{Reference Type}: Journal Article
{Title}: Lactose malabsorption and intolerance in older adults.
{Author}: Gallo A;Marzetti E;Pellegrino S;Montalto M;
{Journal}: Curr Opin Clin Nutr Metab Care
{Volume}: 27
{Issue}: 4
{Year}: 2024 Jul 1
{Factor}: 3.62
{DOI}: 10.1097/MCO.0000000000001045
{Abstract}: <B>OBJECTIVE: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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.