Milk and Health Foods: Debunking Myths and Clarifying Nutrition for Seniors

Milk and Health Foods

In the media, we often hear various experts expressing different opinions about milk, leading to confusion and making it difficult for people to understand.
There is a book that interviews renowned doctors from major hospitals about their daily health habits, and none of them encourage drinking milk.
A nutritionist, Wu Baofen, has also strongly advocated that milk (or milk powder) is suitable for children under the age of three.
During a television discussion, one orthopedic surgeon emphasized that milk contains a low amount of calcium and is mostly composed of undesirable allergens and hormones from feed.
While nutritionists promote moderate consumption of milk, orthopedic doctors stress that to absorb a small amount of calcium, one ends up ingesting many harmful substances, and that small amount of calcium can be obtained from other dietary sources, hence they do not encourage milk consumption.

Is it acceptable for healthy elderly individuals to drink milk? Should they drink less? What are the nutritional differences between fresh milk and milk powder? Perhaps some doctors hesitate to express their opinions for fear of offending manufacturers, and they hope to receive accurate information.

Regarding health supplements, a prominent orthopedic doctor who endorses a product called "Weiguli" emphasizes its effectiveness.
However, my orthopedic doctor informed me that it can only serve as a preventive measure; if severe symptoms have already occurred, it is meaningless, especially after having undergone a knee replacement surgery.
Yet, I am puzzled because a doctor who is also a city council member, along with a nutritionist, frequently states that health supplements should not be consumed, while they themselves endorse many health products.
This contradictory stance raises questions about their credibility.

So, does "Weiguli" truly benefit the elderly?

kiki, 60~69 year old female. Ask Date: 2017/04/02

Dr. Cai Xiuwen reply Nutrition

Hello Kiki, this is a very good question.
Much of the scientific and medical knowledge comes from years of experience and research experiments.
In the past, many studies have shown that various arguments have both pros and cons, and after further research, a consensus has been reached.
For example, when insulin was first discovered to be related to diabetes, the arguments presented faced much criticism, but subsequent extensive research confirmed that insulin can treat diabetes.
Therefore, whether drinking milk is good or bad for health requires discussion about the source of the milk, its safety, the dietary habits of the consumers, and their health conditions.
It cannot be simply concluded with a single statement about whether milk is good or bad.
Modern medicine emphasizes individualized and evidence-based care.
Individualization means that each person's dietary habits and health conditions are different, and we cannot use the same standard to determine what is best to eat.
For instance, milk contains about 103 mg of calcium per 100 cc, while 10 grams of small dried fish contains about 220 mg.
For elderly individuals with dental issues, they may find it much easier to drink milk than to eat small dried fish.
Not everyone is allergic to milk proteins; if there are concerns about food safety, one can choose products with quality dairy certifications for added assurance.
The difference between fresh milk and powdered milk lies in the sterilization methods and adjustments in composition, which may result in slight variations in retained nutrients, calcium content, and fat levels.
However, there is not much difference in nutritional components; at least, there is currently no substantial research indicating whether fresh milk or powdered milk is better.
Personally, I believe there is not much difference, but for elderly individuals, it is essential to discuss any health-related factors with a physician or nutritionist to determine if there are any restrictions.
Evidence-based medicine requires a clear topic to search for past relevant research and the evidence it provides.
If it is merely hearsay, it becomes a folk remedy.
The Ministry of Health and Welfare has a set of review standards for health foods, but health foods or dietary supplements should only be considered as maintenance rather than treatment.
Calcium supplements are medications, and medications are not suitable for everyone; it also depends on individual circumstances.
As for whether health foods and dietary supplements can be consumed, I believe that natural foods are the best source of nutrition.
When we encounter situations that require maintenance in our daily lives, we can enhance our intake of natural foods.
However, if natural foods are difficult to obtain, inconvenient, or if physiological factors lead to excessive consumption, one may consider health supplements.
It is important to remember not to treat dietary supplements as a staple while neglecting the importance of natural foods.
Regarding whether calcium supplements are beneficial for the elderly, I recommend consulting a professional physician to assess the elderly individual's joint issues and provide targeted treatment.
This response is from Dietitian Tsai Hsiu-Wen at Nantou Hospital, Ministry of Health and Welfare.
Wishing you peace and health.

Reply Date: 2017/04/02

More Info

The topic of milk and health foods, especially concerning seniors, is indeed complex and often surrounded by conflicting opinions. This confusion can stem from varying perspectives among healthcare professionals, nutritionists, and the general public. Let's break down some of the key points regarding milk consumption, its nutritional value, and the role of health foods in the diet of older adults.

Milk Consumption and Nutritional Value
Milk is often touted for its calcium content, which is essential for bone health. A standard serving of milk (about 240 ml) contains approximately 300 mg of calcium, which is beneficial for maintaining bone density, particularly in older adults who are at a higher risk for osteoporosis. However, the debate arises when considering the overall health implications of milk consumption. Some experts argue that milk can be a source of allergens and hormones, which may not be suitable for everyone, especially those with lactose intolerance or dairy allergies.

The nutritional differences between fresh milk and powdered milk primarily lie in their processing methods. Fresh milk is pasteurized to kill harmful bacteria, while powdered milk undergoes evaporation to remove moisture. Both forms retain most of their nutritional value, but the choice between them often depends on personal preference, dietary needs, and convenience.

Health Foods and Their Role
Health foods, including supplements like glucosamine (often marketed as "維骨力" or "Vigorous Bone"), can play a role in supporting joint health, especially for seniors. However, it's crucial to understand that these supplements are not a substitute for a balanced diet. They may help in managing symptoms or preventing further deterioration of joint health, but they are not a cure for existing conditions. The effectiveness of such supplements can vary significantly from person to person, and it is advisable to consult with a healthcare provider before starting any new supplement regimen.

Recommendations for Seniors
For healthy seniors, moderate consumption of milk can be beneficial, but it should be part of a balanced diet that includes a variety of food groups. The Dietary Guidelines for Americans recommend that older adults consume dairy products, but the amount can vary based on individual health conditions, dietary restrictions, and personal preferences. If a senior is lactose intolerant, alternatives such as lactose-free milk or fortified plant-based milks can provide similar nutritional benefits.

Addressing Myths and Misconceptions
The notion that milk is not beneficial for adults, particularly seniors, is not universally accepted. While some studies suggest that excessive dairy consumption may lead to health issues, moderate intake is generally considered safe and beneficial. It is essential to focus on individual dietary needs rather than blanket statements about food groups.

Conclusion
In conclusion, the consumption of milk and health foods should be tailored to individual health needs and preferences. For seniors, incorporating moderate amounts of milk can provide essential nutrients like calcium and vitamin D, which are vital for bone health. However, it is equally important to maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. When considering health supplements, seniors should consult healthcare professionals to ensure they are making informed choices that align with their health goals. The key is to approach nutrition holistically, recognizing that no single food or supplement can provide all the necessary nutrients for optimal health.

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