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Dairy Intake and Bone Mass Gain in Children

Am J Clin Nutr; ePub 2017 Mar 22; Vogel, et al

2 cups of milk or the daily equivalent is adequate for normal bone gain in children aged 8 to 16 years, a recent study found, and daily food interventions generally had no effect on bone mineral acquisition or body composition in either overweight or healthy weight children. Participants included 240 healthy boys and girls aged 8 to 16 years who consumed low amounts of dairy (<800 mg Ca/d).

Participants were randomly assigned within BMI categories to receive an 18-month dairy intervention (3 servings/d equivalent to ∼900 mg Ca/d) or control. Main outcomes measures assessed every 6 months included the total body bone mineral content and density, cortical and trabecular bone mineral density (BMD), bone mineral content (BMC), and bone area at the 4% tibia and anthropometric measures. Researchers found:

  • 181 participants completed the trial (61% black, 50% overweight, 50% healthy weight).
  • No significant differences in the change of BMD, BMC, or bone area for the total body radius, lumbar spine, and total hip were observed between groups.
  • Body fat was not influenced by the diet assigned.

Citation:

Vogel KA, Martin BR, McCabe LD, et al. The effects of dairy intake on bone mass and body composition in early pubertal girls and boys: a randomized controlled trial. [Published online ahead of print March 22, 2017]. Am J Clin Nutr. doi:10.3945/​ajcn.116.140418.

Commentary:

We all can recall being told as children to “drink your milk,” with the underlying assumption that the more milk we drank, the stronger our bones would be. This study suggests that this may not be true and that a minimum amount of dairy consumption, about 2 cups of milk (or the dairy equivalent) a day is sufficient for bone health and growth for children between the ages of 8 and 16. —Amy Clouse, MD