My ten year old son is very thin. He is only 25 kilos. He only gains few grams if lucky a kilo a year and has been since the last 3-4 years. He has been diagnosed with Asperger’s Syndrome and has low zinc. He keeps moving all the time, is hyper-mobile & gets fatigued and lacks focus. Food is a struggle all the time and I need to spoon feed him as he cant hold the spoon for too long. He eats some finger foods but is very sensitive to smell and visual impression.
I feel I have hit a dead end and have tried various techniques but haven’t had much success. Would desperately like your help.
This is a response we gave to another inquiry but would be appropriate for your concerns, as well: assuming you have discussed his health with your pediatrician and been given a green light to keep experimenting with new and different foods for him, you could consider the following: 1) give him “good-tasting” foods to help him develop a positive relationship with eating (i.e. baked French fries or tater tots dipped in ketchup, pancakes with syrup, fruit smoothies made with yogurt (use fruit he likes and avoid berries that will make the texture of the smoothie too grainy), brownies (use avocado as part of the fat called for in the recipe for enhanced nutrition), peanut butter mixed with honey or jelly and spread on Ritz-style crackers). When some children are given only “healthy” options they don’t like, it can create a negative association with eating in general. So we want to try to change this by giving more “fun” foods (trying to make them as nutritious as possible, obviously, but really placing the priority on just trying to get him to eat more!) 2) be sure the food is as calorie-dense as possible—use whole milk, whole fat yogurt, avocado, nuts/nut butters, add extra olive oil to any sauces, etc. These extra calories should help put some weight on. If he can’t eat very much in one sitting, give him multiple mini meals throughout the day (maybe every couple hours or so). Hope that provides some help!
Lisa Lanzano, MS, RD