Fruit Juice in Infants, Children, and Adolescents: Current Recommendations

@article{Heyman2017FruitJI,
  title={Fruit Juice in Infants, Children, and Adolescents: Current Recommendations},
  author={Melvin B. Heyman and Steven A. Abrams},
  journal={Pediatrics},
  year={2017},
  volume={139}
}
Historically, fruit juice was recommended by pediatricians as a source of vitamin C and as an extra source of water for healthy infants and young children as their diets expanded to include solid foods with higher renal solute load. It was also sometimes recommended for children with constipation. Fruit juice is marketed as a healthy, natural source of vitamins and, in some instances, calcium. Because juice tastes good, children readily accept it. Although juice consumption has some benefits… 
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194 Citations

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Citation Type

Fruit Juice for Children: AAP Recommendations; Implications for India
TLDR
AAP’s recommendation that BJuice should not be introduced into the diet of infants before 12 mo of age^ is highly relevant for India as FJ could replace breast milk leading to reduced intake of proteins, fat, vitamins and minerals and it may contain pathogens which can increase the risk of food borne diseases like typhoid, E-coli diarrhea, Salmonella infection etc.
Re: Fruit Juice and Child Health
TLDR
A reassessment of the Committee on Nutrition’s statement regarding the administration of fruit juice to children with diarrhea is prompt, suggesting parents are more likely to administer their children's preferred fluids than oral electrolyte solutions in high-income countries.
Fruit Juice and Child Health
TLDR
Concerns about whether children and adolescents receive enough fruits and vegetables in their diet have led to discussion as to whether 100% fruit juice should be recommended at all for pediatric consumption or included as part of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) package.
Review of 100% Fruit Juice and Chronic Health Conditions: Implications for Sugar-Sweetened Beverage Policy.
TLDR
Aside from increased risk of tooth decay in children and small amounts of weight gain in young children and adults, there is no conclusive evidence that consumption of 100% fruit juice has adverse health effects.
100% Fruit Juice in Child and Adolescent Dietary Patterns
  • R. Murray
  • Medicine
    Journal of the American College of Nutrition
  • 2019
TLDR
Over the past 3 decades, as fruit juice intake has fallen substantially, the vacuum has not been filled by a comparable increase in servings of whole fruit, keeping Americans from meeting daily fruit recommendations.
Child Consumption of Whole Fruit and Fruit Juice Following Six Months of Exposure to a Pediatric Fruit and Vegetable Prescription Program
TLDR
A pediatric FVPP may have meaningful impacts on children’s dietary behaviors, particularly with regard to the intake of whole fruits, which is particularly challenging for low-income and minority children.
Indian Academy of Pediatrics Guidelines on the Fast and Junk Foods, Sugar Sweetened Beverages, Fruit Juices, and Energy Drinks
TLDR
Consumption of junk foods, fast foods, sugar-sweetened beverages and carbonated drinks is associated with higher free sugar and energy intake; and is associatedWith higher body mass index (and possibly with adverse cardiometabolic consequences) in children and adolescents.
Indian Academy of Pediatrics Guidelines on the Fast and Junk Foods, Sugar Sweetened Beverages, and Energy Drinks.
TLDR
Consumption of junk foods, fast foods, sugar-sweetened beverages and carbonated drinks is associated with higher free sugar and energy intake; and isassociated with higher body mass index (and possibly with adverse cardiometabolic consequences) in children and adolescents.
100% Juice, Fruit, and Vegetable Intake Among Children in the Special Supplemental Nutrition Program for Women, Infants, and Children and Nonparticipants.
Pouring on the Pounds: The Persistent Problem of Sugar-Sweetened Beverage Intake Among Children and Adolescents
TLDR
Children of all ages consume sugar-sweetened beverages, and schools can help students understand the health harms of SSBs, implement programs to discourage SSB intake, and play important roles in school and community efforts to limit SSBs.
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References

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TLDR
It is recommended that the US Department of Agriculture's Child and Adult Food Care Program, which manages the meal patterns in childcare centers such as Head Start, promote the elimination of fruit juice in favor of whole fruit for children.
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TLDR
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TLDR
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TLDR
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TLDR
The consistent lack of relationship between children's fruit juice intake and growth parameters in this study does not support previous recommendations to limit the intake of 100% fruit juice to <12 ounces/day and results consistently indicated no statistically significant differences in children's height, body mass index, or ponderal index related to fruit Juice intake.
Carbohydrate Absorption From Fruit Juices in Infants
TLDR
When either grape or pear juice is administered in a dosage of 10 mL/kg/day, the carbohydrate is well absorbed, produces no adverse gastrointestinal symptoms, and has no effect on stool water in healthy infants.
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TLDR
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TLDR
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TLDR
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TLDR
Breath hydrogen analyses in healthy children and children with chronic nonspecific diarrhea after they had ingested pear, grape, and apple juices and a 2% sorbitol solution found excess breath H2 excretion in virtually all study subjects.
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