Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Fruit blends, often consisting of pureed or juiced fruits such as prunes, pears, apples, and apricots, have a long history of traditional use for alleviating constipation in children. The primary rationale is that certain fruits are naturally high in dietary fiber and sorbitol, a sugar alcohol with known osmotic laxative properties. For example, prunes (dried plums) are particularly rich in sorbitol and have been shown in some studies to modestly improve stool frequency and consistency in adults; similar, though less robust, benefits are presumed in children. The American Academy of Pediatrics and other pediatric groups sometimes recommend offering prune, pear, or apple juice to infants and young children with mild constipation, especially for those transitioning to solid foods. However, high-quality scientific studies specifically evaluating standardized "fruit blends" in pediatric constipation are lacking. Most evidence is extrapolated from the effects of individual fruits or juices, and the efficacy appears limited to mild constipation. Overconsumption can lead to diarrhea or abdominal discomfort. Thus, while the use of fruit blends is rooted in tradition and supported by plausible mechanisms, rigorous scientific validation (randomized controlled trials in children) is limited, so the overall evidence rating is moderate.

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