Fruit Juice AAP recommendations 2017

American Academy of Pediatrics (AAP) recommendations on Fruit Juices 2017

1. Juice should not be introduced into the diet of infants before 12 months of age unless clinically indicated.
2. Toddlers should not be given juice from bottles, easily transportable covered cups or at bedtime.
3. The intake of juice should be limited to, at most, 4 ounces/day in toddlers 1 through 3 years of age, and 4 to 6 ounces/day for children 4 through 6 years of age.
4. For children 7 to 18 years of age, juice intake should be limited to 8 ounces or 1 cup of the recommended 2 to 2.5 cups of fruit servings per day.
5. The committee advocates and encourages use of fruits as compared to juices to meet the daily requirements and energy balance.
6. Maximum 50% of fruits can be provided as fruit juice (not fruit drink)
7. Grapefruit juice should be avoided in any child taking medication that is metabolized by CYP3A4
8. In the evaluation of children with malnutrition, dental caries and malnutrition, the pediatrician should determine the amount of juice being consumed.
9. Pediatricians should advocate for a reduction in fruit juice in the diets of young children and the elimination of fruit juice in children with abnormal (poor or excessive) weight gain.
10. Pediatricians should promote the consumption of whole fruit by toddlers and young children.

To read the full text, 

please visit http://pediatrics.aappublications.org/content/139/6/e20170967

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Best regards

Piyush Gupta MD, FNNF, FIAP, FAMS

Professor of Pediatrics and Incharge, Medical Education Unit

University College of Medical Sciences, Delhi

Editor-in-Chief, Indian Pediatrics (2008-2013)

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