Preschoolers with
a taste for fruit juice may pack on excess
pounds, but only if they already have
a tendency toward being overweight, a
new study suggests.
Some
past studies have linked children's intake
of sugary fruit juice to excess weight
gain, but others have failed to find such
a relationship.
Despite
the question mark, though, experts still
generally recommend limiting children's
juice drinking; the American Academy of
Pediatrics (AAP) suggests that children
ages 1 to 6 drink no more than 4 to 6
ounces of juice per day.
In the new study,
published in the journal Pediatrics, researchers
found that the higher a child's juice
intake, the greater the gain in body fat
over time, but only among children who
were initially overweight or on the verge
of becoming so at the study's outset.
In
contrast, children who ate more whole
fruits tended to put on less body fat.
The
findings add to evidence that too much
fruit juice can contribute to excess weight
gain in children, but particularly among
those who are most at risk of becoming
obese adults, said lead study author Dr.
Myles S. Faith of the University of Pennsylvania
School of Medicine in Philadelphia.
The
results may surprise some parents who
think of fruit juice as a health food
of sorts. "Many parents equate fruit
juice with whole fruits," Faith noted
in an interview.
However,
juices typically contain added sugar,
and therefore, calories. In addition,
Faith said, there is basic research that
suggests the body regulates beverage intake
differently than solid food.
These
studies indicate that while people may
compensate for indulging in too many cookies
by eating less later in the day, the same
is not true when we down excess liquid
calories.
Faith
and his colleagues based their results
on data from 2,800 children ages 1 to
4 who were receiving food assistance from
the federal government's WIC program.
They collected information on each child's
diet, and then measured their weight and
height every 6 months for up to four years.
In
general, the study found, children who
were overweight or nearly so tended to
put on more body fat as their juice intake
increased. This was with other factors,
including overall diet, considered.
The
same was not true of children who were
normal-weight when the study began, Faith
and his colleagues found.
Still,
Faith said the AAP's recommendations on
limiting juice intake are good guidelines
for both overweight and thin children.
Water, whole fruits and vegetables, and
low-fat milk are "sound substitutes"
for juice, he noted.
"The
message is not that children should not
drink fruit juice," Faith said, but
that the amount be appropriate.
The
fruit juice boxes so popular with kids
typically contain about 100 calories each.
So a few of those each day, Faith noted,
can start to add up.