Send to

Choose Destination
Obesity (Silver Spring). 2015 Jan;23(1):170-6. doi: 10.1002/oby.20927. Epub 2014 Oct 18.

Juice and water intake in infancy and later beverage intake and adiposity: could juice be a gateway drink?

Author information

Division of Adolescent Medicine, Boston Children's Hospital, Boston, Massachusetts, USA; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA; Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.



To examine the tracking and significance of beverage consumption in infancy and childhood.


Among 1163 children in Project Viva, we examined associations of fruit juice and water intake at 1 year (0 oz, 1-7 oz [small], 8-15 oz [medium], and ≥16 oz [large]) with juice and sugar-sweetened beverage (SSB) intake and BMI z-score during early (median 3.1 years) and mid-childhood (median 7.7 years).


In covariate adjusted models, juice intake at 1 year was associated with greater juice and SSB intake during early and mid-childhood and also greater adiposity. Children who drank medium and large amounts of juice at 1 year had higher BMI z-scores during both early (medium: β = 0.16 [95% CI = 0.01-0.32]; large: β = 0.28 [95% CI = 0.01-0.56]) and mid-childhood (medium: β = 0.23 [95% CI = 0.07-0.39]; large: β = 0.36 [95% CI = 0.08-0.64]). After covariate adjustment, associations between water intake at 1 year and beverage intake and adiposity later in childhood were null.


Higher juice intake at 1 year was associated with higher juice intake, SSB intake, and BMI z-score during early and mid-childhood. Assessing juice intake during infancy could provide clinicians with important data regarding future unhealthy beverage habits and excess adiposity during childhood.

[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wiley Icon for PubMed Central
Loading ...
Support Center