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No fruit juice for kids under 1, pediatricians advise

5/25/2017, 6 a.m.
Children should not be given fruit juice before they are 1 year old unless it's advised by a doctor, according ...
Rather than giving kids store-bought juices loaded with sugar and missing essential nutrients, use a high-powered blender to make whole-food juices at home. Use carrots, pineapple and a little water to make a sweet yet healthy juice that contains antioxidants and fiber. BPT

— Children should not be given fruit juice before they are 1 year old unless it's advised by a doctor, according to new guidelines from the American Academy of Pediatrics, published Monday in the journal Pediatrics.

The group had previously advised parents to wait to offer juice until a child reached 6 months old but decided to make the change based on rising rates of obesity and concerns about tooth cavities.

"We couldn't really see any reason why juice was still part of the potential recommendation for 6- to 12-month-old kids," said Dr. Steven A. Abrams, chairman of the Department of Pediatrics at the Dell Medical School at the University of Texas, and co-author of the policy statement. "We recommend breastfeeding or formula in that age group, and there really isn't any need or beneficial role for juice, so we kind of made that adjustment."

It is the first change to the academy's fruit juice recommendations since 2001.

It wasn't "some magical new science" that inspired the alteration, noted Abrams, but rather "this (guideline) hadn't been looked at in a long time, so we thought it was time to take a close look."

'Not good for the teeth'

Children and teens continue to be the top consumers of juice and juice drinks in the US, the policy statement notes.

"The problem is, parents will stick a bottle or sippy cup in the kid's mouth and kind of leave it there all day. That's not good from the calorie-intake perspective, and it's sure not good for the teeth," Abrams said. "What happens is, the kid then gets used to all the sugar, and then they won't drink water."

Despite this important caveat, the academy is standing by juice. The new guidelines state that 100% fresh or reconstituted fruit juice can be a healthy part of a well-balanced diet for children older than 1.

That said, the academy advises parents to limit juice to 4 ounces daily for toddlers between 1 and 3 years old. Juice should be provided in a cup, not a bottle or a box, both of which make it easy to drink juice all day, it says.

For children between 4 and 6, fruit juice should be restricted to 4 to 6 ounces daily. Children between 7 and 18 years old should have no more than 8 ounces (or 1 cup) of juice a day, making up one of the recommended daily 2 to 2½ cups of fruit.

The academy also strongly discourages unpasteurized juice products and says grapefruit juice should not be served to children taking certain medications -- ibuprofen, flurbiprofen, warfarin, phenytoin, fluvastatin and amitriptyline -- because it interferes with their effects.

Finally, the group says, fruit juice is not appropriate in the treatment of dehydration or management of diarrhea.

"We primarily are supporting that kids learn how to eat fruit rather than fruit juice," Abrams said. "I think that comes across more strongly than it has before."

Atlanta pediatrician Dr. Jennifer Shu, who says the new recommendations are "great," agrees with this particular advice.