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American Journal of Clinical Nutrition, Vol. 71, No. 4, 931-936, April 2000
© 2000 American Society for Clinical Nutrition


Original Research Communications

Lactose does not enhance calcium bioavailability in lactose-tolerant, healthy adults1,2,3

Armin Zittermann, Petra Bock, Christian Drummer, Kerstin Scheld, Martina Heer and Peter Stehle

1 From the Department of Nutrition Science, University of Bonn, Germany, and the German Aerospace Center–Institute for Aerospace Medicine, Cologne, Germany.

Background: There is evidence from animal studies that lactose has a beneficial effect on intestinal calcium absorption. However, data concerning the effect of lactose on calcium absorption in lactose-tolerant adults are inconclusive.

Objective: Our objective was to investigate the effect of lactose on calcium bioavailability in humans by the use of a stable-strontium test under controlled metabolic conditions.

Design: Eleven healthy, lactose-tolerant subjects (8 women, 3 men) randomly received a bolus of 2.27 mmol strontium alone (load A), the bolus with 35 g lactose (load B), or the bolus with 17.5 g glucose and 17.5 g galactose (load C). Blood samples were drawn at 0, 15, 30, 60, 90, 180, 240, and 300 min. Urine specimens were collected during the time intervals -2 to 0, 0–2, 2–4, 4–6, and 6–24 h.

Results: Pharmacokinetic parameters of strontium bioavailability were comparable for all 3 loads. In detail, fractional absorption at 240 min for loads A, B, and C was 12.1 ± 0.7%, 13.0 ± 1.1%, and 12.2 ± 0.7%, respectively. Areas under the curve for 0–240 min were 70.8 ± 6.3, 69.6 ± 3.5, and 65.8 ± 5.1 µmol•h/L for loads A, B, and C, respectively (NS). Moreover, fractional strontium excretion values of 5.1 ± 0.8% (load A), 5.8 ± 0.4% (load B), and 5.2 ± 0.8% (load C) were not significantly different.

Conclusions: Lactose does not have a beneficial effect on calcium bioavailability in lactose-tolerant adults.

Key Words: Lactose-tolerant adults • calcium absorption • strontium test • bioavailability




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