- With Mayo Clinic emeritus consultant
Jay L. Hoecker, M.D.
read biographyclose windowBiography of
Jay L. Hoecker, M.D.
Jay Hoecker, M.D.
Dr. Jay Hoecker, an emeritus member of the Department of Pediatric and Adolescent Medicine, brings valuable expertise to health information content on primary care pediatrics. He has a particular interest in infectious diseases of children.
He's a Fort Worth, Texas, native, certified as a pediatrician by the American Board of Pediatrics and a fellow of the American Academy of Pediatrics. He was trained at Washington University's St. Louis Children's Hospital, and in infectious diseases at MD Anderson Cancer Center in Houston. He has been with Mayo Clinic since 1989.
"The World Wide Web is revolutionizing the availability and distribution of information, including health information about children and families," Dr. Hoecker says. "The evolution of the Web has included greater safety, privacy and accuracy over time, making the quality and access to children's health information immediate, practical and useful. I am happy to be a part of this service to patients from a trusted name in medicine, to use and foster all the good the Web has to offer children and their families."
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Newborn health (9)
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Infant health (19)
- Infant formula: Is tap or bottled water better?
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- Baby fat: When is it cause for concern?
- see all in Infant health
Toddler health (5)
- Discolored baby teeth: A cause for concern?
- Poinsettia plants: Are they poisonous?
- Toddler speech development: Are 2-year-olds understandable?
- see all in Toddler health
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Question
Baby fat: When is it cause for concern?
How would I know if my baby is too heavy?
Answer
from Jay L. Hoecker, M.D.
If you're concerned about your baby's weight or body composition — too much "baby fat" — be sure to consult your baby's doctor regularly. Growth, development and weight are great topics to discuss during routine well-child visits.
Since infants tend to carry different amounts of weight at different stages of development, making judgments about baby fat on the basis of appearance alone isn't reliable or effective.
Instead, your baby's doctor will plot your baby's growth on charts that show measurements for height, weight, head circumference and body mass index (BMI). You can use the charts to compare your baby's growth with that of other infants of the same sex and age.
Remember, though, what matters more is the trend revealed on growth charts — not any particular percentile. Your baby's doctor will look mainly for predictable changes in weight over time.
Also, keep in mind that babies need a diet high in fat to support growth during infancy. In fact, a baby who's exclusively breast-fed gets about half of his or her daily calories from the fat in breast milk.
Excess fat and calories can still be a concern, though. For example, being too heavy can delay crawling and walking — essential parts of a baby's physical and mental development.
To help prevent excess baby fat:
- Monitor your weight gain during pregnancy. Excessive weight gain during pregnancy can increase a baby's birth weight. Research suggests that as birth weight increases, so does the risk of childhood obesity.
- Breast-feed your baby for as long as possible. Breast-feeding seems to reduce the risk of childhood obesity. In one study, babies who were bottle-fed in early infancy were more likely to empty the milk in a bottle or cup in late infancy than were babies who were breast-fed. Other studies have had similar results, suggesting that children who were breast-fed as babies are better able to respond to hunger cues — and stop eating when they're full.
- Remember that juice isn't a necessary part of a baby's diet. Don't offer juice from birth to age 6 months, unless it's needed to treat constipation. If you choose to offer juice after age 6 months, serve it in a cup rather than a bottle and limit it to 4 ounces (118 milliliters) a day.
- Experiment with various ways to soothe your baby. Don't automatically turn to breast milk or formula to quiet your baby's cries. Sometimes a new position, a calmer environment or a gentle touch is all that's needed.
As your child gets older, continue talking to his or her doctor about weight and nutrition. For additional guidance, you might consult a registered dietitian as well.
Next questionInfant botulism: Can it be prevented?
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- DiSantis KI, et al. Do infants fed directly from the breast have improved appetite regulation and slower growth during early childhood compared with infants fed from a bottle? The International Journal of Behavioral Nutrition and Physical Activity. 2011;8:89.
- Ludwig DS, et al. The association between pregnancy weight gain and birthweight: A within-family comparison. The Lancet. 2010;376:984.
- Davies GAL, et al. SOGC Clinical Practice Guidelines No. 239: Obesity in pregnancy. International Journal of Gynecology and Obstetrics. 2010;110:167.
- Slining M, et al. Infant overweight is associated with delayed motor development. Journal of Pediatrics. 2010;157:20.
- Kleinman RE. Pediatric Nutrition Handbook. 6th ed. Elk Grove Village, Ill.: American Academy of Pediatrics; 2009:133.
- Hagan JF, et al. Bright futures: Guidelines for health supervision of infants, children and adolescents. 3rd ed. Elk Grove Village, Ill.: American Academy of Pediatrics; 2008:319.
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