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	<title>LittleStomaks &#187; Division of Responsibility</title>
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		<title>Eat Your Food or Else</title>
		<link>http://www.littlestomaks.com/2010/07/eat-your-food-or-else/</link>
		<comments>http://www.littlestomaks.com/2010/07/eat-your-food-or-else/#comments</comments>
		<pubDate>Tue, 13 Jul 2010 10:00:16 +0000</pubDate>
		<dc:creator>TwinToddlersDad</dc:creator>
				<category><![CDATA[Helpful Tips]]></category>
		<category><![CDATA[Attachment Parenting]]></category>
		<category><![CDATA[Division of Responsibility]]></category>
		<category><![CDATA[Dr. Spock]]></category>
		<category><![CDATA[healthy eating]]></category>
		<category><![CDATA[Mealtime behavior]]></category>
		<category><![CDATA[Mealtime fun]]></category>
		<category><![CDATA[Natural Parenting]]></category>

		<guid isPermaLink="false">http://www.littlestomaks.com/?p=4815</guid>
		<description><![CDATA[Welcome to the July Carnival of Natural Parenting: You Are What You Eat This post was written for inclusion in the monthly Carnival of Natural Parenting hosted by Code Name: Mama and Hobo Mama. This month our participants have written about their struggles and successes with healthy eating. Please read to the end to find [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><strong>Welcome to the July Carnival of Natural Parenting: You Are What You Eat</strong></p>
<p><em>This post was written for inclusion in the monthly Carnival of Natural Parenting hosted by <a href="http://codenamemama.com/2010/07/13/july-carnival/" target="_blank">Code Name: Mama</a> and <a href="http://www.hobomama.com/2010/07/july-carnival-of-natural-parenting.html" target="_blank">Hobo Mama</a>. This month our participants have written about their struggles and successes with healthy eating. Please read to the end to find a list of links to the other carnival participants.</em></p>
<p>***</p>
<p><a title="Josiah Juxtaposed" href="http://www.flickr.com/photos/44124439915@N01/3288553144/" target="_blank"><img src="http://farm4.static.flickr.com/3456/3288553144_4164c9c6f3.jpg" border="0" alt="Josiah Juxtaposed" /></a><br />
<small><a title="Attribution-NoDerivs License" href="http://creativecommons.org/licenses/by-nd/2.0/" target="_blank"><img src="http://www.littlestomaks.com/blog/wp-content/plugins/photo-dropper/images/cc.png" border="0" alt="Creative Commons License" width="16" height="16" align="absmiddle" /></a> <a href="http://www.photodropper.com/photos/" target="_blank">photo</a> credit: <a title="timsamoff" href="http://www.flickr.com/photos/44124439915@N01/3288553144/" target="_blank">timsamoff</a></small></p>
<h2>Eat your food or else&#8230;</h2>
<p><em>…you will not get your dessert<br />
….you will not grow up strong<br />
….you will stay hungry all day<br />
….I will be very disappointed</em></p>
<p>Let us face it. Even though we don’t mean to, we often find ourselves using such tactics to push our kids to eat their food at mealtime. And when it doesn’t work, we try to bribe them with a reward at the end. Sometimes that works, but soon we realize that children become used to this system of reward and punishment and find a way around them. Maybe we cannot follow up on the threats, so they don’t sound credible anymore. Maybe the reward we offer is no longer enough and they want more. Whatever it is, the mealtime struggles with kids never seem to end!</p>
<p>It is so natural to fall in this trap that most parents – us included – don’t even realize it. We all live busy and stressful lives. We return tired from work, already feeling overwhelmed by so many things that need to be done before kids are in bed. We do not get enough sleep, we do not eat well and we do not get enough time to exercise. As a result, our patience runs thin and the last thing we want is an unhappy child throwing a fit at what we manage to put on the table. We just want to get it over with dinner as soon as possible.</p>
<p>No parent is mean or selfish. They simply want to do what is right for their child. They do not really mean to manipulate their children by promising a reward or issuing a threat. It just seems to happen on its own, and before you know it, you have established a pattern you cannot easily get out of. That is why it is good to be mindful of this risk when trying to encourage your kids to eat well and develop healthy eating habits.</p>
<p>We are a big fan of Dr Spock, who advises parents in his bestseller <a title="Dr Spock's Baby and Child Care" href="http://www.drspock.com/books/0,1873,,00.html" target="_blank">Dr Spock’s Baby and Child Care</a>:</p>
<blockquote><p>Don’t ask a child to eat to earn his dessert, a piece of candy, a gold star, or other prize. Don’t ask him to eat for Aunt Minnie, to make his mother or father happy, to grow big and strong, to keep from getting sick, or to clean his plate. Children should not be threatened with physical punishment or loss of privileges in an attempt to get them to eat.</p></blockquote>
<h2>What should a parent do if not use rewards or threats?</h2>
<p>First, it is better to look at the <em>process of eating</em> from the child’s point of view. If you observe carefully, you will find that your child will eat pretty much anything you give him when he is truly hungry. And if you try to feed him when he is not hungry, then he</p>
<ul>
<li>Wants to play with his food rather than eat it</li>
<li>Wants to have fun rather than sit quietly in one place</li>
<li>Wants to do his own thing rather than follow your instructions</li>
<li>Wants to test how much misbehavior you will tolerate at the table</li>
<li>Wants  foods that he knows taste good (aka sugary, salty and fatty processed foods)</li>
</ul>
<p>The problem here then, is to figure out the <em>natural </em>eating patterns of your child and gently encourage her to build a rhythm of eating that is consistent with the rest of the family. It is no easy task because children at this age have very unpredictable requirements for food. One day they seem to want to eat a lot, while on another day they may take only a few bites at a time. There are 3 important tools you can use to develop a pattern and sense of continuity:</p>
<ul>
<li>Play and physical activity</li>
<li>Rest</li>
<li>Timing and amount of snacks</li>
</ul>
<p><em>Naturally</em>, the first purpose of food is to provide energy to your child for daily activities and growth. The timing and level of activity combined with periods of rest determine when and how much energy is needed. There is a reason why building a regular daytime routine is an important priority at daycare. This way they can establish a pattern of play, feeding and rest so they don’t have to chase the individual needs of every child. Even if you take care of your child at home where you can attend to his every need, it is useful to build a routine.</p>
<p>One problem we face is that our kids are very hungry when we bring them back from daycare at the end of the day. We have no choice but to give them a snack at that time. It delays our dinner time because they are not hungry for at least 1-2 hours. We have learned that there is no use trying to get them to sit down if we happen to eat an early dinner. Key lesson – plan your dinner about 1-2 hour after your child’s last snack!</p>
<p>When we do want them to sit with us, we try to make the experience as much fun as possible. No bribes of threats – although at times, we do have to watch and take a step back. What seem to work for us is engaging them in a conversation by telling stories that tickle their imagination. Recently, we played the <a title="My  little stomach what would you like to eat now?" href="http://www.littlestomaks.com/2010/05/my-little-stomach-what-would-you-like-to-eat-now/" target="_blank">my little stomach, what would you like to eat now?</a> game, which worked very well in getting the twins to try our favorite <a title="Green beans with olive oil" href="http://www.littlestomaks.com/2008/11/simple-recipes-green-beans-with-olive-oil/" target="_blank">green beans with olive oil</a> recipe. <a title="Eating salad like a giraffe" href="http://www.littlestomaks.com/2010/03/eating-salad-like-a-giraffe/" target="_blank">Eating salad like a giraffe</a> got them eating salad greens while <a title="Diesel food for a diesel engine" href="http://www.littlestomaks.com/2010/01/diesel-food-for-a-diesel-engine/" target="_blank">diesel food for a diesel engine</a> story was a hit with my train-crazy son to get him to sit at the table with us.</p>
<p>By no means, I want to imply that this is easy. It takes a lot of energy and creativity on top of trying to figure out what to put on the table after a long day at work. Here are a few ideas to have a perspective keep it under control:</p>
<p><strong><span style="color: #ff6600;">Don’t give in and don’t give up</span></strong> – if it doesn’t work one day, move on and try on another day<br />
<strong><span style="color: #ff6600;">It’s not about you</span></strong> – the food is going in your child’s body, not yours. You are only responsible for offering food, not getting your child to actually eat it<br />
<strong><span style="color: #ff6600;">Don’t be pushy, don’t be a pushover</span></strong> – feeding a child is not power play. Respect their feelings but also don’t let them run you over with their demands<br />
<strong><span style="color: #ff6600;">Practice BVM</span></strong> – balance, variety and moderation. Food is not good or bad, it’s how it is eaten that makes it a problem. Sweet treats and yummy snacks all have a proper place in your child’s diet<br />
<strong><span style="color: #ff6600;">Feeding kids is teamwork</span></strong> – don’t do it alone, engage your spouse to balance your parenting style</p>
<p>There is a lot of talk about food these days. We read and hear about all kinds of new food labels -<em>natural</em>, <em>organic</em>, <em>locally-grown</em>, <em>minimally-processed</em>, <em>wholesome </em>and so on. People are becoming more aware of what they eat, and food marketers are working hard to make food packaging scream out such labels at them. It is perfectly fine to pay attention to these labels and the what of food; but the how of feeding is equally important.</p>
<p>Next time you find yourself in another <em>eat your food or else</em> battle with your child, stop and take a different approach.</p>
<p><span style="font-size: small;">©2010 Littlestomaks.com</span></p>
<p>***</p>
<p><a title="Carnival of Natural Parenting" href="http://www.hobomama.com/p/carnival-of-natural-parenting.html" target="_blank"><img class="alignright" src="http://i233.photobucket.com/albums/ee159/lintpicker/CNPnaturalparent.jpg" border="0" alt="Carnival of Natural Parenting -- Hobo Mama and Code Name: Mama" align="right" /></a>Visit <a href="http://codenamemama.com/carnival-of-natural-parenting/" target="_blank">Code Name: Mama</a> and <a href="http://www.hobomama.com/p/carnival-of-natural-parenting.html" target="_blank">Hobo Mama</a> to find out how you can participate in the next Carnival of Natural Parenting!</p>
<p>Please take time to read the submissions by the other carnival participants:</p>
<ul style="float: left; font-size: 11.5px; margin-right: 5px; width: 210px;">
<li><strong><a href="http://www.monkeybuttjunction.com/2010/07/four-seasons-of-eating-locally.html" target="_blank">Four Seasons of Eating Locally</a></strong> — Jenn at Monkey Butt Junction has pointers for what fresh produce can be found year-round. (<a href="http://twitter.com/MBJunction" target="_blank">@MBJunction</a>)</li>
<li><strong><a href="http://livingmontessorinow.com/2010/07/13/happy-families-can-have-more-than-one-diet/" target="_blank">Happy Families Can Have More Than One Diet</a></strong> — Deb Chitwood at Living Montessori Now has figured out a way for her family to live happily as vegans and vegetarians with relatives who eat meat. (<a href="http://twitter.com/DebChitwood" target="_blank">@DebChitwood</a>)</li>
<li><strong><a href="http://onthequest.wordpress.com/2010/07/13/my-own-omnivores/" target="_blank">My Own Omnivore’s Dilemma</a></strong> — Seonaid at The Practical Dilettante prioritizes responsible consumer choices for her family.</li>
<li><strong><a href="http://jonirae.com/no-gluten-no-cry/" target="_blank">No Gluten — No Cry</a></strong> — Joni Rae at Tales of a Kitchen Witch Momma learned to cook balanced meals when her son&#8217;s food sensitivities prompted a diet overhaul. (<a href="http://twitter.com/kitchenwitch" target="_blank">@kitchenwitch</a>)</li>
<li><strong><a href="http://veryveryfine.wordpress.com/2010/07/13/try-try-again/" target="_blank">Try, Try Again</a></strong> — Stefanie at very very fine has become an enthusiastic consumer of locally grown food.</li>
<li><strong><a href="http://lovewhatis.com/2010/csa-week-1/" target="_blank">CSA — Week 1</a></strong> — Casey at What Love Is wants her children to know where their food comes from, so she joined a friendly CSA. (<a href="http://twitter.com/CBerbs" target="_blank">@CBerbs</a>)</li>
<li><strong><a href="http://www.theparentvortex.com/wordpress/food-parenting-or-homemaking" target="_blank">Food: Parenting or Homemaking?</a></strong> — Michelle at The Parent Vortex sees food as part of a parent&#8217;s nurturing role. (<a href="http://twitter.com/TheParentVortex" target="_blank">@TheParentVortex</a>)</li>
<li><strong><a href="http://codenamemama.com/2010/07/13/july-carnival/" target="_blank">5 Tips to Help Kids Develop Healthy Eating Habits</a></strong> — If you struggle with healthy eating, helping your child develop healthy habits might be a challenge. Dionna at Code Name: Mama shares five easy tips that will help your kids learn to make good food choices. (<a href="http://twitter.com/CodeNameMama" target="_blank">@CodeNameMama</a>)</li>
<li><strong><a href="http://www.chinacat.org/roller/sunfrog/entry/family_food_seeking_balance_between" target="_blank">Family Food: Seeking Balance Between Healthy, Sustainable &amp; Affordable</a></strong> — Kristin at Intrepid Murmurings has a whole list of ideas for how she can improve her family&#8217;s eating, both now and into the future. (<a href="http://twitter.com/sunfrog" target="_blank">@sunfrog</a>)</li>
<li><strong><a href="http://thisisworthwhile.blogspot.com/2010/07/whold-foods-in-wholesome-feelings-out.html" target="_blank">Whole Foods in, Wholesome Feelings Out</a></strong> — Jessica at This is Worthwhile has turned her back on the processed, preservative-ridden food of her childhood. (<a href="http://twitter.com/tisworthwhile" target="_blank">@tisworthwhile</a>)</li>
<li><strong><a href="http://www.becomingmamas.com/when-to-splurge-on-organic-and-when-it-is-okay-to-skip-it/" target="_blank">When to Splurge on Organic (and When It Is Okay to Skip It)</a></strong> — Becoming Mamas tell you what foods to prioritize when buying pricier organic food, and where you can find it cheaper. (<a href="http://twitter.com/becomingmamas" target="_blank">@becomingmamas</a>)</li>
<li><strong><a href="http://bepresentmama.blogspot.com/2010/07/locavores-family-meal.html" target="_blank">A Locavore&#8217;s Family Meal</a></strong> — Acacia at Be Present Mama tells a story in pictures of her family taking a trip to the local organic farmers market and then preparing a summer meal together with their bounty.</li>
<li><strong><a href="http://www.littlestomaks.com/2010/07/eat-your-food-or-else/" target="_blank">Eat Your Food, or Else</a></strong> — Why should we not bribe a child to eat? TwinToddlersDad from Littlestomaks (Science Driven Real Life Toddler Nutrition) explains. (<a href="http://twitter.com/TwinToddlersDad" target="_blank">@TwinToddlersDad</a>)</li>
<li><strong><a href="http://www.diaryofafirstchild.com/2010/07/13/food-glorious-food/" target="_blank">Food, Glorious Food!</a></strong> — Luschka at Diary of a First Child describes three easy ways her family has started eating healthier. (<a href="http://twitter.com/diaryfirstchild" target="_blank">@diaryfirstchild</a>)</li>
<li><strong><a href="http://littlegreenblog.com/family-and-food/nutrition/celebrating-food/" target="_blank">Celebrating Food</a></strong> — Mrs Green at Little Green Blog believes in food as medicine and thinks it&#8217;s worth paying more to keep healthy. (<a href="http://twitter.com/myzerowaste" target="_blank">@myzerowaste</a>)</li>
<li><strong><a href="http://midnightfeedings.com/?p=411" target="_blank">Oil and Yogurt</a></strong> — What have you been motivated to do with the current oil spill crisis? midnightfeedings has started making her own yogurt. (<a href="http://twitter.com/midnightfeeding" target="_blank">@midnightfeeding</a>)</li>
<li><strong><a href="http://www.beanma.com/growth-spurt-soup-aka-beannut-stew/" target="_blank">Growth-Spurt Soup (AKA &#8220;Beannut Stew&#8221;)</a></strong> — BeanMa has a special stew to help her baby through growth spurts that keep her up all night. (<a href="http://twitter.com/thebeanma" target="_blank">@thebeanma</a>)</li>
</ul>
<ul style="float: left; font-size: 11.5px; width: 210px;">
<li><strong><a href="http://www.breastfeedingmomsunite.com/2010/07/why-i-love-the-real-food-community/" target="_blank">Why I Love The Real Food Community</a></strong> — Much like many people who follow AP/NP values, Melodie at Breastfeeding Moms Unite! takes the parts of the &#8220;real food&#8221; philosophy that work for her family and leaves the rest. (<a href="http://twitter.com/bfmom" target="_blank">@bfmom</a>)</li>
<li><strong><a href="http://livingpeacefullywithchildren.wordpress.com/2010/07/13/feeding-a-family-of-six/" target="_blank">Feeding a Family of Six</a></strong> — Mandy at Living Peacefully with Children gives helpful tips for feeding a family of six.</li>
<li><strong><a href="http://lilsnowflakes.wordpress.com/2010/07/13/starting-solids-at-6-months/" target="_blank">Starting Solids at 6 Months</a></strong> — Did your doctor recommend that you give your baby cereal? Sheryl at Little Snowflakes discusses how whole foods are so much healthier (and more delicious) than traditional cereal. (<a href="http://twitter.com/sheryljesin" target="_blank">@sheryljesin</a>)</li>
<li><strong><a href="http://ellabeanandco.blogspot.com/2010/07/am-i-what-i-eat.html" target="_blank">Am I What I Eat?</a></strong> — Andrea!!! at Ella-Bean &amp; Co. has figured out a way to avoid grocery stores nearly altogether.</li>
<li><strong><a href="http://purpledancingdahlias.blogspot.com/2010/07/are-we-setting-our-kids-up-to-fail.html" target="_blank">Are We Setting Our Kids Up To Fail?</a></strong> — Megan at Purple Dancing Dahlias found that cutting out the junk also transformed her sons&#8217; behavior problems.</li>
<li><strong><a href="http://www.hobomama.com/2010/07/july-carnival-of-natural-parenting.html" target="_blank">Changing your family&#8217;s way of eating</a></strong> — Lauren at Hobo Mama has techniques you can try to move your family gradually toward a healthier diet. (<a href="http://twitter.com/Hobo_Mama" target="_blank">@Hobo_Mama</a>)</li>
<li><strong><a href="http://edenwild.wordpress.com/2010/07/13/real-food/" target="_blank">Real Food</a></strong> — What kinds of fake foods do you eat? And why?! Lisa C. at My World Edenwild talks about why she chooses real food.</li>
<li><strong><a href="http://where-is-julie.blogspot.com/2010/07/snackaholics-food-battle.html" target="_blank">A Snackaholic’s Food Battle</a></strong> — Julie at Simple Life wants to stop snacking and get into the old ways of cooking from scratch and raising her own food. (<a href="http://twitter.com/homemakerjulie" target="_blank">@homemakerjulie</a>)</li>
<li><strong><a href="http://findingsummer.com/food-not-fight/" target="_blank">Food, Not Fight</a></strong> — Summer at Finding Summer doesn&#8217;t want her kids to grow up like her husband: hating everything green. (<a href="http://twitter.com/summerm" target="_blank">@summerm</a>)</li>
<li><strong><a href="http://theresapickleinmylife.blogspot.com/2010/07/how-do-you-eat-when-youre-out-of-town.html" target="_blank">How Do You Eat When You Are out of Town?</a></strong> — Cassie at There&#8217;s a Pickle In My Life wants some tips on how to eat healthy when you are out of town.</li>
<li><strong><a href="http://bubbiegirl.blogspot.com/2010/07/carnival-of-natural-parenting-food.html" target="_blank">Carnival of Natural Parenting: Food!</a></strong> — Sybil at Musings of a Milk Maker hopes that by serving her children healthy, balanced meals, they will become accustomed to making good food choices. (<a href="http://twitter.com/sybilryan" target="_blank">@sybilryan</a>)</li>
<li><strong><a href="http://navelgazingbajan.wordpress.com/2010/07/13/theresnofoodlikehomes/" target="_blank">There&#8217;s No Food Like Home&#8217;s</a></strong> — NavelgazingBajan at Navelgazing revels in the Bajan food of her upbringing. (<a href="http://twitter.com/BlkWmnDoBF" target="_blank">@BlkWmnDoBF</a>)</li>
<li><strong><a href="http://toloveeverymoment.blogspot.com/2010/07/this-moms-food-journey.html" target="_blank">This Mom&#8217;s Food Journey</a></strong> — Kat at Loving {Almost} Every Moment made a journey from not paying attention to food to growing her own.</li>
<li><strong><a href="http://ourlittleacorn.blogspot.com/2010/07/who-knew-eating-was-so-hard.html" target="_blank">Who Knew Eating Was So Hard?</a></strong> — The challenges involved in changing to healthier eating habits take on a whole new dimension when you have a child who has difficulties eating. kadiera at Our Little Acorn shares her own experiences. (<a href="http://twitter.com/kadiera" target="_blank">@kadiera</a>)</li>
<li><strong><a href="http://gentlemothering.blogspot.com/2010/07/loving-food.html" target="_blank">Loving Food</a></strong> — Starr at Earth Mama truly believes food is her family&#8217;s medicine and is willing to spend days preparing it the traditional way.</li>
<li><strong><a href="http://borninjapan.net/2010/07/13/food-mindfulness/" target="_blank">Food Mindfulness</a></strong> — Danielle at born.in.japan details how her family spends money on each category of food. (<a href="http://twitter.com/borninjp" target="_blank">@borninjp</a>)</li>
<li><strong><a href="http://goodgoog.com/2010/toddlers/food/food-for-little-people/" target="_blank">Food for Little People</a></strong> — Zoey at Good Goog wants to bless her daughter with happy traditions built around good food. (<a href="http://twitter.com/zoeyspeak" target="_blank">@zoeyspeak</a>)</li>
<li><strong><a href="http://www.katewicker.com/2010/07/eat-like-baby.html" target="_blank">Eat Like a Baby</a></strong> — Have you been told that you should not equate food with love? Kate Wicker at Momopoly shows us why that&#8217;s not necessarily true. (<a href="http://twitter.com/Momopoly" target="_blank">@Momopoly</a>)</li>
<li><strong><a href="http://science-at-home.org/food/" target="_blank">Food</a></strong> — Deb at Science@Home tries to teach her children three rules to help them eat a healthy diet. (<a href="http://twitter.com/ScienceMum" target="_blank">@ScienceMum</a>)</li>
<li><strong><a href="http://mamanadroit.blogspot.com/2010/07/healthy-living-lactose-free.html" target="_blank">Healthy Eating Lactose-Free</a></strong> — MamanADroit gives us tips on how to eat healthy if you are lactose intolerant (or just don’t want cow milk). (<a href="http://twitter.com/MamanADroit" target="_blank">@MamanADroit</a>)</li>
</ul>
]]></content:encoded>
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		<item>
		<title>Ask the Expert &#8211; Toddler Not Gaining Weight</title>
		<link>http://www.littlestomaks.com/2010/05/ask-the-expert-toddler-not-gaining-weight/</link>
		<comments>http://www.littlestomaks.com/2010/05/ask-the-expert-toddler-not-gaining-weight/#comments</comments>
		<pubDate>Tue, 25 May 2010 10:00:10 +0000</pubDate>
		<dc:creator>TwinToddlersDad</dc:creator>
				<category><![CDATA[Ask The Expert]]></category>
		<category><![CDATA[Balance]]></category>
		<category><![CDATA[Dietitian]]></category>
		<category><![CDATA[Division of Responsibility]]></category>
		<category><![CDATA[Ellyn Satter]]></category>
		<category><![CDATA[Growth Chart]]></category>
		<category><![CDATA[Moderation]]></category>
		<category><![CDATA[Underweight]]></category>
		<category><![CDATA[Variety]]></category>

		<guid isPermaLink="false">http://www.littlestomaks.com/?p=4516</guid>
		<description><![CDATA[Ask The Expert is a weekly column on Littlestomaks.com. The idea is to have a reader-submitted question answered by a nutrition expert or a pediatrician. Feel free to submit your question in the comments section below. It is natural for parents to be concerned about slow weight gain in their children when they see the [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><em><strong>Ask The Expert</strong> is a weekly column on Littlestomaks.com. The idea is to have a reader-submitted question answered by a nutrition expert or a pediatrician. Feel free to submit your question in the comments section below.</em></p>
<p>It is natural for parents to be concerned about slow weight gain in their children when they see the weight percentile number on the growth charts. They try to then force feed their child in the hope that he will gain more weight. In this article, registered dietitian Teresa Wagner explains why this approach may not work in the long run. Instead, she suggests you try to implement the notion of division of responsibility in feeding.</p>
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<td><a href="http://www.littlestomaks.com/blog/wp-content/uploads/2009/06/LaurieBebee.jpg"></a><a href="http://www.littlestomaks.com/blog/wp-content/uploads/2010/05/TeresaWagner1.jpg"></p>
<p style="text-align: center;"><img class="alignnone size-full wp-image-4518" title="TeresaWagner" src="http://www.littlestomaks.com/blog/wp-content/uploads/2010/05/TeresaWagner1.jpg" alt="" width="333" height="428" /></p>
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<td><span style="font-size: x-large;"><strong>Teresa Wagner, MS, RD, LD</strong></span><br />
<span style="font-size: x-large;"> </span></p>
<ul>
<li><span style="font-size: small;">BS, Dietetics from Texas Christian University</span></li>
<li><span style="font-size: small;">MS, Nutrition from Texas Women&#8217;s University<br />
</span></li>
<li><span style="font-size: small;">Certified in childhood and adolescent weight management</span><span style="font-size: small;"></span></li>
<li><span style="font-size: small;">Director Dairy Max Program<br />
</span></li>
<li><span style="font-size: small;">10 years teaching experience at community college and university level<br />
</span></li>
<li><span style="font-size: small;">Blogger at the <a title="Teresa Wagner on The Dairy Report" href="http://www.thedairyreport.com/?page_id=486" target="_blank">Dairy Report</a><a title="Keri Gans Nutrition" href="http://www.kerigansnutrition.com/index.shtml" target="_blank"><br />
</a></span></li>
<li><span style="font-size: small;">Twitter: <a title="Teresa Wagner on Twitter" href="http://twitter.com/TravelingRD" target="_blank">@</a></span><span style="font-size: small;"><a title="Teresa Wagner on Twitter" href="http://twitter.com/TravelingRD" target="_blank">TravelingRD</a></span></li>
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<h3><span style="color: #0000ff;"><strong>Question:I am worried that my 4 year old is not gaining enough weight although he is growing tall. What should I be feeding him so he can put on some weight?</strong></span></h3>
<h3><strong>Answer:</strong></h3>
<p>As a registered dietitian who worked for almost 10 years with pediatric clients, I have met many parents who are concerned with their children’s either abundance of or <a title="Weight gain for kids" href="http://kidshealth.org/kid/stay_healthy/fit/gaining_weight.html" target="_blank">lack of weight gain</a>. Weight status is a result of many factors including but not limited to heredity, <a title="Resting Metabolic Rate and Weight Management" href="http://www.littlestomaks.com/2010/03/resting-metabolic-rate-and-weight-management/" target="_blank">metabolism</a>, growth, environment and activity level.</p>
<p>Healthy children are born with an innate ability to regulate their own food intake due to hormones in the body that control the rise and fall of blood glucose levels and appetite. When left to one’s own devices, children will naturally eat when they are hungry and stop when they are full. Take for example, my own daughter who has surpassed me in height at the age of 14. When she was a child, she hovered around the 25th% for weight vs. height and was so tiny that you could have wrapped your fingers around her legs. However, when she was eating, she might stop in the middle of a bowl of ice cream, a baggie of grapes or a slice of pizza and be done. Once she went through puberty, she blossomed out into a curvy teen, now hovering around the 50th% of weight for height and still enjoys the foods she eats but innately monitors her own appetite.</p>
<p>The main concepts we should be concentrating on as parents to teach our children involving eating are balance, variety and moderation. Enjoying a variety of <a title="Nutrient rich eating" href="http://www.nutrientrichfoods.org/index.html" target="_blank">nutrient rich foods</a> that will maximize the nutrients we obtain while moderating our calories and balancing those calories with appropriate <a title="Think Play-Nutrition-Rest for Long Term Health of Your Kids" href="http://www.littlestomaks.com/2009/04/think-play-nutrition-rest-for-long-term-health-of-your-children/" target="_blank">physical activity or active play</a>. When I taught college, the first statement I would make to my students was that if they learned nothing in my class but the definition and application of the three words <em>balance</em>, <em>variety </em>and <em>moderation</em>, I would be happy.</p>
<p>As a young dietitian, I learned all of my basic information on child feeding and actually worked for years in eating therapy for children who were born without the innate ability to either eat by mouth or sense hunger, fullness and satiety. The guru of child feeding in my book has always been <a title="Ellyn Satter" href="http://www.ellynsatter.com/" target="_blank">Ellyn Satter</a>.</p>
<p>Ellyn’s <em>division of responsibility</em> in eating tells us that parents are responsible for serving nutritious foods in a positive and supportive atmosphere while the child is responsible for how much and whether or not they will eat. In doing so on both parts, the child can develop successful skills in balance, variety and moderation and carry forth these skills into adulthood in developing a healthy lifestyle that includes physical activity, adequate sleep and weight maintenance. Teaching these concepts at a young age decreases your child’s risk of developing chronic disease as an adult. By becoming overly concerned or forceful with children’s eating and weight, we disrupt this natural balance by creating a negative atmosphere or forcing unneeded calories and our child may lose  that inborn ability, as many of us have, to balance their own weight and monitor their own food intake. In the mean time, they will grow normally based on their own unique make-up of weight status factors. Thus, Ellyn says don’t try to control the amount of food or calories that your child eats; that is the child’s job.</p>
<p><strong>Instead:</strong></p>
<ul>
<li>Maintain a division of responsibility in feeding; you providing/child monitoring.</li>
<li>Do family-friendly feeding and maintain a supportive atmosphere.</li>
<li>Offer nutrient rich snacks between meals and encourage active play.</li>
<li>Let your child grow up to get the strong, healthy body that is right for them.</li>
</ul>
<p><span style="font-size: small;"><strong>©2010 Littlestomaks.com. All Rights Reserved</strong></span></p>
<p><span style="font-size: small;"><strong>Disclaimer</strong> – Information provided in Ask The Expert column on Littlestomaks.com is intended to give you general guidance on a question related to toddler nutrition. It is not meant to be treated as medical advice. You are welcome to contact this expert for a detailed consultation on your specific situation to determine what actions, if any, you should take regarding nutrition and health of your toddlers. We do not recommend you to take any action based solely on the information presented in this column. Experts have agreed to provide their professional opinion on toddler nutrition related questions on a voluntary basis and no compensation is offered to them by Littlestomaks.com. </span></p>
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		<title>Five for Fridays &#8211; Nov 13, 2009</title>
		<link>http://www.littlestomaks.com/2009/11/five-for-fridays-nov-13-2009/</link>
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		<pubDate>Fri, 13 Nov 2009 11:00:17 +0000</pubDate>
		<dc:creator>TwinToddlersDad</dc:creator>
				<category><![CDATA[Childhood Obesity]]></category>
		<category><![CDATA[Five For Fridays]]></category>
		<category><![CDATA[Chocolate Milk]]></category>
		<category><![CDATA[Community]]></category>
		<category><![CDATA[Dietary Guidelines]]></category>
		<category><![CDATA[Dinner Together]]></category>
		<category><![CDATA[Division of Responsibility]]></category>
		<category><![CDATA[Food trends]]></category>
		<category><![CDATA[Milk]]></category>
		<category><![CDATA[Vitamin D]]></category>

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		<description><![CDATA[Oh no! It is Friday the 13th! A coincidence maybe, but I just noticed that this is the 3rd Friday the 13th this year. Maybe that is why we are having a nightmarish year so far &#8211; there is simply no good news anymore! Hopefully things will change for the better soon. Here are 5 [...]]]></description>
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<p><a href="http://www.littlestomaks.com/blog/wp-content/uploads/2009/10/5-for-fridays-image33-Oct23.jpg"></a></p>
<p>Oh no! It is Friday the 13<sup>th</sup>! A coincidence maybe, but I just noticed that this is the 3rd Friday the 13th this year. Maybe that is why we are having a <em>nightmarish </em>year so far &#8211; there is simply no good news anymore! Hopefully things will change for the better soon.</p>
<p>Here are 5 nutrition related articles that caught my eye this week. Enjoy and drop me a comment to share your thoughts.</p>
<h3 style="text-align: left;"><span style="color: #0000ff;"><strong><a title="Vitamin D conference Canda Nov 2009" href="http://www.grassrootshealth.net/press-20091104" target="_blank">Toronto conference raises another red flag on vitamin D</a></strong></span></h3>
<p>If  you want to be heard, scream louder! That seems to have been the strategy of the conference organizers in Toronto who made loud proclamations like &#8220;breast cancer risk <em>virtually eradicated</em> by elevated vitamin D levels&#8221; and &#8220;97% of Canadians are vitamin D deficient and don&#8217;t even know it&#8221;. I love it when I hear attention grabbing headlines like these! Sounds like the vitamin D enthusiasts are getting desperate because their research so far has not been able to influence policy decisions by health officials.</p>
<p>Interestingly, a non-profit &#8220;grassroots&#8221; organization called Grassroots Health is leading this fight with their flagship <a title="D Action of Grassroots Health" href="http://www.grassrootshealth.net/daction" target="_blank">D*Action</a> panel of leading researchers in North America. They recommend 2000 IU of daily vitamin D and blood levels of 100-150 nmol/mL to reduce the risk of all kinds of chronic diseases. Their mission is to promote awareness of the vitamin D problem by educational seminars and encourage people to get their blood levels checked two times a year.</p>
<p><a title="Five for Fridays article on Vitamin D" href="http://www.littlestomaks.com/2009/10/five-for-fridays-oct-30-2009/" target="_blank">There is no consensus on optimal vitamin D levels</a>, especially for children. Keep in mind that the current recommendation is 400 IU for infants, children and adolescents. Many &#8220;experts&#8221; believe children need about 10 times the current recommended levels! I am not really convinced of that and I don&#8217;t recommend you to fall for this kind of advice without testing and consultation with your pediatrician.</p>
<h3 style="text-align: left;"><span style="color: #0000ff;"><strong><a title="Calorie information on front of Coke cans" href="http://www.thecoca-colacompany.com/presscenter/nr_20090930_energy_packaging.html" target="_blank">Will you raise your hand for chocolate milk?</a><br />
</strong></span></h3>
<p>The creators of the &#8220;Got Milk?&#8221; campaign now want you to encourage your children to &#8220;raise their hand&#8221; for chocolate milk in school. The logic is simple &#8211; kids are not drinking enough milk, vitamin D levels are low, chocolate milk is popular so why not let them drink more of it in school? It is not as bad as candy and soda anyway! Check this out:<br />
<object classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000" width="477" height="290" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0"><param name="allowFullScreen" value="true" /><param name="allowscriptaccess" value="always" /><param name="src" value="http://www.youtube.com/v/RjKFlusW-Xc&amp;hl=en_US&amp;fs=1&amp;" /><param name="allowfullscreen" value="true" /><embed type="application/x-shockwave-flash" width="477" height="290" src="http://www.youtube.com/v/RjKFlusW-Xc&amp;hl=en_US&amp;fs=1&amp;" allowscriptaccess="always" allowfullscreen="true"></embed></object></p>
<p>I am not necessarily against this idea because it seems like a practical solution to a common problem. Some experts have opposed this idea because of extra calories coming from added sugar. Kids are getting enough sugar already so chocolate milk has no place in schools, they say.</p>
<p>What do you think? If you raise your hand for the chocolate milk mustache this time, try to cut those extra calories from somewhere else in your child&#8217;s diet.</p>
<p>By the way, I understand why this video would use dietitians to endorse this idea, but what&#8217;s up with the actors and models? Does their endorsement carry the same weight? But then, I probably don&#8217;t understand Marketing!</p>
<h3 style="text-align: left;"><strong><a title="Division of responsibility guest post on Dinner Together blog" href="http://dinnertogether.blogspot.com/2009/10/two-hungry-monkeys-and-challenges-in.html" target="_blank">Getting the division of responsibility right in feeding toddlers</a><br />
</strong></h3>
<p>I was thrilled to read Dr Kathleen Cuneo&#8217;s sound advice in response to my guest post on her blog a couple of weeks ago about <a title="Division of responsibility guest post on Dinner Together blog" href="http://dinnertogether.blogspot.com/2009/10/two-hungry-monkeys-and-challenges-in.html" target="_blank">challenges of feeding toddlers</a> using Ellyn Satter&#8217;s division of responsibility idea. 5 challenges that we have faced with our 3 year old twins are &#8211; can&#8217;t be sure if they are really full, they are not hungry at dinner time, they are distracted by TV, they are too tired and you are just too tired and &#8220;give in&#8221;.</p>
<p>As she promised, Dr Cuneo followed up with a couple of posts on her blog, which I strongly recommend you to read if you are facing a similar challenge. In her post <a title="Are they really full? on Dinner Together" href="http://dinnertogether.blogspot.com/2009/10/are-they-really-full.html" target="_blank">Are They Really Full?</a> she advises parents to acknowledge their fears and do a realistic assessment of how much their children are eating on average. Probably about what they need because they are naturally programmed to regulate their food intake. So keep your fears in check and use division of responsibility consistently.</p>
<div>
<h3 style="text-align: left;"><span style="color: #0000ff;"><strong><a title="Fighting obesity may take a village WSJ story" href="http://bit.ly/2MiPJe" target="_blank">Don&#8217;t fight the obesity battle alone</a><br />
</strong></span></h3>
</div>
<p>Just like getting a workout buddy can keep you on track to burn those extra calories in the gym each week, a community-level program to fight childhood obesity is more likely to work based on recent experience in Europe. <a title="EPODE obesity prevention program" href="http://www.epha.org/a/3149" target="_blank">Together Let&#8217;s Prevent Childhood Obesity</a> is a proven program in France (it goes by the name EPODE), which aims to build healthier habits over a lifetime by using all key stakeholders at the local level. First started in 2003, EPODE now extends to 1.8 million people across 167 French cities, 20 in Spain and 8 in Belgium. Greece and Australia are expected to follow soon. The results, measured by BMI of children have shown reduction in the percentage of overweight and obese children.</p>
<p>Why does it work so well? I think the key is making it a community level issue and not an individual issue. Also encouraging healthy habits, moderation and not stigmatizing certain foods. Mindful eating, peer pressure and involvement of key opinion leaders such as dietitians, chefs and school administrators seem to create a supportive environment for the individual.</p>
<p>Should we wait for our policy makers to wake up and act? Why not get a Mom&#8217;s group together and develop a simple action plan to address this problem in your community? What do you think?</p>
<h3 style="text-align: left;"><span style="color: #0000ff;"><strong><a title="Preview of 2010 Dietary Guidelines for Americans" href="http://nutritionunplugged.com/2009/11/changing-the-way-america-eats/" target="_blank">Changing the way we eat in 2010 and beyond</a><br />
<strong></strong></strong></span></h3>
<p>Registered Dietitian <a title="Janet Helm on Twitter" href="http://twitter.com/janethelm">Janet Helm</a> provides a great preview of what we might expect in the 2010 revision of the Dietary Guidelines for Americans. Looks like the experts are considering the following recommendations &#8211; fight obesity, promote nutrient-rich foods, focus on nutrients of concern (vitamin D etc.), emphasize plant-based foods, highlight diversity of vegetables and cut the salt. How the exact guidelines will turn out, no one knows but we can probably expect more emphasis on these points. I think it is quite timely and a clear recognition of a link between what we put in our bodies and our present healthcare challenges.</p>
<p>There is no shortage of advice and guidelines and yet we are facing a public health crisis. I think the gap is in implementation and accountability.</p>
<p dir="ltr"><span lang="en-us">Enjoy and do let me know what you think. I would love to have you share your best tips in comments below.</span></p>
<p><span style="font-size: small;">Photo source &#8211; <a title="everystockphoto.com" href="http://www.everystockphoto.com/" target="_blank">everystockphoto</a></span></p>
<p>©2009 Littlestomaks.com</p>
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		<title>Two Hungry Monkeys and Division of Responsibility</title>
		<link>http://www.littlestomaks.com/2009/10/two-hungry-monkeys-and-division-of-responsibility/</link>
		<comments>http://www.littlestomaks.com/2009/10/two-hungry-monkeys-and-division-of-responsibility/#comments</comments>
		<pubDate>Wed, 28 Oct 2009 10:00:06 +0000</pubDate>
		<dc:creator>TwinToddlersDad</dc:creator>
				<category><![CDATA[Miscellaneous]]></category>
		<category><![CDATA[Dinner Together]]></category>
		<category><![CDATA[Division of Responsibility]]></category>
		<category><![CDATA[Eating Habits]]></category>
		<category><![CDATA[Ellyn Satter]]></category>
		<category><![CDATA[Feeding Issues]]></category>

		<guid isPermaLink="false">http://www.littlestomaks.com/?p=3145</guid>
		<description><![CDATA[I have a guest post today on challenges of feeding our two little monkeys as we try to apply Ellyn Satter&#8217;s division of responsibility. Simply put, division of responsibility means parents are responsible for what, when and where and the child is responsible for how much and whether. Check it out at Dr. Kathleen Cuneo&#8217;s [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><a href="http://www.littlestomaks.com/blog/wp-content/uploads/2009/10/AsyaArmaanIndianRestOct2009.jpg"><img class="alignnone size-full wp-image-3146" title="AsyaArmaanIndianRestOct2009" src="http://www.littlestomaks.com/blog/wp-content/uploads/2009/10/AsyaArmaanIndianRestOct2009.jpg" alt="AsyaArmaanIndianRestOct2009" width="483" height="362" /></a></p>
<p>I have a guest post today on challenges of feeding our two little monkeys as we try to apply Ellyn Satter&#8217;s <em>division of responsibility</em>.</p>
<p>Simply put, division of responsibility means parents are responsible for <em>what</em>, <em>when </em>and <em>where </em>and the child is responsible for <em>how much</em> and <em>whether</em>.</p>
<p>Check it out at <a title="Guest post on Dinner Together Blog" href="http://dinnertogether.blogspot.com/2009/10/two-hungry-monkeys-and-challenges-in.html" target="_blank">Dr. Kathleen Cuneo&#8217;s Dinner Together blog</a>. Feel free to share your challenges and tips in trying to feed your little one!</p>
<p><span style="font-size: small;">Photo: Littlestomaks.com All rights reserved</span><br />
<span style="font-size: small;">©2009 Littlestomaks.com </span></p>
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