Milk products and production relationships

Dairy products or milk products, also known as lacticinia, are food products made from (or containing) milk.[a][1] The most common dairy animals are cow, water buffalo, nanny goat, and ewe. Dairy products include common grocery store food around the world such as yogurt, cheese, milk and butter.[2][3] A facility that produces dairy products is a dairy.[b][4] Dairy products are consumed worldwide to varying degrees.[5] Some people avoid some or all dairy products because of lactose intolerance, veganism, or other health reasons or beliefs.

Types of dairy product

Main article: List of dairy products

Milk

All dairy products derive from milk
Condensed milk

Milk is produced after optional homogenization or pasteurization, in several grades after standardization of the fat level, and possible addition of the bacteria Streptococcus lactis and Leuconostoc citrovorum. Milk can be broken down into several different categories based on type of product produced, including cream, butter, cheese, infant formula, and yogurt.

Milk varies in fat content. Skim milk is milk with zero fat, while whole milk products contain fat.

Milk is an ingredient in many confectioneries. Milk can be added to chocolate to produce milk chocolate.

Cream

Whipped cream
Cream and fermented cream

Butter

Butter, mostly milk fat, produced by churning cream

Fermented

Kefir is a fermented probiotic dairy drink

Fermented milk products include:

Yogurt

Yogurt, milk fermented by thermophilic bacteria, mainly Streptococcus salivarius ssp. thermophilus and Lactobacillus delbrueckii ssp. bulgaricus sometimes with additional bacteria, such as Lactobacillus acidophilus

Cheese

Cheese, produced by coagulating milk, separating curds from whey, and letting it ripen, generally with bacteria, and sometimes also with certain molds.

Custard

Frozen

Ice cream

Casein

Consumption patterns worldwide

Rates of dairy consumption vary widely worldwide. High-consumption countries consume more than 150 kilograms (330 lb) per capita per year. These countries are: Argentina, Armenia, Australia, Costa Rica, most European countries, Israel, Kyrgyzstan, North America and Pakistan. Medium-consumption countries consume 30 kilograms (66 lb) to 150 kg per capita per year. These countries are: India, Iran, Japan, Kenya, Mexico, Mongolia, New Zealand, North and Southern Africa, most of the Middle East, and most of Latin America and the Caribbean. Low-consumption countries consume under 30 kg per capita per year. These countries are: Senegal, most of Central Africa, and most of East and Southeast Asia.[5][6]

Lactose levels

For those with some degree of lactose intolerance, considering the amount of lactose in dairy products can be important to health.

Dairy product Amount of lactose
Milk Highest
Butter Minimal (made from milk fat)
Hard cheese Very low
Soft cheese More than hard cheese

Intolerance and health research

Dairy products may upset the digestive system in individuals with lactose intolerance or a milk allergy.[7][8][9] People who experience lactose intolerance usually avoid milk and other lactose-containing dairy products, which may cause mild side effects, such as abdominal pain, bloating, diarrhea, gas, and nausea.[7][8] Such individuals may use non-dairy milk substitutes.

Cancer

The American Institute for Cancer Research (AICR), World Cancer Research Fund International (WCRF), Cancer Council Australia (CCA) and Cancer Research UK have stated that there is strong evidence that consumption of dairy products decreases risk of colorectal cancer.[10][11][12][13] The AICR, WCRF, CCA and Prostate Cancer UK have stated that there is limited but suggestive evidence that dairy products increase risk of prostate cancer.[10][11][12][14][15] The American Cancer Society (ACS) have stated that because dairy products "may lower the risk of some cancers and possibly increase the risk of others, the ACS does not make specific recommendations on dairy food consumption for cancer prevention."[16]

It has been suggested that consumption of insulin-like growth factor 1 (IGF-1) in dairy products could increase cancer risk, particularly prostate cancer.[17][18] However, a 2018 review by the Committee on Carcinogenicity of Chemicals in Food, Consumer Products and the Environment (COC) concluded that there is "insufficient evidence to draw any firm conclusions as to whether exposure to dietary IGF-1 is associated with an increased incidence of cancer in consumers".[18] The COC also stated it is unlikely that there would be absorption of intact IGF-1 from food by most consumers.[19]

A 2019 review concluded that higher-quality research was needed to characterise valid associations between dairy consumption and risk of and/or cancer-related mortality.[20] A 2021 umbrella review found strong evidence that consumption of dairy products decreases risk of colorectal cancer.[21] Fermented dairy is associated with significantly decreased bladder cancer and colorectal cancer risk.[22]

A 2023 review found no association between consumption of dairy products and breast cancer.[23]

Cardiovascular disease

The American Medical Association (AMA) recommends that people replace full-fat dairy products with nonfat and low-fat dairy products.[24] In 2017, the AMA stated that there is no high-quality clinical evidence that cheese consumption lowers the risk of cardiovascular disease.[25] In 2021, they stated that "taken together, replacing full-fat dairy products with nonfat and low-fat dairy products and other sources of unsaturated fat shifts the composition of dietary patterns toward higher unsaturated to saturated fat ratios that are associated with better cardiovascular health".[24]

In 2017, the National Heart Foundation of New Zealand published an umbrella review which found an "overall neutral effect of dairy on cardiovascular risk for the general population".[26] Their position paper stated that "the evidence overall suggests dairy products can be included in a heart-healthy eating pattern and choosing reduced-fat dairy over full-fat dairy reduces risk for some, but not all, cardiovascular risk factors".[27]

In 2019 the National Heart Foundation of Australia published a position statement on full fat dairy products, "Based on current evidence, there is not enough evidence to recommend full fat over reduced fat products or reduced fat over full fat products for the general population. For people with elevated cholesterol and those with existing coronary heart disease, reduced fat products are recommended."[28] The position statement also noted that the "evidence for milk, yoghurt and cheese does not extend to butter, cream, ice-cream and dairy-based desserts; these products should be avoided in a heart healthy eating pattern".[28]

Recent reviews of randomized controlled trials have found that dairy intake from cheese, milk and yogurt does not have detrimental effects on markers of cardiometabolic health.[29][30]

Other

Consumption of dairy products such as low-fat and whole milk have been associated with an increased acne risk, however, as of 2022 there is no conclusive evidence.[31][32][33] Fermented and low-fat dairy products are associated with a decreased risk of diabetes.[34][35] Consumption of dairy products are also associated with a decreased risk of gout.[36]

A 2023 review found that higher intake of dairy products is significantly associated with a lower risk of inflammatory bowel disease.[37]

Avoidance on principle

Some groups avoid dairy products for non-health-related reasons. Some religions restrict or do not allow the consumption of dairy products. For example, some scholars of Jainism advocate not consuming any dairy products because dairy is perceived to involve violence against cows.[38] Orthodox Judaism requires that meat and dairy products not be served at the same meal, served or cooked in the same utensils, or stored together, as prescribed in Deuteronomy 14:21.[39]

Veganism is the avoidance of all animal products, including dairy products, most often due to the ethics regarding how dairy products are produced. The ethical reasons for avoiding meat and dairy products include how dairy is produced, how the animals are handled, and the environmental effect of dairy production.[40][41] According to a report of the United Nations' Food and Agriculture Organization in 2010 the dairy sector accounted for 4 percent of global human-made greenhouse gas emissions.[42][43]

See also

References and notes

Notes

  1. ^ Milk always comes from a mammal.
  2. ^ or dairy factory

References

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Further reading