Neither milk, nor calcium increases the metabolism
Background
One thing that you'll hear often in response, when people report that
dairy caused acne, that "milk/calcium increases the metabolism and
hence the need for nutrients such as vitamin A" (i.e. here). This motivates people to supplement with high amounts of vitamin A to antagonize the acne-forming properties of milk.
"The milk estrogen research isn't good. It also contains
thyroid and progesterone and other protective substances. The high
calcium content helps to increase the metabolic rate, and probably
contributes to maintaining the anabolic balance." - Ray Peat
"Regarding milk and its tryptophan content, The calcium helps
to keep the metabolic rate high, and the other nutrients help to steer
tryptophan away from the serotonin path." - Ray Peat (E-Mail exchange)
Review
I looked up studies on that subject and there are quite a few published. All I have found indicate that
neither milk nor calcium increases one's metabolism. There are some
other interesting findings.
- In a 1-week trial with healthy participants (mostly male), an
energy-balanced high-calcium diet did not increase the metabolic rate
compared to a low-calcium diet. However, under energy deficient
conditions, the high calcium diet lead to a higher fat oxidation.
http://www.ncbi.nlm.nih.gov/pubmed/16421344
- In a 1-week trial with healthy normal-weight men, neither a high
calcium carbonate or a high dairy calcium diet increased the metabolic
rate. A non-significantly increased fat oxidation was found.
http://www.ncbi.nlm.nih.gov/pubmed/16332657
- In a 3-week controlled trial with overweight children neither
calcium carbonate nor milk products increased total energy expenditure.
http://www.ncbi.nlm.nih.gov/pubmed/21918216
- In a 5-week controlled trial with overweight low-calcium consumers,
an 800mg dairy calcium supplementation did not increase resting energy
expenditure. However, a non-significant trend towards less carbohydrate
oxidation and more fat oxidation was found
http://www.ncbi.nlm.nih.gov/pubmed/18842771
- A 12-week RCT with overweight women, comparing control vs. 900mg
calcium-carbonate vs. high dairy found no increase in total energy
expenditure in either intervention group. In the calcium supplement
group an increase in fat oxidation was found.
http://www.ncbi.nlm.nih.gov/pubmed/18421269
- In a 9 month RCT with obese subjects, a recommended dairy diet did
not lead to an increased resting metabolic rate compared to a reduced
dairy diet.
http://www.ncbi.nlm.nih.gov/pubmed/18950508
- In a 1-year controlled trial with healthy women, a chronic
high-calcium intake increases fat oxidation to both low and high calcium
meals compared to a chronic low-calcium intake. An increase in PTH
during the trial correlated with a lower fat oxidation and vice versa.
http://www.ncbi.nlm.nih.gov/pubmed/16332655
- In a meta-analysis of trials, both chronic and acute calcium intake was found to increase fat oxidation
http://www.ncbi.nlm.nih.gov/pubmed/22708505
- In a randomized trial of adolescent girls with low dairy intake, girls randomized to increase their calcium intake did not loose more weight than girls on the continued low-calcium diet http://www.ncbi.nlm.nih.gov/pubmed/28298396
- In a 24-week trial with obese subjects on an energy-deficit diet,
people randomized to 800mg calcium carbonate/day or a high-dairy intake
lost more weight than people on an average calcium intake. Dairy intake
lead to greater weight loss than supplemental calcium intake.
http://www.ncbi.nlm.nih.gov/pubmed/15090625
Similar results have been found in a similar trial under energy-deficit conditions.
http://www.ncbi.nlm.nih.gov/pubmed/21775530
- In a 1-week trial of healthy moderately overweight people (mostly
female), a 1800mg calcium diet did not increase 24-hour energy
expenditure compared to a 500mg calcium diet. A non-significantly
increased fat oxidation and a decreased carbohydrate oxidation was
found. However in the group with a high-calcium and normal-protein
intake (%15 E of protein), a higher fecal fat and energy excretion was
found. In the discussion, the authors said that calcium can form
complexes with fat that hinder them from being absorbed, but on a
high-protein diet, the calcium binds to the protein and not the fat,
leading to a reduction in the fat excreting effect of calcium.
http://www.ncbi.nlm.nih.gov/pubmed/15672116
These results have also been found in a meta-analysis of calcium trials. http://www.ncbi.nlm.nih.gov/pubmed/19493303
And in line with that study another study found that a high calcium meal
reduces the lipid content in the blood compared to a low calcium meal,
presumably by reducing fat absorption
http://www.ncbi.nlm.nih.gov/pubmed/17344487
- In an observational study, high acute calcium intake was correlated
with higher fat oxidation, which correlated with a lower respiratory
quotient. Dairy intake was not a more important predictor of fat
oxidation than total calcium intake.
http://www.ncbi.nlm.nih.gov/pubmed/12586999
Conclusions
- Milk or calcium does not increase the
metabolic rate according to the published evidence. The beneficial effects of dairy
consumption on body weight appear to be partly mediated by a shift away
from carbohydrate towards fat oxidation and a higher fecal excretion of
fat. Milk products only favor weight loss
in the context of a calorie-reduced diet, but in that context they are
superior to low-calcium non-dairy diets.
- In that sense, the acne-increasing properties of milk seem to be unrelated to a general
metabolism increasing effect. Possibly, other mechanisms appear to be at play such as hormonal effects, gut irritation of the hard to digest casein/whey proteins or allergic/histamine/inflammatory reactions. The beneficial effect of vitamin A on acne may be unrelated to the metabolic rate and simply be a consequence of its anti-keratinization properties, leading to less clogging of sebum within the pores.
I agree with the conclusions, they are in line with my personal experiences. The whole "milk increases metabolism, so I need to take vitamin A" was popularized by Danny Roddy years ago in one of his articles.
ReplyDeleteI find your blog very valueable, keep it up!
But it should be clear, that in most cases you are questioning the tenets of the community and not those of Ray.