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Objective To determine lactose metabolism and lactase activity in Chinese children of different ages,prevalence of lactase deficiency (LD), and lactose intolerance (LI).Methods All 1168 healthy subjects between 3 and 13 years were recruited from schools in four large cities in China. They were screened by a 25 g lactose tolerance test.Some subjecls were challenged with .50 g milk powder on different days. Both indicators,the expiratory H2 concentration and intolerance symptoms,were analyzed.Results LD occurred in 38.5% of children in the 3-5 year age group, and 87% of the 7-8 year and 11-13 year old groups. The age of occurrence for LD may be at 7-8 years among Chinese children. The prevalence of LI among Chinese children was 12.2% alage 3-5 years, 33.1% at age 7-8 years, and 30.5% al age 11-13 years, respectively.Conclusion The results demonstrate that LD is very common in Chinese children from these four cities. LD and LI have a dose dependent response: lactose absorption and symptorms are based on lactase activity. The relationship between breast feeding history (or the history of cow milk intake) and lactase activity among Chinese children has not been established.
