Brown-Riggs Constance
Nutrition Consultant CBR Nutrition Enterprises, Massapequa 11758, NY, USA.
Int J Environ Res Public Health. 2015 Dec 22;13(1):ijerph13010028. doi: 10.3390/ijerph13010028.
Consuming a balanced diet, such as the food groups represented on MyPlate, is key to improving health disparities. Despite the best of intentions, however, the dietary guidelines can be culturally challenging, particularly when it comes to dairy consumption. Many African and Hispanic Americans avoid milk and dairy products-key contributors of three shortfall nutrients (calcium, potassium and vitamin D)-because many people in these populations believe they are lactose intolerant. However, avoiding dairy can have significant health effects. An emerging body of evidence suggests that yogurt and other dairy products may help support reduced risk of heart disease, hypertension, obesity, and type 2 diabetes-conditions that disproportionately impact people of color. For this reason, the National Medical Association and the National Hispanic Medical Association issued a joint consensus statement recommending African Americans consume three to four servings of low-fat dairy every day. Cultured dairy products could play an important role in addressing these recommendations. Because of the presence of lactase-producing cultures, yogurt is often a more easily digestible alternative to milk, and thus more palatable to people who experience symptoms of lactose intolerance. This was a key factor cited in the final rule to include yogurt in the Special Supplemental Nutrition Program for Women, Infants, and Children.
食用均衡饮食,比如“我的餐盘”所代表的食物类别,是改善健康差异的关键。然而,尽管出发点是好的,但饮食指南在文化方面可能具有挑战性,尤其是在乳制品消费方面。许多非裔美国人和西班牙裔美国人会避开牛奶和乳制品(这三种短缺营养素——钙、钾和维生素D的主要来源),因为这些人群中的许多人认为自己乳糖不耐受。然而,避开乳制品可能会对健康产生重大影响。越来越多的证据表明,酸奶和其他乳制品可能有助于降低患心脏病、高血压、肥胖症和2型糖尿病的风险,而这些疾病对有色人种的影响尤为严重。出于这个原因,美国国家医学协会和美国国家西班牙裔医学协会发表了一份联合共识声明,建议非裔美国人每天食用三到四份低脂乳制品。发酵乳制品在落实这些建议方面可以发挥重要作用。由于含有产生乳糖酶的菌群,酸奶通常比牛奶更容易消化,因此对于有乳糖不耐受症状的人来说更可口。这是最终规定将酸奶纳入妇女、婴儿和儿童特别补充营养计划的一个关键因素。