Understanding Lactose Intolerance Y ou can still enjoy dairy if you are lactose intolerant. There are several strategies to manage lactose intolerance which include dairy in your diet. Focusing on foods to consume rather than those to avoid can help both children and adults meet nutritional recommendations and achieve the best overall health. Fast Facts Q: A: What is Lactose Intolerance? Q: A: Do I have to avoid all foods containing dairy? Lactose intolerance is one type of food sensitivity. People who are lactose intolerant don’t have enough lactase, the enzyme that breaks down the natural sugar found in milk, lactose. While lactose intolerance is a very individual condition, many people with lactose intolerance can still consume lactose-containing dairy foods in varying amounts or forms. Adults and adolescents diagnosed with lactose intolerance have been shown to tolerate at least 12 grams of lactose per day (equivalent to the amount of 1 cup of milk or yogurt) without problems. Q: A: What strategies can I use to manage lactose intolerance? Strategies to manage lactose intolerance are individualized and can include consuming small amounts of milk, preferably with food, yogurt containing “live and active” cultures, natural cheese, and lactose-free dairy foods (lactose-free milk). Lactose-free milk is real milk, without the lactose and provides the same unique package of nine essential nutrients as found in regular milk. Natural cheeses such as Cheddar, Colby, Monterey Jack, Mozzarella and Swiss are recommended because the lactose is removed in the whey during the cheese making process. Check it! According to a survey of lactose intolerant adults, more than 80% say they would drink more milk, eat more cheese and consume more dairy products if they could avoid symptoms of lactose intolerance. For more information visit the National Dairy Council at www.nationaldairycouncil.org. ©2013 Wisconsin Milk Marketing Board, Inc. Review the Research The National Institute of Health (NIH) advises consumers that “lactose intolerance is a real and important clinical syndrome, but its true prevalence is not known”. Additionally, “many individuals with real or perceived lactose intolerance avoid dairy and ingest inadequate amounts of calcium and vitamin D, which may predispose them to decreased bone growth and osteoporosis”. Most importantly, an expert panel from NIH emphasizes that “even persons with lactose intolerance, small amounts of milk, yogurt, hard cheese, and reduced-lactose foods may be effective approaches to avoiding nutritional shortfalls”. The American Academy of Pediatrics (AAP) also recommends that children with lactose intolerance still consume dairy foods to help meet calcium, vitamin D, protein, and other nutrients essential for bone health and overall growth. AAP cautions that lactose intolerance usually does not require complete avoidance of dairy foods. Check it! The result of a taste acceptance study indicates that lactose-free milk scores substantially better than do soy-based beverage products. Choosing Three Servings Every Day Try these strategies to help include your three servings a day and continue to enjoy low-fat and fat-free dairy foods. Sip it and pair it. Drink milk in small amounts or pair milk with solid foods to help slow digestion. Try the classic combination of milk and cereal or in a smoothie. Cook with milk. Make oatmeal with milk instead of water and add milk to soups, sauces and casseroles. Cheese please. Natural Cheese-1½ ounces Yummy options. Yogurt and Greek–style yogurt are also delicious choices. Choose those that contain “live and active” cultures to help digest lactose. Try something new. Look for lactose-free milk and milk products. They are real milk, just without lactose. Nutrient-rich dairy including small amounts of milk, lactose-reduced and lactose-free milk, natural cheeses and yogurt with active cultures are strategies children and adults can use in their everyday diet. www.WisconsinDairyCouncil.com
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