Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Tips for feeding your picky eater

Yolanda Wong, MD
Conditions
February 29, 2012
Share
Tweet
Share

Your baby had a great appetite.  Happily ate everything.  Tried lots of flavors and foods.  Then your baby became a toddler.  Suddenly meals feel like a horrible battle.

Sound familiar?

Picky eating is very common, especially in toddlers and pre-schoolers. After the first year of life, a toddler’s appetite decreases quite a bit as the rate of growth slows down.  Meanwhile, a toddler grows in independence, expressed by pushing limits, exploring new skills, and forming lots of opinions about everything.  These are all healthy signs of development, but concerns about nutrition can be a major source of anxiety and frustration for many parents.  Myself included!  Having two kids has helped remind me that there isn’t much we can control about our children’s food preferences.  Part of it is how we are individually wired.  We see it in adults … some are adventurous eaters, some are simply not.

Most children who are considered picky eaters actually are eating enough in the long run.  The amount of calories needed each day is not much: Toddlers 1 to 3 years old can be estimated to need 40 calories a day for every inch of their height, usually only about 1000-1300 calories a day.

Appetites and food preferences can fluctuate a lot in young children, so look at the whole picture of how your child eats over weeks rather than any given day or meal.  Children generally do have a good sense of when they’ve eaten enough and it’s important to let them decide what and how much to eat so they remain tuned into their hunger cues.  Our job as parents is not to ”force” another bite, but to provide healthy nutritious options to choose from so that we are making the most of their every bite.

Tips for feeding your picky eater

1. Have a consistent meal and snack schedule. Toddlers easily develop a tendency to “graze”, eating constantly throughout the day. They do need morning and afternoon snacks, but too much can fill up the tummy and decrease appetite. Similarly, drinking a lot of milk or juice can also decrease appetite. Promote a better appetite for meals by having defined snack times and limiting their snack and drink portions. Offer nutritious snacks such as fruit, yogurt, carrot sticks, or whole grain crackers. Put food away and keep them busy in between meals and snacks. Keep in mind, some very active toddlers may eat better with 4-6 small meals a day.

2.  Simplify your menu.  Toddlers often prefer simple foods and flavors.  Sometimes we get more frustrated than necessary when a lot of effort is put into cooking, when all they really wanted was some plain pasta with a side of peas and carrots.  It doesn’t mean you cater to your child’s whims, but it helps to reassess what you tend to cook.  Try to prepare meals that are easy to eat, such as finger foods with dipping sauces, chunky foods that are easy to stab with a fork, and foods that hold together well without falling apart in their hands or off their spoon.

3.  Keep foods separate. Tasty as it may be to us, many toddlers dislike having a lot of different items mixed together.  Some will experiment and make combinations that make us gag.  As toddlers exert more independence and willfulness, it’s normal for them to exert strong opinions about how they want to eat something. For example, if you are putting together a casserole or sandwich, consider offering the ingredients separately on a plate.  Let them decide how to eat it.  Your child should get accustomed to eating the same meal as everyone else in the family, but be flexible with how it’s eaten.

4.  Experiment with texture and size. Some kids prefer very small pieces whereas others want it whole, Some prefer soft veggies whereas others like crunchy.  If meat is an issue, try cooking it in different ways or offer other protein-rich foods.  Every child is different.  Even when you figure out a pattern to your child’s preferences, don’t be discouraged if it suddenly changes along the way!  Just go with the flow.

5.  Make a one-bite rule. Accept the fact that most children, especially toddlers, do not like to try new or unfamiliar foods. This is normal! However, encourage them to at least try something by setting up a one-bite rule for the entire family: Take at least one bite of everything. If you don’t like it and don’t want more, that’s alright. You just have to try at least one bite. (Adults should follow the rule too.)

6.  Be realistic about normal portions. A healthy portion for toddlers may be much smaller than your expectations, especially in comparison to the super-sized portions we may be used to for ourselves. Here is a general rule for serving size in kids 1-5 years old: One tablespoon for every year of age. Or ¼ of an adult serving size for every year of age. Make sure your idea of an adult serving size is normal too! For instance, a normal adult serving size of pasta or cooked rice is just one cup.

7.  Make a list of likes and start from there. Incorporate these into your daily meals, but use them as a platform to add on new foods. For example, if mac ‘n’ cheese is a favorite, mix in some peas or finely chopped spinach. Frequently serve the fruits and vegetables your child is willing to eat and serve them alongside other foods you want to encourage.

8.  Involve your child. Let them help you choose recipes, make a grocery list, and pick out fruits and vegetables at the supermarket. Find ways they can help you prepare some meals in the kitchen. Teach them to get their plates and utensils to set the table. Learn about food together by reading books with food themes, growing some veggies in a pot, and planning activities that teach about food (such as apple-picking or visiting a farm).

9.  Keep meals fun and pleasant. Try not to get upset by picky eating. Arguing over food only associates meals with negative emotions, which only worsens the food battle and makes children even more resistant to eating.  A little effort in presentation can also add fun to the meal. Try cutting food into fun shapes and arranging them into patterns or images. Get plates and bowls that your child is excited to use.  And although frustrating, don’t get worked up over spills and messes.

10.  Be a role model. As parents, we are the best role models for our kids. They will not pick up healthy habits unless we do first. Eat together regularly (no matter how busy life gets) and show them how much healthy eating matters to you as well.  It’s not going to change them over night, but it will sink in over time.

If you are concerned about your child’s weight or development, please discuss this with your pediatrician or family doctor.   Sometimes picky eating or a poor appetite may be due to other underlying issues.  Most of the time, the child is growing just fine.

Picky eating is probably one of the most common concerns I hear from parents, which points to the fact that it is normal toddler behavior.  However, the behavior is only made worse by tension between parent and child during meals, escalating into food battles, power struggles, and bad feelings.

So, take a deep breath and relax.

This stage of picky eating will not last forever, even though it feels that way sometimes.  What will last is the impression we make as we continue to model the value of family meals and healthy food choices to our children.

Yolanda Wong is a pediatrician who blogs at Well Child Chats.

Submit a guest post and be heard on social media’s leading physician voice.


Prev

How cancer can strengthen your relationship

February 29, 2012 Kevin 4
…
Next

The hidden crisis of binge drinking

February 29, 2012 Kevin 10
…

Tagged as: Pediatrics

< Previous Post
How cancer can strengthen your relationship
Next Post >
The hidden crisis of binge drinking

ADVERTISEMENT

More by Yolanda Wong, MD

  • a desk with keyboard and ipad with the kevinmd logo

    A family bucket list is a reminder to have fun together

    Yolanda Wong, MD
  • a desk with keyboard and ipad with the kevinmd logo

    How well does your child play?

    Yolanda Wong, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Children who curse, and the power of words

    Yolanda Wong, MD

More in Conditions

  • Health insurance incentives and alternatives to opioids for chronic pain

    Molly Candon, PhD and Daniel Clauw, MD
  • Communicating health to children: a pediatrician’s guide for parents

    Joey Skelton, MD
  • The truth about short-term opioid prescribing and opioid use disorder

    Kayvan Haddadan, MD
  • How spinal cord stimulation offers relief for chronic pain

    Kayvan Haddadan, MD
  • The rhythm of healthy aging: Moving beyond health care metrics

    Gerald Kuo
  • Managing acute heart failure: evidence from the DOSE trial

    Benjamin P. Geisler, MD, Jeffrey L. Greenwald, MD, and Kathy May Tran, MD
  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 5 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Tips for feeding your picky eater
5 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...