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Am J Clin Nutr 89: 1634S-1637S, 2009. First published March 25, 2009; doi:10.3945/ajcn.2009.26736O
American Journal of Clinical Nutrition, doi:10.3945/ajcn.2009.26736O
Vol. 89, No. 5, 1634S-1637S, May 2009

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© 2009 American Society for Clinical Nutrition

ORIGINAL RESEARCH COMMUNICATION

Should dairy be recommended as part of a healthy vegetarian diet? Point1,2,3

Connie M Weaver

1 From the Department of Foods and Nutrition, Purdue University, West Lafayette, IN.

2 Presented at the symposium, "Fifth International Congress on Vegetarian Nutrition," held in Loma Linda, CA, March 4–6, 2008.

3 No reprints available. Address correspondence to CM Weaver, Department of Foods and Nutrition, Purdue University, 700 W State Street, West Lafayette, IN 47907-2059. E-mail: weavercm{at}purdue.edu.

A benefit-risk evaluation of the evidence for including dairy foods in the diet is presented. For many persons dairy products provide a substantial portion of essential nutrients, but especially calcium, potassium, and magnesium. Dietary supplements and fortified foods can be alternative sources of these nutrients, although other components of dairy foods such as amino acid composition and conjugated linoleic acid may be instrumental in the benefits associated with dairy product consumption for bone health and reduced risk of stroke, metabolic syndrome, and some cancers. Newer evidence shows that protein-induced calciuria does not have a detrimental effect on net calcium retention, and the concentrations of hormones in milk are not outside of the range of endogenous concentrations. Increased dietary protein, including from milk, can elevate serum concentrations of insulin-like growth factor I, which has an unknown relation to cancer. The concern over consumption of milk leading to increased risk of prostate cancer through reduction of serum 1,25-dihydroxyvitamin D, a potent anti-prostate cancer hormone, has been resolved with new evidence that local production of this hormone is independent of diet. Overall, evidence suggests that being a lactovegetarian has greater health benefits and reduced health risks than being a vegan.




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