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== Historical Perspective ==
{{CMG}}; {{AE}} {{MA}}
The ancient Greek physician [[Hippocrates]] (460-370 B.C.) first noted gastrointestinal upset and skin problems in some who consumed milk;<ref>[http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B758X-4HMW41X-B&_coverDate=12%2F31%2F2005&_alid=508637183&_rdoc=1&_fmt=&_orig=search&_qd=1&_cdi=12938&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=409a42b93cb26955160d265431eec835 ''Milk Intolerance: Lactose Intolerance and Cow's Milk Protein Allergy'', J. Wilson, Newborn and Infant Nursing Reviews, Volume 5, Issue 4, Pages 203-207, Dec. 2005]</ref> patients experiencing the former symptom may likely have been suffering from lactose intolerance. However, it was only in the last few decades that the syndrome was more widely described by modern medical science.


The condition was first recognized in the 1950s and 1960s when various organizations like the United Nations began to engage in systematic famine-relief efforts in countries outside Europe for the first time. Holzel et al (1959) and Durand (1959) produced two of the earliest studies of lactose intolerance. As anecdotes of embarrassing dairy-induced discomfort piled up, the First World donor countries could no longer ascribe the reports to spoilage in transit or inappropriate food preparation at the recipient end in the Third World.
==Overview==
Lactose intolerance was first discovered by Hippocrate, the ancient Greek physician 2500 years ago. In 1906, Pimmer discovered lactase enzyme in the [[intestine]] of infant dogs, pigs, and rats. The association between the ethnicity and lactose intolerance was discovered in 1966 by Bayless and Rosensweig. In 1978, breath hydrogen test was used by Levitt to diagnose lactose intolerance.


Since the first nations to industrialize and develop modern scientific [[medicine]] were dominated by people of Western and Northern European descent, adult dairy consumption was long taken for granted. Westerners for some time did not recognize that the majority of the human ethno-genetic groups could not consume dairy products during adulthood. Although there had been regular contact between Europeans and non-Europeans throughout history, the notion that large-scale medical studies should be representative of the ethnic diversity of the human populations (as well as all genders and ages) did not become well-established until after the American Civil Rights Movement.
==Historical Perspective==
===Discovery===
*Lactose intolerance was first discovered by Hippocrate, the ancient Greek physician 2500 years ago.<ref name="pmid4718561" />
*In 1906, Pimmer was the first scientist to discover lactase enzyme in the [[intestine]] of infant dogs, pigs, and rats. He also found that this enzyme decreased in the adult intestine of these animals.<ref name="pmid4718561">{{cite journal |vauthors=Neale G |title=The geographical incidence of lactase deficiency |journal=Pathol Microbiol (Basel) |volume=39 |issue=3 |pages=238–47 |year=1973 |pmid=4718561 |doi= |url=}}</ref>
*In 1959, Durand and Holzei et al decribed [[Congenital disorder|congenital]] [[lactase]] deficiency<ref name="pmid4718561" />


Since then, the relationship between lactase and lactose has been thoroughly investigated in food science due to the growing market for dairy products among non-Europeans.
*The association between the ethnicity and lactose intolerance was discovered in 1966 by Bayless and Rosensweig and in 1968 by Neale.
 
*In the early 1970s, lactase-phlorizin hydrolase (LPH) gene [[Mutation|mutations]] were first implicated in the pathogenesis of lactose intolerance.<ref name="pmid11788828">{{cite journal |vauthors=Enattah NS, Sahi T, Savilahti E, Terwilliger JD, Peltonen L, Järvelä I |title=Identification of a variant associated with adult-type hypolactasia |journal=Nat. Genet. |volume=30 |issue=2 |pages=233–7 |year=2002 |pmid=11788828 |doi=10.1038/ng826 |url=}}</ref>
*In 1978, breath hydrogen test was used by Levitt to diagnose lactose intolerance<ref name="pmid25298621">{{cite journal |vauthors=Rana SV, Malik A |title=Hydrogen breath tests in gastrointestinal diseases |journal=Indian J Clin Biochem |volume=29 |issue=4 |pages=398–405 |year=2014 |pmid=25298621 |pmc=4175689 |doi=10.1007/s12291-014-0426-4 |url=}}</ref>


Originally it was [[hypothesis]]ed that gut bacteria such as [[E. coli]] produced the [[lactase]] enzyme needed to cleave lactose into its constituent [[monosaccharide]]s and thus become metabolisable and digestible by humans. Some form of human-bacteria symbiosis was proposed as a means of producing lactase in the human digestive tract. Genetics and protein analysis techniques by the early 1970s revealed this to be untrue; humans produce their own lactase enzyme natively in intestine cells.


According to Heyman (2006), approximately 70% of the global population cannot tolerate lactose in adulthood. Thus, some argue that the terminology should be reversed — lactose intolerance should be seen as the norm, and the minority groups should be labeled as having ''lactase persistence''.  A counter argument to this is that the cultures that don't generally consume unmodified milk products have little need to discuss their intolerance to it, leaving the cultures for which lactose intolerance is a significant dietary issue to define its terminology.


==References==
==References==
{{Reflist|2}}
{{WH}}


{{Reflist|2}}
[[Category:Disease]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Needs overview]]
[[Category:Medicine]]
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Latest revision as of 22:28, 29 July 2020


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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]

Overview

Lactose intolerance was first discovered by Hippocrate, the ancient Greek physician 2500 years ago. In 1906, Pimmer discovered lactase enzyme in the intestine of infant dogs, pigs, and rats. The association between the ethnicity and lactose intolerance was discovered in 1966 by Bayless and Rosensweig. In 1978, breath hydrogen test was used by Levitt to diagnose lactose intolerance.

Historical Perspective

Discovery

  • Lactose intolerance was first discovered by Hippocrate, the ancient Greek physician 2500 years ago.[1]
  • In 1906, Pimmer was the first scientist to discover lactase enzyme in the intestine of infant dogs, pigs, and rats. He also found that this enzyme decreased in the adult intestine of these animals.[1]
  • In 1959, Durand and Holzei et al decribed congenital lactase deficiency[1]
  • The association between the ethnicity and lactose intolerance was discovered in 1966 by Bayless and Rosensweig and in 1968 by Neale.
  • In the early 1970s, lactase-phlorizin hydrolase (LPH) gene mutations were first implicated in the pathogenesis of lactose intolerance.[2]
  • In 1978, breath hydrogen test was used by Levitt to diagnose lactose intolerance[3]


References

  1. 1.0 1.1 1.2 Neale G (1973). "The geographical incidence of lactase deficiency". Pathol Microbiol (Basel). 39 (3): 238–47. PMID 4718561.
  2. Enattah NS, Sahi T, Savilahti E, Terwilliger JD, Peltonen L, Järvelä I (2002). "Identification of a variant associated with adult-type hypolactasia". Nat. Genet. 30 (2): 233–7. doi:10.1038/ng826. PMID 11788828.
  3. Rana SV, Malik A (2014). "Hydrogen breath tests in gastrointestinal diseases". Indian J Clin Biochem. 29 (4): 398–405. doi:10.1007/s12291-014-0426-4. PMC 4175689. PMID 25298621.

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