Fruit juice – a scoping review for Nordic Nutrition Recommendations 2023

Magdalena Rosell; Christine Delisle Nyström

doi:10.29219/fnr.v68.10463

Magdalena Rosell Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
Christine Delisle Nyström Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden

DOI: https://doi.org/10.29219/fnr.v68.10463

Keywords: fruit juice, fruit, beverages, dietary guidelines

Abstract

Fruit juice has a similar nutrient content as whole fruit and may in this respect be part of a healthy diet. However, a lower amount or lack of fibre and a higher concentration of sugars and energy could also contribute to less satiation and increase the risk of excess energy intake. The aim of this scoping review is to describe the overall evidence for the role of fruit juice as a basis for setting and updating food-based dietary guidelines in the Nordic Nutrition Recommendations 2023. PubMed was searched for systematic reviews and meta-analyses and evidence was extracted on relevant health outcomes. Current available evidence indicates that low to moderate consumption of fruit juice is not associated with an apparent risk of chronic diseases and may have protective effects on cardiovascular disease. The association between the intake of fruit juice and weight gain remains unclear and might be of concern for some groups of people. Overall, the evidence regarding health effects of fruit juice is limited.

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References

1.
Directive 2012/12/EU of the European parliament and of the council of 19 April 2012 amending Council Directive 2001/112/EC relating to fruit juices and certain similar products intended for human consumption. Official Journal of the European Union. 2012; 55: 1–11.

2.
World Cancer Research Fund/American Institute for Cancer Research. Continous Update Project Expert Report 2018. Wholegrains, vegetables and fruit and the risk of cancer. Available from: dietandcancerreport.org [cited 11 June 2021].

3.
Berry (plant reproductive body). Encyclopedia Britannica. Available from: https://www.britannica.com/science/berry-plant-reproductive-body [cited 19 November 2022].

4.
Clemens R, Drewnowski A, Ferruzzi MG, Toner CD, Welland D. Squeezing fact from fiction about 100% fruit juice. Adv Nutr 2015; 6(2): 236S–43S. doi: 10.3945/an.114.007328

5.
Swedish Food Agency. Food database (In Swedish: Livsmedelsdatabasen). Available from: https://www.livsmedelsverket.se/livsmedel-och-innehall/naringsamne/livsmedelsdatabasen [cited 10 November 2022].

6.
Blomhoff R, Andersen R, Arnesen EK, Christensen JJ, Eneroth H, Erkkola M, et al. Nordic Nutrition Recommendations 2023. Copenhagen: Nordic Council of Ministers; 2023.

7.
Rosell M, Fadnes LT, Vegetables, fruits, and berries – a scoping review for Nordic Nutrition Recommendations 2023. Food Nutr Res 2023.

8.
Høyer A, Christensen JJ, Arnesen EK, Andersen R, Eneroth H, Erkkola M, et al. The Nordic Nutrition Recommendations 2022 – prioritization of topics for de novo systematic reviews. Food Nutr Res. 2021; 65. doi: 10.29219/fnr.v65.7828

9.
Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ 2017; 358: j4008. doi: 10.1136/bmj.j4008

10.
Warensjö Lemming E, Pitsi T. The Nordic Nutrition Recommendations 2022 – food consumption and nutrient intake in the adult population of the Nordic and Baltic countries. Food Nutr Res 2022; 66: 8572. doi: 10.29219/fnr.v66.8572

11.
Zurbau A, Au-Yeung F, Blanco Mejia S, Khan TA, Vuksan V, Jovanovski E, et al. Relation of different fruit and vegetable sources with incident cardiovascular outcomes: a systematic review and meta-analysis of prospective cohort studies. J Am Heart Assoc 2020; 9(19): e017728. doi: 10.1161/JAHA.120.017728

12.
Kazemi A, Soltani S, Mokhtari Z, Khan T, Golzarand M, Hosseini E, et al. The relationship between major food sources of fructose and cardiovascular disease, cancer, and all-cause mortality: a systematic review and dose-response meta-analysis of cohort studies. 2023; 63(20): 4274–87. doi: 10.1080/10408398.2021.2000361

13.
Sun T, Zhang Y, Ding L, Li T, Li Q. The relationship between major food sources of fructose and cardiovascular outcomes: a systematic review and dose-response meta-analysis of prospective studies. Adv Nutri 2023; 14(2): 256–69. doi: 10.1016/j.advnut.2022.12.002

14.
Pan B, Ge L, Lai H, Wang Q, Zhang Q, Yin M, et al. Association of soft drink and 100% fruit juice consumption with all-cause mortality, cardiovascular diseases mortality, and cancer mortality: a systematic review and dose-response meta-analysis of prospective cohort studies. Crit Rev Food Sci Nutr 2022; 62(32): 8908–19. doi: 10.1080/10408398.2021.1937040

15.
D’Elia L, Dinu M, Sofi F, Volpe M, Strazzullo P, SINU Working Group EdbS. 100% Fruit juice intake and cardiovascular risk: a systematic review and meta-analysis of prospective and randomised controlled studies. Eur J Nutr 2021; 60(5): 2449–67. doi: 10.1007/s00394-020-02426-7

16.
Li Y, Guo L, He K, Huang C, Tang S. Consumption of sugar-sweetened beverages and fruit juice and human cancer: a systematic review and dose-response meta-analysis of observational studies. J Cancer 2021; 12(10): 3077–88. doi: 10.7150/jca.51322

17.
Farvid MS, Barnett JB, Spence ND. Fruit and vegetable consumption and incident breast cancer: a systematic review and meta-analysis of prospective studies. Br J Cancer 2021; 125(2): 284–98. doi: 10.1038/s41416-021-01373-2

18.
Llaha F, Gil-Lespinard M, Unal P, de Villasante I, Castañeda J, Zamora-Ros R. Consumption of sweet beverages and cancer risk. a systematic review and meta-analysis of observational studies. Nutrients 2021; 13(2): 516. doi: 10.3390/nu13020516

19.
Halvorsen RE, Elvevstad M, Molin M, Aune D. Fruit and vegetable consumption and the risk of type 2 diabetes: a systematic review and dose-response meta-analysis of prospective studies. BMJ Nutr Prev Health 2021; 4(2): 519–31. doi: 10.1136/bmjnph-2020-000218

20.
Ayoub-Charette S, Liu Q, Khan TA, Au-Yeung F, Blanco Mejia S, de Souza RJ, et al. Important food sources of fructose-containing sugars and incident gout: a systematic review and meta-analysis of prospective cohort studies. BMJ Open 2019; 9(5): e024171. doi: 10.1136/bmjopen-2018-024171

21.
Liska D, Kelley M, Mah E. 100% Fruit juice and dental health: a systematic review of the literature. Front Public Health 2019; 7: 190. doi: 10.3389/fpubh.2019.00190

22.
Liu Q, Ayoub-Charette S, Khan TA, Au-Yeung F, Blanco Mejia S, de Souza RJ, et al. Important food sources of fructose-containing sugars and incident hypertension: a systematic review and dose-response meta-analysis of prospective cohort studies. J Am Heart Assoc 2019; 8(24): e010977. doi: 10.1161/JAHA.118.010977

23.
Semnani-Azad Z, Khan TA, Blanco Mejia S, de Souza RJ, Leiter LA, Kendall CWC, et al. Association of major food sources of fructose-containing sugars with incident metabolic syndrome: a systematic review and meta-analysis. JAMA Netw Open 2020; 3(7): e209993. doi: 10.1001/jamanetworkopen.2020.9993

24.
Ayoub-Charette S, Chiavaroli L, Liu Q, Khan TA, Zurbau A, Au-Yeung F, et al. Different food sources of fructose-containing sugars and fasting blood uric acid levels: a systematic review and meta-analysis of controlled feeding trials. J Nutr 2021; 151(8): 2409–21. doi: 10.1093/jn/nxab144

25.
Crowe-White K, Parrott JS, Stote KS, Gutschall M, Benson-Davies S, Droke E, et al. Metabolic impact of 100% fruit juice consumption on antioxidant/oxidant status and lipid profiles of adults: an evidence-based review. Crit Rev Food Sci Nutr 2017; 57(1): 152–62. doi: 10.1080/10408398.2015.1102861

26.
Tonin FS, Steimbach LM, Wiens A, Perlin CM, Pontarolo R. Impact of natural juice consumption on plasma antioxidant status: a systematic review and meta-analysis. Molecules 2015; 20(12): 22146–56.

27.
Pan A, Malik VS, Hao T, Willett WC, Mozaffarian D, Hu FB. Changes in water and beverage intake and long-term weight changes: results from three prospective cohort studies. Int J Obes 2013; 37(10): 1378–85. doi: 10.1038/ijo.2012.225

28.
Hebden L, O’Leary F, Rangan A, Singgih Lie E, Hirani V, Allman-Farinelli M. Fruit consumption and adiposity status in adults: a systematic review of current evidence. Crit Rev Food Sci Nutr 2017; 57(12): 2526–40.

29.
Auerbach BJ, Wolf FM, Hikida A, Vallila-Buchman P, Littman A, Thompson D, et al. Fruit juice and change in BMI: a meta-analysis. Pediatrics 2017; 139(4): e20162454. doi: 10.1542/peds.2016-2454

30.
Frantsve-Hawley J, Bader JD, Welsh JA, Wright JT. A systematic review of the association between consumption of sugar-containing beverages and excess weight gain among children under age 12. J Public Health Dent 2017; 77 Suppl 1: S43–66. doi: 10.1111/jphd.12222

31.
Zheng J, Zhou Y, Li S, Zhang P, Zhou T, Xu DP, et al. Effects and mechanisms of fruit and vegetable juices on cardiovascular diseases. Int J Mol Sci 2017; 18(3): 555. doi: 10.3390/ijms18030555

32.
Santos LP, Gigante DP, Delpino FM, Maciel AP, Bielemann RM. Sugar sweetened beverages intake and risk of obesity and cardiometabolic diseases in longitudinal studies: a systematic review and meta-analysis with 1.5 million individuals. Clin Nutr ESPEN 2022; 51: 128–42. doi: 10.1016/j.clnesp.2022.08.021

33.
Cheng H, Zhou J, Sun Y, Zhan Q, Zhang D. High fructose diet: a risk factor for immune system dysregulation. Hum Immunol 2022; 83(6): 538–46. doi: 10.1016/j.humimm.2022.03.007

34.
Agarwal S, Fulgoni Iii VL, Welland D. Intake of 100% fruit juice is associated with improved diet quality of adults: NHANES 2013–2016 analysis. Nutrients 2019; 11(10): 2513. doi: 10.3390/nu11102513

35.
Bellisle F, Hébel P, Fourniret A, Sauvage E. Consumption of 100% pure fruit juice and dietary quality in French adults: analysis of a nationally representative survey in the context of the WHO recommended limitation of free sugars. Nutrients 2018; 10(4): 459. doi: 10.3390/nu10040459

36.
Wan L, Jakkilinki PD, Singer MR, Bradlee ML, Moore LL. A longitudinal study of fruit juice consumption during preschool years and subsequent diet quality and BMI. BMC Nutr 2020; 6: 25. doi: 10.1186/s40795-020-00347-6

37.
Heyman MB, Abrams SA. Fruit juice in infants, children, and adolescents: current recommendations. Pediatrics 2017; 139(6): e20170967. doi: 10.1542/peds.2017-0967

38.
Oral Health Foundation. Diet and my health. Available from: https://www.dentalhealth.org/diet-and-my-teeth [cited 19 November 2022].

39.
Khan TA, Chiavaroli L, Zurbau A, Sievenpiper JL. A lack of consideration of a dose-response relationship can lead to erroneous conclusions regarding 100% fruit juice and the risk of cardiometabolic disease. Eur J Clin Nutr 2019; 73(12): 1556–60. doi: 10.1038/s41430-019-0514-x

Fruit juice – a scoping review for Nordic Nutrition Recommendations 2023

Abstract

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