What reliable resource provides guidance on initiating solid foods for a six‑month‑old infant showing readiness signs?

Reliable Resources for Starting Solid Foods

The American Academy of Pediatrics (AAP), American Academy of Allergy, Asthma, and Immunology (AAAAI), and similar national guideline bodies provide the most reliable, evidence-based guidance for introducing solid foods to infants around 6 months of age when they show developmental readiness. 1, 2

Timing and Developmental Readiness

Introduce solid foods around 6 months of age, but not before 4 months, when your infant demonstrates good head control and ability to sit with support. 1, 2

• Delaying introduction beyond 6 months increases risk of iron deficiency anemia, inadequate nutrient intake, growth deficits, and feeding problems 1
• The 4-6 month window is critical—earlier than 4 months is not recommended, and later than 6 months carries nutritional risks 3, 1

Practical Starting Strategy

Begin with iron-rich foods such as finely ground meats (beef, lamb, chicken) or iron-fortified cereals, alongside fruits and vegetables. 1, 2

• Start with 1-2 teaspoons and gradually increase as your infant becomes comfortable with eating 1
• Introduce one new food at a time and wait at least 4 days before introducing another to observe for reactions 1
• A practical sequence: fruits and vegetables first, followed by red meats and cereals 1, 2

Allergenic Foods Introduction

Introduce peanut, egg, dairy, and wheat at the same time as other complementary foods around 6 months—do not delay these foods. 3, 1

• For infants with severe eczema or egg allergy, consult an allergist before introducing peanut for possible testing 3, 1
• For infants with mild-to-moderate eczema or no eczema, introduce peanut-containing foods at home around 6 months without specialist evaluation 1
• Early introduction of allergenic foods (not delayed beyond 6 months) may help prevent food allergies 1, 4

Normal vs. Warning Signs

Expect normal responses including initial food refusal (may need 8-10 exposures), mild gagging, changes in stool consistency, and small amounts of undigested food in stool. 1

Seek immediate medical attention for:

• Persistent or projectile vomiting 1-4 hours after eating 1
• Severe diarrhea with blood or mucus 1
• Hives, facial swelling, or skin rashes shortly after food introduction 1
• Wheezing, persistent coughing, or difficulty breathing 1
• Lethargy or significant behavioral changes following food introduction 1

Common Pitfalls to Avoid

Do not misinterpret normal infant behaviors (poor sleep, fussiness, frequent waking) as signs of readiness for solids before 4 months. 5, 6

• These behaviors are not indicators that your infant needs solid foods early 5
• Developmental readiness (head control, sitting with support) is the key criterion, not perceived hunger or sleep patterns 1, 5
• Food product labels may suggest earlier introduction than guidelines recommend—follow the 4-6 month window, not marketing claims 7, 8

Breastfeeding Continuation

Continue breastfeeding alongside solid food introduction—breast milk or formula remains the primary nutrition source during the first year. 1, 2

• Decreased milk intake is normal as solids increase, but milk should still be the main component of the diet 1, 2
• Maternal diet restriction during breastfeeding is not recommended for allergy prevention 3

Texture Progression

Start with smooth, thin purees and progress to thicker textures, then soft-cooked bite-and-dissolve foods by 8 months, and modified family foods by 12 months. 1

• Most infants naturally progress to more complex textures as oral motor skills develop 1
• Always ensure age-appropriate textures to prevent choking hazards 1, 2