Dietary Advice for Lactose Intolerance
A simple resource to support people with a suspected or proven intolerance to lactose.
Advice requires detailed explanation from a Dietitian or other specialist Health Professional with appropriate nutritional knowledge, to enable correct understanding and implementation.
To minimise symptoms and enhance short- and/or long-term management of lactose intolerance
To help patients recognise changing symptoms to guide and inform if, when and how to alter diet i.e. reintroduce higher lactose foods.
The TG will:
- know what lactose is and how to identify foods that contain/are likely to contain lactose
- label reading advice provided
- know what the symptoms of lactose intolerance are, and that people can have varying and changeable tolerance levels
- understand the role of lactase in symptom control
- understand that intolerance is not an allergy
- know how to follow a low lactose diet and know how find their lactose tolerance to control their symptoms
- be aware of the dietary risks of restricting/eliminating lactose and be able to implement guidance to eliminate these risks
- non-dairy calcium sources
- ensuring sufficient vitamin B12 and protein intake
- NICE Guidelines: Irritable bowel syndrome in adults: diagnosis and management Clinical guideline [CG61] 2008, updated: April 2017.
- British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. 2021.
- British Dietetic Association systematic review and evidence based practice guidelines for the dietary management of irritable bowel syndrome in adults (2016 update) Mckenzie, Y. A.; Thompson, J.; Gulia, P.; Lomer, M. C. E. Journal of Human Nutrition and Dietetics, October 2016, Vol.29(5), pp.576-592
- British Dietetic Association systematic review of systematic reviews and evidence-based practice guidelines for the use of probiotics in the management of irritable bowel syndrome in adults (2016 update), Mckenzie, Y. A.; Thompson, J.; Gulia, P.; Lomer, M. C. E. Journal of Human Nutrition and Dietetics, October 2016, Vol.29(5), pp.576-592
- Carbohydrates and Health, Scientific Advisory Committee on Nutrition, 2015.
- Lactose Intolerance in Adults: Biological Mechanism and Dietary Management, Deng, Yy; Misselwitz, B; Dai, N ; Fox, M, Nutrients, 2015 Sep, Vol.7(9), pp.8020-8035
- Misselwitz, B et al. Update on lactose malabsorption and intolerance: pathogenesis, diagnosis and clinical management. Gut 2019;68:2080–2091.
- Ford, A.C et al. Systematic review with meta-analysis: the efficacy of prebiotics, probiotics, synbiotics and antibiotics in irritable bowel syndrome. Aliment Pharmacol Ther. 2018;48:1044-1060.
- Ceccherini, C et al. Evaluating the Efficacy of Probiotics in IBS Treatment Using a Systematic Review of Clinical Trials and Multi-Criteria Decision Analysis. Nutrients 2022, 14 (3), 2689.
- Francavilla, R et al. 2019. Clinical and Microbiological Effect of a Multispecies Probiotic Supplementation in Celiac Patients With Persistent IBS-type Symptoms: A Randomized, Double-Blind, Placebo-controlled, Multicenter Trial. Journal of Clinical Gastroenterology, 53 (3), e117-e125.
- Facioni, M. S. et al. Nutritional management of lactose intolerance: the importance of diet and food labelling. J Transl Med 18, 260 (2020).
- Corgneau, M. et al. Recent advances on lactose intolerance: tolerance thresholds and currently available answers. Crit Rev Food Sci Nutr. 2017 Oct 13;57:3344-3356.
- EFSA Scientific opinion on lactose thresholds in lactose interlace and galactosaemic. 2010.
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