A Simple Guide to Food Introductions for Infants

A Simple Guide to Food Introductions for Infants

INFANT FOOD INTRODUCTION TIMELINE

BIRTH - 4 MONTHS

exclusive breastfeeding

Breastmilk delivers the optimal nutrients, immune factors, and prebiotics for a growing infant. If possible, breastfeed throughout the food introduction timeline to train the developing immune system.

4 MONTHS - 12 MONTHS

begin introducing complementary foods

PEANUTS: early introduction (4-12 mo) decreases allergy rates in childhood

FRUIT: banana, strawberries, pear, orange, melon, avocado

VEGETABLES: cooked spinach, carrots, beans, lentils, peas, yams, beets

GRAINS: whole grain bread, crackers, pasta

PROTEIN: soft, small pieces of beef, lamb, chicken, turkey, fish (low-mercury), eggs (well-cooked)

DAIRY: pasteurized cheese & yogurt

INTRODUCE AFTER 1 YEAR

cow & soy milk

honey

juice

INTRODUCE AS LATE AS POSSIBLE

sugar

artificial flavors & colors

caffeine


INFANT FOOD INTRODUCTION METHODS

Infant Food Introduction Methods

TRADITIONAL SPOON-FED

+ less messy & wasteful

+ parents have more control

- may rely on parent to eat

- may become picky about textures

- special baby food can be expensive

BABY-LED WEANING

+ child self-feeds finger food

+ teaches independence, motor skills, appetite control

- more mess & gagging

- more time to learn eating skills


FOOD INTRODUCTION TIPS

CLEAN & SIMPLE

introduce new foods without additives, pesticides, sugar, or oils (for example, introduce organic, freshly mashed peanuts instead of processed peanut butter)

SPACE NEW FOODS

introduce a new food every 3-5 days to watch for reactions

MAYBE THE MILK

an infant may become colicky if sensitive to proteins in the mother diet (most commonly milk, soy, eggs, wheat, corn, beef, and nuts) - she can modify her diet or take a probiotic


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References

Breast Milk Sensitivity. Nebraska Department of Health and Human Services. Retrieved from: https://dhhs.ne.gov/Pages/Breast-Milk-Sensitivity.aspx

Caffarelli C, Di Mauro D, Mastrorilli C, Bottau P, Cipriani F, Ricci G. Solid Food Introduction and the Development of Food Allergies. Nutrients. 2018 Nov 17;10(11):1790. doi: 10.3390/nu10111790. PMID: 30453619; PMCID: PMC6266759.

de Silva D, Halken S, Singh C, Muraro A, Angier E, Arasi S, Arshad H, Beyer K, Boyle R, du Toit G, Eigenmann P, Grimshaw K, Hoest A, Jones C, Khaleva E, Lack G, Szajewska H, Venter C, Verhasselt V, Roberts G; European Academy of Allergy, Clinical Immunology Food Allergy, Anaphylaxis Guidelines Group. Preventing food allergy in infancy and childhood: Systematic review of randomised controlled trials. Pediatr Allergy Immunol. 2020 Oct;31(7):813-826. doi: 10.1111/pai.13273. Epub 2020 Jun 18. PMID: 32396244.

Dai NN, Li XY, Wang S, Wang JJ, Gao YJ, Li ZL. [Timing of food introduction to the infant diet and risk of food allergy: a systematic review and Meta-analysis]. Zhonghua Er Ke Za Zhi. 2021 Jul 2;59(7):563-569. Chinese. doi: 10.3760/cma.j.cn112140-20201130-01064. PMID: 34405638.

Du Toit G, Roberts G, Sayre PH, Bahnson HT, Radulovic S, Santos AF, Brough HA, Phippard D, Basting M, Feeney M, Turcanu V, Sever ML, Gomez Lorenzo M, Plaut M, Lack G; LEAP Study Team. Randomized trial of peanut consumption in infants at risk for peanut allergy. N Engl J Med. 2015 Feb 26;372(9):803-13. doi: 10.1056/NEJMoa1414850. Epub 2015 Feb 23. Erratum in: N Engl J Med. 2016 Jul 28;375(4):398. PMID: 25705822; PMCID: PMC4416404.

Ferraro V, Zanconato S, Carraro S. Timing of Food Introduction and the Risk of Food Allergy. Nutrients. 2019 May 21;11(5):1131. doi: 10.3390/nu11051131. PMID: 31117223; PMCID: PMC6567868.Methods of Introducing Solids. Solid Starts. Retrieved from: https://solidstarts.com/methods/

Obbagy JE, English LK, Psota TL, Nadaud P, Johns K, Wong YP, Terry N, Butte NF, Dewey KG, Fleischer DM, Fox MK, Greer FR, Krebs NF, Scanlon KS, Casavale KO, Spahn JM, Stoody E. Types and Amounts of Complementary Foods and Beverages and Food Allergy, Atopic Dermatitis/Eczema, Asthma, and Allergic Rhinitis: A Systematic Review [Internet]. Alexandria (VA): USDA Nutrition Evidence Systematic Review; 2019 Apr. PMID: 35816599.

West C. Introduction of Complementary Foods to Infants. Ann Nutr Metab. 2017;70 Suppl 2:47-54. doi: 10.1159/000457928. Epub 2017 May 19. PMID: 28521316.

Williams Erickson L, Taylor RW, Haszard JJ, Fleming EA, Daniels L, Morison BJ, Leong C, Fangupo LJ, Wheeler BJ, Taylor BJ, Te Morenga L, McLean RM, Heath AM. Impact of a Modified Version of Baby-Led Weaning on Infant Food and Nutrient Intakes: The BLISS Randomized Controlled Trial. Nutrients. 2018 Jun 7;10(6):740. doi: 10.3390/nu10060740. PMID: 29880769; PMCID: PMC6024590.

Yakaboski E, Robinson LB, Arroyo A, Espinola JA, Geller RJ, Sullivan AF, Rudders SA, Camargo CA. Early Introduction of Food Allergens and Risk of Developing Food Allergy. Nutrients. 2021 Jul 5;13(7):2318. doi: 10.3390/nu13072318. PMID: 34371828; PMCID: PMC8308770.

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