When can children start drinking juice?

Is it healthy for children to drink juice?

Juice provides little to no nutritional benefit for children of all ages. It can increase the risk of cavities, and tooth decay, contribute to excessive weight gain and obesity, and displace fiber-rich whole foods in their diet. It can predispose children to sweetened beverages that may result in their preference over water. One cup of 100% fruit juice equals consuming 4 to 5 oranges. Instead of offering juice, serve whole fruits to older kids and pureed fruits or soft finger foods for babies.

Benefits of whole fruits

Whole fruit provides fiber and requires chewing, both of which slow digestion. Fiber helps kids feel fuller for longer stretches and promotes a gradual release of insulin and other hormones to prevent blood sugar spikes.

Juice recommendations for children

The American Academy of Pediatrics (AAP) has guidelines for juice consumption based on your child’s age:

• Under 12 Months: No juice is recommended.
• Ages 1 to 3: Limit up to 4 ounces per day.
• Ages 4 to 6: Limit up to 6 ounces per day.
• Ages 7 to 18: Limit up to 8 ounces per day.

Some other tips:

• Offer 100% fruit juice with no added sugars or sugar sweeteners.
• Avoid offering juice in a bottle
• Do not offer juice at bedtime.
• Breast milk and infant formula are the recommended beverages for babies
• Water and milk are the recommended beverages for toddlers

Health benefits of juice

Your pediatrician may recommend diluted juice if your child is experiencing constipation. Drinking pear, prune, or mango juice can be helpful for constipation because these fruits contain sorbitol, a sugar alcohol that draws water into the intestines and softens stools which makes them easier to pass. If your child is constipated, consult your local or Summer Health pediatrician for further guidance.  

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Diluted juice can be useful if your child has trouble staying hydrated or is actively dehydrated. Start by mixing juice with a small amount of water and gradually increase how much water you add while reducing the amount of juice.

Tips for transitioning off of juice

• Dilute with juice with water
• Add sliced fruit to water
• Replace juice with whole fruit
• Stay consistent and recognize that pushback is temporary

When to see a pediatric registered dietitian

If you have questions about juice or healthy beverages or need assistance transitioning your child off juice, consult your local or Summer Health pediatric registered dietitian for personalized guidance.