CHICAGO (AP) - Sweet drinks - whether Kool-Aid with sugar or all-natural
apple juice - seem to raise the risk of pudgy preschoolers getting fatter, new
research suggests.
That may come as a surprise to parents who pride themselves on seeking out
fruit drinks with no added sugar.
"Juice is definitely a part of this," said lead researcher Jean Welsh of the
Centers for Disease Control and Prevention.
While fruit juice does have vitamins, nutritionists say it's inferior to
fresh fruit. The new U.S. dietary guidelines, for example, urge consumers away
from juice, suggesting they eat whole fruit instead.
The bottom line, though, is that "children need very few calories in their
day," Welsh said.
"Sweet drinks are a source of added sugar in the diet."
She said preschoolers were better off snacking on fruit or drinking water or
milk.
Welsh's research, published in the February issue of Pediatrics, found that
for three-and four-year-olds already on the heavy side, drinking something sweet
once or twice a day doubled their risk of becoming seriously overweight a year
later.
The sweet drinks seemed to have little effect, however, on children of normal
weight.
The American Academy of Pediatrics recommends limiting preschoolers to four
to six ounces of juice per day. Some parents and schools are paying attention.
One Chicago Head Start program banned juice last year as part of an
anti-obesity effort after finding that one out of five of its students was
obese.
Monica Dillion, community health nurse for the Howard Area Family Center,
said the preschool also added more fruits and vegetables to meals and more
exercise to the daily schedule. The preschool has never served soft drinks.
The juice ban drew no complaints, Dillion said. "The kids didn't notice at
all."
The Pediatrics study followed 10,904 Missouri children in a nutrition program
for low-income families. Researchers looked at the effect of sweet drinks in
three groups: normal and underweight children, those at risk of becoming
overweight, and those who already were overweight.
The researchers compared the children's heights and weights, approximately
one year apart. They also looked at parents' reports of what their children ate
and drank during a four-week period at the beginning of the first year. Fruit
drinks like Kool-Aid and Hi-C were included as sweet drinks, along with juice
and soda.
The link between sweet drinks and being overweight showed up for all three
weight categories, although it wasn't statistically significant for the normal
and underweight children.
Taking into account other differences, such as ethnicity, birth weight and a
high-fat diet, didn't erase the effect of sweet drinks.
The children in the study drank, on average, more fruit juice than soft
drinks or sweetened fruit drinks.
Sweet drinks are high in calories and low in fibre. Nutritionists believe
that calorie-dense, low-fibre foods may lead to overeating because those foods
are quickly consumed but less filling than foods higher in fiber.
The authors suggest that limiting sweet drinks may help solve the growing
problem of childhood obesity. One in five American children is overweight,
according to the National Institutes of Health.
The study defined at-risk children as those whose size put them in the 85th
to 95th per centile in growth charts. A child in the 85th per centile would be
heavier than 85 per cent of children of the same gender and age.
Richard H. Adamson, vice president for scientific and technical affairs at
the American Beverage Association, questioned the study's methods, saying it
didn't take into account television viewing, overweight parents and the
children's activity levels.
But Dr. Rebecca Unger, who evaluates overweight children in private practice
and at Children's Memorial Hospital in Chicago, said the study backs up what she
sees in the real world.
"We do see kids do well when we cut out juice," she said. "Sometimes that's
all they need to do."
Source: Associated Press