Changes in Nutritional Status Through Low-Lactose Processed Milk Consumption in Korean Adults With Lactose Intolerance.

Clinical nutrition research Pub Date : 2025-02-05 eCollection Date: 2025-01-01 DOI:10.7762/cnr.2025.14.1.30
Dong Hoon Jung, Gi Moon Nam, Chang Kyun Lee, Chul Hong Kim, Hyun-San Lim, Ji Yeon Lee, Hee-Sook Lim
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Abstract

This study was conducted to evaluate changes in hydrogen breath test results and nutritional improvements when Korean adults diagnosed with lactose intolerance consumed processed milk containing approximately 10 g of lactose continuously. Participants consumed 240 mL of intervention food daily for a month and visited the research institute before and after the intervention to undergo nutrient intake survey and hydrogen breath tests. Data from 32 participants, with a mean age of 52.9 years, were analyzed. Hydrogen breath tests showed a significant decrease in hydrogen levels at all but baseline and the first of five 20-minute intervals of expiratory hydrogen concentration measurements. The third and fourth measurements showed the most significant changes (p < 0.001). The gastrointestinal symptoms showed a decreasing trend. Nutrient intake analysis demonstrated significant increases in animal protein (p < 0.001), calcium (p < 0.001), percentage of energy from protein (p = 0.032), vitamin A (p = 0.032), and retinol levels (p = 0.023). Regarding dietary habits, significant improvements were observed in nutritional quotient variables, including nutritional score (p = 0.042) and balance (p = 0.034). This study suggests that the removal of lactose and dairy products is not necessary for individuals with lactose intolerance. Incorporating low-lactose processed milk into their usual diet might be a practical dietary management strategy.

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韩国成人乳糖不耐症患者食用低乳糖加工牛奶后营养状况的变化。
这项研究是为了评估被诊断为乳糖不耐症的韩国成年人连续食用含有约10克乳糖的加工牛奶后,氢呼气测试结果的变化和营养改善情况。参与者每天摄入240毫升干预食物,持续一个月,并在干预前后前往研究所进行营养摄入调查和氢呼气测试。研究人员分析了32名参与者的数据,他们的平均年龄为52.9岁。氢呼气测试显示,除了基线和第一次呼气氢浓度测量的5次20分钟间隔外,所有的氢水平都显著下降。第三和第四次测量显示最显著的变化(p < 0.001)。胃肠道症状呈减轻趋势。营养摄入分析显示动物蛋白(p < 0.001)、钙(p < 0.001)、蛋白质能量百分比(p = 0.032)、维生素A (p = 0.032)和视黄醇水平(p = 0.023)显著增加。饮食习惯方面,营养评分(p = 0.042)和营养平衡(p = 0.034)等营养商数指标均有显著改善。这项研究表明,对于患有乳糖不耐症的人来说,不吃乳糖和乳制品是没有必要的。将低乳糖加工牛奶纳入他们的日常饮食可能是一种实用的饮食管理策略。
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