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September 2016

The Option of Replacing the Special Supplemental Nutrition Program for Women, Infants, and Children Fruit Juice Supplements With Fresh Fruits and Vegetables

Author Affiliations
  • 1Department of Pediatrics, Stanford University, Palo Alto, California
  • 2Department of Pediatrics, Santa Clara Valley Medical Center, San Jose, California
JAMA Pediatr. 2016;170(9):823-824. doi:10.1001/jamapediatrics.2016.1178

Vouchers from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) that currently must be used toward fruit juice should allow for the option to be used for fresh fruits or vegetables given the potential detrimental health effects on children of consuming 100% fruit juice on a regular basis. Although the juice is derived from fruit, its consumption is associated with obesity1 and dental caries.2 From 2003 to 2009, the consumption of 100% fruit juice per day increased among minorities such as Latino and African American children, while it decreased among white children.3 A cohort of 8950 children demonstrated that drinking 100% fruit juice regularly at 2 years of age was associated with an increased odds (adjusted odds ratio, 1.30 [95% CI, 1.06-1.60]) of becoming overweight by 4 years of age compared with infrequently drinking or not drinking 100% fruit juice.4

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