Three Daily Servings of Reduced-Fat Milk: An Evidence-Based Recommendation?
Abstract
In light of research linking sugar-sweetened beverage consumption to obesity, the US Department of Agriculture, the American Academy of Pediatrics, and other organizations have formulated recommendations on healthy beverages. These guidelines consistently recommend limiting consumption of all calorie-containing liquids, except reduced-fat milk, of which people in most age groups are encouraged to consume 3 cups daily. This article questions the scientific rationale for promoting reduced-fat milk consumption at these levels in children and adults and reconsiders the role of cow’s milk in human nutrition.
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More than half of US children are expected to be of Hispanic, Black or Asian descent by 2019.
“With more than half of US children expected to be of Hispanic, Black or Asian decent by 2019 (68) , populations at increased risk for lactose malabsorption and intolerance (69)(70)(71) , offering non-dairy milks may increase acceptability.”
From ‘It's just so much waste.’ A qualitative investigation of food waste in a universal free School Breakfast Program (2015) · cites this paper as [68]
Cites
Changes in diet and lifestyle and long-term weight gain in women and men
Mozaffarian, D., Hao, T., Rimm, E. B., Willett, W. C., & Hu, F. B. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1014296 · Cited by 2,527 · see citing works
Self-citationEffects of Dietary Composition on Energy Expenditure During Weight-Loss Maintenance
Ebbeling, C. B., Swain, J. F., Feldman, H. A., Wong, W. W., Hachey, D. L., Garcia-Lago, E., & Ludwig, D. S. (2012) · JAMA · doi:10.1001/jama.2012.6607 · Cited by 431 · see citing works
Self-citationHession, M., Rolland, C., Kulkarni, U., Wise, A., & Broom, J. I. (2008) · Obesity Reviews · doi:10.1111/j.1467-789x.2008.00518.x · Cited by 394 · see citing works
Milk, Dairy Fat, Dietary Calcium, and Weight Gain: A Longitudinal Study of Adolescents
Berkey, C. S., Rockett, H. R. H., Willett, W. C., & Colditz, G. A. (2005) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.159.6.543 · Cited by 279 · see citing works
Self-citationDietary fat is not a major determinant of body fat
Willett, W. C., & Leibel, R. L. (2002) · The American Journal of Medicine · doi:10.1016/s0002-9343(01)00992-5 · Cited by 241 · see citing works
Self-citationJakobsen, M. U., Dethlefsen, C., Joensen, A. M., Stegger, J., Tjønneland, A., Schmidt, E. B., & Overvad, K. (2010) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2009.29099 · Cited by 209 · see citing works
Milk intake and risk of hip fracture in men and women: A meta-analysis of prospective cohort studies
Bischoff-Ferrari, H. A., Dawson‐Hughes, B., Baron, J. A., Kanis, J. А., Orav, E. J., Staehelin, H. B., Kiel, D. P., Burckhardt, P., Henschkowski, J., Spiegelman, D. L., et al. (2010) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.279 · Cited by 148 · see citing works
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Hu, F. B. (2010) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.2010.29622 · Cited by 83 · see citing works
Heaney, R. P. (2009) · Nutrition Reviews · doi:10.1111/j.1753-4887.2001.tb06957.x · Cited by 80 · see citing works
Longitudinal evaluation of milk type consumed and weight status in preschoolers
Scharf, R. J., Demmer, R. T., & DeBoer, M. D. (2013) · Archives of Disease in Childhood · doi:10.1136/archdischild-2012-302941 · Cited by 70 · see citing works
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Benatar, J. R., Sidhu, K., & Stewart, R. (2013) · PLoS ONE · doi:10.1371/journal.pone.0076480 · Cited by 165 · see citing works
Keum, N., Aune, D., Greenwood, D. C., Ju, W., & Giovannucci, E. L. (2014) · International Journal of Cancer · doi:10.1002/ijc.28840 · Cited by 151 · see citing works
Benbrook, C. M., Butler, G., Latif, M. A., Leifert, C., & Davis, D. R. (2013) · PLoS ONE · doi:10.1371/journal.pone.0082429 · Cited by 142 · see citing works
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Schmidt, K. A., Cromer, G., Burhans, M. S., Kuzma, J. N., Hagman, D. K., Fernando, I., Murray, M., Utzschneider, K. M., Holte, S., Kraft, J., et al. (2021) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqab131 · Cited by 46 · see citing works
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- Authors
- Ludwig, D. S., & Willett, W. C.
- Affiliations
- Boston Children's Hospital (US)
- Harvard University (US)
- Venue
- JAMA Pediatrics
- Publisher
- American Medical Association (AMA)
- Published
- 2013-09-01
- Volume
- 167
- Issue
- 9
- Pages
- 788
- ISSN
- 1072-4710 (ISSN-L)
- 2168-6203
- OpenAlex
- W2171098109
- Cited by
- 46
- References
- 10
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 5 · 2020: 4 · 2019: 4 · 2018: 5 · 2017: 3 · 2016: 3 · 2015: 7 · 2014: 5 · 2013: 2
- FWCI
- 5.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Pediatrics and Adolescent Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K24DK082730)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- reduced-fat milk, sugar-sweetened beverages, obesity prevention, cow's milk, dairy consumption, children, dietary recommendations, energy intake
- MeSH terms
- Animals, Diet, Dietary Fats, Health Promotion, Humans, Milk, Practice Guidelines as Topic, Nutrition Policy, Evidence-Based Practice
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