The role of lactose in mammalian milk
Lactose, or 'milk sugar', is the chief carbohydrate in milk and a defining component of mammalian dairy. It is a disaccharide, meaning it is a sugar composed of two simple sugar units: glucose and galactose. This carbohydrate is synthesized in the mammary glands during lactation and plays a pivotal role in the nutrition and physiology of young mammals. While cow's milk contains about 4.7% lactose, human milk has a higher concentration, typically around 7.2%, reflecting the differing energy needs of each species' young.
One of lactose's primary functions is to provide a readily available and efficient energy source for newborns. The digestion process requires the enzyme lactase, which breaks lactose down into its constituent monosaccharides, glucose and galactose, in the small intestine. These simpler sugars are then absorbed into the bloodstream for energy. Beyond its energy function, lactose contributes to approximately half of milk's osmotic pressure, which is crucial for maintaining the milk's volume and stability.
Lactose composition and function
Lactose is a crystalline, water-soluble solid with a mildly sweet taste. Its unique β-1→4 glycosidic bond links the glucose and galactose molecules, and the glucose molecule can exist in two different forms (alpha and beta), influencing the physical properties of the sugar. This characteristic is important in dairy processing, as it affects solubility and crystallization in products like ice cream.
Beyond simple energy, the galactose derived from lactose has several critical biological functions. Galactose is a component of important macromolecules, such as cerebrosides and gangliosides, which are essential constituents of nerve cell membranes. It also plays a role in immunological processes and in determining ABO blood types. This highlights that the carbohydrate in milk offers more than just calories; it provides key building blocks for growth and development.
The impact of lactose intolerance
Many individuals, particularly after infancy, experience a decrease in their production of the lactase enzyme. This condition, known as lactose intolerance, means they cannot fully digest lactose, causing it to pass undigested into the large intestine. The intestinal bacteria then ferment the lactose, producing gases and short-chain fatty acids. This fermentation can lead to a range of uncomfortable symptoms, including bloating, cramping, and diarrhea.
In contrast to lactose intolerance, which is a digestive issue, a milk allergy is an immune system reaction to the protein in milk, such as casein and whey. This can trigger more severe, systemic symptoms like hives and wheezing. It is important to distinguish between these two conditions, as their causes and management strategies are entirely different.
Comparison of carbohydrate profiles in different dairy products
Dairy products contain varying levels of lactose depending on how they are processed. Hard cheeses and yogurt, for example, typically have less lactose than fluid milk because of the fermentation process.
| Dairy Product | Typical Lactose Content | Reason for Difference | 
|---|---|---|
| Cow's Milk | ~4.7% | Undiluted source of lactose | 
| Lactose-Free Milk | <1.0% | Treated with lactase enzyme to break down lactose | 
| Yogurt | 4.5–6.0% (Fermented) | Bacterial cultures ferment some lactose into lactic acid | 
| Hard Cheeses | ≤0.1% | Most lactose is removed with the whey during processing and fermentation | 
| Ice Cream | 3.3–6.0% | Contains lactose, which can sometimes crystallize and create a sandy texture | 
| Cottage Cheese | 0.3–2.4% | Whey is partially removed, leaving a moderate amount of lactose | 
Conclusion: The significance of milk's primary carbohydrate
The chief carbohydrate in milk is lactose, a disaccharide sugar that is vital for the growth and development of young mammals. Composed of glucose and galactose, it serves as a primary energy source, and its components are used to build essential nerve cell structures and support immune function. While most infants can digest lactose thanks to the lactase enzyme, a large portion of the global adult population is lactose intolerant. Understanding the nature and role of lactose helps in appreciating the nutritional complexity of dairy and informs dietary choices for those with digestive sensitivities. This specialized milk sugar is a testament to the efficient evolutionary design of milk as a complete nutrient source.(https://www.rediscoverdairy.co.za/carbohydrates/)