Lactose Maldigestion Revisited: Diagnosis, Prevalence in Ethnic Minorities, and Dietary Recommendations to Overcome It

American Journal of Lifestyle Medicine

Volumn 3, Issue 3, 2009, Pages 212-218

  Gaskin, Dykibra J ^a   Ilich, Jasminka Z ^b  

^a WIC and Nutrition Services   (United States)

^b FLORIDA STATE UNIVERSITY   (United States)

Author keywords

African Americans; Asian Americans; Hispanic Americans; lactose intolerance

Indexed keywords

EID: 84990353533     PISSN: 15598276     EISSN: None     Source Type: Journal    
DOI: 10.1177/1559827609331555     Document Type: Review

References (48)

1. Scrimshaw NS, Murray EB The acceptability of milk and milk products in populations with a high prevalence of lactose intolerance. Am J Clin Nutr. 1988; 48(suppl):1079-1159.
2. Lovelace HY, Barr SI Diagnosis, symptoms, and calcium intakes of individuals with self-reported lactose intolerance. J Am Coll Nutr. 2005; 1: 51-57.
3. deVrese M., Stegelmann A., Richter B., Fenselau S., Laue C., Schrezenmeir J. Probiotics-compensation for lactase insufficiency. Am J Clin Nutr. 2001; 73(suppl):421S-429S.
4. Rosado JL, Allen LH, Solomons NW Milk consumption, symptom response, and lactose digestion in milk intolerance. Am J Clin Nutr. 1987; 45: 1457-1460.
5. Hertzler SR, Bao-Chau LH, Savaiano DA How much lactose is low lactose? J Am Diet Assoc. 1996; 96: 243-246.
6. McBean LD, Miller, GD Allaying fears and fallacies about lactose intolerance. J Am Diet Assoc. 1998; 98: 671-676.
7. Swagerty DL, Walling AD, Klein RM Lactose intolerance. Am Fam Physician. 2002;65: 1845-1850.
8. Heyman MB, for the Committee on Nutrition. Lactose intolerance in infants, children, and adolescents. Am Acad Pediatr. 2006; 118: 1279-1286.
9. Jackson KA, Savaiano DA Lactose maldigestion, calcium intake and osteoporosis in African-, Asian-, and Hispanic Americans. J Am Coll Nutr. 2001;20: 198S-207S.
10. National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, US Department of Health and Human Services. Lactose intolerance. http://digestive.niddk.nih.gov/ddiseases/pubs/lactoseintolerance. Accessed June 30, 2007.
11. Riordan J. Breastfeeding and Human Lactation. 3rd ed. Boston: Jones and Bartlett; 2005.
12. Davison GP Lactase deficiency diagnosis and management. Med J Australia. 1984; 141: 442-444.
13. Vesa TH, Marteau P., Korpela R. Lactose intolerance. J Am Coll Nutr. 2000; 19: 165S-175S.
14. Simren M., Stotzer P-O. Use and abuse of hydrogen breath tests. Gut. 2006; 55: 297-303.
15. Carroccio A., Mantalto G., Cavera G., Notarbatolo A.; The Lactase Deficiency Study Group. Lactose intolerance and self-reported milk-intolerance: relationship with lactose maldigestion and nutrient intake. J Am Coll Nutr. 1998; 17: 631-636.
16. Suarez FL, Savaiano D., Arbisi P., Levitt MD Tolerance to the daily ingestion of two cups of milk by individuals claiming lactose intolerance. Am J Clin Nutr. 1997; 65: 1502-1506.
17. Savaiano DA Lactose intolerance: dietary management. In: Serrano Rios M, Sastre A, Perez Juez MA, Estrala A, de Sebastian C, eds. Dairy Products in Human Health and Nutrition. Rotterdam, Netherlands: A. A. Balkema; 1994:401-405.
18. Huchzermeyer H., Schumann C. Lactulose: a multifaceted substance. J Gastroenterol. 1997; 35: 945-955.
19. Suarez FL, Adsheed J., Furne JK, Levitt MD Lactose maldigestion is not an impediment to the intake of 1500 mg calcium daily as dairy products. Am J Clin Nutr. 1998;68: 1118-1122.
20. Matlik L., Savaiano D., McCabe G., VanLoan M., Blue CL, Boushey CJ Perceived milk intolerance is related to bone mineral content in 10- to 13-year-old female adolescents. Pediatrics. 2007; 120: e669-e677.
21. Enattah NS, Sahi T., Savilahti E., Terwilliger JD, Peltonen L., Jarvela I. Identification of a variant associated with adult-type hypolactasia. Nat Genet. 2002; 30: 233-237.
22. Sahi T. Genetics and epidemiology of adult-type hypolactasia. Scand J Gastroenterol. 1994; 29(suppl 202):7-20.
23. Suarez FL, Savaiano DA, Levitt MD A comparison of symptoms after the consumption of milk or lactose-hydrolyzed milk by people with self-reported severe lactose intolerance. N Engl J Med. 1995; 333: 1-4.
24. Ranganathan R., Niklas TA, Yang S.-J., Berenson GS The nutritional impact of dairy product consumption on the dietary intakes of adults (1995-1996): the Bogalusa heart study. J Am Diet Assoc. 2005; 105: 1391-1400.
25. Zablah EM, Reed DB, Hegsted M., Keenan MJ Barriers to calcium intake in African-American women. J Hum Nutr Diet. 1999; 12: 123-132.
26. Fulgoni W., Nicholls J., Reed A., et al. Dairy consumption and related nutrient intake in African-American adults and children in the United States: Continuing Survey of Food Intakes by Individuals 1994-1996, 1998, and the National Health and Nutrition Examination Survey, 1999-2000. J Am Diet Assoc. 2007; 107: 256-264.
27. Pribila BA, Hertzler SR, Martin BR, Weaver CM, Savaiano DA Improved lactose digestion and intolerance among African-American adolescent girls fed a dairy-rich diet. J Am Diet Assoc. 2000; 100: 524-528.
28. Johnson AO, Semenya JG, Buchowski MS, Enwonwu CO, Scrimshaw N. Correlation of lactose maldigestion, lactose intolerance, and milk intolerance. Am J Clin Nutr. 1993; 57: 399-401.
29. Hertzler SR, Savaiano DA Colonic adaptation to daily lactose feeding in lactose maldigesters reduces lactose intolerance. Am J Clin Nutr. 1996; 64: 232-236.
30. Asmawi MZ, Seppo L., Vapaatalo H., Korpela R. Hypolactasia & lactose intolerance among three ethnic groups in Malaysia. Indian J Med Res. 2006; 124: 697-704.
31. Arola H. Diagnosis of hypolactasia and lactose malabsorption. Scan J Gastroenterol. 1994; 29(suppl 202):S26-S35.
32. Kim KK, Yu ES, Liu WT, Kim J., Kohrs MB Nutritional status of Chinese-, Korean-, and Japanese-American elderly. J Am Diet Assoc. 1993; 93: 1416-1423.
33. Park S.-Y., Paik H.-Y., Skinner JD, Spindler AA, Park H.-R. Nutrient intake of Korean-American, Korean, and American adolescents. J Am Diet Assoc. 2004; 104: 242-245.
34. Pan Y.-L., Dixon Z., Himburd S., Huffman F. Asian students change their eating patterns after living in the United States. J Am Diet Assoc. 1999; 99: 54-57.
35. Anh NA, Thuc TK Lactose malabsorption in adult Vietnamese. Am J Clin Nutr. 1977; 30: 468-469.
36. Lee SK, Sobal J., Frongillo EA Jr. Acculturation and dietary practices among Korean Americans. J Am Diet Assoc. 1999; 99: 1084-1089.
37. Rosado JL, Gonzalez C., Valencia ME, et al. Lactose maldigestion and milk intolerance: a study in rural and urban Mexico using physiological doses of milk. J Nutr. 1994; 124: 1052-1059.
38. Alaimo K., McDowell MA, Brefel RR, et al. Dietary Intake of Vitamins, Minerals, and Fiber of Persons Ages 2 Months and Over in the United States: Third National Health and Nutrition Examination Survey, Phase 1, 1988-1991. Advance Data from Vital and Health Statistics; no. 258. Hyattsville, MD: National Center for Health Statistics; 1994.
39. Looker AC, Loria CM, Carroll MD, McDowell MA, Johnson CL Calcium intakes of Mexican Americans, Cubans, Puerto Ricans, non-Hispanic whites, and non-Hispanic blacks in the United States. J Am Diet Assoc. 1993; 93: 1416-1422.
40. Jarvis JK, Miller GD Overcoming the barrier of lactose intolerance to reduce health disparities. J Natl Med Assoc. 2002; 94: 55-66.
41. Escott-Stump S. Nutrition and Diagnosis-Related Care. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2002.
42. Inman-Felton AE Overview of lactose maldigestion (lactase nonpersistence). J Am Diet Assoc. 1999; 99: 481-489.
43. He T., Priebe MG, Zhong Y., et al. Effects of yogurt and bifidobacteria supplementation on the colonic microbiota in lactose-intolerant subjects. J Appl Microbiol. 2008; 104: 595-604.
44. Parra MD, Martinez de Morentin BE, Cobo JM, Lenoir-Wijnkoop I., Martinez JA Acute calcium assimilation from fresh or pasteurized yoghurt depending on the lactose digestibility status. J Am Coll Nutr. 2007; 26: 288-294.
45. Institute of Medicine. Dietary Reference Intakes for Calcium, Phosphorous, Magnesium, Vitamin D and Fluoride. Washington, DC: National Academy of Sciences; 1997.
46. Ray NF, Chan JK, Thamer M., Melton LJ III. Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: report from the National Osteoporosis Foundation. J Bone Miner Res. 1997; 12: 24-35.
47. Araujo A., Travison T., Holick M., Turner A., McKinlay J. Race/ethnic differences in bone mineral density in men. Osteoporos Int. 2007; 18: 943-953.
48. Thomas PA Racial and ethnic differences in osteoporosis. J Am Acad Orthop Surg. 2007; 15(suppl 1):26-30.