Infant Feeding and Mealtime Habits

Eatng in Daycare center (eating_in_daycare_center.jpg)

How infants and children are fed can be just as important as what they are fed. Child care providers can give infants age-appropriate foods and beverages, make mealtimes enjoyable (and television-free), and encourage children to regulate their own food intake.

Here is a summary of infant feeding and mealtime recommendations for obesity prevention, based on a review of expert guidance from the American Academy of Pediatrics, the National Resource Center for Health and Safety in Child Care and Early Education, the Institute of Medicine, and others. Though these recommendations are designed for early child care providers, parents can follow these feeding and mealtime guidelines at home, too. For more detailed guidance on these recommendations and ideas for putting them into practice, explore the source list and the links to other resources.

Tools for Healthy Feeding and Mealtimes (tools-for-healthy-feeding-and-mealtimes.jpg)

Related Topics (related-topics.jpg)

Read and print the complete list of early child care obesity prevention recommendations.

Promote ideal and age-appropriate fluid intake among infants

  • Educate parents on breastfeeding resources and services within the community (1,2,3,5)
  • Provide a welcoming, private place for mothers to breastfeed on site (1,2,3,5)
  • Serve human milk or infant formula, not cow’s milk, to children until at least 1 year of age unless documentation from a parent/provider indicates otherwise (1,2,3,5)
  • Do not serve fruit juice to children under 1 year of age (1,2,3)
  • Do not bottle feed an infant formula mixed with any cereal, juice, or other foods without documentation from a medical provider (1,2,3)
Practice responsive feeding

  • Initiate feedings based on an infant’s cue (opening mouth, making suckling sounds) (1,2,3)
  • Pay attention to an infant’s fullness cues to avoid overfeeding (turning away from the nipple, keeping mouth closed) (1,2,3)
  • Position an infant appropriately in a caretaker’s arms or propped up in a caretaker’s lap, and don’t let infants bottle-feed themselves alone (1,2,3)
  • Bottle feed only one infant at a time (1,2)
Introduce complementary foods at the appropriate age

  • Create a plan for introducing solids in consultation with child’s parent (1,2)
  • Introduce solids around 6 months of age, unless the child’s healthcare provider recommends earlier, and make sure to use iron-fortified foods for breastfed infants (1,2,3)
Encourage children to enjoy meals and regulate their own food intake

  • Offer meals and snacks every 2 to 3 hours (1,2,3,4)
  • Serve meals family style so older children can serve themselves (1,2,3,4)
  • Provide small, age-appropriate portions using child-sized utensils and dishes (1,2,3,4)
  • Ensure that children are seated and undistracted during mealtime (e.g., no television during meals) (1,2,4)
  • Allow children to eat to their own fullness without pressure to overeat (1,2,3,4)
  • Avoid the use of food as a reward or punishment (1,2,4)
 Model healthy mealtime behaviors to children

  • Sit and eat with children at meal time (1,2,3,4)
  • Say positive things about foods during meals (1,2,3,4)

Infant Feeding and Mealtime Habits—Source List

1. American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education. Preventing Childhood Obesity in Early Care and Education: Selected Standards from Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs3rd EditionOpens in New Window; 2010.

2. National Resource Center for Health and Safety in Child Care and Early Education, University of Colorado Denver. National Resource Center for Health and Safety in Child Care and Early Education: Achieving a State of Healthy Weight: A National Assessment of Obesity Prevention Terminology in Child Care Regulations 2010Opens in New Window. Aurora, CO; 2011.

3. Institute of Medicine (IOM).  Early Childhood Obesity Prevention PoliciesOpens in New Window. Washington, DC: The National Academies Press; 2011.

4. Position of the American Dietetic Association: Benchmarks for Nutrition in Child Care. J Am Diet AssocOpens in New Window2011;111:607-615.

5. World Health Organization. Global Strategy for Infant and Young Child FeedingOpens in New Window. 2003.

Terms of Use

The aim of the Harvard School of Public Health Obesity Prevention Source Web site is to provide timely information about obesity’s global causes, consequences, prevention, and control, for the public, health and public health practitioners, business and community leaders, and policymakers. The contents of this Web site are not intended to offer personal medical advice. You should seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this Web site. The Web site’s obesity prevention policy recommendations are based primarily on a review of U.S. expert guidance, unless otherwise indicated; in other countries, different policy approaches may be needed to achieve improvements in food and physical activity environments, so that healthy choices are easy choices, for all.

Terms of Use

The aim of the Harvard School of Public Health Obesity Prevention Source Web site is to provide timely information about obesity’s global causes, consequences, prevention, and control, for the public, health and public health practitioners, business and community leaders, and policymakers. The contents of this Web site are not intended to offer personal medical advice. You should seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this Web site. The Web site’s obesity prevention policy recommendations are based primarily on a review of U.S. expert guidance, unless otherwise indicated; in other countries, different policy approaches may be needed to achieve improvements in food and physical activity environments, so that healthy choices are easy choices, for all.