1. Nutrition Goals and Objectives for Food School Sensory Solutions, LLC Karen Steitz, MS, RD, LD, CSP

2. Goals and Objectives for Pediatric Nutrition Adequate Nutritional Intake Normal Growth and Weight Gain Age Appropriate Diet Feeding Skills for Age and Abilities Positive Environment for Feeding Correction of Existing Feeding Issues

3. Adequate Nutritional Intake Role of adequate nutrients in feeding Energy needs – 102 kcal/kg (1-3 years) Balance - http://www.choosemyplate.govhttp://www.choosemyplate.gov Variety…within food groups Moderation…displacement Age risk nutrient deficiencies Nutrition supplements

4. Normal Growth and Weight gain Concerns/Consequences of abnormal growth in preschoolers Typical growth patterns Growth Chart interpretation –http://www.cdc.gov/growthcharts/index.htmhttp://www.cdc.gov/growthcharts/index.htm –Percentiles/Standards –Individual growth patterns

5. Age Appropriate Diets Distribution of calories –Liquids 70%:Solids 30% Textures and Tastes Meal/snack schedule –Continuous vs. scheduled –http://www.choosemyplate.gov/preschoolers/daily-food-plans.htmlhttp://www.choosemyplate.gov/preschoolers/daily-food-plans.html Realistic expectations

6. Feeding Skills for Age Transitions Self feeding vs. Assisted feeding Feeding Skills for Age –http://www.earlyinterventionsupport.com/feed ing-skills-infants-toddlers/http://www.earlyinterventionsupport.com/feed ing-skills-infants-toddlers/ Importance of food choices/flavors to advance feeding skills

7. Positive Environment for Feeding Appetite Satiety Recognition –Fed vs. Fasted state to promote eating Preferred food offerings –New foods with familiar foods Regular food challenges Consistent parenteral expectations Respect for the child’s abilities

8. Addressing Individual Feeding Issues Functional –Surgery, therapy, medicine, etc Sensory –SOS - Sequential Oral Sensory Behavioral –DOR- Division of Responsibilities Multifactorial…..