Is 4 months too early to feed baby food


Most babies are fed solid food too soon, study finds

Health news

By Linda Carroll

Most mothers may be starting their infants on solid foods months sooner than specialists recommend, mistakenly believing their children are old enough to graduate from breast milk or formula – but many say they’re simply following doctors’ orders, according to a study published today.

Parents should wait until their little ones are at least 6 months old before offering them solid foods, say many child-nutrition experts, including the American Academy of Pediatrics.

But researchers at the Centers for Disease Control and Prevention – who surveyed 1,334 new moms – discovered that almost 93 percent of those women had introduced solid foods to their infants before 6 months, that 40 percent did it before the 4-month mark, and that 9 percent had offered solids to their babies before they were even four weeks old, according to the study, published today in Pediatrics.

“Fifty percent said that their health care provider told them it was time to introduce solid food,” said Kelley Scanlon, a co-author of the study and lead epidemiologist in the nutrition branch in the division of nutrition, physical activity and obesity at the CDC.

“That, for us, indicates that health care providers need to provide clearer guidance and really support women in carrying out the recommendation,” Scanlon said.

Physicians' groups settled on the 6-month cut-off after earlier research determined that children who get solid food at too early might be at a greater risk for developing chronic diseases, such as diabetes, obesity, eczema and celiac disease, Scanlon said.

The mothers who volunteered for the CDC study filled out food diaries and questionnaires designed to ferret out their opinions on why and when solid foods should be offered.

Among the moms offering solid foods to infants younger than 4 months, the most commonly cited reasons for doing so included: “My baby was old enough;” “My baby seemed hungry;” “I wanted to feed my baby something in addition to breast milk or formula,” “My baby wanted the food I ate;” “A doctor or other health care professional said my baby should begin eating solid food;” and “It would help my baby sleep longer at night,” researchers reported.

What’s more, moms who fed their babies formula were far more likely to start solids too early versus those who exclusively breast-fed (53 percent versus 24 percent), the study showed.

One food expert unaffiliated with the CDC study suggested that some health-care providers may simply be unfamiliar with current baby-feeding recommendations.

“I think this is worrisome,” said Ann Condon-Meyers, a pediatric dietician at the University of Pittsburgh Medical Center and Children's Hospital of Pittsburgh. “I think it may show that word isn’t getting out that … it is 6 months before solid foods should be offered.”

Still, the study’s findings didn’t surprise Condon-Meyers, who added: “I work in pediatrics and we see a lot of early introduction of solid foods when we do patient histories.”

In addition to possibly boosting, a child’s risk for contracting certain chronic diseases, introducing solid foods too early often means babies don’t drink an adequate amount of breast milk or formula, and that can translate into poorer nutrition, Condon-Meyers said.

Breast milk and formula have all the nutrients and vitamins a baby needs and in the right proportions, Condon-Meyers said.

“If you start giving solid food too early then you are diluting the nutritional intake,” she said. “You’re getting more calories, but less of the nutrients a baby needs to grow.”

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Linda Carroll

Four in 10 Babies Given Solid Foods Too Early, Study Finds – WebMD

Hunger, inability to sleep through the night often cited as reasons

Written by WebMD Editorial Contributors

By Serena Gordon

HealthDay Reporter

MONDAY, March 25 (HealthDay News) -- Child development experts advise parents not to introduce solid foods, such as baby cereal, into an infant's diet until the infant is at least 4 to 6 months old. However, new research suggests that about 40 percent of parents aren't heeding this advice and are giving their babies solid food much sooner.

The researchers also found that formula-fed infants were much more likely to be given solid foods too early than were breast-fed infants.

"Health authorities do advise parents to wait until after 4 months because infants aren't developmentally ready to eat solid foods before then," explained the study's senior author, Kelley Scanlon, an epidemiologist at the division of nutrition, physical activity and obesity at the U.S. Centers for Disease Control and Prevention (CDC) in Atlanta.

Scanlon said there are a number of other reasons why experts don't recommend early feeding. One is that the early introduction of solid foods has been linked to a shorter duration of breast-feeding. Early solid food consumption has also been linked to the development of chronic conditions, such as childhood obesity, celiac disease, diabetes and eczema, according to background information in the study.

To see how often the expert recommendations on solid foods are followed, Scanlon and her colleagues reviewed data provided by more than 1,300 mothers with infants.

The investigators found that 40 percent of mothers introduced solid foods before their infants were 4 months old. About 24 percent of exclusively breast-feeding moms introduced early solid food, while close to 53 percent of formula-fed babies were given solid foods early on. Slightly more than 50 percent of babies that were fed both breast milk and formula were introduced to solid foods before 4 months.

Reasons cited by the moms included, "My baby was old enough," "My baby seemed hungry," "I wanted to feed my baby something in addition to breast milk or formula," "My baby wanted the food I ate," "A doctor or other health care professional said my baby should begin eating solid food," or "It would help my baby sleep longer at night," according to the study.

Scanlon said that mothers who formula-fed their babies were more likely to report having a health care provider tell them that solid foods before 4 months were OK.

That suggests that there's a real need for doctors and other health care providers "to provide accurate and clear information," Scanlon said. These experts "can help parents better understand their babies' cues for feeding," she said. "A baby who's crying a lot isn't always hungry."

The researchers also found that mothers who introduced solid foods earlier were more likely to be younger, unmarried, have less education and be participating in government food programs for women, infants and children.

Dr. Ruby Roy, an attending physician at La Rabida Children's Hospital in Chicago, said she wasn't surprised by the study's findings. "A lot of these parents say that at 3 months, their children are more hungry. And, that's true. There's usually a growth spurt at 3 months, so increasing breast-feeding or the amount of formula is appropriate," said Roy.

Roy said she doesn't tell parents to wait for a specific age, but rather to look for signs that the baby is ready for solid foods. "Some children will be ready at 6 months, while others are fine at 5 months and 2 weeks, so instead of an absolute rule, I explain that they're waiting for the baby to be ready," she said.

According to Roy, babies aren't ready for solids until they can sit up by themselves when they're well-supported and when they've lost what's known as the "tongue thrust" reflex. If you try to feed your baby solid foods on a spoon and your baby pushes the food out with his or her tongue, your baby isn't ready for solids yet, Roy said.

Roy and Scanlon agreed that parents shouldn't try to work around this reflex by adding baby cereal to bottles.

"Solid foods are not intrinsically better or more calorically dense than breast milk or formula," said Roy. And she added, "Solid foods can harm kids when started too early."

Results of the study were released online March 25 in advance of publication in the April print issue of Pediatrics.

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