In a nutshell
1Lactose: most of the world can't digest it
Strong evidence
68%
of adults worldwide have a reduced ability to digest the milk sugar lactose. It varies with ancestry: in northern and
western Europe the share is much lower than in Asia or Africa.1
In most people, lactase — the enzyme that breaks down lactose — weakens after childhood. In some people, mainly those with northern European ancestors, it stays active for life.1
Strong evidence
12 g of lactose
at once — roughly a glass of milk — causes no or only minor symptoms in the vast majority of people who digest lactose
poorly. Spread over the day, even more is fine.2
2Bones: less simple than it seems
Moderate evidence
An analysis of cohort studies with almost 200,000 women found no link between how much milk they drank and their risk
of hip fracture. For men there were too few data for a clear conclusion.3
Bones do need calcium, but according to these data milk alone is no miracle protection against fractures.
3Calcium and the colon
Strong evidence
According to the World Cancer Research Fund, dairy products probably reduce the risk of colorectal cancer. The main
explanation is calcium.4
Fact
~300 mg
of calcium in a glass of milk (250 ml).6 The European Food Safety Authority recommends 950 mg
of calcium a day for adults aged 25 and over.5
4Protein for muscles
Strong evidence
Milk contains high-quality proteins — whey and casein — with all the essential amino acids. Experts recommend
1.4–2.0 g of protein per kilogram of body weight a day for people who exercise.7
Related articles: Fats.
What to take from this
- You like milk and it agrees with you? It is a good source of calcium and protein.
- Milk upsets your stomach? Try smaller portions spread over the day, or lactose-free milk.2
- Calcium doesn't have to come only from milk — ForkRep counts it from everything you eat.
Sources
Written on , based on studies available at that date. Newer research may change the conclusions.
- Storhaug C. L., Fosse S. K., Fadnes L. T. (2017). Country, regional, and global estimates for lactose malabsorption in adults: a systematic review and meta-analysis. Lancet Gastroenterology & Hepatology 2(10):738–746. pubmed.ncbi.nlm.nih.gov/28690131
- EFSA NDA Panel (2010). Scientific Opinion on lactose thresholds in lactose intolerance and galactosaemia. EFSA Journal 8(9):1777. doi.org/10.2903/j.efsa.2010.1777
- Bischoff-Ferrari H. A. et al. (2011). Milk intake and risk of hip fracture in men and women: a meta-analysis of prospective cohort studies. Journal of Bone and Mineral Research 26(4):833–839. pubmed.ncbi.nlm.nih.gov/20949604
- World Cancer Research Fund / American Institute for Cancer Research (2018). Diet, nutrition, physical activity and colorectal cancer — Continuous Update Project. wcrf.org
- EFSA NDA Panel (2015). Scientific Opinion on Dietary Reference Values for calcium. EFSA Journal 13(5):4101. doi.org/10.2903/j.efsa.2015.4101
- USDA ARS. FoodData Central — whole milk (calcium about 113–120 mg per 100 g). fdc.nal.usda.gov
- Jäger R. et al. (2017). International Society of Sports Nutrition Position Stand: protein and exercise. JISSN 14:20. doi.org/10.1186/s12970-017-0177-8
This is general information and does not replace a doctor or dietitian. If you are allergic to cow's milk protein (which is something else than lactose intolerance), avoid dairy as your doctor advises.