Saturday, April 17, 2010

Are carrots ok for babies?

So, I had already given M a jar of Earth's Best carrots when I went back to my Food Bible, Super Baby Food (see link at the bottom if you want to get yourself a copy). 

Anyway, much to my surprise, Ruth does not recommend carrots for babies under 7 months of age.  I had no idea as the Earth's Balance jar said 4 months+.  Sooooo, of course, I did some research about why.  Here is what I found from Wholesome Baby Food. 

First Things First - What are the odds that your baby will get Nitrate Poisoning/Blue Baby Syndrome from Homemade Carrots?
It is important to note that the odds of your baby getting "Blue Baby Syndrome" nitrate poisoning from Carrots or other veggies is about 0%.
Yes, 0% - zero percent.

By the time you introduce solid foods to your baby, his tummy should be developed enough to handle "normal" nitrate exposure.

AAP Statements from Policy Papers
"Because the intake of naturally occurring nitrates from foods such as green beans, carrots, squash, spinach, and beets can be as high as or higher than that from well water, these foods should be avoided before 3 months of age, " and

"1. The greatest risk of nitrate poisoning (methemoglobinemia) occurs in infants fed well water contaminated with nitrates. All prenatal and well-infant visits should include questions about the home water supply. If the source is a private well, the water should be tested for nitrate. The nitrate nitrogen concentration of the water should be <10 ppm.

2. Infants fed commercially prepared infant foods generally are not at risk of nitrate poisoning. However, home-prepared infant foods from vegetables (eg, spinach, beets, green beans, squash, carrots) should be avoided until infants are 3 months or older, although there is no nutritional indication to add complementary foods to the diet of the healthy term infant before 4 to 6 months of age." American Academy of Pediatrics - Nitrate Statement.

and "Because vegetables, including green beans, carrots, squash, spinach and beets, can have nitrate levels as high or higher than that of well water, infants should not eat these foods until after age 3 months."

AAP Well Water Statement

The highest concentration of nitrates occurs in water, root vegetables and leafy vegetables such as spinach, lettuce and other greens.


The concentration and amount of occurring nitrates will vary depending on the type of vegetable, the temperature that it is grown at, the sunlight exposure, soil moisture levels and the level of natural nitrogen in the soil.

Foods that tend to accumulate the highest amount of nitrate include:
  • spinach
  • beets
  • cabbage
  • broccoli
  • carrots
Root vegetables such as carrots, beets and broccoli all contain nitrates though at a much lower level than do the leafys. Leafy vegetables include spinach, cabbage or other greens like Kale.
For spinach, its nitrate levels may actually increase with improper storage,so it's recommended around 8 months old.

When we first hear of nitrates and carrots, “Blue Baby Syndrome” and homemade baby food, it is often with a bit of fear and trepidation that we proceed to make baby’s food. We wish to do the best for our babies and we certainly do not want to poison them. Let’s take a moment to look at the facts about nitrates, infants and making baby food.


Nitrates are naturally occurring nitrogen/oxygen salt compounds found in almost every vegetable that we eat and the soils they are grown in. Nitrates are also laboratory formulated and used in fertilizers. Nitrates are ingested either from vegetables or drinking water. Nitrates/nitrites have been found to be responsible for "Blue Baby Syndrome." Adults are not affected by nitrates or nitrites because their stomachs produce acids that fight the bacteria that help convert nitrates into nitrites. This conversion, and the resulting nitrite, is what allows for nitrate poisoning or “Blue Baby Syndrome.”

The name “Blue Baby Syndrome” stems from the fact that nitrites hinder proper oxygen transportation in the red blood cells. “Once in the blood, nitrite oxidizes iron in the hemoglobin of red blood cells to form methemoglobin, which lacks hemoglobin's oxygen-carrying ability.”1 Without proper oxygen saturation in the blood, the body’s cells become oxygen deprived and the skin takes on a blue or purple hue. This oxygen deprivation may lead to the slow asphyxiation of the person poisoned.

"The most obvious symptom of nitrate poisoning is a bluish color of the skin, particularly around the eyes and mouth. This is called cyanosis. A baby with these symptoms should be taken to an emergency medical facility immediately. The doctor will take a blood sample to be sure the baby is suffering from nitrate poisoning. The blood sample of an affected baby is a chocolate brown instead of a healthy red. Nitrate poisoning can be treated, and in most cases the baby makes a full recovery. http://ohioline.osu.edu/b744/b744_2.html

It is important to note that the odds of your baby getting "Blue Baby Syndrome" nitrate poisoning from Carrots or other veggies is about 0%. By the time you introduce solid foods to your baby, his tummy should be developed enough to handle "normal" nitrate exposure.


"Around the age of three months, an increase in the amount of hydrochloric acid in a baby's stomach kills most of the bacteria that convert nitrate to nitrite. By the time a baby is six months old, its digestive system is fully developed, and none of the nitrate-converting bacteria remain. In older children and adults, nitrate is absorbed and excreted, and Methemoglobinemia is no longer a concern." http://ohioline.osu.edu/b744/b744_2.html

Yes, while nitrates are an important issue, they are highly unlikely to poison your baby from the carrots that you make. Many pediatricians will tell you to not make homemade carrots while many other pediatricians will shrug off Nitrates and tell you there is no issue and no risk.

Nitrate poisoning is very very rare and when it does occur, it is typically traced back to ground water contamination – specifically from contaminated private wells.

If you prefer to make your own homemade baby foods vegetables that may contain nitrates, an alternative is to choose organic produce.

Organic foods are grown without the use of commercial nitrate fertilizers and thus the risk of nitrate contamination/concentration is minimized, but not eliminated.

So who is most at risk for nitrate poisoning? People who have private wells are at risk for nitrate exposure; Babies under the age of 6 months old are most at risk and babies under the age of 3 months old even more so.


Babies who are over the age of 6 months old have developed the stomach acids necessary to fight the bacteria that helps nitrate conversion and subsequent nitrate poisoning. Infants who are formula fed and live on farms or in highly agricultural areas may also be at greater risk. Nitrates used in farming, and the excess not taken in by the crop itself, easily run-off and may seep into water tables, contaminating water supplies.

As mentioned earlier, nitrate poisoning is very rare and when it does occur, it is typically traced back to ground water contamination – specifically from contaminated private wells.  If you have any doubts or fears, please speak to your pediatrician.

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