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American Journal of Clinical Nutrition, Vol. 70, No. 2, 302-303, August 1999
© 1999 American Society for Clinical Nutrition


Letters to the Editor

Reply to WB Grant

Fabrizis L Suarez, Jacqueline Adshead, Julie K Furne and Michael D Levitt

Minneapolis Veterans Affairs Medical Center One Veterans Drive Minneapolis, MN 55417 E-mail: Michael.D.Levitt-1{at}tc.umn.edu

Dear Sir:

We emphasize that the sole purpose of our study was to determine whether lactose maldigesters are able to tolerate lactose in dairy products that provide {approx} 1500 mg Ca/d. The results of our study clearly suggested that this is the case (1).

The complex issue of the potential benefit or harm of a dairy-rich diet was not the topic of our study. However, the results of many studies have supported the benefits of a high-calcium diet in the prevention of osteoporosis (29) and the evidence in this regard was sufficient to convince a National Institutes of Health consensus conference to recommend that postmenopausal women ingest 1500 mg Ca/d (9).

REFERENCES

  1. Suarez FL, Adshead J, Furne JK, Levitt MD. Lactose maldigestion is not an impediment to the intake of 1500 mg of calcium daily as dairy products. Am J Clin Nutr 1998;68:1118–22.[Abstract]
  2. Storm D, Eslin R, Porter ES, et al. Calcium supplementation prevents seasonal bone loss and changes in biochemical markers of bone turnover in elderly New England women: a randomized placebo controlled trial. J Clin Endocrinol Metab 1998;83:3817–25.[Abstract/Free Full Text]
  3. Dawson-Hughes B, Harris SS, Krall EA, Dallal GE. Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or older. N Engl J Med 1997;337:670–6.[Abstract/Free Full Text]
  4. Chapuy MC, Arlot ME, DuBoeuf F, et al. Vitamin D-3 and calcium to prevent hip fractures in elderly women. N Engl J Med 1992; 327:1637–42.[Abstract]
  5. Riggs BL, Hodgson SF, O'Fallow WM, et al. Effect of fluoride treatment on the fracture rate in postmenopausal women with osteoporosis. N Engl J Med 1990;322:802–9.[Abstract]
  6. Hasling C, Charles P, Jensen FT, Mosekilde L. Calcium metabolism in postmenopausal osteoporosis: the influence of dietary calcium and net absorbed calcium. J Bone Miner Res 1990;5:939–46.[Medline]
  7. Holbrook TL, Barret-Connor E, Wingard DL. Dietary calcium and risk of hip fracture: 14-years prospective population study. Lancet 1988;2:1046–9.[Medline]
  8. Sowers MR, Wallace RB, Lemke JH. The relationship of bone mass and fracture history to fluoride and calcium intake: a study of three communities. Am J Clin Nutr 1986;44:889–98.[Abstract/Free Full Text]
  9. Matkovic V, Kostial K, Simonovic I, Buzina R, Brodarec A, Nordin BE. Bone status and fracture rates in two regions of Yugoslavia. Am J Clin Nutr 1979;32:540–9.[Abstract/Free Full Text]
  10. Anonymous. Optimal calcium intake. NIH Consens Statement 1994;21:1–31.




This Article
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