Lactose and child diet



http://www.medicalnewstoday.com/medicalnews.php?newsid=51284

this is really going to annoy the 'stop drinking milk' people. Interesting
none the less

A New Clinical Report From The AAP Recommends Dairy For Children With
Lactose Intolerance
Main Category: Pediatrics News
Article Date: 08 Sep 2006 - 15:00pm (PDT)


A new American Academy of Pediatrics (AAP) report1 released today in
Pediatrics recommends children with lactose intolerance* include dairy foods
as part of a healthy diet in order to get enough calcium, vitamin D, protein
and other nutrients essential for bone health and overall growth. The report
cautions that lactose intolerance should not require total avoidance of
dairy foods.

In fact, the report cites research indicating that many children who are
sensitive to lactose can drink small amounts of milk without discomfort,
especially when consumed with other foods. Dairy foods that are often well
tolerated include hard cheese, such as Cheddar or Swiss, yogurt containing
live active cultures, and lactose-free or lactose-reduced milk.

"While calcium-fortified beverages and other foods can provide an
alternative source of calcium, the report reinforces that they do not
provide an equivalent nutrient package to dairy foods like milk, cheese and
yogurt," said Ann Marie Krautheim, registered dietitian and senior vice
president of nutrition and health promotion at the National Dairy Council.
"We hope this report will further educate parents on how to continue to
include dairy in the diets of children sensitive to lactose and also help
improve their nutrient intake."

As confirmed by this report, patients who think they may be sensitive to
lactose should talk with their doctors for a full evaluation, as dietary
history alone is an unreliable tool for diagnosing the condition.

The AAP recommendation for children and adolescents with lactose intolerance
to choose dairy foods first for overall diet quality and adequate intake of
many nutrients is consistent with guidance found in the 2005 Dietary
Guidelines for Americans2 and from the National Medical Association3, the
largest African American physicians group in the country. For those who have
trouble digesting lactose, the following tips can be used to help keep dairy
in the diet:

* Drink milk with food
* Aged cheeses like Cheddar and Swiss are low in lactose
* Introduce dairy slowly. Gradually increase the amount
* Reduce it. Enjoy lactose-free milk and milk products
* Yogurt with live and active cultures helps digest lactose

Notes on lactose intolerance:

* Lactose intolerance is a clinical syndrome with one or more of the
following symptoms: abdominal pain, diarrhea, nausea, flatulence, and/or
bloating after the ingestion of lactose or lactose-containing substances.
The extent of the occurrence of the above symptoms is dependent on the
amount of lactose consumed, the degree of lactase deficiency and the types
of lactose containing foods.

* Lactase is an enzyme which enables people to digest lactose, the primary
carbohydrate (sugar) naturally found in cow's milk. The inability to digest
lactose often results from a deficiency of the lactase enzyme.

* The report focuses on primary lactose intolerance, the most common type
and genetically determined. Symptoms of primary lactose intolerance do not
usually become apparent until late adolescence or early adulthood.

* Lactose intolerance should not be confused with milk allergies. For more
information, please visit http://www.nationaldairycouncil.org/.

###

Sources: 1. American Academy of Pediatrics, Lactose intolerance in infants,
children, and adolescents. Pediatrics. 2006; 118 (3):1279-1286. 2. HHS and
USDA, Dietary Guidelines for Americans, 2005. 3. Wooten, W, et. al. The Role
of Dairy and Dairy Nutrients in the Diet of African Americans. Journal of
National Medical Association. 200

The National Dairy Council® was founded in 1915 and conducts nutrition
education and nutrition research programs through national, state and
regional Dairy Council organizations, on behalf of America's dairy farmers.

The American Dairy Association/National Dairy Council (ADA/NDC) is managed
by Dairy Management Inc., the nonprofit domestic and international planning
and management organization responsible for increasing demand for
U.S.-produced dairy products on behalf of America's dairy farmers.

Contact: Haley Pingree
National Dairy Council


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