PDF(Pubmed)
Abstract：
OBJECTIVE: Lactose malabsorption and intolerance are very common conditions. However, their optimal approach, including the diagnostic assessment, remains a matter of debate, especially in advanced age. In this brief review, we focused on current knowledge, concerns, and impact in clinical practice of lactose malabsorption and intolerance in elderly.
RESULTS: Older adults are at high risk of malnutrition, owing to frequent occurrence of cognitive impairment, loss of appetite, dysphagia, and poor oral health. A significant decrease in the consumption of dairy products may lead to inadequate intake of high-quality protein and minerals, with a consequent impact on muscle and bone health. Testing for lactose malabsorption may be challenging in older adults, if not useless. Instead, a detailed clinical evaluation should always be pursued to identify both lactose intolerance and all confounding factors mimicking the same clinical picture.
CONCLUSIONS: The management of lactose malabsorption and intolerance in older adults deserves a personalized approach. Because of the importance of maintaining an adequate nutritional status in this age group, efforts should be put forth to avoid excessively restrictive diets.
RESULTS: Older adults are at high risk of malnutrition, owing to frequent occurrence of cognitive impairment, loss of appetite, dysphagia, and poor oral health. A significant decrease in the consumption of dairy products may lead to inadequate intake of high-quality protein and minerals, with a consequent impact on muscle and bone health. Testing for lactose malabsorption may be challenging in older adults, if not useless. Instead, a detailed clinical evaluation should always be pursued to identify both lactose intolerance and all confounding factors mimicking the same clinical picture.
CONCLUSIONS: The management of lactose malabsorption and intolerance in older adults deserves a personalized approach. Because of the importance of maintaining an adequate nutritional status in this age group, efforts should be put forth to avoid excessively restrictive diets.
摘要：
目的：乳糖吸收不良和不耐受是非常常见的病症。然而,他们的最佳方法，包括诊断评估，仍然是一个争论的问题，尤其是在高龄。在这个简短的审查，我们专注于当前的知识，关注,以及老年人乳糖吸收不良和不耐受对临床实践的影响。
结果：老年人营养不良的风险很高，由于认知障碍的频繁发生，食欲不振,吞咽困难,口腔健康状况不佳。乳制品消费量的大幅减少可能导致优质蛋白质和矿物质摄入不足,从而影响肌肉和骨骼健康。测试乳糖吸收不良在老年人中可能具有挑战性，如果不是无用的。相反，应始终进行详细的临床评估,以确定乳糖不耐受和模拟相同临床表现的所有混杂因素.
结论：老年人乳糖吸收不良和不耐受的管理值得采取个性化的方法。由于在这个年龄段保持足够的营养状况的重要性，应努力避免过度限制饮食。
结果：老年人营养不良的风险很高，由于认知障碍的频繁发生，食欲不振,吞咽困难,口腔健康状况不佳。乳制品消费量的大幅减少可能导致优质蛋白质和矿物质摄入不足,从而影响肌肉和骨骼健康。测试乳糖吸收不良在老年人中可能具有挑战性，如果不是无用的。相反，应始终进行详细的临床评估,以确定乳糖不耐受和模拟相同临床表现的所有混杂因素.
结论：老年人乳糖吸收不良和不耐受的管理值得采取个性化的方法。由于在这个年龄段保持足够的营养状况的重要性，应努力避免过度限制饮食。
