- The American Academy of Pediatrics (AAP) now recommends that overweight or obese toddlers, or those with a family history of obesity, high cholesterol, or cardiovascular disease, transition to reduced-fat milk between 1 and 2 years of age.
- This current recommendation contrasts with previous beliefs that whole milk is essential for a toddler’s developing brain. However, these old guidelines didn’t rely on scientific studies.
- Reduced-fat milk, which contains about 2% fat, can still be a suitable choice for children at risk, who will still receive some fat from the milk but may already have high fat levels.
- Vegetarian children’s diets may require careful analysis, as their primary source of saturated fat might be cow’s milk.
- After the age of 2, toddlers can start consuming the same milk as the other members of the family, irrespective of the fat content, as long as milk is not the main component of the child’s diet.
The time-honoured tradition for toddlers graduating from breast milk or formula has generally been to transition them to whole cow’s milk. Nevertheless, current guidelines from the American Academy of Pediatrics (AAP) are introducing a shift.
Transitioning Overweight or Obese Toddlers to Reduced-Fat Milk
The AAP now suggests that toddlers who are either overweight or obese, as well as those who have a family history of obesity, high cholesterol, or cardiovascular disease, should switch to reduced-fat milk between 1 and 2 years of age. This novel advice appears in the clinical report Lipid Screening and Cardiovascular Health in Childhood in a recent issue of the journal Pediatrics.
According to nutrition expert Ann Condon-Meyers from the Children’s Hospital of Pittsburgh, the AAP has indeed shifted their viewpoint. Particularly between 12 months and 12 years, with risk factors, use of reduced-fat milk is encouraged.
Previous Beliefs on Full Fat Milk
This is a significant departure from former beliefs stating that the fat contained in whole milk was mandatory for a toddler’s developing brain. As milk is a crucial part of a toddler’s diet, concerns about adequate nutrition are paramount.
Historically, Condon-Meyers explains, previous guidelines lacked scientific study-based evidence, derived more from common wisdom and practical experience. For instance, breast milk features a high cholesterol content, yet babies on breast milk maintain balanced cholesterol levels, indicative that nature provides an optimal amount of fat in breast milk for brain development. Nonetheless, the consideration remains that children must receive sufficient whole fat.
Rethinking about Reduced-Fat Milk
Whole milk comprises between 3.5 percent and 3.8 percent fat, in contrast to reduced-fat milk holding 2 percent fat, a term interchangeable with 2 percent. Condon-Meyers argues that reduced-fat milk should be suitable for overweight or obese children or those with family risk factors such as high cholesterol, as they will still receive some fat from the milk, and may already boast sufficient fat levels.
A careful analysis would be required for a vegetarian child’s diet, where the primary source of saturated fat might be cow’s milk. After all, a small amount of saturated fat is necessary for children.
“Our research on children and cholesterol is still in the early stages. It’s really a work in progress,” Condon-Meyers added.
Post-Toddler Phase: Migrating to Family Milk
Beyond the age of 2, toddlers can start drinking the same milk consumed by the rest of the family, even if it’s skimmed-fat or fat-free milk. Of course, it’s necessary to ensure that milk is not the mainstay of a child’s diet. Adjusting to low-fat or skim milk can occur, independent of other risk factors.
For More Information
Read more from the American Academy of Pediatrics on healthy eating.