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Lactose intolerance

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Medical Nutrition Therapy I

Definition

Lactose intolerance is a common digestive disorder where the body is unable to properly digest lactose, a sugar found in milk and dairy products, due to a deficiency of the enzyme lactase. This condition leads to symptoms like bloating, diarrhea, and abdominal pain after consuming lactose-containing foods. It plays a significant role in nutrition-related diseases and is also closely tied to malabsorption syndromes, highlighting the importance of understanding dietary management and nutritional support for those affected.

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5 Must Know Facts For Your Next Test

  1. Lactose intolerance varies globally, with certain populations, such as those of Northern European descent, having lower prevalence compared to those of Asian or African descent.
  2. Symptoms typically arise within 30 minutes to 2 hours after consuming lactose, and severity can vary depending on the amount of lactose ingested.
  3. Diagnosis often involves lactose tolerance tests or hydrogen breath tests, which measure how well the body can digest lactose.
  4. Management strategies include dietary adjustments, such as reducing or eliminating lactose-containing foods and incorporating lactase enzyme supplements.
  5. Individuals with lactose intolerance can still consume dairy alternatives that are low in lactose or lactose-free, ensuring they receive necessary nutrients like calcium and vitamin D.

Review Questions

  • How does the deficiency of lactase contribute to the symptoms experienced by individuals with lactose intolerance?
    • The deficiency of lactase leads to undigested lactose in the gut, which ferments and causes gas production. This fermentation process results in bloating, diarrhea, and abdominal pain. The inability to break down lactose effectively means that those with lactose intolerance experience discomfort upon consuming dairy products, directly linking the enzyme's absence to their symptoms.
  • Discuss the implications of lactose intolerance on dietary choices and nutritional management for affected individuals.
    • Lactose intolerance significantly impacts dietary choices, as affected individuals must limit or avoid dairy products to prevent gastrointestinal symptoms. This can lead to potential nutrient deficiencies if not managed properly, particularly in calcium and vitamin D intake. Nutritional management often includes exploring dairy alternatives fortified with essential nutrients or using lactase supplements to enable some dairy consumption, ensuring a balanced diet.
  • Evaluate the role of cultural differences in the prevalence of lactose intolerance and how this affects public health strategies for dietary recommendations.
    • Cultural differences play a significant role in the prevalence of lactose intolerance, with some populations naturally developing higher lactase levels due to historical dairy consumption practices. This variation necessitates tailored public health strategies that consider cultural dietary patterns and preferences when providing recommendations. For instance, populations with high lactose intolerance rates may benefit from increased education on alternative calcium sources and the availability of lactose-free products to promote overall health without compromising dietary traditions.
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