No fruit juice for kids under 1, pediatricians advise | CNN (2023)

No fruit juice for kids under 1, pediatricians advise | CNN (1)

We took the most popular food brands among Americans, in nine categories young kids love, and used the current US dietary guidelines to illustrate what the daily recommended amount of sugar for kids looks like. Our math: Each of these images represents 33 grams of sugar. The recommendation is that added sugar should equal less than 10% of one's daily caloric needs. The median calories for moderately active 4- to 8-year-olds is 1,500 calories. So we calculated 9% of 1,500 as 135 calories, which equals 33 grams of sugar per day. If your child consumes what is pictured, they will probably have maxed out their recommended sugar intake for the whole day.

No fruit juice for kids under 1, pediatricians advise | CNN (2)

For a standard 12-ounce can of Coca-Cola, about four-fifths of the can equals 33 grams of sugar.

No fruit juice for kids under 1, pediatricians advise | CNN (3)

For a standard 6-ounce container of Yoplait yogurt (strawberry), one plus four-fifths of another equals 33 grams of sugar.

No fruit juice for kids under 1, pediatricians advise | CNN (4)
(Video) Pediatricians Issue New Fruit Juice Guidelines

For a 20-ounce bottle of Gatorade, there are 33 grams of sugar in about 97% of the bottle.

For an 8-ounce bottle of Nesquik low-fat chocolate milk, one and a half bottles equals 33 grams of sugar.

No fruit juice for kids under 1, pediatricians advise | CNN (6)

For a 6.75-ounce carton of Mott's apple juice, one plus another two-fifths of a carton equals 33 grams of sugar.

No fruit juice for kids under 1, pediatricians advise | CNN (7)

For a 0.9 oz bag of Welch's Mixed Fruit snacks, there are 33 grams of sugar in three bags.

No fruit juice for kids under 1, pediatricians advise | CNN (8)
(Video) Best health drink for kids || How to buy a health drink?

For Chips Ahoy chocolate chip cookies, nine cookies equal 33 grams of sugar.

No fruit juice for kids under 1, pediatricians advise | CNN (9)

For Honey Nut Cheerios, three plus two-thirds servings equals 33 grams of sugar. (One serving is three-quarters of a cup.)

No fruit juice for kids under 1, pediatricians advise | CNN (10)

For a standard 52.7-gram Snickers, one plus one-fifth of a bar equals 33 grams of sugar.

Story highlights

Parents urged to limit juice to 4 ounces daily for toddlers between the ages of 1 and 3

Children should be encouraged to eat fruit rather than drink juice, group says

(Video) Is Fruit Juice Safe For Baby? - Yes or No?

CNN

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.”

Shutterstock Will 100% fruit juice make your child gain weight?

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.”

Cereal Shutterstock Where sugar might be hiding in your child's food

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.”

(Video) New Drink Guidelines for Kids Should Plant Based Milk Be Avoided? Dr. Dafna Ahdoot Pediatrician

Women breastfeed their babies at the Hirshhorn Museum in Washington on February 12, 2011 during a "nurse-in"organized after a woman was stopped from nursing in public at the museum by security guards two weeks ago. NICHOLAS KAMM/AFP/Getty Images Study shows no long-term cognitive benefit to breastfeeding

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

“Even though it’s natural sweetness, (juice) doesn’t have the same benefits as real fruit, because the fruit has fiber to be more filling, whereas juice is just easy to drink and overdo,” said Shu, who did not contribute to the new recommendations.

Sharon Zarabi, a nutritionist at Lenox Hill Hospital in New York City, said that “with my experience of working with obese adults, we tend to see that what people eat when they’re younger is what sticks with them as they get older.”

Zarabi, who also did not participate in the recommendations, noted that many people mistakenly believe that juice is loaded with vitamins.

“When you isolate fruit into a liquid form, you’re mostly getting sugar water, and it’s easy to consume excess calories in liquid form, and those calories can add up, and they’re void of any protein or fiber, which is usually what helps keep people satiated,” Zarabi said. She recommends eating whole fruit for vitamins instead.

Occasionally beneficial

Shu, who agrees with limiting juice in children’s diets, said it’s sometimes beneficial.

“In general, the time that I tend to recommend juice is if kids have constipation, and apple juice and prune juice can sometimes help with that,” she said.

Photo Illustration/Thinkstock Study: 30% of kids have two or more sugary drinks a day

“I do think there has been a lot of education in press about juice needing to be consumed in moderation,” Shu said. “We do try to encourage parents to think about juice as a sweet, just as you would soda.”

Though there may be pros and cons for different juices, the pediatric academy does not favor one juice over another.

“Some juices naturally have certain vitamins or minerals in them,” Abrams said, noting that orange juice has lots of vitamin C. “But that doesn’t mean that apple juice doesn’t provide vitamin C, because it’s usually fortified.”

Shu advises, “If you’re going to go for ‘better’ juice, in addition to looking for 100% fruit juice, look for calcium and vitamin D supplementation.”

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    This is especially good for kids who have a dairy intolerance or don’t like to drink milk.

    “In moderation, it’s never ‘there’s just one good food or perfect food or one bad food you have to avoid.’ You have to know juice’s place in the healthy diet,” Shu said.

    (Video) Will 100% fruit juice make your child gain weight?

    “We prefer simply to let parents make their own decision about that,” Abrams said, “and just focus on limiting the total amount of juice.”

    FAQs

    Why do pediatricians not recommend juice? ›

    Fruit juice offers no nutritional benefits over whole fruit for infants and children and has no essential role in healthy, balanced diets of children. One hundred percent fresh or reconstituted fruit juice can be a healthy part of the diet of children older than 1 year when consumed as part of a well-balanced diet.

    Why can't babies under 1 have juice? ›

    That's because it adds extra calories without the balanced nutrition in formula and breast milk. Drinking too much juice also may lead to excess weight and tooth decay, or cause diarrhea in infants and toddlers.

    Do pediatricians recommend juice? ›

    Juice should not be introduced to infants before 1 year unless clinically indicated. Daily intake should be limited to 4 ounces in toddlers ages 1-3 years, 4-6 ounces for those 4-6 years. For those 7-18 years, limit juice intake to 8 ounces or 1 cup of the recommended 2-2½ cups of fruit servings/day.

    Is fruit juice good for 1yr old? ›

    AAP age recommendations

    Even “all-natural” fruit juices contain a lot of sugar. That's because fruit itself naturally contains sugar. Because of this, it's best not to give juice to children under a year old, according to the American Academy of Pediatrics (AAP).

    Why should you avoid fruit juice? ›

    The more concentrated sugar and calories in fruit juice can lead to obesity and inappropriate weight gain. Excessive weight gain is associated with high blood pressure, hypertension, stroke, diabetes and other negative health issues later in life.

    Is juice unhealthy for kids? ›

    Fruit juice might seem like a healthy drink option when compared with sugary sodas. But the American Academy of Pediatrics (AAP) recommends limiting how much juice your child drinks and not giving them any at all if your baby is under age 1. Too much fruit juice can contribute to health problems for your child.

    What happens if you give a baby juice too early? ›

    Outside of the lack of nutrition, some studies have found that adding too much juice too early in your child's development can lead to obesity and premature tooth decay.

    Can I give my 6 month old apple juice? ›

    And as for apple juice, it's not recommended for babies until they're at least a year old, and even then, don't give them more than half a cup per day. Too much juice can cause diarrhea and tooth decay, and fruit has fiber that you don't get when drinking it as juice.

    Can 4 month old babies have fruit juice? ›

    The baby can start consuming fresh juices of fruits and vegetables only after six months. But, it is essential that the baby drink a very small amount of these juices as they have a high amount of sugar and salt. Juices are considered to be very healthy and nutritious.

    Which juice is good for 1 year old? ›

    It's okay to offer some juice in moderation, but make sure it's 100 percent juice (such as apple, orange, cranberry or pomegranate), which can provide some nutrients to a busy, picky toddler. Remember, too, that your tot shouldn't be toting a sippy cup filled with juice all day long.

    Is juice necessary for babies? ›

    Infants don't need juice unless a doctor says so. Toddlers aged 1 to 3 should get no more than four ounces a day of juice and up to six ounces for kids up to age 6. Kids aged up to 18 need no more than eight ounces a day. Don't give toddlers juice in bottles or sippy cups or at bedtime.

    Why should children drink water instead of juice? ›

    Mixing the fruit in a blender instead of a juicer will keep the fruit fibre in the juice. It's best for children to eat whole fruit and drink plain tap water or milk. Water is better than fruit juice, because it satisfies thirst and doesn't have any extra sugar.

    Is fruit juice needed to keep baby healthy? ›

    According to the American Academy of Pediatrics (AAP), fruit juice has no nutritional value to children age 1 and younger – and it should not be included in their diet. The recommendation for infants (up to 12 months old) is that they drink breast milk or formula only.

    When can babies start drinking fruit juice? ›

    Any suggestions? It's best to wait until after a baby is 6 months old before offering juice. But even then, pediatricians don't recommend giving babies juice often. That's because it adds extra calories without the balanced nutrition in formula and breast milk.

    Can 1 year olds have orange juice? ›

    American Academy of Pediatrics recommends no fruit juice for children under 1 year.

    What are the disadvantages of juice? ›

    Drawbacks
    • A juicing machine leaves nutrient-rich and fiber-rich skin and pulp behind. Without the fruit fiber, your body absorbs the fructose sugar more easily, which can upset blood sugar levels.
    • Juice made with fruit has a high calorie count.
    • Juicing can be expensive.

    Is juice unhealthy or healthy? ›

    There's no scientific evidence that juice is any better than eating fruit or vegetables. Though a small amount of juice can be part of a healthy diet, you can save money and time in the kitchen — and reduce the risk of consuming too much sugar — by simply eating fruits and vegetables instead.

    Is juice harmful for health? ›

    Answer From Katherine Zeratsky, R.D., L.D. Juicing is no healthier than eating whole fruits and vegetables. Juicing extracts the juice from fresh fruits or vegetables. The liquid contains most of the vitamins, minerals and plant chemicals (phytonutrients) found in the fruit.

    Is 100% fruit juice good for kids? ›

    Thus, they recommend that children should consume whole fruit instead of 100% fruit juice whenever possible. Since 2001, the AAP has recommended specific limits on how much 100% fruit juice children drink each day: None until age 1; No more than 4-6 ounces/day between ages 1 and 6 years; and.

    What drinks should children avoid? ›

    Squash, fizzy drinks and flavoured milk contain lots of sugar even if they are diluted and can cause tooth decay. Diet or reduced-sugar drinks are not recommended for babies and toddlers either. For older babies and toddlers, these drinks can fill your child up so they're not hungry for healthier food.

    Can a 7 month old have orange juice? ›

    You shouldn't give juice to babies under one year old, and even if your baby is old enough, make sure to only give them 100% fruit juice.

    Why can't babies drink water? ›

    It's because babies' bodies aren't suited for water until several months after birth. Tiny tummies and developing kidneys put them at risk for both nutrient loss and water intoxication.

    What liquids can a 7 month old drink? ›

    6 months onwards
    • Milk. Breast milk should be used as the main drink for the first year of life. ...
    • Cool boiled water. Offer your baby cooled boiled water in a cup at mealtimes or at snack times. ...
    • Fruit juices. Your baby doesn't need fruit juices. ...
    • Fizzy drinks. Do not give your baby fizzy drinks.

    Can I give my 6 month old fruit juice? ›

    Fruit juice and smoothies

    Babies under 12 months do not need fruit juice or smoothies. If you choose to give these to your baby, dilute the juices and smoothies (one part juice to 10 parts water) and limit them to mealtimes.

    Can I give my 7 month old apple juice for constipation? ›

    Fruit juice – If your infant is at least four months old, you can give certain fruit juices to treat constipation. This includes prune, apple, or pear juice (other juices are not as helpful). You can give a total of 2 to 3 ounces (60 to 120 mL) of 100 percent fruit juice per day for children four to eight months old.

    Can I give my 3 month old apple juice? ›

    Although fruit juice is not recommended for babies under a year of age, as a rule of thumb, you can give 1 ounce a day for every month of life up to about 4 months (a 3-month-old baby would get 3 ounces). Once your infant is taking solid foods you can try vegetables and fruits, especially that old standby, prunes.

    Can you give a 4 month old pineapple juice? ›

    You may be tempted to offer your baby pineapple juice, but be sure to check nutrition labels for added sugar. You shouldn't give juice to babies under 12 months, but if your baby is old enough, make sure to only give them 100% fruit juice.

    Can I give banana to my 4 month old? ›

    Bananas are an excellent source of nutrition and make great first foods to babies. Banana puree can be introduced as solid food anywhere between the age of 4-6 months. Did you know: Bananas are often called one of nature's perfect foods because they are said to contain all essential nutrients.

    Can I give my 4 month old apple juice? ›

    You should never give juice to a baby under six months of age. There is no nutritional reason to do so, except if your baby is constipated and then small amounts of prune or pear juice can be given, as directed by you child's pediatrician.

    What should babies drink at 1 year old? ›

    One-year-olds no longer need formula, and can now switch to whole milk. Some toddlers never drink milk; if that's the case with your child, please don't force it. Toddlers need the nutrients in milk — calcium and protein — but these nutrients are also available from other sources.

    What juices can my 11 month old drink? ›

    The AAP recommends that children under 12 months avoid juice altogether (1). There are many reasons for this, including the fact that breast milk and formula provide babies with all the vitamins and nutrients they need.

    What can babies drink before 12 months? ›

    For the first 6 months, breast milk is all your baby needs to meet his or her nutrition needs. If you wean your baby before 12 months of age, be sure to give an iron-fortified formula. Breastfeeding should continue until your baby is 12 months old (and after as long as baby and mom would like to continue).

    Can my 6 month old drink water? ›

    If your baby is around 6 months old, you can offer small amounts of cooled boiled tap water but you should not replace their breastmilk or formula feeds. Breastmilk or formula should still be their main drink up to 12 months of age. After 12 months, their main drink should be water and cow's milk or breastmilk.

    Which juice is good for 6 month baby? ›

    Most paediatricians recommend that fruits like custard apple, pineapple, grapes, watermelon, guavas and strawberry should be avoided till your baby is one year old. Instead try your creativity with other fruits in the form of Homemade Strained Apple Juice . 3.

    Can a 1 year old have PediaSure? ›

    Talk to a healthcare professional about use of this product if your child is younger than 2 years of age. PediaSure products are not intended for infants younger than 1 year of age. According to the American Academy of Pediatrics, infants under a year old should be breastfed or fed an iron-fortified infant formula.

    Which juice is best for baby? ›

    Here is a list of healthy juice for babies:
    • Stewed boiled apple juice.
    • Tender coconut.
    • Grape juice (raw)
    • Muskmelon juice (raw)
    • Watermelon juice (raw)
    • Boiled carrot juice.
    • Orange juice (raw)
    • Boiled tomato juice.

    Why is water better than fruit juice? ›

    Water is calorie-free

    Considering the fact that water is free of calories, you can drink it without worrying about gaining weight. On the other hand, fruit juice contains many calories. Fresh fruit juices are better than the bottled ones, which are generally full of sugar.

    What kind of juice can babies drink? ›

    Only offer pasteurized juice.

    Non-pasteurized or raw fruit juices can contain harmful bacteria that could make your child sick.

    What drinks can a 12 month old have? ›

    At 12 months, you can transition your baby from breastmilk or formula to whole or reduced-fat milk. You can continue to breastfeed your baby after 12 months for a year or more, as long as you and your baby want to.

    Is pineapple good for babies? ›

    Pineapple is a delicious, healthy fruit that's rich in vitamin C, B-6, and magnesium. When prepared safely, it can make an excellent addition to your baby's diet. The AAP suggests waiting at least two to three days after introducing a new food to your baby before starting another.

    Can I give my toddler medicine in juice? ›

    A few mixable ideas include yogurt, apple sauce, juice, sugar water or chocolate syrup. Do carefully measure medication dosage before mixing with any other food or juice. Do not mix the medication into a full serving of soft food or liquid, in case your child can't finish every last bit.

    What do doctors say about juicing? ›

    Answer From Katherine Zeratsky, R.D., L.D. Juicing is no healthier than eating whole fruits and vegetables. Juicing extracts the juice from fresh fruits or vegetables. The liquid contains most of the vitamins, minerals and plant chemicals (phytonutrients) found in the fruit.

    Which health drink is best for 1 year baby? ›

    The best drinks for children aged 1 to 4 are water, breast milk and milk. Offer your child 6 to 8 drinks every day. Avoid sugary drinks and limit fruit juices.
    ...
    These include:
    • almond milk.
    • coconut milk.
    • oat milk.
    • rice milk.
    • almond milk.
    • coconut milk.
    • oat milk.
    • rice milk.

    What can I give my child instead of juice? ›

    We've rounded up the best drinks to help your child stay hydrated—plus, the drinks that are better to have only on occasion.
    • Sports drinks. ...
    • Soda. ...
    • Juice. ...
    • So, what should they be drinking instead? ...
    • Water. ...
    • Fruit-infused water. ...
    • Milk. ...
    • Coconut water.

    What liquids can toddlers drink? ›

    From ages 1-3, your toddler only really needs two things: Water & Milk. Water is a great go-to drink throughout the day (1-4 cups of water per day). Milk is great for mealtime. Starting at age 1, plain whole milk is recommended (2-3 cups of milk per day).

    Should toddlers drink juice? ›

    The AAP recently released a policy statement on the topic of kids and juice. According to the statement, the AAP recommends: Infants younger than 12 months of age shouldn't have juice at all. Children ages 1 through 3 should consume no more than 4 ounces of fruit juice per day.

    Should you dilute toddler juice? ›

    Acidic drinks can quickly damage your baby's teeth. Small amounts of pure, unsweetened fruit juice should be diluted half and half (50% juice to 50% water), or with a greater proportion of water to juice if your child is thirsty. Juice should be restricted to mealtimes only in a free-flow cup, not a feeding bottle.

    Can juicing have negative effects? ›

    More extreme juice cleanses are associated with negative side effects, including diarrhea, nausea, dizziness, and fatigue. There is no evidence that juice cleanses are necessary for detoxifying the body. Also, juicing may harm people who have kidney problems or take certain medications.

    What are the disadvantages of juicing? ›

    Drawbacks
    • A juicing machine leaves nutrient-rich and fiber-rich skin and pulp behind. Without the fruit fiber, your body absorbs the fructose sugar more easily, which can upset blood sugar levels.
    • Juice made with fruit has a high calorie count.
    • Juicing can be expensive.

    Videos

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    (American Academy of Pediatrics)
    2. Fruit Juice For Baby YES or NO | Dr Brajpal | बच्चों को JUICE पिलायें या नहीं ? Best Juice for baby
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    3. What age can I give my baby "baby food"? - Dr. Dhanashree Kulkarni
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