"The good news is that
carbohydrate malabsorption may be controlled by making the right dietary
decisions," added Lifshitz. "We have seen in several previous
clinical studies a clear connection between perceptible carbohydrate malabsorption
and the type of juice the child is fed."
Juices like apple and pear
juice contain several sugars that make them less digestible. They contain
sorbitol and have an imbalance of fructose and glucose, which contributes
to the problem of carbohydrate malabsorption, according to the researchers.
White grape juice, on the other hand, contains no sorbitol and has an
even balance of fructose and glucose.
Sorbitol is an indigestible
sugar alcohol found in many fruit juices. Fructose, when not balanced
digest. Researchers attribute the symptoms of carbohydrate malabsorption
to the bacterial digestion of these undigested carbohydrates in the lower
intestine and colon. This creates gas, which may then lead to restlessness
and colicky-like symptoms.
"Were I advising a parent
of a young child on introducing a juice as a weaning food," said
Lifshitz, "I would recommend the one containing the appropriate blend
of sugars -- white grape juice. The literature clearly shows that babies
are less likely to experience digestive problems with this juice than
with those with a more problematic carbohydrate profile."
Dr. Lifshitz emphasizes that
juice should be consumed in moderation, and encourages parents to consult
their pediatricians to find out the best age to introduce juice to their
babies. The American Academy of Pediatrics recommends against introducing
juice prior to 6 months of age.
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