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Study: Drinking Fruit Juice Worse Than Sugary Soda For Type 2 Diabetes Risk


Dr. Julie Palmer says don’t get fooled into drinking OJ

What could be healthier for you than a icy cold glass of orange juice, right? What could be more Americana and good for you than that?! I mean it comes from freshly-squeezed oranges which are grown on trees, so it HAS to be better for you than sugary soda, doesn’t it? Wellllllll, not exactly as a new study published in a major medical journal from researchers out of Boston University revealed this week.

Lead researcher Dr. Julie Palmer, a senior epidemiologist from the Slone Epidemiology Center at Boston University, looked at the connection between both fruit juice and sugary soda to Type 2 diabetes as part of the enlightening and still-ongoing prospective Black Women’s Health Study featuring a whopping 59,000 African-American women from across the United States. Because Type 2 diabetes has hit the black female population especially hard increasing exponentially in the past few years (double that of white women), Dr. Palmer wanted to find out specifically why and what she discovered is gonna shock a whole lotta people.

Initial questionnaires went sent out to the study participants in 1995 to obtain baseline information on height, weight, demographic characteristics, medical history, usual diet and other factors. Then follow-up questionnaires soliciting information with updates on various health conditions, lifestyle changes, and diet among other things have been sent out every two years ever since to see if there are any marked changes in the occurrence of Type 2 diabetes or other such diseases.

In all, 2,713 of the study participants (about 4.5 percent) developed Type 2 diabetes in the first ten years since the study began that paralleled with those women who increased their consumption of both sugary sodas and fruit drinks. According to the study, women who drank 2+ sodas per day experienced a 24 percent increase in getting Type 2 diabetes than those who drank less than one soft drink in a month.

Interestingly, Dr. Palmer also found a curious connection between fruit juice and Type 2 diabetes as well. Those women in the study who drank 2+ servings of this “healthy” drink alternative to sugary soda, primarily at breakfast time, saw a 31 percent increase in diabetes risk compared to those who had less than one glass of fruit juice each month.

Hmmmm…

I can remember growing up how much I LOVED drinking Sunny Delight orange juice. And my mom faithfully bought it for me, my brother Kevin, and sister Beverly thinking it was a “healthy” option since it was derived from fruit. Surely this had to be better than all that soda we would be drinking instead, right? Boy, we couldn’t have been more wrong if we tried–and we have to blame it partially on the aggressive marketing of the juice lobby led by groups like the Juice Products Association who are in full spin-mode right now promoting juice as playing “an important role in a healthy diet.” NOT!

Some will argue that it’s fruit and that alone should make it healthy. While I sincerely believe both whole fruits and vegetables are an important part of a healthy diet (including a low-carb one, by the way!), it’s a blatant copout to say they’re all good for you when clearly they are not. Blueberries, strawberries, raspberries, cantaloupe, and honeydew are excellent choices for fruit in the latter stages of your low-carb life management plan. But juicing even any of these fruits simply concentrates the sugar that much more and you just don’t need it. Can you imagine all the sugar you’d be adding to your body with apple, pineapple, or orange juice? EEEEEEK! No thanks! I don’t need to get Type 2 diabetes.

The take-home message from this study is that fruit juice is equal if not MORE harmful to your risk for Type 2 diabetes as sugary soda is and should be avoided for the same reasons. Most of the people reading this at my blog are saying to themselves, “well duh?!” But ask just about anyone you know which of the two is healthier between fruit juice and sugary soda and you’re gonna have a virtually unanimous choice for the fruit juice. My answer would be NEITHER and I haven’t drank either one since I started livin’ la vida low-carb in January 2004. And I have NO intentions of EVER doing so again.

Dr. Palmer said fruit drinks were favored over sugary soda by the participants in the study and that fruit drink consumption in the United States has doubled since the late 1970s. This along with the strong marketing of fruit juice as “healthy” beginning in the 1980s and still to this day has led us to higher and higher rates of Type 2 diabetes, Dr. Palmer noted.

“The public should be made aware that these drinks are not a healthy alternative to soft drinks with regard to risk of type 2 diabetes,” she exclaimed.

This study was funded by the National Cancer Institute and the National Institute of Diabetes and Digestive and Kidney Diseases and was published in the July 28, 2008 issue of the Archives of Internal Medicine.

You can e-mail Dr. Julie Palmer about her study at jpalmer@slone.bu.edu.

See what some of my fellow low-carbers had to say about this study on fruit juice:

- Dr. Jonny Bowden
- Connie Bennett
- Discussion at my forum
- Carol Bardelli
- Low-Carb Friends
- Sean Kelley

10 comments to Study: Drinking Fruit Juice Worse Than Sugary Soda For Type 2 Diabetes Risk

  • Matt Metzgar

    Did you even read this study? There is a big difference between fruit juice and a sugar-sweetened fruit drink. From the study:

    “Women who consumed 2 or more soft drinks per day had a 24% increase in incidence relative to women who drank less than 1 soft drink per month. A similar association was observed for sweetened fruit drinks, with a 31% increase observed for 2 or more drinks per day relative to less than 1 drink per month. Consumption of orange and grapefruit juice and of diet soft drinks was not associated with diabetes risk. “

    The title of your blog post using “fruit juice” instead of “fruit drink” is inaccurate and misleading.

  • Jimmy Moore

    You’ll notice I cited Sunny D in my post–a fruit drink that is marketed as healthy. I hear your point, but I must ask what the difference really is.

  • Matt Metzgar

    In the study, consumption of pure fruit juice was not linked to a higher rate of diabetes. Consumption of sugar-sweetened fruit drinks was linked. From this, it would seem very likely that the problem is the added sugar, and nothing to do with fruit juice per se.

    The study could have been summed up as “sugar increases the risk of diabetes”, which is hardly groundbreaking.

  • Jimmy Moore

    It may not be “groundbreaking” to people like you and me, Matt. But how many people drink Sunny D and other “fruit drinks” assuming they are healthy? Still far too many.

  • Tom Bunnell (TB)--TB

    A glass of Orange Juice and a glass of Apple Juice and a glass of Pop and a glass of Kool-Aid and a glass of Milk are all the same thing! — Almost pure carbohydrates! — Shocking news when first heard and not easy to swallow and hardly believed, but factually the truth!

  • Back in the days of endless Weight Watcher regimes and $13 re-registrations — although I knew nothing about the effects of carbs and insulin –I was somehow fortunate to catch on to the relationship of OJ to my consciousness–i.e., I nearly passed out every time I drank a glass of Florida sunshine. Amazing to me that anything could stand out and be identified among the stream of other sugars, white flours, and HFCC, but the effect of OJ had an intensity all it’s own.

  • My first job after college was working in the warehouse of Odwalla juice… I still remember the epic sugar high my first night working there, where we could drink all the juice we wanted! I quickly gravitated towards only drinking wheatgrass juice, carrot juice or the Odwalla protein drink, and still spent much of the time in a juice-induced sugar stupor. I worked hard all night, so I burned off all the sugar, but later on, when I quit that job but still had an acquired love for fruit juice, I gained a lot of weight!

  • A. Manechevitz

    Your blog about fruit juice is very misleading, it should be edited and rewritten. Fruit “drink” and say, organic orange juice are not one and the same. Own-up, Jimmy!

    I stand by what I wrote. Both have sugar and cause the same health issues related to insulin. What is the difference?

    –Jimmy

  • jimmy I agree with you. Fruit is good in moderation, fruit juice even if it’s organic is just the sugar and none of the fiber contained in the actaul fruit.

  • All full-strength soft drinks are about 6 per cent fructose by weight. The most popular fruit juices are even worse than soft drink (this is probably why they are the most popular). Fruit juices often taste sweeter than soft drinks, but the fruit juice industry has very cleverly convinced us that they are, in fact, ‘natural’, and therefore healthy. An average apple juice will be about 7 per cent fructose by weight. This means a medium apple juice contains about 35g of fructose (equivalent to 70g [17 teaspoons] of table sugar) whereas the same quantity of soft drink would contain only 30g (equivalent to 60g of sugar).

    These figures are for unsweetened juices – often manufacturers (particularly those targeting children) will add even more sugar to overcome the tart taste of citric acid in citrus juices, or just to make it sweeter.

    While I think you should clarify the fact that the study is about fruit drinks, I agree with you that it doesn’t much matter – fructose is fructose whether it is added or ‘natural’.

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