-love indulgent foods in a mindful way. After all, there will come a time when they’re exposed to unlimited amounts of these foods, and you want to prepare them for that. The idea is to raise children who are relaxed around indulgent foods; who make mindful, matter-of-fact decisions about when and how much they indulge (long term). Evidence shows that children who are restricted in their indulgent food intake eat more of them when they get the chance and are more overweight than they might be otherwise!

But how do parents teach their children about moderation?

Ellyn Satter, who is a leader in the field of child nutrition and feeding (and the master-mind behind the “Division of Responsibility in Feeding“), suggests including some savoury, high-fat foods like chips or fries at a meal sometimes (along with nutritious foods), and if dessert is offered, including a small serving for everyone who wants it (allowing everyone to decide when to eat it–before, during or after a meal). The reason she suggests limiting desserts to one serving at a meal is because children will take the easy way out and fill up on dessert otherwise. To counteract this scarcity created at mealtime however, Satter suggests periodically letting kids have unlimited access to sweets at a sit-down snack time, where they aren’t competing with other mealtime foods. For example, putting out a plate of cookies and a glass of milk, and letting your children eat as much as they’d like. When children feel that treats are limited or forbidden, they’re more likely to go crazy on them. And snack time presents a good opportunity to let them have unlimited access (periodically), and naturally learn about moderation.

It’s true, children will often go crazy at first (which is normal), but the novelty will wear off and they will tend to eat less and less. Try doing this not only during the holidays, but throughout the rest of the year too. Satter suggests offering nutritious sweets when you can, such as oatmeal cookies or banana bread, which will make it easier for you to trust the process!

5. Focus on family time, not food

Instead of fighting with your children to sit down to the table to eat dinner, let them know that they don’t have to eat if they don’t want to (after all, they have likely filled up on yummy snacks all afternoon with their siblings, friends or cousins) but that they do need to sit down at the table with everyone to visit, laugh and catch up. When you take the pressure off of children to eat, they are often more open to trying foods and being less “picky” with their choices. You may be surprised at how much your children end up eating, and even if they don’t, it’s OK. You will enjoy yourself so much more if you resist telling them to have “three more bites” and focus instead on creating happy holiday memories.

Happy holidays from my family to yours!

If you enjoy this post, you might also interested in reading about how to get your kids back into routine after Chinese New Year. 

Quick And Easy Chickpea Hummus

Quick and Easy Chickpea Hummus

by with No Comment RecipesToddler NutritionWeight Management

Who isn’t always on the search for a great snack food? Something versatile that can be used for both meals and special occasions? One of my favorite solutions for this problem is hummus!

Hummus isn’t just a great snack food it also works well as a spread in addition to being perfect for lunch boxes, parties, or special occasions such as birthday parties, baby showers, holidays, and so much more.

Chickpeas are sometimes known as garbanzo beans. They are a good source of protein, carbohydrates, and fiber.

Nutritionally, hummus is a great source of protein and fiber and as my recipe incorporates extra virgin olive oil it is also a good source of heart healthy monounsaturated and polyunsaturated fats. And why would this be important? Because these nutrients promote satiety and stave off hunger. Powerful antioxidants are provided by the fresh garlic, lemon, and peppers as well as cumin. Hummus is a nutrient powerhouse and these nutritive values are boosted when fresh ingredients are used.

Enjoy your hummus with pita chips, veggies such as carrots, celery, or cucumbers, and hummus is much more nutritious as a spread on your sandwich or wrap than mayonnaise.

Enjoy !!

For easy, family-friendly recipes, check out my Facebook Page and follow me on Instagram ! 

Quick And Easy Chickpea Hummus

Hummus is a tasty and healthy option to have any day of the week as a nutritious snack, spread, or dressing for a side dish. You might want to try and serve it at your next party.
Print Recipe Pin Recipe
Prep Time 5 minutes
Cook Time 1 minute
Total Time 6 minutes
Course Snack
Cuisine Gluten Free, Vegan
Servings 20

Ingredients
  

  • 1-19oz can Chickpeas, rinsed & drained (or 2 cups cooked chickpeas)
  • 1/3 cup Tahini paste
  • 1 Garlic Glove, minced
  • 1/4 cup Lemon Juice
  • 3 tbsp Extra virgin olive oil
  • 1/2 tsp Cumin, ground
  • 1 tsp salt
  • 1/3 cup water

Instructions
 

  • Place chickpeas in a blender or food processor with tahini, garlic, lemon juice, oil, cumin and salt.
  • Puree, adding just enough water to make the mixture creamy and smooth. Use more than 1/3 cup water if needed.
  • Serve in a bowl with pita cut into wedges.
  • Store in an air tight container in the fridge for up to 3 days.

Notes

Tahini is sesame seed paste sold in the Middle Eastern food section of your grocery store.

 

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How to Prevent Food Allergy When Starting Solids

by with No Comment Infant NutritionMotherhoodToddler Nutrition

Food allergies are on the rise. In the past, some expert recommended that dairy products and other common food allergens like eggs, peanuts and fish not be introduced until after an infant’s first birthday. More recently, evidence has shown that there is no reason to delay introduction of these foods beyond 6 months of age. In fact, delaying the introduction of these foods may increase your baby’s risk of developing allergies (here).

Current recommendations for solid food introductions are to wait until around 6 months of age. Look for your child’s readiness cues and provide only breast milk or formula until that time. There are no hard and fast rules as to what order or exactly what age to introduce certain foods to a baby. Babies really can go to town and eat what the rest of the family are eating (making sure the foods are an appropriate texture to avoid choking).

Read my article on When to Start Solids and How to  Start Solids for more info.

What Is a Food Allergy? 

A food allergy is when the body’s immune system mistakes a food as harmful and this cause a reaction. A food allergic reaction appear after a few minutes of giving a food and often will happen within two hours of having the food. Signs can also show up hours or days later. They can be mild (flushed face, abdominal pain, rash/hives, stuffy/runny nose) to severe (vomiting, diarrhea, blood in stools). The most extreme allergic reaction is anaphylaxis, where the throat starts to close and there is difficulty breathing.

Which Foods are Most Likely to Cause an Allergic Reaction? 

The most common food allergens are:

  • Eggs
  • Fish
  • Milk
  • Tree Nuts (Walnuts, Almonds, Cashew, Pecan, etc)
  • Peanuts
  • Sesame
  • Shellfish
  • Soy
  • Wheat

So should you feed your baby these foods? or avoid it? As of now, here’s what you need to know…

Risk of Developing Food Allergies? 

Your baby may be at high risk for developing food allergies if a parent, sister or brother has an allergic condition such as: food allergies, eczema, asthma or hay fever. Your baby is at lower risk if no parent, sister or brother has an allergic condition.

What to Eat When Pregnant and Breastfeeding

When you are pregnant or breastfeeding, good nutrition is extremely important, and you should continue to eat all of the nutritious foods that you usually eat. You do not need to avoid common food allergens while pregnant or breastfeeding. Go ahead and eat peanuts or drink a milkshake. Avoiding potential allergens will not decrease your baby’s chance of having an allergy to these foods. Breastfeeding itself maybe protective against food allergies.

If you choose to avoid certain foods while pregnant or breastfeeding, speak with a Registered Dietitian or your health care provider to make sure you are getting all the nutrients you and your baby need.

When Can You Feed Babies Highly Allergenic Foods

For low risk baby, there is no benefit to delaying common food allergens past 6 months.

For high risk baby, there is no reason to wait until the baby is older before introducing highly allergenic foods, and some studies suggest that it may even be helpful to introduce foods early. Talk to your allergist about whether it would be help to do a food allergy test before feeding these foods to your baby or speak with your dietitian about a personalized plan for food introduction.

The goal is to choose foods that provide the most nutrition. 

Here are a few steps that you could follow:

    Try other food first

The first foods that you give your baby should not be the most allergenic ones. Start with other single ingredient foods, such as rice or oat cereal, yellow and orange vegetables (sweet potato, squash and carrots), fruits (pears, banana, apples) and green vegetables (peas, broccoli, spinach), tender meat. Once things are going well with these other foods you can then start to introduce the common food allergens.

    Go slowly

Introduce just one food at a time, and then wait 3-5 days before trying the next new food (whether it is a highly allergenic food or not).

    Choose the right time

When you are ready to introduce a highly allergenic food, pick a time when you’ll be at home and you will be able to watch your baby closely for any signs of reaction. Along these lines, it may be better to do this earlier in the day and not right before a nap or bedtime. Do not try these foods right before you need to leave the house to go somewhere, such as to drop the baby off at day care or take your other children to school. Although many babies react the first time they eat a food, you should be cautious for the first two or three times that your baby tries an allergenic food. After that you can relax knowing the chances of a reaction are extremely small.

    Start with a small quantity

Don’t give your baby a full serving of a highly allergenic food on the first feeding. Start with a just a little. If there does not appear to be a reaction, then you can gradually increase the quantity during the next few feedings.

    Use nut butters, not nuts

Never feed nuts to a baby. Babies can choke on nuts. To introduce nuts into your baby’s diet, use nut butters or pastes.

You can do so in small amounts and can even try rubbing some of the food on their chick and then lip to see if it produces a rash, before giving/feeding that food.

Bottom Line

If your baby has severe allergic reaction, carry an epi pen. Make sure your baby is on a balanced diet, if it is quite restricted, please talk to your dietitian. Also, you will need to become an expert on reading food label and searching for all of the various names for the food you are avoiding.

If the allergies are mild, you can always try re-introducing the food after a few months.

If you have questions about food allergies. Contact Me about starting a nutritional counselling program.

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How to Deal with Halloween Candies

by with No Comment Child & Family NutritionPicky EatingToddler Nutrition

Halloween is here! As parents, many of us face the yearly challenge of a pillowcase full of treats or candies that lands on our kitchen table or living room floor, whether it is this year or in years to come. The question is: how will you handle it? Will you let your children have a candy free-for-all so it disappears quickly, or will you allow just one or two treats per day to make it last until Christmas? Maybe you’ll make the treats disappear in other ways, like encouraging your children to trade them for non-candy alternatives or even donating the haul.

Last year, my son was still young enough not to fully grasp what was going on. Candy hadn’t yet become the main attraction for Halloween. Instead, he was just excited to put on his “Superman” costume and head out for trick-or-treating.

Halloween 2016

How you choose to manage Halloween candy as a parent is personal. There’s  no single “right” way to do it. But why should we be concerned about our children consuming lots of candy? If sugary treats are eaten too frequently and in large amounts, they can contribute to poor dental health, displace nutrient-dense foods, and lead to unhealthy weight gain.

So, how can we teach our children about “treats” in general?

As a dietitian and mom, I take the approach that there are NO BAD FOODS, JUST BAD DIETS. What matters most is what we do between this Halloween and the next – what happens on October 31 is only one day.  Fun foods like candy and chocolate are delicious (let’s be honest!), and if we restrict them too much, they can become even more tempting.

This year, my son has a better idea of what Halloween is all about. And while part of me feels the urge to put on my “dietitian hat” and play the “Treats Police”, I try not to. I don’t want to take the joy of Halloween away from him. Instead, I use this time to teach him how to manage his treat intake on his own, both now and in the future, so he doesn’t feel the need to sneak, hide, or overeat treats. My goal is to use this fun holiday to help him build a healthy relationship with food.

Halloween 2017
Halloween 2017

Here’s what I’ve done now that my son has reached the stage where candy takes priority over cute costumes.

THE LAST MINUTE BUYER 

Grocery stores are clever, they position huge piles of Halloween candy right at the entrance when your cart is empty AND where you can’t help but see them as you wait in the checkout lane. Therefore, I wait until the day before (or maybe a week) before Halloween to buy candy. This way, I don’t have to deal with the “SEE-FOOD SYNDROME“. I also make sure to buy least favourite treats to hand out – lollipop, gummy candies, smarties, etc. If I were to buy chocolate, well, that would be a different story.

If your favourite candies/treats are in the house, you and your family are more likely to eat them ALL. Remember: Out of sight, out of mind; In your sight, in your mind. 

FULE UP BEFORE TRICK-OR-TREATING

Start the day with a wholesome, filling breakfast; encourage a healthy lunch, and make sure to serve a balanced dinner to fill their tummies before heading out for trick-or-treating. This way, you can prevent your children from turning into “candy monster” by the time they come home.

POUR IT OUT AND SORT IT OUT 

Use a small bucket or bag and limit the number of houses your children visit, so their candy collection starts out smaller. Once you’re back home with your child’s little sack of goodies, before you do anything, pour it out and sort it out together. Have them separate “the favourites” from “the least favourite”, and ask if they’d like to share any with will you. This is a great opportunity to teach them to be “picky” about their choices. Observe how much they consume without making any comments or rules, you may be surprised how many children can self-regulate and eat only a few pieces.

SWITCH WITCH 

Children can choose a few of their favourite candies and then leave the rest out for the “Switch Witch” who takes it away and replaces it with a desired toy or non-food gift, such as movie tickets, books, crayons or cash for older kids. Also, some families have their children donate extra candy to a local food bank or dental office.

LET THEM ENJOY

On Halloween night, I let my son pick two or three candies to try. For older children, you might allow them to enjoy as much as they want.

Forbidding them from having any candy can sometimes increase their desire for it.

Trust me, your child may surprise you by having a few pieces, then choosing to save the rest, or by gorging until they feel a little sick. Enjoying fun foods like candy and chocolate occasionally (even daily in moderation) is normal, and it’s important that children don’t label these foods as “bad” foods. This approach reduces the likelihood of them sneaking or over-indulging on candy when you’re not around.

And remember, one night of indulging in treats won’t affect their long-term nutritional status or weight. Often, the children seem to grow bored with their candy after a few days if it’s not overly restricted or rationed.

BOTTOM LINE

How can you make sure Halloween isn’t a nightmare for you or your children? Think of it as a perfect opportunity to teach them about MODERATION, BALANCE, MINDFUL indulging.

Happy Halloween !!

Did you know I offer personalized nutrition counseling for children and families? If you’d like to learn more, check out my service here. 

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My Child Refuses to Eat

by with No Comment MotherhoodPicky EatingToddler Nutrition

Many parents are worried about their child is not eating enough; or their child is small compared to other children and isn’t growing properly; or their child has very few foods that he will eat.

When it comes to mealtimes, toddlers or young children can be hard to predict. Some days they may not eat much. Other days it seems like they are eating all day long. They may want one food every day for weeks, and then suddenly not like it anymore. And how much your child eats may be very different from how much another child eats.

Picky eating is typical toddler behaviour. Most toddlers are picky eaters. This is one area of their life where they can exert some control. By refusing to eat, your child is practicing his or her independence. It’s your job as a parent to provide healthy food choices and teach good eating habits.

Here are the most common reasons why your child is refusing to eat at meals, and what to do about it.

TOO MUCH PRESSURE 

If your child feels any amount of pressure to eat or senses that you as the parent are anxious at mealtimes, he will likely back off and choose not to eat. Toddlers and young children sense pressure, even if it’s not as direct as “Eat your broccoli NOW !” If you focus too much on WHAT and HOW MUCH he is eating during a meal, instead of allowing him to simply be another eater at the table while everybody is eating, he will back right off.

Most common indirect pressure:

  1. You bring the food right in front of him
  2. You watch him every move
  3. You hover over him
  4. You continually take uneaten food off of his plate and replace it with new food
  5. You talk about his eating habit
  6. You pick up food and bring to his mouth without his cueing to do so

The more you push your child to eat, the more likely that your child will not enjoy eating. 

What to Do

Let your child self-feed and eat at his own pace at meals, provide lots of food variety at meals in manageable amounts, and let him be in charge of whether and how much he eats. Try your best not to hover over your child. I know it is extremely difficult, especially when he is hardly touching his food. Sit back and engage in conversations with the whole family, including your child. If you can think about mealtime more so as “family bonding time” than “I need to get my child to eat time”, your child won’t feel as pressured and will be more open to try new or previously rejected foods.

BOREDOM

Are you serving the same dish/recipe over and over again. Most parents get stuck in “food ruts” as their children are only eating certain foods. You prepare it as you know he will eat it. However, this is not a long term solution, it is your job to help your child grow up with a healthy relationship with food, not to get them to eat their meal RIGHT NOW.

What to Do

We get bored of certain foods and so do our children. Be creative, discuss with your child and come up with a few new and different snack or meal option for him, you can try to rotate so that he doesn’t get bored again.

NOT ENOUGH SAY 

The research has shown that children eat better when they involve with shopping, preparing, cooking and serving their meal. That’s why it is important to include children in meal prep, even letting them to mix together ingredients or set the table. From the previous blogpost, you have learned, parents should be in charge of the “what’s” of feeding, children might feels that they have no control over what they’re fed if parents don’t include them in choosing food once in a while. They may not like the way that their foods are placed on their plate, perhaps they grow bored of what you serve them.

What to Do

It is important to set healthy boundaries and meet your responsibility of “what”, “when” and “where”, but it’s okay to let your children be a part of the process. Get them involved in shopping, meal planning, preparing, cooking, serving and cleaning up. This process can be messy and longer, maybe a bit more frustrating. However, the benefits are huge and it’s worth it. You just have to be patient.

SIMPLY NOT HUNGRY

We know that children’s appetite can be unpredictable and erratic at the best of times. After the age of two, growth slows and stabilizes which meals that toddlers aren’t as hungry as they used to be. Your children can have “hungry days” (your child out-eats everyone at the table) or “full days” (your child doesn’t eat much at all). As long as you are maintaining your feeding roles and staying consistent with mealtime boundaries, your child should be in charge of whether and how much he eats. It is possible that your child is simply not physically hungry when a meal is served (for whatever reason) and that’s ok.

What to Do

  1. Accept “I’m not hungry” as an acceptable answer for now, and reminding your children that the “Kitchen will be closed after dinner, are you sure you’re done !!”.
  2. You may also want to consider having dinner a little bit later.

TOO MANY DISTRACTIONS 

Allowing your children to watch TV, IPAD or play with toys at the table is a recipe for distraction. Screen distractions can work in two different ways (negative). When a child is watching a show or playing a video game while eating, he is focusing ALL of his attention on the show he’s watching or game he’s playing. There is no attention left for eating his meal, not to mention listening to his hunger/fullness cues.

Also, I found that some parents like to spoon-feed their children (especially young infant) in random time (not at regular mealtime), so having random family members/strangers walk in and out to the kitchen, can be very distracted. Younger children have a hard time focusing on their meal with minimal distractions, older children can easily under or over-eat because they’re just not paying attention.

Playing with siblings at the table while eating can be very distracted too.

What to Do

  1. Set healthy boundaries by not allowing any electronic devices or toys at the table while eating.
  2. Seat children strategically so that they can’t touch each other.
  3. Eat together as often as possible. This helps to teach your child healthy eating habits, table manners and how to use utensils. It also provides a time to role model healthy eating.

LARGE PORTIONS 

Some children turn their plate away simply because the portion that they’ve been served is too large and overwhelming. Some parents thinks that their children appetite should be same as other children of the same age.

What to Do

Every child is different, even appetite. Continue serve a balanced meal with small portion, let him ask for more.

TOO MANY SNACKS 

Are you having a snacker/grazer at home? Children who graze between meals often come to the table feeling too full to eat. Research has shown grazers can eat up to 50% less than those with more regular meal and snack times. This is why it is so important to establish a mealtime structure.

What to Do

Set regular meal and snack times. Offer 3 meals and 2-3 snacks at regular times each day. You need to give your kids a chance to build an appetite for meals, otherwise, they won’t eat much and it can become harder for them to learn self-regulation.

TOO TIRED 

After a long day of playing, daycare, preschool, kindergarten, some kids just don’t have the energy to bring foods to mouth by the end of the day. During dinner time, if you’re finding that your child is fussy, easy to cry, rubbing the eyes or yawning, that’s probably what’s happening.

What to Do

Try to encourage him to fill his tummies before bed as best as he can, and remind them that there is no more food until next morning. You can also consider having earlier dinner.

NOT FEELING WELL OR SICK 

If your child is sick, it is likely that he will not eat well at a meal. In this case, make sure to keep your child hydrated, and offer “easy to digest” foods such as porridge, banana, bread, crackers, smoothie popsicle, soup and apple sauce until his appetite returns.

What to Do

Offer foods more often when you child is sick, but don’t push or force them. Fluids are most important.

TOO MUCH MILK OR JUICE 

Too much milk or juice can spoil the appetite. Milk contains fat and protein (two nutrients that make kids feel full). Juice contains excess calories and sugar.

What to Do

  1. 1-2 years old, offer 3 cups (24 oz/750 mL) of milk per day
  2. After 2 years old, 2 cups (16 oz/500 mL) of milk per day
  3. Offer only water in between meals and snacks for hydration
  4. Avoid or limit fruit juice to no more than 1/2 cup per day. You can water it down.

Do you have any questions about your picky eater? 

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The Secret Behind Feeding Relationship

by with No Comment MotherhoodPicky EatingToddler Nutrition

In my nutrition counselling practice, I often meet with frustrated and worried parents of picky eaters. Most scenarios, children are in charge of what, when and where food is served, and parents are trying to bribe or force their kids to eat at least two bites of some nutritious foods. This feeding relationship are completely reversed and parents have no idea.

THE FEEDING RELATIONSHIP 

The “Feeding Relationship” (Division of Responsibilities in Feeding) is a concept developed by Ellyn Satter, a dietitian and social worker. There are separate roles in feeding for the parent and for the child.

If these roles are respected, the child will be less likely to be picky and will grow up having a healthy relationship with food. 

PARENT’S FEEDING RESPONSIBILITIES  

When

There should be structured meal and snack time every day, so that your child knows when to expect another chance to eat. Children should be offered 3 regular meals and 2 or 3 snacks in between. Avoid grazing or snacking throughout the day. This timing structure will help your child build up a healthy appetite for the next meal.

Where

The child should be eating at the table with the family, with no distractions like TV or IPad. When your children eat in front of a screen, they aren’t focusing on their foods, or their inner hunger, or fullness signals; they’re instead focusing on what they’re watching.

What

As a parent, you get to decide what your child eats. Ideally, you should offer foods from each food group (with different colours, flavours and textures) at every meal if you can – a fruit or vegetable, a grain product and a meat or alternative and dairy.

Example: blueberries (cut in half) with slices of bread, cooked egg yolk and yogurt.

At family meals, your child should be served the same foods that the rest of the family is eating.

BABY/TODDLER’S FEEDING RESPONSIBILITIES 

How Much and Whether 

It is completely up to your child to take the lead role in eating. The child is responsible for how much or whether to eat the foods that you’ve served. Many parents are concerned their child is not eating enough, however children are good at regulating their appetites and will not starve themselves. They may eat a lot one day and almost nothing the next and that is ok. If they don’t eat much at one meal or snack, they’ll make up for it in the future meals or snacks, or even by the end of the week. Read 20 Strategies to Raise a Mindful Eater. This way you do not set up power struggles with eating.

Remember, it might take up to 15 tries before the baby or child will actually eat the food.

BOTTOM LINE 

We need to take a step back and let our kids decide if they are going to eat their food and how much they are going to eat. No pressure, no forcing and no bribing. We, as a parent, have to respect their hunger and fullness cues. If we’re respecting this feeding relationship, the power struggles and stress around your family table will dramatically decrease.

Do you have a picky eater at home? You need more meal ideas? You need some strategies to deal with your little picky eater at home. Contact Me about starting a personalized nutrition consultation program.