food and nutrition


Eating Habits

Question: eating habits? my daughter recently turned one. she is also fighting with me when it comes to eating... she doesn't want to eat from a spoon, but when we give her finger foods she ends up throwing it on the floor. we've tried everything and anything that the doctor and everyone else has suggested but it all seems to fail, or maybe its that we fail.. never the less every time they take a blood sample she's coming back anemic, she's extremely hyper and skinny...and she doesn't seem to want to be bothered in her activities just so she can sit down to eat... we tried even letting her go about in her activities and just letting her come and get a bite in between but it still doesn't work that well... i'm afraid she starting off with bad eating habits...any suggestions?

Answer: I am a nutritionist I am assuming the type of anemia we are talking about is iron deficiency (not b12 or folic acid anemia, Anemia on the screening blood test is not necessarily caused by iron deficiency. Children will often have a brief, borderline anemia immediately following a viral illness. This will resolve on its own. Mild anemia in an otherwise well child is probably caused by iron deficiency.) the most common cause of anemia at her age is excessive milk (cow) intake. Most toddlers get sufficient calories and calcium from 16-24 ounces of milk daily. No child needs more than 32 ounces of cow's milk a day. Almost all cases of severe iron deficiency in young children are in those who drink too much milk. I would recommend that you cut out some of her dairy (but without knowing how much she drinks I cant say how much she should stop) try to replace her milk with plain water, also increase her fruits if you can because vitamin c helps iron absorption (so maybe some orange slices for breakfast or potatoes with dinner) Foods that are high in iron include: * breastmilk * winter squash * sweet potatoes * prune juice * meat & poultry (beef, beef & chicken liver, turkey, chicken) * mushrooms * sea vegetables (arame, dulse), algaes (spirulina), kelp * greens (spinach, chard, dandelion, beet, nettle, parsley, watercress) * yellow dock root * grains (millet, brown rice, amaranth, quinoa, breads with these grains) * blackstrap molasses (try adding a little to cereal or rice) * brewer's yeast High-iron foods to save until the end of the first year or later: * dried beans (lima, lentils, kidney) * chili con carne with beans * tofu * egg yolks * grains (cooked cracked wheat, cornmeal, grits, farina, bran, breads with these grains) * tomato * dried fruit (figs, apricots, prunes, raisins) * meat (pork) * shellfish (clams, oysters, shrimp) * tuna, sardines Warning: Some of the foods listed above are not suitable for babies. Dried fruits should not be given to babies under a year old, due to the choking hazard. Also, pork, fish, shellfish, wheat, citrus fruits and eggs are highly allergenic and may not be suitable for babies under a year or who have a family history of allergies. Another cause of anemia is lead poisoning - this should be ruled out if your child is anemic. Two of the most common sources of lead exposure in children include (1) paint dust from chipped or peeling lead paint and/or home renovation (may be present in any home built prior to 1978) and (2) lead contaminated drinking water from lead water pipes or lead solder.


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