Preschoolers need just 2 cups of milk a day: MD
The question of how much cow's milk should young children be downing each day is one of the most common queries doctors hear, says a pediatrician who has looked into the answer.
It's one of a number of questions that physicians and researchers are investigating as a part of an ongoing study called Target Kids!
The collaborative research effort by St. Michael's Hospital and the Hospital for Sick Children, which has now enrolled about 3,800 children, is looking at factors that affect kids' health from the day they are born.
LA phasing out flavoured milk in schools
Los Angeles Unified became the nation's largest school district to stop serving flavored milk in a move to combat child obesity.
The school board voted on Tuesday to eliminate chocolate and strawberry milk from schools as of July 1.
LAUSD joins a growing number of school districts in the U.S., including District of Columbia, Boulder Valley, Colo., and Berkeley, Calif., that serve only plain milk because of the added sugar contained in flavored versions.
The proposal by Superintendent John Deasy came after popular British TV chef Jamie Oliver criticized the district in recent months for serving flavored milks, saying they contain the sugar equivalent of a candy bar.
In one TV stunt, he filled a school bus with sand to represent the amount of added sugar LAUSD students consume in a week through flavored milk.
Some board members were rankled by the perception that the district was caving in to Oliver, who unsuccessfully lobbied the district to be allowed to tape shows in local schools.
"I really don't understand why we're letting a TV chef dictate our policy," said board member Tamar Galatzan, who noted that many health advocates including the American Heart Association say the nutritional benefits of flavored milk outweigh the harm of added sugar.
Some advocates say that milk consumption drops when children are not offered the option of chocolate and other flavored milks.
She noted the district serves fruit juices containing 27 to 29 grams of sugar per serving, more than the amount of sugar in flavored milk — 20 grams in eight ounces of fat-free chocolate milk and 27 grams in fat-free strawberry.
Galatzan was the lone dissenter on the board.
The move was applauded by several proponents in the audience.
When it comes to kids aged one to five, the researchers set out to determine how much cow's milk a day would provide enough vitamin D through fortification without compromising iron levels in a child's blood. Studies have shown that ingesting too much milk can lead to decreased iron stores.
"So it struck us that, wow, if you drink milk there's some good parts and some not good parts," said Maguire. "So how much milk would you need to balance those two things out.
"And what we came up with is about 470 millilitres of cow's milk is the balancing point. So it's roughly two cups."
It's not known why drinking too much milk affects iron levels, although some speculate that excess intake of the beverage means that iron-rich foods are not being eaten.
Vitamin D is important for a host of health effects, including the development of strong bones and teeth, while too little iron in the bloodstream can cause anemia, affect brain development and in cases of severe deficiency elevate the risk of stroke.
"So this really gets to that, saying to parents that two cups of milk is a healthy amount of milk," he said. "You're getting great benefit from vitamin D and your child's not in harm's way from being iron-deficient."
Maguire is lead author of the research, which is being presented Thursday at the Canadian Pediatric Society's annual meeting in Quebec City.
In their study of almost 1,600 preschoolers, which included blood tests to determine each child's vitamin D and iron concentrations, the group found that age and body weight didn't alter the recommended amount of milk, he said.
"We looked at that. Does the children's age change that balance, does it tip it in any way? …And it's exactly the same."
But what kind of cow's milk kids drink does matter, it seems.
"Partly skimmed milk [one per cent and two per cent] is not routinely recommended in the first two years," advises the Canadian Pediatric Society, and "skim milk is inappropriate in the first two years."
However, the American Academy of Pediatrics advises that for children aged 12 to 24 months, for whom being obese or overweight is a concern or who have a family history of obesity, abnormal blood-fat levels or cardiovascular disease, "the use of reduced-fat milk would be appropriate."