Nutrition

Is your child anorexic?

Is your child anorexic?

Are you worried about your child's lack of appetite and feel helpless? Don't panic now! Hacettepe University School of Health Technology Director, Head of the Department of Nutrition and Dietetics. Dr. Türkan Kutluay Merdol explains what needs to be done in the management of anorexic children and sheds light on the mothers who deal with anorexic children.

: Is the birth weight of the baby effective in infancy and childhood?
Professor Dr. Turkan Kutluay Merdol: It is important to remember that each child has its own developmental speed and that this capacity has genetic characteristics to a large extent. Height-weight and physical capacity at the time of birth (absorption swallowing reflex, etc.), the child Gives you important tips for height and weight that you will reach in older ages. A child with a low genetic potential cannot be lengthened by overnutrition, but can be obese in contrast. In this respect, monitoring the child's development is of great importance. The growth of the child should be monitored whether there is a pause or not, depending on the communication between mother and child.

: What are the points to take into consideration when accustoming children to a new food from infancy?
Professor Dr. Turkan Kutluay Merdol: Food Picker The children who can be defined as children who do not eat different foods except for a few foods and are not interested in new foods. It is common belief that such children are infants who are not accustomed to different foods in infancy and early childhood. Therefore, babies should be accustomed by giving small amounts of all kinds of nutrients starting from the sixth month. It has been reported that children introduced to all nutrients until one year of age are less selective.
When a child who is defined as a food picker is accustomed to the new food, it should be put in front of it; but he should not be insisted on eating. Food of the child must be made to see again and again and try a small part. When the child first tastes the food, he can immediately take it out of his mouth. In this case, it should not be alarmed. For the first time, children who taste solid food push the food out with their tongues as they do not know what to do. This does not mean that the child does not like the food.

The nutrient is given again by reducing the amount. If the child persistently rejects the food, it must be stopped and retried after a few days or even weeks. Children are often aware of what is happening around. The child sitting at the table with his / her family may see that the family members eat differently and he / she may object to it. Since he cannot speak, he refuses to take the food and tries to explain it. The appropriate behavior is to crush the child from what the family members eat. The child may start holding a spoon after the age of 1.5. While eating, the child should be given a spoon, should be helped to eat it himself, but on the other hand, the mother should be fed. Mothers who prepare mushrooms from various food mixes for their child should taste the food before giving it to the child. The child cannot be expected to eat food that is not tasteful.

: Does the amount and quality of the food given to the baby or child affect its appetite?
Professor Dr. Turkan Kutluay Merdol: The amount of food put on the children's plate is also a factor affecting the child's appetite. Anorexic child, If the amount of food placed on the plate is more than the feeling of retching can suppress the appetite. Foods should be placed in small amounts on the plate and the child should be provided with the pleasure of finishing the meal. Every time children who finish their meals by compulsion, 'food phobia' may develop. In similar cases amount of food density can be increased. Sugar and fat rates should be increased to ensure that the child completes his / her energy. Received energy Inadequate protein will also be used for energy, so that the child does not get enough protein for growth and development. It should be kept in mind that protein is very important in ensuring adequate growth and development, so its ratio in total daily energy should not fall below 15 percent.

Foods with high carbohydrate content increase blood glucose levels shortly after they are consumed. In response, insulin secretion increases and this level is lowered. This makes the person hungry for the next meal. In some snacks, a small amount of carbohydrate high nutrients, the child can create a sense of hunger. However, it should be avoided that giving continuous carbohydrate foods can cause problems ranging from glucose metabolism disorders in children. The protein, carbohydrate and fat content of the meals should be balanced and sufficient in terms of vitamins and minerals. ”

: As an infant, does the child lose appetite in childhood?
Professor Dr. Turkan Kutluay Merdol: Children with normal appetite during infancy may exhibit different behavior in preschool. Preschool children are imitators. Boy imitates father, girl imitates mother. It is necessary for the child to sit at the table with the family in order to gain proper feeding habits. However, if the mother or father is selective of food and is being too meticulous, for example, if the child is constantly warned not to spill or splash around, it becomes difficult for the child to develop positive habits. It is not easy for parents who do not drink milk and express that they do not like milk.

: He does not prefer vegetable dishes in childhood. Is this inconvenient?
Professor Dr. Turkan Kutluay Merdol: During this period, children start to take certain and definite attitudes towards food. vegetables lovers. Also, they don't like to consume mixed foods. They want to see the food in a way that they can recognize and if they like to eat with their hands, they like it more. Mothers should pay attention to cooking style and service when presenting vegetables to children. Because children of this age usually do not eat vegetables such as cabbage, cauliflower, leek and celery. They are very sensitive to sharp taste and odors, so they prefer raw edible vegetables such as tomatoes and carrots over other cooked vegetables. If such vegetables are cut and given thin, the child is more easily and fondly consumed. It is not true that the child is battered and the mother is upset because she doesn't like many vegetables. He ate a few vegetables and a variety of fruits, vegetables and fruit enough to meet the nutrients it needs to take from the group.

It should not be forgotten that preschool children are nutrient selectors. He doesn't eat every food with appetite. Their likes are quite limited. As long as the family puts the child's disliked food on the table and allows him to see and learn, the child will love these foods at an advanced age. The child who sees the same food over and over again often wants to taste the food spontaneously after a while. MeatIn this age can not be consumed in large pieces. For this reason, it is usually used as minced meat. Mom's their children tenderloin, chops and so on. If they want to consume meat, they should make sure that they are well cooked. If the meat is cooked in large pieces, it should be divided into very small pieces when given to the child. The child can eat large pieces of flesh only at the age of 7-8.

: What are the points that families should pay attention to during the meal?
Professor Dr. Turkan Kutluay Merdol: The child should be well observed while eating. It is also important to note that no food warnings should be made while the child is eating. Children should not be insisted on eating. The insisted child himself to eat learn. Children behave differently in the group and when they are separated from the mother. A meal she has never eaten at home can be eaten with appetite in the home with her friends. The behaviors of children going to kindergarten should be evaluated by kindergarten teachers in cooperation with mothers.


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