
Dairy has been a part of the human diet for thousands of years, but its necessity is still debated. Dairy products like milk, yoghurt, cheese, and cottage cheese are good sources of calcium, protein, vitamins, and minerals, which are essential for bone health and development, especially in children. However, dairy is also associated with potential health risks, including heart disease, certain cancers, digestive issues, and type 1 diabetes. With the rise of plant-based diets, alternatives to dairy are becoming more popular, but it is important to ensure adequate nutrient intake, especially for calcium and vitamin D. While dairy is not necessary for optimal health, it is a convenient way for many people to obtain these vital nutrients.
| Characteristics | Values |
|---|---|
| Dairy necessary for optimal health | No, but it is the easiest way to get calcium, vitamin D, and protein |
| Dairy's role in bone health | Dairy is the best source of calcium, which is necessary for bone health, but studies have shown mixed results |
| Dairy and heart health | High-fat dairy products are associated with increased cholesterol, which may lead to cardiovascular disease, but new research suggests full-fat dairy might not be a threat to heart health |
| Dairy and cancer | Some studies suggest a link between dairy and an increased risk of certain cancers, while other studies suggest dairy may reduce cancer risk |
| Dairy and skin health | Dairy has been identified as a common trigger for inflammatory skin conditions like acne, eczema, and psoriasis |
| Dairy intolerance | Lactose intolerance is common, affecting an estimated 68% of people globally, but some people with lactose intolerance can tolerate fermented dairy products |
| Dairy alternatives | Plant-based alternatives to dairy exist, but they may have lower amounts of protein and different forms of calcium that may increase cardiovascular risk |
| Dairy and childhood nutrition | Dairy is an important source of protein, calcium, and other nutrients for children and is recommended for healthy bone development |
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What You'll Learn

Dairy's impact on bone health
Dairy products are rich sources of calcium, protein, and phosphorus, all of which are important for bone health. Calcium is the main mineral in bones, and dairy is the best source of calcium in the human diet. Protein and phosphorus are also necessary for achieving optimal peak bone mass during skeletal growth and preventing bone loss as we age.
Randomized controlled trials, considered the "gold standard" of scientific studies, have shown that dairy products lead to improved bone health in all age groups. Intervention studies have also shown beneficial effects of dairy products on bone mass accrual in children and adolescents, and on bone turnover in young and older adults. Dairy consumption during childhood has been linked to higher bone mineral density in adulthood.
However, the relationship between dairy consumption and bone health is complex, and the existing science is mixed. While some studies show beneficial effects, others show detrimental effects. For example, a Swedish study found that consuming three or more glasses of milk per day was associated with an increased risk of fracture and hip fracture.
It is important to note that while dairy is a good source of calcium, it is not the only dietary source. Nondairy sources of calcium include kale, leafy greens, legumes, and calcium supplements. Additionally, over half of the world's adult population may struggle to digest dairy due to lactose intolerance.
In conclusion, while dairy products can contribute to improved bone health, especially in children and adolescents, they are not the only way to achieve optimal bone health. A well-balanced diet that includes plenty of green leafy vegetables and nuts can also provide the calcium and protein needed for strong bones.
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Dairy alternatives
Health
Some people are lactose intolerant, meaning they do not produce the lactase enzyme required to digest lactose, the sugar found in milk. Lactose intolerance can develop at any point in a person's life. While most Europeans and North Americans are well-adapted to digesting dairy, over half of the world's adult population may struggle with it.
Ethical and Environmental
The dairy industry has also come under scrutiny for its environmental impact and farming practices. Research shows that replacing dairy products with plant-based alternatives can significantly reduce greenhouse gas emissions.
Alternatives
There are plenty of dairy alternatives available in supermarkets, including:
- Milk alternatives: Soy, rice, oat, almond, hazelnut, coconut, quinoa, and potato milk. Almond milk is a popular choice as it is easy to make, cheap to buy, and mild in flavor. Soy milk is often recommended for those who are lactose intolerant, as it contains a similar macronutrient composition to cow's milk.
- Butter alternatives: Coconut oil, olive oil, and avocado can all be used as substitutes for butter in recipes.
- Cheese alternatives: There are many plant-based versions of soft cream cheese, usually made with soy or coconut milk. These can also be made at home by blending soaked cashews with nut milk and lemon juice or silken tofu with salt and spices. Tofu slices can also be used as a substitute for cheese in sandwiches or on pasta.
- Yogurt alternatives: Dairy-free yogurts made from soy, oat, or coconut are available in a variety of flavors, from classic to Greek-style.
It is important to note that while dairy alternatives are readily available, they may not provide the same nutritional benefits as dairy products. For example, plant-based milk alternatives tend to have lower amounts of protein than regular milk. Additionally, calcium-containing alternatives to dairy may not be as effective at promoting bone density, especially in children. Therefore, it is important to carefully plan your diet or consult a medical professional to ensure you are meeting your nutritional needs when reducing your dairy intake.
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Dairy's environmental impact
Dairy farming has a significant environmental impact, and there are several ways in which dairy production affects the environment. Firstly, dairy cows contribute substantial amounts of greenhouse gases to the atmosphere, including methane, nitrous oxide, and carbon dioxide. These emissions are produced through enteric fermentation, manure management, and feed production. Poor handling of manure can lead to water pollution and soil degradation, and unsustainable dairy farming can result in the loss of ecologically important areas such as prairies, wetlands, and forests. The conversion of natural habitats into agricultural land for feed crops is also a significant factor in environmental degradation caused by dairy farming.
Dairy cattle are a significant source of greenhouse gases, and their manure can have a negative impact on water quality if not properly managed. Urine and feces from dairy cows contain nitrogen, and when excess nitrogen is applied to land through manure, it can contaminate surface water. This leads to eutrophication, which is the rapid growth of algal populations that consume dissolved oxygen in water, reducing the available oxygen for aquatic life. Improper handling of dairy cows can also decrease their productivity and increase greenhouse gas emissions.
The environmental impact of dairy farming is not limited to direct emissions from cows but also includes the energy and resources used in dairy processing and production. However, it is important to note that dairy farmers are actively working to reduce their environmental footprint. This includes recycling, finding new renewable energy sources, reducing and repurposing waste, and adopting sustainable practices such as no-till farming, energy conservation, and streambank protection. Some farms are also using methane digesters to convert methane gas from cow manure into electricity, powering not only the farm but also supplying electricity to the community.
While dairy farming has an impact on the environment, it is important to consider the nutritional value of dairy products and the social and economic benefits of the dairy industry. Dairy cattle can upcycle human-inedible feedstuffs into milk and dairy products, providing a supply of healthy and nutritious food for consumers. Dairy farmers support practices that are economically, environmentally, and socially responsible, and they are constantly working to improve sustainability and reduce their environmental footprint.
Overall, while dairy farming has environmental impacts, particularly in terms of greenhouse gas emissions and water quality, it is a complex issue, and dairy farmers are actively working towards more sustainable practices and reducing their environmental impact.
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Dairy and cancer risk
Dairy is neither essential nor detrimental to human health. However, it is a good source of calcium, vitamin D, and protein, which are necessary for maintaining bone density and reducing the risk of fractures. While dairy products can be a decent source of protein for older adults, they are also a top source of artery-clogging saturated fat and cholesterol, which increase the risk of heart disease.
The link between dairy consumption and cancer risk is still being researched, with some studies showing conflicting results. For example, a study of over 96,000 people found that men who consumed more milk as teenagers experienced more bone fractures as adults. Another study funded by the National Cancer Institute found that those who consumed the most American, cheddar, and cream cheeses had a 53% higher risk of breast cancer, while yogurt was associated with a lower risk.
A large-scale study in China found that greater dairy intake was associated with higher risks of liver cancer and female breast cancer. This may be due to several factors, including increased levels of insulin-like growth factor-I (IGF-I), which promotes cell proliferation and has been linked to higher risks for several types of cancer. Additionally, female sex hormones present in cow's milk, such as oestrogen and progesterone, may play a role in the increased risk of breast cancer. Furthermore, saturated and trans-fatty acids from dairy products may increase the risk of liver cancer.
On the other hand, some studies indicate that dairy consumption may decrease the risk of certain types of cancer. For instance, evidence suggests that dairy consumption may reduce the risk of colorectal cancer. However, cow's milk, a commonly consumed dairy product, contains growth hormones, such as insulin-like growth factor-1, which could potentially increase the risk of certain cancers, particularly prostate cancer.
Overall, the impact of dairy consumption on cancer risk is complex and requires further research to understand the underlying mechanisms and variations in different populations.
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Dairy and heart health
Dairy has been a part of the human diet for over 8,000 years, particularly in Northern Europe, where it was discovered that fermenting milk to make cheese or yoghurt made it easier to digest. Dairy is a source of calcium, which is important for bone health, and also provides protein and phosphorous. However, it is not necessary in the diet, and alternatives such as kale, leafy greens, legumes, and calcium supplements can be used instead.
Dairy is also linked to heart health. While dairy products contain saturated fat, which can increase the risk of heart disease by raising LDL cholesterol, new research suggests that full-fat dairy may not be as harmful to heart health as previously thought. Some studies have shown that full-fat dairy consumption was not associated with an increased risk of heart disease or stroke, and that fermented full-fat cheese and yoghurt were linked to a reduced risk of stroke.
The American Heart Association recommends adults stick to low-fat or fat-free dairy products to reduce the risk of heart disease. However, the latest research suggests that either full-fat or low-fat dairy can be included in a heart-healthy diet, as long as consumption is limited to one serving a day and combined with healthy foods.
Overall, the impact of dairy on heart health is complex, and more research is needed to fully understand the relationship.
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Frequently asked questions
Dairy is not necessary for optimal health, but it is a good source of calcium, vitamin D, and protein. Dairy products like milk, yogurt, and cheese are recommended for children to build bones and keep teeth healthy.
Dairy is a good source of calcium, which helps maintain bone density and reduces the risk of fractures. Dairy also provides protein and phosphorous, which are necessary for achieving optimal peak bone mass during skeletal growth and preventing bone loss as you age.
Dairy products are high in saturated fat, which can increase the risk of heart disease. They are also associated with an increased risk of acne and certain types of cancer.
Alternatives to dairy include soy milk, almond milk, and other plant-based alternatives. These options tend to have lower amounts of protein than regular milk, but they can be good alternatives for those who are lactose intolerant or have ethical concerns about dairy production.
The recommended amount of dairy varies depending on age and individual needs. Older adults, for example, need protein to protect against sarcopenia, and dairy can be a good source. It is generally recommended to consume low-fat or fat-free dairy products to reduce the intake of saturated fat.




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