Child nutrition, intolerance vs allergy

52 Pages·2017·2.04 MB·English

by  Anna Richards

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