Past guidelines have advised against juice for babies under six months, but doctors are concerned about childhood obesity and dental health.
But for too many kids, the AAP says, juice becomes a replacement for whole fruits and vegetables - and the fiber, vitamins and other nutrients they provide. Juice should be provided in a cup, not a bottle or a box, both of which make it easy to drink juice all day, it says. Even so, they should not drink more than 8 ounces of juice per day - and amount that represents half of the daily calories that should come from fruit.
Young children like to carry bottles and sippy cups full of sugary juice around all day, sipping on them and gumming on the tops, but that that can lead to cavities.
"There's just no need for fruit juice in infancy", said Dr. She recommends eating whole fruit for vitamins instead.
"Fruit juice is marketed as a healthy, natural source of vitamins and, in some instances, calcium".
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. In cases of diarrhea, a pediatrician can advise parents on the best way to rehydrate an infant or child, Ms. Montgomery pointed out. Juice also does not include the dietary fiber found in fresh fruit.
What is more, the AAP "strongly discourage" the consumption of unpasteurized juice products for children of all ages, and grapefruit juice should be avoided for children taking any medications that are metabolized by the enzyme CYP3A4, due to its potentially harmful interactions.
The advice is the first update to the AAP's stance on fruit juice in 16 years.
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"We know that excessive fruit juice can lead to excessive weight gain and tooth decay", co-author of the statement Steven Abrams, FAAP, said.
Furthermore, 100 percent fresh or reconstituted fruit juice can be a healthy part of the diet of children older than 1 year when consumed as part of a well-balanced diet.
For children ages one to four - stick to four ounces of *100-percent juice.
Fruit juice offers no nutritional benefit to babies under age 1 and should not be part of their diet.
"We don't need to be giving them juice to replenish fluids", she said.
Families should be educated that human milk and/or infant formula is sufficient to satisfy fluid requirements for infants, and low-fat/nonfat milk and water are sufficient for older children.
"Fruit juice and fruit drinks are easily overconsumed by toddlers and young children because they taste good", the statement says.