Premium
Longitudinal evaluation of 100% fruit juice consumption on BMI status in 2–5‐year‐old children
Author(s) -
Shefferly A.,
Scharf R. J.,
DeBoer M. D.
Publication year - 2016
Publication title -
pediatric obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.226
H-Index - 69
eISSN - 2047-6310
pISSN - 2047-6302
DOI - 10.1111/ijpo.12048
Subject(s) - medicine , overweight , body mass index , obesity , odds , odds ratio , longitudinal study , demography , logistic regression , fruit juice , cohort , childhood obesity , cohort study , pediatrics , food science , chemistry , pathology , sociology
Summary Background Obesity in childhood is related to multiple lifestyle factors. Our objective was to evaluate the relationship between consumption of 100% fruit juice and weight status over time among pre‐school children. Methods We used linear and logistic multivariable regression to evaluate body mass index ( BMI ) z ‐score and overweight/obese status as a function of 100% fruit juice intake for 8950 children examined at ages 2, 4 and 5 years as part of the Early Childhood Longitudinal Study–Birth Cohort, a representative sample of the U nited S tates. Results Cross‐sectional analysis at ages 4 and 5 years showed no difference in the prevalence of overweight and obesity between consistent juice drinkers and inconsistent/non‐drinkers. Longitudinal analysis found that children who drank 100% juice consistently at age 2 years had greater increases in BMI z ‐score by age 4 years than infrequent/non‐drinkers ( P < 0.0001), a difference driven by lesser increases in height z ‐score ( P = 0.0003) and slightly greater increases in weight z ‐score ( P = 0.0550) among consistent juice drinkers over the 2 to 4 year time period. Additionally, consistent juice drinkers at age 2 had higher odds of becoming overweight by age 4 (adjusted odds ratio 1.30; CI 1.06–1.60). These differences in growth parameters were not noted between ages 4 and 5 years. Conclusions Drinking 100% fruit juice regularly at age 2 is associated with higher odds of becoming overweight between 2 and 4 years. Paediatricians and parents can discourage excessive fruit juice consumption as part of a larger effort to avoid unhealthy gain in BMI in young children.