Chew on This: Not All First Finger Foods Are Created Equal
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Updated: Feb 21, 2026

Preparation of High-Quality Fermented Fish Product
Published on: August 23, 2019
Nicol Awadalla1, Tammy Pham1, Ruth Milanaik1
11 Cohen Children's Medical Center of New York, Lake Success, NY, USA.
Insights
Few first finger foods (FFFs) meet American Academy of Pediatrics guidelines. Some FFF products raise safety concerns and may pose choking hazards if not stored properly.
Area of Science:
- Pediatric Nutrition
- Food Safety
Background:
- The American Academy of Pediatrics (AAP) provides guidelines for introducing first finger foods (FFFs).
- Compliance of commercially available FFF products with these recommendations is not well-understood.
Purpose of the Study:
- To evaluate the compliance of marketed FFF products with AAP recommendations.
- To assess the safety of FFF products using adult testers.
Main Methods:
- 41 adult testers evaluated FFF products for safety and dissolvability.
- Product characteristics, safety comments, and dissolution times were recorded.
Main Results:
- Only 2 out of the tested FFF products met all AAP criteria.
- Safety concerns were identified for 2 additional products.
- One product's dissolvability significantly changed after removal from original packaging, indicating a potential choking hazard.
Conclusions:
- Consumers should verify FFF product compliance with AAP guidelines, as marketing does not guarantee it.
- Improper storage of FFFs can alter consistency and increase choking risks.
- Further research is needed to inform regulations for FFF labeling and marketing.
Abstract:
The American Academy of Pediatrics (AAP) recommends when to start first finger foods (FFFs) and what types of foods to start with, but it is unclear whether products marketed as FFF comply with these recommendations. We evaluated FFF products for compliance with AAP recommendations and product safety using 41 adult product testers, who were asked to dissolve each product in their mouth. Product characteristics, comments pertaining to product safety, and time to dissolve each product were recorded. Only 2 products met all AAP criteria, and safety concerns were raised for an additional 2 products. One product showed a large change in dissolvability after being left out of original packaging. Consumers should not assume that products marketed for infant/toddler consumption comply with AAP recommendations. Also, products left out of original packaging may change consistency, presenting a choking hazard. Additional research is warranted to guide the development of regulations surrounding labeling and marketing of these foods.
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