Isn’t rice cereal always the first food?

Isn’t rice cereal always the first food? 2014-02-22T15:28:03+00:00

riceIsn’t rice cereal always the first food for babies?

As you can see throughout the book and website, there are many nutritious food options for your baby’s first food besides rice cereal.

While baby rice has been the traditional first food, there is no requirement that you must absolutely start solid foods with rice.

Many pediatric resources are acknowledging that avocado, banana and sweet potato make great first foods for babies.  Some health authorities are recommending meats as one of baby’s first foods as well.

Finally, research into nutrition is catching up to tradition:  the AAP now states that

[alert type=”success”]”For most babies it does not matter what the first solid foods are. By tradition, single-grain cereals are usually introduced first.However, there is no medical evidence that introducing solid foods in any particular order has an advantage for your baby.”[/alert]

Baby rice can be a good starter food because it is low on the allergen list, relatively easy to digest, and provides additional iron.  However, skipping the cereal and starting with a tastier fruit or vegetable might be perfect for your baby.  According to Dr. Frank Greer in a 2009 interview with Pediatric News, solid foods for babies should be introduced based on their nutritional makeup and not on simple tradition.  The tradition of offering rice cereal as a first food does not make a lot of sense because it is low in protein and high in carbohydrates.

Is there a risk of iron deficiency anemia if fortified rice cereal is skipped?

As baby begins to eat solid foods, parents often worry that their baby is not getting enough iron.  Rest assured: the vast majority of babies will not become iron deficient if they do not eat a fortified baby rice cereal nor will they become iron deficient if they do not receive supplements. Infants who are exclusively breastfed are seldom at risk for iron deficiency anemia because breastfed babies absorb iron at a higher rate even if the iron content of their mother’s breast milk is lower than that of formula.

Babies who are formula fed are also seldom at risk for iron deficiencies because most formulas are iron- fortified.  The best thing you can do is consult with your pediatrician about your baby’s need for additional iron.  Your pediatrician is likely to test baby’s iron levels as part of his regular check-ups at 6 and/or 9 months.

[alert type=”danger”]It is true that iron deficiency anemia is the number one nutritional concern in infants, but the babies who are most at risk fall into the following categories:

  • Babies who were born prematurely (iron stores build in the last few months of pregnancy).
  • Babies who had a low birth weight even though they were born “full term.”
  • Infants whose mothers had iron deficiency anemia were of poor nutritional status during pregnancy or who had diabetes.

The importance of consulting with your baby’s pediatrician about the need for iron fortified cereal and/or iron supplements cannot be stressed enough.  All babies are different and generalities may not apply to your baby.


Introducing solids too early to a baby may actually hinder the iron levels in the baby; most often this is related to breastfed babies.