核心指导3：乳糖不耐受人群可选择零乳糖或低乳糖奶制品[11-15]▪指导首选零乳糖牛奶、酸奶和奶酪。▪避免空腹食用奶制品，佐餐食用可以延长胃排空时间，防止乳糖快速到达大肠，减轻肠胃不适的症状。▪尝试少量多次食用奶及奶制品，少量是指降低单次食用的奶及奶制品量，少量多次食用可使肠道逐渐接受奶及奶制品中的乳糖，提高耐受性。
注释：
11. Dejan Micic, MD, et al. Clinical Approach to Lactose Intolerance [J]. JAMA, 2019, 10.1001/jama.2019.14740
12. 吴晖, 牛晨艳, 黄巍峰, 等. 乳糖不耐受症的现状及解决方法 [J]. 现代食品科技, 2006(01):158-161.
13. 陈健, 赛晓勇. 乳糖不耐受的研究进展 [J]. 中华流行病学杂志, 2016, 37(2):299-302.
14. Brown-Esters O, Namara PM, Savaiano D. Dietary and biological factors influencing lactose intolerance [J]. International Dairy Journal, 2012, 22(2):98-103.
15. Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. Lactose intolerance and health (AHRQ Publication No 10-E004) [Z]. 2010. https://www.ahrq.gov/downloads/pub/evidence/pdf/lactoseint/lactint.pdf
