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Ew, I won't eat that!

Food phobia is perfectly natural, study says

- The New York Times

Published: Wed, Oct. 17, 2007 12:00AM

Modified Wed, Oct. 17, 2007 12:17PM

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Tales of toddlers who refuse to eat anything but noodles abound in parenting circles.

For some children, the problem goes beyond being just picky eaters, prone to reject foods they once seemed to love. Some kids are also neophobic, which means they fear new food.

But for parents who worry that their children will never ingest anything but chocolate milk, Gummi vitamins and the occasional grape, a new study offers some relief. Researchers examined the eating habits of 5,390 pairs of twins between 8 and 11 years old and found that children's aversions to trying new foods are mostly inherited.

A peck of tips

Here are some strategies for getting a picky child to try new foods, collected from child nutrition experts.

  • Meals should be served family style, with no separate foods for children. Prepare dishes you enjoy, but introduce new foods alongside at least two items the child likes. Even if the child eats only bread for eight days in a row, keep offering alternatives.
  • Adapt dishes to child-friendly shapes and sizes. If you make a stew, separate components into separate dishes in pieces big enough for a child to grab. That way, everyone at the table can select as much or as little food as he or she wants.
  • Never say a child has to taste everything, but encourage sampling of new foods. Reassure children that they may politely spit it out if it tastes bad to them.
  • "Parents must not pin their hopes or their feelings of success on getting the food in the child," said Ellyn Satter, a child nutrition expert. "They need to remember they have control over what they put on the table. Over whether the child eats it, they do not have control."
  • Keep things calm and turn off the television. Neophobic children sometimes reject food as a way to control an overload of stimulation.
  • If they don't eat anything, hold off offering food again until snack time a couple of hours later.
  • Don't use rewards to get a child to eat. Television time should not be a bribe for eating broccoli.
  • Children younger than 2 should be given as many new tastes as possible, before the picky phase begins.
  • Giving food cool names can help. In one experiment, Dr. Brian Wansink, director of the Cornell Food and Brand Lab, found that when peas were renamed "power peas," consumption doubled.

The message to parents: It's not your cooking, it's your genes.

The study, led by Dr. Lucy Cooke of the department of epidemiology and public health at University College London, was published in the American Journal of Clinical Nutrition in August. Cooke and others in the field believe it is the first to use a standard scale to investigate the contribution of genetics and environment to childhood neophobia.

According to the report, 78 percent is genetic and the other 22 percent environmental.

"People have really dismissed this as an idea because they have been looking at the social associations between parents and their children," Cooke said. "I came from a position of not wanting to blame parents."

Nutritionists, pediatricians and academic researchers have recently shifted focus to children who eat too much instead of those who eat too little. But cases of obesity are less frequent than bouts of pickiness.

In some families, communal meals become brutal battlegrounds, if they haven't been altogether abandoned. Cooks break under the weight of devising a thousand variations on macaroni and cheese. Strolls through farmers markets are replaced with trudges through the frozen food aisle.

For parents who know that sharing the fruits of the kitchen with family is one of the deep pleasures of cooking, having a child who rejects most food is a unique sort of heartbreak.

Hugh Garvey, an editor at Bon Appetit magazine, knows the heartbreak firsthand. He shares his experience on gastrokid.com, a blog he created with a British pal that details the gastronomic life of families. His daughter, 6, is an omnivore's dream child. But his son, 3, will eat only brown food.

"The way I comfort myself is the way any quasi-sane parent comforts himself," Garvey said. "It's like potty training. Eventually, they're going to graduate from diapers. In the end, he'll eat something green."

Taste buds shut down

Most children eat a wide variety of foods until they are around 2, when they suddenly stop. The phase can last until the child is 4 or 5. It's an evolutionary response, researchers believe. Toddlers' taste buds shut down at about the time they start walking, giving them more control over what they eat. "If we just went running out of the cave as little cave babies and stuck anything in our mouths, that would have been potentially very dangerous," Cooke said.

A natural skepticism of new foods is a healthy part of a child's development, said Ellyn Satter, a child nutrition expert whose books, including "Child of Mine: Feeding With Love and Good Sense" (Bull Publishing, 2000), have developed a cult following among parents of picky eaters.

Each child has a unique set of likes and dislikes that Satter believes are genetically determined. The only way children discover what they are is by putting food in their mouths and taking it out over and over again, she said.

"Of course, it's hard when children are just so blase about food or refuse it, especially for parents who spend a lot of time thinking about it and preparing it," she said.

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