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Tue, 30 Jan 2007 11:26:59 -0500 |
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Marit,
I've seen older babies who reject solids for one of three reasons:
tendency toward allergy (they seem to be protecting themselves from
allergens, and at about a year start to eat everything); difficulty with
tongue function (either neurologically based or from tongue-tie) that
makes it scary to swallow; and sensory processing problems (which can
make new tastes or textures scary). Most hesitant kids seem to start
eating by 10-12 months, and most do not have any detectable nutritional
problems.
I do sometimes help parents with these problems. Sometimes if the
parents are encouraged to offer the baby larger pieces of food (whole
peas instead of pureed peas) the baby feels more control and will eat by
themselves. Sometimes we experiment with textures - some babies feel
safer with crunchy food (whole wheat toast cut into strips). Often once
they are used to one food, they will try others.
I hope this answers your question. We need a lot more research on this
area. Most of the research on growth and nutrition in infants is done in
resource poor areas, and this particular question is not well studied in
more wealthy countries.
Catherine Watson Genna, IBCLC NYC
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