Honey is a beloved natural sweetener, commonly used in tea, baked goods, and breakfast dishes. However, for babies under 12 months old, honey poses a significant health risk and should be strictly avoided. Pediatricians explain the reasons behind this precaution, the potential dangers of honey for infants, and when it is safe to introduce it into their diets.
Why Babies Shouldn’t Consume Honey
Honey can contain spores of Clostridium botulinum, a bacterium that may lead to infant botulism—a severe form of food poisoning. These spores can produce toxins in an infant's immature digestive system, potentially causing serious complications such as:
- Constipation.
- Difficulty sucking.
- Droopy eyelids.
- Weak or floppy muscles.
- A faint cry.
- Trouble breathing.
While rare, with approximately 110 cases reported annually in the US, infant botulism is a life-threatening condition. Dr Churbock stresses the importance of immediate medical attention if a baby who has consumed honey shows any of these symptoms. For severe cases, she advises calling 911 or heading to the emergency room without delay.
Can Babies Have Cooked Honey?
Some parents wonder whether honey becomes safe for babies if it is cooked or used as an ingredient in baked goods. Unfortunately, Clostridium botulinum spores are heat-resistant, meaning that even processed or cooked honey remains unsafe for infants under one year old. "I recommend avoiding all honey, whether raw, processed, or used in recipes, for babies."
When Is It Safe to Introduce Honey?
After a child’s first birthday, their digestive system is typically mature enough to handle honey without risk. Most cases of infant botulism occur in babies under six months old, so waiting until they are at least 12 months old provides an added layer of safety.
Despite this milestone, honey is not a dietary necessity for children. The American Academy of Pediatrics recommends avoiding added sugars for children under two years old, as they can contribute to weight gain and tooth decay. Dr. Churbock highlights that babies can enjoy natural sweetness from fruits such as strawberries and grapes, which also offer valuable nutrients.
How To Introduce Honey To Toddlers?
Once your child is old enough to safely consume honey, introduce it in small amounts as you would with any new food. Use it as a light sweetener or flavor enhancer for foods they already enjoy. Some ideas include:
- Mixing it into yogurt.
- Drizzling it on toast or cereal.
- Using it as a dip for apple slices.
- Adding it to oatmeal.
- Topping waffles or pancakes.
Honey, with its antioxidant and anti-inflammatory properties, can be a healthier alternative to refined sugar. However, it is still a form of sugar and should be used sparingly, even for older children.