Toddler milk is ‘potentially harmful,’ AAP warns amid calls for stricter regulations

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Toddler milk products have grown into a multibillion-dollar global business, despite warnings from health authorities that the benefits of this milk formula are unproven.

The products are marketed with claims of improving brain development or immune function, but the American Academy of Pediatrics (AAP) warned in an Oct. 2023 report that toddler formula is “unnecessary and potentially harmful to young children.”

“For healthy toddlers without a specific medical diagnosis, there is no evidence of a need [for] or benefit from toddler milk,” Dr. Jenelle Ferry, a neonatologist and director of feeding, nutrition and infant development at Pediatrix Medical Group in Tampa, Florida, told Fox News Digital in an interview.

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In spite of these warnings, toddler milk has grown into a $20 billion worldwide business, according to a recent report.  

“It is disappointing that regulations have not been strengthened, given package claims and marketing messages that imply toddler milks are beneficial, or even necessary, for a toddler’s healthy growth,” Fran Fleming-Milici, PhD, director of marketing initiatives at the Rudd Center for Food Policy and Health at the University of Connecticut, told Fox News Digital.

Toddler milk split

Toddler milk has grown into a $20 billion worldwide business, according to a recent report, even as some say that “for healthy toddlers without a specific medical diagnosis, there is no evidence of a need [for] or benefit from toddler milk.” (Getty/iStock)

Infant formula vs. toddler milk

Most infants in the U.S. receive some or all of their nutrition from formula, according to the U.S. Food and Drug Administration (FDA).

Standard infant formula can be supplemented with appropriate solid foods at around 4 to 6 months of age, ensuring intake of essential nutrients like iron, calcium and zinc, the AAP said in a previous statement.

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Infant formula is regulated under The Infant Formula Act, which requires that the products meet nutritional requirements as the only source for babies through the first 12 months of age, the statement added.

If a toddler beverage is intended for infants younger than 12 months, the product must comply with the FDA’s infant formula regulations in addition to all other applicable food regulations, an FDA spokesperson told Fox News Digital. 

Toddler milk

The American Academy of Pediatrics (AAP) warned in an Oct. 2023 report that toddler formula is “unnecessary and potentially harmful to young children.” Advocates for the formula, however, feel differently.  (iStock)

There are two different types of toddler milk on the market: transition formulas for infants and toddlers 9 months to 24 months old, and toddler milk for children 12 months to 36 months age, according to a previous research report from the NYU College of Global Public Health

Unlike infant formulas, toddler milks are not nutritionally complete, experts said.

“A healthy diet for toddlers would limit excess processed foods, salt and sugar.”

Approximately 80% of toddler milks have higher sugar content than whole milk and 100% have less protein, the AAP stated.

After toddlers are weaned off breast milk or infant formula, Ferry recommends that they drink milk and water, with the majority of their nutrients coming from solid foods.

“A healthy diet for toddlers would limit excess processed foods, salt and sugar,” she said.

Regulation of toddler milk

“Toddler beverage products intended for children 1 year and older are regulated as conventional foods and must comply with the FDA’s labeling regulations,” an FDA spokesperson told Fox News Digital.

“This includes providing the Nutrition Facts label, specifically for children 1 to 3 years of age.”

When it comes to marketing toddler milks, manufacturers must adhere to certain rules.

Toddler milk

Most infants in the U.S. receive some or all of their nutrition from formula, according to the FDA. (iStock)

“Manufacturers cannot make claims regarding disease conditions, but can use language relating to symptoms, even if they are not supported by evidence,” he told Fox News Digital in an email.

They can claim their product is lactose-free, for example — but cannot claim that it is helpful for lactase deficiency, he said.

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“Nutrient content claims or health claims are not allowed on food products intended specifically for use by infants and children under 2 years of age unless specifically provided for by regulation,” added the FDA spokesperson.

“In general, the product labeling must be truthful and not misleading.”

Cross-promotion in marketing and packaging

Some experts warn that infant formula and toddler milk are often marketed and packaged in a way that may lead parents to believe they are the same in terms of nutritional content.

“The cross-promotion of toddler milks with infant formula … allows for the trust caregivers have for formula brands to be transferred to a product that is not regulated, contains added sugar, and is not recommended by the AAP,” warned Fleming-Milici.

Baby food

Standard infant formula can be supplemented with appropriate solid foods at around 4 to 6 months of age, ensuring intake of essential nutrients like iron, calcium and zinc, the AAP said. (iStock)

“Research shows that these messages lead caregivers to believe toddler milks are superior to their family meals and plain cow’s milk – which is much less expensive and is what experts recommend.”

A WHO report noted that “formula milk marketing, not the product itself, disrupts informed decision-making and undermines breastfeeding and child health.” 

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Showing parents educational videos to correct misleading marketing can help to reduce sugary drink consumption in the first few years of a child’s life, Fleming-Milici’s research found.

“Exposure to the videos significantly reduced positive attitudes toward toddler milks and fruit drinks, and reduced intentions to serve both,” she told Fox News Digital.

Potential nutritional benefits

Advocates, however, argue that toddler formula is helpful to many young children who don’t get the proper nutrients in their diet.

“In general, the product labeling must be truthful and not misleading.”