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inasi Özsoylu, MD
Department of Pediatrics Hacettepe Children's Hospital Hacettepe University Medical Faculty Ankara 06100 Turkey

Arch Pediatr Adolesc Med. 1994;148(11):1231.

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I read Oski and Paige's¹ reasonable explanations related to the prevalence of lactose intolerance in the January issue of the ARCHIVES. As they indicated, calcium intake is a problem in patients with lactose intolerance because of the avoidance of milk. Although Oski and Paige proposed vegetable sources for meeting the calcium requirement in patients with lactose intolerance, they did not mention the consumption of yogurt, which is another milk product with low lactose content and considerable lactase activity.² Because an absolute deficiency of lactose-phlorhizin hydrolase is rare, yogurt could easily be substituted as a milk product for those people with hereditary (or acquired) lactose-phlorhizin hydrolase deficiency. Lactose-phlorhizin hydrolase deficiency is frequent in Turkey as well as in most other Middle Eastern countries. Most people tolerate yogurt well even though they cannot consume milk because of lactosephlorhizin hydrolase deficiency. Calcium absorption from yogurt is better because of its high lactate . . . [Full Text PDF of this Article]

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