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Cited by 566

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Review article: lactose intolerance in clinical practice – myths and realities

LOMER, M. C. E., PARKES, G. C., SANDERSON, J. D.·2008·Alimentary Pharmacology & Therapeutics

Abstract

Summary: Background Approximately 70% of the world population has hypolactasia, which often remains undiagnosed and has the potential to cause some morbidity. However, not everyone has lactose intolerance, as several nutritional and genetic factors influence tolerance. Aims To review current clinical practice and identify published literature on the management of lactose intolerance. Methods PubMed was searched using the terms lactose, lactase and diet to find original research and reviews. Relevant articles and clinical experience provided the basis for this review. Results Lactose is found only in mammalian milk and is hydrolysed by lactase in the small intestine. The lactase gene has recently been identified. ‘Wild‐type’ is characterized by lactase nonpersistence, often leading to lactose intolerance. Two genetic polymorphisms responsible for persistence have been identified, with their distribution concentrated in north Europeans. Symptoms of lactose intolerance include abdominal pain, bloating, flatulence and diarrhoea. Diagnosis is most commonly by the lactose hydrogen breath test. However, most people with hypolactasia, if given appropriate advice, can tolerate some lactose‐containing foods without symptoms. Conclusion In clinical practice, some people with lactose intolerance can consume milk and dairy foods without developing symptoms, whereas others will need lactose restriction.

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Crossref · 10.1111/j.1365-2036.2007.03557.x

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Metadata

Authors
LOMER, M. C. E., PARKES, G. C., & SANDERSON, J. D.
Venue
Alimentary Pharmacology & Therapeutics
Publisher
Wiley
Published
2007-10-23
Volume
27
Issue
2
Pages
93-103
ISSN
  • 0269-2813 (ISSN-L)
  • 1365-2036
OpenAlex
W1716554424
Cited by
566
References
3
FWCI
8.21
Type
journal article
Language
en
Open access
closed

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