Smoked Salmon

The weekend-brunch luxury with a smoky, briny depth all its own.

Smoked Salmon
Starting age
12+ months
Choking risk
Moderate
Common allergen
Fish

Can babies have smoked salmon?

Not before 12 months, and after that only in small amounts, cooked into a dish.

There are two problems: listeria and salt. Lox, nova and gravlax are cured, not cooked, and cold smoking never gets hot enough to kill listeria.[7][6] Hot smoking does kill it, but the bacteria can get back in afterwards, so the FDA treats all refrigerated smoked fish as higher risk.[6][5]

The salt is high too. USDA lists regular lox at about 2,000 mg of sodium per 100 g, roughly 570 mg in 1 oz. A baby’s daily guide at 7 to 12 months is 370 mg. Plain smoked salmon is lower, around 670 mg per 100 g, but that’s still a lot for a small eater.[1][2]

In the first year, offer freshly cooked salmon instead. From 12 months, a little smoked salmon now and then is fine, cooked into a dish until it’s steaming hot.[5][4] Cooking takes care of listeria but not the salt, so keep plain cooked salmon as the everyday fish and smoked salmon as an occasional extra.

Choking risk

Smoked salmon is a moderate choking risk - a thin slice is floppy and slippery, and a folded piece can lie flat across a small airway instead of breaking apart, much like a slice of deli meat.

Chop it finely or cook it into food rather than offering a draped slice or a strip. See how to serve for age-by-age prep.

Allergens

Salmon is a common food allergen: finned fish is one of the most common food allergies in the US, and salmon is among the fish people most often report reacting to.[8]

Introduce fish with plain cooked salmon first, not smoked, so any reaction is easy to read: one new food at a time, a small taste, and keep it on the menu regularly once tolerated. More than half of people allergic to one fish react to others; fish and shellfish are separate allergens.[9][8]

Start with a small amount and watch for a reaction.

Food safety

Young children are more likely to get sick from food. The FDA’s food-safety guide for children under 5 says this is because their immune systems are still developing.[5] The CDC lists other groups at higher risk from listeria too: pregnant people, newborns, adults 65 and older, and anyone with a weakened immune system.[4]

Listeria can grow even in the fridge. The FDA guide lists all refrigerated smoked fish as higher risk, whether hot- or cold-smoked. Safer choices are seafood heated to 165°F and canned fish.[5] Salt is the other reason to keep portions small, since the CDC advises against feeding young children salty foods.[3]

How to serve

Up to 12 months old

Skip smoked salmon - introduce fish with freshly cooked salmon

Skip smoked salmon in the first year. Lox, nova, gravlax and cold-smoked salmon are never heated enough to kill listeria, and hot-smoked can pick it up again after smoking. It's salty too: 1 oz of lox carries more sodium than the 370 mg a day that counts as adequate at 7 to 12 months.

What to offer instead

Fresh salmon baked, poached or steamed to 145°F, until it flakes, checked for bones and offered as a finger-sized piece or flaked into mash. It has none of the curing salt, and gives a clean read on fish allergy when it's the only new food that day.

12+ months old

Finely chopped, cooked into a hot dish or heated and flaked

A thin slice at most, chopped small

From 12 months, a small amount now and then. Cook cold-smoked salmon, lox or nova into scrambled eggs, a pasta bake or a potato cake, or heat hot-smoked salmon before flaking it into rice or mash. Either way, get it to 165°F, steaming hot, then cool it. Chop it finely; never a draped slice.

How to serve

Keep portions small: 1 oz of lox is about 570 mg of sodium, most of the 800 mg adequate intake for 1 to 3 years. It carries vitamin D, B12 and some omega-3s, but plain cooked salmon gives you the fish without the salt, so let that be the regular fish.

2+ years old

Small amounts in a meal, still an occasional food

About one thin slice, chopped, inside a dish

From age 2 it’s still an occasional food. Chop a slice into a frittata, pasta, chowder or fish cakes, and heat it until steaming rather than serving it cold on a bagel. The FDA still counts children under 5 as high risk for foodborne illness.

How to serve

The daily guide stays at 800 mg of sodium through age 3, so a bagel with lox is still an adult portion. When you cook smoked salmon into a dish, don’t add any other salt. And if anyone at home is pregnant, over 65 or has a weakened immune system, they should only eat refrigerated smoked fish cooked into a dish too.

Tips

  • Keep the rest of the meal unsalted. Plain eggs, potato or pasta with no added salt leave room for the salt the fish brings.

Sources

  1. Fish, salmon, chinook, smoked (FDC 173687) and Fish, salmon, chinook, smoked, (lox), regular (FDC 171985) - USDA FoodData Central
  2. Dietary Reference Intakes for Sodium and Potassium (AI 370 mg at 7-12 months, 800 mg at 1-3 years) - National Academies 2019
  3. Foods and Drinks to Avoid or Limit (honey, added sugar, salt) - CDC
  4. Preventing Listeria Infection (reheat deli meats until steaming) - CDC
  5. Food Safety for Pregnant Women, Their Unborn Babies, and Children Under Five - FDA (PDF)
  6. Risk Assessment of the Public Health Impact from Foodborne Listeria monocytogenes in Smoked Finfish; Request for Comments (hot-smoking kills Listeria, but recontamination after smoking can occur; cold-smoked fish is eaten without further cooking) - FDA, Federal Register, March 4, 2005 (PDF)
  7. FSS and FSA issue updated advice to higher risk consumers on ready to eat cold-smoked and cured fish (smoked salmon, smoked trout, gravlax) - Food Standards Scotland
  8. Fish - FARE
  9. When to Introduce Egg, Peanut Butter & Other Common Food Allergens - AAP HealthyChildren

See also: Sushi, Fish Sticks, Instant Noodles & Ramen, Trout, Custard, Tilapia