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18 Déc 2017
Lecture 3 min
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Santé osseuse Senior

La consommation de yaourt liée à une meilleure santé osseuse et physique chez les plus de 60 ans

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Encouraging the older generation to eat more yogurt could be a valuable public health strategy for maintaining strong bones, say the authors of this large-scale Irish study. Their results revealed that among older adults, those who eat yogurt more often tend to be less frail and have better physical function than those who rarely eat yogurt.

Weak and fragile bones are characteristic of osteoporosis, an increasingly common condition around the world. In the EU, osteoporosis with its associated risk of bone fracture, affects 21% of women and 6% of men aged 50-84 years.

Dairy products are among the richest sources of nutrients that are important for healthy bones – including protein, calcium, magnesium and the B vitamins. Previous studies have shown that dairy intake is positively linked to bone health.

In this study the authors examined the link between yogurt consumption and bone mineral density (BMD), biochemical markers of bone health, and physical function. They used data from 4310 people aged over 60 years who took part in the Trinity, Ulster, Department of Agriculture aging cohort study (TUDA).

High yogurt consumers have stronger bones

Among the women in the study, those who ate yogurt often (more than once per day serving) had stronger bones; their total hip and femoral neck BMD were 3.1-3.9% higher than in those who rarely or never ate yogurt (less than once per week serving).

In men, high yogurt consumers were found to have 12.9% higher mean vitamin D concentrations than non-consumers, and a 9.5% lower level of Trap 5b, a marker of the number of osteoclasts – bone cells involved in maintenance and repair of bone.

Physical function is associated with yogurt consumption

Compared with non-consumers, women who often ate yogurt had a lower ‘Timed Up and Go’ (TUG) score – the time it took to get up from a chair, walk 3 metres, then walk back and sit down again. TUG is a measure of mobility with worse scores associated with weaker muscles and balance, both risk factors for falling in older adults.

Osteoporosis risk may be cut by more than one-third

Using statistical modelling, the authors found that increasing yogurt intake was a significant predictor of bone health. Each increase of one serving per week of yogurt intake was associated with a 39% lower risk of osteoporosis in women and a 52% lower risk in men.

Yogurt benefits stand out among dairy products

When they looked at the other dairy types (milk and cheese), the authors found that bone biomarkers and BMD were similar regardless of how often participants drank milk, although TUG scores were lower in the non-milk consumers than the high consumers. The frequency of cheese intake made no significant differences to any of the measures.

According to the authors, the potential for yogurt to promote bone strength and physical function may be due to its unique mixture of macro- and micronutrients with bioactive compounds. It contains high concentrations of bone-promoting vitamins and minerals that have been associated with reduced frailty. It also contains proteins, bioactive peptides, and bio-cultures that may contribute to maintaining healthy bones and muscles during aging.

The authors point out that, if their results are confirmed, increasing yogurt consumption could be a low-cost and relatively low-risk strategy to improve bone health, used together with bone treatment.

Find out more: read the original article.

Source: Laird E, Molloy AM, McNulty H et al. Greater yogurt consumption is associated with increased bone mineral density and physical function in older adults. Osteoporos Int. 2017;28(8):2409-2419.

04 Déc 2017
Lecture 5 min
Enfant Le yaourt et la santé Santé humaine

Les produits laitiers offrent les éléments nutritifs essentiels aux adolescentes

adolescents croissance dairy diet modelling laitiers nutrients plant-based diet protein proteines végétale
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Les adolescentes présentent un risque de carence en nutriments, et plus particulièrement en vitamine D, en calcium, en potassium, en fibres et en fer. L’étude suivante montre qu’augmenter sa consommation de produits laitiers peut combler le manque de trois de ces nutriments essentiels pour la santé publique : le calcium, la vitamine D et le potassium. Leur consommation peut également améliorer les apports en protéines, en magnésium et en zinc, tous les trois des éléments nutritifs cruciaux pour la croissance chez les adolescents et la santé osseuse.

Les auteurs ont utilisé les données de la National Health and Nutrition Examination Survey (NHANES) 2007-2010 – What We Eat in America – pour effectuer des exercices de modélisation de l’alimentation. Leur objectif était de déterminer les effets de l’augmentation de la consommation d’aliments d’origine végétale par rapport à celle de produits laitiers sur l’apport en énergie et en nutriments chez les adolescentes.

Pour ce faire, ils ont élaboré les trois scénarios d’alimentation suivants : augmentation de la consommation d’aliments d’origine végétale, augmentation de la consommation d’aliments d’origine végétale riches en protéines, et augmentation de la consommation de lait, de fromage et de yaourt.

Doubler la consommation d’aliments d’origine végétale présente des avantages et des inconvénients

Dans ce scénario alimentaire, l’absorption d’aliments d’origine végétale actuellement consommés (fruits, légumes, céréales complètes, légumineuses, noix, graines et soja) a été doublée tandis que la consommation de produits d’origine animale (œufs, viande, volaille, poisson et produits laitiers) a été réduite proportionnellement.

Ce changement alimentaire a entraîné une augmentation de l’apport en fibres alimentaires, en sucres ajoutés, en vitamine E, en fer et en acide folique, et une diminution de l’apport en matières grasses totales, en graisses saturées, en zinc, en vitamine D, en calcium et en protéines.

Ainsi, si les adolescentes suivaient ce régime alimentaire, seuls deux des cinq éléments nutritifs essentiels (les fibres et le fer) seraient améliorés, tandis que l’apport en calcium, vitamine D et potassium s’en verrait réduit.

Doubler la consommation d’aliments d’origine végétale riches en protéines n’influence pas l’apport en protéines

Dans ce premier scénario, basé sur les aliments d’origine végétale, l’apport en protéines a été réduit de près de 10 g/jour par rapport au régime habituel, ce qui signifie que la proportion de filles ne satisfaisant pas aux besoins moyens estimés (BME) en protéines est passée de 5,4 % à 14,5 %. Un faible apport en protéines est préoccupant en raison de leur rôle clé dans le soutien de nombreux processus physiologiques et de la croissance.

Pour parer cette baisse de l’apport en protéines, les auteurs doublent dans le deuxième scénario la consommation d’aliments végétaux riches en protéines, tels que les légumineuses, les noix, les graines et le soja. Ce régime n’a néanmoins pas eu de réel impact sur l’apport en protéines dans la mesure où les adolescentes consomment très peu ce type de produits dans leur alimentation normale. Il peut donc s’avérer difficile d’encourager les adolescentes à augmenter leur consommation d’aliments d’origine végétale riches en protéines à un niveau qui entraînerait des changements significatifs dans leur apport en nutriments.

Doubler la consommation de produits laitiers augmente l’apport en protéines et en autres nutriments essentiels à la croissance et à la santé osseuse

Les auteurs ont toutefois obtenu un résultat différent en augmentant la consommation de produits laitiers. Dans le dernier régime alimentaire étudié, la quantité de produits laitiers actuellement consommés (lait, fromage et yaourt) a été doublée pour atteindre le niveau recommandé aux États-Unis pour les adolescents, soit 3 à 4 portions par jour.

Ainsi, la consommation de protéines a augmenté de 10,8 g/jour et la proportion de filles n’atteignant pas le BME pour les protéines est passée de 5,4 % à 2,8 %.

L’augmentation de la consommation de produits laitiers a également entraîné une augmentation des apports en vitamine D, magnésium, zinc, calcium, potassium, énergie, matières grasses totales, graisses saturées et sucres ajoutés.

Un apport en calcium adéquat pendant l’enfance et l’adolescence est essentiel pour atteindre le pic de masse osseuse, important pour réduire le risque de fractures et d’ostéoporose plus tard dans la vie. Dans ce régime alimentaire à base de produits laitiers, la proportion de filles n’atteignant pas le BME pour le calcium est passée de 76 % à 41 %. L’apport en vitamine D a également augmenté, bien que 80 % des adolescentes n’aient toujours pas atteint le BME pour la vitamine D.

Manger davantage de produits laitiers est bénéfique pour les adolescentes

Les auteurs concluent que les recommandations non spécifiques visant à augmenter la consommation d’aliments d’origine végétale au détriment des aliments d’origine animale présentent certains avantages nutritionnels (réduction de l’apport en matières grasses totales et en graisses saturées) mais peuvent également avoir des effets néfastes (réduction de l’apport en zinc, en vitamine D, en calcium et en protéines).

Inversement, la consommation quotidienne de trois portions de produits laitiers améliore l’apport en nutriments essentiels à la croissance et à la santé osseuse, dont trois éléments nutritifs cruciaux : le calcium, la vitamine D et le potassium.

Pour en savoir plus, lisez l’article original.

Source:

Demmer E, Cifelli CJ, Houchins JA et al. The impact of doubling dairy or plant-based foods on consumption of nutrients of concern and proper bone health for adolescent females. Public Health Nutr. 2017;20(5):824-31.

30 Nov 2017
Lecture 8 min
Infographies Intolérance au lactose

L’intolérance au lactose: le yaourt améliore la digestion

autodiagnostic intolerance Intolérance au lactose lactase lactose maldigestion WGO yaourt yogurt
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* Cliquez ci-dessous dans l’écran pour agrandir ou mettre la vidéo en pause

Le yaourt contient du lactose, apporté par le lait lors de sa confection. Chez certaines personnes, le lactose peut être mal  digéré et entraîner des inconforts digestifs. Découvrez notre infographie sur l’intolérance au lactose, développée en coopération avec le World Gastroenterology Organisation.

Le lactose et la lactase

Le lactose est le sucre principal naturellement présent dans le lait et les produits laitiers, en quantité variable. Par exemple :

  • Un verre de de lait de 250mL contient 12g de lactose.
  • Un pot de yaourt nature (125g) apporte 5g de lactose.
  • Une portion de 30g de fromage à pâte dure (cheddar, comté, emmental…), le lactose n’est présent qu’à l’état de traces.

Le lactose est digéré par la lactase, une enzyme présente dans l’intestin grêle, qui fractionne le lactose en deux sucres simples distincts : le glucose et le galactose. Le glucose est la principale source d’énergie du corps, tandis que le galactose joue un rôle dans les processus neuronaux et immunologiques.

La maldigestion du lactose…

En cas de maldigestion, la lactase ne fractionne pas ou peu les molécules de lactose dans l’intestin grêle. Le lactose, alors non digéré, va être fermenté dans le côlon par les bactéries du microbiote intestinal. Ce processus de fermentation lactique génère des acides gras à chaine courtes (AGCC) mais aussi des gaz.

Cette maldigestion est due à une diminution de l’activité et/ou de la quantité de la lactase. Il s’agit d’un phénomène physiologique observé avec l’âge et qui concerne environ 75% de la population mondiale (Szilagyi, 2015).

… ou intolérance au lactose 

Dans le cas de l’intolérance au lactose, le lactose non digéré, du fait d’une baisse d’activité de la lactase, est fermenté dans le côlon par les bactéries du microbiote intestinal et cette fermentation s’accompagne de symptômes plus marqués et durables : flatulences, diarrhées et ballonnements.

L’intolérance au lactose est une pathologie qui touche très peu de personnes : on estime que 2% de la population mondiale présente une intolérance au lactose (Hermans, 1997).

Comment être certain que vous êtes intolérant au lactose ?

Pour diagnostiquer une intolérance au lactose, la consultation médicale est nécessaire. Ce diagnostic ne peut en effet s’effectuer que sous contrôle médical en utilisant le test respiratoire à l’hydrogène expiré. Dans les tests effectués par un médecin, 20 à 50g de lactose sont ingérés par le patient puis un suivi est mis en place pour détecter l’hydrogène par le test respiratoire et surveiller l’occurrence des symptômes (flatulences, diarrhées, ballonnements).

Attention à l’autodiagnostic ! On estime que plus de 50% des autodiagnostics sont faux.  Les symptômes perçus par autodiagnostic peuvent ne pas être spécifiques de l’intolérance au lactose. Certains facteurs psychologiques (anxiété somatique, stress, dépression…) ou problèmes digestifs (maladie de Crohn, rectocolique hémorragique RCH, syndrome de l’intestin irritable) peuvent conduire aux mêmes symptômes.

Maldigestion ou intolérance au lactose, inutile de supprimer les produits laitiers !

En effet, limiter ou supprimer les produits laitiers augmente les risques de carences nutritionnelles.

Il suffit en réalité d’adapter vos habitudes alimentaires, afin d’éviter les excès. Cette règle d’or reste valable pour les personnes digérant mal le lactose et les intolérants au lactose :

  • Les ferments vivants du yaourt aident à digérer le lactose
  • Les fromages à pâte dure (cheddar, comté, provolone, emmental…) contiennent peu voire pas de lactose.
  • Il est possible de consommer des aliments contenant de petites quantités de lactose tout au long de la journée

Le rôle du yaourt dans la digestion du lactose

Selon l’EFSA (European Food Safety Agency), le yaourt améliore la digestion du lactose : « Les ferments vivants du yaourt améliorent la digestion du lactose présent dans le yaourt, chez les personnes qui digèrent mal le lactose. ». Dans le Codex Alimentarius de la FAO paru en 2003, Lactobacillus Bulgaricus et Streptococcus thermophilus ont été décrits comme les deux ferments du yaourt, présents en quantité de 108 UFC par gramme de yaourt.

Dans l’intestin grêle, ces deux bactéries vivantes apportées par le yaourt réalisent le fractionnement du lactose en glucose + galactose.

D’autres organisations médicales recommandent que les personnes digérant mal le lactose et celles souffrant d’intolérance au lactose consomment du yaourt. La WGO* a fait une déclaration similaire pour la consommation de produits laitiers fermentés contenant des probiotiques, avec des bénéfices avérés sur la santé digestive.

*WGO (World Gastroenterology Organization, Organisation mondiale de gastroentérologie).

Le yaourt est également un aliment riche en nutriments

Il contient des nutriments essentiels à la croissance et le maintien de l’organisme, notamment :

  • Du calcium pour la solidité des os et des dents
  • Des protéines d’excellente qualité pour aider à former et réparer les muscles
  • Des vitamines et des minéraux, essentiels pour le bon fonctionnement de l’organisme
  • Des acides linoléiques conjugués qui stimulent le système immunitaire et possèdent des propriétés anti cancérigènes
  • Des probiotiques : 108 bactéries vivantes avec de la lactase par gramme de yaourt pour améliorer la digestion du lactose contenu dans le yaourt

Le yaourt est un aliment adapté à tous, et c’est une bonne alternative pour conserver une alimentation équilibrée.

Pour en savoir plus sur le yaourt et l’intolérance au lactose, consultez les articles suivants :

Sources :

YINI-WGO-Lactose-Intolerance

20 Nov 2017
Lecture 7 min
Conférences internationales ICN 2017, Buenos Aires, Argentina Les bénéfices de la fermentation

Le yaourt et la santé : que se passe-t-il du pot aux intestins ?

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This important symposium brought together many nutrition professionals. It was an opportunity for YINI to invite leading experts to talk about the most recent perspective on the benefits of live microbes in fermented foods and gut microbiome. They highlighted what happens in both the pot and the intestine to better understand the health effects of yogurt.

Is the gut microbiota the intersection between diet and health?

The gut microbiota is gradually revealing its secrets. We now know that its ecosystem contains about 1000 different species of microorganisms, which encode more genes than the human host. Sharon Donovan (University of Illinois, USA) explained that these numerous genes interact with the human host through specific receptors located in the gut’s epithelial, neural and immune cells, as well as through the production of hormones and metabolites.

Recent research in animals has shown the essential role of gut microbiota in normal gastrointestinal, immune, metabolic and cognitive development and function. Human studies have highlighted that gastrointestinal conditions, such as inflammatory bowel disease and irritable bowel syndrome, but also other diseases such as obesity, type 2 diabetes and atopy, are linked to an imbalance of the normal gut microbiota (dysbiosis). It is therefore of great interest to better understand the role of dysbiosis in non-communicable diseases and to develop strategies to improve gut microbiota and health outcomes through diet. Review of the literature effectively suggests that diet can modify the intestinal microbiome, which in turn has a profound impact on overall health. This impact can be either beneficial or detrimental, depending on the relative identity and abundance of constituent bacterial populations. For example, it has been shown that a high-fat diet adversely reduces A. muciniphila and Lactobacillus, which are both associated with healthy metabolic states.

On the other hand, Sharon Donovan showed how dietary intake of prebiotics impacts positively the gut microbiome, and how fermented food containing live microbial species, such as yogurt or fermented dairy products enriched with probiotics, could benefit gut microbiome and health. Several groups have reported increased total bacterial load after regular consumption of fermented milk or yogurt. Notable increases in beneficial gut Bifidobacteria and/or Lactobacilli have also consistently been observed with several different types of probiotics. Probiotic-containing yogurt has been shown to significantly reduce counts of the enteropathogens E. coli and Helicobacter pylori.

A diet that is low in sources of prebiotics (soybeans, unrefined wheat and barley, raw oats, fructooligosaccharides (FOS)…) has been shown to reduce total bacterial abundance. On the opposite hand, high intake of these carbohydrates resulted in an increase in microbiota genes richness.

Donovan concludes with the observation that diet can modulate host-microbes interactions, which heralds a promising future therapeutic approach.

What happens in the gut?

Yogurt consumption has been associated with reduced risks of type 2 diabetes, metabolic syndrome, and heart disease, as well as improved weight management. By providing several key nutrients, yogurt is characterized by its live microorganisms (Streptococcus thermophilus and Lactobacillus delbrueckii subsp. Bulgaricus), as well as strains of Bifidobacterium and Lactobacillus added specifically for their probiotic properties. Both culture organisms may benefit from the gut environment and, consequently, have an impact on health. These “probiotic” properties are of great interest for research. Robert Hutkins (University of Nebraska, USA) explored the interactions between ingested microorganisms and the gut microbiota, and the way exogenous microorganisms can change the gut environment.

The physiological mechanisms by which these microbes interact with the gut microbiota is the well-known phenomenon of colonization resistance. Recent research report that regular consumption of yogurt appeared to increase the numbers of Lactobacilli. The microbial diversity also appears to slightly increase with yogurt consumption in some subjects. The dairy matrix also matters! Still, dairy foods have long been the main delivery vehicle, and most probiotics do just fine in this matrix.

Clinical studies provide more and more evidence on the health benefits associated with yogurt consumption. Many recent studies have underlined the association between a greater microbial diversity and better health conditions, so this could be an important finding. For instance, it is well demonstrated that yogurt bacteria, via the enzyme β-galactosidase they provide, improve lactose digestion, allowing people with lactose maldigestion to eat yogurt. Research also shows that yogurt containing probiotics improves intestinal and extra-intestinal health, and leads to improved immune and anti-inflammatory responses to infectious diarrhea and respiratory infections. Hutkins also presented the latest areas of research on the microbiota-gut-brain axis, suggesting that probiotics and prebiotics could influence behavior.

In his conclusion, Hutkins also reminds that it is important to address the common misconception that fermented foods are the same thing as “probiotics”—the latter being live bacteria that confer health benefits when consumed in adequate numbers. Not all fermented foods contain live organisms. Beer and wine, for example, undergo steps that remove the organisms. Other fermented foods are heat-treated and the organisms are inactivated. Bread is baked and sauerkraut is often canned. So while these foods may be nutritious, they do not have probiotic activity, but may impact gut microbiota as well, as fermented foods.

What happens in the pot?

What could explain the health benefits of yogurt, reported by numerous epidemiological studies? Yogurt is a nutrient-dense food that contributes to the intake of protein, calcium, bioactive compounds and several micronutrients, which could help to explain some of its health benefits. Andre Marette (Laval University, Canada) presented recent evidence suggesting that dietary proteins can act as key regulators of immunometabolic factors and gut microbiota. Furthermore, he addressed several possible aspects that could explain the role of fermentation in the health benefits of yogurt. During the fermentation process of milk with yogurt cultures, dairy proteins are cleaved, generating in smaller molecules that can have some biological effects. These so-called bioactive peptides could explain the greater beneficial effect of yogurt on metabolic health compared with non-fermented dairy products, such as milk. Marette outlined potential mechanisms related to bacterial constituents and bioactive peptides produced during fermentation, that could be responsible for yogurt’s ability to protect against cardio-metabolic diseases (CMD). For example, the fermentation of yogurt may lead to an increased production of bioactive peptides with physiologic effects such as increased insulin sensitivity and glucose tolerance. Several peptides or peptide fractions have also been investigated for their bioactive properties such as anti-hypertensive, anti-thrombotic, satiety, opioid, immuno-modulatory, osteogenic, and antioxidant activities. Fermented dairy peptides and especially yogurt-type peptides generally exerted greater anti-inflammatory effects than other dairy products. These immunometabolic effects are associated with major taxonomic changes in the gut microbiota. Whether specific bacterial species are modulated by peptides released from fermentation from dairy products remains to be determined. These newly proposed mechanisms require therefore more research before being validated as a key factor in the protection against CMD, like type 2 diabetes or obesity.

A need for new dietary guidelines for fermented foods

Fermented foods and beverages have long been a part of the human diet, and with further supplementation of probiotic microbes, in some cases, they offer nutritional and health attributes worthy of recommendation of regular consumption. Despite the impact of fermented foods and beverages on gastro-intestinal wellbeing and diseases, their many health benefits or recommended consumption has not been widely translated to global inclusion in world food guidelines. Until now, dietary guidelines mainly focused on the nutrient needs, and consequently on the nutritional content of food. But for Seppo Salminen (University of Turku, Finland), it’s time to go further! Indeed, the health benefits associated with the consumption of fermented food, such as yogurt, are more and more evident, and the importance of beneficial microbes such as Lactobacillus in health promotion, by strengthening intestinal mucosal barrier, have been recognised. However, in Europe, only one health claim – on lactose digestion – has been approved for beneficial microbes. National nutrition guidelines or recommendations that include either probiotics or yogurt with live bacteria exist in five EU member states. Given that several physiological effects of probiotics are well established and that yogurt and yogurt with probiotics have benefits to humans, it has been suggested that yogurt should be part of food dietary guidelines. For Salminen, knowledge on health benefits is a real opportunity for evidence-based dietary guidelines with yogurt and yogurt with probiotic bacteria.

* IUNS 21st ICN, Buenos Aires, October 15-20, 2017.

13 Nov 2017
Lecture 3 min
Gestion du poids

Boire du lait le matin protégerait les enfants du surpoids

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Children and adolescents who skip breakfast are more likely to be overweight than those in the habit of eating breakfast daily. But drinking milk regularly is associated with a protective effect that helps youngsters remain a healthy weight.

These were the findings of a study that examined the association between body mass index (BMI) and lifestyle in children and teenagers, including their breakfast habits, dairy consumption and physical activity.

It showed that nearly one-third of children skipped breakfast, girls even more often than boys. Children of normal weight were more in the habit of eating breakfast daily than those who were overweight or obese.

Poor nutritional habits and physical inactivity have been blamed for children’s overweight and obesity. Breakfast is considered the most important meal of the day and studies have found that obesity is less common among those who eat breakfast regularly. Milk and other dairy products such as cheese and yogurt are nutrient-rich foods and several studies have suggested an inverse correlation between dairy product consumption and BMI.

This cross-sectional study included 7116 Turkish boys and girls aged 6-18 years who were asked to complete a questionnaire about how often they ate breakfast, their intake of milk and other dairy products, their physical activity, and whether their mother had a job. Their height and weight were measured to calculate their BMI.

Breakfast habits vary with age and gender

Results showed that only 62.6% ate breakfast every day. Boys were more in the habit of eating breakfast than girls: 64.5% of boys eating breakfast daily compared with 60.7% of girls. As they got older, the schoolchildren became significantly less likely to eat breakfast: 79.1% of 6-11 year-olds eating breakfast every day compared with 52.1% of 12-18 year-olds.

Children who were overweight or obese were significantly more likely to skip breakfast than their counterparts of normal weight (3.8% vs 2.8%). One in four overweight or obese children never ate breakfast.

Those children who skipped breakfast ate lunch in the form of snacking more often than those who ate breakfast every day. However, there were no significant associations between eating lunch and overweight/obesity.

Milk consumption linked to lower BMI

Only 0.9% of the children and adolescents never consumed dairy products. Milk was negatively associated with BMI scores. There was no significant association between yogurt intake and BMI scores. Conversely, cheese was positively associated with BMI scores.

The authors suggested that milk may be helping in food intake regulation through suppressing appetite. Milk might also be a marker of other healthy lifestyle traits that protect children against overweight and obesity.

Mother’s work status is associated with children’s weight

Overweight/obesity in this study was more common among children of working mothers, with a prevalence of 29.3% compared with 23.3% among those whose mums did not go out to work.

The authors suggested that providing breakfast and lunch in schools may offer a way to overcome social inequalities in nutrition. There should also be an increased focus on daily milk consumption as children move into adolescence, the authors said.

Find out more: read the original article.

Source: Koca T, Akcam M, Serdaroglu F, Dereci S. Breakfast habits, dairy product consumption, physical activity, and their associations with body mass index in children aged 6–18. Eur J Pediatr. 2017 Aug 11.

06 Nov 2017
Lecture 4 min
by
Les bénéfices de la fermentation Santé osseuse

Des produits laitiers fermentés pour des os solides et sains

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Consuming fermented milk products such as yogurt is linked with healthy growth of bones when we’re young, reduced bone loss when we’re older, and a lower risk of broken bones in our old age.

These benefits seen at all stages of life are achieved through several mechanisms, say the authors of this review article. Not only do yogurts deliver nutrients vital for strong healthy bones, but they also contain prebiotics and probiotics, which may benefit the bones by modifying the microbiota that inhabit our gut.

A rich source of nutrients

Fermented milk products in the form of yogurts or soft cheese have long been used to preserve milk. They are rich in calcium, phosphorus and protein, all key nutrients for promoting bone growth and maintaining healthy bones.

Yogurt and soft cheeses may be richer in these nutrients than plain milk because of milk powder that is added to yogurt to make it thicker.

Healthy growth for children and teenagers

Intervention trials have shown that giving fermented dairy products to children and adolescents has a positive influence on their bone health especially their bone mineral density.

Protection against age-related bone loss

In adults, fermented dairy product consumption protects against bone loss and maintains bone strength as we get older.

Among the studies reviewed was an Irish study of over 4000 people aged over 60 years. A higher yogurt intake was associated with a lower risk of osteoporosis – a greater effect than that seen with milk intake. In another study of 65-year-old women, bone loss was reduced in those who consumed fermented dairy products and not in those who drank milk or ate cheese.

Dairy products and fractures

Data on the link between dairy product and risk of broken bones are limited but the Framingham Offspring study showed a weak protective trend against hip fracture seen with yogurt consumption but not with other dairy products. In a long-term Swedish study, women who had a high intake of cheese or fermented milk products were less likely to die or to suffer a hip fracture during the follow-up than those who had a low intake.

Prebiotics and probiotics

Additional benefits to our bones may come from prebiotics and probiotics that fermented dairy products may contain.

Prebiotics such as inulin – derived from chicory roots – may be added to yogurt to make it thicker. They are fibre compounds that stimulate the growth and/or activity of the bacteria living in the large bowel. Furthermore, prebiotics may be converted in the large intestine through a process of fermentation to short chain fatty acids. These have several beneficial effects in the bowel including increasing calcium bioavailability and absorption through a reduction in bowel content pH and enhancing intestinal barrier functions.

Probiotics are live micro-organisms which, when administered in adequate amounts, confer health benefits on the host. Probiotics provide a way to deliver beneficial bacteria directly to the gut.

Prebiotics and probiotics in fermented milk products may exert specific effects not seen with other types of dairy foods by modifying the composition and metabolism of the gut microbiota. The gut microbiota has several possible beneficial influences:

  • It affects intestinal wall permeability – the gut microbiota is involved in the digestion of dietary nutrients, and can increase calcium absorption.
  • It is thought to affect endocrine pathways – the increased calcium absorption may lead to a reduction in parathyroid hormone production which in turn can lead to a reduced bone resorption. The secretion of serotonin may also be modulated thereby increasing bone formation.
  • It plays an important role in modulating the immune system – this is significant because inflammation is linked with bone loss.

Eating more yogurt could save money

The authors of this review suggest increasing dairy consumption could lead to cost savings because of its protective effect on our bones. Hence eating one yogurt every day is cost effective in reducing the risk of bone fracture in people aged over 70 years, while eating two yogurts daily is cost effective for reducing fracture risk in those aged over 80 years.

As yogurts tend to be flavoured and sweetened, they may be useful in achieving a higher consumption of milk products, say the authors.

They conclude that further research is needed to clarify whether consuming fermented milk products may be a causal factor or whether it is simply a marker of a healthy lifestyle that promotes healthy bones.

Find out more: read the original article.

Source: Rizzoli R, Biver E. Effects of fermented milk products on bone. Calcif Tissue Int. 2017 Aug 19.

11 Oct 2017
Lecture 4 min
by
Intolérance au lactose Publications

Les bénéfices du yaourt

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As a nutrient-dense food and fermented milk product, yogurt contributes to meeting daily macronutrient and micronutrient recommendations and to reducing possible health risks in vulnerable groups.

Nutritional advantages of yogurt

Yogurt is a predigested food, which contains a lot of nutrients, such as carbohydrates, proteins, lipids, minerals and vitamins. (38)

Six reasons to eat yogurt:

1. Yogurt has a similar micronutrient composition to milk, generally with a good bioavailibility and affordability. (39)

2. Yogurt has a low energy density (Figure 9).

3. Yogurt is a good source of calcium and other minerals such as magnesium, potassium and zinc. It is also low in sodium. Yogurt consumers have overall a better calcium intake than non-yogurt consumers. (40-42)

4. Yogurt contains B (B1, B2, B3, B6, B9 and B12), A and E vitamins. (40)

5. Yogurt is an excellent source of high-quality proteins, whey and casein proteins, which can lead to a reduction in appetite and aid muscle and bone growth. (43, 44)

6. Yogurt has a higher concentration of conjugated linoleic acids than milk. (13) Conjugated linoleic acids are reported to have immunostimulatory and anticarcinogenic properties. (45)

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Yogurt consumption helps to improve the overall diet quality.

Five extra reasons to eat yogurt:

1. Recent scientific studies have reported that yogurt consumers have a better overall diet quality than non-consumers:
indeed, regular yogurt consumers have a more diverse and balanced diet that respects the dietary guidelines regarding nutrient intakes and food choices (more fruit, more whole grains, less processed meat, less refined grains…) than non-consumers. (46-49)

2. Adult yogurt consumers tend to have healthier lifestyles, are more likely to be physically active and are less likely to smoke than non-yogurt consumers are. (49)

3. Yogurt consumption could also be involved in the control of body weight and energy homeostasis, since analysis of cohorts has shown that regular consumers of yogurt gain less weight over time than non-consumers. (50-52)

4. Yogurt consumption is also associated with lower risk of type 2 diabetes. (51, 52)

5. Yogurt consumption is associated with a better metabolic profile in adults and children: lower levels of circulating triglycerides and glucose, lower systolic blood pressure and healthier insulin profile. (40, 53)

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Conclusion

Lactose intolerance is not a life-threatening condition but it can impair the quality of life. A total avoidance of dairy products is not only unnecessary for lactose intolerants, it also represents a risk of an unbalanced diet and the occurrence of nutrient deficiency such as insufficient calcium intake, which could lead to adverse health effects.

In order to prevent any nutrient deficiency, persons who experience lactose intolerance can still enjoy dairy and maintain a healthy and balanced diet by adapting their eating habits:

1. Consume yogurts that contain live bacteria, which improve the digestion of the lactose contained in yogurt.
2. Consume cheeses that contain low or no lactose.
3. Consume lactose-containing foods in modest amounts throughout the day, during meals, not more than the equivalent of 2 bowls of milk.

Thus, yogurt is a convenient food for all, and it represents a good alternative to keep a balanced diet, particularly for lactose intolerants.

References:

38. Commission CA. Codex standard for fermented milks. Food and Agriculture Organization United Nation Roma 2003:1-5.

39. Sahni, S. et al, Arch Osteoporos 2013;8:119.

40. Wang, H. et al, Nutr Res 2013;33:18-26.

41. Buttriss, J. International Journal of Dairy Technology 1997;50:21-7.

42. Gaucheron, F. J Am Coll Nutr 2011;30:400S-9S.

43. Bos, C. et al, J Am Coll Nutr 2000;19:191S-205S.

44. Webb, D. et al, Nutr Rev 2014;72:180-9.

45. Whigham, LD. et al, Int J Obes (Lond) 2014;38:299-305.

47. Medicine UIo. Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington (DC)1997.

48. Lecerf, J-M. et al, The FASEB Journal 2014;28.

49. Mozaffarian, D. et al. N Engl J Med 2011;364:2392-404.

50. Martinez-Gonzalez, MA. et al, Nutr Metab Cardiovasc Dis 2014;24:1189-96.

51. Panahi, S. et al. J Am Coll Nutr 2016:1-15.

52. O’Connor, LM. et al, Diabetologia 2014;57:909-17.

53. Zhu, Y. et al, Eur J Nutr 2015 ; 54.04: 543–550.

54. Uyeno, et al, International journal of food microbiology2008 ; 122.1:16-22.

55. Alvaro, E. et al, British journal of nutrition 2007 ;97.01: 126-133.

YINI-WGO-Lactose-Intolerance
06 Oct 2017
Lecture 1 min
Infographies L'intolérance au lactose en un clic

L’intolérance au lactose expliquée en images

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Qu’est-ce que le lactose ? Quel est le mécanisme de digestion du lactose ? Comment diagnostiquée une intolérance ? Que peut-on manger ?

Découvrez en images et en synthèse les mécanismes de la maldigestion et de l’intolérance au lactose mais aussi les conseils alimentaires pratiques adaptés.

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04 Oct 2017
Lecture 1 min
Intolérance au lactose Publications

Les avantages du yaourt pour la digestion du lactose

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efsa-yogurt-lactose-digestionC’est pourquoi le yaourt peut être consommé par les personnes digérant mal le lactose et les intolérants au lactose. L’Autorité européenne de sécurité des aliments (24) (EFSA) a publié un avis scientifique spécifiant que la consommation de ferments vivants contenus dans le yaourt, Lactobacillus delbrueckii subsp. bulgaricus et Streptococcus thermophilus, améliore la digestion du lactose contenu dans le yaourt chez les individus qui digèrent mal le lactose. Pour obtenir cette allégation, le yaourt doit contenir au moins 108 microorganismes vivants par gramme de yaourt.

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Références:

8. Amaretti, A et al. Appl Microbiol Biotechnol 2006;73:654-62.

24. Suchy, FJ et al. NIH Consens State Sci Statements 2010;27:1-27.

32. 31. EFSA Panel on Dietetic Products, EFSA Journal 2010;8.

YINI-WGO-Lactose-Intolerance

02 Oct 2017
Lecture 3 min
Les bénéfices de la fermentation

Pourquoi les recommandations nutritionnelles devraient-elles inclure les aliments fermentés, comme le yaourt ?

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Nutritional guidelines around the globe use very similar methods in presenting their concepts of the “ideal” dietary pattern, and give consumers a selection of recommended food groups. In this review, Victoria Bell et al. explain why traditional and supplemented fermented foods should be the new focus in national dietary recommendations for both adults and children.

A tipping point is the “point at which a series of small changes or incidents becomes significant enough to cause a larger, more important change.” This term applies the idea that consuming live microbes through fermented foods should be recommended by official governmental channels. Dating back millennia, fermented foods are among humanity’s oldest attempts to preserve food.

What is the state-of-the-art today in nutritional guidelines?

Despite a wild variation in their visual representation, nutritional guidelines around the globe are quite homogeneous when translating the nutritional needs – in terms of nutrients – into foods and food groups required to meet a balanced diet. These guidelines take into account cultural differences, and also food safety aspects. However, fermented foods are not consistently represented in these models. Fermented foods and beverages are lacto-fermented with natural bacteria or yeast creating lactic acid. The most popular fermented foods include: yogurt, cheese, soya, beans, fish, meat, cabbages and sauerkraut. In this review, the authors evaluated nutritional guidelines from various countries, checked their traditional and cultural value, and determined how they are represented in the models.

Fermented foods may provide health benefits

In their analysis, the researchers focused on the role of one common fermented food – the yogurt – and they found that several countries included yogurt (as part of dairy products) in their food-based dietary guidelines. It is the case in Switzerland, USA, Canada, UK, Australia, Japan, Sweden and Portugal. Although, fermented foods and probiotics have been part of the global human diet for a long time, and can provide certain health benefits, there still exists uncertainty as to their position as a category in the national food guides. This could be explained by the legal system, and the fact that health benefits of fermented foods have not been widely translated into global inclusion in the definition of food. Though, fermented foods are considered to be a boon for the gut – and in turn they do not only improve digestive health, but they possibly benefit allergies, weight loss or type 2 diabetes as well. Therefore, Bell et al. conclude that knowing the general benefits of traditional and supplemented fermented foods, they should be a daily topic in most national nutritional guidelines.

To learn more, read the original article.

Source: Bell V et al. Foods 2017;6:65.