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Expert Q&A:
Is my 33-month-old drinking too much juice?

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Loraine Stern
Answered by Loraine Stern M.D.
"I adore children and being a pediatrician because of all the hugging and laughing that we do," say Loraine Stern, M.D. 

Loraine Stern, M.D., clinical professor of pediatrics at U.C.L.A., has been in private pediatric practice for 35 years. Dr. Stern wrote for Woman's Day magazine from 1986 to 2005. She is a former editor of and contributor to Healthy Kids magazine. She has published two books on child care and has edited a book about pediatric nutrition for the American Academy of Pediatrics. A spokesperson for children and families, Dr. Stern has appeared on national networks and programs such as CNN, The Today Show, and Good Morning America.

Dr. Stern has two stepchildren but no animals or even green plants.


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Question


Is my 33-month-old drinking too much juice?

Answer


The short answer is "Yes. You should limit his juice." The American Academy of Pediatrics (AAP) recently issued guidelines about the role of juice in children's diets. While juice contains some vitamin C and carbohydrates, and sometimes calcium, it has little else of nutritional value, such as fiber, protein, minerals, or fat. Juice can also contain artificial flavors, extra sweeteners, and other ingredients that are not the most desirable. Finally, drinking juice can satisfy children's appetites, filling them up so that they do not drink enough milk or eat enough other, more nutrient-dense foods such as fruit itself.

The AAP guidelines state that

    •  children under 6 months be given no fruit juice at all;
    •  children 6 months to 1 year should not get juice at bedtime and should not get juice from bottles or cups that allow them to consume juice easily throughout the day;
    •  children between 1 and 6 years old be limited to 4 to 6 ounces per day; and
    •  children 7 to 18 years old should drink only 8 to 12 ounces daily.

It may be hard to change your son's habits cold turkey. Start by gradually watering down his juice so that he ends up drinking mostly water, and then offer milk at meals.
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