Mullin Gerard E, Belkoff Stephen M
Division of Gastroenterology and Hepatology (Dr Mullin), The Johns Hopkins Hospital, Baltimore, Maryland, United States.
The Department of Orthopaedic Surgery (Dr Belkoff), The Johns Hopkins Hospital, Baltimore, Maryland, United States.
Glob Adv Health Med. 2014 Nov;3(6):19-24. doi: 10.7453/gahmj.2014.041.
Fragility fractures associated with osteoporosis extract a large financial and personal toll on society. Pharmaceutical or dietary calcium intake is needed to increase bone mineral density to prevent fragility fractures. Although dairy products are a good source of calcium, patients who are unable to digest lactose tend to avoid them and are put at a greater risk for fracture than the general population. Anecdotal reports suggest that lactose maldigesters, when consuming raw milk, have a dramatic reduction in symptoms relative to pasteurized milk. The mechanism of the reported reduction in symptoms, if true, is unknown. The purpose of the current study was to survey raw milk drinkers to ascertain their health-related motivations for consuming raw milk, especially as they relate to lactose maldigestion.
An online survey regarding raw milk was completed by 153 of 1527 members of a raw milk-buying community.
The primary reason the respondents cited for drinking raw milk was that they believed it was more healthful; 30% reported some gastrointestinal discomfort when drinking pasteurized milk, yet almost all (99%) reported consuming raw milk without discomfort. Despite the reports of gastrointestinal discomfort, only 5% of respondents had been diagnosed as lactose intolerant by a medical professional, and only 1% had been diagnosed as lactose intolerant via the gold-standard hydrogen breath test.
The primary motivation for drinking raw milk is its perceived health value, not its digestibility. Although raw milk appears to be more easily digested than pasteurized milk in our survey sample, the mechanism of digestibility remains unknown.
与骨质疏松症相关的脆性骨折给社会带来了巨大的经济和个人负担。需要通过药物或膳食补钙来增加骨密度,以预防脆性骨折。尽管乳制品是钙的良好来源,但无法消化乳糖的患者往往会避免食用,与普通人群相比,他们发生骨折的风险更高。轶事报道表明,乳糖消化不良者饮用生牛奶时,相对于饮用巴氏杀菌牛奶,症状会显著减轻。如果报道属实,症状减轻的机制尚不清楚。本研究的目的是调查饮用生牛奶的人群,以确定他们饮用生牛奶的健康相关动机,特别是与乳糖消化不良相关的动机。
一个生牛奶购买社区的1527名成员中有153人完成了一项关于生牛奶的在线调查。
受访者引用的饮用生牛奶的主要原因是他们认为生牛奶更健康;30%的人报告饮用巴氏杀菌牛奶时会出现一些胃肠道不适,但几乎所有人(99%)报告饮用生牛奶时没有不适。尽管有胃肠道不适的报告,但只有5%的受访者被医学专业人员诊断为乳糖不耐受,只有1%的人通过金标准呼气氢试验被诊断为乳糖不耐受。
饮用生牛奶的主要动机是其被认为的健康价值,而非其消化性。尽管在我们的调查样本中生牛奶似乎比巴氏杀菌牛奶更容易消化,但其消化机制仍然未知。