Heyman Melvin B
Pediatrics. 2006 Sep;118(3):1279-86. doi: 10.1542/peds.2006-1721.
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.
美国儿科学会营养委员会对婴儿、儿童及青少年乳糖不耐受情况进行了更新综述。文中讨论了可能导致乳糖不耐受的原发性、继发性、先天性及发育性乳糖酶缺乏之间的差异。疑似乳糖不耐受的儿童可通过饮食中消除乳糖或采用包括非侵入性氢呼气试验或侵入性肠活检测定乳糖酶（及其他双糖酶）浓度等检测方法进行临床评估。治疗方法包括使用经乳糖酶处理的乳制品或口服补充乳糖酶、限制含乳糖食物的摄入或完全不食用乳制品。美国儿科学会支持将乳制品作为骨骼矿物质健康所需钙的重要来源以及有助于儿童和青少年生长的其他营养素的重要来源。如果不食用乳制品，则需要提供其他钙的膳食来源或钙补充剂。
