Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-23T14:24:07.727Z Has data issue: false hasContentIssue false

Lactose intolerance

Published online by Cambridge University Press:  11 September 2013

Get access

In a nutshell

Declining ability to digest lactose is normal after childhood, and some degree of adult intolerance is common in many populations.

However, this does not mean that everyone with low lactase levels cannot tolerate any lactose. Most people with LI can tolerate fermented dairy (e.g. cheese, yoghurt). Any dairy avoidance treatment for LI should be individualised, reassessed periodically, and avoid underconsumption of key nutrients such as calcium.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Vesa, TH. et al. Lactose intolerance. J Am Coll Nutr. 2000 Apr;19(2 Suppl):165S175S.Google Scholar
2. Swagerty, DL Jr. et al. Lactose intolerance. Am Fam Physician. 2002 May 1;65(9):1845–50.Google Scholar
3. Bohmer, CJ. et al. The effect of a lactose-restricted diet in patients with a positive lactose tolerance test, earlier diagnosed as irritable bowel syndrome: a 5-year follow-up study. Eur J Gastroenterol Hepatol. 2001 Aug;13(8):941–4.Google Scholar
4. Frissora, CL. et al. Symptom overlap and comorbidity of irritable bowel syndrome with other conditions. Curr Gastroenterol Rep. 2005 Aug;7(4):264–71.CrossRefGoogle ScholarPubMed
5. Peuhkuri, K. et al. Lactose intolerance-a confusing clinical diagnosis. Am J Clin Nutr. 2000 Feb;71(2):600–2.Google Scholar
6. Crittenden, RG. et al. Cow's milk allergy: a complex disorder. J Am Coll Nutr. 2005 Dec;24(6 Suppl):582S-91S.Google Scholar
7. Fiocchi, A. et al. Clinical tolerance to lactose in children with cow's milk allergy. Pediatrics. 2003 Aug;112(2):359–62.Google Scholar
8. Carroccio, A. et al. Lactose intolerance and self-reported milk intolerance: relationship with lactose maldigestion and nutrient intake. Lactase Deficiency Study Group. J Am Coll Nutr. 1998 Dec;17(6):631–6.CrossRefGoogle ScholarPubMed
9. Ojetti, V. et al. High prevalence of celiac disease in patients with lactose intolerance. Digestion. 2005;71(2):106–10.Google Scholar
10. Matthews, SB. et al. Systemic lactose intolerance: a new perspective on an old problem. Postgrad Med J. 2005 Mar;81(953):167–73.Google Scholar
11. Fernandez-Banares, F. et al. Sugar malabsorption in functional abdominal bloating: a pilot study on the long-term effect of dietary treatment. Clin Nutr. 2006 Oct;25(5):824–31.Google Scholar
12. Rasinpera, H. et al. The C/C-13910 genotype of adult-type hypolactasia is associated with an increased risk of colorectal cancer in the Finnish population. Gut. 2005 May;54(5):643–7.Google Scholar
13. Helman, A. Calcium, dairy and colon cancer - the latest. Arb Clin Nutr Upd. 2007 Feb; 271:13.Google Scholar
14. Szilagyi, A. et al. The effect of lactose maldigestion on the relationship between dairy food intake and colorectal cancer: a systematic review. Nutr Cancer. 2006;55(2):141–50.Google Scholar
15. Savaiano, D. Lactose intolerance: a self-fulfilling prophecy leading to osteoporosis? Nutr Rev. 2003 Jun;61(6 Pt 1):221–3.Google Scholar
16. Lovelace, HY. et al. Diagnosis, symptoms, and calcium intakes of individuals with self-reported lactose intolerance. J Am Coll Nutr. 2005 Feb;24(1):51–7.CrossRefGoogle ScholarPubMed
17. Segal, E. et al. Bone density in axial and appendicular skeleton in patients with lactose intolerance: influence of calcium intake and vitamin D status. J Am Coll Nutr. 2003 Jun;22(3):201–7.Google Scholar
18. Montalto, M. et al. Management and treatment of lactose malabsorption. World J Gastroenterol. 2006 Jan 14;12(2):187–91.Google Scholar
19. Jarvis, JK. et al. Overcoming the barrier of lactose intolerance to reduce health disparities. J Natl Med Assoc. 2002 Feb;94(2):5566.Google Scholar
20. He, M. et al. [Influence of live flora on lactose digestion in male adult lactose-malabsorbers after dairy products intake] Wei Sheng Yan Jiu. 2004 Sep;33(5):603–5.Google Scholar
21. Hertzler, SR. et al. Kefir improves lactose digestion and tolerance in adults with lactose maldigestion. J Am Diet Assoc. 2003 May;103(5):582–7.Google Scholar
22. Pelletier, X. et al. Hydrogen excretion upon ingestion of dairy products in lactose-intolerant male subjects: importance of the live flora. Eur J Clin Nutr. 2001 Jun;55(6):509–12.Google Scholar
23. Rizkalla, SW. et al. Chronic consumption of fresh but not heated yoghurt improves breath-hydrogen status and short-chain fatty acid profiles: a controlled study in healthy men with or without lactose maldigestion. Am J Clin Nutr. 2000 Dec;72(6):1474–9.Google Scholar
24. Mustapha, A. et al. Improvement of lactose digestion by humans following ingestion of unfermented acidophilus milk: influence of bile sensitivity, lactose transport, and acid tolerance of Lactobacillus acidophilus. J Dairy Sci. 1997 Aug;80(8):1537–45.Google Scholar
25. Levri, KM. et al. Do probiotics reduce adult lactose intolerance? A systematic review. J Fam Pract. 2005 Jul;54(7):613–20.Google Scholar
26. Jarvinen, RM. et al. Tolerance of symptomatic lactose malabsorbers to lactose in milk chocolate. Eur J Clin Nutr. 2003 May;57(5):701–5.Google Scholar
27. Szilagyi, A. et al. Improved parameters of lactose maldigestion using lactulose. Dig Dis Sci. 2001 Jul;46(7):1509–19.CrossRefGoogle ScholarPubMed
28. Hertzler, SR. et al. Colonic adaptation to daily lactose feeding in lactose maldigesters reduces lactose intolerance. Am J Clin Nutr. 1996 Aug;64(2):232–6.Google Scholar