Lactose Restricted Diet
Description
Lactose, or milk sugar, is produced exclusively by the bovine (cow) mammary gland. It is a sugar composed of glucose and galactose which has been shown to be hard to digest by Orientals, Blacks, Hispanics and some Caucasians. The inability to properly digest this sugar is a consequence of a deficiency of the enzyme lactase, which breaks down lactose. If it is not broken down, bacteria in the intestines ferment the lactose, producing gas and diarrhea. Culturing a milk product to make yogurt, kefir, cheese or buttermilk will eliminate the lactose. A lactose restricted diet is designed for those who cannot tolerate lactose.
According to the RDA's, a lactose restricted diet is adequate for all nutrients except calcium unless fermented (cultured) dairy products are used. In these cases, a calcium supplement of 800 to 1,000 mg per day would be considered desirable.
Sample Menu
Menu For One Day
Breakfast
1 orange
1 egg (poached or egg substitute)
1/2 c oatmeal
1 c soybean milk
10 shelled, unsalted almonds
1 slice toasted whole wheat bread
1 tsp margarine
Hot, noncaloric beverage
Lunch
1/2 c tomato juice
8 oz vegetable soup
1/4 c canned red salmon
2 slices whole wheat bread
1 c salad: romaine or Boston lettuce; sliced carrot,
1 apple cucumber, mushroom, bell pepper, celery
2 tsp oil & vinegar dressing
Dinner
4 oz broiled chicken breast
1/2 c cooked lentils
2/3 c steamed string beans
1 slice whole wheat bread
1 tsp margarine
4 apricot halves (low sugar)
8 oz soybean milk
Hot, noncaloric beverage
Total Calories For The Day: 1,665
Nutrient Content:
| Calories: | 1665 | Fat: | 26% |
| Protein: | 15% | Cholesterol: | 200mg |
| Carbohydrate: | 59% | Fiber: | 17g |
Food Exchange List
Bread & Cereal Exchange List: 4 or more servings/day
Recommended
| Whole wheat bread | White bread (enriched) |
| Cereals | Pastas |
| Potato | Popcorn |
| Brown rice | Beans (dried) |
| Green peas | Lentil |
Avoid
Breads or cereals prepared with milk or milk products
Fat Exchange List: as needed; moderation advised
Recommended
Margarine prepared w/o milk
Vegetable oils
Cream - nondairy, powered
Salad dressing w/o milk products
Avoid
All others
Fruit Exchange List: 2 or more servings/day
Recommended
All
Avoid
None
Meat and Meat Substitute Exchange List: 6 or more servings/day
Recommended
| Meat | Fish | Peanut butter |
| Egg | Soybean | Shellfish |
| Poultry | Tofu |
Avoid
Any meat prepared or processed with milk products such as:
Luncheon meat
Cheese
Milk Exchange List: 2 or more servings/day
Recommended
Soybean milk and other lactose-free supplements
Yogurt and buttermilk may be tolerated by some lactose-deficient persons
Avoid
All milks and milk products which are not recommended
Vegetable Exchange List: 2 or more servings/day
Recommended
Fresh, frozen, or canned vegetables, both whole and juice
Avoid
Vegetables which are prepared or processed with milk or milk products
Miscellaneous Exchange List
Recommended
All beverages and soups prepared or processed without milk
Avoid
All beverages and soups containing milk or milk products
Note: Include six to eight cups of fluids, such as water, per day.
References
Alpers, D.H., R.E. Clouse & W.F. Stenson. 1983. Manual of Nutritional Therapeutics. Little, Brown, and Company, Boston. 457 pp.
American Cancer Society. Facts on Prostate Cancer.
Chicago Dietetic Association and the South Suburban Dietetic Association of Cook and Will counties. 1981. Manual of Clinical Dietetics. W. B. Saunders Co., Philadelphia.
Kreutner, Patricia A. 1980. Nutrition In Perspective. Prentice-Hall, Inc., Englewood Cliffs. 665 pp.
| Signup Free Applied Health Journal |
||||
|
FREE Sample Issue Your email address is all we need to start you on a better path to health. We respect your privacy.
|
