• 한국축산식품학회지
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• 제31권6호
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• pp.893-898
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• 2011

Milk contains a number of nutrients required for human growth and development, such as disaccharide lactose which is significantly contained in milk and dairy products. About two thirds of world populations are reportedly suffering from lactose intolerance after drinking milk. Lactose intolerance is defined as a maldigestion of lactose in the human intestine with typical symptoms of abdominal pains, bloating, and diarrhea. In this study, incidence of lactose intolerance has been investigated for the elementary school children for 1 year from July, 2010 to June, 2011. It is found that about 70% of the total elementary students have joined the school milk program. Out of 636 total students that participated in this study, 449 were from the metropolis, 85 from middle-sized city, and 102 from the small town including rural areas (small town/rural areas). For distributions of lactose intolerance, 154 students (24.2%) were found to be positive among the total 636 subjects. Based on the size of the city, the symptoms were the most prevalent for the students in the small town/rural areas at 31.4% (32/102), followed by 30.6% (26/85) in middle-sized city, and 21.4% (96/449) in the metropolis. On the other hand, gender had no significant effect on the incidence of lactose intolerance, shown those for boys and girls were 24.8% (77/310), 23.6% (77/326), respectively. Further research is needed to confirm the correct incidence of lactose intolerance symptoms as the frequency is significantly affected by subject's digestive functions including irritable bowel syndrome.

• Journal of Dairy Science and Biotechnology
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• 제38권1호
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• pp.1-18
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• 2020

Lactose intolerance is a pathophysiological phenomenon caused by a deficiency of the enzyme lactase present in human intestines. Changes in intestinal digestion and colon fermentation after the intake of lactose-containing products cause diarrhea and other clinical discomforts. Therefore, lactose intolerance can be easily ameliorated by consuming lactose hydrolyzed milk and dairy products. In the recent years, lactose-free dairy products have provided lactose intolerant consumers with several options, due to an improvement in the quality and an increase in the variety of products. Currently, the manufacturing of lactose-free products also represents the fastest growing sector in the dairy industry. This review, thus, aims to provide an overview of the current availability and prospects of lactose-free dairy products, and also discuss the potential benefits of the development of a variety of lactose-free dairy foods.

• Journal of Dairy Science and Biotechnology
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• 제27권2호
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• pp.55-62
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• 2009

우유는 110여 종에 달하는 다양한 영양소를 골고루 함유하고 있어 성장기 어린이들에게 영양학적으로 완전에 가까운 식품으로 알려져 있다. 전세계 인구의 75% 정도가 유전적으로 유당을 소화시키는 능력이 부족한 이른바 유당불내증 때문에 우유 소비를 가로막는 최대 장애요인이 되고 있다. 우유의 섭취 부족으로 인하여 영양소의 결핍이 초래되어 골다공증, 고혈압, 결장암의 발병율이 증가하고 있는 추세이다. 식품 중에 함유된 유당이 체내에 흡수되려면 소장내에서 가수분해가 일어나야 한다. 유당을 분해하는 효소를 락타아제 또는 $\beta$-갈락토시다아제라 한다. 유당의 가수분해로 생성되는 포도당은 혈당이나 에너지원으로 이용되지만, 갈락토오스는 유아의 뇌조직 성분인 당지질의 합성에 이용된다. 임상적으로 유당불내증은 breath hydrogen production test로 진단할 수 있다. 유당불내증은 유럽인 25%, 히스패닉계, 인도인, 흑인 및 유대인 50~80%, 아시아인과 아메리카 인디언의 경우 거의 100% 생기는 것으로 보고되었다. 성인의 경우 유당을 가수분해할 수 있는 능력 즉, 락타아제 지속성(lactase persistence)이 북유럽 인들에게는 흔한 표현형 인 반면 그 외 지역에서는 락타아제 비지속성(lactase non-persistence) 또는 성인형 저유당분해 효소증(adult-type hypolactasia)이 가장 흔하게 나타난다. 유전자 분석 결과 인간의 락타아제 유전자의 5' 말단으로부터 13910째 염기의 다혈성(C/T-13910 single nucleotide polymorphism)이 락타아제 지속성과 관련이 있다는 사실이 밝혀졌다. 유당불내증을 완화하기 위해서는 1회분으로 한 컵 이하, 타 식품과 함께 마실 것, 탈지유보다는 전지유, 요구르트 유산균과 함께 마실 것 등이 권장되며 위배출지연도 유당불내증 개선에 효과적이다. 기존 유당불내증 진단법은 지나치게 많은 유당을 투여함으로써 유당불내증 비율이 과장되어 있으므로 정확한 진단법의 개발이 필요하다. 발효유 제품이나 저유당 제품을 개발하면 유당불내증으로 인한 유제품의 소비 부진을 크게 해소할 수 있을 것으로 판단된다.

• 대한지역사회영양학회지
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• 제23권6호
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• pp.488-495
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• 2018

Objectives: This study examined the milk intake patterns with lactose and milk fat in Korean male adults using the following variables: milk intake level, awareness of lactose, and milk fat, health problems, and necessity of milk intake. In addition, the factors affecting milk intake were analyzed by multiple regression analysis. Methods: The subjects were 532 males aged 20 years or older among the nationwide milk purchasing group. The subjects were 223 (41.9%) in the 20-29 year age group, 188 (35.3%) in the 30-49 year age group and 121(22.7%) in the over 50 year age group. The survey was conducted using ANOVA and multiple comparative analysis to examine the differences in age and multiple regression analysis was performed to investigate the factors affecting the intake of milk. Results: The intake of milk in the subjects was $538.14{\pm}494.23ml$ per week. There were statistically significant differences in the subjects' age according to processed milk, low fat, nonfat milk, cheese, and ice cream. The perception of milk and lactose and milk fat was recognized as a good food for skeletal health when milk was consumed. Among the milk nutrients, lactose was highly recognized at the age of 20-29, and milk fat was recognized in those over 50 years. In addition to lactose and milk fat, calcium was the most highly recognized among the milk nutrients. Health problems associated with milk were skeletal health, obesity, and lactose intolerance. The perception of lactose intolerance was related to lactose intolerance and fatness, and the dietary behavior was unaffected. Conclusions: This study examined the milk intake patterns of adult Korean males. Many variables were found to be related to the intake of milk. In this study, the milk intake was high when there was no problem with the perception and dietary behaviors of milk nutrition (lactose and milk fat). This study focused on lactose and milk fat, which are major nutrients in milk, and it is a new perspective study among milk-related research.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제21권3호
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• pp.170-175
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• 2018

Purpose: Lactose intolerance (LI) is perceived to be frequent in Asia and has been reported to have considerable impact on dietary intake, nutritional status and the quality of life. We aimed to gather information from healthcare professionals on the perceived incidence, diagnosis and management of LI in 1 to 5 year old children in Southeast Asia. Methods: An anonymous electronic survey was sent randomly among healthcare professionals registered in the database of the pediatric societies in Thailand, Indonesia, and Singapore between June and October 2016. Results: In total, 259 health care professionals responded of which 45.5% (n=118) were from Thailand, 37.4% (n=97) from Indonesia and 16.9% (n=44) from Singapore. Of the participants who responded (n=248), primary LI prevalence among children 1 to 3 years of age was estimated to be less than 5% by 56.8%. However, about 18.9% (n=47) answered they did not know/unsure. Regarding secondary LI, 61.6% of respondents (n=153) estimated the prevalence to be less than 15%. But again, 10.8% (n=27) answered they did not know or unsure. Rotavirus gastroenteritis was ranked as the top cause for secondary LI. There was considerable heterogeneity in the diagnostic methods used. The majority of respondents (75%) recommended lactose-free milk to manage primary and secondary LI. Conclusion: More education/training of pediatricians on this topic and further epidemiological studies using a more systematic approach are required.

• Journal of Dairy Science and Biotechnology
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• 제39권1호
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• pp.20-26
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• 2021

Lactase (β-galactosidase) is abundant in the small intestine during early childhood and gradually decreases with age. Lactic acid bacteria (LAB) present in yogurt could survive in the stomach, and lactase produced by these LAB can aid in lactose breakdown in the small intestine, thereby reducing lactose intolerance. This study aims to provide preliminary data for development of lactose-free yogurts for the elderly, and investigate the effect of lactose-hydrolyzed milk on the growth of starter cultures. The pH during yogurt fermentation using lactose-free milk was slightly higher at 2 and 4 h of incubation, but reached 4.5 at the end of incubation, similar to that of the yogurt prepared from regular milk. The number of viable cells of Streptococcus thermophilus reached 108 CFU/mL after 2 h of incubation and increased to 109 CFU/mL after 4 h of incubation. During yogurt fermentation, the viable cells of Lactobacillus species and Bifidobacterium longum did not affect lactose hydrolysis. Although lactose-hydrolyzed milk did not promote the growth of starter cultures, manufacturing yogurt with lactose-free milk could be beneficial for the intestinal health of lactose-sensitive elderly.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권3호
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• pp.263-275
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• 2022

Purpose: The present international survey among healthcare providers aimed to collect data on theoretical knowledge and clinical practices in the diagnosis and management of cow's milk protein allergy (CMPA) and lactose intolerance (LI) in infants. Methods: A global survey was conducted in several countries with diverse health care settings. The survey consisted of multiple-choice questions in 3 main domains: (1) understanding and clinical practices around CMPA and LI; (2) case scenarios; and (3) disease-specific knowledge and potential educational needs. Results: Responses were available from 1,663 participants. About 62% of respondents were general practitioners or general pediatricians, and the remainder were pediatric allergists/gastroenterologists (18%) or other health practitioners (20%). The survey identified knowledge gaps regarding the types of CMPA (IgE-mediated vs. non-IgE-mediated) and the clinical overlap with LI. The survey suggested diverse clinical practices regarding the use of hypoallergenic formulas, as well as misconceptions about the prebiotic benefits of lactose in extensively hydrolyzed formulas in non-breastfed infants with CMPA. Responses to the two case scenarios highlighted varying levels of awareness of the relevant clinical practice guidelines. While respondents generally felt confident in managing infants with CMPA and LI, about 80% expressed an interest for further training in this area. Conclusion: The current survey identified some knowledge gaps and regional differences in the management of infants with CMPA or LI. Local educational activities among general and pediatric healthcare providers may increase the awareness of clinical practice guidelines for the diagnosis and treatment of both conditions and help improve clinical outcomes.

• Journal of Dairy Science and Biotechnology
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• 제31권2호
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• pp.195-200
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• 2013

The ripening of cheese allows for the development of characteristic taste and flavour, nutritional substances, bio-active components and texture, helping to improve quality. Many different microbiological, biochemical and nutritional changes occur during the process depending on the quality of raw milk, added cultures and enzymes, as well as specific processing and ripening conditions. During the ripening lactose is hydrolyzed to lactic, propionic and acetic acid, helping to reduce potential effects of the problem of lactose intolerance. Fat is hydrolyzed to butyric, propionic and conjugated linoleic acid, which function as bio-active substances. Protein is hydrolyzed to different peptides and amino acids which all show various bio-activities. However, errors of cheese ripening can happen and affect the quality of the product. To guarantee good quality cheese the process needs to be managed carefully with the right microbes used and ensuring cleanliness of processing facilities, staff, ventilation and hazard analysis and critical control points (HACCP). Research into and controlling of ripening technology is crucial for producing high quality cheeses.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권1호
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• pp.13-20
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• 2022

Purpose: Hydrogen-methane breath tests are used to diagnose carbohydrate malabsorption and small intestinal bacterial overgrowth. The COVID-19 pandemic has driven the modification of procedures as breath tests are potentially aerosol-generating procedures. We assessed the effect of delayed analysis of breath samples, facilitating the at-home performance of breath testing. Methods: Children provided two breath samples at every step of the lactose breath test. The samples were brought back to the clinic, and one set of samples was analyzed immediately. The second set was stored at room temperature and analyzed 1-4 days later. Results: Out of the 73 "double" lactose breath tests performed at home, 33 (45.8%) were positive. The second samples were analyzed 20 to 117 hours after the first samples (41.7±24.3 hours). There was no significant difference in the hydrogen concentration between the first and second sets (Z=0.49, p=0.62). This was not the case for methane, which had a significantly higher concentration in the second breath samples (Z=7.6). Conclusion: Expired hydrogen levels remain stable in plastic syringes if preserved at room temperature for several days. On the other hand, the delayed analysis of methane appeared to be less reliable. Further research is needed to examine the impact of delayed analysis on methane and hydrogen concentrations.

• Journal of Dairy Science and Biotechnology
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• 제35권1호
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• pp.39-45
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• 2017

본 연구에서는 유당분해율에 따른 저지방우유의 이화학적 특성을 비교해 보고자 하였으며, 유당 함량과 빙점 값의 상관 공식을 도출하여 유당분해 제조공정상 유당분해 정도를 쉽고 빠르게 예측하고자 하였다. 우유의 빙점은 특히 유당 함량과 염류와 같은 미네랄의 변화에 따라 큰 영향을 받는다고 알려져 있는데, 본 실험에서도 $10^{\circ}C$에서 시간이 경과함에 따라 유당이 서서히 분해되고 빙점 값도 함께 떨어짐을 확인하였다. 따라서, y=-50.416x+767.91($R^2=0.9866$, x값은 유당함량(g/100 mL), y값은 빙점 값(m $^{\circ}C$))과 같은 상관식을 도출하였다. 단, 유당분해우유의 제조공정, 분해조건, 원유의 특성에 따라 다소 차이는 있을 수 있으나, 공정 표준화된 제품에는 쉽게 적용할 수 있을 것으로 보인다. 유당분해우유는 살균 방법 또는 장기간 저장 중에 마일라드 반응, 갈변화, 풍미 등에 영향을 받는다고 알려져 있으나, 이화학적 특성 분석 결과에서 유당분해율에 따른 샘플 간의 우유 단백질, 유지방, 무지유 고형분, 총 고형분, pH, 산도 값에 유의 차는 없었다(p<0.05). 또한, 색도 값과 입자 크기에서도 유당분해율에 따른 샘플 간 다소 차이는 있으나, 뚜렷한 경향은 보이지 않았다. 단, 유지방 함량에 따른 입자크기는 유의적인 차이를 보였다(p<0.05). 본 연구에서는 유당분해율에 따른 저지방우유의 품질 특성을 파악할 때, 장기간 보관 중에 따른 이화학적 변화를 살펴보지 않았다는데 한계가 있다. 따라서, 향후 유당분해우유 품질에 영향을 줄 수 있는 요인인 저장 기간을 달리한 이화학적 특성을 살펴 제품에 다양하게 적용할 수 있는 방안을 모색하면 좋을 것으로 사료된다.