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Q&A: How to Cure an 18-month Picky Eater

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Q: My son is 18 months old and shies away from trying any new foods. His main food to eat used to be mac and cheese and chunked fruit. Now he doesn't even want that anymore.  Some days I'm afraid he will go hungry. Is it normal for little ones his age to be like this? Is there an easy way to introduce new foods?

--motherof2boys09


A: Around 18-24 months, many children are picky eaters, and often it's just a matter of offering new foods - but doing it many times. Studies show that offering foods 7-10 times is sometimes needed for a child to accept it. Plus, think about texture and mouth feel of the foods. Your son likes mac and cheese - so he might like another type of pasta and sauce. Or, a grilled cheese sandwich. Try different colored vegetables - cooked or mashed, and see if he'll try them. Also, if he doesn't have any allergies, a scrambled egg is one of the best sources of protein around. Yogurt, or a smoothie might be a good choice. Don't worry about his picky eating, as long as he continues to grow. Talk to your pediatrician, to make sure he is meeting his nutritional needs. Also, avoid feeding him "by the clock". It's important to feed him when HE is hungry - whether it's mealtime or not. That's when he'll be most receptive to new foods. Carry some foods around that are portable - a banana, for example, if you're at the park, and he's hungry. This can be frustrating, but keep trying different foods, prepared in different ways. Patience counts here, and that's how Brenden will become a more adventurous eater.


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Madelyn H. Fernstrom, PhD, CNS, is the iVillage Health Editor-at-Large, Diet & Nutrition Editor for the Today Show and the Founder and Director of the University of Pittsburgh Medical Center's Weight Management Center.

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1 Comments

Katja said:

I'm a family doctor turned feeding coach, and I'm constantly surprised by advice experts give on feeding and picky eating. Yes, kids this age are naturally more picky about foods, and you should keep offering the foods you eat over and over, and erratic eating is perfectly normal at this age too (eating only one or two bites some meals, eating lots others...)
What I don't understand is the notion of "feed him when he's hungry..." This gets parents in the trap of following small or picky kids around with food, leads to grazing and breaks the cardinal rule in feeding kids. Parents decide what, when and where, kids decide how much and if. (Ellyn Satter-American Dietetic Association 2008 says her division of responsibility is "still perhaps the best advice in feeding children.")
Small kids who are allowed to graze eat less and grow less well. When children are roughly on a schedule (with flexibility...) of eating every 2-3 hours, they are given the opportunity to develop an appetite and actually eat better and are more likely to try new foods. As a doctor, I also told parents "not to worry as long as he continues to grow" and I totally missed the boat. Parents are anxious and consumed with worry. One mom said she was in a "downward spiral with feeding and needed someone to yank her out of it." Parents, picky eating needs to be addressed. Read "How to get your child to eat, but not too much" by Ellyn Satter. Find support. Its why I now do the most important preventive medicine I can imagine: helping kids have a healthy relationship with food and their bodies.
Good luck! www.familyfeedingdynamics.com

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