By Tamzyn Murphy
BSc Med(Hons) Human Nutrition and Dietetics, RD
South African personality, sports scientist and Emeritus UCT Professor Tim Noakes is making news headlines again as the second and last day of the closing arguments of his “Baby Banting” trial before the Health Professions Council of South Africa (HPCSA) commences. The council is investigating Noakes for giving unconventional and un professional advice. The complaint laid by Association for Dietetics (ADSA) president, Claire Julsing-Strydom, is over ‘advice’ that Noakes tweeted in response to a mother’s query regarding the best food to introduce to her baby. Noakes advised the mother to introduce low carbohydrate, high fat (LCHF), Banting-friendly foods (which include meat and vegetables) to her baby from 6-month of age.
While the HPCSA will determine whether babies should or shouldn’t Bant, it is clear that Noakes is right about at least one thing: meat is far superior to cereal as babies’ first food. Health authorities’ recommendations that meat, meat alternatives (like eggs) and iron-fortified cereal are the best first food for babies imply that these are options are nutritional equals . They are not. Here’s why meat beats cereal hands down.
Meating babies’ nutritional needs
Iron deficiency is very common in children in South Africa [2,3], and across the globe . Many infants also don’t eat enough iron . Infants with iron deficiency have impaired growth, mental development and problem solving ability . Iron deficient babies score worse for mental and motor functioning when they’re older too . By 6 months of age babies run out of iron stores . Meat, fish and poultry are rich sources of the most readily absorbed heme form of iron. The iron contained in iron fortified cereal on the other hand, is in a non-haem form that is very poorly absorbed .
Meat, liver, poultry and fish – given as babies’ first foods in many traditional societies  – were the obvious iron-rich first foods to be introduced to babies before iron-fortified cereals were available. Since iron-fortified cereal was introduced it has replaced meat as the first food of choice for babies . Not only is it a poor replacement as a source of bioavailable iron, but it also contains anti-nutrient phytates, which interfere with iron absorption, thereby reducing its bioavailability even further . Therefore, cereal, even if it’s fortified with iron, may not be able to provide the iron that 6 month olds so desperately need.
Interestingly, zinc deficiency is also very common in babies and children. Meat is an excellent source of zinc. Introduction of meat as opposed to cereal as an early complementary food for exclusively breastfed infants is associated with improved zinc, iron and protein intake. Babies fed meat instead of cereal have a higher head circumference and possibly also improved psychomotor development .
A weighty issue
Dietitian text books recommend that sugar and salt are not added to babies foods. Yet in the same breath they say that fortified infant cereal – usually packed with added sugar – is the first food to be introduced to babies .
Dietary sugar is linked to dental caries and the development of obesity and other lifestyle-related diseases. Even if parents do find baby cereal options that don’t include added sugar, they are still very refined (processed) and incredibly high in fast-release (high GI) carbohydrates.
Introducing cereals and fruit as babies’ first solid food is linked to the development obesity later in life . Meat contains no carbohydrate and is high in fat and protein. A high fat intake during babies’ complementary feeding period doesn’t appear to increase their risk of becoming obese later . There has been concern that high protein intake during infancy promotes weight and fat gain. However, a recent study indicates that this only holds true for high levels of protein from cow’s milk in formula fed infants. Breastfed babies who were fed meat instead of cereal, gained more weight and grew taller than those fed cereal, but they didn’t get fatter . This indicates that higher protein levels from meat may not be linked to fatness after all.
Parents and health professionals await the outcome of Noakes’ HPCSA trial with bated breath. For now though, at least one aspect is clear: introducing ‘Banting-friendly’ meat to babies is a far better option than introducing cereal. From 6 months of age, babies should be offered pureed meat, liver, poultry, fish and eggs, progressing to the introduction of a variety of foods from family meals, such as vegetables mixed with pasture-fed butter, olive oil or breastmilk. Breastmilk continues to be the main source of nutrition throughout the first year. Breastfeeding is recommended for at least one year whenever possible, and preferably for up to two years or beyond.
 Visser J, Herselman M. Anaemia in South Africa: the past, the present and the future. S Afr J Clin Nutr. 2013;26(4):166-167
 Mahan LK, Escott-Stump S. Krause’s Food & Nutrition Therapy. International Edition 12. Saunders Elsevier. 2008