Lactose intolerance: what is a correct management?

Abstract

SUMMARY Individuals with Lactose Intolerance (LI) tend to exclude milk from their diet since this behavior seems to relieve the symptoms caused by the disease. However, milk is a food of high nutritional value, and complete exclusion of dairy products may favor the development of bone diseases such as osteopenia and osteoporosis. The objective of this review was to evaluate the scientific evidence on the adequate management of patients with LI. This study was carried out from the review of the scientific literature in PubMed and SciELO databases. Complete exclusion of conventional dairy products is not necessary since most individuals with LI can tolerate up to 12 grams of lactose daily in a single dose. Yogurts and cheeses matured for having low amounts of lactose are part of the strategy that allows consumption of dairy products by patients with LI. Currently, there is a diversity of products considered as “milk substitutes” and supplements aimed at individuals with LI. However, these strategies still require better-designed studies.

Dietary calcium intake in Brazilian preschoolers and schoolchhildren: review of the literature

“…38 Therefore, lactose intolerance and CMA treatment involve restricting dairy products in the diet, which may compromise calcium intake in childhood without supplementation. 37,39 Furthermore, misdiagnoses and the dissemination of lactose-free diets in healthy children can contribute to the low percentage of dairy products in their diets with a consequent reduction in calcium consumption.…”

Avaliação da rotulagem de leite UHT “zero lactose” comercializado na cidade de Natal/RN

“…Esta informação foi instituída pela Lei Nº 11.265 de 3 de janeiro de 2006, alterada pela Lei Nº 11.474, de 15 de maio de 2007. E cabe destacar a relevância dessa informação para a saúde da clientela a que se destina essa recomendação, considerando a importância do aleitamento materno 24 .…”

Post Covid-19 Encephalitis Presenting With Cerebellar Syndrome

“…Uma das condutas para remissão dos sintomas da IL, inicialmente é a diminuição ou em alguns casos a restrição de produtos lácteos, porém, o tratamento deve variar de acordo com o tipo de IL apresentada (SANTOS et al, 2019) Todavia, o leite e seus derivados são alimentos ricos em cálcio, um mineral importante para a homeostase do organismo humano, e que segundo Buzinaro et al (2006), também possui biodisponibilidade maior no leite que os demais alimentos. Portanto, dietas restritas em produtos contendo leite aumentam o risco de deficiência de cálcio, que por sua vez pode ter consequências na saúde do indivíduo (TOMBA et al 2011;MALIK et al, 2021).…”