Why people become lactose intolerant with age?

Last Updated Feb 5, 2025

Lactose intolerance develops as your body produces less lactase, the enzyme needed to digest lactose, due to genetic factors or changes in gut microbiota over time. Discover more about why this condition occurs and how it impacts your diet by reading the rest of the article.

Understanding Lactose Intolerance

Lactose intolerance occurs because your body produces less lactase, the enzyme needed to digest lactose found in dairy products, as you age. This decrease is genetically programmed in many adults, particularly those of East Asian, African, or Native American descent, leading to symptoms like bloating, diarrhea, and gas after consuming lactose. Understanding lactose intolerance helps you manage your diet by identifying safe dairy alternatives or lactase supplements.

The Role of Lactase Enzyme in Digestion

Lactose intolerance with age primarily results from a decline in lactase enzyme production in the small intestine, which is essential for breaking down lactose into glucose and galactose for absorption. As lactase levels diminish, undigested lactose ferments in the colon, causing symptoms like bloating, gas, and diarrhea. This age-related reduction in lactase activity, known as lactase non-persistence, affects a significant portion of the adult population globally.

What Happens to Lactase Production as We Age?

Lactase production typically decreases as we age due to a natural decline in the activity of lactase-producing cells in the small intestine. This reduction impairs your ability to digest lactose, the sugar found in milk, leading to symptoms of lactose intolerance. Genetic factors and evolutionary adaptations influence the extent of lactase persistence or decline in different populations.

Genetics and Age-Related Lactose Intolerance

Lactose intolerance often develops with age due to a natural decline in lactase enzyme production in the small intestine, a condition known as age-related lactose intolerance or lactase non-persistence. Genetic factors significantly influence this process, as variations in the LCT gene regulate lactase production, with some populations genetically predisposed to maintain lactase activity into adulthood while others experience a decrease. This genetic variability combined with aging leads to reduced ability to digest lactose, causing symptoms such as bloating, diarrhea, and gas after consuming dairy products.

Symptoms of Lactose Intolerance in Adults

Lactose intolerance in adults often develops due to a natural decline in lactase enzyme production, leading to symptoms such as bloating, diarrhea, and abdominal pain after consuming dairy products. You may experience gas, nausea, and cramping as the undigested lactose ferments in the colon. Recognizing these symptoms early helps manage the condition through dietary adjustments or lactase supplements.

Risk Factors for Developing Lactose Intolerance Later in Life

Lactose intolerance develops as lactase enzyme production decreases with age, influenced by genetic factors, ethnicity, and gastrointestinal diseases such as celiac disease or Crohn's disease. Your risk increases if you belong to populations with high prevalence rates, including East Asians, West Africans, and Native Americans, where lactase persistence is less common. Environmental factors like gut infections or prolonged diarrhea can also damage the small intestine lining, reducing lactase levels and leading to symptoms later in life.

Impact of Lifestyle and Diet on Lactase Levels

Lifestyle and diet significantly influence lactase levels, as reduced dairy consumption over time can lead to decreased lactase enzyme production in the small intestine. Populations with historically low dairy intake often exhibit higher rates of lactose intolerance due to genetic adaptation and diminished lactase persistence. Changes in eating habits, such as adopting low-lactose or dairy-free diets, further contribute to the body's reduced ability to digest lactose efficiently with age.

Diagnosing Age-Related Lactose Intolerance

Diagnosing age-related lactose intolerance involves assessing symptoms such as bloating, diarrhea, and abdominal pain after consuming dairy products, often confirmed through hydrogen breath tests or lactose tolerance blood tests. As people age, the body produces less lactase, an enzyme essential for digesting lactose, leading to the onset of intolerance. Your healthcare provider may recommend dietary adjustments or enzyme supplements based on test results to manage symptoms effectively.

Managing Lactose Intolerance as You Get Older

Lactose intolerance commonly develops with age due to a natural decrease in lactase enzyme production in the small intestine, which impairs the digestion of lactose found in dairy products. Managing lactose intolerance as you get older involves identifying lactose-containing foods, incorporating lactose-free alternatives, and considering lactase supplements to alleviate symptoms. You can maintain nutrition and comfort by carefully monitoring your diet and choosing options that support your digestive health.

Alternative Sources of Calcium and Nutrition

Lactose intolerance often develops with age due to a natural decline in lactase enzyme production, making it harder to digest dairy products. To maintain adequate calcium and nutrition, you can turn to alternative sources such as fortified plant-based milks, leafy green vegetables, almonds, and tofu. These options provide essential nutrients without causing digestive discomfort associated with lactose intolerance.



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