nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
2024, 05, v.53 689-693
乳糖不耐受与科学饮奶专家共识
基金项目(Foundation):
邮箱(Email):
DOI: 10.19813/j.cnki.weishengyanjiu.2024.05.001
发布时间: 2024-09-05
出版时间: 2024-09-05
移动端阅读
摘要:

本共识旨在针对中国人群中普遍存在的乳糖不耐受问题提出了科学指导和解决策略,帮助公众正确认识乳糖不耐受,并鼓励科学摄入乳制品。专家组通过查阅国内外科学文献,汇总并编写乳糖不耐受的流行病学概况、常见诊断方法、乳糖不耐受与乳糖吸收不良的主要原因并特别提出了改善乳糖不耐受症状的具体措施和建议。共识明确了乳糖不耐受具有普遍性,是导致中国人乳制品摄入量不足的原因之一。共识提供了科学实用建议,旨在帮助乳糖不耐受人群通过选择低乳糖产品、逐渐增加乳制品摄入以及合理搭配食物等方法,来提高其对乳糖的耐受性。共识强调了科学饮奶的重要性,并鼓励每个人成为自己健康的第一责任人。

Abstract:

KeyWords:
参考文献

[1] 赵丽云,丁钢强,赵文华,等.2015—2017年中国居民营养与健康状况监测报告 [M].北京:人民卫生出版社,2019.

[2] 金红华,汪云彩,喻瑾,等.乳糖吸收不良、乳糖不耐受与人体健康关系探讨 [J].中国微生态学杂志,2015,27(9):1114-1116.

[3] CATANZARO R,SCIUTO M,MAROTTA F.Lactose intolerance—old and new knowledge on pathophysiological mechanisms,diagnosis,and treatment [J].SN Comprehens Clin Med,2021,3(2):499-509.

[4] 杨月欣,何梅,崔红梅,等.中国儿童乳糖不耐受发生率的调查研究 [J].卫生研究,1999,27(1):46-48.

[5] WANG Y G,YAN Y S,XU J J,et al.Prevalence of primary adult lactose malabsorption in three populations of northern China [J].Hum Genet,1984,67(1):103-106.

[6] MISSELWITZ B,POHL D,FRüHAUF H,et al.Lactose malabsorption and intolerance:pathogenesis,diagnosis and treatment [J].United European Gastroenterol J,2013,1(3):151-159.

[7] ABRAMS S A,GRIFFIN I J,DAVILA P M.Calcium and zinc absorption from lactose-containing and lactose-free infant formulas [J].Am J Clin Nutr,2002,76(2):442-446.

[8] JANSSENDUIJGHUIJSEN L,LOOIJESTEIJN E,VAN DEN BELT M,et al.Changes in gut microbiota and lactose intolerance symptoms before and after daily lactose supplementation in individuals with the lactase nonpersistent genotype [J].Am J Clin Nutr,2024,119(3):702-710.

[9] SIM?ES C D,MAGANINHO M,SOUSA A S.FODMAPs,inflammatory bowel disease and gut microbiota:updated overview on the current evidence [J].Eur J Nutr,2022,61(3):1187-1198.

[10] MARTíNEZ VáZQUEZ S E,NOGUEIRA DE ROJAS J R,REMES TROCHE J M,et al.The importance of lactose intolerance in individuals with gastrointestinal symptoms [J].Rev Gastroenterol Mex (Engl Ed),2020,85(3):321-331.

[11] LIU B,QIAO W,ZHANG M,et al.Bovine milk with variant β-casein types on immunological mediated intestinal changes and gut health of mice [J].Front Nutr,2022,9:970685.

[12] ZHOU A L,WARD R E.Milk polar lipids modulate lipid metabolism,gut permeability,and systemic inflammation in high-fat-fed C57BL/6J ob/ob mice,a model of severe obesity [J].J Dairy Sci,2019,102(6):4816-4831.

[13] BHAVADHARINI B,DEHGHAN M,MENTE A,et al.Association of dairy consumption with metabolic syndrome,hypertension and diabetes in 147 812 individuals from 21 countries [J].BMJ Open Diabetes Res Care,2020,8(1):123.

[14] LEE J H,HA A W,KIM W K,et al.The combined effects of milk intake and physical activity on bone mineral density in Korean adolescents [J].Nutrients,2021,13(3):123.

[15] SUCHY F J,BRANNON P M,CARPENTER T O,et al.National institutes of health consensus development conference:lactose intolerance and health [J].Ann Intern Med,2010,152(12):792-796.

[16] MASOUMI S J,MEHRABANI D,SABERIFIROOZI M,et al.The effect of yogurt fortified with Lactobacillus acidophilus and Bifidobacterium sp.probiotic in patients with lactose intolerance [J].Food Sci Nutr,2021,9(3):1704-1711.

[17] DEKKER P J T,KOENDERS D,BRUINS M J.Lactose-free dairy products:market developments,production,nutrition and health benefits [J].Nutrients,2019,11(3):551.

[18] VYAS H K,TONG P S.Process for calcium retention during skim milk ultrafiltration [J].J Dairy Sci,2003,86(9):2761-2766.

[19] PAIGE D M,BAYLESS T M,DELLINGER W S,JR.Relationship of milk consumption to blood glucose rise in lactose intolerant individuals [J].Am J Clin Nutr,1975,28(7):677-680.

[20] HASEGAWA M,OKADA K,NAGATA S,et al.Efficacy of incremental loads of cow’s milk as a treatment for lactose malabsorption in Japan [J].World J Clin Cases,2023,11(4):797-808.

[21] FORSG?RD R A.Lactose digestion in humans:intestinal lactase appears to be constitutive whereas the colonic microbiome is adaptable [J].Am J Clin Nutr,2019,110(2):273-279.

[22] FACIONI M S,RASPINI B,PIVARI F,et al.Nutritional management of lactose intolerance:the importance of diet and food labelling [J].J Transl Med,2020,18(1):260.

[23] AZCARATE-PERIL M A,RITTER A J,SAVAIANO D,et al.Impact of short-chain galactooligosaccharides on the gut microbiome of lactose-intolerant individuals [J].Proc Natl Acad Sci U S A,2017,114(3):E367-E375.

[24] SAVAIANO D A,RITTER A J,KLAENHAMMER T R,et al.Improving lactose digestion and symptoms of lactose intolerance with a novel galacto-oligosaccharide (RP-G28):a randomized,double-blind clinical trial [J].Nutr J,2013,12:160.

[25] FRANCESCONI C F,MACHADO M B,STEINWURZ F,et al.Oral administration of exogenous lactase in tablets for patients diagnosed with lactose intolerance due to primary hypolactasia [J].Arq Gastroenterol,2016,53(4):228-234.

基本信息:

DOI:10.19813/j.cnki.weishengyanjiu.2024.05.001

中图分类号:R151

引用信息:

[1]向雪松,韩军花.乳糖不耐受与科学饮奶专家共识[J].卫生研究,2024,53(05):689-693.DOI:10.19813/j.cnki.weishengyanjiu.2024.05.001.

发布时间:

2024-09-05

出版时间:

2024-09-05

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文