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CHILD CARE HOME: APPETITES AND HEALTHY ATTITUDES TOWARD FOOD

Elaine Wilson & M. Burns
Oklahoma State University

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FEEDING CHILDREN

When you're caring for children, especially very little ones, a big part of your job involves food. Wise providers learn early how to make eating fun.


AVOID A FUSS

While eating should be a pleasant experience, food can easily become a source of tension between children and adults. It's best to relax and avoid making a fuss over food. Offer children food at regular times (mealtimes and snacktimes) and not in between, try to avoid distractions during mealtime, and don't worry if children only eat one thing. They will eat more when they're hungry. If you let meals become a battleground, you'll often find yourself the loser.

Let children get used to new foods by seeing them on the table, but serve only small portions. Respect their independence by letting them decide whether they want a taste or none at all.

Sometimes children will not eat certain foods. What are the consequences if three-year-olds refuse to eat vegetables? It's probably not harmful if they are eating a balanced diet. Forget vegetables for a while. Next time, they may try them out of curiosity and end up liking them.


OTHER THINGS TO TRY

An experienced provider shared these tips:


Helping children eat and enjoy many different foods while meeting their nutritional needs is a big issue. Research does not give us answers on children's food preferences. However, food likes and dislikes often correspond with those of parents or other significant adults. There's also the matter of exposure. You come to like what you get used to and dislike the unfamiliar. It may be very difficult to include things in your child care menu that you don't particularly like. Here are some things that you might try:


FEED WITH CARE

A wise provider serves meals with love. It's been shown that "feeding with love" produces better weight and height growth in children than feeding similar foods in an emotionally negative climate. In young children, exploring and experimenting during mealtime is normal and desired. In doing so, the child develops a sense of autonomy that, if allowed to flower, can evolve into confidence and healthy self esteem. If, on the other hand, impulses are constantly denied, they can turn into feelings of shame and self-doubt.

Here are some typical problems and suggestions for feeding a one-year-old:

Problem: Donny stands and plays at the table instead of eating.

Suggestion: Don't let him. Put him down and let him wait until the next feeding to eat again. Be consistent and firm, not punitive. If he's really hungry, he'll soon learn to sit still while eating. A baby's appetite is less keen at a year than at eight months and his calorie needs are lower. A one-year-old will get enough to eat if he lets his own hunger be his guide.

Problem: Christine wants to poke her fingers into her food.

Suggestion: Let her. She has much to learn from feeling the texture of her food. When she knows all about it, she'll naturally gravitate to using a spoon.

Problem: Alex wants to manage a spoon himself, but he can't handle it.

Suggestion: Let him try. If he masters it, withdraw gradually until he is feeding himself completely. This is an age at which a baby can learn to feed himself and is most strongly motivated to do so. He will spill, of course, but he will grow out of it soon enough.

Problem: Shelley refuses foods that are good for her.

Suggestion: This is a way of demonstrating autonomy, one of the few available to a one-year-old. Don't force her. The first year is the most important in establishing future food preferences. Most life-long feeding problems develop at the one- to two-year old stage. As long as she's getting enough milk and is offered a variety of nutritious foods from which to choose, she'll gradually acquire a taste for different foods. If she refuses milk, find an appropriate substitute: milk-based puddings, custard, cheese, or calcium-fortified soy milk.

Problem: Kevin prefers sweets, candy, and sugary things to foods that contain more nutrients.

Suggestion: Human beings of all races and cultures have a natural, in-born preference for sweet tasting foods. Limit them strictly. There is very little room in a baby's daily 1,000 calories for calories from sweets.


GRAZING

What do you do when lunch wasn't eaten? When children, especially toddlers, don't eat at mealtime, you may worry that they aren't getting enough to eat. The temptation is to repeatedly offer them foods throughout the day. This is called "grazing."

Research shows that children who "graze" can establish very poor eating habits. Snacking throughout the day keeps a child from ever really feeling hungry, which makes eating on schedule, plus having to sit still, very difficult. Also, your whole day may become a repeated cycle of preparing food, having it rejected, then trying again later to get a child to eat.

Try offering meals and snacks at consistent times each day so children begin to sense their bodies' inner cues for hunger. This means you don't offer food at other times, nor as a reward or punishment. Playing games to force or trick a child into eating will backfire quickly. Allow children to refuse a meal without any fuss. In your role as "gatekeeper," offer a variety of nutritious foods and set a good example by eating and enjoying a well-balanced diet.


REDUCING SUGAR

Eating too much sugar can cause two types of problems for children - dental cavities and empty calories. Foods high in sugar and fat and low in protein, vitamins, and/or minerals are called "empty calorie" foods. Because young children can only eat limited amounts of food, it's important to avoid empty calories.

There's also the problem of childhood obesity. Although there is limited evidence that the health of a slightly obese child is impaired, childhood obesity is linked with obesity later in life (LeBow 1984). Not all fat children are destined to become fat adults, but there is evidence that obesity which begins in childhood is difficult to reverse.

Do you offer dessert only after the rest of the lunch is eaten? Attaching a reward to dessert makes it seem more desirable. Dessert should be treated as part of the meal. Fresh fruit is a good choice.

Read the list of ingredients on prepared food labels. Watch out for sucrose (white, granulated table sugar) or other words ending in "ose," especially if they are among the first four ingredients listed. You may prefer using honey, but be aware that it has the same number of calories as sucrose. Overuse of honey can cause the same problems as excess use of other sugars. Caution: You should never feed honey to infants younger than 12 months of age because it could cause botulism.

Special foods, usually high in sugar and fats, are used to celebrate many events birthdays, holidays, and other special events. Since these foods can become powerful symbols for children, you might try planning a party around events rather than food. A treasure hunt, gift making party, group singing time, special trip, or puppet show are all ways to celebrate which can reduce the focus on food.


EATING PATTERNS: BABIES

Tiny babies need to eat often (every two or three hours), so you need to schedule time to hold and feed them. You may be tempted to leave the baby propped up with a bottle for a few minutes. This practice is extremely dangerous because the baby could choke very easily. Also, if a baby is feeding lying down, a pool of milk can gather in the back of his mouth and nose and cause an inner ear infection. If you are called away during a feeding, put the bottle down and continue later.


INTRODUCING SOLID FOODS

Current research suggests the importance of delaying "solid foods" until a baby is about four to six months old, and then proceeding gradually. These studies show that babies don't need solid foods and develop fewer food allergies if they're introduced later. When solid foods are not digested properly, the baby's body treats them as "foreign bodies."

Babies are old enough for solid foods when they can sit up well with support, have good head and neck control, and can turn their head away if they wish. This usually happens around age four to six months. Most pediatricians now recommend starting solid food no sooner than this. Also, by this time the infant has developed appropriate tongue movement to move food to the back of the mouth and swallow it. Giving solid foods before four to six months may cause choking, since babies are not ready to swallow anything except liquids.

Generally, the pattern for introducing solid foods goes as follows:


Appetite will vary from day to day, so don't make babies eat more than they want to. For safety, don't give young babies foods that are small, hard, round, or slippery. Even with toddlers, be wary of bite-size foods, such as peanuts, raisins, whole grapes, hard candy, raw carrots, or cut-up pieces of hot dogs. It's also dangerous to let babies lie on their back with food in their mouth.

It's important to discuss an infant's feeding schedule and food needs with the child's parents. If you plan ahead, you can encourage breast feeding mothers to continue and can provide whatever support is needed. Breast fed babies are often content without solid foods until later. The goal is not to establish rigid eating patterns, but to allow a baby to learn and experiment.

Here is a sample meal pattern to use as a guideline:

 Meal:  6 - 12 months:  12 months:
Breakfast Iron-fortified cereal
Fruit
Egg yolk
Formula/milk
Iron-fortified cereal
Fruit
Toast
Milk
 Snack
Juice or water
Toast or finger food

 Juice or water
Toast or finger food
 Lunch
Meat
Vegetable
Formula/milMilk

Meat, cheese, or egg
Vegetable
Fruit
Milk
 Snack
Juice
Crackers or finger food

Milk or juice
Finger food
 Supper
Iron-fortified cereal
Fruit
Formula/milk

Meat, cheese, or egg
Starchy vegetable/bread
Green/yellow vegetable
Fruit
Milk
 Bedtime  Formula/milk  Juice or water


FEEDING TODDLERS

A one-year-old needs about 1,000 calories a day. A three-year-old needs only 300 to 500 more calories. You can expect a child's appetite to decrease markedly around one year of age, which makes sense when you realize their greatly reduced growth rate. A toddler may not need as much food as an infant. In fact, a child's appetite may decrease and fluctuate greatly up to age four and beyond.

Remember that each child is different. During periods of rapid growth, it's hard to "fill 'em up." It's often just as hard to interest a child in eating during a slow growth period.

A major food goal is to help children learn to like all kinds of nutritious foods. Provide a variety from the four food groups and support their food choices. The food best suited to supply the needed nutrients is milk (breast and formula), closely followed by meats, legumes, vegetables, fruits and grains. Contact your county Extension office for a listing, by food group, of required servings per day for each age group (one to three years, four to five years, and six to 12 years.)

For meats, fruits, and vegetables, a recommended serving is loosely defined as one tablespoon per year of age. So for a four-year-old, a serving of meat, fruit, or vegetable would be four tablespoons, or 1/4 cup. Serving sizes adjust as the child grows older, but these recommendations are good from age two on.

We all like some foods more than others and vary in the amounts that we eat. It's best to respect a child's ability to know her own needs. One provider gives small servings followed by seconds and even thirds, if children want them. This works and eliminates a lot of food waste.


APPEALING AND NUTRITIOUS SNACKS

For children younger than eight years of age, a mid-morning and mid-afternoon snack is recommended. Young children have smaller stomachs than adults and use more energy, so they need to eat more often. Snacks should have nutritional value and can be included as part of the daily requirements for the four food groups. Surprisingly, they don't interfere with appetites when they're served well before mealtime. The following are some snack suggestions.


TODDLERS - CHILDREN 10 MONTHS TO TWO YEARS

Juices: Apple, grape, orange, cranberry, pineapple, and tomato.

Fruits: Peeled pieces of raw apples, pears, peaches, banana slices, and small pieces of melon.

Vegetables: Small pieces of cooked, soft carrots, squash, potatoes, and broccoli.

Breads: Crackers, toast pieces, breadsticks, and dry cereal (non-sugar coated kinds, such as Spoon-Size Shredded Wheat, Cheerios, Wheat Chex, and corn flakes).

Meats: Small cubes of soft, cooked chicken, or peanut butter on crackers or toast.

Milk: Yogurt, milk, strips of processed cheese, or small cubes of hard lowfat cheese.

If children can't chew food completely it's easy to choke, so have children sit upright before you give them snacks. Bite-sized pieces of food, about a 1/4-inch in diameter, minimize the chances of choking.


PRESCHOOL OR SCHOOL-AGED CHILDREN

Juices: Both fruit and vegetable made with frozen pureed fruit or fruit juices.

Fruits: Raw, canned, or dried apple wedges; applesauce; orange or grapefruit slices; melon chunks; seedless grapes; chunks of fresh pineapple (children enjoy the experience of seeing how a fresh pineapple is cut); berries (in season); fresh grapes; raisins; fresh plums; and prunes (compare prices).

Raw vegetables: Try using cucumbers, celery, carrots, tomato pieces, green peppers, turnip sticks, cauliflower, broccoli, avocado, zucchini wedges, peas in a pod to shell, or green beans to snap. Have children help you to prepare raw vegetables. It's a great learning experience and heightens their excitement about the foods.

Breads: Whole-wheat crackers, graham crackers, bread sticks, toast, French toast points, dry cereal pieces (of the non-sugar coated kinds), bran muffins, and homemade pretzels and fruit breads (orange, banana, and date). Unbuttered popcorn is another possibility, but make sure children are seated before serving popcorn.

Milk: Milk and milkshakes or blended drinks made with mashed bananas or orange juice. Cheese cubes and ice milk. Lowfat products are best.

Meat: Cubes of cooked ham, cheese, beef, peanut butter on crackers and vegetables, shelled nuts, hard-cooked eggs, even leftover pizza!


FOOD SHOULD LOOK GOOD

Making foods look appealing is an important part of getting children to enjoy eating. Here are some suggestions on making food look good.

1. Texture: Include a mixture of soft, crunchy, and chewy textures. By age two, a child can chew many foods, but may have difficulty with apple peels. By age three, there are few foods that a child can't eat.

2. Color: Even a baby is attracted to bright colors. Children enjoy foods of different colors. Imagine a lunch of baked chicken, rice, yellow squash, and canned peaches. You could use green zucchini squash and a red apple ring to add excitement to this meal.

3. Shape: Shapes are important to children. One care provider noted that children wouldn't eat their favorite sandwiches when she cut them in straight quarters rather than diagonal quarters to make triangles. Pasta also comes in many unique shapes. If children don't like macaroni, try spirals or spaghetti.

4. Flavor: Some foods have strong aromas and flavors while others are mild. It was once thought that children didn't like spicy foods, but pizza, tacos, and Italian sandwiches prove otherwise. If children object to the aroma of broccoli, cabbage, and turnips, try serving these strong-flavored vegetables raw.


THE ENVIRONMENT COUNTS

One of the most important ingredients in having children eat and enjoy foods is your patience. Allow them to do for themselves. Self-feeding requires skillful coordination, so the learning process involves a lot of spills and mess. Children develop these skills in their own time. You can help by watching for signs of readiness.

Between seven and 10 months, a baby will have graduated to a high chair, which makes mealtime easier. Let the baby have finger foods while others are eating. A one-year-old will begin to use a spoon and can drink from a cup with help. By age two and three, children continue to use their fingers and a spoon, but can handle a cup by themselves. Bowls work better than plates, since children can push their food against the curved edges. Unbreakable dishes make good sense. Cups with spouts and large, easy-to-grasp handles can make a difference, as can the appropriate utensils. Spoons with thick handles and forks with short tines (like salad forks) help develop feeding skills. If all goes well, by age three or four children can feed themselves without any assistance.

Even though appetites vary, on active days children will be hungrier, so their amount of physical activity is a clue to how hungry they'll be. The mealtime environment depends on your understanding and acceptance of food preferences. But don't forget, appetite can also be affected when a child isn't feeling well, so check for signs of illness.


SAVING MONEY

Here are some guidelines to help you cut down on "plate waste."


SAFE FOOD HANDLING AND STORAGE

How safe is the food in your day care home? By practicing cleanliness, you can prevent food poisoning. Proper food cleaning and handling prevents the growth of harmful bacteria (salmonella, streptococcus) that cause illness. (Vomiting, diarrhea, headache, and fever are some of the signs of food poisoning.)

The ideal temperature for bacteria to grow is anywhere between 45 and 140 degrees Fahrenheit. An ideal place for bacteria to grow is in food-especially moist, low-acid, high-protein food, such as cream-filled pies, meat, gravy, milk, eggs, and dishes containing eggs.

Other kinds of food poisoning are caused by harmful chemicals and metals. Food may be covered with residues of pesticides or come in contact with cleansers, lead, or other chemicals in your home.


Here are some of the ways to prevent food poisoning and illness:

1. Keep hands and cooking tools clean. Wash your hands before handling food. Wipe off the tops of cans before opening them. Wash countertops, tables, chopping blocks, knives, and other equipment with soap and water after each use. To kill bacteria, clean work surfaces and utensils with a chlorine bleach solution and air dry.

2. Keep hot foods hot (105 degrees Fahrenheit or higher) and cold foods cold (40 degrees Fahrenheit or lower). Put thermometers in your refrigerator and freezer and check them frequently.

3. Refrigerate foods immediately. When storing leftovers, place them in shallow, covered containers in the refrigerator. Most leftovers should be used within three or four days. When in doubt about whether or not a food is safe, throw it out.

4. Do not store pesticides or cleaning supplies in the same area that food is stored. Wash all fresh fruits and vegetables. Use only pasteurized milk and milk products.

Some final cautions: Thaw frozen meats, poultry, and fish in the refrigerator and thaw only the amounts needed for one day's use. When feeding babies, transfer the food to their bowl and offer bites only from the bowl. Promptly refrigerate the rest of the jar. Saliva introduced into a jar will quickly spoil its contents. Baby food fruits will keep up to about three days. Vegetables and meat should be discarded after two days.


ACTIVITIES WITH CHILDREN: ARE YOU READY FOR A JUNIOR CHEF?

It's a rare day when you don't spend time preparing food for children. Why not involve them? The kitchen is an ideal setting for learning new skills, such as coordination, math, science, creativity, and developing self-confidence.

The meals children help prepare often take on special meaning for them. Although it may take patience and humor on your part, the payoffs are great when children are in your kitchen crew. However, this is a time when it's especially important to match the child's skills with the appropriate activity. If a child can actually do the task, he'll find it meaningful and rewarding. If you have high expectations of never having a mess - a broken egg or even a baking failure - then you can expect to lose the enthusiasm of a budding cook.

Planning ahead for meaningful involvement with children can make a difference between calm and chaos. It also gives you a chance to talk, and work, yet still supervise the younger children. Washing and tearing the greens of the salad, or supervised cutting of fruits for dessert foster cooperation.

If you don't like to cook, the company can make it more enjoyable. It's much easier to work with children for 10 to 30 minutes than to work by yourself for an hour, while children whine or pull at your skirt. Although it takes twice as long to cook with children the fun of a shared experience will be remembered and relayed to parents.


WHAT CAN CHILDREN DO IN THE KITCHEN?

Two-year-olds can snap string beans, tear lettuce, wash salad greens, form hamburgers and play with utensils. Their attention span will last about ten minutes, so whether it's cooking or cleaning, be prepared for very brief involvement.

Three-year-olds can crack eggs (after some practice), squeeze lemons (especially if you "zap" the whole lemon one minute in a microwave to increase the juice flow), grind cooked apples in a food mill for applesauce, use a brush to scrub vegetables, help husk corn and shape yeast dough into interesting shapes.

Four-year-olds can cut parsley or green onions with scissors, cut cucumbers with a serrated table knife, measure some ingredients (with careful supervision), and mix food together. Spreading soft toppings at this age is also a big accomplishment. If a child can put sand in a pail, he can put flour in a measuring cup. Peeling hard-cooked eggs, oranges, or bananas are also possible for a four-year-old, thanks to increased finger dexterity.

By age five, children can do most anything, including supervised cutting with blunt knives. They can really be a help-providing your expectations are realistic!

Be prepared to spend time explaining kitchen safety to young children. They seem to forget from one project to the next. The rule is to always wash children's hands before you start cooking.


HERE ARE SOME ADDITIONAL TIPS:


ADD MUSIC

Singing familiar songs about food adds another dimension to mealtimes. Such familiar favorites as "On Top of Spaghetti," a song about a lost meatball, "Oats, Peas, Beans, and Barley Grow," "I Found a Peanut," "Ten Bottles of Milk on the Shelf," and many others are fun for children. Try "Old MacDonald Had a Farm," using a variety of vegetables for a change to this old favorite. One provider told about singing "I Know an Old Woman Who Swallowed a Fly" in the midst of a disjointed lunch time, much to children's surprise. It was a delightful success and singing became a fun part of every lunch. Camp counselors have used this technique for years. (Check the resource section for a songbook and cassette called "Take a Bite of Music, It's Yummy.")


FOOD-RELATED FIELD TRIPS

Most providers don't take children grocery shopping, but sometimes a trip to the supermarket with children can add special interest to food. Buying fresh spinach for lunch, for example, can make eating it less stressful. Plan ahead and have a parent volunteer help you. Also, consider visiting one of the following:


One provider took her children to an ice cream plant, watched their fascination as the liquid ice cream evolved, and shared their fun in sampling the final product.


EXPLORING FOODS

Gathering specific foods on a tray can make children aware of differences (for example, apples can be red, yellow, and green). Further, a variety of similarly colored foods can help to introduce new ones. Green grapes, cucumbers, lettuce, cabbage, parsley, broccoli, green peppers, and avocados could be used to create a "green tray." One provider gave her charges a variety of melons to try (in the summer, when they were seasonably priced). You could also investigate how many different ways you can serve a fruit. Oranges, for instance, can be squeezed for juice, served in slices, mixed with other fruit, baked as orange muffins or bread, or served in a sauce for ham.

As children get better at slicing and dicing, they may be ready for soup making fun. To heighten their interest, read the book Stone Soup, by Marcia Brown. This is a French tale about hungry soldiers tricking villagers into adding all kinds of vegetables to a pot of boiling water and a stone. You can create a "stone soup" too, with turnips, cabbage, potatoes, onions, carrots, seasonings, and other good things. Any basic vegetable soup recipe will produce a delicious luncheon soup, but the important part is starting with boiling water and the stone. Children's success rate will be better if they are assigned to dice a soft potato or cut cabbage leaves into small pieces.

Here are some other books that can add new meaning to food experiences:

Apple Pigs by Ruth Orbach

Apples and How They Grow by Bruce McMillan

Benny Bakes a Cake by Eve Rice

Blueberries for Sal by Robert McCloskey

Bread and Jam for Frances by Russell Hoban

The Carrot Seed by Ruth Krauss

Chicken Soup with Rice and In the Night Kitchen by Maurice Sendak

Jack and the Beanstalk (There are several authors. We recommend the one by Lorrinda Bryan Cauley)

My Friend the Cow by Lois Lenski

Pancakes, Pancakes, and The Very Hungry Caterpillar by Eric Carle

Popcorn by Tommy DePaola

The Story of Johnny Appleseed by John Chapman

The Tale of Peter Rabbit by Beatrix Potter

The Turnip by Janina Domanska

What a Good Lunch by Shigeo Watanabe


HAVE PARENTS SHARE THEIR TALENTS

Don't forget to extend an invitation to parents to do some specialty cooking with children. The Chinese New Year is usually celebrated in mid- to late January, when everyone can use a boost. Demonstrating how to stir-fry and having children help you is a wonderful way to celebrate this event. Similarly, the Jewish celebration of Hanukkah can inspire parents to share ethnic recipes, such as potato pancakes. One provider cared for an Asian child and was delighted when the child's mother taught the children how to make Cambodian noodles.


Oklahoma State University extends credit to Jane S. Harvey, state coordinator of child care for the University of Maine Cooperative Extension Service, for authorship of some of the content of this publication.




DOCUMENT USE/COPYRIGHT
National Network for Child Care - NNCC. Part of CYFERNET, the National Extension Service
Children Youth and Family Educational Research Network. Permission is granted to reproduce
these materials in whole or in part for educational purposes only (not for profit beyond the cost of
reproduction) provided that the author and Network receive acknowledgment and this notice is
included:

Reprinted with permission from the National Network for Child Care - NNCC. Wilson, E. & Burns, M. (1993). Appetites and healthy attitudes toward food (HBB7-9). In Child care home. Stillwater, OK: Oklahoma State University Cooperative Extension Service.

Any additions or changes to these materials must be preapproved by the author .

COPYRIGHT PERMISSION
Elaine Wilson
Parenting Specialist
233 HES
Oklahoma State University
Stillwater, OK 74074-6111
Phone: 405-744-6231
Fax: 405-744-7113
Email: emwilson@okway.okstate.edu

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115 University Printing
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FORMAT AVAILABLE: :: Series - In Print - 58 pages
DOCUMENT REVIEW: Level 2 - Oklahoma State University Extension
DOCUMENT SIZE:: 36K or 13 pages
ENTRY DATE:: December 1996

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