title: Impact of 100% Fruit Juice Consumption on Diet and Weight Status of Children: An Evidence-based Review.
abstract: Consumption of 100% fruit juice remains controversial for its potential adverse impact on weight and displacement of essential foods in the diets of children. A systematic review of the literature published from 1995-2013 was conducted using the PubMed database to evaluate associations between intake of 100% fruit juice and weight/adiposity and nutrient intake/adequacy among children of 1 to 18 years of age. Weight status outcome measures included body mass index (BMI), BMI z-score, ponderal index, obesity, weight gain, adiposity measures, and body composition. Nutrient outcome measures included intake and adequacy of shortfall nutrients. Data extraction and analysis was conducted according to the Academy of Nutrition and Dietetics Evidence Analysis Process. Twenty-two studies on weight status provided evidence that did not support an association between 100% fruit juice consumption and weight/adiposity in children after controlling for energy intake. Limited evidence from eight studies suggests that children consuming 100% fruit juice have higher intake and adequacy of dietary fiber, vitamin C, magnesium, and potassium. Differences in methodology and study designs preclude causal determination of 100% fruit juice as sole influencer of weight status or nutrient intake/adequacy of shortfall nutrients. In context of a healthy dietary pattern, evidence suggests that consumption of 100% fruit juice may provide beneficial nutrients without contributing to pediatric obesity.
authors.affiliation: a Department of Nutrition , University of Alabama , Tuscaloosa , Alabama USA.
authors.forename: Kristi
authors.initials: K
authors.lastname: Crowe-White
authors.affiliation: b School of Nutrition and Food Sciences, Louisiana State University Agricultural Center , Baton Rouge , Louisiana USA.
authors.forename: Carol E
authors.initials: CE
authors.lastname: O'Neil
authors.affiliation: c Department of Interdisciplinary Studies, Department of Scientific Nutrition, Rutgers , The State University of New Jersey , Newark , New Jersey USA.
authors.forename: J Scott
authors.initials: JS
authors.lastname: Parrott
authors.affiliation: d Department of Health and Nutritional Sciences , South Dakota State University , Brookings , South Dakota USA.
authors.forename: Sue
authors.initials: S
authors.lastname: Benson-Davies
authors.affiliation: d Department of Health and Nutritional Sciences , South Dakota State University , Brookings , South Dakota USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Droke
authors.affiliation: e Department of Nutrition and Health Care Management , Appalachian State University , Boone , North Carolina USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Gutschall
authors.affiliation: f Department of Health Sciences , Empire State College, State University of New York , Saratoga Springs , New York USA.
authors.forename: Kim S
authors.initials: KS
authors.lastname: Stote
authors.affiliation: g Academy of Nutrition and Dietetics , Chicago , Illinois USA.
authors.forename: Taylor
authors.initials: T
authors.lastname: Wolfram
authors.affiliation: g Academy of Nutrition and Dietetics , Chicago , Illinois USA.
authors.forename: Paula
authors.initials: P
authors.lastname: Ziegler
mesh_terms: D050154:Adiposity; D001823:Body Composition; D015992:Body Mass Index; D002648:Child; D016208:Databases, Factual; D000072001:Diet, Healthy; D004043:Dietary Fiber / Q000008:administration & dosage / Q000032:analysis; D002149:Energy Intake; D019317:Evidence-Based Medicine; D000067030:Fruit and Vegetable Juices; D006801:Humans; D015201:Meta-Analysis as Topic; D018977:Micronutrients / Q000008:administration & dosage / Q000032:analysis; D009753:Nutritive Value; D063766:Pediatric Obesity / Q000517:prevention & control; D015430:Weight Gain
chemical_list: D004043:Dietary Fiber; D018977:Micronutrients
keywords: 100% fruit juice; Evidence Analysis Library; adiposity; children; nutrient adequacy; nutrient intake; weight