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Incomplete carbohydrate absorption from fruit juice consumption after acute diarrhea.

H Ribeiro1, T C Ribeiro, S Valois

  • 1Departamento de Pediatria da Escola de Medicina da Univerisidade Federal da Bahia, Salvador, Bahia, Brazil.

The Journal of Pediatrics
|August 7, 2001
PubMed
Summary

Fruit juices high in fructose, glucose, and sorbitol can worsen diarrhea in children recovering from acute illness. These juices lead to poor carbohydrate absorption, causing diarrhea to return.

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Area of Science:

  • Pediatrics
  • Gastroenterology
  • Nutrition Science

Background:

  • Acute diarrhea is a common childhood illness.
  • Dietary management during recovery is crucial.
  • Fruit juices are frequently given to children but their tolerance varies.

Purpose of the Study:

  • To evaluate the tolerance of commonly consumed fruit juices in children recovering from acute diarrhea.
  • To identify specific juice components that may impede recovery.

Main Methods:

  • A double-blind, randomized study was conducted.
  • Sixty children experiencing acute diarrhea participated.
  • Tolerance was assessed based on carbohydrate absorption and diarrhea recurrence after juice consumption.

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Main Results:

  • Fruit juices with high fructose/glucose ratios were poorly tolerated.
  • Sorbitol content in juices also correlated with poor tolerance.
  • Incomplete carbohydrate absorption and diarrhea recurrence were observed in children consuming these juices.

Conclusions:

  • Certain fruit juices can negatively impact recovery from acute diarrhea in children.
  • High fructose/glucose ratios and sorbitol in juices contribute to malabsorption and symptom recurrence.
  • Dietary recommendations should consider the composition of fruit juices during the post-diarrheal recovery phase.