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


ABSTRACT:

Context

Whether 100% fruit juice consumption causes weight gain in children remains controversial.

Objective

To determine the association between 100% fruit juice consumption and change in BMI or BMI z score in children.

Data sources

PubMed, Embase, CINAHL, and Cochrane databases.

Study selection

Longitudinal studies examining the association of 100% fruit juice and change in BMI measures were included.

Data extraction

Two independent reviewers extracted data using a predesigned data collection form.

Results

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.

Limitations

All observational studies; studies differed in exposure assessment and covariate adjustment.

Conclusions

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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Publications


<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]

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