April 25, 2024

Playing short order cook, forcing clean plates may sabotage healthy eating habits in kids

Many parents struggling with picky young eaters try different tactics to get their kids to eat healthy but should make sure they’re the right ones. Featuring Dr. Susan Woolford.

Susan Woolford MD

While most parents of preschool and elementary aged children strive to give their children a balanced, nutritional diet, some of their strategies to promote healthy eating may backfire, experts say.

For example, three in five parents customize meals if their child doesn’t like what everyone else is eating, suggests the University of Michigan Health C.S. Mott Children’s Hospital National Poll on Children’s Health.

Meanwhile, one in eight parents require children to eat everything on their plate. And while just one in three believe the standard American diet is healthy for kids, few have tried alternative, potentially more nutritional menus at home.

“Feeding young children can be difficult due to general pickiness, hesitancy to try unfamiliar foods and constantly evolving food preferences,” said Mott Poll co-director and Mott pediatrician Susan Woolford, M.D.

“The preschool and elementary age is an important time to establish healthy eating patterns. Yet parents’ concern about whether their child is eating enough or if they’re getting the nutrients they need may lead them to adopt practices that actually sabotage their efforts to get kids to have healthy eating habits in the short and long term.” 

The nationally representative report is based on 1,083 responses of parents of children ages 3-10 surveyed in February.

More findings from the poll and Woolford’s advice for parents who want to promote healthy eating habits in young children:

Parents’ beliefs on nutritional diets vary

Just a third of parents think the standard American diet is healthy compared to half who seem to rank the Mediterranean higher in nutritional value. Still, few have tried alternative diets for their child. 

“Parents may recognize the standard diet in the U.S. includes high amounts of saturated fats, added sugars, sodium, and refined carbohydrates, which can generate an excess intake of calories beyond nutritional needs and contribute to health problems,” Woolford said.

“However, despite this recognition and evidence suggesting that other diet options may help avoid many illnesses, only about 9% have tried the Mediterranean diet for their children and fewer have tried giving their children a vegetarian diet.” 

Parents should ensure children are still getting adequate nutrition if they do try diets that eliminate certain food categories, she adds. Diets that limit animal products, for example, will require alternative protein sources such as meat substitutes, tofu, or legumes for children.

And while ketogenic diets have become popular among adults, they are generally not appropriate for children.

Family dining rules may promote or hinder a healthy diet 

Fifteen percent of parents say their family rule is that kids finish what’s on their plate, while more than half say children must try some of everything and a little less than a third say no to dessert if meals go unfinished. 

But parents who try to force kids to eat may encourage portions that go beyond feeling full, Woolford cautions.

“Requiring children to eat everything on their plate, or withholding dessert unless all other foods are eaten, can lead to overconsumption, especially if portion sizes are too large for the child’s age,” she said.

She agrees with the recommendation that “parents provide, and the child decides.” This makes parents responsible for providing healthy options while allowing children to select which foods they will eat and the amount they want to consume.