Lactose Intolerance in Infants, Children, and Adolescents

@article{Heyman2006LactoseII,
  title={Lactose Intolerance in Infants, Children, and Adolescents},
  author={Melvin B. Heyman},
  journal={Pediatrics},
  year={2006},
  volume={118},
  pages={1279 - 1286}
}
  • M. Heyman
  • Published 1 September 2006
  • Medicine
  • Pediatrics
The American Academy of Pediatrics Committee on Nutrition presents an updated review of lactose intolerance in infants, children, and adolescents. Differences between primary, secondary, congenital, and developmental lactase deficiency that may result in lactose intolerance are discussed. Children with suspected lactose intolerance can be assessed clinically by dietary lactose elimination or by tests including noninvasive hydrogen breath testing or invasive intestinal biopsy determination of… 

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References

SHOWING 1-10 OF 93 REFERENCES
Lactose malabsorption in Mexican-American children.
TLDR
There was a significantly greater incidence of lactose intolerance in MA as compared to AA children, which suggests that Mexican-Americans share in the high incidence of primary lactose intolerant characteristic of the majority of the orld's peoples.
The practical significance of lactose intolerance in children.
  • Medicine
    Pediatrics
  • 1978
TLDR
Current research on the response of adolescents to hydrolyzed lactose milk suggests that the symptoms observed in lactose-intolerant subjects after milk ingestion may be unrelated to lactose or may be mild enough to be of little practical significance.
American Academy of Pediatrics Committee on Nutrition: Practical significance of lactose intolerance in children: supplement.
  • Medicine
    Pediatrics
  • 1990
TLDR
These clinical signs and symptoms represent lactose intolerance, a condition that results from malabsorption and lack of digestion of lactose.
Abdominal Pain Associated with Lactose Ingestion in Children with Lactose Intolerance
TLDR
It is concluded that ingestion of 12 g of lactose daily is associated with increased abdominal pain in susceptible children with lactose maldigestion and a trial of dietary lactose restriction may be beneficial in reducing abdominal pain.
Lactose malabsorption in preschool black children.
TLDR
The nature and length of the initial infant milk feeding failed to show any relationship to the onset of malabsorption, and current milk drinking patterns were reported as being similar.
Optimizing Bone Health and Calcium Intakes of Infants, Children, and Adolescents
TLDR
A well-rounded diet including low-fat dairy products, fruits, and vegetables and appropriate physical activity are important for achieving good bone health and establishing these practices in childhood is important so that they will be followed throughout the life span.
Beta-galactosidase tablets in the treatment of lactose intolerance in pediatrics.
TLDR
It is indicated that coingestion of lactose and lactase-containing tablets significantly reduces both breath hydrogen excretion and clinical symptoms associated with lactose intolerance.
Dairy sensitivity, lactose malabsorption, and elimination diets in inflammatory bowel disease.
  • S. Mishkin
  • Medicine
    The American journal of clinical nutrition
  • 1997
The ability of inflammatory bowel disease (IBD) patients to tolerate dairy products and the guidance they receive from physicians and nutritionists on this subject are important considerations in the
...
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