Should Your 3-Year-Old Still Drink Formula Milk? - Pediatrics

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Milk for 3-year-olds


Hello Doctor, I would like to ask: Does a child still need to drink formula milk after turning three years old? Should I switch to giving my child fresh milk along with other types of powdered milk or multigrain drinks? My child is currently drinking Enfamil Nutramigen 3, and they do not refuse it (I just noticed that the formula can indicates it is for ages 1 to 3).

Xue Lun, 30~39 year old female. Ask Date: 2015/08/15

Dr. Xiao Kaiwen reply Pediatrics


Milk is an excellent complementary food for children throughout their lives.
Both fresh milk and formula milk are suitable; however, as infants grow older, they may become less receptive to the taste of formula milk.
If they can still tolerate formula milk, it is certainly acceptable to continue its consumption.

Reply Date: 2015/08/15

More Info


When it comes to the dietary needs of a 3-year-old child, the question of whether to continue giving formula milk or switch to whole milk is a common concern among parents. At this age, children are transitioning from a diet primarily consisting of milk to one that includes a variety of solid foods. The American Academy of Pediatrics (AAP) recommends that children aged 1 to 3 years should consume whole milk, as it provides essential fats necessary for brain development.

Formula milk, such as the one you mentioned (Enfamil), is designed to meet the nutritional needs of infants and toddlers. However, by the age of 3, most children can obtain adequate nutrition from a well-balanced diet that includes a variety of foods. This includes fruits, vegetables, grains, proteins (like meat, fish, eggs, and legumes), and dairy products. If your child enjoys the formula and is not experiencing any adverse reactions, it can be continued, but it is not strictly necessary.

Whole milk can be introduced as a primary source of dairy at this age. It is rich in calcium, vitamin D, and other essential nutrients that support growth and development. The AAP suggests that children should have about 2 cups (16 ounces) of dairy per day, which can include whole milk, yogurt, and cheese. If your child is resistant to drinking milk, you can also consider other dairy sources or fortified alternatives, such as yogurt or cheese, which can provide similar nutritional benefits.

If you are considering switching to other milk alternatives, such as soy milk or oat milk, it is important to choose options that are fortified with calcium and vitamin D. However, be cautious with flavored varieties, as they can contain added sugars that are not ideal for young children.

In terms of the amount of formula milk your child is currently consuming, if they are drinking it 2 to 4 times a day, you may want to gradually reduce the frequency and amount as you introduce whole milk and other solid foods. This transition can help your child adapt to the new tastes and textures of a more varied diet.

It's also important to remember that children's preferences can change over time. If your child is currently rejecting milk, it may be worth trying again after some time, as their taste buds develop. Additionally, involving your child in the selection of foods and drinks can encourage them to try new things.

In conclusion, while formula milk can still be part of your child's diet if they enjoy it, it is not a necessity at this age. Transitioning to whole milk and ensuring a balanced diet with a variety of foods will help meet their nutritional needs. If you have any concerns about your child's growth or dietary intake, consulting with a pediatrician or a registered dietitian can provide personalized guidance tailored to your child's specific needs.

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