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About fruit juice (fruit juice) and diarrhea

Last update date November 8, 2019

Ingredient ... of fruit juice

Here, we make thing which is 100% fruit juice (100% fruit juice) topic as fruit juice. It is moisture that there is the most as ingredient of fruit juice. For nutrient, there is much carbohydrate (sugar). For carbohydrate (sugar), saccharose (saccharose), cell toes (fructose), glucose (glucose), sorbitol are included. The density of carbohydrate (sugar) is 16 g/100 ml or more from about 11 g/100 ml. For calorie by carbohydrate (sugar) per 1 ml of fruit juice generally become 0.64kcal or more from 0.44kcal. In addition, the density of carbohydrate (sugar) of mother's milk is 7 g/100 ml. Most of the carbohydrate (sugar) of mother's milk are lactose (lactose).

Absorption ... of carbohydrate (sugar) of fruit juice

Saccharose (saccharose) which is disaccharide is broken all down into glucose (glucose) and cell toes (fructose) which are monosaccharide in the small intestine by enzyme called saccharase. Absorption of glucose (glucose) is fast. About cell toes (fructose), absorption in the presence of glucose (glucose) is good, and time when glucose (glucose) and cell toes (fructose) exist in equal molar concentration has best absorption. It is easy to have malabsorption by excessive drinking juice of apple and pear that there are more cell toes (fructose) than glucose (glucose) than white grape juice existing in molar concentration that cell toes (fructose) are approximately equal to glucose (glucose). However, these juice is absorbed well sometime soon as far as they drink with quantity that is with around 10 ml per 1 kg in weight or less of. As for the absorption of sorbitol, most of the sorbitol taken in late are not absorbed.
As for the carbohydrates (sugar) which were not absorbed in the small intestine, it is fermented by bacteria in large intestine. Hydrogen, carbon dioxide, methane, short chain fatty acid (acetic acid, propionic acid, butyric acid) occur by fermentation. A part of these gas and fatty acid is absorbed in large intestine. Carbohydrates (sugar) which were not absorbed give load by osmotic pressure to gastrointestinal tract, and diarrhea may be caused.
When we drank fruit juice too much, by malabsorption of carbohydrate (sugar) in fruit juice, chronic diarrhea, the hand drum bowels (flatulence with gas), abdominal pain may be caused. Cell toes (fructose) and sorbitol often participate. In the case of constipation, there is person who is going to make bowel movement better by drinking fruit juice.

When diarrhea symptom is seen for acute gastroenteritis child; ...

When child is acute gastroenteritis, and diarrhea symptom is seen, 100% fruit juice (100% fruit juice) is not suitable for drink of hydration. The density of carbohydrate (sugar) of fruit juice is 16 g/100 ml or more from 11 g/100 ml. The density of carbohydrate (sugar) of this fruit juice exceeds ability for small intestinal absorption when diarrhea symptom is seen for acute gastroenteritis and may awfully do diarrhea symptom. For example, density of glucose (glucose) of drink (oral supplementary liquid) which there is child when diarrhea symptom is seen for acute gastroenteritis, and WHO (World Health Organization), UNICEF (UNICEF: United Nations International Children's Emergency Fund: the United Nations international elementary school student emergency fund) recommends is 1.35 g/100 ml. In addition, fruit juice has few electrolytes such as sodium, and sodium level is 1-3mEq/L. When diarrhea symptom is seen for acute gastroenteritis child, sodium level in loose bowels of child is high roughly with 20-40mEq/L, and, as for not only moisture but also sodium, child needs supply. For example, density of sodium of drink (oral supplementary liquid) which there is child when diarrhea symptom is seen for acute gastroenteritis, and WHO (World Health Organization), UNICEF recommends is 75mEq/L. In addition, about time when child is acute gastroenteritis, and diarrhea symptom is seen, composition of drink (oral supplementary liquid) which WHO (World Health Organization), UNICEF recommends is just what of lower table.

Table 1. Composition (component) of oral supplementary liquid which WHO (World Health Organization), UNICEF recommends
Weightg/LOsmotic pressuremmol/L
Sodium chloride2.6Sodium75
Glucose, anhydride13.5Chlorine65
Potassium chloride1.5Glucose75
Citric acid trisodium, dihydrate2.9Potassium20
Citric acid10
The sum total20.5The sum total245

References

  1. AMERICAN ACADEMY OF PEDIATRICS, Committee on Nutrition. ; The Use and Misuse of Fruit Juice in Pediatrics (RE0047). ; Pediatrics, Volume 107, Number 5, May 2001, p. 1210-1213.
  2. UNICEF and WHO, Oral rehydration salts (ORS). A new reduced osmolarity formulation. ; May 10, 2002.

May 7, 2004 publication

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