Lactose Malabsorption as Influenced by Chocolate Milk, Skim Milk, Sucrose, Whole Milk, and Lactic Cultures

Dehkordi, N; Rao, D. R.; Warren, Ann P.; Chawan, C. B.

doi:10.1016/s0002-8223(95)00126-3

Cited by 38 publications

(24 citation statements)

References 15 publications

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“…The results of the present study support most of the earlier reports in which no difference was noted in the tolerance of lactose in fatty milk compared with fat-free milk (CavalliSforza & Strata, 1986;Dehkordi et al 1995;Jones et al 1976). The results of Leichter (1973) were contradictory to our ®ndings, but in his study, statistical comparisons of the symptoms were not presented, and there was no mention of randomization of the test periods.…”

Section: Discussionsupporting

confidence: 62%

“…Leichter (1973) and Solomons et al (1979) showed that, in adults, full-fat milk decreased lactose maldigestion and intolerance compared with fatfree milk or aqueous lactose solution, but other researchers (Cavalli-Sforza & Strata, 1986;Jones et al, 1976) have not been able to con®rm this result. Dehkordi et al (1995) demonstrated a slight decrease in the maldigestion of lactose in full-fat milk compared to fat-free milk, whereas there was no improvement in symptoms. Martini et al (1987) did not observe any signi®cant difference in the severity of symptoms or the degree of lactose maldigestion in lactose maldigesters who had consumed ice cream and ice milk with 10% and 3% fat respectively.…”

Section: Introductionmentioning

confidence: 90%

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Milk fat does not affect the symptoms of lactose intolerance

Lember

Korpela³

1997

Eur J Clin Nutr

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Objective: This study investigated the role of the fat content of milk on symptoms of lactose intolerance. Design: Subjects recorded intolerance symptoms using a visual analogue scale (VAS) following ingestion of three test milks of varying fat content for a two-day period. Subjects/Setting: The subjects were thirty adult volunteers, patients of two Estonian out-patient clinics with diagnosed lactose intolerance. The study milks were drunk at home or at work. All thirty subjects completed the study protocol. Intervention: Each subject drank, in random order, fat-free milk (4.9% lactose), high-fat milk (8% fat, 4.9% lactose), and a lactose-free and fat-free control milk. They drank 200 ml of the milk twice a day for two days, one milk type per session, with ®ve days between sessions. The subjects noted their gastrointestinal symptoms during the test periods and during a 5 d milk-free period at the beginning of the study. The occurrence and severity of symptoms were compared. A global measure of the severity of symptoms was de®ned by computing the sum of the symptom scores. Results: The sum of symptoms was higher during all milk periods than during the milk-free period (P`0.01). There were no statistically signi®cant differences in the occurrence or severity of symptoms during the fat-free milk period compared with the high-fat milk period. Conclusions: Even a marked difference in the fat content of milk did not affect the symptoms of lactose intolerance. Consequently, there seems to be no case for recommending full-fat milk products in the treatment of lactose intolerance. Sponsorship: The study was supported by the Foundation of the Finnish Association of Agronomists: Valio Ltd, Finland, provided the test milks.

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Section: Discussionsupporting

confidence: 62%

Section: Introductionmentioning

confidence: 90%

Milk fat does not affect the symptoms of lactose intolerance

Lember

Korpela³

1997

Eur J Clin Nutr

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“…In spite of similar average values for the area under the breath hydrogen curve, yogurt and heated yogurt was associated with a delay in the time to breath hydrogen rise and the time to peak breath hydrogen when compared with milk (Sherma Èk et al, 1995), and studies have demonstrated a relationship between the rate of rise in breath hydrogen excretion and the severity of gastrointestinal symptoms (Dehkordi et al, 1995;Sherma Èk et al, 1995).…”

Section: Lactic Acid Bacteria H Hove Et Almentioning

confidence: 92%

Lactic acid bacteria and the human gastrointestinal tract

1999

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Objective: This review summarises the effects of lactic acid bacteria on lactose malabsorption, bacterialaviral or antibiotic associated diarrhoea, and describes the impact of lactic acid bacteria on cancer and the fermentative products in the colon. Results: Eight studies (including 78 patients) demonstrated that lactase de®cient subjects absorbed lactose in yogurt better than lactose in milk, while two studies (25 patients) did not support this. Two studies (22 patients) showed that unfermented acidophilus milk was absorbed better than milk, while six studies (68 patients) found no signi®cant differences. Addition of lactose hydrolysing enzyme, lactase, to milk improved lactose malabsorption in seven studies (131 lactose malabsorbers), while one study (10 malabsorbers) demonstrated no improvement. Lactic acid bacteria alleviated travellers' diarrhoea in one study (94 individuals) while a study including 756 individuals was borderline statistically signi®cant. One study (50 individuals) did not ®nd an effect of lactic acid bacteria on travellers' diarrhoea. Six studies (404 infants) demonstrated a signi®cant effect of lactic acid bacteria on infant diarrhoea, while one study (40 infants) did not. Lactic acid bacteria moderated antibiotic associated diarrhoea in three studies (66 individuals), while two studies (117 individuals) were insigni®cant. Conclusions: Lactase de®cient subjects bene®t from a better lactose absorption after ingestion of yoghurt compared with milk and from milk added lactase, whereas ingestion of unfermented acidophilus milk does not seem to improve lactose absorption. The majority of studies support that lactic acid bacteria alleviate bacterialaviral induced diarrhoea, especially in infants, while the effect on antibiotic associated diarrhoea is less clear.Experimental studies indicate an effect of lactic bacteria on human cell cancer lines, but clinical evidence is lacking. A`stabilising' effect of lactic acid bacteria on the colonic¯ora has not been documented.

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“…In another study chocolate milk with 18 g of lactose reduced total breath hydrogen production (Dehkordi et al, 1995). Accordingly, cocoa may alleviate the effects of lactose in milk chocolate.…”

Section: Discussionmentioning

confidence: 90%

“…Since solid consistency and high energy content of food delays gastric emptying (Moore et al, 1984;Notivol et al, 1984;Marciani et al, 2001), lactose eaten in milk chocolate may even induce fewer symptoms than the respective amount of lactose in chocolate milk. It has been previously demonstrated that consuming milk or lactose with a meal or other foods produces less breath hydrogen and gastrointestinal symptoms (Solomons et al, 1985;Martini & Savaiano, 1988;Dehkordi et al, 1995).…”

Section: Discussionmentioning

confidence: 99%

Tolerance of symptomatic lactose malabsorbers to lactose in milk chocolate

2003

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Objective: To study tolerance to lactose in milk chocolate among symptomatic lactose maldigesters. Design: Randomized cross-over study. Subjects: Twenty-seven adult lactose maldigesters with symptomatic lactose intolerance. Methods: A 100 g chocolate sample prepared with whole milk (12 g lactose), whole-milk powder (12 g lactose), low-lactose milk powder (2 g lactose) or lactose-free milk powder was eaten after an overnight fast. Gastrointestinal symptoms (flatulence, abdominal bloating, abdominal pain, borgorygmi and nausea) were recorded in a questionnaire during the following 8 h. Bowel movements and stool consistency were also registered during the test day. Results: The numbers of persons reporting different gastrointestinal symptoms or any of the symptoms did not differ significantly after eating the chocolate samples. No statistical differences were found in the estimated strength of the different symptoms or the total strength of all symptoms combined. Differences in the bowel frequency and stool consistency were also non-significant. Conclusions: Lactose malabsorbers with self-reported lactose intolerence did not differ in their response to milk chocolate samples containing different amounts of lactose.

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Lactose Malabsorption as Influenced by Chocolate Milk, Skim Milk, Sucrose, Whole Milk, and Lactic Cultures

Cited by 38 publications

References 15 publications

Milk fat does not affect the symptoms of lactose intolerance

Milk fat does not affect the symptoms of lactose intolerance

Lactic acid bacteria and the human gastrointestinal tract

Tolerance of symptomatic lactose malabsorbers to lactose in milk chocolate

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