For kids whole fruit is the best and fruit juice should be limited

About half of kids under age 5 in low income families drink twice the recommended serving of juice per day

To help keep at bay health risks such as childhood obesity and early tooth decay, the American Academy of Pediatrics recommends limiting fruit juice in children age 1-5 to one serving per day.

A new report from the University of Michigan C.S. Mott Children's Hospital National Poll on Children's Health shows that many kids in low-income families are getting more than the recommended amount of juice.

The Poll asked parents of young children of all economic levels about their children's juice consumption. Overall, 35 percent of parents report that their children 1-5 years old have two or more cups of juice on a typical day – twice the amount recommended by the AAP.

"It is important to limit juice consumption in young children because there is such a strong link between consumption of sugar-sweetened beverages and child health problems like obesity and early tooth decay," says Sarah Clark, M.P.H., Associate Director of the Child Health Evaluation and Research (CHEAR) Unit at the University of Michigan and Associate Director of the National Poll on Children's Health. "For many obese children, sugary beverages make up a large proportion of their daily energy intake."

Of parents whose household income is less than $30,000 annually, 49% report that their children drink two or more cups of juice per day. Only 23% of parents with household incomes of $100,000 or more report that their children drink two or more cups of juice per day.

These findings are concerning, Clark says.

"Both childhood obesity and early dental problems are more prevalent in lower-income children, so the children we're most worried about in terms of these conditions are also those who are drinking the most juice," Clark says.

Some parents may encourage their children to drink juice because it can help their child receive the recommended servings of fruit consumed each day.

"Parents may think juice is an easy way for their child to get a serving of fruit, but it's often difficult to pick out 100 percent fruit juice amid the sugar-sweetened juice drinks," Clark says. The AAP recommendation for even 100 percent fruit juice is that it is limited to no more than one serving per day.

"Parents who give their child juice as a healthy alternative may actually be feeding them nearly as much sugar as soda."

The Poll also found that 35 percent of lower-income parents said that their child's doctor recommends juice.

"This is an important message for health care providers as well as parents," Clark says. "Doctors need to be very specific in letting parents know that whole fruit is the best way to have a child get recommended servings of fruit and that fruit juice should be limited to no more than one serving per day for kids 5 years and younger."