Do you have a child who chews on their collars and sleeves all the time? Some people put this down to stress, anxiety, boredom or even a compulsion as part of an OCD picture – but it can also be a sign that they have nutrient deficiencies! My kids used to do this until I discovered that it was their way of telling me they needed more zinc. They would stop chewing on their t-shirts within days of adding in more zinc and this saved their clothes from being ruined!
Some kids take the chewing thing further and they can’t get enough of sucking or chewing on non-food items such as toys, stones, sand, ice cubes, tissues or paper – constantly needing the sensory input of having something in their mouth – this again may be a sign that they have a much higher need for mighty minerals. Of course, babies naturally put everything in their mouth, but if this happens in children over the age of two, then it may be something called Pica.
What is Pica?
Pica is a sign that the body is trying to correct a significant nutrient deficiency. These deficiencies are usually associated with low iron and/or zinc. As well as the mouthing of non-food objects, little signs you can look out for are pale lower eyelids (low iron) and white flecks on the nails (low zinc) – these are certainly not definitive ways to determine nutrient levels and are just pointers that a blood test or hair elements test would confirm. These kids often also have sore tummies, poor appetite and have pale skin, tired and picky with their food.
Why is it a problem?
Putting soil or stones in the mouth poses a higher risk for acquiring a parasitic infection which can perpetuate things further. Clothes chewing and/or Pica may also get worse if a child has a parasitic infection as worms and amoebic parasites can deplete the host of a wide range of nutrients including zinc and iron. Remember to worm your dog too, as households with dogs have higher risk of parasitic infection.
Another risk from Pica is the potential for lead toxicity which can reduce IQ and growth. Even though many policies have been put in place to reduce lead exposure, it is still present in a number of children’s toys and old household paint as well as being in our soil. Interestingly lead toxicity can lead to anaemia and so lead exposure can get the ball rolling in the first place leading to the Pica and so it has the potential to perpetuate the problem. Also, optimal dietary zinc can reduce how quickly lead is absorbed and can reduce toxicity.
Finally, some kids successfully swallow the items they put in their mouth and this poses a risk of intestinal blockage or puncture the gut lining which can be make them very unwell and can even be fatal. This is why as parents we need to be very on the ball when our kids put things in their mouth.
It can happen in pregnancy too
Pica is common in pregnancy too, and pregnant women who are low in iron or zinc can start to crave all sorts of things from ice to coal. This is because risk of anaemia and low iron is very common in pregnancy. Nutrients can also get easily depleted if morning sickness leads to vomiting, and especially so in those women suffering from extreme morning sickness called Hyperemesis gravidarum. It is important to correct these during pregnancy as iron and zinc are important for both the baby’s development and for the mother’s recovery from the birth and reduces risk of post-natal depression.
Why do we get zinc & iron deficiencies?
Firstly, many kids (and some adults too) don’t eat enough zinc and iron rich foods – think eggs, salmon, prawns, milk, chickpeas, pumpkin seeds and dates for zinc; and liver, red meat, eggs, spinach, lentils, sesame seeds, apricots and molasses for iron. Vegetarians and vegans are more likely to develop iron and zinc deficiencies as it is harder to get enough of these in a plant based diet and so it’s important to learn how to optimise the iron and zinc when eating plant-based.
Children need A LOT more zinc when they are going through a growth spurt and during puberty – it’s sometimes very tricky to keep up even with the best diet! Also some kids have problems digesting and absorbing the nutrients from the food they eat, and this is where stool testing and screening for malabsorption can be extremely helpful. There are also genetic SNPs and other metabolic issues which can predispose kids to low zinc and iron levels and again these are things that we can investigate for you.
What can you do to help?
Find recipes packed with zinc and iron rich foods and feed your children these at least twice a day. To fast track things add in iron (7-11mg daily) and zinc (3-11mg daily) food supplements. If they have a marked deficiency they will need more, but that would need be guided by your NatureDoc or GP.
- Pica–causes and complications of a little-known eating disorder
- Pica: A Common Condition that is Commonly Missed – An Update Review
- Low plasma zinc and iron in pica
- A meta-analysis of pica and micronutrient status
- Low levels of zinc in hair and blood, pica, anorexia, and poor growth in Chinese preschool children
- Pica as a manifestation of iron deficiency
- Eosinophilia and pica: lead or parasites?
- Pica patterns, toxocariasis, and elevated blood lead in children
- Pica and the obsessive-compulsive spectrum disorders
- Pica: the portrait of a little known clinical entity
- Lead Poisoning
- The Anaemia of Lead Poisoning: A Review
- The Effect of Occupational Lead Exposure on Blood Levels of Zinc, Iron, Copper, Selenium and Related Proteins