Food · Processed, Drinks & Kitchen · Drinks
contrast · 2
A whole apple and a glass of apple juice hold similar sugar, but the body treats them differently. In the whole fruit, sugar sits behind cell walls and pectin and is released in batches; juicing strains these away, so the sugar becomes free sugar and reaches the blood quickly. In three large US cohorts, people who ate more whole fruit had a lower risk of type 2 diabetes and people who drank more juice had a higher one; this is an observed association, but it fits the mechanism.
100% juice is still liquid sugar: the fiber is nearly gone, and the World Health Organization (WHO) counts the sugar in juice as free sugar. But its evidence differs from that for sugar-sweetened soft drinks, and the two are not the same: in the same meta-analysis the risk estimate for juice was much smaller, and the authors judged it likely to be biased. Sweetened juice drinks belong with sugary drinks.
imamura-2015-bmj-ssds