Is intake of 100% fruit juice associated with adiposity in children? (DGAC 2010)
Limited and inconsistent evidence suggests that for most children, intake of 100% fruit juice is not associated with increased adiposity, when consumed in amounts that are appropriate for age and energy needs of the child. However, intake of 100% juice has been prospectively associated with increased adiposity in children who are overweight or obese.
Rationale: While many of the studies included in the DG2010 evidence reviews were methodologically strong, many were limited by small sample size, lack of adequate control for confounding factors, especially implausible energy intake reports, and use of surrogate, rather than direct measures of body fatness.
2. Conduct well-controlled and powered research studies testing interventions that are likely to improve energy balance in children at increased risk of childhood obesity, including dietary approaches that reduce energy density, total energy, dietary fat, and calorically sweetened beverages, and promote greater consumption of fruits and vegetables.
Rationale: Very few solid data are available on interventions in children.