THE CHILDREN'S NUTRITIONIST
Sarah Almond-Bushell
UK-PDSHK-2400133
Meet Sarah, a HCPC Registered Dietitian and Paediatric Feeding Therapist with nearly 25 years of experience, dedicated to helping parents like you. With a BSc (Hons) in Nutrition & Dietetics and a research Masters in Paediatric Dietetics, Sarah’s expertise provides helpful guidance to make mealtimes a little more manageable. In her new blog, she dives into fussy eating and how to tackle it with your little ones, offering practical tips and success stories. Sarah also explores how PaediaSure Shake can be integrated into your little fussy eater's diet alongside mealtimes, to support their healthy growth and development*.
Fussy eating is a common struggle for many parents, raising concerns about whether their children are getting enough of the key nutrients to support healthy growth and immunity.
It covers a spectrum that ranges from the typical toddler food refusal to extreme feeding aversions.
We are well aware that good nutrition is so important during the developmental years, and missing out on essential nutrients can have an impact on health, including bone health issues, poor immune systems & even impair cognitive development affecting intellect and reasoning skills1.
Every meal and snack time is an opportunity for optimising nutrition and ensuring balanced dietary intake and supplements can be helpful alongside mealtimes.
In this blog we are going to look at the nutritional supplement drink PaediaSure Shake which is designed to support healthy growth and serve as a nutritional safety net, helping to fill the gaps in a fussy eater's diet.
Understanding Fussy Eating
For most children fussy eating is a developmental phase that typically extends through the toddler and preschool years. Studies show that up to 60% of children go through a fussy eating phase, and this is most common between the ages of 2 and 62.
Coincidentally this is also a critical period for good nutrition because of physical growth and psychological development.
The main nutrients that are commonly insufficient in typical toddler fussy eating are3:
- Beta-carotene (a precursor of vitamin A)
- Iron
- Zinc
In addition, most young children can be at risk of vitamin D deficiency, especially during the winter months, so vitamin D supplements are recommended.
What is reassuring is that, in my experience, most children grow out of this fussy eating phase as they grow older.
Many of the families who come to work with me, for my specialist knowledge as a paediatric dietitian and feeding therapist, have started their child on PaediaSure Shake because it is a great first line choice that can be purchased from shops such as Boots and Amazon, by parents.
It is designed to support healthy growth and immunity for children by providing a balanced mix of nutrients. I like this to be used as a supplement to their diet, to fill the nutrition gaps alongside regular meals and snacks.
The Role of PaediaSure Shake in Your Child’s Diet
PaediaSure Shake is designed to support healthy growth in children4.
But it also contains an additional 26 vitamins and minerals, so works to support your little one as a multivitamin supplement too.
Of note, it contains the essential fatty acids sometimes referred to as omega 3 and 6, vitamin D, and iron all of which are important nutrients for children yet are also often the ones in short supply in children5.
Ultimately, it’s a supplement drink to go alongside mealtimes to give parents peace of mind that their fussy eaters are getting key nutrients required for healthy growth and development4.
Why Parents and Kids Love PaediaSure Shake
At The Children’s Nutritionist, a lot of our clients arrive already using PaediaSure Shake and parents tell us it's because their children enjoy the taste6 and see it as a fun milkshake to have in between or alongside meals. Bearing in mind that many of our fussy eaters have oral sensory differences7, it's reassuring to know that this nutritious food supplement is readily accepted.
Abbott, the company who makes PaediaSure Shake, states that 95% of parents recommend PaediaSure Shake8! They also claim that it's the most popular children's nutritional supplement drink in pharmacies in the UK9.
Incorporating PaediaSure Shake into Daily Routines
As a paediatric dietitian, one of my skills is getting creative in the kitchen and this is especially important when I’m working with families who have a fussy eater, we need to explore new and different ways of preparing, cooking, and serving food so that their children have many opportunities to learn to like it.
One of my strategies is food enrichment and I do this by incorporating highly nutritious foods into other foods. Always start with protein foods in mind, this is because they contain a lot of extra useful nutrients. Examples of nutritious foods I use include fats and oils like butter, margarine, cream and cheese, as well as powder-based supplements like PaediaSure Shake.
Here are some examples of how to enrich foods:
- Choose cooking methods that require butter, oil, cream or cheese - eggs for example could be fried in oil, scrambled with cream and butter or made into a cheesy omelette.
- Stir powder based supplements like PaediaSure Shake into cereal or porridge, yoghurts, pancake batter or even bake into muffins and cakes!
- PaediaSure Shake made-up lends itself beautifully to homemade ice lollies or blended with your child’s favourite fruit into smoothies.
Abbott has a range of recipes that are perfect for parents of fussy eaters to incorporate PaediaSure Shake into meals and snacks.
When introducing new foods to children, it's not as simple as presenting the food and expecting them to eat it. Eating is a highly sensory experience and involves a whopping 32 sensory steps10 that have to be processed for each and every food.
Putting food in their mouths doesn't come until step number 28, before then children have to be able to visually tolerate the food, interact with it often using utensils or other foods, tolerate the foods smell from a distance and up close then be able to touch the food. Only then does food enter their mouths.
Therefore, it’s really important to not to expect your child to try a new food the first few times it’s offered. There's a whole lot of sensory learning that has to happen first. The key is to allow your child to become familiar with the food both at the table and outside of meal and snack times. Patience and consistency in your approach is key.
As well as the food, how you parent around food is equally as important, here are my top 10 tips for food parenting your fussy eater:
- Follow a rhythm for eating - children need a predictable structure or routine around eating in order to learn their appetite cues.
- Share a meal - sit with your children and share the same food so they can watch and learn from their best role models.
- Know your role and theirs - your job is to decide what is on the menu, choose where you will eat and when you
- Serve family style - have your children serve themselves from the food you have chosen for the meal, let them decide how much goes on their plate. This helps independence and curiosity and takes away pressure of expected portion sizes.
- Introduce a learning plate - a side plate for less preferred food to be parked. But it’s not the ignoring plate. Encourage your child to explore the sensory properties of unfamiliar food such as what it looks, like, smells like, what happens when you blow it or prod it with your fork. Children can spit out onto this plate too if they want to try something but they’re not sure about eating it.
- Check your expectations - remember children are learning about food and they’ll continue to learn right till the day they leave home. Don't expect a new food to be liked quickly.
- Make food fun - Food isn't nutrition until it's eaten so give it a chance by making it look nice, smell nice and taste nice. Yes, it's OK to flavour with butter or season with herbs. We can worry about healthy eating later once they’re actually consuming a decent diet.
- Watch your words - did you know the words you use can harm or heal? Even gentle encouragement can stop children from eating. Try not to comment on how much or little, how fast or slow they’re eating as this feels like pressure and pressure causes stress levels to rise which switch off appetite.
- Offer dessert at every meal - dessert is not a reward for trying a new food or cleaning your plate like it might have been during rationing when you didn't want any food wasted! It's just another opportunity for nutrients. Keep portions small, make them dairy or fruit based so they’re nutritious and never label them with an emotion such as treats or a reward for eating.
- Boost activity before a meal - Children's appetites are driven by how active they are and how tired their bodies feel. Optimise appetite with a little activity ahead of mealtimes.
Success Stories
Caroline's son was 4.5 years old when he started working with us and had been fussy since he was 11 months old. At age 1 - after formula - mum switched him over to PaediaSure Shake as a ‘safety net’ so that she could feel assured he was getting a nutritional ‘top up’ whilst he was a fussy eater.
Once they started working through our Fussy Eating Fixed programme and she had identified exactly why her son wasn't eating and truly understood his sensory preferences, Caroline knew what to do and could start to introduce new foods successfully.
Within 3 months, he had 11 new foods that he was eating routinely, she initially moved the PaediaSure Shake to snack time and then began to reduce the volume as his nutrition from food increased.
Mum said her son was ‘like a different child’ and ‘PaediaSure Shake was reassuring alongside mealtimes’ when he was so fussy and wasn’t eating many foods, she said “without it and the formula milk before, I was worried he would have needed a feeding tube”.
In conclusion, this blog outlines the challenges and implications of fussy eating in children, particularly the importance of adequate nutrition during the developmental years.
PaediaSure Shake can be a valuable nutritional supplement designed to fill the nutrient gaps often seen with fussy eaters, ensuring they receive the necessary balance of protein, vitamins, and minerals alongside mealtimes.
If you think your child would benefit from PaediaSure Shake, you can get a free sample delivered to you at home by visiting Abbott’s website here: https://uk.pediasure.abbott/free-sample/
I’d love to hear from you in the comments below what strategies you have found successful in helping your fussy eater try new foods.
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2 https://uk.pediasure.abbott/picky-eaters/ UK-PDSHK-2200053
3 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5118732/
4 Contains essential fatty acids which are needed for normal growth and development of children. This beneficial effect is obtained with a daily intake of 10g linoleic acid and 2g alpha-linolenic acid. Contains protein and calcium . Protein and calcium are needed for normal growth and development of bone in children.
5 https://efsa.onlinelibrary.wiley.com/doi/epdf/10.2903/j.efsa.2010.1461
6 Data of file. Abbott Laboratories Ltd., 2018. PaediaSure Shake CLT in Spain.
8 Survey of 84 respondents of whom 95% would recommend to a friend or family member. Source: PaediaSure Shake, Verve, February 2021.
9 PaediaSure Shake is part of the PaediaSure brand. IQVIA wholesaler unit sales into UK community pharmacies, MAT April 2023, Infant & Paediatric Oral Nutritional Supplement Drinks only.
10 https://sosapproachtofeeding.com/
Food supplements should not be used as a substitute for a varied and balanced diet, and a healthy lifestyle. Ask a healthcare professional for guidance regarding your child’s specific nutritional needs. Do not exceed the recommended number of servings per day: 1 for 1-3 year olds, 2 for 4-10 year olds.