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New Recommendation: No Fruit Juice for Children Under Age 1

New Recommendation: No Fruit Juice for Children Under Age 1

Fruit juice. Many people think of it as a healthy beverage, something that should be part of a child’s diet. But it turns out that it’s not necessarily healthy at all — and doesn’t need to be part of a child’s diet. In fact, the American Academy of Pediatrics just came out with the recommendation that children under a year should drink no juice at all. This is a change from the previous recommendation, which was that children shouldn’t have juice before six months of age.

Why Health Experts Discourage Fruit Juice Consumption

This recommendation may seem surprising, but here’s why experts aren’t wild about juice 

  • It doesn’t have much nutritional value. Yes, there are some vitamins in it, and the ascorbic acid in some juices can help the body absorb iron. But children are always better off eating the fruit (or vegetable) itself instead of the juice. 
  • It can lead to cavities, especially when children carry around bottles or sippy cups and drink little bits all the time. When children do this, there is cavity-causing sugar in the mouth all the time.
  • It can lead to weight gain. Our bodies are designed to eat our calories, not drink them; we don’t get filled up by juice, no matter how many calories of it we drink.
  • It can lead to diarrhea, especially in toddlers.
  • It can actually interfere with the absorption of some medications.

The point here is simply that children don’t need it. Water and unsweetened milk (or fortified alternative milks for those with allergies or lactose intolerance) are the only beverages a child really needs. 

Juice Recommendations for Toddlers and Young Children

After a year, the American Academy of Pediatrics says it’s okay to give a child juice, with some caveats:

  • Keep it to one serving a day. For children younger than 7, a serving is 4 ounces; for 7 to 18, it’s 8 ounces.
  • Make sure it’s 100% juice. There are a lot of fruit “drinks” out there that have lots of sugar and little or no juice. Read labels carefully.
  • Don’t give juice in a sippy cup or bottle! This is very important for preventing cavities. If you’re going to give that one serving of juice, have it be something your child sits and drinks from an open cup and finishes in one sitting.

These are guidelines — and with any guideline, there may be exceptions (if your child is on an iron supplement, for example, your doctor may want you to give it with orange juice). If you have questions about this recommendation, or anything else about what your child should eat or drink, talk with us or your child’s pediatrician.


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