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  • NC Senate Republicans float Medicaid expansion bill

    NC Senate Republicans float Medicaid expansion bill

    By Rose Hoban and Rachel Crumpler

    It finally happened.

    In a move that many health care advocates have been pushing for years, the state Senate introduced a bill on Wednesday that would expand the state’s Medicaid program to some half million-plus low-income North Carolinians.

    Until this point, Medicaid has been reserved mostly for children from low-income families along with a small number of parents in those families, poor seniors and people with disabilities. Since 2012, the possibility to sweep in many low-income workers has been on the table as a result of the Affordable Care Act, but Republican leaders in the state senate have been staunch opponents. 

    Now, after years of saying no, powerful Republicans in the state Senate are saying yes.

    “Why now? Why this? First, we need coverage in North Carolina for the working poor,” said state Senate leader Phil Berger (R-Eden), who admitted during a press conference Wednesday that he has likely been the most outspoken person in the state about his opposition to Medicaid expansion.

    “Second, there is no fiscal risk to the state budget moving forward with this proposal,” Berger added, noting that the bill includes pay-fors that would have hospitals largely on the hook to pay the 10 percent of the costs for the expansion population not covered by an enhanced federal payment. There’s also a federal incentive that would total some $1.5 billion in extra funds that would flow to North Carolina over a two-year period.

    Finally, he argued that since the state has moved Medicaid from being a state-run fee-for-service program to one managed by commercial insurance companies, the program has been “reformed and transformed.” 

    “Medicaid expansion has now evolved to a point that it is good state fiscal policy,” Berger continued. “But again, I cannot emphasize this enough: Expanding Medicaid needs to happen with additional reforms.”

    Those reforms could make the bill to be titled Expanding Access to Healthcare in North Carolina a hard pill for many to swallow. One aspect of the bill would set up a work requirement for the new beneficiaries, something that’s been repeatedly struck down in other states by federal judges. 

    What really might jeopardize passage of the bill is that it contains provisions that already are raising hackles in some powerful health care lobbies, including those that advocate for the state’s physicians and hospitals. 

    Resistance from doctors

    One reform proposed in the 33-page bill would make it possible for advanced practice nurses such as nurse practitioners, nurse midwives and certified registered nurse anesthetists (CRNAs) to practice without having a contract with a physician for their supervision.

    Physician and nursing groups have been divided over the so-called SAVE Act for years, with medical providers — led by the North Carolina Medical Society — usually being able to stop the nurses from having more leeway in their practices. At a Senate Health Care Committee hearing held after the press conference, several Democratic lawmakers also expressed reservations over this part of the bill. 

    Chip Baggett, head of the North Carolina Medical Society, also spoke out about the nursing practice language in the bill at the committee. He had a number of problems with the changes.

    “The first is the foundational education that is received by APRNs, many of which are receiving online education right now, and we do not think that provides the foundation necessary for independent decision making,” Baggett added after the meeting.

    Several decades of research, though, bolster the nurses’ contention that their practices are safe, and that patient satisfaction with advanced practice nurses is often better than for physicians.

    Joyce Krawiec, a Republican state senator from Kernersville, noted that 137 health care facilities across North Carolina only have CRNAs to deliver anesthesia services and that 34 other states have already loosened the rules around nursing practice.

    “My husband had a colonoscopy recently, and they can do it with the supervision of a physician,” Krawiec said. She recounted how she asked the physician leading the procedure if he was overseeing the anesthesia. He responded, “Heavens, no, I don’t supervise her. He said I haven’t looked at anesthesiology since I was in medical school. I wouldn’t know what to do. She does it all on her own.”

    Sen. Ralph Hise (R-Spruce Pine) argued that making it easier for nurses to practice, particularly in rural burgs, needed to be included in any bill that would make it easier for more people to see those providers. 

    “Finding nurses in this state is becoming more and more impossible,” Hise said. “And so this bill, allowing the nursing profession to expand its scope, to have more upward mobility in the nursing program is what ultimately I think will allow us to provide a lot of health care that we currently just don’t do.”

    Rep. Gale Adcock (D-Cary), who is also a nurse practitioner, said that increasing access to health insurance would require adding providers. 

    “The majority of folks clearly understand these things all need to happen at the same time, and I’m excited to see that it might happen soon,” she said.

    Hospitals, House objecting?

    One of the big obstacles to Medicaid expansion that Republican lawmakers have raised for years has been where the 10 percent of the expansion cost not covered by the federal government would come from. For years, lawmakers have argued that hospitals would be the main beneficiaries of more federal dollars for Medicaid flowing to the state, so hospitals could foot much of the bill in the form of an additional assessment.

    Hospitals have said they lose so much on uninsured patients that they were willing to pay for some of the cost, but not the whole tab. In Medicaid expansion bills in other years, this cost was also borne by a new tax on commercial managed care companies providing coverage under the “transformed” Medicaid program.

    Rep. Tim Moore (R-Kings Mountain), speaker of the North Carolina House of Representatives, told reporters on Wednesday afternoon that he didn’t think members of his caucus had an appetite for Medicaid expansion this year. Photo credit: Rachel Crumpler

    Hise contended the proposal will definitely help hospitals’ bottom lines, with more federal money flowing into the health care systems than they’ll have to put out to cover the rest of the Medicaid expansion population.

    A spokesman from the NC Healthcare Association, which represents the state’s hospitals, told NC Health News that his organization was reviewing the new bill and would wait to offer comment on its potential impact.

    The other big obstacle to passage of the bill may come from the other side of the General Assembly building in Raleigh, in the House of Representatives. Leaders there have expressed hesitation about making such a big policy change during this year’s short legislative session. 

    “The position of the House is we have no plans to take up expansion in the short session,” Rep. Donny Lambeth (R-Winston-Salem) said in a text to NC Health News. 

    Lambeth has been leading a committee with members from the House and Senate since January that has been examining what it would mean for the state to expand Medicaid. 

    “The work of the committee has not been finished and the committee has made no recommendations,” Lambeth continued. 

    The line from Lambeth and others on the House side has been that they’d rather come back for a special session on health care access in the fall. That, however, has drawn misgivings from state health leaders.

    “I mean, September sounds nice,” Health and Human Services Sec. Kody Kinsley said last week. “But here’s why I’m worried. First and foremost, this $1.5 billion dollar signing bonus that’s on the table right now. Right now, the money that is earmarked for North Carolina is nothing more than, you know, some print on a piece of paper. And it would not be hard for Congress to take that off the table, so they can invest it in other things they need to invest in. We cannot wait.”

  • Dak’s Health, Tyron Update & WR Shortage

    Dak’s Health, Tyron Update & WR Shortage

    FRISCO, Texas – For the to start with time in two a long time, Dak Prescott is ultimately healthier.

    The Cowboys’ quarterback spoke to the media on Wednesday pursuing a apply that saw the Cowboys work by way of a myriad of drills and eventualities, and specifically a healthier Dak.

    “[This is the] healthiest I have been in a lengthy, prolonged time,” Prescott claimed. “So, I’m just blessed just to start out there and to be in a position to appear in balanced and just to perform on myself and just in general my full video game and not just specifically getting a person component of my system nutritious.”

    Prescott entered previous year coming off his season-ending ankle personal injury in 2020 that price him the final 11 weeks of the year. Final yr, Dak dealt with an arm problem in camp and then skipped a sport with a calf strain. On the other hand, Prescott made it known on Wednesday that his footwork was a precise piece of his activity he has been capable to perform on that he could not last offseason.

    “Almost everything actually,” Prescott said with a chuckle. “We’re screening 10-lawn commences the other working day, and mine might not have been what I required it to be. But I can convey to you it was considerably far better than it was last 12 months.”

    “I’m strengthening. It is really just about receiving far better in each component of my activity and not just essentially rehab.”

    Tyron Smith was held out of Wednesday’s OTA apply with lessen-back tightness, in accordance to head coach Mike McCarthy.

    Smith evidently has been operating with the crew all through all the off-period conditioning applications and the OTA procedures, but was held out Wednesday for precautionary factors.

    In his place, 2nd-12 months professional Josh Ball labored at still left deal with with the initial group.

    Rookie security Markquese Bell built one particular of the most effective plays of the OTA observe on Wednesday.

    It is really just yet another example how the undrafted rookie carries on to glow.

    “He’s been impressive,” head mentor Mike McCarthy claimed. “He jumped out at the minicamp. He was pretty remarkable in the zoom calls (primary up to the NFL Draft).”

    McCarthy claimed Bell, who starred at Florida A&M, has equivalent traits as Jayron Kearse, who has a hybrid purpose of basic safety and linebacker.

    “That absolutely aids. That is aspect of our attraction to him,” McCarthy explained of Bell, who was 1 of the Cowboys’ 30 visits.

    The Cowboys lined up CeeDee Lamb and Simi Fehoko as the initially-group starters at receiver on Wednesday. Lamb is the place he’s intended to be, but Fehoko obtained the nod as the Cowboys experienced a few other receivers down with accidents.

    Michael Gallup continues to rehab his ACL injury and his hopeful to return by the begin of the standard year. James Washington was in a strolling boot and need to pass up at the very least another week. Rookie WR Jalen Tolbert is performing by a hamstring issue.

  • Tips, Technique, Benefits and More

    Tips, Technique, Benefits and More

    Wall slides are a movement that is frequently used in actual physical therapy or to assist a person boost their harmony and strength immediately after an injuries or surgery. They are finished by inserting your hands against the wall and continuously kicking your feet up guiding you for a specific selection of repetitions.


    How to Do Wall Sides: Accurate Variety

    You can find no wrong or ideal way to do wall slides, so if you cannot look to get the hold of them, experiment with diverse techniques as much as attainable until eventually you come across just one that operates for you. And keep in mind: when in question, usually check with with your health practitioner prior to commencing any new workout regimen.

    To do the wall sides:

    • Stand with your again in opposition to a wall and distribute your toes about shoulder-width apart.
    • Convey your arms up and press your shoulder blades into the wall, maintaining your thumbs at about head peak.
    • Your higher arms should really make a straight line from elbow to shoulder, perpendicular with the ground.
    • On your back, slide down the wall right up until your knees are bent at a 45-diploma angle.
    • Bend your elbows until your arms are extended straight up above your head but continue to in opposition to the wall.
    • Hold this posture for 5 seconds, then switch sides.
    • Exhale as you slide again up the wall, pushing off with your toes and pulling with your arms until eventually you are thoroughly upright.
    • Repeat for 5 reps, progressively doing work your way up to 10 or 15 reps per established as your quad energy enhances.

    Recommendations and Strategies for Wall Slides

    youtube-cover
    • When you’re initial starting out, a person established of reps for each day will be enough. Progress slowly but surely and stop if you come to feel ache or problem.
    • Finally, you may possibly want to improve the number of reps or sets you do in a solitary exercise session.
    • If you incorporate in the use of hand weights, be sure not to select kinds that are major adequate for your human body but not so a great deal so that that your sort suffers.
    • You can expect to be performing yourself damage by increasing your hazard of pressure or exhaustion that could guide to damage.
    • Whilst wall slides appear straightforward, it’s significant that you don’t do the workout also early in the rehabilitation method.
    • When you conduct wall slides as well shortly soon after an personal injury, sickness, or surgical procedures, you threat slowing your rehabilitation or putting your self at danger of even further injury.

    Ahead of performing the wall slides, test with your doctor if you have an personal injury or instability in your knees, or a ruptured or torn ligament in your knee or ankle (such as the anterior cruciate ligament or the Achilles tendon.)


    4 Explanations to Do Wall Slides Daily

    1) Strengthen T-Backbone Mobility

    Helps in improving the T-spine mobility. (Image via Unsplash / Chuttersnap)
    Helps in improving upon the T-backbone mobility. (Picture by using Unsplash / Chuttersnap)

    Wall slides make improvements to higher-back mobility by activating your higher again extensor muscle groups and holding your upper again somewhat straight (as opposed to hunched over). You are primarily reversing the flexed upper back place that most persons manage when sitting down through this motion.

    2) Assist Fantastic Posture

    Wall slides improve your posture. (Image via Unsplash / Christina Wocintechchat)
    Wall slides enhance your posture. (Picture through Unsplash / Christina Wocintechchat)

    Good posture can reduce back suffering, complications and heartburn, amongst other challenges. Wall slides can help you enhance your posture by education your body to sit straighter and additional upright.

    They will also open up up and stretch out the entrance of your shoulders and upper body muscle tissue, particularly your pectoralis muscle tissues, when the backs of your shoulders deal and activate. In other phrases, they help to avoid the recurrent situations of upper body caving and shoulder slouching even though sitting down.

    3) Lowers Neck & Back Ache

    Reduces neck & lower back pain. (Image via Pexels / Karolina Grabowska)
    Lowers neck & reduce back soreness. (Image via Pexels / Karolina Grabowska)

    Wall slides are a great way to activate and agreement your higher again extensor, decrease neck extensor, deep neck flexor muscle tissue, and main muscle tissue. This all aids improve your sitting posture and decreases the likelihood of turning into limited and tense in these areas. Translation: You’ll have fewer aches and pains in places like your neck and back.

    4) Boost proprioception

    Helps you to work on the position & movement of your body. (Image via Pexels / Karolina Grabowska)
    Allows you to work on the place & motion of your body. (Impression by using Pexels / Karolina Grabowska)

    Wall slides are also excellent for working on your position and motion of the body—or human body recognition. This will help you figure out what good alignment actually feels like.


    Prevalent Blunders

    Bending Your Knees Much more Than 45 Degrees

    Knees should be bent at a greatest of 45 degrees all through wall slides. If you enable your knees to bend any more than this, you may be placing your self at danger of personal injury.

    Dropping the correct posture

    Though performing wall slides, you may truly feel on your own getting rid of concentrate. When this comes about, bear in mind that the shift is just not obtaining as well easy—you may well basically be slacking on proper variety. Go gradual and make sure that your arms and knees are in the suitable place at every single phase of the work out.


    Bottom Line

    Wall slides can be a terrific way to operate out and to preserve your physical fitness up when you really don’t have access to a health club.

    Regardless of whether you are hunting for rapid exercises, if you like to integrate wall slides with heavier body weight lifting moves, or just is about having residence with very little to no devices, wall slides provide an simple alternative. Just be guaranteed to try to remember these tips, and you may have some thing that you can take pleasure in for a long time to arrive.


    Q. Have you tried out the wall slide exercise?

    Indeed assists with my posture!

    Nope this is new for me.

  • Want to get leaner, fitter, stronger? Try these health tips from fitness experts | Health

    Want to get leaner, fitter, stronger? Try these health tips from fitness experts | Health

    An aged exercise adage says – “If you constantly do what you constantly did, you will usually get what you always obtained” and when it will come to health, that is something we all try to do and some of us are currently doing the job on it above many years. We all want to be bodily in form, lively and also the fittest variation of ourselves but with the advancing harmful existence, pressure, anxiety and irregular routines, the plan of remaining leaner, fitter and stronger appears bleak and burdensome.

    In an job interview with HT Way of life, Vansh Chhabra, Senior Nutritionist at Wellversed, shared, “Human body stops adapting to any new regime after it gets to be relaxed with it and ultimately the outcomes stop to exist. In purchase to crack this cycle, a single needs to constantly modify and renew types of interventions to realize wanted outcomes.”

    He detailed some guidelines that could possibly enable you kickstart your journey to remaining leaner, fitter and more robust –

    1. Ideal kind of nutrition: “Failing to prepare is organizing to fail”. Conditioning is the most immediate end result of good diet, consistent efforts and a calm overall body. Load on a food plan that surrounds veggies, lean protein, fish, small-fats dairy, and cleanse meals. Introduce carbs in the form of complete grains and quinoa, insert anti-inflammatory meals like inexperienced leafy veggies, avocados, olive oil, etc to the eating plan and lower down sugars to reduce swelling. Protein necessities typically surge above usual to keep muscle development and maintenance. Get the most effective variety of protein with each and every meal (lean protein, fish, nuts and nut butters, legumes, tofu, soy milk, entire grains, etc.) nutrition to attain better outputs. Stay hydrated and stay away from fancy-carbonated and sugary drinks.

    2. Consume as for each essential: Maintain yourself satiated and cease when you are full. In excess of-feeding on or hunger will only hinder progress. Do conscious consuming and hear to the alerts that your system sends to you. Your human body is the greatest teacher that tells you about you at the earliest, be truthful to your human body and permit it be sincere to you.

    3. Steer clear of significant limitations: Strictly holding the physique absent from what it enjoys can have harmful effects and guide to binge consuming. Even so, to counter this, consume in moderation. Stay away from sensation guilty and work on it the following day, the much more you limit, the more it really is challenging to maintain.

    4. Conditioning progression: Exercise changeover from 1 type of workout to one more, start out with low-to-average workout routines and lesser durations while steadily embracing by yourself to educate more difficult towards high-depth cardio or mixing a few of them like functioning, biking, swimming, weight lifting, etcetera. can do miracles collectively by building stamina and stamina. Participate in with various sets, frequencies, depth, and length of physical exercise to develop a additional effective regimen. Lifting weights allows you retain the muscle mass that break in the course of cardio. Intervals of building muscle mass and chopping excess fat can also be opted. Boost your speed with more powerful and highly effective arm actions. However, in an endeavor to make power, do not neglect to give your overall body a crack and ample recovery time. Give time to accidents, breakdowns and be certain suitable relaxation and excellent high quality slumber.

    5. Split your intention: Getting sub-objectives of a increased purpose often accelerates and polishes the overall output. It not only retains you motivated but also devoted as compact chunks of accomplishment fuels you for the bigger recreation. Make particular, achievable, measurable targets that are reasonable and time-bound. Take pleasure in the system of attaining your finish aim of physical fitness and history your development at each individual stage.

    In accordance to Gaurav Bansal, Health and fitness Coach at MyHealthBuddy, “Inside this massive earth of health and conditioning exists a small environment of info, evidence-centered information and facts and facts that all the top health and fitness gurus seem to agree with. You’d by now know this by now but it starts off with training regularly, eating healthy, sleeping nicely, and prioritizing restoration. If you’ve mastered this, your health journey is 50 percent way there. The other 50 percent is behavioural, like environment reasonable aims for oneself. Doing the job out just about every day of the week is commendable but not sensible for most individuals.”

    He recommended, “Work in the direction of a more reasonable target like 4 days a 7 days and a walk on the days that you’re not training. Go an inch in the direction of those goals every working day. Little baby measures! Environment sensible plans improves the likelihood of you sticking to them, creating you feel additional confident. It also offers you a prospect to reward your self for a occupation effectively performed (I advise browsing). No issue how several motivational posts you go through on social media, really don’t rely on commitment to access your plans. You’ll obtain you let down and burnt out pretty quickly. Drive is incredibly short lived and will work on external validation.”

    Pointing out that you could possibly experience determined when a person gives you a compliment or when your new write-up on IG will get a good deal of likes but these are not permanent, Gaurav Bansal recommended to rather, type patterns and adhere to them. He said, “Consistency will acquire you even further than enthusiasm ever will. Keep in mind, your health and fitness is not a 30-working day challenge, it is a lifelong commitment. Just like how we brush our enamel & shower just about every day, it is essential to make it a part of your daily program.”

    As the planet rediscovers the gains of becoming healthy and not just wanting fit, the discussion now heads in the direction of what we can do to get care of our wellbeing. Contacting nourishment and actual physical activity as the two major elements of physical fitness, Pranit Shilimkar, Well being and Health Entrepreneur and Founder of Fitnesstalks, said that hydration, restoration and stress management are critical added variables much too. He shared –

    Nourishment: Potentially the major activity-changer in your health journey, persons are inclined to discard superior nourishment really quickly. You can not ‘out-train’ a lousy nutrition regime. Most of your success or function will be done in the kitchen. Simply put, you need to think about two factors: not skipping meals and completing your macro and micronutrients via every single food. It’s vital that your plate is made up of a superior volume of protein, fats, carbohydrates, fibre, and of course, drinking water. Portion handle, mindful having, employing spices to make healthy and healthy food stuff are some excellent recommendations. Just keep in mind to focus on the term ‘nutrition’ and not ‘diet’ you want a foods schedule that is sustainable, uncomplicated to cook dinner, and does not deprive you of everything. Final results seem once your nourishment is on point.

    Power coaching: Any bodily action contributes to you losing fats and acquiring leaner and more powerful. Cardio is a excellent way to melt away some calories although operating on your cardiovascular efficiency. How energy training (lifting weights) has been scientifically established to aid your physique recomposition, burn off energy, and just make improvements to your bodily and mental effectiveness. You want a healthier equilibrium of cardio as nicely as power instruction with plenty of target on recovery in get to steer clear of accidents and accomplish at your finest. Guarantee that you include any actual physical action to start with, it does not have to be too rigorous or just a regular fitness center work out.

    Pranit Shilimkar proposed, “Additionally, you also have to have to make certain that you are hydrating adequately. H2o has plenty of advantages, nonetheless, you’d be astonished to know how commonly you misinterpret thirst for hunger. Make positive that no issue what nutrition or physical action you incorporate, you begin off gradual and keep on being consistent. Persons tumble off the wagon due to the fact they prepare or diet program much too rigorously. Bear in mind that fitness is a state of currently being as perfectly as head, it will take time and shortcuts really don’t function out. Transfer at a sustainable speed and continue to keep improving upon your ambitions.”

    Don’t forget, you must delight in the journey! Being leaner, fitter and much better isn’t an overnight course of action and normally takes months-and-several years of dedicated hardship and endurance. The health industry experts insist that an truthful devoted strategy demands adherence to your intention is the most healthier and sustainable manner. Do what you uncover exciting, everything that retains you determined is just the right point to do. Under no circumstances indulge into issues just for the sake of it. Wellbeing and wellness must be pleasurable to the head and entire body to reap the greatest fruits from it.

     

  • Uganda: bee venom therapy as an alternative medicine

    Uganda: bee venom therapy as an alternative medicine

    Mariam Nantaba is dwelling with HIV. She’s been making use of bee venom as a treatment for a year and claims it has considerably enhanced her well being.

    ” It has aided me alot specifically in boosting my immunity, the CD4 count on my viral load is up which wasn’t the case before and my skin also seems great”

    Bee venom is a very clear colorless liquid developed by a sting barb from a bee. Simon Turner , proprietor of Malaika Honey claims the the venom is collected working with an electrified entice.

    “We fundamentally have a equipment with an activation board, we ship minimal electric powered present-day by the wires and what comes about when the bees hit the wires they get a very little shock… and sting through to the glass…and the sting releases the poison onto the glass.

    Beekeepers make some incredibly daring statements about what a mixture of venom and selected plant extracts can take care of.

    “It will help us with these getting old concerns, if there are most cancers cells forming out in the physique with no your understanding people most cancers cells will die, if you have bad urge for food, it increases your appetite, it induces rest, ache killer and it enhances your skin seems.” describes venom collector Tadeo Balisanga  

    But there is minor scientific evidence to back up any of these promises and tiny in the way of traditional proof centered exploration about the prolonged term advantages of bee venom therapies. 

    Accordig to Patrick Tumussiime, Uganda’s Commissioner at the Nationwide Illness Control, ” this matter is not standardised and each and every a single is carrying out it in different ways, supposing anyone is tempted to believe allow me set in much more venom so that it functions much better…we will not know the results it can cause.” 

    Bee venom extract is utilised all over the environment to help those with extreme allergies to bee and wasp stings. Tiny, but increasing amounts are injected to enable patients turn into desensitised to stings that could normally kill them.

    Irrespective of the warnings about it truly is broader use, bee venom solutions are developing in acceptance in Uganda.

    Atuhaire Scondina is utilizing it to take care of pain and mobility troubles. 

    “This honey merchandise has helped me so a great deal for the reason that my fingers were paralyzed and I my knees could help well to wander but considering the fact that I begun getting the bee venom I can now do my tailoring perform which was formerly hard”

    And to meet up with the escalating desire, bee keepers as Adolf Bagonza says they are stepping up creation.

    “We generate two hundred grams of venom for every thirty day period and we market place it locally by mixing it in honey and taking in it orally.”

    But medical doctors are warning people of bee venom against self medicine.

    “When using bee venom the caution should be set on the amount that you are getting in, Ideally I would recommend you to consult with with a medic or an individual expert about it to suggest you how a great deal you should acquire in for the ailment that you want to treat” , Jackie Nanyonjo – Physician

    Regardless of the absence of proof, people like Nantaba are convinced that bee venom therapy continues to be an essential section of their cure, for several years to appear.

  • Nutrients, Eating Habits, and Picky Eaters

    Nutrients, Eating Habits, and Picky Eaters

    Raising healthy eaters can feel overwhelming, especially as children begin to assert their own opinions about food.

    Creating healthy eating patterns for children is important for optimal growth and development, building a healthy immune system, and reducing the risk of chronic diseases later in life (1).

    Children over the age of 1 will get most of their nutrition from solid food, and it’s important they eat foods from a variety of food groups to meet their vitamin and mineral needs (2).

    That means eating protein-rich foods, carbs, fruits, vegetables, and healthy fats. The amount of each food group will vary by age, gender, and activity level (1).

    However, kids like what they already know, and getting them to try new foods or make sure they’re eating from all food groups can be challenging.

    This guide helps you understand what you need to know and how to raise healthy, competent eaters.

    Building healthy meal patterns for kids starts at home. You can do many things as a parent to encourage healthy eating.

    Offer a wide variety of foods at each sitting

    One of the best ways to encourage healthy eating is to offer a wide variety of nutrient-dense foods at each meal and snack (1).

    At each meal, aim to serve:

    • a fruit or vegetable
    • proteins like meat, fish, poultry, tofu, or beans
    • starchy vegetables or grains like potatoes, sweet potatoes, bulgur, or rice
    • a fat source like oils, nuts, nut butter, or avocado

    Even if your child doesn’t try or like a food the first (or even third) time you serve it, continue to offer those foods at future meals or snacks. Some kids may need to be exposed to a food 8–15 times before they decide to eat it (1, 3).

    While the focus should be on offering mostly nutrient-dense foods, it’s important to expose kids to a wide variety of foods to help them build a healthy relationship with food.

    That said, the general advice is to limit added sugar until at least 2 years of age.

    That’s because sugary foods may replace other more nutritious foods in their diets and increase the risk for cavities and metabolic disorders like type 2 diabetes in kids (4, 5).

    After that, it’s okay for your child to occasionally enjoy foods that contain added sugar. However, aim to keep added sugar to less than 10 percent of their total calories (6).

    Create a meal and snack schedule

    Most children thrive when there is structure and routine in their day, including for meals. Consistent routines may even help improve behavior among children (7, 8).

    Meal and snack schedules can play an important role in helping kids build healthy eating habits and promote overall health.

    Research shows that regular meal schedules (instead of all-day grazing) are linked to lower body weight and good metabolism among adults, which may be relevant for children, too (8, 9, 10).

    But perhaps even more important for children, creating a routine around eating times can help them know what to expect and may reduce picky eating and increase food pleasure (11).

    While exact schedules will vary by age, child, and family, most kids will benefit from eating three meals and two snacks (11).

    Here’s an example schedule:

    • Breakfast: 7 a.m.
    • Snack: 9–9:30 a.m.
    • Lunch: 12 p.m.
    • Snack: 3 p.m.
    • Dinner: 6 p.m.

    Limit, but don’t restrict, less nutritious foods

    Offering fun foods or those that offer less nutrition is also important to create a healthy relationship with food for kids over the age of 2. Restricting certain foods can have the opposite effect you might be aiming for (12).

    Research shows that restricting foods (especially those that are highly palatable, like sweets and traditional snack foods) can lead to children eating more of those foods when they have access (12).

    It may also lead to increased snacking among kids (13).

    Food restriction is also associated with an increased risk of disordered eating, weight gain, and a preoccupation with certain foods (12).

    Model healthy eating habits

    It’s well established that kids exhibit behaviors they learn from their role models.

    While your child may eat meals with friends at school or other caregivers, they learn many eating habits from you — the parent or caregiver (14, 15, 16).

    Therefore, if you want your kids to eat a wide variety of nutritious foods, it’s recommended that you do, too.

    Research has shown a direct link between the number of fruits and vegetables a parent eats with how many their children eat (17).

    Other measures of healthy eating among kids, including self-regulation, diet variety, and healthfulness, are linked to parents’ eating habits and parental modeling (18, 19, 20).

    Implement the division of responsibility

    The division of responsibility, a concept developed by Ellyn Satter, helps set roles for the parent and child on eating occasions and has been linked to healthier eating habits and less picky eating (21, 22).

    Testing tools using Ellyn Satter’s division of responsibility have been validated to predict childhood nutrition risk (23, 24).

    Using them has been linked to higher eating competency, better eating, self-regulation, increased consumption of fruits and vegetables among kids, and reduced pickiness (21, 22).

    It may even help reduce mealtime battles by taking the pressure off the parent and child and fostering a trusting relationship (21, 22).

    The division of responsibility asserts that parents and children have separate roles in eating.

    It is a parent’s job to decide:

    • What is served
    • When meals and snacks are offered (create a meal schedule)
    • Where meals occur

    It’s the child’s job to decide:

    • If and what they eat among the foods offered
    • How much they eat

    This division encourages eating autonomy among children and may result in better feeding self-regulation, meaning kids can honor their hunger and fullness cues (21).

    Eat meals as a family

    Eating meals as a family offers many benefits for children of all ages — from young toddlers to teenagers.

    It allows parents, siblings, and other family members to model healthy eating behaviors, an important role in kids’ eating habits — especially younger children (1, 23).

    It also provides an opportunity to talk positively about food and connect social behaviors with eating, which may be especially helpful for older children (1).

    In addition, both family meals and parents modeling healthy eating result in less picky eating and emotional eating among children (24, 25).

    Family meals are also linked to better eating habits and a more nutritious diet for kids. Studies also show that kids who eat with their family experience more food enjoyment (1, 26, 27).

    While studies looking at the connection between the frequency of family meals and healthy eating behaviors among kids suggest that the more you can eat as a family, the better, that may not always be practical (19).

    If your family’s schedule makes it difficult for everyone to have dinner together, do the best you can.

    Perhaps at least one parent can eat breakfast with the kids, or you can eat as a family on weekends or for some dinners during the week.

    Shop and cook with your kids

    Involving children of all ages — even young toddlers — in the cooking process can encourage them to eat a wider variety of foods, be more open to trying new foods, and get them excited about eating (1).

    In fact, it can take eight to 15 exposures before some children try new food (3).

    Research shows that repeated food exposures lead to the increased likeliness of a child trying and even liking a food. But think beyond exposures that happen at mealtime (3).

    “The more food exposure a child has, the better. This includes reading about foods, grocery shopping, helping with meal prep, playing with food, and gardening,” says Amber Rodenas, RD, LDN, pediatric dietitian and owner of Seeds and Sprouts Nutrition for Kids, LLC.

    Consider every opportunity to expose your kids to different foods. At the grocery store, talk about the colorful produce and have them pick out their favorite fruit or vegetable to bring home.

    Consider starting a family garden or growing herbs in small pots and involving your child in the planting and harvesting.

    When it comes to preparing food, the amount a child can be involved in depends on age and development. However, the earlier you start, the more the child will be able to do as they grow up.

    Younger toddlers can help stir, add things to a bowl, or push buttons on a blender. As kids get older, they can begin pouring liquids into a bowl, cutting soft items (with kid-safe knives), and eventually even help with the actual cooking.

    There’s no wrong way to get your child involved, and every exposure counts, even if it didn’t result in them eating the food at that moment.

    Stock up on healthy essentials

    Food availability plays a clear role in healthy eating — kids surely won’t eat what isn’t served!

    Not surprisingly, research shows that having fruits and vegetables available at home encourages kids to eat more of them (28).

    By stocking your kitchen with essentials, it’s easier to prepare meals that help your kids meet all of their nutrition needs.

    Aim to keep the following foods stocked in your kitchen:

    • a variety of colorful produce (frozen is just as nutritious as fresh) (29)
    • whole grains like whole grain bread and pasta, quinoa, farro, brown rice, or wheat berries
    • healthy proteins like eggs, chicken, fish (fresh, frozen, or canned), beans, and tofu
    • healthy fats like nuts and nut butter, seeds, and olive oil

    Keep healthy snacks on hand

    Snacks are an opportunity to add nutrients your child needs to their diet. They are also helpful for kids’ energy and satiety between meals (30).

    Snacks can ward off “hanger” meltdowns most parents have probably experienced at one time or another.

    However, research shows that snacks contribute a significant amount of added sugar to children’s diets, and snacks tend to be sugary, less nutritious foods (31).

    Try to choose nutritious snacks that include some protein, fiber, and fat to promote satiety (and limit all-day snacking) (32).

    Some ideas for healthy snacks include (please choose those that are age-appropriate):

    • cut vegetables with dip or hummus
    • sliced apple with nut butter and raisins
    • energy bites made with dried fruit, nuts or seeds, and oats
    • dried chickpeas or other dried beans
    • clementines with a cheese stick
    • cheese and whole grain crackers
    • yogurt with fruit

    To encourage healthy snacking, make snack time fun by offering different utensils or varying how you serve the food (such as in muffin tins or on a snack board).

    Summary

    Creating healthy eating habits for kids is multifactorial. Do the best you can to offer a variety of foods and create an environment that encourages healthy eating. But remember that as a parent, you don’t have to do it perfectly every time.

    There’s a lot we can do as parents to encourage healthy eating, but there are some things we should avoid as well.

    Don’t pressure or bribe your kids to eat certain foods

    Nagging, bribing, or pressure such as “just take one more bite” or “you can have dessert if you eat your broccoli” can lead to the opposite effect you’re aiming for.

    Pressure techniques have been linked to poorer diet quality, less food variety, and food avoidance and may worsen picky eating (33).

    In addition, they can be hard to enforce, especially among older children, and often lead to mealtime battles (1).

    Labeling food as good or bad can also be coercion or pressure for your child and may lead to an unhealthy relationship with food later. Instead, keep talking about food neutrally (1).

    In fact, modeling positive behavior and even not bringing attention to the food or what your child is eating may be a better approach (1, 33).

    Don’t allow screens at mealtimes

    It can be tempting for a parent to turn on a show or allow your child to play on a tablet or iPad while eating to get some quiet. But this may do more harm than good.

    Studies have shown that screens at mealtimes (TV, phone, iPad, etc.) are linked with eating less healthful food and poorer overall diet quality (1, 34).

    Distracted eating may also lead to overeating, weight gain, reduced food pleasure, and even longer-term health consequences like increased risk of metabolic diseases (35).

    Some of the problems with distracted eating may be related to food choices. Research suggests that screen time may increase consumption of unhealthy foods, increase snacking, and encourage unhealthy dietary behaviors (1, 34, 36).

    Instead of eating with screens, use meals as a time to connect with your children by asking them about their day or taking turns sharing your favorite part of the day.

    Don’t focus only on health (or even the food)

    While eating a nutritious diet is incredibly important to overall health, we also eat for pleasure.

    Talking with your kids about how food tastes, feels, and smells can encourage them to try more foods.

    These techniques may also help them form a healthier relationship with food (1).

    “Feeding kids is about nurturing more than good food intake. It’s also about nurturing a trusting relationship,” says Sarah Ladden, MS RDN, pediatric dietitian, mom of three, and family feeding expert.

    “The quickest way to get your child to eat calmly and without incident is to take the focus off of food entirely,” she adds.

    Summary

    It can be easy to default to methods like bribing or talking about health when trying to get children to eat healthily. But these things can actually be counterintuitive. Try to focus on creating a healthy food environment instead.

    Picky eating can be stressful for parents. It makes preparing food difficult, and you may worry about whether or not your child is getting what they need to be healthy and support growth.

    While picky eating certainly shouldn’t be ignored since it can affect nutrient and health status and development, research shows that it usually doesn’t affect growth trajectories (37, 38).

    The above guidelines on what to do (and what not to do) to raise healthy eaters can help both prevent and address picky eating. But if you’re feeling stuck, the following research-backed tips from child feeding specialists may help.

    Try food chaining

    In food chaining, you move gradually from foods your child likes to related foods you’d like them to try.

    “Food chaining is a technique used by many dietitians and feeding therapists to help kids learn to like new foods using characteristics of foods they already like,” says Amber Rodenas, RD, LDN, pediatric dietitian and owner of Seeds and Sprouts Nutrition for Kids, LLC.

    Food chaining might look something like this:

    • Goldfish crackers → Cheez Itz → Saltine Crackers → Saltines with cheese slices
    • Strawberries → grapes → grape or cherry tomatoes → tomato slices

    You could also implement it by using the flavors of liked foods when preparing foods your child avoids.

    For example, if your child likes tacos but doesn’t want to eat pasta, you could serve a “taco pasta” with some of the ingredients in tacos like ground beef and use taco seasoning while adding pasta.

    Sometimes it may require moving from one brand of chicken nuggets or mac ‘n cheese to another brand and then introducing another similar food like fish sticks or pasta with butter and grated parmesan.

    Food chaining takes patience and time, but older research has shown that it can be a very effective technique (39).

    Implement food play

    Food play like food bingo, cutting out shapes to make food puzzles, or even art projects with food (painting with dips and veggies) can be a no-pressure way to encourage your child to interact with the food and eventually try it.

    Research shows it can be an effective way to get kids to try different fruits and vegetables that they previously avoided (40).

    Even reading books about foods has increased younger children’s willingness to try new food (41).

    Change up the way you serve foods

    Similar to food play, serving foods in fun ways can be a helpful way to encourage your child to try something new.

    Some examples are:

    • cutting foods into different shapes
    • serving meals ‘family style’ so kids can serve themselves
    • turning ingredients into foods you know they like, such as dips
    • adding a well-liked dip or condiment alongside a new food

    Overcoming picky eating takes time and patience. Stay consistent, and over time most kids will learn to like a wider variety of foods.

    Summary

    Feeding picky eaters is a challenge that many parents face. Encouraging a more varied, nutritious diet takes patience and time. If your child is a picky eater, you can try strategies like introducing food play or food chaining.

    There are many reasons why your child may not eat dairy foods, including an allergy or intolerance, taste preferences, and family dietary choices.

    Dairy foods like milk, yogurt, and cheese provide important nutrients, including protein, fat, vitamins A and D, calcium, and potassium. Because dairy foods are often well-liked by kids, it’s an easy way for them to consume those nutrients.

    However, your child can meet all of their nutrient needs without dairy. It just requires some thought and planning (42, 43)

    Ensure your child eats other sources of calcium like fortified soy milk, fortified orange juice, some tofu, canned salmon with bones, sardines, or salmon (44).

    If your child doesn’t drink cow’s milk or other milk fortified with vitamin D, you may want to consider a vitamin D supplement.

    Summary

    If your child doesn’t eat dairy, you need to make sure they’re getting calcium and vitamin D from other food sources, like fortified soy milk, fortified orange juice, tofu, or fatty fish.

    For adequate growth and development, kids must eat foods containing a mix of all macronutrients — protein, carbs, and fat — as each plays a different role in the body.

    Protein

    Protein is an incredibly important nutrient for both kids and adults.

    It supports bone and muscle growth and is used to build skin, nails, and hair. It also helps with appetite regulation by filling you up and slowing down digestion (45, 46).

    Further, it plays a role in the immune system by helping build antibodies to fight off illness, helps your body carry important nutrients like iron, and plays a role in hormone development, among many other functions (46).

    Protein is important to support recovery from athletic activities, so very active children or those that play sports may need more protein than those that are more sedentary (46).

    Protein is available in animal and plant foods, including meat, poultry, fish, and soy foods like tofu and tempeh, beans, lentils, and dairy.

    Carbs

    Carbs are the body’s main energy source and the brain’s preferred energy source (47).

    Most of the carbs you eat are digested and broken down into glucose before your body can use them. Glucose can then be used by your cells or stored in the liver and muscles for later use.

    Make sure to choose whole-food sources of carbs rather than refined carbs most of the time. You’ll find refined carbs in baked goods like bread, cakes, cookies, and pastries.

    Carbs are abundant in fruits, starchy vegetables, grains, beans, and dairy (47).

    Starchy vegetables include white and sweet potatoes, winter squash like butternut, corn, and peas. Nearly all other vegetables are called non-starchy, or watery, vegetables.

    Fat

    Fat is essential for absorbing vitamins A, D, E, and K and some antioxidants. It’s also important for brain development, hormone development, skin, eye, hair health, and more (48, 49).

    Fat also helps increase satiety and provides taste and texture to meals, which may play a role in overall healthy eating (48).

    Aim to serve more unsaturated fats that are liquid at room temperature, primarily found in plant sources and fatty fish.

    That includes olive, avocado, canola oils, nuts, nut butter, seeds like pumpkin, sunflower, flax, hemp, chia seeds, and avocado.

    Summary

    Macronutrients include protein, carbs, and fat. All three are important for growth and development as well as overall health and can be consumed by eating a varied diet.

    Micronutrients are vitamins and minerals that support growth and development, help the body function, and fight off illnesses. Kids need to consume all vitamins and minerals, but below are some important ones to pay attention to.

    Calcium

    Calcium helps build strong bones and teeth and assists in muscle contractions, stimulation of nerves, and blood pressure regulation (50).

    While dairy is one of the most commonly consumed sources of calcium, it’s available in a variety of both dairy and non-dairy foods, including (50):

    • Yogurt, milk, and cheese
    • Fortified soy milk and some other fortified plant-based milk
    • Fortified orange juice
    • Canned salmon with bones
    • Sardines
    • Tofu made with calcium sulfate
    • Soybeans

    It’s available in smaller amounts in:

    • Beans
    • Chia seeds
    • Spinach
    • Kale
    • Turnip greens

    Vitamin D

    Vitamin D helps the body absorb calcium and phosphorus, supports bone growth, and contributes to brain development in children and mental health (51).

    Your body makes much of its vitamin D through exposure to sunlight. However, it’s impossible to obtain enough direct sunlight year-round in most parts of the world for optimal vitamin D levels (51).

    Food sources include fatty fish, fortified milk (dairy and some non-dairy), canned salmon with bones, egg yolks, and fortified cereal. Some mushrooms may also contain some vitamin D (52).

    Depending on your child’s diet and exposure to sunlight, it may be appropriate to consider a vitamin D supplement. Talk with your child’s doctor for an individual recommendation (51).

    Iron

    Iron supports neurological development, growth, and immune function. It also helps red blood cells carry and deliver oxygen to tissue throughout the body.

    Long-term iron deficiency in children may contribute to cognitive problems and learning disabilities (53).

    While iron is important for all children, girls should pay extra attention to iron-rich foods once they start menstruating.

    Food sources include meat, seafood, iron-fortified cereals, lentils, beans, and spinach. It’s available in smaller amounts in nuts, bread, and chicken (53).

    Our bodies can better absorb iron from meat and seafood than we are from plant-based foods. Consuming foods that contain vitamin C can enhance iron absorption from plants, but your child may need more iron-rich foods if they don’t eat meat (53, 54).

    Zinc

    Zinc is an essential mineral that plays a role in growth and development and is important for supporting a healthy immune system (55).

    It is involved in the activity of over 300 enzymes in your body that play a role in digestion, metabolism, nerve function, and more (56).

    The best sources of zinc include meat, dairy products, eggs, shellfish, nuts, and whole grains (57).

    B vitamins

    B vitamins are also important for growth, energy levels, and brain function (58).

    B vitamins are readily available in whole grains and fortified refined grains. B-vitamins are also plentiful in eggs, meat, seafood, dairy, legumes, leafy greens, and seeds (58).

    If your child follows a vegan diet or doesn’t like meat, seafood, or eggs, you should consider whether they’re getting enough vitamin B-12. Talk with your child’s doctor if you’re concerned they aren’t getting enough (55).

    Summary

    Micronutrients are vitamins and minerals that support overall health, growth, and development. Your child can usually meet their micronutrient needs by eating a varied diet.

    Healthy eating is important for growth, development, and overall health. It also can help set kids up for healthy eating into adulthood.

    It’s important to set up a family and home environment that encourages healthy eating. That involves buying and serving nutritious foods, eating meals as a family, and modeling healthy behavior.

    Aim for a positive eating environment. It’s not helpful to bribe or pressure children to eat certain foods, leading to increased food avoidance and picky eating.

    There’s no one way to raise a healthy eater, but implementing these guidelines can help your child become a flexible, competent eater over time.