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Pediatrics. 2017 Apr;139(4). pii: e20162454. doi: 10.1542/peds.2016-2454. Epub 2017 Mar 23.

Fruit Juice and Change in BMI: A Meta-analysis.

Author information

1
Departments of Medicine, brandon.auerbach@post.harvard.edu.
2
Epidemiology.
3
Biomedical Informatics and Medical Education.
4
Health Services, and.
5
VA Puget Sound Health Care System, Seattle, Washington.
6
Northwest VA Health Services Research & Development Center of Excellence, Seattle, Washington.
7
Healthy Food America, Seattle, Washington; and.
8
Thompson Research Consulting, Chicago, Illinois.
9
University Libraries, University of Washington, Seattle, Washington.
10
Departments of Medicine.

Abstract

CONTEXT:

Whether 100% fruit juice consumption causes weight gain in children remains controversial.

OBJECTIVE:

To determine the association between 100% fruit juice consumption and change in BMI or BMI z score in children.

DATA SOURCES:

PubMed, Embase, CINAHL, and Cochrane databases.

STUDY SELECTION:

Longitudinal studies examining the association of 100% fruit juice and change in BMI measures were included.

DATA EXTRACTION:

Two independent reviewers extracted data using a predesigned data collection form.

RESULTS:

Of the 4657 articles screened, 8 prospective cohort studies (n = 34 470 individual children) met the inclusion criteria. Controlling for total energy intake, 1 daily 6- to 8-oz serving increment of 100% fruit juice was associated with a 0.003 (95% CI: 0.001 to 0.004) unit increase in BMI z score over 1 year in children of all ages (0% increase in BMI percentile). In children ages 1 to 6 years, 1 serving increment was associated with a 0.087 (95% confidence interval: 0.008 to 0.167) unit increase in BMI z score (4% increase in BMI percentile). 100% fruit juice consumption was not associated with BMI z score increase in children ages 7 to 18 years.

LIMITATIONS:

All observational studies; studies differed in exposure assessment and covariate adjustment.

CONCLUSIONS:

Consumption of 100% fruit juice is associated with a small amount of weight gain in children ages 1 to 6 years that is not clinically significant, and is not associated with weight gain in children ages 7 to 18 years. More studies are needed in children ages 1 to 6 years.

PMID:
28336576
PMCID:
PMC5369671
DOI:
10.1542/peds.2016-2454
[Indexed for MEDLINE]
Free PMC Article

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