Rozenberg Serge, Body Jean-Jacques, Bruyère Olivier, Bergmann Pierre, Brandi Maria Luisa, Cooper Cyrus, Devogelaer Jean-Pierre, Gielen Evelien, Goemaere Stefan, Kaufman Jean-Marc, Rizzoli René, Reginster Jean-Yves
Department of Gynaecology-Obstetrics, Université Libre de Bruxelles, Brussels, Belgium.
Department of Medicine, CHU Brugmann, Université Libre de Bruxelles, Brussels, Belgium.
Calcif Tissue Int. 2016 Jan;98(1):1-17. doi: 10.1007/s00223-015-0062-x. Epub 2015 Oct 7.
Dairy products provide a package of essential nutrients that is difficult to obtain in low-dairy or dairy-free diets, and for many people it is not possible to achieve recommended daily calcium intakes with a dairy-free diet. Despite the established benefits for bone health, some people avoid dairy in their diet due to beliefs that dairy may be detrimental to health, especially in those with weight management issues, lactose intolerance, osteoarthritis, rheumatoid arthritis, or trying to avoid cardiovascular disease. This review provides information for health professionals to enable them to help their patients make informed decisions about consuming dairy products as part of a balanced diet. There may be a weak association between dairy consumption and a possible small weight reduction, with decreases in fat mass and waist circumference and increases in lean body mass. Lactose intolerant individuals may not need to completely eliminate dairy products from their diet, as both yogurt and hard cheese are well tolerated. Among people with arthritis, there is no evidence for a benefit to avoid dairy consumption. Dairy products do not increase the risk of cardiovascular disease, particularly if low fat. Intake of up to three servings of dairy products per day appears to be safe and may confer a favourable benefit with regard to bone health.
乳制品提供了一组必需营养素,而这些营养素在低乳制品或无乳制品饮食中很难获取,并且对许多人来说,采用无乳制品饮食无法达到推荐的每日钙摄入量。尽管乳制品对骨骼健康有既定益处,但有些人在饮食中避免食用乳制品,因为他们认为乳制品可能对健康有害,尤其是对那些有体重管理问题、乳糖不耐受、骨关节炎、类风湿性关节炎或试图预防心血管疾病的人。本综述为健康专业人员提供信息,使他们能够帮助患者就是否将乳制品作为均衡饮食的一部分做出明智的决定。乳制品消费与可能的小幅体重减轻之间可能存在微弱关联,体脂和腰围会减少,瘦体重会增加。乳糖不耐受的个体可能无需从饮食中完全剔除乳制品,因为酸奶和硬奶酪的耐受性都很好。在患有关节炎的人群中,没有证据表明避免食用乳制品有益。乳制品不会增加心血管疾病风险,尤其是低脂乳制品。每天摄入多达三份乳制品似乎是安全的,并且可能对骨骼健康有有利影响。