ITCA WICMarch 2014

PARENT/CHILD FEEDING

RELATIONSHIP

SUMMARY

OBJECTIVES

Learn how to help our families solve common meal-time conflicts and make meal and snack times with their kids fun and healthy.

Topics that will be covered:

• Roles for the caregiver and child• Appropriate vs inappropriate

foods for kids• How to handle/provide NE for

common scenarios• Counseling strategies for

caregivers of overweight/underweight children

• Sample handouts and tips to utilize them

• Sample goals/ways to meet goals

Likes eating and feels good about it

Is interested in food

Likes being at the table

Relies on internal hunger cues and fullness to know how much to eat

OUR GOALS SHOULD BE TO RAISE A CHILD WHO…

GOALS, CONT.

Enjoys many different foods

Can try new foods and learn to like them

Can turn down foods politely

Can make do with less than favorite foods

WHAT ARE SOME COMMON CONFLICTS?

I’m not hungry/I don’t want to eat.

I’m hungry now.

I don’t like that.

I want [cereal] please.

See what a good eater I am?

I want to do it myself.

Are kids under 5 old enough to plan a menu? Or go grocery shopping?

WHO’S IN CHARGE?

Caregiver decides:What is served (what to eat)

When it is served (when to eat)

Where food is served (where to eat)

Children decide:If they will eat.How much they will eat.

DIVISION OF RESPONSIBILITY WHO DECIDES WHAT?

CAREGIVER ROLESDETAILS

CAREGIVERS ARE RESPONSIBLE FOR:

Controlling what food comes into the house

Making and presenting meals

Insisting that children show up for

meals

Making meals pleasant

CAREGIVER ROLESCONT.

CAREGIVERS ARE RESPONSIBLE FOR:

Teaching children to behave at the table

Regulating timing and content of snacks

Making other rules (no standing at the refrigerator door, no candy before dinner, etc.)

Other rules?

CAREGIVERS ARE NOT RESPONSIBLE FOR…

How much the child eats

Whether the child eats

How the child’s body turns out

Scenario:Sally is worried about how much soda her overweight son is drinking. What actions are appropriate for her to take?

HOW MUCH SHOULD KIDS EAT?

Guidelines are available, but we don’t really know

Children’s brains/bodies tell them how much they should eat

Eating needs vary from child to child and from day to day

What about children who are overweight or underweight? Any difference in responsibilities?

Texture Nutrient content

Low/No added

sugar/salt

Variety Portion size

APPROPRIATE FOODS

Cautious about foods

Asks for something

else

Never seems hungry

Only likes one or two

foods

Only wants junk food/drink

s

COMMON ISSUES

1. Offer a familiar food along with 1 or 2 new foods

2. New foods in small amounts

3. Offer a choice between two new foods

4. Encourage child to at least try it

5. Mix it in with something familiar

NUTRITION EDUCATIONCautious about foods

1. Offer two choices of what is available or has been served.

2. Let her help make/serve the meal.

3. Serve the food and let her decide if she will eat or not.

4. Offer a small amount of the preferred food if it is available.

NUTRITION EDUCATIONAsks for something else

1. How much milk/juice/other drinks are they having, and when?

2. What is their feeding schedule like – set times vs grazing?

3. Have him sit at the table with the others.

4. Offer meals/snacks every 2-3 hours.

NUTRITION EDUCATIONNever seems hungry

1. If it is a healthy food, may offer it often-once a day or a small amt more often.

2. If it is unhealthy, do not buy it/bring it in the house.

3. Offer other foods along with the favorite.

NUTRITION EDUCATIONOnly likes 1 or 2 foods

1. Avoid purchasing.

2. Avoid letting kids see you eat them.

3. Be a good role model – eat with your child. Let them see you eat healthy.

NUTRITION EDUCATIONOnly wants junk food

1. How much milk/juice/other drinks are they having, and when?

2. What is their feeding schedule like – set times vs grazing?

3. Do the parents know what an appropriate portion size is?

4. Do not make a big deal about whether the child eats or not. Just offer a variety of healthy foods at set times.

NUTRITION EDUCATIONEats only small amounts

Picky EatersIs your child a picky eater?

Juice

Healthy Snack Options

Make snack time fun and healthy

The F/V guide to good TASTE for kids!

SAMPLE HANDOUTS

OtherFit WIC Newsletters

Problem: Child just wants to drink milk and juice and is never hungry.Goal: Limit juice and milk. Ways to meet:1. Starting tomorrow, only offer milk

and juice with meals and one snack. 2. Offer water at with other snacks and

between meals.

SAMPLE GOALS

Problem: Child doesn’t like to try new foods.Goal: Encourage new foods.Ways to meet:1. Offer one new food at meal times

along with foods the child does like.2. Start at dinner today and do this for

every meal.

SAMPLE GOALS

Problem: Child doesn’t eat so caregiver gives whatever the child wants so she’ll eat something.Goal: Encourage healthier eating.Ways to meet:1. Serve the same foods to the entire family.2. Let your child serve herself out of the foods

that are offered. OR Offer a choice of 2 items.3. Serve the food and don’t make a big deal about

it if she eats it or not. 4. Try this for at least 2 weeks starting this week.

SAMPLE GOALS

Problem: Child only wants junk food.Goal: Encourage healthier eating.Ways to meet:1. Starting this week, at meal times serve

the types of foods you want your child to eat.

2. For one snack out of the day, serve a small portion of the junk food your child likes along with some healthier snack options.

3. Do not buy junk foods when you go grocery shopping.

SAMPLE GOALS

Problem: Child doesn’t like any vegetables.Goal: Encourage vegetables.Ways to meet:1. Ask the child to pick out vegetables on

your grocery list when you’re shopping. 2. Let your child help prepare the

vegetables they picked out.3. As a snack/art project make fun faces

out of small pieces of vegetables with your child once a week.

SAMPLE GOALS

Problem: Child only picks at his food and doesn’t eat a whole meal.Goal: Offer regular meals/snacks.Ways to meet:1. Offer 3 meals and 2-3 snacks a day so

he has a chance to eat every 2-3 hours. 2. Do not offer foods or drinks except water

between those times.3. It’s ok if your child does not want to eat,

he has his next meal or snack in 2-3 hours.

SAMPLE GOALS