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Expert Q&A:
Are wine, beer, and coffee safe for a 1- to 2-year-old?

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Stephen Muething
Answered by Stephen Muething M.D.
"I love being a pediatrician," says Stephen Muething, medical director of the Pampers Parenting Network. "Through my special role, I get to partner with families in the very important job of helping children develop and grow. My task is to help parents raise their children to be as healthy, happy, and successful as they can be." 

Dr. Muething received his B.S. degree from the University of Notre Dame and his medical degree from the University of Cincinnati College of Medicine. After completing his pediatric residency and chief residency at Cincinnati Children's Hospital Medical Center, he served as the lead physician of a five-pediatrician practice in Southeast Indiana for 13 years.

Dr. Muething is currently the associate director in the Division of General Pediatrics, Cincinnati Children's Hospital Medical Center, leading a team that performs more than 60,000 primary care visits and cares for more than 3,500 inpatients annually. He is also the director of the Diagnostic Clinic for Cincinnati Children's Hospital. Since 2001, Dr. Muething has served as one of the key physicians in the Pursuing Perfection initiative at Cincinnati Children's, funded by the Robert Wood Johnson Foundation in conjunction with the Institute for Healthcare Improvement. Dr. Muething is now a graduate of the Advanced Training Program in Healthcare Delivery Improvement at Intermountain Health Care in Salt Lake City, Utah.

Dr. Muething has been a co-leader for the Acute Care Team at Cincinnati Children's, which has focused on designing an evidence-based, family-centered care system for children in the Cincinnati area. Results of the work have been presented at the annual meetings of the National Association of Children's Hospitals and Related Institutions (NACHRI), the National Initiative for Children's Healthcare Quality (NICHQ), the Institute for Healthcare Improvement (IHI), and the Pediatric Academic Societies (PAS).

As "Dr. Steve," Dr. Muething hosts two radio programs for families in the Cincinnati area and is the pediatric consultant for The Health Show, a nationally syndicated radio show. Other community activities include serving as moderator for the "Centering on Families: Tools for Practical Parenting" series at the Cincinnati Museum Center.

Family life is central for Dr. Muething and his wife, Meg, both of whom were raised in large families. They have four children—ranging from elementary school age to college graduate—and more than 40 nieces and nephews.



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Question


I am glad that you are concerned. It is not appropriate to give wine, beer, and coffee to toddlers.

Answer


Giving alcoholic beverages to children this age is dangerous. Their small body size makes them more likely to become intoxicated. They can also be harmed by low blood sugar as a result of the alcohol. Caffeine is not as dangerous (and is also found in sodas), but toddlers simply don't need it. If they are thirsty, water is the best drink.

In addition to the immediate risk of alcohol, giving wine and beer to a child can lead to a worrisome pattern. Several studies have shown us that younger teens who begin drinking have a much higher rate of alcoholism later in life. A family can help protect their child by delaying the onset of drinking.

You are quite right to tell friends and relatives "No" to alcohol for your child. Keep up the good work.

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