Opinion of new policy from the American Academy of Pediatrics on use/misuse of fruit juice

[Geronazzo, Nancy]

Hi
I just read your email. In Canada, the CPS doesn't state any  have specific
amounts . What reservations do you have with AAP statement?
Nancy

		-----Original Message-----
		From:	Janice Phelan
[mailto:PhelaJ at mail.health.state.mo.us]
		Sent:	Friday, June 22, 2001 3:41 PM
		To:	Public Health Nutrition Discussion and Information
Group
		Subject:	Re: Opinion of new policy from the American
Academy of Pediatrics on use/misuse of fruit juice

		I'm sure others have pointed out that item #1 says that
"Juice should be introduces" when I think you wanted to say "should NOT be
introduced".

		Don't have "scientific data" to offer. My "gut RD feelings"
are that expressing limitations on the number of onces of juice consumed by
children may not be a good idea. Would rather combine #3 and #4.

		"Children should be encouraged to limit intake of fruit
juice and eat whole fruits to meet the remainder of their recommended daily
fruit intake. Recommended limiting intake of fruit juice to 4 to 6 oz/d for
children 1 to 6 years old. For children 7 to 18 years, recommend juice
intake be limited to 8 to 12 oz or 2 servings per day."



		Janice A. Phelan, MS, RD, LD
		Bureau of Community Food and Nutrition Assistance
		Missouri Department of Health
		P.O. Box 570
		Jefferson City, MO 65102
		573-751-6269 or 888-435-1464 
		FAX: 573-526-3679
		phelaj at mail.health.state.mo.us
	
http://www.health.state.mo.us/nutritionservices/eatforhealth.html#mnn
		"Eat for health, it's all about you, and your family too."

		>>> HLANGILLE at wechealthunit.org 06/22/01 12:55PM >>>

		Hello all.

		This is my first message or question to this list serve.
Please bear with
		my ramblings....   


		My colleagues and I have been asked to respond to the policy
statement
		issued recently by the American Academy of Pediatrics (and
others) on the
		"Use and Misuse of Fruit Juice in Pediatrics" (Pediatrics,
vol 107, no. 5,
		May 2001, pp. 1210-1213).

		I am preparing a synopsis of our key findings and
recommendations of issues
		related to the use (and misuse) of fruit juice in infants
and children.  As
		part of our search for information, we are asking for help
from our public
		health colleagues.

		The policy statement can be found at www.aap.org/policy 
		<http://www.aap.org/policy>.  The recommendations are
provided here as an
		attachment if you haven't seen them yet.

		We would like your help with ANY of the following issues.
Please email or
		fax a copy of any information that you can share with us.

			1.	What is your opinion of the use/misuse of
fruit juice?  In
		particular, do you believe that fruit juice is consumed in
excess within a
		significant portion of the population?  Further to that, do
you believe that
		excess fruit juice can lead to obesity in infants and
children?  From what I
		have research, there is not a lot of research.  (Ive read
Dennison et al.,
		1997 which seems to have gotten the most attention and
weight as a basis for
		the A.A.P. recommendations).

			2.  Do you believe that it is appropriate to
recommend a limit of
		4-6 oz for 1-6 yrs old and 12 oz for 7-18 yrs old?  Does
your opinion vary
		depending on the population ie. general population vs.
individual patient?

			3.	What is your opinion on the use of fruit
juice vs. fruit
		drink in terms of calories, amount of sugar, amount of
vitamins/minerals?  

			4.	Do you know of any published reports about
the association
		between drinking fruit juice and the prevalence/risk of
dental caries?  I am
		looking for information specifically related to offering
juice in an open
		cup vs. a covered "sippy" cup.

		Any information on any of these questions would really be
appreciated..  If
		you would rather discuss it over the phone, that would be
great.  I'd be
		happy to call you.  

		Thanks again,



		Heather Langille, RD., M.A. (Health Education)
		  
		Nutritionist
		Windsor-Essex County Health Unit
		1005 Ouellette Ave.
		Windsor, ON
		N9A 4J8
		519-258-2146 ext 1235
		fax 519-258-7288
		hlangille at wechealthunit.org 

		 <<Recommendations from the American Academy of
Pediatrics.doc>>