The AAP and WHO Guidelines for Solid Foods & Infants

THIS IS NOT IN D&D, ITS IN PARENTS OF INFANTS FOR A REASON. I POSTED THIS MERELY TO EDUCATE MAMAS ON THE CURRENT GUIDELINES. This is NOT an attack on anyone for their decision to start solids earlier. This is merely to ensure that mamas who may never have heard any of this data get a chance. Too many pediatricians are NOT operating within the update AAP guidelines are are still telling mamas that they CAN start solids at 4 months, or even worse that they SHOULD. Im posting this merely so mamas are exposed to the current AAP and WHO guidelines, so they can make an educated decision on when to start solids. Questions and discussion are welcome, but if you want a debate, feel free to post a topic in D&D for it.


Health experts and breastfeeding experts agree that it's best to wait until your baby is around six months old before offering solid foods. There has been a large amount of research on this in the recent past, and most health organizations have updated their recommendations to agree with current research. Unfortunately, many health care providers are not up to date in what they're telling parents, and many, many books are not up to date.


The following organizations recommend that all babies be exclusively breastfed (no cereal, juice or any other foods) or formula fed if need be for the first 6 months of life (notthe first 4-6 months):

• World Health Organization
• UNICEF
• US Department of Health & Human Services
• American Academy of Pediatrics
• American Academy of Family Physicians
• American Dietetic Association
• Australian National Health and Medical Research Council
• Royal Australian College of General Practitioners
• Health Canada

(all the above links can be clicked to take you to the corresponding info from that organization)

Most babies will become developmentally and physiologically ready to eat solids by 6-9 months of age. For some babies, delaying solids longer than six months can be a good thing; for example, some doctors may recommend delaying solids for 12 months if there is a family history of allergies.


*REASONS FOR DELAYING SOLIDS*
Although some of the reasons listed here assume that your baby is breastfed or fed breastmilk only, experts recommend that solids be delayed for formula fed babies also.

• Delaying solids gives baby greater protection from illness.
  Although babies continue to receive many immunities from breastmilk for as long as they nurse, thegreatestimmunity occurs while a baby isexclusively breastfed. Breastmilk contains50+ known immune factors, and probably many more that are still unknown. One study has shown that babies who were exclusively breastfed for 4+ months had 40% fewer ear infections than breastfed babies whose diets were supplemented with other foods. The probability of respiratory illness occurring at any time during childhood is significantly reduced if the child is fed exclusively breast milk for at least 15 weeks and no solid foods are introduced during this time. (Wilson, 1998) Many other studies have also linked the degree of exclusivity of breastfeeding to enhanced health benefits (seeImmune factors in human milkandRisks of Artificial Feeding).
  
• Delaying solids gives baby's digestive system time to mature.
  If solids are started before a baby's system is ready to handle them, they are poorly digested and may cause unpleasant reactions (digestive upset, gas, constipation, etc.). Protein digestion is incomplete in infancy. Gastric acid and pepsin are secreted at birth and increase toward adult values over the following 3 to 4 months. The pancreatic enzyme amylase does not reach adequate levels for digestion of starches until around 6 months, and carbohydrate enzymes such as maltase, isomaltase, and sucrase do not reach adult levels until around 7 months. Young infants also have low levels of lipase and bile salts, so fat digestion does not reach adult levels until 6-9 months.
  
  
• Delaying solids decreases the risk of food allergies.
  It is well documented that prolonged exclusive breastfeeding results in a lower incidence of food allergies (seeAllergy ReferencesandRisks of Artificial Feeding). From birth until somewhere between four and six months of age, babies possess what is often referred to as an"open gut."This means that the spaces between the cells of the small intestines will readily allow intact macromolecules, including whole proteins and pathogens, to pass directly into the bloodstream.This is great for your breastfed baby as it allows beneficial antibodies in breastmilk to pass more directly into baby's bloodstream, but it also means that large proteins fromotherfoods (which may predispose baby to allergies) and disease-causing pathogens can pass right through, too. During baby's first 4-6 months, while the gut is still "open," antibodies (sIgA) from breastmilk coat baby's digestive tract and providepassiveimmunity, reducing the likelihood of illness and allergic reactions before gut closure occurs. Baby starts producing these antibodies on his own at around 6 months, and gut closure should have occurred by this time also. SeeHow Breast Milk Protects NewbornsandThe Case for the Virgin Gutfor more on this subject.
  
  
• Delaying solids helps to protect baby from iron-deficiency anemia.
  The introduction of iron supplements and iron-fortified foods, particularly during the first six months, reduces the efficiency of baby's iron absorption. Healthy, full-term infants who are breastfed exclusively for periods of 6-9 months have been shown to maintain normal hemoglobin values and normal iron stores. In one study (Pisacane, 1995), the researchers concluded that babies who were exclusively breastfed for 7 months (and were not give iron supplements or iron-fortified cereals) had significantly higher hemoglobin levels at one year than breastfed babies who received solid foods earlier than seven months. The researchers foundnocases of anemia within the first year in babies breastfed exclusively for seven months and concluded that breastfeeding exclusively for seven months reduces the risk of anemia. SeeIs Iron-Supplementation Necessary?for more information.
  
  
• Delaying solids helps to protect baby from future obesity.
  The early introduction of solids is associated with increased body fat and weight in childhood. (for example, seeWilson 1998,von Kries 1999,Kalies 2005)
  
• Delaying solids helps mom to maintain her milk supply.
  Studies have shown that for a young baby solidsreplacemilk in a baby's diet - they do not add to baby's total intake. The more solids that baby eats, the less milk he takes from mom, and less milk taken from mom means less milk production. Babies who eat lots of solids or who start solids early tend to wean prematurely.
  
• Delaying solids helps to space babies.
  Breastfeeding is most effective inpreventing pregnancywhen your baby is exclusively breastfed and all of his nutritional and sucking needs are satisfied at the breast.
  
• Delaying solids makes starting solids easier.
  Babies who start solids later can feed themselves and are not as likely to have allergic reactions to foods.

my pedi said 4-6 mths and there is NOTHIN wrong with that- Elaina was more than ready to eat and she has never been ill other than a 2 day stomach virus that I also had- I have had bronchitis and hubby even had strep and pneumonia at the same time and she never caught ANY of it- It is a doctor/parent decision and 6 mths is NOT a hard and fast rule.

i disagree. you start solids when your child is ready... a child needs more than breastmilk or formula to fill them up when they get to a certain age. as long as their still getting the same amount of milk then there is no problem with it.

Five bucks says you recently got in a heated discussion with someone about this on BG.  

Quoting *Cheeks* SmexyHooker-B:“ Five bucks says you recently got in a heated discussion with someone about this on BG.   Im going to refer people to this when they decide to argue with me.”

No heated discussion, just referred people to this info for the umpteenth time and decided to post it here.

Quoting Tara ♥ TCD:“ i disagree. you start solids when your child is ready... a child needs more than breastmilk or formula ... [snip!] ... up when they get to a certain age. as long as their still getting the same amount of milk then there is no problem with it.”

Then you fill them up with more milk. The solids kids start on dont have the nutritional value of milk or formula. They are just giving the child the FEELING of full. And if your child is experiencing more hunger, thats their body asking for additional nutrition to help them with their new level of growth.

I personally think the "obesity in later life" is bullshit just because you start babies 2 mths earlier on solids AND the iron deficiency is bullshit because the cereal you feed a baby is fortified with iron- ALL of them are.

i wanted to wait till 6 months but my daughter is underweight for her age so her pedi had me start her on solids at like 4.5 months now shes 8.5 months old and still as healthy as can be  .

Quoting happy baby's mom:“ my pedi said 4-6 mths and there is NOTHIN wrong with that- Elaina was more than ready to eat and she ... [snip!] ... at the same time and she never caught ANY of it- It is a doctor/parent decision and 6 mths is NOT a hard and fast rule.”

Like the first paragraph clearly addressed (even in bold): many pedi's are still giving this advice based on OLD data. The AAP, the WHO, and all those other organizations listed have all updated their info. Your pediatrician should be following AAP guidelines.

Quoting happy baby's mom:“ I personally think the "obesity in later life" is bullshit just because you start babies 2 mths earlier ... [snip!] ... on solids AND the iron deficiency is bullshit because the cereal you feed a baby is fortified with iron- ALL of them are.”

Did you actually READ what it said about that? Or did you only read what was in bold?

Quoting Taiter Tot's Mama [AP]:“ Then you fill them up with more milk. The solids kids start on dont have the nutritional value of milk ... [snip!] ... is experiencing more hunger, thats their body asking for additional nutrition to help them with their new level of growth.”

thats cruel to disreguard your child's interest in food. i would never do that to my child, EVER.

Quoting bethany&brooklyn*:“ i wanted to wait till 6 months but my daughter is underweight for her age so her pedi had me start her on solids at like 4.5 months now shes 8.5 months old and still as healthy as can be  .”

I would ask for a second opinion from a child NUTRITION expert. The logic of putting a child who is underweight on solids is flawed. They will get LESS nutritionally from the solids then from a diet of milk exclusively.

I think what ever way a parent decides to parent their child is the right way... I don't think there are a set way to do things and certainly no rule book.

Quoting Tara ♥ TCD:“ thats cruel to disreguard your child's interest in food. i would never do that to my child, EVER.”

If they are under 6 months, I dont see how it is cruel. How were they showing an interest in food before you introduced it to them btw? Im curious.

Quoting Taiter Tot's Mama [AP]:“ Then you fill them up with more milk. The solids kids start on dont have the nutritional value of milk ... [snip!] ... is experiencing more hunger, thats their body asking for additional nutrition to help them with their new level of growth.”

that's why pedi's tell you to cut down on the food if your child is not at least taking in 32 ounces of milk a day