elevating child care

Mindful Mouthfuls – Helping Our Babies Learn Healthy Eating

If we are what we eat, aren’t we also a product of the way we eat? 
As busy new parents we’re usually focused on the mechanics of breast or bottle-feeding, then introducing solids: when to start, which foods, in what order, how much and how to provide the best nutrition. But most of us also hope to foster healthy eating behaviors for our children. We want to do all in our power to prevent eating disorders, childhood obesity (an issue of increasing concern), and even the subtler issues some of us struggle with, like the impulse to clean our plates or eat for emotional reasons. We are creatures of habit, and the first years in our child’s life are by far the easiest time to establish healthy ones. 

Here are some feeding suggestions advised by infant specialist Magda Gerber that help establish positive eating behaviors. 

Relax and enjoy breast or bottle feedings. Make eating a focused, intimate, stress-free time together.  

Prepare the way for family dinners by making feedings a time for intimacy and social exchange. When we turn off the phone, computer, TV, and avoid other distractions to make feeding time sacred, we benefit our babies in many ways… 

  • Babies are refueled by the loving attention they get while nursing or bottle-feeding to then enjoy time playing independently.  
  • They learn that eating is a time to be mentally present, rather than being taught to ignore the experience by a distracted parent. 
  • Most importantly, our baby feels respected and valued when she is asked to actively participate in a feeding experience with us, rather than just being fed. 

I recently read a comment from a mother who didn’t believe she should pay attention to her son while he breastfed because whenever she talked to him he stopped nursing. All I could think was — what a polite boy to stop sucking to listen to what his mom was saying! It sounded to me like he was trying his best to engage. 

Tune in, and take care to not overfeed.   

Paying attention to our baby during feedings also helps develop her internal cues to signal fullness. A recent study reported in Science Daily concluded that “tuning in” comes more easily when we breastfeed because, according to researcher Katherine F. Isselmann, M.P.H., “…with breast-feeding, the ability to measure in ounces how much a baby has eaten isn’t there, so mothers can become more in tune with when their babies are done eating and babies are able to develop their own internal cues to signal when they feel full.” The study compared preschool-aged children who had been breastfed with those who had been bottle fed with pumped breast milk and found that breastfed children could more easily determine when they were full and had a lower body mass index (BMI) than those fed by bottle. 

If we bottle-feed, we must make a concerted effort to tune in to our baby’s signals and be less focused on the ounces in the bottle. 

Be careful with comfort food 

Nursing a baby when she cries for reasons other than hunger, rewarding or soothing children with food can create dependencies — a slippery slope.  Ideally, these are exceptions, not the rule. We are always teaching our children, and the safest lesson for our babies to learn about food is to drink when thirsty, eat when hungry. Period. 

Small portions and no “one more bites”

When introducing solids, Magda Gerber suggested placing a very small amount of food in the baby’s dish (with a larger bowl nearby), so that rather than feel overwhelmed by too much food, the baby has the opportunity to signal for ‘more’. We want to trust our babies to be “in charge” of their appetites, to indicate a desire for food by opening their mouths when we present them with a bite or spoonful. “Here comes the airplane” or “Just one more bite” coaxing can turn feeding into something our babies do to please us, encourage overeating, or make eating a power struggle. 

To give babies even more opportunity for active participation when they eat, offer the baby an extra spoon so she can practice. But when practicing becomes “playing with food”, gently discourage it. 

Highchair-free eating. 

Highchairs are considered a baby care staple, but Magda Gerber taught a unique approach to feeding babies without them. Magda’s method is conducive to intimacy during feedings and also encourages our baby’s independence.  Since many of you have expressed interest in hearing more, I’ll briefly explain… 

If solids are introduced before a baby is able to sit well and autonomously – meaning not propped or positioned, but able to attain a sitting position easily, entirely on their own – the baby is fed while reclining in the parent’s arms on the parent’s lap at the table. My husband and I wore an apron when we enjoyed these feeding adventures with our babies. 

Then, when the baby sits easily and independently, you can transition to a small table (like breakfast-in-bed tray with legs, wooden footstool with a level top, one of the wonderful kidney-shaped tables we use in RIE parenting classes, or something you or your talented carpenter husband can make). The baby sits on the floor, then later on a small stool or chair, while you sit across the table from her. 

Toddlers love the independence they have when they can sit with their feet on the floor. They also appreciate the freedom to leave the table to signal they are finished eating rather than waiting to be removed from a highchair. (For more, including a video demonstration, please read Baby Table Manners.) 

No ‘squat-and-gobble’. Sit down while eating, wherever and whenever.  

Sitting down while eating, even if it’s just for snacks on a patch of grass in the park, helps prevent choking accidents and encourages relaxed, attentive eating. It’s also good manners, especially when visiting the homes of others (who might not welcome a trail of cracker crumbs). Asking a baby to sit when he eats is a sensible first behavior boundary. Don’t let your toddler trick you into following him around with food in your hand. When infants and toddlers are hungry, they are absolutely capable of sitting down if we are consistent and clear about expecting it. 

Eating while playing, playing while eating

Help your child learn to keep activities separate to help delineate meals and snacks as times to focus on food. Asking a child to sit (rather than climb monkey bars) while he eats is one way — keeping toys away from the table is another. Ask your toddler to please put his toy down until he is finished eating. 

Don’t worry.  

Babies, especially when they become toddlers, don’t always eat the way we expect them to, and it’s easy to become anxious if our child doesn’t seem to be eating enough, especially if he isn’t gaining weight normally. Of course we must check in regularly with our baby’s doctor, explore possible allergies, illnesses or digestive issues. But try to be calm during baby’s mealtimes. He senses our tension and it can make eating more difficult for him in the short term, and possibly contribute to problems down the road.  

Model healthy eating. 

We know we should walk the walk, but darn, we like to eat while we’re standing up and running around.  This is yet another instance when our babies make us better. 

Only our baby can know his own appetite. So, our goal might be to encourage him to stay attuned, to keep listening, and trusting his tummy. And if he establishes healthy eating behaviors in these formative first years…we can all fudge later.

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7 Responses to “Mindful Mouthfuls – Helping Our Babies Learn Healthy Eating”

  1. avatar Tina says:

    Thank you for such and insightful article. I am starting to give solids to my little boy and this article is very informative. I also recall that as a baby my parents did feed me by holding me and not putting me on a high chair. It is very loving, I still remember!

  2. avatar Barbara says:

    Many good recommendations (in bold), Janet.

    Feeding and eating are such hot topics in childcare and my professional involvement is these topics is influenced by my personal habits/lifestyle/opinions and vice versa. My bit on nutrition: http://www.therextras.com/therextras/2009/06/you-are-what-you-eat-.html

    I think high-chairs are fine but sitting on small close-to-the-floor furniture is okay and far better than sitting directly on the floor without a table surface. Agreeing that supporting baby’s feet is best. This has mostly to do with my opinions on how the infant spine develops – sitting on a surface/chair over on the floor.

    High chairs bring babies to the table and allow inclusion in the social aspects of feeding and a convenience to parents that has little harm in my opinion. More on high chair feeding:
    http://www.therextras.com/therextras/2009/07/feeding-is-fine-motor-control-.html

    Setting-up the freedom to ‘fudge’ is a good thing!

  3. avatar Alexandra says:

    Hi Janet – Great article. Very timely – thinking about the next stage of food for Eliana (currently almost 8 months). We have been using the breakfast tray from Bed Bath and Beyond with a little mat for her to sit on. It is amazing how she has really responded to the boundary “please sit down to eat.” Constantly blown away by the RIE approach’s effectiveness. Wanted to share and hear your thoughts – while checking the internet for the safety of introducing cooked onion and garlic (in chicken soup), I was delighted by some discoveries: 1. spices are encouraged (not hot, but interesting flavors) and 2. there is a “new” approach called Baby-led-weaning from the http://www.homemade-baby-food-recipes.com website. This approach encourages the feeder to place chunks of soft food in front of baby (as oppose to puree) and allow baby to feed him or herself. It felt very much like Magda’s approach. What are your thoughts?

    • avatar janet says:

      Hi Alexandra! I have heard a little about Baby-led weaning and it does sound like all the things RIE suggests…allowing the baby to participate as actively as possible, indicate when he is hungry for solids, wants more, or is finished. I can see where waiting for the baby to feed himself with his hands makes “tuning in” to his needs a little clearer and easier than spoon feeding. (Similar to the way a mobile infant can more clearly indicate his desire to be picked up when he’s been playing…by moving towards you.)

      I did this (although I didn’t call it “baby-led-weaning”) with my third child. He was fed exclusively with breast milk until he was almost a year old. We were in no hurry to add the complication of solids to our life, and our doctor at that time encouraged waiting until babies were 9-12 months old.

      The most important way to feed is with lots of communication and responsiveness, and to be patient and tuned-in.

      Alexandra, thanks! I really appreciate you sharing this.

  4. You know I am on the same page about this- it is one of my passions and a CONSTANT battle, not so much with the children but with other carers who still insist on using food as an emotional tool. Let’s get the word out!

    My post about kids’ eating issues is here:
    http://auntannieschildcare.blogspot.com/2011/01/food-failings-and-fussy-eaters.html

  5. avatar Kiyah Duffey says:

    Janet,
    Thank you for a great post. As someone who studies obesity for a living, and who cares very much about the health (and nutrition) of her own family, I couldn’t agree with you (and your/Magda’s/RIE’s) recommendations more. Children know when they are hungry and when they are full- they are very attuned to that. Learning to trust your child’s skill in this area can be difficult, but is one of the most important things we can do for our kids (I think). Too many children have this capability overridden by well intentioned caregivers.

    I also agree that leading by example is important in establishing life-long healthy patterns. Children do as they see, not as they are told. It often takes several introductions with a new food before a child is really ready to try it, and sometimes before they begin to identify if they like it or not. I am a huge proponent of offering, offering again, and then offering again. No hiding that broccoli under a pile of cheese- prepare fresh foods that highlight their natural flavor and be patient!

    With respect to setting a good example, some researchers go so far as to suggest that that eating habits we have while pregnant- and the kind of nutritional environment we are exposed to in utero- are also immensely important in establishing risk of chronic disease (especially over weight and obesity) later in life. This has teeth in the nutrition world, and is getting attention from other fields of study as well. Here’s a link to a recent article if anyone is interested: http://pubs.aeaweb.org/doi/pdfplus/10.1257/jep.25.3.153

    Thanks again for a great post.
    PS- When will there be some RIE training courses on the East Coast?!

    • avatar janet says:

      Hi Kiyah! Interesting to know that you study obesity. I just read something crazy in the paper last night… Almost one in two children are overweight? Is this true? I would love to hear more about your findings on all this. It is such an important subject!

      Thanks for sharing about leading by example and the broccoli. I totally agree…

      And I’ll check to see if there are any RIE trainings planned for the East Coast soon. You will love the RIE Foundations course!

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