Tolerance of symptomatic lactose malabsorbers to lactose in milk chocolate

Järvinen, Ritva; Loukaskorpi, M; Uusitupa, Matti

doi:10.1038/sj.ejcn.1601600

Cited by 17 publications

(6 citation statements)

References 20 publications

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“…In particular, Järvinen et al. 27 examined 27 symptomatic lactose maldigesters, after the administration of milk chocolate samples containing 0, 2 and 12 g of lactose, and demonstrated no significant differences among different samples.…”

Section: Discussionmentioning

confidence: 99%

Low‐dose lactose in drugs neither increases breath hydrogen excretion nor causes gastrointestinal symptoms

Montalto

Gallo

Santoro

et al. 2008

Aliment Pharmacol Ther

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SUMMARY BackgroundDespite the reported tolerance to a low dose of lactose, many lactose malabsorbers follow a rigorous lactose-free diet also avoiding lactosecontaining drugs. Up to now, only a few case reports have described the onset of gastrointestinal symptoms in lactose malabsorbers following the ingestion of these drugs. It has been suggested that capsules ⁄ tablets contain no more than 400 mg of lactose.

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Section: Discussionmentioning

confidence: 99%

Low‐dose lactose in drugs neither increases breath hydrogen excretion nor causes gastrointestinal symptoms

Montalto

Gallo

Santoro

et al. 2008

Aliment Pharmacol Ther

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show abstract

“…A study of the tolerance to lactose in milk chocolate among symptomatic lactose maldigesters suggested that 12 g of lactose present in milk chocolate is well tolerated. Ingestion of milk chocolate produced only minor gastrointestinal complaints and did not differ significantly from those experienced by persons eating lactose-free chocolate (Järvinen et al, 2003).…”

Section: Gastrointestinal Effectsmentioning

confidence: 97%

Cocoa Agronomy, Quality, Nutritional, and Health Aspects

Badrie

Bekele

Sikora

et al. 2014

Critical Reviews in Food Science and Nutrition

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The history of cocoa and chocolate including the birth and the expansion of the chocolate industry was described. Recent developments in the industry and cocoa economy were briefly depicted. An overview of the classification of cacao as well as studies on phenotypic and genetic diversity was presented. Cocoa agronomic practices including traditional and modern propagation techniques were reviewed. Nutrition-related health benefits derived from cocoa consumption were listed and widely reviewed. The specific action of cocoa antioxidants was compared to those of teas and wines. Effects of adding milk to chocolate and chocolate drinks versus bioavailability of cocoa polyphenols were discussed. Finally, flavor, sensory, microbiological, and toxicological aspects of cocoa consumption were presented.

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“…[47][48][49][50][51] Some children are able to drink 1 to 2 glasses of milk each day without difficulty but cannot tolerate more without developing symptoms. 14 Many lactose-intolerant individuals who are intolerant of milk can tolerate milk chocolate 52 and/or yogurt (plain better than flavored), because the bacteria in the yogurt partially digest the lactose into glucose and galactose before consumption. 53,54 In addition, yogurt's semisolid state slows gastric emptying and gastrointestinal transit, resulting in fewer symptoms of lactose intolerance.…”

Section: Managementmentioning

confidence: 99%

Lactose Intolerance in Infants, Children, and Adolescents

Heyman¹

2006

Pediatrics

460

348

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The American Academy of Pediatrics Committee on Nutrition presents an updated review of lactose intolerance in infants, children, and adolescents. Differences between primary, secondary, congenital, and developmental lactase deficiency that may result in lactose intolerance are discussed. Children with suspected lactose intolerance can be assessed clinically by dietary lactose elimination or by tests including noninvasive hydrogen breath testing or invasive intestinal biopsy determination of lactase (and other disaccharidase) concentrations. Treatment consists of use of lactase-treated dairy products or oral lactase supplementation, limitation of lactose-containing foods, or dairy elimination. The American Academy of Pediatrics supports use of dairy foods as an important source of calcium for bone mineral health and of other nutrients that facilitate growth in children and adolescents. If dairy products are eliminated, other dietary sources of calcium or calcium supplements need to be provided. INTRODUCTIONSIGNIFICANT CHANGES IN our knowledge and approach toward lactose intolerance have occurred over the past quarter century, since the first statement on lactose intolerance was published by the American Academy of Pediatrics Committee on Nutrition. 1 Lactose ingestion in certain susceptible individuals can cause abdominal symptoms that are variable and can be treated with dietary restriction or enzyme replacement, depending on the amount of lactose consumed and the degree of lactase deficiency. Pediatricians and other pediatric care providers should maintain awareness of the benefits and controversies related to the consumption of dietary milk products and milk-based infant formula. The lactose content of milk often influences, correctly or not, the ultimate decision about the use or continuation of milk in the diet. Milk and dairy-product avoidance has a negative effect on calcium and vitamin D intake in infants, children, and adolescents. Other nutrients such as protein make dairy products an important source of nutrition for growing children. This revised statement will update the initial statement of 1978 while incorporating changes from the 1990 supplement 2 and current state-of-theart relating to lactose intolerance. Recommendations regarding dietary calcium have been updated recently. 3 Lactose, a disaccharide that comprises the monosaccharides glucose and galactose, is the primary carbohydrate found exclusively in mammalian milk. Absorption of lactose requires lactase activity in the small intestinal brush border to split the bond linking the 2 monosaccharides. A ␤-galactosidase termed "lactase-phlorizin hydrolase" (lactase) accounts for most of the lactase activity in the intestinal

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Tolerance of symptomatic lactose malabsorbers to lactose in milk chocolate

Cited by 17 publications

References 20 publications

Low‐dose lactose in drugs neither increases breath hydrogen excretion nor causes gastrointestinal symptoms

Low‐dose lactose in drugs neither increases breath hydrogen excretion nor causes gastrointestinal symptoms

Cocoa Agronomy, Quality, Nutritional, and Health Aspects

Lactose Intolerance in Infants, Children, and Adolescents

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