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	<title>Dr. Thomas Cowan: Holistic Family Medicine &#187; Feeding Our Children</title>
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		<title>Feeding Our Children</title>
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		<pubDate>Mon, 31 Dec 2007 05:56:37 +0000</pubDate>
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				<category><![CDATA[Feeding Our Children]]></category>

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		<description><![CDATA[An important part of the study of a        healthy diet is the special needs of children, including transitioning from nursing to solid food. As most parents with children know, choosing        and implementing the proper diet for our children is one of [...]]]></description>
			<content:encoded><![CDATA[<p class="MsoNormal"><font size="2">An important part of the study of a        healthy diet is the special needs of children, including transitioning from nursing to solid food. As most parents with children know, choosing        and implementing the proper diet for our children is one of the most        daunting tasks there is. Drawing on my years of the study of nutrition, my        numerous pediatric patients over the years, and perhaps equally as        important 18 years of feeding my own three children, I would like to        outline what I see as a proper diet for our children.</font></p>
<p class="MsoNormal"><font size="2">The first principle I would emphasize        is that choosing to eat well is a wonderful opportunity to        demonstrate to our children such things as the value of work, where real        things come from, and how human beings can be not only consumers but also        producers of things of value. Hopefully, other activities in our homes        will also demonstrate these principles, but many of us are not fortunate        enough to have the skills to make our own furniture or even make our own        music. It is perhaps the greatest gift we can give our child to teach him        or her that things of value, things that are real can be made with our own        hands and our own efforts.</font></p>
<p class="MsoNormal"><font size="2">With food, this lesson is readily        accessible. All of us need to eat, and with minimal skill, effort and        expense, we can participate in the procurement of our food every step of        the way. Children readily understand these kind of lessons; they easily        understand the value of work and how we humans transform the earth to        nourish our bodies. They’ll understand the value of eating well if they        see it, if they watch us grow and cook food, and participate themselves.        Therefore, I encourage each family, no matter how limited their space, to        grow at least some of their food. For some this may mean only a potted        tomato plant; for others it can include a whole garden and the raising of        animals. Of course, these gardens should be totally organic, not only for        health reasons but also so children can learn to work with and respect the        complexities nature offers to us.</font></p>
<p class="MsoNormal"><font size="2">For most of us, the majority of our        food has to be brought into our homes from outside sources. As much as possible we        should obtain this food from local organic farmers or community-supported        farms. Again, the more connection the family has with the source of their        food, the more children will develop a heart connection with their food.        “These apples are from farmer Groh’s trees,” one child will say, while        another will remark on how their rich, creamy milk came from a special cow        that they know. These lessons and insights are also the beginning of an        ecological awareness that comes from the heart and belly rather than the        often abstract concepts of the modern ecology movement. I also think that        the all-too-common modern phenomenon of food allergies is combated by a        more personal relationship to the source of our food. After all, an        allergy is a physical and soul reaction against food. This is less likely        to occur if that same food has been lovingly nurtured by our own or our        father’s hands. For these and many other reasons, the first step in        developing a child’s diet is to expose them to how food is grown and        procured, and to help them be part of this process in some way.</font></p>
<p class="MsoNormal"><font size="2">This principle of working with children so they see and understand how food is made does not stop when the food is brought into the house. After the food arrives, the work of turning it into nourishing meals can begin. Proper storage and processing of food is an important part of eating well. Again, I encourage all families to do some of their own food processing, be it bread making, including the nurturing of the sourdough culture and the grinding of flour, making pickles and other fermented foods, yoghurt and cheese making, and many other home food processing processes. Many of the techniques for this are described in <em>Nourishing Traditions</em> and        other books on home food processing.</font></p>
<p class="MsoNormal"><font size="2">Again, besides the increased freshness        and nutritional value of the food produced in this way, there is a        valuable lesson for children in becoming creatively involved with their        own nourishment. Children love to knead bread, churn butter and make berry        preserves, and while doing so they learn firsthand how to turn the bounty        of the earth into our daily bread. They learn to work effectively without        wasting anything, valuable lessons for their lives ahead. It therefore        goes without saying that as much as possible all the food fed to young        children should be prepared by a family member. This is why I do not        recommend or encourage prepared baby foods of any kind. All food should be        freshly made and contain even the microorganisms that are actually living in        their own house, not those of a factory. In a subtle way this actually        helps children become grounded physically in their own home and in        balance with their own micro-environment. </font></p>
<p><font size="2">Now we come to the actual feeding of the child, by age        group. </font></p>
<p><font size="2"><strong>Formula</strong> </font></p>
<p><font size="2">A very few times in the history of my practice a mother        was unable to breastfeed her children. Even though we tried everything,        these mothers could not produce enough milk to adequately feed their        children. In these few cases, I advise supplementing with the formula        described in <em>Nourishing Traditions</em>, which has always proved to be        successful. The preparation of this formula does involve more work than        simply buying formula from the grocery store, but all the women I have        known who have chosen this route were very pleased with the robust health        of their children. </font></p>
<p><strong><font size="2">Six Months to One Year</font></strong></p>
<p><font size="2">Children generally start to eat food other than breast        milk between five and seven months of age. Usually, a child will give some        sign that he or she is ready to eat, perhaps having trouble sleeping        through the night, or just becoming very excited at the sight and smell of        food. It is at this time that children no longer spit out the food but        readily accept and swallow it. </font></p>
<p><font size="2">In keeping with the principle that there are three major        food groups, I encourage starting the child with one or two foods from        each group as their first foods. These foods will be the main foods given        for the first two weeks. From the animal food group, I start with egg        yolks cooked for about 8-10 minutes, and butter, preferably cultured        butter, as yellow as possible. The grain category will include brown rice        and millet, both soaked for at least 24 hours, then cooked with plenty of        water for a long time. The resultant, slightly sour, very thin porridge        can be mixed with the other food eaten in this time. The vegetable group        will be carrots and sweet potatoes, again cooked for a long time until        they are very soft. The approximate proportions of this food should be a        third of each or perhaps even up to 50% of the animal food category.</font></p>
<p><font size="2">The most important nutrient for children are healthy        fats. These fats help to provide immunity, development of the nervous        system, and to protect them from micro-organisms. This category of food        should never be lower than one third, if at all possible. After 2-3 weeks        on this diet, more foods from each category can be introduced. In the        animal food category during this next month or two introduce whole-milk        yoghurt or kefir, slightly warmed whole raw milk, ghee, organic liver, and        soup broth. Until about the end of the first year these are the only        animal foods that the child should be given. In the grain category, all        the other grains can be introduced in these next 3-6 months.</font></p>
<p><font size="2">Of all the food groups, grains are the most likely to        cause digestive disturbances or allergies if they are not properly        prepared. All grains should be soaked for at least 24 hours before cooking        and then cooked at low heat for a long time. Bread should be natural        sourdough bread, hopefully made in your own kitchen. In the vegetable        group, most vegetables can be added in these 3-6 months.</font></p>
<p><font size="2">All the vegetables should be cooked, if only blanched or        steamed, and should always be eaten with a liberal amount of fat, usually        olive oil or butter or both. At this time lacto-fermented vegetables        should be introduced into the diet. This not only aids with digestion and        immunity, but also gets children used to enjoying the sour taste early in        life. Once this taste is acquired, it seems to stick with children for a        long time, perhaps even for life.</font></p>
<p><font size="2">During this 6- to 12-month-old stage, fruit can be        introduced, starting with berries then working up to apples, pears, and        other non-citrus fruits. Citrus fruits should be introduced only much        later.</font></p>
<p><font size="2">With slight daily variations of vegetables and perhaps        some variety in grains, this should be the diet for the child under one        year old. If at all possible refined foods should be avoided in this        critical first year. This especially includes pasta, boxed cereals, fruit        juices, and sweeteners such as sucanat, honey and maple syrup. During this        time the child should learn to enjoy the natural sweetness of grains,        vegetables, and fruit. If this is allowed to happen, the child’s        nutritional habits will be set on a strong foundation for the rest of        their lives. </font></p>
<p><font size="2">Another food worth mentioning is coconut butter, which        should be started in the first month that the child is eating food.        Coconut oil is nature’s richest source of Lauric acid, one of the        predominant fats in human breast milk. This valuable fat helps protect the        child against fungal and viral infections, thereby giving them a chance to        build up their natural immunities. </font></p>
<p><strong><font size="2">One to Three Years</font></strong></p>
<p><font size="2">At the age of about one year, when a child begins to        walk, the diet can be expanded a bit. This is also the time the child can        be fully weaned from breast milk. This next phase of the diet will        continue for the next two years until the child is three years old, when        they enter the next major stage of development. During this period from        one to three years, all of the above foods should be continued, keeping        the proportions in the approximate balance of one third from each group.        If you vary from this, it should be in the direction of increasing the        percentage of animal food and fat in the diet. This is especially so if        the child is at all underweight, has allergies, or in general seems to be        unsettled.</font></p>
<p><font size="2">During this time, the various forms of meat and fish can        be introduced including poultry, lamb, and beef. The meat should be        strictly from organic, grass-fed sources and probably eaten no more than        once or twice per week. The fish should be from deep-water ocean sources.        Also, the whites can now be included when eggs are used. During this        period of development the most important foods from the animal food        category continue to be egg yolks, butter, yoghurt, kefir, raw milk, and        liver. Soup broth should also be used liberally as a base for the        preparation of grains and soups.</font></p>
<p><font size="2">To the grain category, which also includes natural        sweeteners, deserts can now be added to the diet. They should not be given        every day, as then the children come to expect sweets rather than        experience them as a treat. Perhaps the best rhythm in this period is once        or twice per week, including a festive meal on a special family day. The        dessert can include berry pies, cookies made with butter, coconut oil and        fruit, and other recipes found in <em>Nourishing Traditions</em>. Also added        to the grain category are nuts and seeds, which can be eaten fairly        liberally during this period. Again, please consult <em>Nourishing        Traditions</em> for the proper preparation of nuts and seeds.</font></p>
<p><font size="2">In the vegetable category, during this period raw        vegetables can be introduced in the diet. A wide variety of salads can be        offered to the child, always including a dressing made with olive and flax        seed oils. The healthy fats found in avocados can also be introduced in        this time. By the end of the third year, the diet of the child will look        almost identical to that of the adults. The exception is that because        children have a relative paucity of the enzyme that converts B-carotene        into vitamin A, children younger than five years generally do not do well        with vegetables. I tell all my parents not to worry about their children        not liking vegetables, as this is normal in this stage of life. In fact,        because they are slow in this enzymatic conversion, perhaps it is best        left to the cow to do this conversion and for the child to eat butter and        cream. This is actually probably more as nature intended it anyway. </font></p>
<p><strong><font size="2">Three to Fourteen Years</font></strong></p>
<p><font size="2">In the years between age three and 14, there is not much        difference between the optimal diet for the child and the adult. The main        issue at this age is how to account for the child’s tastes. To this the        answer is often that unwitting parents often try to encourage a diet that        actually does not suit their children. Children need and often crave fat.        They need fat for proper neurological development in the early years,        healthy immune function in the school age years, and for sexual        development in the teenage years. If they are not provided with adequate        good fats in the diet, invariably they will end up like so many American        children as carbohydrate cravers. The only solution to the child who will        eat only a white diet of rice, pasta, white bread and candy is a vigorous        outdoor life and food with a liberal amount of healthy fats.</font></p>
<p><font size="2">A healthy child’s diet in these years would look        something like this:</font></p>
<p><font size="2"><strong><em>Breakfast</em>:</strong>  French toast with homemade        sourdough bread doused with fresh cream (crème fraiche), cooked in butter        and coconut oil, topped with maple syrup and berries; porridge with soaked        grains and lots of butter, cream, and fruit; eggs and naturally made        sausage</font></p>
<p><font size="2"><strong><em>Snacks</em>:</strong>  Always include at        least a small amount of fat or it will not satisfy their hunger and they        will get into the cycle of eating tremendous amounts of carbohydrate-type        foods between meals. Examples could include whole-milk yoghurt and fruit,        hard-boiled eggs, peanut butter on Essene bread crackers, or roasted nuts        and seeds. All these are nutritious, balanced snacks that will curb the        carbohydrate urges of children.</font></p>
<p><font size="2"><strong><em>Lunch</em>:</strong>  Lunch often presents a challenge        because the child is at school and must carry a lunch to school. Often        there is also a hot lunch provided, which is inferior nutritionally.        Again, with some effort nutritious and inviting lunches can be made. I        often encourage parents to invest in a good thermos or hot lunch        receptacle, which allows you to send to school things like soup or warmed        up casseroles from last night’s dinner. The other standby is sandwiches,        which can contain the three food groups: a turkey sandwich with cheese,        homemade mayonnaise, lettuce, sprouts, and an apple often goes over well.        Again, if you use a liberal amount of mayonnaise, the child will be less        likely to seek out sugary desserts.</font></p>
<p><font size="2"><strong><em>Dinner</em>:</strong>  Dinner should be a family time if        at all possible, when the family comes together and talks about their day        and their lives, when family tradition can be passed on. A good amount of        time at dinner should be taken, as is the custom in many parts of the        world. Dinner suggestions can be found on the <a href="http://www.fourfoldhealing.com/Sample_Menus.htm">       Sample Menus</a> page, and these are fine for the children of this age.</font></p>
<p><font size="2">Other issues that come up around the feeding of children        include choice of beverages and what if any supplements to give. The best        beverages for children of this age are whole, raw milk if available,        water, or fermented fruit beverages as found in <em>Nourishing Traditions</em>.        Pasteurized fruit drinks, sodas, sports drinks, or other high carbohydrate        beverages should be avoided for as long as possible. As for supplements,        the only one I routinely give to children of all ages is 1 teaspoon per        day of cod liver oil, especially during the winter months.</font></p>
<p><font size="2">The final comment I would like to make on this subject        is that during the teenage years one invariably loses a lot of control of        the child’s diet. During this stage the child must be allowed to make his        own choices about food when he is away from home. The only protection I        can offer is that during these years and earlier, boys especially often        love and need to eat meat. It is not unusual to need to feed a teenage boy        some sort of meat three times per day. As long as the meat is of the best        quality, this will actually foster a robust muscle development. Boys will        have much less interest in satisfying their nutritional needs outside the        home if they’re served plenty of meat supplemented with grains and salads.        For girls the equivalent food is fat, especially cream and butter. These        are necessary for hormonal development, functioning like meat for boys,        helping to meet their cravings and to stop them from looking outside the        home for food. </font></p>
<p><font size="2">With these guidelines you should be well armed to meet the        awesome challenge of feeding your children in accordance with the true        requirements for their bodies and souls. </font></p>
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