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By Amy Orciari Herman
Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM
High milk consumption in adults is associated with increased mortality and, among women, increased fracture risk, according to an observational study in BMJ.
In Sweden, over 60,000 women (aged 39-74) and 45,000 men (aged 45-79) completed food-frequency questionnaires and were followed for a median of 22 and 13 years, respectively.
During follow-up, roughly one fourth of participants died, most often from cardiovascular disease or cancer. After multivariable adjustment, women who reported drinking 3 or more glasses of milk daily had a near doubling of risk for total mortality relative to those who drank less than a glass daily (hazard ratio, 1.93). Men drinking 3 or more glasses daily had a smaller, but still significant, increase in mortality (HR, 1.10).
Among women, high milk consumption was also associated with increased risk for any fracture and hip fracture.
The authors note that D-galactose, found in milk, has been shown to induce oxidative stress damage and chronic inflammation in animals, and such changes have been associated with cardiovascular disease, cancer, bone loss, and sarcopenia in humans. Nonetheless, the authors caution that their findings "merit independent replication before they can be used for dietary recommendations."
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LINK(S):
BMJ article (Free)
BMJ editorial (Subscription required)
Background: NEJM Journal Watch Pediatrics and Adolescent Medicine summary on milk consumption in teenagers and later fracture risk (Your NEJM Journal Watch registration required)