Ingestão de cálcio e densidade mineral óssea em mulheres adultas intolerantes à lactose

Salomão, Najoua Adriana; Silva, Thays de Ataide e; Geraldes, Amandio Aristides Rihan; Lima‐Silva, Adriano Eduardo

doi:10.1590/s1415-52732012000500004

Cited by 5 publications

(6 citation statements)

References 21 publications

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“…Moreover, it was also not possible to determine whether a reduced calcium intake provoked a lower BMD in the LI group. However, similar studies appoint to this direction 6 . The results of the present study complement these findings and suggest that the regular practice of physical exercise alone is not able to reverse the deleterious effects of LI.…”

Section: Discussionmentioning

confidence: 91%

“…There is a consensus that LI individuals with below-average BMD showed a reduction in calcium intake 5,27,28,[30][31][32] . When the absorption of calcium, an essential micronutrient, is insufficient to replenish daily losses, calcium is removed from bones contributing to a negative balance of bone remodeling and may predispose individuals to osteopenia and osteoporose 6,13,28 . Unfortunately, calcium intake was not measured in this study, but in a previous study with a very similar population 6 , it was demonstrated that calcium intake in LI women was nearly three times lower compared to intake of the control women.…”

Section: Discussionmentioning

confidence: 99%

“…When the absorption of calcium, an essential micronutrient, is insufficient to replenish daily losses, calcium is removed from bones contributing to a negative balance of bone remodeling and may predispose individuals to osteopenia and osteoporose 6,13,28 . Unfortunately, calcium intake was not measured in this study, but in a previous study with a very similar population 6 , it was demonstrated that calcium intake in LI women was nearly three times lower compared to intake of the control women. This lower calcium intake in LI women must be by a reduction or even total abstinence in the consumption of milk-derived products.…”

Section: Discussionmentioning

confidence: 99%

“…The IL is characterized by clinical symptoms such as abdominal pain, diarrhea, flatulence, nausea and bloating after ingestion of milkderived foods 5,6 . This is caused by a reduction in the lactase enzyme quantity in the small intestine, so-called hypolactasia 1,2 .…”

Section: Introductionmentioning

confidence: 99%

“…In long term, IL can carry to a reduced ingestion of milk-derived products, which are rich in lactose. Therefore, the LI individuals will ingest and absorb less calcium [1][2][3] , predisposing those individuals to bone complications such as bone fracture as a consequence of a calciuminduced reduction in bone mineral content 3,6,7 . Accordingly, Obermayer-Pietsch et al 7 , analyzed 73 postmenopausal women and found that women with CC genotype (lactase deficiency) reduced about 80% of their dairy calcium intake as well as the calcium absorption.…”

Section: Introductionmentioning

confidence: 99%

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Influence of lactose intolerance and physical activity level on bone mineral density in young women

Salomão¹,

Geraldes

Lima‐Silva

2017

Rev Bras Educ Fís Esporte

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The aim of this study was to verify the effect of physical activity level on bone mineral density (BMD) in pre-menopausal women with lactose intolerance. Sixty women was engaged in this study (age: 31.9±6.9 years) and were initially separated into two groups: 30 women with lactose intolerance (LI) and 30 controls (C). The groups were further subdivided into less and more active using the median of weekly total energy expenditure, estimated by the International Physical Activity Questionnaire (IPAQ-long version). The LI diagnosis was confirmed by lactose intolerance test (oral lactose overload with monitoring of blood glucose and associated clinical manifestations). BMD was assessed by dual energy X-ray absorptiometry (DXA). As expected, physical activity score was higher in both groups for women classified as more active (p>0.05). The BMD at hip and pelvis was lower in LI than in C group (p<0.05). In addition, there was a tendency for a lower BMD in L2, L4, femoral neck and total hip for LI compared to C group (p<0.10). However, there was no main effect of physical activity level or interaction for the BMD at any other bone sites (p<0.10). The LI group had lower (p<0.05) absolute free-fat mass, independently of physical activity level. Therefore, the results of the present study suggest that LI reduces BMD in pre-menopausal women and this reduction is independent of physical activity level.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Influence of lactose intolerance and physical activity level on bone mineral density in young women

Salomão¹,

Geraldes

Lima‐Silva

2017

Rev Bras Educ Fís Esporte

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Lactose intolerance: what is a correct management?

Santos

Rocha

Santana

2019

Rev. Assoc. Med. Bras.

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SUMMARY Individuals with Lactose Intolerance (LI) tend to exclude milk from their diet since this behavior seems to relieve the symptoms caused by the disease. However, milk is a food of high nutritional value, and complete exclusion of dairy products may favor the development of bone diseases such as osteopenia and osteoporosis. The objective of this review was to evaluate the scientific evidence on the adequate management of patients with LI. This study was carried out from the review of the scientific literature in PubMed and SciELO databases. Complete exclusion of conventional dairy products is not necessary since most individuals with LI can tolerate up to 12 grams of lactose daily in a single dose. Yogurts and cheeses matured for having low amounts of lactose are part of the strategy that allows consumption of dairy products by patients with LI. Currently, there is a diversity of products considered as “milk substitutes” and supplements aimed at individuals with LI. However, these strategies still require better-designed studies.

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Evidências científicas sobre intolerância à lactose: uma revisão de literatura

Silva

Araújo

Carvalho

2020

RSD

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A intolerância à lactose tem como definição um transtorno que ocorre no trato digestivo, e isso acontece devido a pouca ou nenhuma produção de lactase pelo intestino delgado, suas manifestações variam de acordo com a quantidade de leite e derivados ingeridos. O objetivo do trabalho foi realizar uma revisão de literatura sobre evidências científicas relacionadas à intolerância à lactose. Para a seleção da amostra foram utilizados artigos em anexos nacionais do período de 2012 a 2020. A busca dos artigos foi realizada nas seguintes bases de dados eletrônicos: no repositório Scientific Electronic Library On-line (SciELO) e no portal/repositório Google Acadêmico. Empregando os descritores: “cálcio”, “intolerância à lactose” e “leite”, cadastrados nos Descritores em Ciência da Saúde (DeCS). Foram selecionados inicialmente 30 artigos que abordavam os descritores, que após análise do objeto de estudo e os critérios de inclusão e exclusão, restaram 9 artigos. Observou-se que a intolerância à lactose é uma patologia digestiva que afeta todas as idades, podendo levar a desordens no quadro do paciente, ocasionando uma insuficiência de micronutrientes, em especial o cálcio. Dessa maneira, conclui-se que é necessário à assistência aos pacientes, ou seja, os mesmos precisam de um acompanhamento nutricional para evitar maiores prejuízos ao seu estado de saúde, fazendo a suplementação de acordo com a necessidade de cada paciente para que se evite a toxicidade.

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Ingestão de cálcio e densidade mineral óssea em mulheres adultas intolerantes à lactose

Cited by 5 publications

References 21 publications

Influence of lactose intolerance and physical activity level on bone mineral density in young women

Influence of lactose intolerance and physical activity level on bone mineral density in young women

Lactose intolerance: what is a correct management?

Evidências científicas sobre intolerância à lactose: uma revisão de literatura

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