Nutrition

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Without a doubt the “vegan diet” (avoidance of all animal based foods) seems to be one of the more popular of our time. Whilst some follow this diet out of concerns for animal welfare or the environment, many people follow it for it’s nutritional benefits. A vegan diet has been shown to reduce the risk of ischaemic heart disease, type 2 diabetes, obesity and certain types of cancer. In 2016 the American Academy of Nutrition and Dietetics updated their statement on Vegetarian and Vegan diets, stating that they are safe to follow at all stages of the life cycle when appropriately planned (including in infants, children and pregnant and lactating women). 

A good vegan diet requires more effort than just pasta and sauce, especially for children, who have very particular nutritional needs. If you are going to embark on a vegan diet, having a thorough understanding of the nutrients that are at risk and having a plan for how you will meet them, is key. Below is a summary of the key nutrients you need to consider for children following a vegan diet.

Energy (calories) – The vegan diet can be lower in energy because of the large number of vegetables consumed. Whilst this might be a good thing for adults looking to lose a bit of weight, for children who are growing rapidly it can be a problem. Balancing the vegetables in a meal with good quality wholegrain carbohydrates (eg rice, pearl barley, quinoa, wholemeal pasta) and a protein source, will help ensure each meal has adequate energy. 

Protein – If a wide variety of plant food is eaten and energy intake is adequate, then it is generally agreed that protein intake will meet your child’s needs. Without adequate amounts of protein and energy, children can fall behind with their growth. The key here is eating from a wide range of plant based foods. Unlike animal foods, not all plant based foods contain the “complete” range of amino acids required by our bodies. By eating a wide variety of different plant based foods, a complete range of amino acids will be consumed. Good sources of plant based proteins include: soy products, beans, legumes, nuts and seeds. These higher protein plant foods should be consumed at each and every meal.

Iron – Iron from plant foods (called non-haem iron) is not as well absorbed as animal sources. Phytates and polyphenols (naturally occurring compounds in vegetables) inhibit the absorption of iron, whilst the presence of vitamin C (naturally present in many fruits and vegetables) can help improve absorption. Over time the human body is able to adapt to a diet with low iron availability ( a measure of how well iron can be absorbed from foods). Inadequate iron in pregnancy can have serious affects on the developing infant, for this reason it’s advised that an iron supplement should be used. Breastmilk provides adequate iron to meet the needs of infants up until 6 months of age. Beyond 6 months of age, good vegan sources of iron include hummus, cooked mashed legumes and lentils as well as tofu.Whole grain cereals are higher in iron. Fortified foods such as weetbix, should be used regularly in the diets of young children to help achieve adequate iron. Infants who are not breastfed should use a soy formula under 1 yr of age. 

Calcium  Calcium absorption from plant foods high in oxalate is generally poor (eg spinach). White beans, tahini, chia, calcium set tofu and almonds are all reasonable sources of calcium.

For children their most reliable source of calcium will be from a calcium fortified plant milk such as soy milk.  Under 6 months of age, breastmilk or soy formula will provide your child’s calcium requirements. Between 6 months and 1 yr breastfeeding or soy formula should be continued and calcium fortified soy milk can be used in cooking and to make up breakfast cereals. (see note below on suitable milks for children).

Iodine – Good sources of iodine for Vegan’s include sea vegetables (eg nori sheets) and iodised salt. Pregnant women should always take an iodine supplement to ensure the adequacy of their diet. In Australia all commercial bread products that are not labelled as “artisan or organic” must be fortified with iodine. For most children using these fortified products together with iodised salt in cooking should be sufficient to meet their needs. For infants under 1yr salt shouldn’t be used in cooking. Breastmilk or formula provides sufficient iodine. 

Vitamin B -12 – B12 is not found in plant foods. Pregnant and lactating women need to pay particular care to ensure their diets are adequate. As breastmilk will provide the sole source of B12 during the first 6 months of age it is vitally important that breastfeeding mothers regularly eat or drink foods fortified with B12, or take supplements. B12 fortified foods in Australia include soy milk, soy burgers and alike, as well as some yeast spreads. Checking the ingredient list of these products will tell you whether they are fortified or not. The nutrition information panel will tell you how much B12 is present in the food. A pregnant or lactating Mum drinking 650ml of fortified soy milk each day (eg Sanitarium So Good) would have an adequate intake of B12. 

Vitamin D – as most vitamin D is obtained from sunlight, vegan infants and children will generally receive sufficient amounts so long as their skin is exposed to sunlight each day. Breastmilk is a poor source of vitamin D. For breastfed vegan infants a supplement may be required, especially during the winter months or if the mother’s own stores are low. Your GP or paediatrician can advise on this. 

Fatty acids  EPA and DHA are n-3 fatty acids that are important for brain, eye and heart health. 

Seafoods such as oily fish (eg salmon) are some of the best sources, whilst meat and eggs provide lesser amounts. ALA is a plant based n-3 fatty acid that our body can convert into EPA and DHA. ALA is found in nuts and seeds, with flaxseed, chia and walnuts all being good sources. Olive oil is also a good source. 

Choosing the right plant based milk for your child is critical to ensuring they are getting enough energy, protein and calcium in their diet. A calcium fortified milk soy milk is the best choice for vegan children. Ideally chose a soy milk that contains at least 100mg of calcium per 100ml and preferably one that is also fortified with vitamin B12. Depending on how much of this milk your child drinks, they may not need additional B12 supplements. Soy milks have some of the highest protein contents of plant based milks and are therefore ideal for growing children. Other plant based milks include almond, rice and coconut. These milks however, tend to be lower in energy and protein and therefore are not the first choice for vegan children. If your child has an allergy to soy products speak with an accredited practising dietitian about the best choice of alternative milk that will tick all of their dietary needs.  

Vegan Meal Plan for a toddler or pre-schooler

Breakfast:

2 weetbix with 1/2 cup so good essential soy milk

To serve: sprinkle 1 teaspoon of chia seeds and 2 TBS stewed apples

1 cup (200ml) so good essential milk

Morning Snack:

wholegrain crackers with 2 TBS peanut (or cashew/almond) butter and 1 TBS sultanas

Lunch:

Wholegrain toast fingers (1- 2 slices) with vegan margarine and 2 TBS hummus

Kale chips (made with olive oil and a sprinkle of iodised salt) and cucumber sticks

Smoothie made with 200ml so good essential milk, 1/2 banana, 2 TBS coconut yoghurt, 1 teaspoon chia seeds, 1 teaspoon pure maple syrup and cinnamon to taste

Afternoon snack

Roasted seaweed sheets and cut up grapes

Dinner:

chickpea, broccoli and tofu curry in a mild coconut sauce served with 1/4 cup cooked basmati rice

Dessert:

soy life soy yoghurt with a sprinkle of toasted muesli (vegan variety)

This example meal plan meets a 2 -5 yr old’s needs for calcium, iron, iodine, vitamin B12 and protein. 

Notes: Analysis is based on using So good regular soy milk which is fortified with both calcium and vitamin B12, Helgas wholemeal bread with grains which is baked with iodised salt and soy life calcium fortified yoghurt.

 

Julia @Bloom


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Like most dietitians I don’t like the word “diet”. It makes me think of a whole lot of “rules” that need to be followed and adhered to, and for the most part take the fun out of eating. Now of course for some people, needing a “diet” is a necessary part of life. As a dietitian, I’ve helped many people with low FODMAP, gluten free, low potassium, high energy etc diets, and when required these diets can deliver huge health benefits. Because my job involves advising people on “diets” many people often question me as to my own diet. Do I follow something in particular? People often assume I’m highly restrictive with my choices, when that couldn’t be further from the truth. I love food and (mostly) enjoy cooking. I also enjoy looking for new ways to make healthy foods tasty and easy to prepare. 

I strongly believe in the concept of mindful or intuitive eating and definitely have a “non diet’ approach to health. I do believe that our bodies are equipped with everything we need to maintain a healthy weight, this is our appetite. For some people this might be slightly heavier and for others slightly lighter, there’s no denying that we all come in different shapes and sizes. In our fast paced society many of us have lost the ability to tune into our appetite. We eat because the food is there, because it’s 12noon and that ’s when we take our lunch break (whether we’re hungry or not), we eat too fast, we eat because we are tired/stressed/emotional or even happy. Over time we stop listening to our bodies. 

What I do try to follow is our Australian Guidelines to Healthy Eating and my diet is probably most closely aligned to the Mediterranean way of eating. I also try to focus on what I should be eating not on what I shouldn’t be. This means I’ve always got some sort of plan for how I’m going to get my 5 serves of veggies and 2 serves of fruit in each day. I also try to tick off my 3 serves of dairy and will look for opportunities to add nuts and seeds (for the heart healthy omega 3 fatty acids they deliver) to my meals and snacks, as well as other quality proteins. When I choose grains with my meals, I make sure they’re wholegrain and low GI as much as possible. I find that by focussing on eating all the foods my body needs for health each day, I actually have little appetite left for snack foods or more indulgent choices. Now don’t get me wrong, I enjoy my chocolate, cakes ice cream and a glass of wine as much as the next person, and if a truly feel like having them I do. I don’t restrict any food but I listen to my body and I set aside the time to eat. Eating when you’re distracted scrolling through Facebook, driving in the car or even reading a magazine can often mean your not tuning into your natural appetite. In fact if you’re eating like this you can often get to the end of the meal and not really feel like you’ve eaten because you haven’t stopped to enjoy the flavours and textures of the food. 

So here’s what a dietitian eats in a day!

Breakfast: I’m very seasonal with my breakfast, when the weather is cold I always start the day by making a huge pot of porridge (rolled oats) for my whole family. For myself I top it with brown sugar, chia seeds, cinnamon and walnuts. Most days I have 1/2 glass of unsweetened orange juice and a small (piccolo size) white coffee. In warmer weather bircher muesli or toasted muesli with Jalna sweet and creamy yoghurt and fruit does the trick.

Mid morning: Often I find a coffee is  enough for my morning snack. It’s always a skinny latte but this time it’s a larger size (medium if I’m out and about) and about 200ml if I’m home. On this particular day I was hungry for a snack as well so I had some multigrain crackers and hummus. Other choices would be one of my coco cranberry bliss balls. 

Lunch:

I’m always looking to get a lot of vegetables in at lunch so I don’t have to fit them all in at dinner. It also helps keep me full all day. This week I made a huge batch of these spiralised sweet potato noodles sautéed in chilli, olive oil and lemon zest and teamed it with crunchy oven baked kale and a sprinkling of pine nuts. 

I usually team my lunch with a green smoothie or I have a fruit salad with Jalna sweet and creamy yoghurt and a sprinkling of toasted muesli. 

Mid afternoon: I’m not usually hungry, sometimes I have a peppermint tea. Occasionally I join my kids in their after school snack, but the key here is I listen to my body and eat if I’m hungry.

D; My dinners are planned for the whole week to minimise the stress of having to come up with things on the fly (and then not having the right ingredients). I divide the week up between meals I know my kids like, meals I like to eat and new things we want to try. I always aim to have at least 1 vegetarian meal and 1 fish meal (I should really be eating more fish, 2 would be ideal) and 2-3 red meat meals. Lots of our meals are served family style where everyone can help themselves to what they like. This helps give the kids some control and choice at the dinner table, and has been shown to help minimise fussy eating in the the long run. Our meal tonight was chicken drumsticks cooked in the oven, salad, kale chips and bread. No matter what type of meal I’m cooking, I aways make sure that there are plenty of vegetables (even if my kids don’t always chose them!). 

D: Now as I said earlier I don’t believe in restricting any food. Research has shown that the more we try and restrict foods that we think are “bad for us” the more we crave them and can often end up overeating them. With that in mind, if I feel like having a “treat” I go for it. This particular night I had a chocolate covered ice cream on a stick (connoisseur).

With regards to alcohol I really try to minimise my intake. New research published in the Lancet this year has suggested that our current guidelines advocate for too much alcohol. It’s been suggested that men and women should have no more than 100g of alcohol per week, or 6 standard drinks (a standard drink being just 100ml of wine). Our Australian guidelines are currently under review and will be released next year. Given the association between alcohol intake and some types of cancer, (and because I come from a family with a high risk of breast cancer), I try to restrict my intake to a standard glass of wine and I make sure I have at least 2 alcohol free days a week. 

So there you go I follow a diet that is flexible, nourishing and above all enjoyable. Whilst i eat for health I also eat for enjoyment and that’s something I truly want to teach my children. I believe that that teaching your children about healthy eating starts with respecting that your child has their own programmed appetite and they intuitively know how much they need to eat each day. 

Fascinating research has been conducted on infants that shows how beautifully programmed an child’s appetite can be. Very young infants were fed baby formula  made up to different calorie strengths. Guess what happened? When the babies were fed the energy dense formula they drank less, and when they were fed the more dilute formula they drank more! In other words their appetite kicked in and they ate (drank) according to their needs. How amazing is that? 

Other research has shown however, that by age 4yrs many children are learning to ignore their natural appetite and already display signs of what we call “non hungry” eating. 

So how can be help our children become intuitive eaters?

My top tips are:

  1. Recognise that your child has their own appetite and respect that. Don’t ask them to clear their plate or eat a certain number of mouthfuls
  2. Don’t rush your children to eat. Set aside the time to sit down at a table and enjoy your meal in peace without distractions (ie tv, books toys etc..)
  3. Don’t label foods as “good” or “bad” – this starts to attach feelings of guilt to food. Teach your children that there are foods that we need to eat all the time and some foods that we don’t need to eat as regularly
  4. Don’t be overly restrictive with food – As parents we want the best for our children and it can be tempting to remove all chocolate, lollies, cake, etc.. from their diets. But do you know what? This approach doesn’t teach your child how to manage these foods or where they fit in a healthy diet. Research has shown that overly restrictive behaviour around food leads to “cravings” for these foods, which ultimately can lead us to over consuming them. I would prefer my children grow up knowing they can enjoy some chocolate but also being able to stop when they’ve had enough of it. It’s important to recognise that food has non nutritional benefits, sometimes we just want to eat something that tastes utterly delicious. I believe children should have this experience. 
  5. Review the messages you send your children about body image and food – What do your children hear you say about your own body? If you are constantly talking about needing to loose weight or what foods you are avoiding, your children will get the message that food is something that they need to be conscious of controlling with external measures rather than something that should be entirely intuitive.

Julia @ Bloom

 

( ps if you want to read more on my thoughts about how I feed my children and teach them about food you might like this blog post)


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We’ve just returned from a short family holiday and it’s had me thinking a lot about food. I can’t tell you how many times people have said to me “ohhh you’re a dietitian, I bet your kids eat well!”. 

Well yes and no. If you saw me on holiday I’d suspect that dietitian wouldn’t be the first thing that sprung to mind. That’s because on holidays I’m completely happy to live in the moment and enjoy plenty of occasional food. After all, that’s the very definition of occasional food..it’s eaten occasionally, and that’s what holidays are. 

Food isn’t just about nutrition. Food can also act as a wonderful memory. Cast your mind back to your own childhood and I’ve got no doubt that you can instantly identify both positive and negative memories that you have of food. Perhaps your nana made a particularly good chocolate cake and now every time you eat cake you think of her? Maybe you made pancakes on the weekends and they are now symbolic of family time for you? Did you have a particular food that you shared with your family at Christmas? 

Rituals represent an important part of family life that bring happiness to children’s lives and give them something to look forward to. Many rituals in family life revolve around food and the benefits that come with this have nothing to do with nutrition.

So back to my holiday, let me tell you what we ate. For my children the day started with either cocopops or nutrigrain, two cereals that would generally NEVER make their way near my pantry. But do you know why I do this? Because it’s a ritual my husband had as a child. He has fond memories of this and therefore it’s something he wanted to repeat with his own children. My kids have to agree on what two choices of cereal they want and when it’s gone, that’s it. My kids don’t ask for these foods outside of holidays because they know it’s simply not what we do. 

Beyond breakfast there was generally no planning and we ate as saw fit in the moment. Our five days away certainly weren’t balanced and we definitely didn’t eat enough vegetables. Will it kill us? Absolutely not. One of the most important things to remember about diet, is that it’s your overall pattern that matters, i.e. what you are doing most of the time.

Some of the biggest studies that have been conducted looking into which diets are best for cancer prevention and heart health such as the EPIC (European Prospective Investigation into Cancer and Nutrition) or Women’s Health Study (A large prospective study looking at risk factors that predispose women to heart disease), look at say fruit and vegetable intake over a prolonged period of time, and then break it down into groups with the highest and lowest intakes. What we see in these studies is that those people in the highest groups of intake have significantly lower rates of disease (eg heart disease or specific types of cancer).  If you monitor your diet and try to get your 2 serves of fruit, 5 serves of vegetables, preference wholegrains and a moderate intake of lean meat and dairy, you are doing a really good job and the occasional ice cream, cheese platter or cake won’t really make any difference. 

Some people might argue that I’m putting these foods on a pedestal, but I disagree and feel that I am simply reminding my children that some foods are only occasional. I could pretend that many of these processed, high sugar, low nutrient foods don’t exist or I could prohibit my children from consuming them. But do you know what? Research has actually shown that the stricter you are with your child’s (or your own) diet, the more they (or you) are likely to binge on these occasional or “junk foods” when they have access to them. I’m a realist, these processed foods exist, and I don’t see them leaving our supermarket shelves anytime soon. I know my children will be introduced to all of these foods eventually, so I might as well do it in a manner that pleases me, and truly teaches them that occasional foods are just that. I also spend time teaching them what good nutrition looks like and how to cook. Learning where processed “occassional” foods fit into your diet is just as big a life skill as learning what good nutrition is and how to cook! 

So this holiday season quite worrying about your diet! Eat mindfully and enjoy the food you are eating with your family. The ice cream won’t kill you, but the memory your kids have of that time Mum and Dad let us eat 2 ice creams in one day, will last a lifetime.  

 

Julia @ Bloom


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There have been rumblings of concern for a while now about the safety of plastics and food chemicals and many consumers would have no doubt noticed the trend towards “Bisphenol A (BPA)” free plastic products.

The American Academy of Paediatrics (AAP) recently released their “Food Additives and Child Health” Policy Statement, which for the first time makes recommendations about how we store and chose food products that we feed our family.

The AAP have classed food chemicals of concern as those either added directly to our food supply (specifically the preservatives nitrates/nitrites and some food colourings) or those which enter our food via indirect contact from packaging or the processing of food (BPA, phthalates, perfluroalkyls (PFCs), and perchlorates).

BPA (used to stiffen and harden plastic products) and phthalates (used in soft plastic products such as clear plastic food wrap) can both potentially  interfere with the metabolism of carbohydrate and fat and have anti-androgenic effects. There is therefore concern that both chemicals could have a role to play in obesity as well as reproductive development. PFCS and perchlorates can interfere with the production of thyroid hormones, and nitrate and nitrate preservatives have been linked to the production of cancer causing compounds. Some artificial food colourings have been linked to hyperactive and aggressive behaviour.

It’s important to note that much of the studies done to date are animal based studies or epidemiological studies which don’t necessarily point to a “cause and effect” in humans. Within the scientific community there is still a lot of contention as to how much of these chemicals humans are exposed to, and what level of exposure is harmful. Nonetheless, with children being exposed to proportionally more of these chemicals than adults, the AAP feels its prudent to start reducing our exposure. 

The AAP have made the following recommendations:

  • Where possible choose fresh fruits and vegetables and wash those that cannot be peeled
  • Avoid canned foods as these can be lined with BPA (note: there are some BPA free canned products in Australia)
  • Avoid plastic storage containers in favour of glass or stainless steel 
  • Purchase PBA and phthalate free products (note: In Australia we have many BPA  free plastic options. BPA has been replaced with other chemicals about which little is known. Because of this it might be a better option to avoid plastics altogether where possible, although there is no evidence to support this)
  • Avoid clear plastic wraps (Phthalates) and baking paper (PFCS)
  • Avoid Microwaving food and beverages (including breastmilk and formula) (heat causes the chemicals to leach out from plastic)
  • Avoid putting plastic products in the dishwasher, hand wash them
  • Limit or avoid processed meats (nitrate and nitrate preservatives are used in small goods such as ham and bacon)
  • Limit processed foods 
  • Avoid artificial food colourings

Whilst there are certainly things we can do everyday at home to reduce our exposure to these chemicals, the reality is that it will take a “whole of food supply” approach to truly remove these chemicals from our environment. Sure, you can decant your dry goods into glass jars or buy your grocery items in bulk or from markets, however, many of these products were probably stored or transported in plastic prior to being placed into barrels or boxes at your point of purchase. 

In the meantime I’ve taken baby steps at home to start reducing my family’s exposure. For a while now I’ve been using glass storage containers in my pantry (there’s the added bonus that they look nice), I hand wash my lunch boxes each day (these are BPA free), and the lunch boxes I pack are generally free of plastic wrap and packaging (bento style boxes are a great option to help you do this). 

If you’d like to read more about this topic head to:

http://pediatrics.aappublications.org/content/early/2018/07/19/peds.2018-1408

https://www.pehsu.net/_Phthalates_and_Bisphenol_A_Advisory.htmlhttp://www.foodstandards.gov.au/consumer/chemicals/bpa/Pages/default.aspx

 

Julia @ Bloom


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Feel that sunshine on your skin!

 

Spring has arrived. The sun is in the sky and the trees are in bloom. Sit back and enjoy our Spring Nutrition Newsletter, with lots of great nutrition news, recipes and family eating tips for the season.

 

We break down getting kids into the kitchen, the new American Academy of Paediatrics statement on additives and child health and what it means for food storage, vegan diets for children, and a host of nutrition tips and recipes.

 

Take a look inside!

 

Cheers,

Click here!

x Bloom 🌿


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Have you ever sent out birthday party invitations, with a polite little “Let us know if you have any food allergies” at the bottom, only to be faced with a wave of responses you weren’t expecting? 

Well – keep calm, and carry on. With a little know how, feeding kids with food allergies is totally manageable – and actually kind of fun! Here’s our go to guide to keep you on the right track…

Start by making a list of the kids with allergies, and those ingredients that you need to avoid. Then decide what party food you will make and buy, and match them up. At the end of your food planning, make sure there are at least one or two safe options available for each child on the list.

You can generally cater the needs of the kiddy crowd, including those with common allergies, with a few simple staples. Fruit kebabs or platters, fruit juice icy poles, fairy bread (with milk free bread and milk free margarine), plain potato chips or crips, and popcorn made with only oil, salt and or plain icing sugar are a good start. 

The main event however, the birthday cake, can be the tricky one to cater. And in this regard, cupcakes can be a lifesaver. You can substitute out different ingredients easily, and make a few different batches for different kids if need be.

If you’ve got a favourite cupcake recipe you want to use, try these modification tips:

Gluten free or wheat allergy? 

Use a premix gluten/wheat free flour (like Bob’s Red Mill, Vitarium, Schar, FG Roberts or Woolworths brand), and ensure you use pure icing sugar or a gluten free icing mixture for your topping, as many icing mixtures contain a small amount of wheat flour.

Egg allergy? 

Use Orgran egg replacer and water in place of eggs. Some people use chia or flax eggs ( with ground chia seeds and water ) but the texture of this is often better suited to a muffin recipe with chunky ingredients rather than a smooth cupcake.

Dairy free? 

Use soy milk or rice milk, and a dairy/soy free margarine, like Nuttelex. TIP:  buy a new tub of margarine for the party to avoid any contamination with things like peanut butter or toast crumbs from the family.

And… remember to read all the food labels of your usual ingredients to check for the allergens your guests need to avoid!

In Australia, the 10 most common food allergies are to milk, egg, wheat, soy, peanut, sesame, tree nuts, fish, shellfish, and lupin. The recipe below can me modified to cater for them all if need be.

Bloom allergy friendly birthday cupcakes

-makes 12 large cupcakes

Cake ingredients:

2 cups self raising flour (regular or gluten/wheat free mix)

¾ cup castor sugar

¾ cup milk (or soy or rice milk)

125g melted Nuttelex margarine 

2 eggs (or 2 tsp Orgran egg replacer + 2Tbs water)

2 tsp vanilla essence

Icing:

4 cups pure icing sugar

1 cup Nuttelex

2-3 Tbs milk (or soy or rice milk)

1 tsp vanilla essence

Optional:

Food coloring, or try a more natural colour and flavour like raspberry or strawberry powder or cocoa powder.

Sprinkles, cachous, fresh or dried berries or other favourite decorations (remember to check the ingredients!)

Method:

Preheat oven to 200 degrees C

Line 12 hole muffin pan with paper cupcake cases or reusable silicone ones.

Sift SR flour and castor sugar into a large bowl, and make a well in the centre.

Add eggs/egg replacer, vanilla, your milk choice and melted Nuttelex into the centre and gently stir to combine.

Spoon into cupcake cases, up to about ¾ full, to ensure they don’t rise too high when cooking.

Bake for about 12-15 mins, or until just cooked through.

Cool thoroughly on a wire rack before icing.

Icing:

Beat margarine and vanilla together. Sift in icing sugar, adding in a little of the milk as you go, and your colour/flavour if using. Beat until evenly combined.  Spoon into piping bag and pipe on top cupcakes. Decorate as desired!

Cupcake decorations – Keep in mind any decorations you use may contain things like milk or wheat, so check labels carefully. Major supermarkets tend to carry items like sprinkles and cake confetti that are often suitable, or consider a non edible decoration like a paper topper that matches your party theme.

Remember when cooking for a crowd to be aware of cross contamination in the kitchen. When preparing foods, clean work areas, and use separate chopping boards, utensils and serving plates. Always remember to wash hands between preparing items too.

 ***

The other way to deal with food allergies, which is also totally acceptable, is to admit if you feel unsure or overwhelmed. 

Invite the parents of kids with food allergies to stay at the party to make sure their little one is safely included.  Many parents of children with severe allergies will do this automatically- stay on and keep watch, ask you what ingredients are in a product, or bring along some food of their own, and their medicine bag just in case. 

They wont be offended, they’ll appreciate you take their little one’s allergies as seriously as they do. And you will all have a great time, safely enjoying the celebration together!

Angela @ Bloom


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I’m starving” is a fairly familiar line uttered by children at the end of each school day. Consuming lunch up to three hours before pick-up, they no doubt are hungry. But how often do you provide an after-school snack only to find the munchkins won’t not eat dinner then ask for another snack again before bed? Frustrating isn’t it?

Most children aged under five need to eat every two to three hours. For older children, every three to four hours is sufficient. All children are born with the ability to regulate their appetite. They eat when they’re hungry and stop when full. 

Spacing meals and snacks helps children respond to their appetite. If children are allowed to graze all day, they are never really hungry – or full. Over time, this can erode a child’s natural ability to tune into their appetite, leading to issues in maintaining a healthy weight.  

If you’re offering a snack after school, consider when you are planning to serve dinner. If your children are returning home at 4pm and dinner is planned for 5pm, there’s little chance they are going to be hungry enough to participate. Two hours later at bed time, they’re certainly going to be asking for a snack again. 

Planning the timing of meals and snacks ensures children sit at the table hungry and ready to eat. No one routine will suit every family. For some, serving an early dinner at 4.30pm will be the most successful way to ensure children are not over tired and able to successfully participate in the meal. For others, providing a healthy filling snack after school then serving a later dinner will work well. 

Learning to eat a healthy, balanced diet comes from role modelling. Try to plan a dinner time routine when at least one parent can eat with the children, most of the time.

As we all know, children have a tendency to be fussy. In my experience, snacks can play a large role in contributing to finicky eaters. Because snacks are often considered as something to eat quickly on the go, I find many children are eating nutritionally empty snacks, such as crackers, chips and packets of sweet biscuits. Poor planning is often the culprit. Because children have small appetites and are prone to fussiness, you really need to think of every occasion they eat as an opportunity to offer good nutrition. 

If providing an after-school snack works for your family routine, my top tip is to have planned snacks ready. Once the youngsters are helping themselves, you’ll find they invariably choose foods you don’t want them to eat and portion sizes can get out of control. An after-school snack should not fill them up completely but take the edge off their hunger so they maintain a healthy appetite at dinner. 

My top suggestions for after-school snacks that focus on the core food groups and deliver plenty of nutrition include:

Smoothies – Ideally, try to incorporate a vegetable (eg, a green smoothie – my family’s favourite includes frozen mango, baby spinach, 1 green apple, water and ice) but fruit-based smoothies are good (frozen strawberries, strawberry yoghurt, water and ice is always a hit).

Kale chips – I’ve never seen my kids devour more greens then when I make a batch of these. Simply tear the kale leaves from the stingy vein that runs through it, toss with a small amount of extra virgin olive oil and a little salt and spread evenly over a baking sheet. Don’t over crowd the tray or the kale won’t crisp. Cook at 120 degrees Celsius for 20 to 25 minutes. 

Grazing plate – Focus on your core food groups. I routinely offer wholegrain crackers, nuts, carrot, celery or cucumber sticks, nori sheets, cut up fruit and maybe a dip.  Many children don’t get offered nuts since schools are generally nut free. Nuts are high in essential fatty acids so remembering to offer them outside school is a must.

Still complaining they’re hungry? Remind them dinner is on it’s way and if the complaints continue, offer cut up vegetables, such as carrot, celery etc.

If you’ve stuck to your routine and your children are still demanding a snack before bed, ask yourself whether they truly ate well at dinner? If yes, offer a healthy snack. Nine times out of ten, I find that older children are asking for a snack because they haven’t eaten well at dinner. If you suspect this is going on, it’s ok to hold onto your child’s dinner until bed time. When they tell you they’re hungry, offer to heat it up again.

If you need more advice on fussy eating head here.

Julia x


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Milk substitutes are rapidly gaining popularity in the modern food supply. They’re chosen for different reasons by different people  – allergies, intolerances, vegan diets, environmental concerns, and of course health benefits. Do you choose any plant based milks in your family diet?

 

Readily available plant based milks include almond, coconut, soy, oat, rice, as well as couple of other more obscure varieties like cashew, hemp seed and flax seed milks.

Home made milk substitutes are also becoming more popular, with people enjoying knowing where their food is coming from, exactly what goes into it, and the lower level of environment impact from food prepared in the home.

Like with all food selection there are lots of factors that will guide your individual choice, depending on what’s important to you –  things like taste, nutrition, health conditions, availablilty, cost, and environmental sustainability.

I’m all for the availability of dairy milk substitutes. They’ve been a great source of nutrition for many of my clients, and I’ve personally included them in my diet over the last decade since having children with food allergies. Back then the choice available was much smaller, and asking for anything more exotic than a soy latte was unheard of!

These days I actually enjoy a variety of plant based milks in my coffee or with granola for breakfast, but I also drink cow’s milk regularly and eat other milk based products like cheese. Dietary variety is a key factor in meeting nutrient requirements after all!

If you want to make sure your milk choice is helping meet your nutrition needs, there are a few key factors you should look out for.

Energy – This varies widely between the type of milk you are choosing, and is dependant on the amount of fat, carbohydrate (sugar) and protein in each milk. Low energy milks include choices like skim cows milk, rice and almond milk, and higher energy choices include full fat dairy milks, and traditionally produced coconut milk. If you’re choosing you’re milk based on its energy content, look at the nutrition panel and compare brands for their 100ml serving. But don’t just look at energy content, by doing so you may be doing your body out of lots of important nutrients below.

Protein – Again this varies widely between milk sources and brands. Items like rice milk are typically very low in protein, as is the base ingredient of rice, but surprisingly to some people, so are most nut milks, as the protein portion of the nut is mostly thrown away. Cow’s milk tends to be the highest in protein at around 3.5-4g/100ml, and soy milk is typically the highest protein plant based milk, averaging around the same . While calcium fortified soy milk is nutritionally my plant based milk of choice, its important to note that it’s not the right choice for everyone (for example some children are also allergic to soy protein, and some soy milks are not good choices on a low FODMAP diet).

Fat – Full cream cow’s milk is often rejected by people due to its higher saturated fat content when compared to skim and reduced fat choices. However fat is an important source of energy in the diet, and children under 2 years (when not drinking breastmilk or formula) are encouraged to use only full cream milks. Fat also plays a role in satiety, or how full we feel after eating and drinking, so many people prefer to use full cream milk for this reason. Coconut milk for cooking has 16 g/100ml fat, where as coconut milks designed for drinking have less (eg Sanatarium coconut milk 2.1g/100ml), but be aware most of this is saturated fat too. The source of fats in other commercial plant based milks is mostly unsaturated fats, but may also be an added fat like sunflower or canola oil, added for texture and energy content, rather than a naturally occurring fat.

Calcium – Plant based milks like rice, soy, coconut and nut milks are not naturally high in calcium. This means to meet your calcium requirements you will either need to choose a fortified commercial variety, choose enough other sources of dietary calcium, or take a calcium supplement. My personal choice is to choose a calcium fortified variety, and we recommend those that contain at least 120mg Calcium per 100ml.

Sugar – Many ( but not all) commercial plant based milks are sweetened with sugar or sugar alternatives to improve flavour. Lactose is the naturally occurring sugar in cow’s milk (and in human breast milk ), and our body usually produces the lactase enzyme from birth to be able to digest this. If you are lactose intolerant, all plant based milks are suitable, however simply swapping to a lactose free cow’s milk could be your best nutritional choice. If making plant based milks at home, keep in mind that large amounts of added sugars will add extra energy to your diet.

Iodine – Cow’s milk and dairy products are a source of dietary Iodine – an important nutrient for thyroid hormone production – especially in pregnancy and childhood. However, milk is not the high source of iodine it once was, since dairy industry stopped using iodophores to clean milk storage vats in the 1960s, and should not be relied upon as the primary source of iodine in the diet.

Plant based milks however are significantly lower in iodine, and swapping these into your diet will mean you definitely need to look for another source to boost your iodine intake.

The good news is there are other great non dairy sources in the diet like fish, shellfish and seaweed and eggs, which all contain more iodine per 100g than milk. On top of this, commercial bakers in Australia must use iodised salt in bread making, so there is an additional source of iodine readily available. As dietitians we typically advocate for using less salt in the diet, but where salt is used, choose iodised salt (unless you have a medical reason not to do so!).

B12 – Cows milk can be an important source of B12, particularly for vegetarians who don’t eat eggs. Some commercial soy milks are fortified with B12 (like Sanitarium So good Essential). If your are vegetarian, it’s worth reading your food labels to check how you can best meet your needs.

So choose your milk wisely, as it is an important source of nutrition in your day. If cow’s milk is not for you, that’s ok, but it’s not always as easy as a simple swap. If your favourite milk choice is lacking in a certain nutrient, make sure you boost your diet with other foods to cover the gaps. For the best individually tailored dietary advice, see an Accredited Practicing Dietitian, particularly if you or your family have any additional health issues.

 

Angela @ Bloom 🌿

(These tips, and other great nutrition stories, are available in our quarterly nutrition news updates. Subscribe to our nutrition newsletter on our home page to be the first to get it, straight in your inbox!)


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If you’re concerned about your child’s diet, chances are that you’ve probably already started them on a multivitamin. But what are in these vitamins, and is this the answer to your concerns about fussy eating?

These days there are a wide variety of vitamins aimed at kids that come in a multitude of preparations such as “gummies” (a sort of a soft chewable lolly), capsules with liquid centres, crushable tablets, and of course liquid preparations. The other major variety of vitamin supplement on the market for children, are those that are made into milkshake type drinks, think toddler formulas and more specialised pharmacy products like Pediasure or Sustagen.

The majority of multivitamins on the market are made up of mostly B vitamins. Nearly all will include a good dose of vitamin C, and possibly some minerals like iron and zinc. Some will include vitamin D and E, most do not contain vitamin A or iodine, or larger minerals such as calcium. If they do, it’s usually in small amounts. I’m aware of at least one product on the Australian market that is a multivitamin and Omega-3 fish oil preparation, but you will usually need to purchase a separate supplement if it’s fish oils you’re after. 

Milkshake type supplements offer a more comprehensive range of nutrients and are complete with protein and energy.

But what does your child actually need? 

Most people that make their way to see me are worried because their toddler/pre-schooler/older child is fussy and not eating a wide variety of foods. If I really drill down to what parents are concerned about, two food groups come to mind: vegetables and meat (usually red meat). Most of us are familiar with some sort of population based recommendation as to how we should eat. In Australia, we have the “Australian Guide to Healthy Eating” (AGHE)(https://www.eatforhealth.gov.au/guidelines/australian-guide-healthy-eating). The pictorial below demonstrates the proportions of each food group we should be aiming to eat across the day. For those of us that remember the old food pyramid, Nutrition Australia has revamped it and it now represents current recommendations (see below). Both the AGHE and Food Pyramid are based upon recommendations outlined in our Australian Dietary Guidelines. 

 

Most parents know that their child should be eating roughly 5 serves of veggies and 2 serves of fruit each day along with the above recommendations. If your child’s not eating like this then there’s usually concern about whether they are getting enough vitamins and minerals. Some parents may also be worried about protein if their child isn’t eating meat.

What I know after more than 15 years of practice and analysing hundreds of children’s diets, is that there is more than one way to eat that will meet a child’s requirements. 

Most fussy eaters that I have worked with are reluctant vegetable eaters, they probably eat some fruit but prefer a predominantly carbohydrate based diet (cue crackers, bread, pasta and noodles on repeat!). Sound familiar?

Diets rich in grains and cereals are generally adequate in B vitamins, the major component of most multivitamins. Iodine is worth pointing out as it is not included in most multivitamins and recent studies have shown low to moderate levels iodine deficiency in Australian children. Iodine is important for brain development and deficiencies can lead to mental and intellectual problems. Simple changes to your child’s diet like using iodised salt in cooking, using bread that includes iodine (a mandatory requirement since 2009 in Australia) and including seafood and eggs regularly, will ensure iodine requirements are met without the need for supplements.

Fruit contains a similar range of nutrients to vegetables, so if they are eating some fruit, it’s more than likely they’re getting nutrients like beta-carotene (a form of vitamin A), vitamin K, folate as well as minerals such as potassium and magnesium that are also found in vegetables. A child who is a reluctant meat eater (particularly red meat), may be lacking in Iron, however, there are other non meat sources of iron in ours diets (for example wholegrain, fortified breakfast cereals as well as beans and legumes), and if your child consumes these regularly, their iron intake may well be adequate. Vitamin C requirements are generally adequate if your child eats two serves of fruit each day.

Dairy products are not usually something I see parents of fussy eaters struggling with. In fact many fussy eaters over consume dairy (particularly milk), so calcium is not generally an issue. Some parents are worried their child isn’t going to get enough protein if they don’t eat meat. This is rarely a concern. Protein is found widely in our diet (although the quality varies), including in dairy products and breads and cereals. I usually find that protein intake from dairy alone is sufficient to meet a growing child’s needs. In fact most fussy eaters I deal with, usually exceed their requirements for protein. 

What do I recommend?

For most children that I see I don’t recommend a vitamin supplement and rarely would I recommend a milkshake type supplement (I reserve these for children with extreme fussy eating who may also need to gain weight, but this is very much on a case by case basis). One of the major drawbacks of using milkshake type supplements  is that you are using this product to fill your child up, and not actually making any headway with them eating real food.

Whilst your child may not be eating ideally, it’s highly likely they are still getting what they need to grow. If I do use a multivitamin preparation then I would aim for one that includes iron. The other nutrient that IS usually a concern with fussy eaters is fibre. Fibre is NOT included in vitamin preparations but there are some fibre supplements on the market which can be used for children.

What your child is missing out on if their diet is low in vegetables are phytonutrients. Phytonutrients are thought to be one of the reasons that diets rich in vegetables (and fruit) might help to protect us against chronic diseases such as some types of cancer. Examples of phytonutrients include lycopene, known for cancer prevention, and leutin, important for eye health. Let’s not forget small oligosaccharides and resistant starches (collectively known as prebiotics) that are found in plant foods either. These are very important for optimal gut health and with more and more research pointing towards the importance of gut health for the prevention of chronic disease, we can’t overlook the need for a diet high in prebiotics. Phytonutrients, and prebiotics aren’t included in vitamin preparations. 

So you may be starting to get the idea that a multivitamin isn’t really the answer to fussy eating and possibly not even necessary.  As always, my main aim when working with clients is to identify nutrients that might be of concern and find ways to increase these nutrients in your child’s diet using real food, not supplements.

 Our population based guidelines above are “ideal” ways of eating that are associated with maintaining a healthy body weight and avoiding chronic disease as we age. It’s what we want to be aiming for with our children long term and what we as dietitians can help you achieve, but it’s not the only dietary pattern that will give them all the vitamins and minerals they need each day. 

One of the reasons I don’t often recommend vitamin supplements is because it’s usually adding another layer of “work” for parents, remembering to 1. offer it and 2. get your child to take it. I’d rather parents put their energy into using practical strategies to try and change their child’s diet. We know that food habits and preferences are formed in childhood, so if we want our children to eat a diet rich in vegetables, fruit and other plant based foods, along with quality proteins, we need to work towards it NOW. Sure, their choices at the moment may not make them deficient in anything, and they may still grow, but for optimal health as they mature, we want to get the dietary foundations and patterns of eating right in childhood. 

If you’re concerned about your child’s diet make an appointment to see an Accredited Practising Dietitian who specialises in children.

Angela and I are working on some exciting strategies to help you in your journey to feed your family real food and optimise your intake of plant based foods. Make sure you sign up to our newsletter so you can be kept in the loop as well roll out our new tools that will make feeding your family easier!

The advice in this blog post is of a general nature only and may not be right for your child. If you are worried about your child’s diet we suggest your consult with an Accredited Practising Dietitian.

 

Julia @Bloom


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Persistence. The key to combatting toddler fussy eating?

I’ve had lots of people say to me, “You’re lucky your kids are good eaters. It must be easy because you are a dietitian”. Thankfully, my kids do love to eat – now. And I genuinely feel more happy and relaxed at family meal times now with 4 kids at the table than ever before.

But I will be honest – it’s still not “perfect” (is there even such a thing?), and it was a long road to get to where we are.

We haven’t exactly had things easy in the feeding department. All 4 of my kids have had food allergies – 2 still see the Allergist regularly. One had the most sensitive gag reflex as toddler, she would eat an entire meal, vomit then immediately ask to be fed again. And one had a horrible run with enormous tonsils and adenoids, having multiple infections, speech difficulties and feeding aversions before needing speech therapy and surgery.

All of these are minor issues in comparison to the complexities faced by many other families – but they were enough to add stress to an already gorgeously chaotic family life.

So while I haven’t had the easiest run with feeders, I do feel incredibly blessed that our issues were small, that my training allowed me to see what was happening, and that I had the knowledge to know where to get help, and what to do at home.

But as I said, it was a long road to get here, particularly with Mr Tonsils. In all honesty, how we ended up here was not through luck, or my profession, but through sheer persistence.

There were so many times when I wanted to just give him pasta, again, while we ate something else. Times when I picked up food from all over the floor, screaming on the inside, but calmly outwardly saying “Food stays on the table”. Countless times when I lamented the huge waste of food as I throw the veggies in the bin, again.

But it was the persistence with calmly offering without expectation, giving only brief and gentle encouragement, and most importantly, family role modelling that led to where we are today.

Recently, he, the fussiest of my four, finally bit into a cherry tomato (albeit in a effort to squirt his sisters with the insides – but thats how we encouraged him to put it in his mouth) and said “I tasted the juice!”. A few months ago he would’ve pouted “I don’t eat tomatoes, take it off my plate!!!”.

He also ate black charcoal noodles – “Mum, black is my favourite colour”- when they arrived unexpectedly in his beloved ramen noodle soup at a new restaurant. He randomly picked up the broccoli I was preparing for his sisters’ school lunch boxes and said “Mum, I eat this now, I’m strong”. He then proceeded to pop it in his mouth and walk away – the rest of us stunned into jaw dropping silence. He picked up chicken breast of the plate and ate it without a word, after months of not eating it. He drank a green smoothie and called it “hulk juice”, flexing his biceps as he drank.

So, you can safely say we had an amazing week at the dining table that week (cue champagne!), which reminded me that all that persistence with our feeding plan was worth it. We were winning.

I know I’m not alone in this sort of feeding experience. I’ve met so many parents over the years who have faced the same thing. The ongoing trials, but then finally the successes.

This year Julia and I will be putting together a package to help families with their in home feeding issues; so watch this space.

We will share the training and experience we’ve had as Paediatric Dietitians, and the trial by fire we’ve had as parents. We’re aiming to provide families with scientifically sound, but genuinely practical advice.

It works if you work it. We’ve got proof!

 

Find this, and more family eating, health and wellbeing stories in our Bloom quarterly nutrition newsletters. And to subscribe to future updates, click here

Angela @ Bloom 🌿


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The toddler years can make you feel desperate. One minute they enjoy food, the next they’re rejecting everything you offer them, and the word “yuk” and “no” feel like they’re on repeat. 

It is often during this time, that I see parents using “distraction” techniques in an attempt to get their child to eat. By distraction I mean doing things like allowing them to watch their favourite TV show, propping an iPad up at the table, or allowing books and toys to be played with whilst they eat their meal. 

And do you know what? It can work for a while, but what are the consequences of doing this, and what are you really teaching them?

Did you know that all children are born with the ability to regulate their appetite and consequently their energy intake? Studies in healthy young babies have shown that if you increase the calorie strength of their infant formula, they will simply decrease the amount of formula they take. It makes sense really. To survive as a species, our bodies need to have some inbuilt ability to know how much energy we need. This is what our appetite is. What’s interesting, is that whilst we know babies can self regulate their appetite, studies have shown that by the pre-school years many children display “non hungry” eating behaviours. In other words they have learnt to eat in the absence of hunger and are not responding to their appetite. How does this happen?

Non hungry eating is a learnt behaviour that evolves from the environment around us. It occurs when we learn to associate eating with other things. It can come from very simple experiences. For example has your child ever hurt themselves and you’ve soothed away their pain by offering up an ice block or some other treat? Or perhaps you’ve had the opposite experience and rewarded your child with a treat because they excelled at something? These simple experiences repeated over time start to teach us to use food in a way that isn’t linked to our appetite.

Going back to using distraction techniques at the dinner table, what you are really teaching your child is to eat to an external cue, not to their appetite. Your child is learning to eat mindlessly and is far more focussed on the tv or iPad. But I can hear many of you crying “but it works, they stay at the table and they eat!”. Well yes it can. Providing something enjoyable at the dinner table (tv) will certainly be more likely to get them to stay there. But let’s be clear, they’re there to watch tv, not to enjoy the food or your company. If your long term goal is to have your children willingly coming to the table and participating in the family meal, this approach isn’t going to solve it.

Far and away the biggest concern with offering a distraction at the dinner table is the fact that it doesn’t allow the child to properly listen to their appetite. As I’ve already explained, young children can be very good at self regulating and will eat when they’re hungry and stop when they’re full. Allowing them to watch tv or do other activities whilst they are eating, erodes this ability, and over time contributes to non hungry eating. This is a risk factor for becoming overweight or obese. Teaching your child to listen to their appetite is probably one of the best things you can do early on to set them up for a lifetime of healthy eating.

So how do you get your child to come to the table, stay there and eat? This is the million dollar question isn’t it? First of all you need to think about the reasons that your child is not coming to the table or wanting dinner. For young children the reasons for this can often be that they are simply not hungry or they are just too tired. If your child is healthy and growing, you need to trust that they know how much they need to eat. Our expectations as parents often need checking as well. Most parents I have interviewed serve their child far too much food. Toddlers are strange creatures and can adopt all manner of eating patterns. One Mum recently told me that her 2yr old eats breakfast and then doesn’t eat again until dinner. Many toddlers are very good at going for several days eating very little to then have a few huge days of eating. These are all frustrating experiences for us as parents.  As always I recommend that you adopt a “division of responsibility” around feeding. That is you decide what, when and where your child is going to eat and then it’s over to them as to whether they are going to eat it at all, and how much of it they are going to eat.

You have no way of knowing how hungry or full your child is. Don’t ask them to have a prescribed number of bites or “clean their plates”. This is reinforcing not eating to their own natural appetite and over time can erode their ability to tune into it. 

So if your child only eats a teaspoon at dinner try not to obsess over it. I’m going to finish by quoting the guru of infant feeding, Ellyn Satter “Be happy with what you serve, not what they eat”. 

A word on feeding disorders in infants and children…

I’ve written above that all children are born with the ability to regulate their appetite, there are however, some exceptions to this.

Infants or children that experience medical problems early in life can often get off to a horrible start with feeding. These experiences can completely destroy their ability to regulate their appetite. 

For example I have worked with many premmie babies who have required nasograstric feeding from birth to survive. Being in a hospital environment, these babies are usually fed to a schedule with quantities and times dictated by dietitians and nursing staff. Whilst every effort is usually made by staff to try and adapt the feeding regime to how they see the baby responding, it is simply not the same as feeding the baby on demand and to their appetite. There may also be traumatic oral experiences such as orogastric or nasogastric tubes being inserted multiple times, oral medicines, ventilators etc etc, all of which can contribute to making a child what we call “orally averse”. That is, they don’t want anything (even things we think of as pleasant such as food), anywhere near their mouth.  Other children with severe sensory issues or Autism, can also find eating such a challenge that this overrides their instinct to tune into their appetite.

These children are HARD work to feed. Whether you are trying to wean your child off a feeding tube or avoid having one inserted, it has probably made you stressed and anxious, and willing to try anything to get your child to eat. In many instances, parents find they can get a little more in if they let their child watch tv. Unfortunately while this appears to work in the very short term, it’s not solving the underlying problem, which is allowing this chid to reconnect with their natural appetite. If you are struggling with a child with extreme eating behaviours, we would still recommend not using tv or other distraction techniques at the dinner table. This just puts another barrier in place which prevents your child from learning how to self regulate their appetite. 

If you are struggling with a child with a severe feeding disorder get in contact and we will try and point you in the right direction for help.

Julia @ Bloom