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Should Babies and Toddlers Avoid Added Sugar in the First 1,000 Days?

Avoid added sugars before age 2, but don’t confuse that advice with eliminating whole fruit or plain milk—or delaying complementary foods, which generally begin around 6 months.

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In the U.S., guidance says children should avoid added sugars before age 2—but not all sugars. Whole fruit and plain milk contain naturally occurring sugars and are not the target. Start complementary foods at about 6 months; do not delay solids to avoid sugar.

What does “avoid sugar” mean?

For U.S. guidance, the key term is added sugars: sugars added during processing or preparation, including sweeteners, syrups, and honey. Naturally occurring sugars in whole fruit, vegetables, breast milk, and plain milk are not added sugars. The CDC explains this distinction in its guidance on foods and drinks to avoid or limit.

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WHO also uses the term free sugars, which is broader: it includes sugars in honey and syrups, as well as sugars in fruit juice and juice concentrates. So a food can contain no U.S.-defined added sugar and still contain free sugars under WHO’s definition. The definitions answer different questions; they should not be treated as interchangeable. See WHO’s healthy diet guidance.

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When should babies start eating foods?

Begin complementary foods at about 6 months, alongside breast milk or infant formula. As babies grow, their energy and nutrient needs rise, and milk alone is no longer enough. Offer varied, nutrient-dense foods rather than postponing solids to keep a child away from sugar. CDC describes the timing and introduction of foods in its solid-food guidance.

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WHO’s global complementary-feeding guideline covers children 6–23 months and emphasizes adequate, safe, varied foods. Its guidance applies across income settings and to breastfed and non-breastfed children. It was published October 16, 2023; see the WHO guideline and its complementary-feeding overview.

What should children under 2 avoid?

CDC says infants and young children should not have added sugars, and U.S. Dietary Guidelines advise avoiding them before age 2. Common examples include cookies, muffins, flavored yogurt, soda, juice drinks, and flavored milk. Check the Nutrition Facts label for the amount of added sugars. The 2020–2025 Dietary Guidelines for Americans explain the rationale: young children need substantial nutrients relative to their small body size, leaving little room for added sugars; very sweet foods may also shape food preferences.

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U.S. guidance also does not recommend low- or no-calorie sweeteners for children under 2. Swapping sugar for a non-sugar sweetener is therefore not the recommended workaround.

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Is fruit sugar okay, and what about juice?

Whole fruit is not the same as a sweetened snack or drink. CDC recommends whole fruit instead of juice. It advises no fruit or vegetable juice before 12 months; after the first birthday, juice is unnecessary. CDC cites the American Academy of Pediatrics limit of no more than 4 ounces a day of 100% juice for children ages 1–3. Sweetened juice drinks are different from 100% juice because they contain added sugars. See the CDC’s age-specific guidance.

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Why is honey a special case?

Do not give honey to a child younger than 12 months. It can cause infant botulism, so this is a safety rule—not simply a preference to limit sweet foods. Honey is also a sweetener, but the botulism risk is the reason for the under-12-month restriction.

Does avoiding early added sugar prevent obesity?

That outcome has not been established. The 2025 Dietary Guidelines Advisory Committee found insufficient evidence to draw a conclusion about whether introducing food sources of added sugar before 24 months is associated with later growth, body composition, or obesity risk. For sugar-sweetened beverages, it could not draw a conclusion because findings were inconsistent. This evidence review is not a recommendation to offer added sugars; the U.S. advice to avoid them under age 2 remains. See the committee’s 2025 Scientific Report, Chapter 5.

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How common are sugary drinks among young children?

CDC reports that 55.9% of U.S. children ages 1–5 had consumed at least one sugar-sweetened beverage in the previous seven days in 2021–2023. This figure covers ages 1–5, not just children under 2, and should not be read as an estimate for all children in their first 1,000 days. The statistic appears on CDC’s added-sugars data page.

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