PMID: 8580619Nov 1, 1995Paper

Fruit juice malabsorption: not only fructose

Acta Paediatrica
J H HoekstraC M Kneepkens

Abstract

Malabsorption of free fructose, when ingested in excess over glucose, is considered a significant factor in apple juice induced diarrhoea. Absorption of the carbohydrates in fruit juices was investigated by means of the hydrogen breath test in 15 healthy children aged 2.2-6.4 years, consuming 15 ml kg-1 of each juice with a maximum of 375 ml. Incomplete absorption was found following the ingestion of apple juice (5/5), grape juice (10/10) and bilberry juice (8/10), although the last two contain equivalent concentrations of fructose and glucose. When the same tests were repeated after yeast treatment of the juices, which leads to major reductions in fructose and glucose contents, malabsorption was found to persist. No symptoms were observed following any of the tests. Our results suggest a significant role for other carbohydrates than fructose, possibly those originating from the fruit skin, with respect to fruit juice-induced breath hydrogen excretion.

References

May 11, 1992·The Journal of Pediatrics·F LifshitzJ N Udall
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Citations

Oct 15, 1998·Archives of Disease in Childhood·J H Hoekstra
May 3, 2012·Pediatrics in Review·Garrett C Zella, Esther J Israel
Mar 1, 1993·The Journal of Pediatrics·C M Kneepkens, J H Hoekstra
Apr 1, 1996·Pediatric Clinics of North America·C M Kneepkens, J H Hoekstra
May 5, 2016·Gastroenterology·Marc A BenningaSamuel Nurko
May 17, 2002·The American Journal of Gastroenterology·Joseph RomagnuoloRobert J Bailey
Apr 1, 1997·Journal of the American College of Nutrition·T NobigrotF Lifshitz
Oct 1, 1996·Journal of the American College of Nutrition·F Lifshitz
Nov 24, 1999·Acta Paediatrica. Supplement·M Gracey

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