Prevalence of lactose intolerance and malabsorption among children of two ethnic groups from the urban areas of Malaysia and its relation to calcium intake and bone health status

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Ika Aida Aprilini Makbul ◽  
Norlida Mat Daud ◽  
Noor Fairuzi Suhana Yahya ◽  
Nurul Azrianti Aziz
Keyword(s):  
Health Status ◽  
Ethnic Groups ◽  
Bone Health ◽  
Calcium Intake ◽  
Urban Areas ◽  
Lactose Intolerance

scholarly journals Lactose Intolerance and Bone Health: The Challenge of Ensuring Adequate Calcium Intake

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 718 ◽  
Author(s):  
Joanna Hodges ◽  
Sisi Cao ◽  
Dennis Cladis ◽  
Connie Weaver
Keyword(s):  
Bone Health ◽  
Calcium Intake ◽  
Lactose Intolerance ◽  
Calcium Absorption ◽  
Fragility Fractures ◽  
Food Sources ◽  
Nutritional Deficiencies ◽  
Free Calcium ◽  
Lactase Deficiency ◽  
Dairy Consumption

Calcium is an important nutrient with impact upon many biological systems, most notably bone. Ensuring adequate calcium intake throughout the lifespan is essential to building and maintaining bone. Lactose intolerance may predispose individuals to low calcium intake as the number of lactose-free, calcium-rich food sources is limited. In this review, we summarize data from human and animal studies on the influence of lactose and lactase deficiency on calcium absorption and bone health. Based on the available evidence, neither dietary lactose nor lactase deficiency have a significant impact on calcium absorption in adult humans. However, lactose intolerance may lead to reduced bone density and fragility fractures when accompanied by decreased intake or avoidance of dairy. Recently published human trials and meta-analyses suggest a weak but significant association between dairy consumption and bone health, particularly in children. Given the availability of simple dietary approaches to building lactose tolerance and the nutritional deficiencies associated with dairy avoidance, multiple public health organizations recommend that all individuals—including those that are lactose intolerant—consume three servings of dairy per day to ensure adequate nutrient intakes and optimal bone health.

scholarly journals Factors Associated With Bone Health Status of Malaysian Pre-adolescent Children in the PREBONE-kids Study

2020 ◽  
Author(s):  
Chung Yuan Chang ◽  
Kanimolli Arasu ◽  
Soon Yee Wong ◽  
Shu Hwa Ong ◽  
Wai Yew Yang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Vitamin D ◽  
Body Composition ◽  
Health Status ◽  
Bone Mineral ◽  
Lean Mass ◽  
Bone Health ◽  
Calcium Intake ◽  
Mineral Density ◽  
25 Oh Vitamin D

Abstract Background: Modifiable lifestyle factors and body composition can affect the attainment of peak bone mass during childhood. This study performed a cross-sectional analysis of the determinants of bone health among pre-adolescent Malaysian children with habitually low calcium intakes and vitamin D status in Kuala Lumpur (PREBONE-Kids Study). Methods: Body composition, bone mineral density (BMD), and bone mineral content (BMC) at the lumbar spine (LS) and total body (TB) were assessed using dual-energy X-ray absorptiometry (DXA). Calcium intake was assessed using 1-week diet history, MET (metabolic equivalent of task) score using cPAQ questionnaire, and serum 25(OH) vitamin D using LC-MS/MS. Results: The mean calcium intake was 348.8 ± 180.1 mg/day and mean serum 25-OH vitamin D level was 43.9 ± 14.5nmol/L. In boys, lean mass (LM) was significantly associated with LSBMC (β = 0.539, p<0.001), LSBMD (β=0.607, p<0.001), TBBMC (β=0.675, p<0.001) and TBBMD (β= 0.481, p<0.01). Height was significantly associated with LSBMC (β =0.346, p<0.001) and TBBMC (β =0.282, p<0.001) while fat mass (FM) (β=0.261, p=0.034) and MET score (β =0.163, p=0.026) were significant predictors of TBBMD. Among girls, LM was significantly associated with LSBMC (β = 0.620, p<0.001), LSBMD (β=0.700, p<0.001), TBBMC (β=0.542, p<0.001) and TBBMD (β= 0.747, p<0.001). Calcium intake was a significant predictor of LSBMC (β=0.102, p=0.034), TBBMC (β=0.122, p<0.001) and TBBMD (β=0.196, p=0.002) in girls. Lean mass (LM) was weakly correlated with MET scores (r = 0.205, p = 0.001) but not protein (r = 0.055, p = 0.393) or energy intake (r = 0.101, p = 0.117). MET score (β = 0.207, p = 0.043) was a significant predictor of LM in boys but no factor was found to predict LM in girls. Conclusion: LM is the major determinant of BMC and BMD among pre-adolescent Malaysian children and physical activity is a significant predictor of LM in boys. Encouraging physical activity, calcium intake and optimum diets that build lean body mass should be the focus for developing public health guidance to ensure optimal bone health status during rapid growth.

scholarly journals Quality of care for anxiety and depression in different ethnic groups by family practitioners in urban areas in the Netherlands

2010 ◽  
Vol 32 (4) ◽  
pp. 368-376 ◽  
Author(s):  
Thijs Fassaert ◽  
Mark Nielen ◽  
Robert Verheij ◽  
Arnoud Verhoeff ◽  
Jack Dekker ◽  
...  
Keyword(s):  
Quality Of Care ◽  
The Netherlands ◽  
Ethnic Groups ◽  
Urban Areas ◽  
Anxiety And Depression ◽  
Family Practitioners

scholarly journals The Effects of an Online Theory-Based Bone Health Program for Older Adults

2015 ◽  
Vol 36 (9) ◽  
pp. 1117-1144 ◽  
Author(s):  
Eun-Shim Nahm ◽  
Barbara Resnick ◽  
Clayton Brown ◽  
Shijun Zhu ◽  
Jay Magaziner ◽  
...  
Keyword(s):  
Older Adults ◽  
Bone Health ◽  
Calcium Intake ◽  
Health Program ◽  
Outcome Expectations ◽  
Control Group ◽  
Discussion Boards ◽  
Learning Modules ◽  
Osteoporosis Knowledge ◽  
Efficacy Outcome

An estimated 10 million Americans age 50 and older have osteoporosis, and many experience associated fractures. Although several interventions have been shown to be effective in preventing osteoporosis, their impact on bone health among older adults was limited. The aim of this study was, therefore, to examine the effects of a theory-based online bone health program (Bone Power program) for a large number of older adults. The 8-week program included learning modules, discussion boards, and other resources. Participants ( N = 866; M age = 62.5 years) were recruited online and randomized into a Bone Power or control group. At the end of the intervention, the Bone Power group showed significantly greater improvement over the control group in osteoporosis knowledge, self-efficacy/outcome expectations for calcium intake and exercise, and calcium intake and exercise behaviors. This study’s findings suggest that online health programs can be effective in improving older adults’ knowledge, beliefs, and health behaviors.

Dietary Calcium Intake and Associated Factors Among Pregnant Women in Loma District, South West Ethiopia, 2020 

2021 ◽  
Author(s):  
Adisu Hailu Tofu ◽  
Yibeltal Kassa ◽  
Damene Darota Amamo
Keyword(s):  
Pregnant Women ◽  
Calcium Intake ◽  
Urban Areas ◽  
Associated Factors ◽  
Statistical Significance ◽  
Dietary Calcium ◽  
Dietary Calcium Intake ◽  
Nutritional Counseling ◽  
South West ◽  
South West Ethiopia

Abstract Background: Low dietary calcium intakes could cause harmful effects to the pregnant woman by influencing pregnancy outcome. Adequate intake of dietary calcium during pregnancy reduces the risk of complications and aids in improved birth outcome. Many researchers focus on urban areas to address the issue and our study was focused on rural community. Hence the study is aimed at assessing dietary calcium intake in rural communities.Objective: To assess the dietary calcium intakes and associated factors among pregnant women in Loma, south west Ethiopia from May to July, 2019Methods: -A community based cross-sectional study was conducted in Loma district, Dawuro zone, southwest Ethiopia. Data were collected from 398 pregnant women after random selection from nine kebeles. Simple random sampling technique was employed to select study subjects. Socio-economic and demographic, and health related data was collected using structured, interviewer administered, and pre tested questionnaire. The 24 hr dietary recall was used for three different days with seven days interval as per the recommendation. When dietary data is collected, often it was converted into nutrients, especially the calcium intake by using Ethiopian food composition table. Collected data was checked for completeness, and entered in to Epi Data version 3.02 for data clearance and exported to SPSS version 20 for analysis. AOR with 95% C.I results of multivariate logistic regression was used to assess the statistical significance of associations between independent and dependent variables. The level of statistical significance was declared at p <0.05.Result: The median calcium intake was 543mg per day. From 398 participants, 265(66.6%) were at risk of inadequate intake of calcium. Greater than half 249 (62.6%) respondents had practiced avoiding calcium rich food during their pregnancy. The finding of this study identified that nutritional counseling have strong statistical association with dietary calcium intake of mothers during pregnancy. The chance of dietary calcium intakes during pregnancy who were received nutritional counseling 2.4 times higher than those who were not received nutritional counseling (AOR=2.432 95% CI: 1.072-5.517).Conclusion and recommendation: From the present study, it can be concluded that, majority of pregnant mothers 265(66.6%) had a poor dietary calcium intakes during their pregnancy. It is recommended that consumption of enough calcium and dairy products should be included and emphasized in the nutrition education component of maternal health programs.

scholarly journals Comparison in Adherence to Osteoporosis Guidelines according to Bone Health Status in Korean Adult

2016 ◽  
Vol 23 (3) ◽  
pp. 143 ◽  
Author(s):  
Hee-Sook Lim ◽  
Soon-Kyung Kim ◽  
Hae-Hyeog Lee ◽  
Dong Won Byun ◽  
Yoon-Hyung Park ◽  
...  
Keyword(s):  
Health Status ◽  
Bone Health ◽  
Korean Adult
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