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Milk and dairy consumption is positively associated with height in adolescents: results from the Israeli National Youth Health and Nutrition Survey



Milk consumption is associated with increased height primarily in early childhood. However, in adolescents, data are scarce with inconsistent results. Since height is a proxy for overall health and well-being, this study evaluated the association of dairy intake with height in adolescents.


Students in 7th–12th grades, participating in the 2015–2016 Israeli Health and Nutrition Youth Survey, a school-based cross-sectional study, completed self-administered questionnaires, including a semi-quantitative food frequency questionnaire (n = 3529, 48% males, 15.2 ± 1.6 years). Anthropometric measurements were also performed. Dairy servings were calculated as the calcium equivalent of 1 cup of milk, and consumption was divided into four categories from very low (< 1 serving/day) to high (3 + servings/day). BMI- and Height-for-age z scores (HAZs) were calculated according to WHO growth standard; relatively short stature (RSS) was defined as HAZ < − 0.7 SD (< 25th percentile). Multivariable linear and logistic regression analyses were performed to evaluate the association of dairy intake with HAZ and prevalence of RSS, respectively.


Median consumption of dairy products was 2 servings/day, 1.4 from unsweetened products (milk, cheese and yogurt). Controlling for age, sex, BMI-z-score and socioeconomic status, each increment of unsweetened dairy intake was associated with on average 0.04 higher HAZ (equivalent to 0.3–0.4 cm, p < 0.05), and with reduced risk for RSS: OR 0.90, 95%CI: 0.84, 0.97, p < 0.01. No such associations were found with sweetened dairy products.


Consumption of unsweetened dairy products (3–4 servings/day) appears to contribute to achieving growth potential in adolescents. Intervention studies are necessary to determine the causal relationship between dairy intake and linear growth.

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Fig. 1
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Data availability

Data will be provided upon request, and in accordance with the procedures of the Israel Center for Disease Control.

Code availability

Not applicable.


  1. De Onis M, Branca F (2016) Childhood stunting: a global perspective. Matern Child Nutr 12(Suppl 1):12–26.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Sudfeld CR, McCoy DC, Danaei G, Fink G, Ezzati M, Andrews KG, Fawzi WW (2015) Linear growth and child development in low- and middle-income countries: a meta-analysis. Pediatrics 135(5):e1266–e1275.

    Article  PubMed  Google Scholar 

  3. Perkins JM, Subramanian SV, Davey Smith G, Özaltin E (2016) Adult height, nutrition, and population health. Nutr Rev 74(3):149–165.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Millward DJ (2017) Nutrition, infection and stunting: the roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children. Nutr Res Rev 30:50–72.

    CAS  Article  PubMed  Google Scholar 

  5. Dror DK, Allen LH (2014) Dairy product intake in children and adolescents in developed countries: trends, nutritional contribution, and a review of association with health outcomes. Nutr Rev 72(2):68–81.

    Article  PubMed  Google Scholar 

  6. Hoppe C, Mølgaard C, Michaelsen KF (2007) Cow’s milk and linear growth in industrialized and developing countries. Annu Rev Nutr 26:131–173.

    CAS  Article  Google Scholar 

  7. Willett WC, Ludwig DS (2020) Milk and health. N Engl J Med 382(7):644–654.

    CAS  Article  PubMed  Google Scholar 

  8. U.S. Department of Agriculture, Department of Health and Human Services (2020) Dietary guidelines for Americans, 2020–2025. 9th Edition. Accessed 23 Feb 2021

  9. The Israeli pediatrics association (2004) Position paper: Milk and dairy products recommendations for toddlers, children and adolescents. Accessed 23 Feb 2021

  10. Herforth A, Arimond M, Álvarez-Sánchez C, Coates J, Christianson K, Muehlhoff E (2019) A global review of Food-Based dietary guidelines. Adv Nutr 10(4):590–605.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Orr JB (1928) Milk consumption and the growth of school-children. Lancet 1:202–203.

    Article  Google Scholar 

  12. Leighton G, Clark ML (1929) Milk consumption and the growth of school-children. Lancet 1:40–43.

    Article  Google Scholar 

  13. Patton S (2004) Milk: its remarkable contribution to human health and well-being. Transaction Publishers, New Brunswick.

    Book  Google Scholar 

  14. Takahashi E (1984) Secular trend in milk consumption and growth in Japan. Hum Biol 56(3):427–437

    CAS  PubMed  Google Scholar 

  15. Wiley A (2017) Cow’s milk consumption and child growth. Dairy in human health and disease across the lifespan. Elsevier Indiana University, Bloomington, pp 155–166.

    Chapter  Google Scholar 

  16. Herber C, Bogler L, Subramanian SV, Vollmer S (2020) Association between milk consumption and child growth for children aged 6–59 months. Sci Rep 10(1):6730.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  17. Hoppe C, Udam TR, Lauritzen L, Mølgaard C, Juul A, Michaelsen KF (2004) Animal protein intake, serum insulin-like growth factor I, and growth in healthy 2.5-y-old Danish children. Am J Clin Nutr 80(2):447–452.

    CAS  Article  PubMed  Google Scholar 

  18. Soczynska I, Dai D, O’Connor DL, Birken CS, Maguire JL, TARGet Kids! collaboration (2020) Age of cow milk introduction and growth among 3–5-year-old children. Public Health Nutr.

    Article  PubMed  Google Scholar 

  19. De Beer H (2012) Dairy products and physical stature: a systematic review and meta-analysis of controlled trials. Econ Hum Biol 10:299–309.

    Article  PubMed  Google Scholar 

  20. Dror DK, Allen LH (2011) The importance of milk and other animal-source foods for children in low-income countries. Food Nutr Bull 32(3):227–243.

    Article  PubMed  Google Scholar 

  21. Kang K, Sotunde OF, Weiler HA (2019) Effects of milk and milk-product consumption on growth among children and adolescents aged 6–18 years: a meta-analysis of randomized controlled trials. Adv Nutr 10(2):250–261.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Nezami M, Segovia-Siapco G, Beeson WL, Sabaté J (2016) Associations between consumption of dairy foods and anthropometric indicators of health in adolescents. Nutrients 8(7):427.

    Article  PubMed Central  Google Scholar 

  23. Wiley AS (2005) Does milk make children grow? Relationships between milk consumption and height in NHANES 1999–2002. Am J Hum Biol 17:425–441.

    Article  PubMed  Google Scholar 

  24. Sinai T, Goldberg MR, Nachshon L, Amitzur-Levy R, Yichie T, Katz Y, Monsonego-Ornan E, Elizur A (2019) Reduced final height and inadequate nutritional intake in cow’s milk-allergic young adults. J Allergy Clin Immunol Pract 7(2):509–515.

    Article  PubMed  Google Scholar 

  25. Israel Center for Disease Control, State of Israel Ministry of Health (2017) Mabat youth second national health and nutrition survey of 7th -12th grade students 2015–2016. Publication No.: 373. Accessed 23 Feb 2021

  26. Sinai T, Bromberg M, Axelrod R, Shimony T, Stark AH, Keinan-Boker L (2020) Menarche at an earlier age: results from two national surveys of Israeli youth, 2003 and 2016. J Pediatr Adolesc Gynecol 33(5):459–465.

    Article  PubMed  Google Scholar 

  27. Shai I, Rosner BA, Shahar DR, Vardi H, Azrad AB, Kanfi A, Schwarzfuchs D, Fraser D, DEARR Study (2005) Dietary evaluation and attenuation of relative risk: multiple comparisons between blood and urinary biomarkers, food frequency, and 24-hour recall questionnaires: the DEARR study. J Nutr 135(3):573–579.

    CAS  Article  PubMed  Google Scholar 

  28. USDA (2020) What foods are included in the dairy group? Accessed 2 Feb 2021

  29. Bigornia SJ, LaValley MP, Moore LL et al (2014) Dairy intakes at age 10 years do not adversely affect risk of excess adiposity at 13 years. J Nutr 144(7):1081–1090.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  30. World Health Organization Child growth standards (2006) Accessed 2 Feb 2021

  31. Hwang JW, Seo JY (2015) Parents’ perception about child’s height and psychopathology in community children with relatively short stature. Ann Pediatr Endocrinol Metab 20(2):79–85.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Trumbo P, Schlicker S, Yates AA, Poos M, Food and nutrition board of the institute of medicine, the National Academies (2002) Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc 102(11):1621–1630.

    Article  PubMed  Google Scholar 

  33. Bogin B (1998) Milk and human development: an essay on the “milk hypothesis”. Antropol Port 15:23–36

    Google Scholar 

  34. Duan Y, Pang X, Yang Z, Wang J, Jiang S, Bi Y, Wang S, Zhang H, Lai J (2020) Association between dairy intake and linear growth in Chinese Pre-School Children. Nutrients 12(9):2576.

    CAS  Article  PubMed Central  Google Scholar 

  35. Almon R, Nilsson T, Sjöström M, Engfeldt P (2011) Lactase persistence and milk consumption are associated with body height in Swedish preadolescents and adolescents. Food Nutr Res 55(1):7253.

    CAS  Article  Google Scholar 

  36. Guo Q, Wang B, Cao S, Jia C, Yu X, Zhao L, Dellarco M, Duan X (2020) Association between milk intake and childhood growth: results from a nationwide cross-sectional survey. Int J Obes (Lond) 44(11):2194–2202.

    CAS  Article  Google Scholar 

  37. Nachshon L, Goldberg MR, Schwartz N, Sinai T, Amitzur-Levy R, Elizur A, Eisenberg E, Katz Y (2014) Decreased bone mineral density in young adult IgE-mediated cow’s milk-allergic patients. J Allergy Clin Immunol 134(5):1108-1113.e3.

    CAS  Article  PubMed  Google Scholar 

  38. Rizzoli R, Bianchi ML, Garabédian M, McKay HA, Moreno LA (2010) Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents and the elderly. Bone 46(2):294–305.

    Article  PubMed  Google Scholar 

  39. Yackobovitch-Gavan M, Phillip M, Gat-Yablonski G (2017) How milk and its proteins affect growth, bone health, and weight. Horm Res Paediatr 88:63–69.

    CAS  Article  PubMed  Google Scholar 

  40. Campmans-Kuijpers MJ, Singh-Povel C, Steijns J, Beulens JW (2016) The association of dairy intake of children and adolescents with different food and nutrient intakes in the Netherlands. BMC Pediatr 9(16):2.

    CAS  Article  Google Scholar 

  41. Cifelli CJ, Agarwal S, Fulgoni VL 3rd (2020) Association of yogurt consumption with nutrient intakes, nutrient adequacy, and diet quality in american children and adults. Nutrients 12(11):3435.

    CAS  Article  PubMed Central  Google Scholar 

  42. Mølgaard C, Larnkjær A, Arnberg K, Michaelsen KF (2011) Milk and growth in children: effects of whey and casein. Nestle Nutr Workshop Ser Pediatr Program 67:67–78.

    Article  PubMed  Google Scholar 

  43. Racine HL, Serrat MA (2020) The actions of IGF-1 in the growth plate and its role in postnatal bone elongation. Curr Osteoporos Rep 18(3):210–227.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Hoppe C, Mølgaard C, Juul A, Michaelsen KF (2004) High intakes of skimmed milk, but not meat, increase serum IGF-I and IGFBP-3 in eight-year-old boys. Eur J Clin Nutr 58(9):1211–1216.

    CAS  Article  PubMed  Google Scholar 

  45. Grenov B, Larnkjær A, Lee R, Serena A, Mølgaard C, Michaelsen KF, Manary MJ (2020) Circulating insulin-Like growth factor-1 is positively associated with growth and cognition in 6- to 9-year-old schoolchildren from Ghana. J Nutr 150(6):1405–1412.

    Article  PubMed  Google Scholar 

  46. Wiley AS, Joshi SM, Lubree HG, Bhat DS, Memane NS, Raut DA, Yajnik CS (2018) IGF-I and IGFBP-3 concentrations at 2 years: associations with anthropometry and milk consumption in an Indian cohort. Eur J Clin Nutr 72(4):564–571.

    CAS  Article  PubMed  Google Scholar 

  47. Prentice A, Ginty F, Stear SJ, Jones SC, Laskey MA, Cole TJ (2005) Calcium supplementation increases stature and bone mineral mass of 16- to 18-year-old boys. J Clin Endocrinol Metab 90(6):3153–3161.

    CAS  Article  PubMed  Google Scholar 

  48. Wiley AS (2009) Consumption of milk, but not other dairy products, is associated with height among US preschool children in NHANES 1999–2002. Ann Hum Biol 36(2):125–138.

    Article  PubMed  Google Scholar 

  49. Roberts JL, Stein AD (2017) The impact of nutritional interventions beyond the First 2 years of life on linear growth: a systematic review and meta-analysis. Adv Nutr 8(2):323–336.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Kang SH, Kim JU, Imm JY, Oh S, Kim SH (2006) The effects of dairy processes and storage on insulin-like growth factor-I (IGF-I) content in milk and in model IGF-I-fortified dairy products. J Dairy Sci 89(2):402–409.

    CAS  Article  PubMed  Google Scholar 

  51. Khandpur N, Neri DA, Monteiro C, Mazur A, Frelut ML, Boyland E, Weghuber D, Thivel D (2020) Ultra-processed food consumption among the pediatric population: an overview and call to action from the European childhood obesity group. Ann Nutr Metab 76(2):109–113.

    CAS  Article  PubMed  Google Scholar 

  52. DiNicolantonio JJ, Mehta V, Zaman SB, O’Keefe JH (2018) Not salt but sugar as aetiological In osteoporosis: a review. Mo Med 115(3):247–252

    PubMed  PubMed Central  Google Scholar 

  53. Nguyen NU, Dumoulin G, Henriet MT, Regnard J (1998) Effects of i.v. insulin bolus on urinary calcium and oxalate excretion in healthy subjects. Horm Metab Res 30(4):222–226.

    CAS  Article  PubMed  Google Scholar 

  54. Sarmadi B, Ismail A, Yusof L, Faridz Mod Yunoh M (2020) Mechanism of action of cocoa on bone metabolism in calcium-and estrogen-deficient rat model of osteoporosis: evidence for site and dose-related responses and involvement of IGF-I. J Funct Foods 66:12.

    CAS  Article  Google Scholar 

  55. Morency ME, Birken CS, Lebovic G, Chen Y, L’Abbé M, Lee GJ, Maguire JL, TARGet Kids! Collaboration (2017) Association between noncow milk beverage consumption and childhood height. Am J Clin Nutr 106(2):597–602.

    CAS  Article  PubMed  Google Scholar 

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The authors would like to thank Ms. Maya Ben-Lassan for her assistance with figure graphics. We would also like to acknowledge the diligent work of our study staff that collected data at schools across the country.


This study received no specific grant from any funding agency, commercial or not-for-profit sectors.

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Authors and Affiliations



CD was involved in designing the study, interpreted the data, and drafted the manuscript. AS helped with interpretation of the data and manuscript writing. RD performed the statistical analyses. LKB designed and supervised the survey. TSh coordinated the survey’s data collection. TSi conceptualized, designed and supervised the study, interpreted the data, involved in the initial manuscript drafting and revised the manuscript critically for important intellectual content.

Corresponding author

Correspondence to Tali Sinai.

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Conflict of interest

The author declares that they have no conflict of interest.

Ethics approval

The 2015–2016 Israeli Health and Nutrition Youth Survey (Mabat Youth II) survey was reviewed and approved by the Ethics Committee of the Sheba Medical Center (Approval number: SMC-1570-14), and has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Consent to participate

According to the Ministry of Education guidelines, all parents received written information regarding the survey and only students, whose parents did not oppose in writing the participation of their children, were included in the study. The students reserved the right to refuse participation in any part of the survey.

Consent for publication

The Israel Center for Disease Control is the research unit of the Israeli Ministry of Health, which is responsible for collecting and publishing data on the health of the population.

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Dor, C., Stark, A.H., Dichtiar, R. et al. Milk and dairy consumption is positively associated with height in adolescents: results from the Israeli National Youth Health and Nutrition Survey. Eur J Nutr 61, 429–438 (2022).

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  • Adolescents
  • Dairy
  • Linear growth
  • Short stature
  • Survey
  • Israel