
New research emerging from Australia is sounding the alarm for parents regarding a common bedtime practice: using a bottle to lull toddlers to sleep. The findings, published in the respected Australian and New Zealand Journal of Public Health, suggest a significant link between this habit and increased risks of dental cavities and excess weight in early childhood.
The Research Unpacked
The comprehensive study was spearheaded by the University of Sydney, drawing upon data meticulously collected through Western Sydney University’s “Healthy Smiles Healthy Kids” initiative. This long-term study has been diligently tracking the health and development of over 700 children from their earliest days.
Researchers delved into a wealth of information, analysing responses from a survey administered to mothers, alongside crucial dental check-ups and body measurements of the children. To ensure the findings were robust, they also carefully considered a range of other contributing factors that could influence a child’s dental hygiene and overall weight.
Shocking Statistics Emerge
The data revealed a concerning trend: a substantial portion of Australian toddlers are still relying on bottles to fall asleep. Specifically, the research found that more than 30 percent of two-year-old children were being bottle-fed to sleep.
The implications of this practice are significant. Children who were bottle-fed to sleep at two years of age were found to be almost twice as likely to be overweight during their early childhood years. Furthermore, these same children experienced nearly twice the number of teeth affected by decay in their formative years.
Expert Insights and Recommendations
Heilok Cheng, the lead author of the study and a PhD candidate at the University of Sydney, highlighted that while parents and caregivers generally strive to do what’s best for their children, they may not be fully aware of the potential health repercussions associated with bottle feeding before naps and at bedtime.
Australian public health guidelines are clear on this matter. They advise parents to begin introducing cups to their infants around six months of age and to transition away from baby bottles entirely by the time a child reaches 12 months. Importantly, bottle feeding in bed is strongly discouraged at any age.
The concern stems from the common beverages offered in toddler bottles, such as cow’s milk and formula. These drinks often contain natural or added sugars, which significantly elevate the risk of tooth decay when in prolonged contact with teeth, especially during sleep when saliva production is reduced.
Cheng elaborated on the underlying reasons for this habit: “When a bottle is offered at bedtime it’s often being used by carers to calm an unsettled child or encourage the child to drift off to sleep.” She continued, “Because the bottle isn’t being offered in response to hunger, it can lead to overfeeding, putting children at risk of unhealthy weight gain.”
A Call for Greater Support
The research underscores a pressing need for more comprehensive support for Australian families. “We need to do more to support families and help them avoid getting into the habit of putting a child or baby to bed with a bottle, so that our future generations are set up with a healthy future from the start,” Cheng emphasised.
Terry Slevin, CEO of the Public Health Association of Australia, echoed these sentiments, stating that the study adds crucial weight to the growing body of evidence detailing the significant public health challenges facing Australia.
“Recently obesity has overtaken tobacco as Australia’s biggest cause of preventable disease burden. Around one in four Australian children have overweight and obesity in this country is a slow-moving public health crisis,” Slevin noted, highlighting the scale of the issue.
Policy and Parental Choices
The call for action extends to governmental policy. “We need the next Federal Government to take comprehensive action to help all Australians maintain a healthy weight. This includes better regulation of toddler food labels and formula marketing to help parents make informed choices,” Slevin urged.
By raising awareness of the risks associated with bottle-feeding to sleep and advocating for greater support and clearer guidelines, the research aims to empower parents to make informed decisions that contribute to their children’s long-term health and well-being. The focus is on fostering healthy habits from the earliest stages of life, setting a foundation for a healthier future generation.



















