Pediatricians Say No Fruit Juice in Child’s First Year

The brand-new recommendations may surprise parents who thought 100 percent fruit juice was healthy for babies, or nutritionally equivalent to fruit itself.

although whole fruit typically has more fiber than fruit juice as well as is actually less likely to cause dental decay, said Dr. Steven Abrams, a lead author of the brand-new A.A.P. report as well as the chairman of pediatrics at the Dell Medical School at the University of Texas at Austin.

Whole fruit is actually “less of a pure sugar intake,” said Dr. Abrams. “We want kids to learn how to eat fresh foods. If you assume fruit juice is actually equal to fruit, then you’re not getting in which message.”

Dr. Man Wai Ng, the dentist in chief at Boston Children’s Hospital, applauded the ban on juice for infants as well as took a hard-line stance for preschoolers as well as older children. “One hundred percent fruit juice should be offered only on special occasions, especially for kids who are at high-risk for tooth decay,” she said.

Four ounces of apple juice has no fiber, 60 calories as well as 13 grams of sugar. By comparison, a half cup of apple slices has 1.5 grams of fiber, 30 calories as well as 5.5 grams of sugar. The fiber in a piece of fruit also increases fullness.

In terms of sugar as well as calories, store-bought juice is actually similar to soda. For instance, four ounces of lemon-lime soda has 12.6 grams of sugar as well as 46 calories, both slightly less than apple juice.

The brand-new report, published online inside the journal Pediatrics, also advised restricting fruit juice to four ounces daily for 1- to 3-year-olds, as well as six ounces a day for 4- to 6-year-olds. The 2001 guidelines gave parents more wiggle room to decide if four or six ounces daily was appropriate for preschoolers. By contrast, the advice for 4- to 6-year-olds stayed the same.

The latest report curbed the maximum daily intake for older children, aged 6 to 18. the item used to be 12 ounces; right now only eight ounces are advised.

There’s not a convincing link between obesity as well as children drinking modest amounts of fruit juice. Still, the report said, juice “has no essential role in healthy, balanced diets of children.”

In a statement, Cathy Dunn, a spokeswoman for Gerber, said the company is actually supportive of the A.A.P.’s brand-new advice for infants, as well as plans to update its website to reposition “all Gerber juices for the toddler milestone, which is actually 12 months or older.”

Stephanie Meyering, an spokeswoman for the Juice Products Association, a trade group, said in which while “juice is actually not necessary for children under age 1,” real fruit juice “is actually a nutritious complement to whole fruit in a balanced diet” for toddlers as well as older children.

Some manufacturers, like Gerber, make juice for infants, marketing the item as a way to add vitamin C as well as flavor variety to a baby’s diet.

although Dr. Abrams said, “You want to be careful about saying ‘Drink juice for vitamins’ because they can be added to anything.”

Another concern is actually in which juice can be a gateway drink of sorts, Dr. Taveras said, adding, “We have studies in which show infants who drink more juice in in which early life period are more likely to go on to drink soda as well as sugar-containing beverages.”

Currently, the federal government’s advice on healthful eating, called the Dietary Guidelines for Americans, does not weigh in on juice for very young children. The guidelines, which are compiled by the Agriculture as well as Health as well as Human Services departments, make recommendations only for ages 2 as well as older. The guidelines count a cup of 100 percent fruit juice the same as a serving of fruit, although urge in which at least half of the recommended amount should come via actual fruit.

the item’s unclear if the next U.S.D.A. guidance will forbid juice for infants. although the very young will be included for the very first time inside the 2020 guidelines, according to Brooke Hardison, a U.S.D.A. spokeswoman.

Some federal assistance programs have already restricted juice for very young children. Since 2009, the Special Supplemental Nutrition Program for Women, Infants as well as Children, known as WIC, has stopped listing juice as an acceptable purchase on the checks given to brand-new mothers as well as babies in their first year. A WIC check, voucher, or electronic benefit transfer (EBT) card specifies which foods in what quantities can be bought at stores, so once a baby becomes a toddler, 100 percent fruit juice can be purchased.

In 2010, the Institute of Medicine of the National Academies — a private nonprofit — called for the “omission of fruit juice of any type before the age of 1 year” in federally supported day care centers.

More than 4.2 million children, including those in Head Start, take part inside the Child as well as Adult Care Food Program. By October, child care centers as well as day-care homes will be prohibited via providing fruit juice to infants as part of a reimbursable meal through in which program.

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Pediatricians Say No Fruit Juice in Child’s First Year

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