At what age do American pediatricians typically recommended the introduction of solid foods?
Print this fact sheet Show by L. Bellows, A. Clark, and R. Moore* (10/13) Quick Facts…
The introduction of semi-solid and solid foods to an infant’s diet can be confusing and complicated for many parents. There is even some disagreement among the leading health authorities regarding when to incorporate new foods and which foods to include. Essentially, the exact order of food introduction does not matter for many babies. The most important factor is which foods to introduce at each age, and the child’s relationship with these foods. During the first 6 months of life, breast milk is capable of supplying all of the nutrition an infant needs and also provides protection against illness. Most experts agree that solid foods should be incorporated around the first 6 months of life, beginning with single-grain cereals followed by fruits, vegetables, and proteins in later months. Ultimately, an infant’s developmental readiness should determine when to introduce semi-solid foods to the diet. Starting Solid Foods Too EarlyThere are many misconceptions that come along with the decision to feed an infant solid foods before 6 months of age- a common belief being that feeding solid foods such as cereal will make an infant sleep through the night. In reality however, sleeping through the night is actually associated with mental development, not the fullness of an infant. Feeding an infant solid foods before 6 months may increase the risk of choking, food allergies, gastric discomfort, and becoming overweight or obese later in life. Waiting Too Long to Start Solid FoodsIntroducing solid foods after 9 months may result in an infant who is resistant to trying solid foods, and may have difficulty chewing. Beyond 9 months of age, it is important to incorporate an external source of iron, since an infant’s iron stores will gradually become depleted. When to StartThe child’s age, appetite, and growth rate are all factors that help determine when to feed solid foods. According to the American Academy of Pediatrics (AAP), semi-solid foods are a significant change and should not be introduced until 6 months of age. This age usually coincides with the neuromuscular development necessary to eat solid foods. Fruit juice is not recommended until 7 months of age, and should be limited to 4-6 ounces per day. It is important to note that although only 100% fruit juice is acceptable at this age, it is not recommended. Before feeding solid foods, the baby should be able to:
Starting Solid Foods During the first feeding, many parents find it beneficial to offer semi-solid foods after breast or formula feeding, when the infant may be more likely to experiment with new foods. The sequence of new foods is not critical, but iron-fortified rice cereal mixed with breast milk or formula is a good first choice. In the beginning, it may be best to introduce single-ingredient foods one at a time at weekly intervals. This process helps identify any food sensitivities the child might have. Gradually add vegetables, fruits, and meats to the infant’s diet one at a time. Serving mixed foods is not recommended in the beginning. Important Tips:
Foods for the First Year Breast milk or infant formula—In addition to incorporating new foods, it is also best to supplement a child’s diet with breast milk or infant formula to ensure adequate nutrition. This can be accomplished through the addition of breast milk or formula to solid foods. During the first year of life infants are not ready for milk products from animals (such as cow or goat milk). Grain Products—Simple grains such as rice cereal are a good first choice for introducing solid foods to an infant. Grains offer additional iron needed for proper growth and development. Introduce wheat products last, since they are more allergenic. Fruit—Choose plain, ripe, or pureed fruit such as applesauce, peaches or mashed bananas. Combine the fruit with breast milk or infant formula, and puree. Steer clear of citrus fruits during the first year of life due to their high acidity, and avoid fruit desserts that contain unnecessary sugar. Desserts provide unneeded, excess calories and may lead to overweight and obesity. Fruit juices that are 100% may be introduced at 7 months when the baby learns to drink from a cup. It is important to dilute 100% fruit juice half and half with water or strain the pulp before giving to a baby. Avoid sweet drinks, such as soda, tea, and sports drinks as they can promote tooth decay and lead to unnecessary calories. Vegetables—Puree vegetables with breast milk or infant formula in a manner similar to fruits. Do not add salt to vegetables as this may cause strain on an infant’s kidneys. Protein—Puree proteins such as chicken, beef, pork, tofu, or beans with breast milk or infant formula, similar to fruit and vegetable preparation. See Tables 1 and 2 for more information on introducing foods during the first year. Foods to Avoid During the First YearRisk for allergic reaction—nuts and nut products, egg whites, and shellfish. Choking Risk—celery, grapes, candy, carrots (raw), corn, raisins, cherry tomatoes, nuts, olives, popcorn, peanut butter, sausage, hotdogs, and gum. Additional foods to avoid—Honey (due to hazardous botulism spores), cow’s milk (harmful to an infant’s kidneys), rare meat, cheese (due to contamination with harmful bacteria), unpasteurized juice, bean sprouts, and alfalfa sprouts. Table 1. Calendar for feeding your baby for the first year of life.*
Table 2. Infant serving sizes based on age.*
Summary
Additional ResourcesAmerican Academy of Pediatrics: www.healthychildren.org ReferencesAmerican Academy of Pediatrics: Switching to Solid Foods. 2012. www.healthychildren.org. Academy of Nutrition and Dietetics: Introducing solid foods to toddlers. 2012. www.eatright.org. Douglas, Ann. Mealtime Solutions for Your Baby, Toddler, and Preschooler: The Ultimate No-Worry Approach for Each Age and Stage. John Wiley & Sons, Inc., 2008. *L. Bellows, Colorado State University Extension food and nutrition specialist and assistant professor; A. Clark, University of Northern Colorado associate professor; and R.Moore, graduate student. 12/98. Revised 10/13. Colorado State University, U.S. Department of Agriculture and Colorado counties cooperating. Extension programs are available to all without discrimination. No endorsement of products mentioned is intended nor is criticism implied of products not mentioned. Go to top of this page. Is it better to start solids at 4 months or 6 months?Medical Recommendations
The American Academy of Pediatrics (AAP) and the World Health Organization (WHO) encourage parents to wait until six months of age before starting baby on solids. These relatively new guidelines are in place to keep babies safe from choking, having digestive issues or respiratory infections.
Why do pediatricians need solids 4 months?There is emerging evidence that introduction of solid foods into an infant's diet by 4 months may increase their willingness to eat a variety of fruits and vegetables later in life, decrease their risk of having feeding problems later in life, and decrease their risk of developing food allergies, and the early ...
At what age should solid foods be introduced quizlet?An infant in addition to breast milk or formula, can begin eating solid foods between 4 and 6 months. The main purpose if introducing solid foods is to provide needed nutrients that are no longer supplied adequately by breast milk or formula alone.
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