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Lactose intolerance

Updated 01 October 2018

Why you should eat yoghurt even when lactose intolerant

Experts say that there are ways even for people who are lactose intolerant to include this super snack in their diets.

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Yoghurt is a versatile, affordable food that should be included in a balanced diet. We know that it contains calcium, which is important for optimum bone growth, but this is only one of a number of beneficial ingredients.

Experts around the world have been researching the health benefits of this food for many years. “Yoghurt can play a large role in the prevention of cardiometabolic disease and the overall maintenance of gut health,” says Dr Andre Marette, Professor of Medicine at the Heart and Lung Institute at the Laval Hospital and Scientific Director of the Institute of Nutrition and Functional Foods at the Laval University in Canada. He visited South Africa recently to speak at the Second Yogurt Summit at the Nutrition Congress 2018.

Based on his extensive research, we decided to investigate some of the many reasons why yoghurt needs to be included in a healthy diet.

What is the deal with yoghurt?

According to Dr Marette, one of the reasons why yoghurt is such a superfood is the fermentation process it undergoes. 

“People don’t realise the importance of fermentation because it allows bioactives to be more abundantly present in your gut. Yoghurt has more additional benefits than milk because of the presence of probiotics, but also because of the bioactive lipids that come from when lactate is raised through the fermentation process. The most recent research suggests that these molecules have additional benefit compared to any other non-fermented dairy.

“There also seems to be a rise in evidence that yoghurt can help prevent chronic disease,” he says.

But what about lactose intolerance?

Dr Marette points out that in many cases yoghurt is a great alternative for those who have trouble digesting milk. “Of course it would be false to say that yoghurt contains no lactose at all, but if your lactose intolerance is not severe, you might be able to stomach yoghurt. If not, the lactose-free option is the best for those who are really intolerant.

“If you follow a vegan diet, there are more and more plant-based yoghurts, such as soy-based yoghurt, that are becoming readily available on the market,” he says. “Even though we are not yet sure if they carry the same benefits as the lactate-based yoghurt, the fact that these also go through fermentation can certainly benefit your diet.”

Other experts are, however, of the opinion that there is no substitute for dairy products. Professor Dennis Saviano, Professor of Nutrition Science at Purdue University, USA, stated at a conference, “It is often argued that you can get your calcium from green leafy vegetables, but in fact you’d need so many that it’s not really feasible.”

He too recommends yoghurt as a good option for those who are lactose intolerant:

"Yoghurt bacteria contain high levels of the lactase enzyme and this enzyme acts in the intestine to help digest the lactose. So eating yoghurt is like taking a digestive enzyme supplement," he says. "There are well controlled double-blind clinical trials that show lactose-intolerant individuals can consume as much yoghurt as they want and not have symptoms of intolerance."

Greek yoghurt is often better tolerated by those who are lactose intolerant because of lower levels of lactose compared to other kinds. Your reaction will, however, depend on your level of intolerance.

yogurt

Yoghurt and your gut

Dr Marette and his colleagues have been doing research on cardiometabolic diseases and obesity for 25 years, but it’s only in the past five years that the importance of our biggest “organ”, the gut, has increasingly become the focus.

“We tend to forget that the gut is the first organ that actually metabolises the food we eat – it’s the first port of call in the metabolic process. There are several reasons why gut health can dictate your overall wellbeing, but the most important is that if you have a healthy gut, the bacteria will remain in the gut. If you have an unhealthy gut, these bacteria will cross the intestinal barrier and 'leak' into the bloodstream. These bacteria, depending on whether they are good or bad, will of course have an impact on the rest of your organs.

“Therefore it’s important to make sure that those bacteria (also called the microbiota) in your gut is healthy and yoghurt in that sense plays an important role as it adds healthy bacteria to your gut.”

Other benefits

The benefits of yoghurt stretch far behind bone strength and maintaining general overall health. The following benefits have been backed through research over the years:

  • Yoghurt protects against heart disease, as recent studies have shown that dairy products are actually mildly beneficial to the heart, causing a 6% reduction in cardiovascular disease, according to Dr Arne Astrup of the Department of Nutrition, Exercise and Sports at the University of Copenhagen, Denmark.
  • The “good bacteria” boost the immune system tremendously and reduce the risk of allergies, according to Professor Lorenzo Morelli from the Microbiology Institute at the Università Cattolica del Sacro Cuore in Italy.
  • The nutrients go far beyond calcium and probiotics. In fact, yoghurt is also a rich source of protein, magnesium and in some countries, vitamin D.

Shop carefully

Dr Marette remarks that it’s important to choose the right yoghurt.

“Clearly, for now the best evidence in the scientific world for yoghurt to prevent cardiometabolic disease is really based on a plain, unsweetened yoghurt, so that is really the best option. Avoid those yoghurts where there are clearly added sugars or artificial sweeteners, even if these yoghurts are branded as 'no fat'. They might be non-caloric but can still disturb the gut microbiota – it’s best to try and avoid artificial sugar altogether."

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