Food · 4 min read ·

Milk: good for your bones, bad for your belly?

Some drink it for their bones, others avoid it because of lactose. What do the studies say?

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

Sources

Written on , based on studies available at that date. Newer research may change the conclusions.

  1. 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
  2. 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
  3. 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
  4. World Cancer Research Fund / American Institute for Cancer Research (2018). Diet, nutrition, physical activity and colorectal cancer — Continuous Update Project. wcrf.org
  5. 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
  6. USDA ARS. FoodData Central — whole milk (calcium about 113–120 mg per 100 g). fdc.nal.usda.gov
  7. 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.