To Solve Obesity, We Must Change the Way We Feed Babies

drgblog-obesity-feedingbaby.jpg

Waiting until school age is too late, according to a welcome 2011 Institute of Medicine report called Early Childhood Obesity Prevention Policies. The report documents the critical role of early learning and development in shaping obesity risk. We have missed out on the opportunity to create healthy eating and activity patterns from the start, rather than the more difficult and less successful task of changing eating and activity patterns later.

The IOM concludes, “Unfortunately many children learn lifestyles during the first years of life that contribute to excessive weight gain.”

Nutritional Intelligence is my name for the age-appropriate ability to recognize and enjoy healthy amounts of good food. My book Feeding Baby Green is a simple, delicious, fun program for cultivating Nutritional Intelligence from the start – helping to train children’s palates, using all of the senses, during those windows of opportunity when they are trying to learn what foods to prefer. It’s a powerful way to prevent childhood obesity.

The IOM report tells us that our goal is children who eat lots of nutrient-dense foods such as whole grains, fruits, vegetables, etc. and who minimize nutrient-poor foods and junk foods (which would include white flour). This prevents obesity.

The IOM goes on to advise, “The foods and beverages that infants are offered during the transition to solid foods are important for setting the foundation for eating patterns later in life; those that become familiar early in life will tend to be preferred to those that are unfamiliar.”

The Elephant in the Room

Sadly, they don’t comment at all on the most common first food for babies – and the dominant source of solid food calories for the first year – the processed white rice flour that we call rice cereal. It’s no wonder – by their own logic – that we have a generation of children where refined flour sweets are the number one source of calories for children from age 2 to 18, where white bread dominates, and whole grains are scarce.

A Simple Tip for Parents

I applaud the IOM report’s call for new dietary guidelines for babies and toddlers. In the meantime, spread the word about a simple tip for parents: Let every child’s first food be a real food – something you want them to learn to like later. And whenever you do introduce grains let every child’s first grain be a whole grain. They won’t mind a bit, they’ll thank you.

Become part of the grassroots WhiteOut campaign. Together, let’s make a permanent difference in the way that babies are fed – this year!

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Comments

Anonymous's picture

I think it starts with processed formula

Shouldn't you take a step back even farther than cereal? What about formula? It's really the first highly processed food that babies are given. I breasfed exclusively for the first 6 months. At 7 months I introduced some formula. My son was allergic to milk so I gave him soy. I wish I hadn't. I had the impression that formula wasn't the best but wasn't bad for your baby. After all the majority of Americans feed their baby formula so how bad could it be. After reading about it I see that it is an aweful replacement for breastmilk. There isn't much regulation about how and what is in formula. It was created as a last resort for orphaned babies. Why is it now the norm?? The language around breast is best is too nice. Women need to be educated and informed about what they are putting into their babies bodies. Women should also have more time at home with their children so that they can breastfeed for longer. American women barely have enough time to recover before having to rush back to work and stress. This takes a major hit to continue breastfeeding. It's been a major commitment to continue breastfeeding my 11 month old. I know many mothers out there feel the same as me.
Anonymous's picture

Are grains suitable for baby at all?

Dr. Greene, I raised my two babies in Germany and was a member of La Leche League there. We understood that babies lack the enzymes necessary to digest grains until 9 months of age, so after exclusive breastfeeding for the first 6 months we introduced pureed vegetables and fruits first, then some pureed meat. Grains and dairy were avoided until a year old. My children never had any food allergies, and are both still slender and fit at age 14 and 16. Surely our hunter-gatherer ancestors fed their babies pureed (or at least pre-chewed) meat in preference to any grain products? I'd be interested in your opinion as I think grains in general, whether or not whole grain, are not good for babies under 9 months. I agree that once they are introduced, whole grain is best, but even then refined grains are at least preferable to refined sugars!
Anonymous's picture

A matter of Kid Food vs. Adult Food.

Some where along the way we've made certain foods "kid" or "adult." When I tell them what we're having when their family comes over, my nieces will ask me "So what are the kids having?" My response is "The same thing as the adults." We don't make "kid" food at our house. My son is 3.5 and will literally eat anything. But, his first non-baby food was refried beans. When we go out to eat, he rarely gets his own meal. My husband and I just share whatever we're eating. Net result: the kids eats shrimp, steak, all kinds of veggies, loves crayfish and crab, requests fish and Chinese for dinner when I ask what he wants. He loves mushroom gnocchi and Korean Kimbop (which is full of odd flavors). We've never made any food off-limits (other than warning about something being spicy) and we always present any new food as something he's going to like.
Anonymous's picture

chunky babies

Hello Dr. Greene, I appreciate your approach and love your book. I may be nitpicking however, but if you choose to post a photo like the one at the top of this blog entry beneath the caption "To solve obesity, we must change the way we feed babies," you might consider pointing out that this baby is fine! With the current emphasis on avoiding obesity, some parents today go too far in the opposite direction and think that a baby with chubby arms and legs is "overweight." They may even choose to limit food, or not provide the baby with enough quality fats and protein. (My son would be so sad if I took his avocado away!) It is my understanding that when babies receive wholesome food and breastfeed for the first year, they cannot be overfed, no matter how chunky they get. I just think that that message deserves just as much attention as the message in your current blog. thank you! -CJA

Reply

Hi CJA; I am the one who put

Hi CJA;

I am the one who put up the previous photo on this blog post. I selected the image simply because she was an adorable baby, but from your comments I can see how the photo could have been misleading, so I have changed it out

Thank you for taking the time to write in and point this out to us :)

Beverly Richardson
Site Manager
www.DrGreene.com

Reply

Thanks for all your hard work!

Truddle -- Thanks for all the work you do to make DrGreene.com accessible for parents around the world. You do an amazing job. CJA -- As always we value input from our readers. Thanks for you comments. We wouldn't want to do anything that gave parent the wrong impression or unduly caused concern.