Lactose Intolerance and Health Disparities Among African Americans and Hispanic Americans: An Updated Consensus Statement

Bailey, Rahn Kennedy; Fileti, Cecelia Pozo; Keith, Jeanette N.; Tropez-Sims, Susanne; Price, Winston H.; Allison-Ottey, Sharon

doi:10.1016/s0027-9684(15)30113-9

Cited by 44 publications

(29 citation statements)

References 33 publications

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“…Milk and milk product intake is associated with better diet quality and has been associated with a reduced risk of chronic diseases or conditions including hypertension, cardiovascular disease, metabolic syndrome, Type 2 Diabetes and osteoporosis (Bailey et al, 2013). However, there are allergies related to milk consumption in humans, and this is the primary reason for limiting or avoiding consumption of dairy foods.…”

Section: Introductionmentioning

confidence: 99%

Lactose intolerance and cow's milk protein allergy

et al. 2016

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Adverse reactions to food intake have very diverse etiology and symptomatology. Regarding milk, its food allergy is presented as lactose intolerance, the sugar in milk, or allergy to milk protein. Despite having different symptomatology, confusions among allergic conditions to dairy and its mediators are common. Milk protein allergy originates from protein components present in milk, causing reactions to either the protein fractions in emulsion (caseins) or in whey (milk albumin). The allergic reaction is type IV mediated by T lymphocytes. The allergic reaction produces severe cellular damage and it triggers physical, mental and emotional symptomatology that may vary in time, intensity and severity. Lactose intolerance is originated by total or partial absence of the enzyme that digests this disaccharide. Lactose intolerance can be primary or congenital and secondary; the former being more rare and severe, the latter being more common. Lactase deficiency can be diagnosed by symptoms associated with cramping and diarrhea. Thus, the objective of this study was to conduct a review of available literature on cow's milk protein allergy and lactose intolerance.Keywords: cow's milk; adverse reactions to food; immune response.Practical Application: Know and differentiate lactose intolerance and allergy to cow's milk protein.

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Section: Introductionmentioning

confidence: 99%

Lactose intolerance and cow's milk protein allergy

et al. 2016

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“…Although the Hispanic population typically consumes plant sources of calcium, from which calcium is absorbed less effectively than dairy sources, our study found no differences in dietary calcium intake from dairy foods between groups, which may be a result of acculturation. 19,28,38,39 However, malabsorption of dairy products consumed by Hispanic women may contribute to lower bioavailability of actual calcium and vitamin D. 19 As the best practice to maintain adequate nutrition is through diet and Hispanic women may not regularly choose dairy foods or be able to properly absorb dairy products, Hispanic women should be educated about culturally relevant foods rich in nutrients to promote bone health.…”

Section: Discussionmentioning

confidence: 99%

“…Second, malabsorption of dairy products is common among the Hispanic population, resulting in secondary calcium deficiencies. 19 Cultural identity may also impact dairy intake, as research suggests that Hispanic people may prefer more calcium-rich plant foods, such as beans and corn tortillas, than dairy products. 20,21 The National Health and Nutrition Examination Survey (NHANES) data show that neither Hispanic nor nonHispanic white women consume the recommended amount of vitamin D through diet, an important nutrient for calcium absorption and bone health.…”

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confidence: 99%

Lifestyle Behaviors Affecting Bone Health in Young Hispanic and Non-Hispanic White Women

Berube

Heller

Milliron

et al. 2016

Topics in Clinical Nutrition

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Osteoporosis afflicts a large population of older women in the United States and has major impacts on morbidity and mortality. Previously, non-Hispanic white women were believed to be at greatest risk of osteoporosis, but current research suggests that Hispanic women are of similar risk. While risk increases with age and is influenced by genetics, lifestyle behaviors throughout the life cycle contribute to disease prevention. Our results found no differences in bone mineral density, dietary characteristics, or physical activity between young Hispanic and non-Hispanic white women. However, both groups failed to meet, but should engage in, recommended practices for bone health maintenance.

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“…While essentially all humans express lactase during infancy, enzyme expression changes around weaning with a loss in lactose level and resulting lactose malabsorption. The prevalence of lactose malabsorption varies between different ethnic groups and may [26]. While ingestion of lactose-containing food often causes significant symptoms in these individuals, Yang et al [27] reported that the prevalence of lactose malabsorption did not differ between IBS patients and general population.…”

Section: Lactosementioning

confidence: 99%

Low-FODMAP Diet for Irritable Bowel Syndrome: Is It Ready for Prime Time?

et al. 2014

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Irritable bowel syndrome (IBS) is a chronic gastrointestinal disease, which adversely affects the quality of life. Its prevalence has been reported to be around 10-15 % in North America and constitutes the most common cause for gastroenterology referral. Unfortunately, the pathophysiology of IBS is not completely understood. Not surprisingly, the management strategies can leave the patients with inadequate symptom control, making IBS a debilitating gastrointestinal syndrome. Dietary interventions as a treatment strategy for IBS have been recently evaluated. One such intervention includes dietary restriction of fermentable oligo-, di-, and monosaccharides and polyols (FODMAPs). FODMAPs define a group of short-chain carbohydrates that are incompletely absorbed in small intestine and later fermented in the colon. Evidence in the form of randomized controlled trials and observational studies have evaluated the mechanism of action and efficacy of low-FODMAP diet. This dietary intervention has showed promising results in symptom reduction in IBS patients. However, latest trials have also shown that the low-FODMAP diet is associated with marked changes in gut microbiota specifically reduction in microbiota with prebiotic properties. Implications of such changes on gastrointestinal health need to be further evaluated in future trials.

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Lactose Intolerance and Health Disparities Among African Americans and Hispanic Americans: An Updated Consensus Statement

Cited by 44 publications

References 33 publications

Lactose intolerance and cow's milk protein allergy

Lactose intolerance and cow's milk protein allergy

Lifestyle Behaviors Affecting Bone Health in Young Hispanic and Non-Hispanic White Women

Low-FODMAP Diet for Irritable Bowel Syndrome: Is It Ready for Prime Time?

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