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Is the white stuff the right stuff?

To most of us, milk is the best, nutritious food we can give to our children but a new report by the Vegetarian and Vegan Foundation (VVF) is calling for health warnings to be placed on dairy products amidst claims that they cause cancer, diabetes and numerous other diseases.

The VVF suggest that humans are unnatural because they are the only species out of 4,500 who continue to drink milk after weaning. However, many would argue that we are also the only species with opposable thumbs and, for the most part, the most evolved species on the planet.

We think it's important that you know enough to make your own mind up so read on to hear all the different views.

White Lies, the Vegan and Vegetarian view

You may or may not have heard about the White Lies Report, launched by the Vegan and Vegetarian Society, which investigates the links between the consumption of cow's milk and dairy products and health.

According to the VVF the report describes the evidence linking a diverse range of health problems and diseases to dairy including some of the UK's biggest killers such as;

  • Heart disease
  • Diabetes
  • Breast cancer and prostate cancer
  • Osteoporosis
  • Eczema
  • Asthma
  • Crohn's disease
  • Colic
  • Constipation

Heather Mills McCartney, one of the Patrons of VVF, launched the campaign encouraging people to stop consuming dairy products. She says, "Dairy is far from being a wonder food but is, in fact, a contributor to many major diseases which horrifies me - especially when I see how many unwitting mothers are feeding their children cows' milk formula.

"When I lost part of my leg and the residual limb wouldn't heal, switching to a raw vegan diet worked what seemed like a miracle for me. I am now totally vegan and enjoy a variety of alternative meat and milk substitutes." Of course, you may be one of the many parents with the attitude that you grew up drinking milk and you're doing just fine. However, the report has an answer for just such claims.

It is supported by doctors with more letters after their names than the Royal Mail sorting office, and the VVF hope this endorsement will make you, along with everyone else, sit up and listen.

Professor T. Colin Campbell PhD is a nutritionist who has carried out research into the effect of diet on health in China and is supporting the report. In his Foreword to the White Lies Report he says, "It is not that these various dairy effects are independently proven to be true beyond doubt, any more than tobacco use is independently proven to cause lung cancer and heart disease. Rather, it is the weight and breadth of the evidence, along with its biological plausibility." Professor Jane Plant CBE (DSc), author of Your Life in Your Hands, adds "Cow's milk is a perfect food for a rapidly growing calf but that doesn't mean it is good for human babies - or adults! If you want to improve your health by making just one change to your diet, I recommend you eliminate all dairy from the diet." Finally, the author of the report, Dr Justine Butler, claims that the milk we drink has up to 400 million pus cells per litre and the VVF have released adverts emblazoned with the slogan "Up to 100 million pus cells in every glass." Obviously the thought alone is enough to put you off but can this be true or is it just clever campaigning? As parents, should you be worried and demand your child doesn't drink free school milk, like the VVF suggest? The Dairy Council don't think so!

The Right stuff, the dairy view

Dr Judith Bryant, Director of the Dairy Council, says that it is not actually pus as we know it.

"What some anti-dairy groups call 'pus' is in fact a vital part of the cow's ability to stay healthy," she says.

"These 'somatic cells' are mainly white blood cells and while we don't want too many of them in milk, there is also a level below which we don't want them to fall in order to keep cows in good health."

In fact, the number of these cells has fallen dramatically since the 1970s and the current UK average of under 200,000 cells per millilitre of milk may sound high, but is in fact an infinitesimally small part of the milk. It is less than half the EU-permitted standard, which itself is very low by world comparison, and is reduced to a fraction of this level by treatment at the dairy. Of course, the Dairy Council are keen to promote the benefits of milk and if after reading the White Lies Report you are in doubt about what they are, these are the facts.

  • Dairy products provide protein, carbohydrate, fat, B group vitamins (particularly riboflavin, and vitamin B12), calcium, phosphorus, magnesium, iodine, and potassium, to name but a few.
  • The National Diet and Nutrition Survey shows that milk and milk products are the primary calcium source in the UK diet.
  • Whole milk is only 3.9 per cent fat, while semi-skimmed and skimmed milks are 1.7 per cent and 0.3 per cent fat respectively. Recent research suggests that people who eat dairy (milk and/or yogurt) as part of a calorie controlled diet actually lose more fat, in particularly abdominal fat, in comparison to people with lower or no dairy intakes
  • Milk contains potassium, magnesium and calcium. All of these nutrients are scientifically linked to lowering blood pressure. Evidence from The Dietary Approaches to Stop Hypertension (DASH) trials show that eating three portions of low-fat dairy products with five servings of fruit and vegetables as part of a low salt diet has greater blood pressure lowering effects than fruit and vegetables alone.
  • Cancer is a complicated disease and both genetic and environmental factors are important in its development. However, research into the effect of milk on cancer development has failed to substantiate a role for milk or dairy in increasing cancer risk.
  • The Norwegian Women and Cancer Study which studied 48,000 women, found people who drank more milk during their childhood and lifetime to have a staggering 50 per cent reduced risk of developing breast cancer in comparison to women who do not drink milk.
  • The dental protective properties of milk are mainly due to the presence of calcium and phosphorus. These minerals are believed to prevent mineral loss from tooth enamel and promote remineralisation of the teeth. Milk proteins are known to adhere efficiently to the surface of enamel and may therefore also protect against mineral loss.

Dr Bryant adds that it is important that we know this, to address inaccurate information and ensure that we do not remove nutritious foods from our children's diets.

"Milk is a nutrient-dense food which plays an important role in the UK diet," she says. "As with most foods, there are misconceptions surrounding its consumption."

The British Nutrition Foundation, the Dietician view

The British Nutrition Foundation (BNF) says that dairy products should be eaten in moderation and as part of a healthy diet. They recommend that we all should eat 2-3 portions a day, opting for low or reduced fat where appropriate. If you're not sure what size a 'serving' is then the BNF say following should help.

  • A 200ml glass of milk
  • A small pot (150g) of yoghurt/fromage frais
  • A 30g (matchbox size) chunk of cheese

However, the BNF are critical of the White Lies report. Nutritionist Rebecca Foster says, "Anti-milk campaigns using scare tactics can lead to consumer confusion.

"Milk and dairy products provide a number of essential nutrients, including protein, calcium, zinc and magnesium, vitamin B12 and riboflavin. "Although they can be high in saturated fat, the consensus of scientific evidence is that they can be eaten in moderation as part of a healthy balanced diet and are not dangerous to health."

Heather Mills McCartney has written to Health Secretary Patricia Hewitt asking the Department of Health to stop subsidising milk for primary schools. In her letter she says parents should be advised to replace cow's milk formula for babies with soya milk formula.

However, the BNF say special care needs to be taken if you are planning to feed your baby soya-based milk substitute products. "Most infant formulas are made from cows' milk that has been modified to make the protein, fat and carbohydrate similar to that of human milk," they say. "Soya formulas are based on soya and it is recommended that they are only used following medical advice."

Dietitian Isobel Skypala says that in her department, she is now seeing a greater incidence of soya allergies, possibly triggered by an increased exposure to this milk alternative.

In conclusion, the British Nutrition Foundation state that people who are worried about milk need to remember that the human race has evolved and adapted over countless years.

We have become dependent as a society on milk for the calcium, protein and various other micro-nutrients beneficial to our health and we need to be very aware of the consequences should we stop drinking milk.

A Child's Advocate, the Health Visitor view

Deborah Steele is a Health Visitor and Senior Lecturer in Public Health and agrees that we need to be careful about cutting dairy from our diets.

She says, "It is always good to think about our children's diet, they are our future and we want them to grow up strong and healthy, therefore new research that helps parents to consider healthy options is always welcome. "However, research that is one sided and used to promote the agenda of a particular organisation is, in my opinion, unhelpful." She says that parents should be aware that this research has been heavily promoted by an organisation with another agenda, one of promoting vegetarianism. Regarding the concerns surrounding synthetic growth hormones in milk, she explains, "The EU, along with Canada, Japan and 100 other countries, has banned this from milk because of its effects on animal, rather than human, health and welfare. "Even so, the evidence that these substances cause health problems is inconclusive." Deborah adds, "My personal view is that we continue to offer our children a balanced diet which includes cow's milk and diary products. "Obviously breast feeding is healthier for young babies, but a cow's milk substitute for those who cannot breastfeed is perfectly acceptable and is what is recommended by the Department of Health."

More than intolerance, the Allergy view

Allergy UK, formerly the British Allergy Foundation, says that a true food allergy - where the immune system is involved - only affects between one and two per cent of the population.

Food intolerances are found in between five and eight per cent of children in the UK and less than two per cent of adults.

Despite this, according to the British Dietetic Association, 1 in 5 adults think they have a food allergy and a study that looked at Cow's Milk Allergy (CMA) found that self diagnosis of allergies to cow's milk was 10 times those that were clinically proven.

So what is the difference between allergy and intolerance? Quite simply, an allergy is an extreme and immediate reaction to something, whereas an intolerance is an umbrella term for a food reaction.

An intolerance to cow's milk is quite common in young children but tends to disappear as they get older.

The BNF explains 90 per cent of children have outgrown the intolerance by the time they go to school.

This is because babies rapidly learn to tolerate a range of foods in the early months of life. When the child has experienced a full range of foods - usually by the age of three - their body has built up a tolerance threshold, so intolerances are less common. Scientists are still unsure how or why this happens but the BNF says this is a normal physiological response to experiencing different foods. However, Professor Jonathan Brostoff is a leading authority on allergies and food intolerances, from King's College, London. He says that 75 per cent of the world's population - mainly found in India, Africa and China - do not produce the enzyme needed to break down lactose after the age of 11 or 12, making them milk intolerant. 'Being milk intolerant is normal,' he says. 'It is only in Western Europe that we can tolerate milk as adults due to a genetic mutation.' Isobel Skypala, head of dietetics at the Royal Brompton Hospital in London adds, "Eliminating a food group from your diet can actually make you more likely to react to it.

"If you cut it out of your diet, and then you are exposed to it by mistake suddenly, you are more likely to have an allergic reaction to it than if you were exposed to it all the time."

Bedside manner, the Medical view

If you thought the controversy could be cleared up by the medical profession you may be surprised.

  • Medical Biochemist, Professor Anthony Campbell from the School of Medicine says that a wide range of health conditions can be attributed to lactose intolerance. "Certainly milk contains good things for healthy living - protein, vitamins, calcium and so on," he says. "But milk also contains lactose, a unique ingredient that can be harmful."
  • Eunyoung Cho at Brigham and Women's Hospital and Harvard Medical School found that people who drank at least one 250 millilitre glass of milk a day were 15 per cent less likely to get colorectal cancer than people who drank almost none.
  • Jeff Holly, professor of clinical science suggests that milk may not be as good for us as we think. He suggests that the problem with humans drinking cow's milk is that it is biologically designed for a very different function: to boost the growth of small cows at a time in their lives when they need to grow quickly to become big cows.
  • One of the UK's leading allergy specialists, Dr Harry Morrow-Brown, says the numbers of food intolerances has increased dramatically over the past 20 years. He believes this is because we now consume milk in much greater quantities than our grandparents' generation and claims that our bodies have not learnt to cope with this increase in milk consumption and this is causing the related rise in intolerances.
  • An often-quoted study by a world renowned Harvard nutritional epidemiologist, Walter Willett, suggested from data on over 78,000 that women who obtained the most calcium from dairy products appeared to be at twice the risk of hip fractures. It was later discovered that they were drinking milk fortified with retinol (vitamin A) which is strongly associated with increased fracture risk.

Crying over spilt milk…

However you look at it, milk could be good for you or it could be bad for you. One thing is certain, only you can do what you believe is best for your child even if you'd rather they were drinking the white stuff rather than the 'fizzy brown stuff'.

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