Goulding Ailsa, Rockell Jennifer E p, Black Ruth E, Grant Andrea M, Jones Ianthe E, Williams Sheila M
Department of Medical and Surgical Sciences, University of Otago Medical School, Dunedin, New Zealand.
J Am Diet Assoc. 2004 Feb;104(2):250-3. doi: 10.1016/j.jada.2003.11.008.
The full fracture histories of 50 children (30 girls and 20 boys, age range 3 to 13 years) who had avoided drinking cow's milk for prolonged periods were compared with those in a birth cohort of more than 1,000 children from the same city. Children who avoided milk did not use calcium-rich food substitutes appropriately and had low dietary calcium intakes and low bone mineral density values. Many were overweight (22 of 50). Significantly more of the children who avoided milk reported fractures (16 observed vs 6 expected, chi(2)=31.0, P<.001, df=5). They also experienced more total fractures than the birth cohort population (22 observed vs 8 expected, chi(2)=33.6, P<.001, df=5). All of the fractures occurred before puberty, the majority (18 of 22) being associated with only slight trauma. Forearm fractures were especially common (12 fractures). We conclude that young children avoiding milk are prone to fracture.
将50名长期不饮用牛奶的儿童（30名女孩和20名男孩，年龄范围为3至13岁）的完整骨折病史与来自同一城市的1000多名儿童的出生队列进行了比较。不饮用牛奶的儿童没有适当地使用富含钙的食物替代品，膳食钙摄入量低，骨矿物质密度值也低。许多儿童超重（50名中有22名）。报告骨折的不饮用牛奶的儿童明显更多（观察到16例，预期6例，卡方值=31.0，P<0.001，自由度=5）。他们发生的骨折总数也比出生队列人群更多（观察到22例，预期8例，卡方值=33.6，P<0.001，自由度=5）。所有骨折均发生在青春期前，大多数（22例中的18例）仅与轻微创伤有关。前臂骨折尤为常见（12例骨折）。我们得出结论，不饮用牛奶的幼儿容易骨折。
