AAP: Policy Statement Regarding Fruit Juice Consumption

This update is in response to increasing rates of obesity and oral health issues
This update is in response to increasing rates of obesity and oral health issues

The American Academy of Pediatrics (AAP) issued a policy statement recommending no fruit juice consumption for children <1 year old.

In the past, the AAP had recommended fruit juice not be given to children <6 months. This update is in response to the increasing rates of obesity and oral health issues. A high intake of fruit juice can cause excessive weight gain and tooth decay. Melvin B. Heyman, MD, FAAP, co-author of the statement, noted, “Small amounts in moderation are fine for older kids, but are absolutely unnecessary for children under 1.” 

The updated recommendations include:

  • No juice before age 1
  • For toddlers ages 1–3, up to half a cup per day (4oz); do not give juice at bedtime
  • For children ages 4–6, up to three-quarters cup per day (6oz)
  • For children and teens ages 7–18, up to 1 cup per day (8oz)
  • Do not put juice in a "sippy cup" or bottle that the child carries around
  • Offer your child whole fruit, which has both the vitamins and fiber that children need
  • Unpasteurized juice products should be strongly discouraged for children of all ages
  • Children who take specific forms of medication should not be given grapefruit juice, which can impact the medication's efficacy
  • Fruit juice is not appropriate to treat dehydration or manage diarrhea

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The AAP also states that human milk or infant formula is sufficient for infants whereas low-fat/nonfat milk and water are sufficient for older children. 

For more information visit AAP.org.