Cow’s Milk and Babies: Wait until One Year

Although your baby may have been on a cow’s milk based formula since birth and has tried other dairy products such as yogurt, you should still hold off on giving your baby cow’s milk for the first 12 months of life. Cow’s milk can cause a number of problems, and differs from other dairy based products in its safety for babies.

Cow’s Milk and Baby’s Body

Under one year of age, your baby’s digestive system simply isn’t ready for cow’s milk. The proteins can be difficult to digest and can cause gastrointestinal problems. In large amounts, cow’s milk can damage the lining of baby’s stomach, resulting in internal bleeding. This is only one of the ways in which cow’s milk can lead to low iron levels in baby and serious consequences.

Cow’s milk is also known to block the absorption of iron, which is essential to your baby’s blood. Iron helps to create new red blood cells and also hemoglobin. Low iron results in low levels of red blood cells and a reduced ability for oxygen to be carried throughout the body. This is known as iron deficiency anemia, and it is common in babies who do not get enough iron through baby food diet. Cow’s milk can cause iron deficiency anemia through both blocked iron absorption and also by causing stomach bleeding that leaches more iron from the bloodstream.

As your baby grows past one year, the digestive system will be better able to handle the proteins in milk, but the risk of anemia still exists, so cow’s milk intake should always be regulated.

Why Some Dairy Products are Safe

Not all dairy carries the same risks as cow’s milk. In foods like cheese and yogurt the processing methods that are used in manufacturing break down the protein and the lactose, making them easier to digest. This is why many lactose intolerant people are able to eat these foods and yet can’t drink milk. The same applies to cow’s milk based formulas, however there are still some babies who can’t tolerate even the dairy protein in these formulas and need a different option.

The main difference between milk and other dairy products is that yogurt and cheese are unlikely to be eaten in large amounts, and are even less likely to replace formula or breast milk. During the first year, your baby needs all the nutrients that are provided by these sources. Cow’s milk does not provide everything a baby needs nutritionally. After one year old, babies are able to use cow’s milk as a beverage because they are eating larger amounts of solid baby foods that provide a much better nutritional base. A baby who starts drinking cow’s milk too early may skip formula or breast milk feedings and lose important nutrients.

Until your baby is a year old, the only beverage that is really required is breast milk or formula. Along with meeting all of your baby’s nutritional needs, they also offer plenty of fluid intake to keep baby hydrated. Once your baby is a year old, you can start to replace these feedings with cow’s milk and wean from the breast or bottle. At this time you should still be cautious that baby gets less than 24 ounces of cow’s milk every day. This will prevent anemia and also make certain milk isn’t replacing meals.

Providing Enough Nutrition for your Toddler

When your toddler graduates from breast milk or formula to cow’s milk, she is no longer getting all the nutrition she needs in liquid form. Cow’s milk can’t replace all of the nutrients that were being provided by the breast milk or formula, so you will need to make certain that your toddler gets everything she needs from her food.

The key to good nutrition for your toddler is to make sure she eats a balanced toddler diet that offers a variety of foods. Different foods provide different nutrients, so the more variety in her diet, the better and more complete her nutrition will be.

Expanding Food Horizons

In the early stages of toddlerhood, before your little one decides to start getting picky about food, you should start offering as many different foods as you can, to introduce many new flavors. Spend some time in the produce department or at a local farmer’s market. Ask questions about fruits and vegetables you don’t recognize. They might turn out to be something you toddler loves, and could replace the nutrition missing from foods she refuses to eat.

Your toddler won’t eat everything you put in front of her, but the more different foods you offer, the more likely she will be to find something she likes. Every child, and even every adult, has some foods they simply don’t like and never will. Rather than forcing your child to eat something she really dislikes, try to find other foods that offer similar nutritional value to make up the difference.

Feed a Balanced Toddler Diet

The best way to make sure your toddler is getting all the nutrients she needs in her diet is to serve the right number of servings from each of the food groups. Aim for 5-9 servings of fruits and vegetables, 2 servings of protein, 4 servings of dairy, and 3-4 servings of grains every day.

Spread all of these servings out over 3 meals and 2 snacks during the day, so that your toddler is only faced with a few foods at a time. The snacks are especially important as snack time is often when less than nutritious foods tend to hit the table. Make sure that every meal and every snack offers servings of nutritious foods, and skip empty calories that might fill your toddler up and cause him to skip out on healthier foods.

Using Supplements

If your toddler is getting the right number of servings from each food group every day, and eating a variety of different foods on a regular basis, it’s likely he is getting the right nutrition. Still, many pediatricians recommend a multivitamin supplement that can help to fill in any nutritional gaps in your child’s diet. Supplements are meant only to back up the foods your toddler eats, and shouldn’t be relied upon to provide all or most of the needed nutrients. Don’t skip servings of vegetables on the belief that the supplement will make up the difference.

Because toddlers are notoriously picky eaters, supplements are generally a good idea for those times when you just can’t get him to eat right. Think of them as a backup line of defense to keep your toddler healthy – but only a backup. No matter how difficult it might be, you should keep trying to get all the needed foods into your toddler’s diet every day.

Foods Your Baby Should Avoid in the First Year

During the first year of your baby’s life, there are some baby foods that you should be careful to avoid for several reasons. Your baby’s digestive system is not yet able to handle some foods, while others may pose a risk of a serious illness. Other foods should be avoided simply because your baby is not yet able to chew them and the risk of choking is high. While most foods are safe enough for your baby in the first year, keep this list handy to avoid problems.

Baby’s Digestive System Isn’t Ready!

There are some foods your baby’s digestive system just isn’t ready to handle for various reasons. For the first six months, your baby’s tummy can really only handle breast milk or formula, but once solids are started there are still some choices that can cause digestive problems.

Among other reasons, cow’s milk should be avoided in the first year because your baby’s body can’t digest the proteins easily, leading to gastrointestinal distress. Cow’s milk also blocks the absorption of iron, which can cause your baby to become anemic.

The same goes for wheat, which can be hard for young babies to digest and could lead to celiac disease, or gluten intolerance. While there are differing opinions on how soon babies should have wheat, it can’t hurt to wait out the first year to be safe.

Choking Hazards

Some foods are unsafe for babies under a year old because they are difficult to chew or are just the right shape and size to pose a threat of choking. While some of the top choking hazards such as grapes can be cut up to minimize the risk, there are other foods that should be avoided altogether. Don’t give your baby nuts – they are very easy to choke on and your baby won’t be able to chew them until molars appear. Nuts were once off the list due to allergies, but the new stance on allergenic foods only means nut butters are now alright for baby (unless there is a history of allergies). Whole nuts are still a poor choice under one year old, and often well into the second year.

Another major choking hazard is raisins, which can become very gummy, stick together and get caught in baby’s throat. Wait until after a year old to introduce them, and watch your baby for signs of readiness for such chewy foods.

Foods that Can Make Baby Sick

Babies under a year old should never be fed honey, as it can contain botulism spores. In a baby’s undeveloped digestive system, this can quickly form a toxin that leads to infant botulism, a serious illness.

Extra salt should never be added to baby’s food. Excess sodium upsets the balance of fluids in the body, and it can also damage your baby’s kidneys which are not yet able to process salt effectively. There is no reason to season your baby’s food with salt, and any food containing high levels of sodium should be avoided during the first year. Even into the second year, use caution with salt.

A Word on Allergies

If allergies run in your family, especially in the immediate family, you will need to strike a few more foods off the list in baby’s first year. Babies with a family history of allergies should avoid highly allergenic foods such as eggs, nuts, strawberries, and seafood for the first year and in some cases beyond. Discuss the introduction on allergenic foods with your baby’s doctor.

Carbohydrates

Carbohydrates are sugar of various types that provide our body with energy. Carbohydrates provide 4 calories for each gram of weight. There are two main types of carbohydrates:

  • Simple carbohydrates
  • Complex carbohydrates

Simple carbohydrates

Simple carbohydrates are short chains of sugars known as monosaccharides (glucose, fructose and galactose) and disaccharides (sucrose, lactose and maltose).

Foods that contains simple carbohydrates:

  • fruits (sucrose)
  • vegetables (sucrose)
  • table sugar (sucrose)
  • breast milk (lactose)
  • cow’s milk (lactose)
  • milk products (lactose)
  • wheat (maltose)
  • barley (maltose)

Complex Carbohydrates

Complex carbohydrates are longer chains of sugars known as polysaccharides. Fiber is a very important polysaccharides that we need for our health.

Foods that contains simple carbohydrates:

  • rice
  • vegetables
  • beans
  • potatoes

Foods that are high in carbohydrates:

Food / 100g Amount (g)
Rice 80
Raisins, seedless 79
Barley, pearled, raw 78
White wheat flour, all-purpose 76
Oat bran, raw 66
White chocolate 59
Condensed milk 54
Roasted chestnuts 53
Rhubarb, frozen, cooked, with sugar 31
Spaghetti, cooked without added salt 31
Plums, dried (prunes), stewed, without added sugar 28
Spaghetti, whole-wheat, cooked 27
Raspberries, frozen, sweetened 26
Strawberries, frozen, sweetened 26
Egg Noodles, cooked 25
Couscous, cooked 23
Bananas 23
Red kidney beans, boiled without salt 23
Chickpeas, canned 23
Blueberries, frozen, sweetened 22
Baked potato with flesh and skin 21
Sweet potato, canned 21
Lentils, boiled without salt 21
Sweet corn 19
Canned tomato paste, without salt added 19
Asian pears 11
Papayas 10

Ideal Amounts of Carbohydrates in the Diet

Nutrients Children, 1-3 year old Children, 4-18 year old Adults
Fat 30-40% of the total energy intake 25-35% of the total energy intake 25-35% of the total energy intake
Carbohydrates 45-65% 45-65% 45-65%
Protein 5-20% 10-30% 10-35%

How Much Carbohydrates Should You Eat

Dietary reference intake (DRIs): recommended intakes for infants, children, pregnant women and breastfeeding moms.

Nutrient Composition of Formula

Comparing the nutrient composition of breast milk, formula and cows milk.

Breast Milk Cow’s Milk-Based Formula Whole Cow’s Milk
Protein 6% 8-9% 20%
Fat 50% 45-50% 50%
Carbohydrates 40-45% 41-43% 30%