Paediatricians say: no fruit juice before age 1

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In the first 12 months of life, a baby will triple its weight and increase its length by 50%. This period of very rapid growth requires nutrition that is specifically suited to meet those needs.

New guidelines

Several new recommendations from the American Academy of Pediatrics (AAP) may just send toddlers into tantrums.

Scientists are now saying that fruit juice be limited for toddlers and older children, and babies shouldn’t have any at all before their first birthday.

There are no definitive South African guidelines about the suitability of fruit juices for babies, but paediatricians generally follow AAP recommendations.

Another recommendation is that parents should forgo the beloved sippy cup for their children altogether.

The new guidelines were published in Pediatrics.

The advice is the first update to the AAP’s stance on fruit juice in 16 years.

New guidelines

The major change is that fruit juice is discouraged for the first year of life – and not just the first six months, as previously recommended.

“There’s just no need for fruit juice in infancy,” said Dr Steven Abrams, one of the authors of the report.

“There’s no evidence there’s any health benefit,” he added. Abrams is chair of paediatrics at Dell Medical School at the University of Texas at Austin.

If anything, he said, offering babies juice could keep them from getting enough breast milk or formula – and the needed protein, fat and other nutrients they contain. Plus, the AAP says, once babies start eating solid foods, they should have whole fruit that is mashed or pureed, rather than juice.

Milk is sufficient for babies

Babies do not need additional liquids (other than breast milk or formula) once they start solid foods, Abrams said.

As for older kids, the AAP suggests limits on juice: 4 ounces (±120ml) a day at most for toddlers ages 1 to 3; no more than 6 ounces (±180ml) for 4- to 6-year-olds; and no more than 8 ounces  (±235ml) a day for older kids and teens.


What’s so bad about fruit juices? Abrams said the point is not to “get dogmatic about it”, and kids can have some juice as part of a healthy diet.

But for too many kids, the AAP says, juice becomes a replacement for whole fruits and vegetables – and the fibre, vitamins and other nutrients they provide.

Plus, many beverages are not fruit juice at all – but fruit “drinks” that are basically water and sugar.

Kids should have only 100% fruit juice, with no added sugar, Abrams said. But there should be limits even on those juices and their natural sugars.

Health24 previously reported that fruit juices are a major source of calories on their own – their high sugar content may increase a child’s appetite for even greater amounts of food, thus further contributing to weight gain.

Toss those sippy cups

Another piece of advice from the AAP: Don’t give toddlers “sippy cups”, which are generally cups with a cover and a spout or opening.

For one, Abrams said, toddlers should learn how to drink from regular cups. Plus, sippy cups and bottles allow kids to easily sip on juice all day.

“If they are running around with the sippy cup all day, it’s going to be refilled,” Crim pointed out.

One concern is that sippy cups can affect children’s teeth, Abrams said. When baby teeth are exposed to liquids other than water for prolonged periods, it can promote tooth decay. – Health 24

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