49 Nutritional Concerns

Martha Lally; Suzanne Valentine-French; and Dinesh Ramoo

In addition to those in early childhood having a smaller appetite, their parents may notice a general reticence to try new foods or a preference for certain foods, often served or eaten in a particular way. Some of these changes can be traced back to the “just right” (or just-so) phenomenon that is common in early childhood. Many young children desire consistency and may be upset if there are even slight changes to their daily routines. They may like to line up their toys or other objects, or place them in symmetric patterns. They may arrange the objects until they feel “just right.” Many young children have a set bedtime ritual and a strong preference for certain clothes, toys, or games. All these tendencies tend to wane as children approach middle childhood, and the familiarity of such ritualistic behaviours seem to bring a sense of security and general reduction in childhood fears and anxiety (Evans, Gray, and Leckman, 1999; Evans and Leckman, 2015).

Malnutrition is not common in developed nations like the Canada, yet many children lack a balanced diet. Added sugars and solid fats contribute to 40 percent of daily calories for children and teens in the US. Approximately half of these empty calories come from six sources: soda, fruit drinks, dairy desserts, grain desserts, pizza, and whole milk (CDC, 2015). In Canada, almost all food packaging must be labelled with a list of ingredients and nutritional facts. This information can help consumers make healthier choices. Health Canada has introduced food labelling changes to help Canadians understand the sugar content of their food. The food industry has until 2022 to meet these new regulations, which allow consumers to make meaningful comparisons between different products in terms of their nutritional value.

Caregivers need to keep in mind that they are setting up taste preferences at this age. Young children who grow accustomed to high fat or very sweet and salty flavours may have trouble eating foods that have subtler flavours, such as fruits and vegetables. Consider the following advice about establishing eating patterns for years to come (Rice, 1997). Notice that keeping mealtime pleasant, providing sound nutrition, and not engaging in power struggles over food are the main goals.

Tips for Establishing Healthy Eating Patterns
  • Recognize that appetite varies. Children may eat well at one meal and have no appetite at another. Rather than seeing this as a problem, it may help to realize that appetites vary. Continue to provide good nutrition, but do not worry excessively if the child does not eat at a particular meal.
  • Keep it pleasant. It is important for caregivers to create a positive atmosphere during mealtime. Mealtimes should not be the time for arguments or expressing tensions. You do not want the child to have painful memories of mealtimes together or have nervous stomachs and problems eating and digesting food due to stress.
  • No short-order chefs. While it is fine to prepare foods that children enjoy, preparing a different meal for each child or family member sets up an unrealistic expectation from others. Children probably do best when they are hungry and a meal is ready. Limiting snacks rather than allowing children to “graze” can help create an appetite for what is being served.
  • Limit choices. If you give your young child choices, make sure that you give them one or two specific choices rather than asking “What would you like for lunch?” If given an open choice, children may change their minds or ask for something that is not available or appropriate.
  • Serve balanced meals. Meals prepared at home tend to have better nutritional value than fast food, packaged meals, or frozen dinners. Prepared foods tend to be higher in fat and sugar, as these ingredients enhance taste and profit margin because fresh food is often costlier and less profitable. However, preparing fresh food at home doe not have to be costly. It does, however, require more activity. Preparing meals and including the children in kitchen chores can provide a fun and memorable experience.
  • Don’t bribe. Bribing a child to eat vegetables by promising desert is not a good idea. The child will likely find a way to get the desert without eating the vegetables (by whining or fidgeting, perhaps, until the caregiver gives in). In addition, bribery teaches the child that some foods are better than others. Children tend to naturally enjoy a variety of foods until they are taught that some are considered less desirable than others. Most important is not to force your child to eat or fight over eating food.

About the authors

name: Martha Lally

name: Suzanne Valentine-French

name: Dinesh Ramoo

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Nutritional Concerns Copyright © 2022 by Martha Lally; Suzanne Valentine-French; and Dinesh Ramoo is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.

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