Misleading labeling on formulas and milks marketed as "toddler drinks" may confuse parents about their healthfulness or necessity, finds a new study by researchers at the NYU College of Global Public Health and the Rudd Center for Food Policy & Obesity at the University of Connecticut.

The study, published in the journal Preventive Medicine, examines how U.S. policies and regulations can support clear and truthful labeling of toddler drinks, given that international and U.S. health experts and pediatricians do not recommend them.

In order to foster healthy toddler diets, the researchers recommend that the Food and Drug Administration (FDA) provide guidance or propose regulations to ensure the appropriate labeling of toddler drinks.

"Our study builds on previous research demonstrating that manufacturers' marketing practices may undermine the diets of very young children," said Jennifer L. Pomeranz, the study's lead author.

The World Health Organization deems toddler drinks "unnecessary" and "unsuitable," and the American Academy of Family Physicians says toddler drinks hold no advantage over cow's milk and a nutritious diet.

Previous research has highlighted that common marketing and labeling practices for infant formula may mislead parents to believe that these products provide benefits over breastfeeding.

The current study evaluated toddler drink labeling practices and assessed policy strategies to support transparent and truthful labeling, enabling caregivers to make well-informed decisions about feeding their children. In conducting legal research on U.S. food label laws and regulations, the researchers found distinct policies for infant formulas, but nothing specific to toddler drinks.

The researchers then visited stores to collect and evaluate toddler drink packages, including nutrition labels and claims. They noted that toddler drinks go by a variety of names, which could be confusing for consumers.

They observed that all toddler drink labels made at least one health or nutrition claim, and nearly all made multiple claims. Some also included scientific or expert support for the product.

"All product labels made claims related to nutrition and health, and many made claims about expert recommendations that may lead caregivers to believe these products are necessary and healthy. In fact, they are not recommended by health experts, as there is no evidence that they are nutritionally superior to healthy food and whole milk for toddlers," said Pomeranz.

The researchers also compared toddler drink labels with the same brand's infant formula labels and found that most toddler drink labels used similar colors, branding, logos, and graphics. These similarities could increase the likelihood of confusion among consumers about the appropriateness of serving toddler drinks and the differences between infant formulas and toddler drinks.

The researchers encourage the FDA to provide guidance or regulations on toddler drink labeling, which could include requiring manufacturers to include statements to consult a physician prior to use, use appropriate health and nutrition claims, and clearly differentiate between infant formula, transition formula, and toddler milk.

"Toddler drinks are unnecessary and may undermine a nutritious diet, yet manufacturers have expanded their marketing of these products. Therefore, it is important for labels to be clear, transparent, and accurate," Pomeranz said. "The FDA and manufacturers should work together to end the inappropriate labeling of toddler drinks and ensure caregivers have reliable information to nutritiously feed their children."