Entries by feedtosucceed

Breastmilk and Daycare: Not just how much, but how?

Heading back to work while breastfeeding is no doubt a challenge. In this week’s kids’ nutrition Ask Amanda column, pediatric dietitian Amanda Gordon offers some ideas to ease into bottle feeding at day care while still breastfeeding.

Q: Hi Amanda, my breastfed daughter is 5 months old. She started daycare one month ago, and I pump and send breastmilk bottles to daycare. Now daycare is saying that she wants more and that I am not sending enough breastmilk. They also say she spits up there. She doesn’t seem to do this at home and rarely seems hungry right after breastfeeding. 

A: It might be good idea to talk to daycare about how they are feeding her, in addition to the amount.  Day care centers are busy places and often have babies on schedules for eating – I remember this well from when my children were in daycare! Schedules can be a good thing, but make sure that the daycare center is paying attention to your daughter’s cues and when she is hungry.  I would also make sure that the daycare center is using paced-bottle feeding, which mimics breastfeeding and how your daughter is used to eating.  A video can be helpful to watch.  A slower flow bottle nipple will also increase the time that the feeds take, which may help her feel full as well. 

If she is fussy right after eating, it might not be hunger. Make sure they are getting good burps out of her, then wait 20 minutes to see if she really wants more.  You could always send one or two more bottles just with 1-2 ounces, so that they don’t waste any breastmilk!

Ask Amanda is a weekly column from Feed to Succeed dietitian Amanda Gordon. Have a question? Email Amanda and let her know or submit an “Ask Amanda” question for a future column.

Body Weight and Young Athletes

Coach encouraging you to lose or gain some weight for performance? This episode features youth sports dietitian, Melanie Battaglia, discussing nutrition and body weight amongst young athletes. Betsy and Jen ask some pointed questions about when it is or is not appropriate for an athlete to gain or lose weight for their sport, and whose discretion is appropriate to make that determination.  

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Athletic Kids, Food Fads and Sports Supplements

Feed to Succeed sports dietitian, Melanie Battaglia, joins the pediatric nutrition program with Betsy and Jen to discuss the use of performance enhancing supplements and food fads for young athletes. Do your teenage or elementary age children face frequent diet challenges, opinions and even pressure from coaches, peers and other well-intended people? This podcast is for you. 

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Let’s Talk EdaMOMe!

In this week’s kids’ nutrition Ask Amanda column, pediatric dietitian Amanda Gordon answers the question: Hi Amanda, what are the best protein alternatives for kids that are not meat and dairy?

This is a great question. Protein is important for all children. It plays an essential role in the body by ensuring that muscles, organs, hair and nails grow and work properly.  Protein, along with carbohydrates and fat are the macronutrients that children need to get from their food for growth and development.  Carbohydrates are the preferred energy source for kids. Protein and fat are also important because they help children stay and feel full. 

Nut butters can be a great source of protein for kids. Peanut butter is often a crowd-pleaser, however almond butter is another good protein source. Nut butters also contain fat and help with satiety. Almond butter can have a thinner consistency than peanut butter and some children prefer this.  Almond butter spreads on whole grain waffles well for meals or snacks, it also blends into oatmeal well for a meal or snack.  

Edamame is another good protein source for healthy kids. Shelled edamame (either steamed or roasted) can be a great snack or side dish at meal times. Edamame can also be blended into a spread and made into a dip or hummus.  

Vegetable and non-animal protein foods are great additions to healthy diet, but many are not complete protein sources, meaning they don’t have all of the needed amino acids. Vegetarian and vegan diets are suitable for growing children, however careful attention should be paid to ensure that children get all the amino acids they need. Our Feed to Succeed dietitians are always available to help families figure this pediatric nutrition and diet out! 

Ask Amanda is a weekly column from Feed to Succeed dietitian Amanda Gordon. Have a question? Email Amanda and let her know or submit an “Ask Amanda” question for a future column.

Ask Amanda: How to Get Kids to Eat Vegetables

In this week’s kids’ nutrition Ask Amanda column, pediatric dietitian Amanda Gordon answers the question: What are good recipes to get vegetables into picky eaters? Following are 6 suggestions, the first being the most important:

Suggestion 1: Don’t Trick Them.  Try not to hide vegetables in your child’s meals and snacks. Kids are smart, and if they figure out that you are trying to “trick” them into eating foods they don’t want, you risk losing their trust in you and the foods you offer.  I have even seen this lead to children than rejecting foods they will normally eat.  It is okay to add vegetables to foods (for example, adding onions or spinach to eggs, but don’t try to hid it)

Suggestion 2: Let them pick.  Giving children a choice sometimes makes them feel more in control of the situation.  Offer to make two different vegetables for dinner, let them have a say in which one will be served for dinner.  

Suggestion 3: Raw, Cooked, Frozen, Chopped, Blended, it doesn’t matter!  Some kids prefer the texture and taste of raw vegetables. Try slices of raw orange or yellow peppers dipped into a sauce or dip. 

Suggestion 4: Rinse and Repeat!  Many children will only eat 2-3 different vegetables. The key is exposure. Continue to offer new vegetables, but know that it might take a long time before kids will accept them. Keep offering the ones they will eat, but also offer the ones they won’t eat, with no bribing or forcing to try them.

Suggestion 5: Parents – Eat Your Veggies! Studies indicate the biggest predictor of how a child will eat as an adult is not how they currently eat, but how those around them ate when they were growing up. So, eat vegetables around your children and let them see you.  Snack on raw or cooked vegetables, eat them for dinner and let your kids see them on your plate.

Suggestion 6: Work with What You Got!  My kids love Mexican food. This has been a good way for me to work on vegetables.  I was able to add one color of pepper to our fajitas and even a few onions. For nacho night, I started by adding just a sprinkle of cilantro (an herb not a veggie, but it is green, so that was a big step), then salsa, and now fresh tomatoes. Progress!

 Do you have other ideas? Please feel free to share them here. We would  love to hear from you!

Ask Amanda is a weekly column from Feed to Succeed dietitian Amanda Gordon. Have a question? Email Amanda and let her know or submit an “Ask Amanda” question for a future column.

Diets: Keto, Paleo, Mediterranean, What’s a Kid to Do?

With so many weight loss plans out there, and so many different opinions and approaches, it can be a sticky situation when a parent is following a diet and also trying to keep the family well-fed and healthy! Betsy and Jen discuss just that in this episode, by reviewing some of the more popular weight management approaches in terms of their efficacy, and then bringing into focus how can we safely and effectively manage this when there are other family members involved.

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When Weight Issues Are Related to Hormonal Imbalances

On this week’s pediatric nutrition podcast, p\Pediatric endocrinologist, Dr. Stephanie Drobac, discusses the role of hormones and weight/growth in children. How often is the thyroid to blame? What is the role of insulin in weight issues? Registered dietitian Betsy and Jen ask these questions and more during this interesting segment about the endocrine system and children.

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When is low weight normal?

On this week’s pediatric nutrition podcast, Registered Dietitian Betsy Hjelmgren and Jen Karakosta discuss low weight for kids. Did you know a child can be thin and healthy, and totally fine; or can be thin and healthy, and malnourished? Do you know how to tell the difference? Join Jen and Betsy in this interesting interview with pediatrician Divya Gupta, MD, as they discuss and explore the difference between being thin and being underweight, and what to do if you are a concerned parent.

A weighty subject: Mental health and body image

Kids and teens are under more stress than ever before, and development of a healthy self-image can be challenging. Join this informative discussion with Betsy and Jen, and special guest – licensed counselor and social worker, Lynn Zakeri, who shares from her years of experience helping people with body image concerns. Great episode for parents looking for guidance on how to have healthy body conversations with their kids and teens. Don’t miss it!

Click here to listen on iTunes

Physical Activity and Healthy Weight

Kids and teens are under more stress than ever before, and development of a healthy self-image can be challenging. Join this informative discussion with Betsy and Jen, and special guest – licensed counselor and social worker, Lynn Zakeri, who shares from her years of experience helping people with body image concerns. Great episode for parents looking for guidance on how to have healthy body conversations with their kids and teens. Don’t miss it!

Click here to listen on iTunes