Turck Dominique
Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Jeanne de Flandre Children's Hospital, Lille University Faculty of Medicine, INSERM U995, Lille, France.
World Rev Nutr Diet. 2013;108:56-62. doi: 10.1159/000351485. Epub 2013 Sep 6.
Cow's milk is increasingly suggested to play a role in the development of chronic degenerative, non-communicable disorders whereas goat's milk is advocated as having several health benefits. Cow's milk is a rich and cheap source of protein and calcium, and a valuable food for bone health. Despite their high content in saturated fats, consumption of full-fat dairy products does not seem to cause significant changes in cardiovascular disease risk variables. Early introduction of cow's milk is a strong negative determinant of iron status. Unmodified cow's milk does not meet nutritional requirements of infants although it is acceptable to add small volumes of cow's milk to complementary foods. Cow's milk protein allergy has a prevalence ranging from 2 to 7%, and the age of recovery is usually around 2-3 years. The evidence linking cow's milk intake to a later risk of type 1 diabetes or chronic degenerative, non-communicable disorders (obesity, metabolic syndrome, type 2 diabetes, hypertension) is not convincing. Milk probably protects against colorectal cancer, diets high in calcium are a probable cause of prostate cancer, and there is limited evidence suggesting that high consumption of milk and dairy products increases the risk for prostate cancer. There is no evidence to support the use of a cow's milk-free diet as a primary treatment for individuals with autistic spectrum disorders. Unmodified goat's milk is not suitable for infants because of the high protein and minerals content and of a low folate content. Goat's milk has no clear nutritional advantage over cow's milk and is not less allergenic. The European Food Safety Authority recently stated that proteins from goat's milk can be suitable as a protein source for infant and follow-on formula, provided the final product complies with the compositional criteria laid down in Directive 2006/141/EC.
越来越多的人认为牛奶在慢性退行性非传染性疾病的发展中起作用,而羊奶则被认为有多种健康益处。牛奶是丰富且廉价的蛋白质和钙的来源,是对骨骼健康有益的食物。尽管全脂乳制品饱和脂肪含量高,但食用它们似乎不会导致心血管疾病风险变量发生显著变化。过早引入牛奶是铁状态的一个强烈负面决定因素。未改性的牛奶不能满足婴儿的营养需求,不过在辅食中添加少量牛奶是可以接受的。牛奶蛋白过敏的患病率在2%至7%之间,恢复年龄通常在2至3岁左右。将牛奶摄入与1型糖尿病或慢性退行性非传染性疾病(肥胖、代谢综合征、2型糖尿病、高血压)的后期风险联系起来的证据并不令人信服。牛奶可能预防结直肠癌,高钙饮食可能是前列腺癌的一个原因,并且仅有有限的证据表明大量饮用牛奶和食用乳制品会增加患前列腺癌的风险。没有证据支持将无牛奶饮食作为自闭症谱系障碍患者的主要治疗方法。未改性的羊奶不适合婴儿,因为其蛋白质和矿物质含量高且叶酸含量低。羊奶相对于牛奶没有明显的营养优势,且致敏性也不低。欧洲食品安全局最近表示,只要最终产品符合2006/141/EC指令规定的成分标准,羊奶中的蛋白质可作为婴儿配方奶粉和后续配方奶粉的蛋白质来源。