What is the daily milk intake recommendation for a 19-month-old child?

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Last updated: June 19, 2025View editorial policy

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From the Guidelines

A 19-month-old child should consume about 16-20 ounces (2 cups) of whole milk daily. This amount provides essential nutrients while leaving room for other foods in their diet. According to the most recent guidelines from 1, whole milk is recommended for children between 1-2 years because the fat content supports brain development and helps absorb fat-soluble vitamins. Milk provides calcium, vitamin D, protein, and other nutrients crucial for bone development and growth. However, excessive milk consumption can reduce appetite for other important foods and potentially lead to iron deficiency, as milk is low in iron and can interfere with iron absorption. Some key points to consider:

  • The American Heart Association recommends 2 cups of milk/dairy for children aged 1-2 years, as stated in 1.
  • It's essential to note that whole milk (not reduced-fat) is recommended for children between 1-2 years, as the fat content supports brain development and helps absorb fat-soluble vitamins.
  • If your child has milk allergies or intolerance, consult with a pediatrician about appropriate calcium-rich alternatives such as fortified soy milk.
  • Always serve milk in a cup rather than a bottle to support dental health and developmental skills. Key considerations for milk intake in a 19-month-old child include:
  • Providing essential nutrients for growth and development
  • Avoiding excessive milk consumption to prevent reducing appetite for other important foods
  • Consulting with a pediatrician about calcium-rich alternatives if the child has milk allergies or intolerance
  • Serving milk in a cup to support dental health and developmental skills.

From the Research

Daily Milk Intake Recommendation for a 19-Month-Old Child

The daily milk intake recommendation for a 19-month-old child is a topic of discussion among health professionals and researchers. According to the Healthy Drinks, Healthy Kids (HDHK) guidelines, children between 12 and 24 months should consume 2-3 cups of whole fat cow's milk per day 2.

Key Considerations

  • The HDHK guidelines explicitly state that plant-based milks should be avoided, with the exception of soy milk 2.
  • However, some studies suggest that plant-based milks can be a viable alternative to cow's milk, especially when used in conjunction with a balanced diet 2.
  • It is essential to note that milk is not a required source of calories for children after weaning, and a healthy balanced diet with water can provide all the necessary nutrients 2.

Potential Risks Associated with Cow's Milk Consumption

  • Consumption of cow's milk has been linked to several potential health risks, including:
    • Type 1 diabetes mellitus onset
    • Anemia in toddlers
    • Lactose intolerance
    • Cow's milk protein allergy
    • Infantile colic 2

Importance of a Balanced Diet

  • A well-balanced diet that includes a variety of solid foods can provide all the necessary nutrients for a child's growth and development 2, 3, 4.
  • It is crucial to ensure that children receive adequate nutrition to prevent severe nutritional deficiencies, such as kwashiorkor and rickets 3.

Introduction of Cow's Milk and Other Beverages

  • The introduction of cow's milk and other beverages, such as juice and juice drinks, should be done in a way that does not replace breast milk or formula, but rather complements a balanced diet 5, 6.
  • The age at which cow's milk can be introduced to infants varies across countries, with most recommending waiting until 12 months of age 5.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Can we define an infant's need from the composition of human milk?

The American journal of clinical nutrition, 2013

Research

Whole cow's milk: why, what and when?

Nestle Nutrition workshop series. Paediatric programme, 2007

Research

Patterns of beverage consumption during the transition stage of infant nutrition.

Journal of the American Dietetic Association, 2003

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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