We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA Pediatrics Patient Page |

Early Infant Feeding and Obesity Risk FREE

Megan Moreno, MD, MSEd, MPH
JAMA Pediatr. 2014;168(11):1084. doi:10.1001/jamapediatrics.2013.3379.
Text Size: A A A
Published online

In the past 10 years, researchers have learned a great deal about ways in which infant feeding practices impact health in childhood and beyond. One of the important findings is the relationship between early infant feeding and obesity risk.

Early infant feeding means starting to feed a baby solid foods such as rice cereal or pureed baby foods before age 6 months. The American Academy of Pediatrics recommends breastfeeding until age 12 months and introducing solid foods after age 6 months.


A large research study called the Infant Feeding Practices Study II studied infants from the third trimester of pregnancy to age 12 months and then contacted them 6 years later to understand their nutrition and health outcomes. Key findings from that research study include the following:

  1. The longer a mother waits to introduce solid foods or drinks other than breast milk, the lower the chances are that the child will have ear infections, throat infections, or sinus infections at 6 years of age.

  2. Children who breastfeed longer drink water and eat fruits and vegetables more often at 6 years of age and drink fruit juice and sugar-sweetened beverages less often at this age.

  3. Children who drink sugar-sweetened beverages such as soda or juice during the first year of life are twice as likely to drink these types of beverages at 6 years of age.

  4. Children who rarely eat fruits and vegetables during the first year of life are more likely to continue this pattern of rarely eating fruits and vegetables at 6 years of age.

From this research study, we can conclude that establishing healthy eating behaviors early in life is critically important and can predict eating behaviors later in life that may affect obesity and other health concerns. Other studies indicate that excessive weight gain in the first 6 months of life, resulting in crossing 2 or more percentile lines, increases the later risk of obesity.


  1. Breastfeed: Breastfeeding is the best nutrition available for your baby; the American Academy of Pediatrics recommends breastfeeding until age 12 months.

  2. Solid foods: Avoid introducing any solid foods, including rice cereal or pureed baby foods, until after age 6 months.

  3. Juice: Avoid giving your child sugar-sweetened beverages such as juice or soda during the first 6 months of life; these beverages offer no nutritional benefits at this age. Between ages 1 and 6 years, limit juice to a maximum of between 4 and 6 oz per day. Seek out juices that are 100% juice. It is always a healthier option to give your child plain milk or water instead of soda, sports drinks, or fruit juice.


The JAMA Pediatrics Patient Page is a public service of JAMA Pediatrics. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your child’s medical condition, JAMA Pediatrics suggests that you consult your child’s physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, call 312/464-0776.

Resource: Centers for Disease Control and Prevention




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections

Promoción de la salud en el ciclo de vida