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Ages & Stages

Infant Nutrition & Brain Development: AAP Policy Explained

​By: Sarah Jane Schwarzenberg, MD, FAAP & Michael Georgieff, MD, FAAP

Did you know that children’s brains grow and change more in the first 1,000 days of their livesthat is, from the time of conception to their second birthdays—than at any other time?

Your baby's brain: the first 1,000 days

The brain starts as a handful of microscopic cells. By 2 years of age, the brain has developed into a complex organ that allows children to learn to walk, talk and read. And it’s ready for new changes and experiences, like learning math, reasoning and complex thought.

These brain changes are amazing, but they are also dependent on each other. That means that if the brain lacks a necessary building block during this time, it will miss out on the developmental process that building block was supposed to make. This is why the first 1,000 days are so critical—and a great time to make sure your baby is off to a healthy start.

Food for thought: brain-building nutrients

Healthy eating and taking prenatal vitamins are some of the best things a pregnant woman can do to keep her child’s brain healthy.

Once baby arrives, these are important for healthy brain development too:

  • Breastfeeding, which provides nutrients, growth factors and special types of cells not found in infant formula. The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for about the first months. It supports continued breastfeeding after solid foods are introduced as long as you and your baby desire, for 2 years or beyond.

  • If you are not breastfeeding, give your baby an approved infant formula, which has the nutrients babies need in the first 6 months of life to have healthy brain development.

  • Eating a variety of healthy foods is important. The brain has wonderful potential, but it depends on the body getting all the nutritional building blocks it needs. In those first 1,000 days, even before your child is born, it needs:

    • Calories

    • Protein

    • Iron

    • Zinc

    • Choline

    • Folate

    • Iodine

    • Vitamins A, D, B6, B12

    • Long chain polyunsaturated fatty acids (the special fats found in breastmilk, fish and some nuts)

Your pediatrician can help

Pediatricians have many resources to help families make good nutrition choices for their child’s developing brain. The AAP has teams of expert pediatricians who write guidelines, such as Advocacy for Improving Nutrition in the First 1000 Days to Support Childhood Development and Adult Health, that cover a wide variety of nutrition topics. Your pediatrician may refer to these when helping you make decisions about your child’s care.

And since healthy food for babies and toddlers can be expensive, your pediatrician may be able to connect you to programs in your community such as:

  • The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

  • The Supplemental Nutrition Assistance Program (SNAP)

  • The Child and Adult Care Food Program (CACFP)

  • Food pantries and soup kitchens

  • Maternal, infant, and early childhood home visiting program

Remember

Healthy brain development is so important in giving our children a long, healthy and productive life. Talk with your pediatrician about the best things to do to help your child get the nutrients they need to keep their development on track.

More information

Last Updated
4/4/2025
Source
American Academy of Pediatrics (Copyright © 2018)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
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