I could write a TOME on the subject of food introduction! Alas, this is just a blog! There are so many opinions and much varied information. Much of the way we introduce solid foods to children has little to do with what is best for children. Instead it is influenced by a Mother’s need to work, babyfood lobbiests, the lack of significant nutritional training for pediatricians, the influence of our mothers who feel the need to justify their own parenting practices, lack of support for (prolonged) breastfeeding in our society….
The last thing considered when deciding when and how to introduce solid foods is the development of the immature GI tract, immune function, and the significant family history of the child. The old adage about it being ‘good enough for you…’ seems hollow in the face of increasing chronic diseases, cancer, and the multitude of other health concerns that seem to be increasing in an alarming way. The vast majority of children I treat, from Asthma to ADD to IBS to chronic ear infections…the overwhelming majority of them are in my office because of underlying food allergies and poor nutrition. These are kids on a Standard American Diet, following the generally accepted guidelines for introducing foods to infants and feeding children.
Children are resilient and as parents we can rest assured that many of our numerous mistakes will be forgotten (just in case you may want to open a fund for future counseling sessons). But some of you parents have struggled with significant food allergies of your own and you are the ones I want to speak to. Anyone with a family history of significant allergies should consider the following when introducing food. These things apply to all of us to varrying degrees:
1. Introduce food at the appropriate developmental stage for YOUR child. Most kids a year and under still need most of their calories in liquid low allergy form. I cannot promote breast feeding enough as a way of decreasing allergies and delaying solid food introduction. Even if everything else is done incorrectly, breast feeding is so protective for your child that it makes a world of difference.
2. DO NOT START WITH CEREAL. In the grand scheme of things we don’t produce the means to digest grains until well after a year. Start instead with root vegetables (carrots, yam, beets), move on to other veggies (spinach, peas, greens, etc), and finally add small amounts of fresh fruit. Many kids who don’t eat vegetables consume high amounts of refined cereal grains.
3. Avoid common allergens until 2 or 3 years (soy, dairy, corn, wheat, etc.) or beyond. Avoid refined sugars, especially juice and dried fruit. Feed your kids real food!
4. Add foods one at a time in a systematic way looking for clues to allergies or reactions. Take your time. You can never do ‘food introduction’ over, so do it right the first time.
I teach a 2-part class on food introduction every year. E-mail me a request to be put on the class list and I will contact you when it is scheduled.