Dataset Information

Fruit Juice and Change in BMI: A Meta-analysis.

ABSTRACT: Whether 100% fruit juice consumption causes weight gain in children remains controversial. To determine the association between 100% fruit juice consumption and change in BMI or BMI z score in children. PubMed, Embase, CINAHL, and Cochrane databases. Longitudinal studies examining the association of 100% fruit juice and change in BMI measures were included. Two independent reviewers extracted data using a predesigned data collection form. Of the 4657 articles screened, 8 prospective cohort studies (n = 34 470 individual children) met the inclusion criteria. Controlling for total energy intake, 1 daily 6- to 8-oz serving increment of 100% fruit juice was associated with a 0.003 (95% CI: 0.001 to 0.004) unit increase in BMI z score over 1 year in children of all ages (0% increase in BMI percentile). In children ages 1 to 6 years, 1 serving increment was associated with a 0.087 (95% confidence interval: 0.008 to 0.167) unit increase in BMI z score (4% increase in BMI percentile). 100% fruit juice consumption was not associated with BMI z score increase in children ages 7 to 18 years. All observational studies; studies differed in exposure assessment and covariate adjustment. Consumption of 100% fruit juice is associated with a small amount of weight gain in children ages 1 to 6 years that is not clinically significant, and is not associated with weight gain in children ages 7 to 18 years. More studies are needed in children ages 1 to 6 years.

SUBMITTER: Auerbach BJ

PROVIDER: S-EPMC5369671 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

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Fruit Juice and Change in BMI: A Meta-analysis.

Auerbach Brandon J BJ Wolf Fred M FM Hikida Abigail A Vallila-Buchman Petra P Littman Alyson A Thompson Douglas D Louden Diana D Taber Daniel R DR Krieger James J

Pediatrics 20170323 4

<h4>Context</h4>Whether 100% fruit juice consumption causes weight gain in children remains controversial.<h4>Objective</h4>To determine the association between 100% fruit juice consumption and change in BMI or BMI <i>z</i> score in children.<h4>Data sources</h4>PubMed, Embase, CINAHL, and Cochrane databases.<h4>Study selection</h4>Longitudinal studies examining the association of 100% fruit juice and change in BMI measures were included.<h4>Data extraction</h4>Two independent reviewers extracte ...[more]

PMID: 28336576

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Project description:BackgroundDiabetes mellitus has become a worldwide health problem. Whether fruit juice is beneficial in glycemic control is still inconclusive. This study aimed to synthesize evidence from randomized controlled trials on fruit juice in relationship to glucose control and insulin sensitivity.MethodsA strategic literature search of PubMed, EMBASE, and the Cochrane Library (updated to March, 2014) was performed to retrieve the randomized controlled trials that evaluated the effects of fruit juice on glucose control and insulin sensitivity. Study quality was assessed using the Jadad scale. Weighted mean differences were calculated for net changes in the levels of fasting glucose, fasting insulin, hemoglobin A1c (HbA1c), and homeostatic model assessment of insulin resistance (HOMA-IR) using fixed- or random-effects model. Prespecified subgroup and sensitivity analyses were performed to explore the potential heterogeneity.ResultsTwelve trials comprising a total of 412 subjects were included in the current meta-analysis. The numbers of these studies that reported the data on fasting glucose, fasting insulin, HbA1c and HOMA-IR were 12, 5, 3 and 3, respectively. Fruit juice consumption did not show a significant effect on fasting glucose and insulin concentrations. The net change was 0.79 mg/dL (95% CI: -1.44, 3.02 mg/dL; P = 0.49) for fasting glucose concentrations and -0.74 µIU/ml (95% CI: -2.62, 1.14 µIU/ml; P = 0.44) for fasting insulin concentrations in the fixed-effects model. Subgroup analyses further suggested that the effect of fruit juice on fasting glucose concentrations was not influenced by population region, baseline glucose concentration, duration, type of fruit juice, glycemic index of fruit juice, fruit juice nutrient constitution, total polyphenols dose and Jadad score.ConclusionThis meta-analysis showed that fruit juice may have no overall effect on fasting glucose and insulin concentrations. More RCTs are warranted to further clarify the association between fruit juice and glycemic control.

Dataset Information

Fruit Juice and Change in BMI: A Meta-analysis.

Publications

Fruit Juice and Change in BMI: A Meta-analysis.

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