Drinking
more than three glasses of milk a day may not protect bones against breaking -
and may even lead to higher rates of death, say researchers.
A new
study suggests certain types of sugars found in milk may increase inflammation
and oxidative stress, which can damage body cells.
But
Swedish researchers said their study could not prove ‘cause and effect’ and
much more research was needed before anyone would be advised to limit their
milk consumption.
Milk is
recommended for cutting the risk of fractures because it contains calcium and
vitamin D, which are vital for bone strength.
However,
there have been conflicting results from studies into the health benefits of
milk in recent decades, with some showing it prevents heart attacks and strokes
and others the opposite.
Professor
Karl Michaƫlsson, of Uppsala University, Sweden, led a team to investigate
whether the mechanism for potential harm was consumption of the sugars lactose
and galactose found in high levels in milk, compared with much lower levels in
other dairy products.
In animal
studies, they have been linked to cell damage, impaired immunity and premature
ageing.
Two large
groups of 61,433 women and 45,339 men in Sweden completed food frequency
questionnaires for 96 common foods including milk, yoghurt and cheese.
Women
were tracked for an average of 20 years, during which time 15,541 died and
17,252 had a fracture, of whom 4,259 had a hip fracture.
In women,
drinking more milk did not cut the risk of broken bones, says the study
published in The BMJ.
Women who
drank more than three glasses of milk a day – on average 680 ml - had almost
double the risk of death than women who drank less than one glass of milk a
day, around 60 ml.
Men were
tracked for an average of 11 years, during which time 10,112 died and 5,066 had
a fracture, with 1,166 hip fracture cases.
Men who
drank more milk also had a higher risk of death, although much lower than in
women.
Tests on
blood and urine found higher milk intake was linked to biomarkers of oxidative
stress and inflammation.
In
contrast, eating more dairy products such as yoghurt and cheese - with a low
lactose content – led to lower death rates and fewer fractures, particularly in
women.
Individuals
should still be encouraged to consume a balanced diet from the five key food
groups of which milk and dairy are key
Prof
Michaƫlsson said the study design meant lactose and galactose could not be
definitely implicated and the results ‘should be interpreted cautiously’.
He said
independent replication was needed before the findings ‘can be used for dietary
recommendations.’
Prof Sue
Lanham-New, Head of the Department of Nutritional Sciences, University of
Surrey, said the study had limitations, such as weak methods to assess
lifestyle habits including bodyweight.
She said:
‘Also key is that all milk in Sweden is fortified with vitamin A. This may well
be an important confounding factor.
‘Milk and
dairy products in the UK provide 50-60 percent of the calcium in our diet. We
know that low calcium intakes is a risk factor for osteoporosis.
‘Individuals
should still be encouraged to consume a balanced diet from the five key food
groups of which milk and dairy are key.’
Prof
Brian Ratcliffe, Professor of Nutrition, Robert Gordon University, Aberdeen,
said the possible role of alcohol intake was understated given that most of the
extra deaths in milk drinkers were from heart disease.
Lowest
milk consumption was associated with the highest consumption of alcohol, and
‘there is considerable evidence for a cardio-protective effect of alcohol at
modest intakes’ he said.
No comments:
Post a Comment