Child nutrition, intolerance vs allergy PDF
Preview Child nutrition, intolerance vs allergy
Feeding our children Anna J Richards NZRD Kidzhealth Feeding our children Raising competent eaters and falling off the feeding continuum Competetant eaters have: Positive attitudes about eating and about food Food acceptance skills that support eating an ever-increasing variety What is a of the available food Internal regulation skills that allow intuitively consuming enough competent food to give energy and stamina and to support stable body weight eater? Skills and resources for managing the food context and orchestrating family meals Identifying these four constructs allows nutrition professionals to target interventions as well as trust and support the individual's own capabilities and tendency to learn and grow. Eating competence: definition and evidence for the Satter Eating Competence model. Satter E1. J Nutrition educ behave 2007 Sep- Oct;39(5 Suppl):S142-53. Barriers to creating competent feeders • Adverse food reactions • Delayed introduction of complimentary foods • Limited tactile experiences – the rise of busy clean freaks • Lack of texture progression – purees and pouches • Poor feeding modelling – monkey see, monkey do • Modern cuisine • The iron issue • Health issues • Physical discomfort – allergy, intolerance, medical When did the child fall off the feeding continuum and why? Climbing on to the feeding continuum… Effects of repeated exposure to either vegetables or fruits on infant’s vegetable and fruit acceptance at the beginning of weaning • 101 healthy babies (4-6 months old) randomly assigned to either vegetable or fruit puree: • For 18 days • On day 19 the vegetable group received apple puree and the fruit group received green bean puree Barends et al 2013 Food Quality & Preference 29:2 Results • These findings confirm that at the first exposure fruit acceptance is higher than vegetable acceptance. • Starting with vegetables, but not with fruits, may promote vegetable acceptance in infants. • Babies randomised prior to starting solids • Intervention group received exposure to vegetable puree added to milk (12 days), followed by vegetable puree added to baby rice (twice a day for 12 days) • Control group received plain milk and rice Both groups then received vegetable puree (11 days) Intake was weighed and liking rated Appetite. 2015 Jan;84:280-90 Results Fig. 3. Mean (SEM) vegetable intakes recorded each day in the laboratory (D25, 26, 33, 34, 35) and at home (D27, 28, 29, 30, 31, 32). • Mothers reported appreciation of the structure and guidance of this systematic approach. • Early exposure to vegetables in a step by-step method could be included in CF guidelines and longer term benefits assessed by extending the exposure period. Appetite, Volume 84, 2015, 280–290
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