The role of lactose maldigestion, calcium intake, and osteoporosis has been studied. Osteoporosis and osteoporitic fractures are major public health problems. The role of lactose maldigestion and osteoporosis remains unsettled. For example, minority populations consuming small amounts of milk should be at greater risk for osteoporosis. Nevertheless, African American and Hispanic populations in the United States appear to have a lower risk of developing osteoporosis. Caucasian and Asian women were found to have the highest risk for osteoporosis, with fracture rates of 140.7/100 000 and 85.4/100 000, respectively. Hispanic and African American females had lower age-adjusted rates at 49.7/100000 and 57.3/100 000, respectively. The paradox reinforces the complexity of the disease and the importance of biologic, genetic, and as yet undetermined factors in the eitology of osteoporosis.

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