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Understanding the Dairy Cow

Understanding

the Dairy Cow

Third Edition

John Webster, MA, VetMB, PhD, DVM (Hon), MRCVS

Professor Emeritus of Animal Husbandry

School of Veterinary Science

University of Bristol

Bristol, UK

This edition first published 2020 © 2020 John Wiley & Sons Ltd

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of John Webster to be identified as the author of this work has been asserted in accordance with law.

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John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA

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For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com.

Wiley also publishes its books in a variety of electronic formats and by print‐on‐demand. Some content that appears in standard print versions of this book may not be available in other formats.

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While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging‐in‐Publication Data

Names: Webster, John, 1938– author.

Title: Understanding the dairy cow / John Webster, MA, VetMB, PhD, MRCVS, Professor of Animal Husbandry, University of Bristol, School of Verterinary Science.

Description: Third edition. | Hoboken, NJ : Wiley-Blackwell, 2020. | Includes bibliographical references and index.

Identifiers: LCCN 2020006388 (print) | LCCN 2020006389 (ebook) | ISBN 9781119550228 (paperback) | ISBN 9781119550235 (adobe pdf) | ISBN 9781119550242 (epub)

Subjects: LCSH: Dairy cattle. | Cows.

Classification: LCC SF208 .W4 1987 (print) | LCC SF208 (ebook) | DDC 636.2–dc23

LC record available at https://lccn.loc.gov/2020006388

LC ebook record available at https://lccn.loc.gov/2020006389

Cover Design: Wiley

Cover Image: © TonyV3112/Shutterstock

Set in 10/13pt STIXTwoText by SPi Global, Pondicherry, India

‘The cow, crunching with depressed head, surpasses any statue…they are so placid and self‐contained. I stand and look at them long and long.

Walt Whitman ‘Song of Myself’

Contents

Acknowledgements xiii

Preface to the Third Edition xiv

About the Companion Website xvi

Part I How the Cow Works 1

1 Introduction – The Dairy Cow of Today 3

Milk as Food 6

Nutrient Supply 7

Healthy Digestion 8

Taste and Appetite 9

Do no Harm 9

Biological Efficiency of Milk Production 10

Milk Production: Species and Breed Comparisons 11

Efficiency of Feed Conversion to Milk, Eggs and Meat: Competitive and Complementary Feeds 12

Behaviour and Welfare 14

2 Digestion and Metabolism 18

Structure of the Digestive Tract 18

Eating and Rumination 22

Grazing 22

Salivation 23

Rumen Movements 23

Rumination 25

Digestion 26

Fermentation of Carbohydrates in the Rumen 28

Utilization of Metabolizable Energy for Maintenance and Production 31

Digestion of Crude Protein 32

Microbial Protein Synthesis 35

Truly Absorbed Amino Nitrogen 37

Urea Recycling 38

Digestion of Lipids 38

Absorption and Secretion of Minerals 39

Calcium Exchange 41

Appetite and Food Intake 42

3 Reproduction and Lactation 45

Anatomy of the Female Reproductive Tract 45

Follicle Development and Ovulation 45

The Oestrus Cycle 49

Puberty 49

Fertilisation 50

Pregnancy 51

Placental Transfer and Foetal Nutrition 53

Parturition 53

Dystocia 55

Lactation 56

Anatomy of the Udder 56

Milk Yield 58

Extended Lactations 59

Hormonal Control of Lactation 60

Reproduction in the Male 61

4 Environment, Behaviour and Welfare 64

Environmental Needs 64

Behaviour 65

Physical Comfort 66

Thermal Comfort 68

Sensible Heat Loss 68

Evaporative Heat Loss 69

Metabolic Heat Production 71

Climate, Production and Welfare 73

Tropical Climates 73

Cold Climates 74

Security and Social Behaviour 74

Sexual and Maternal Behaviour 75

Behaviour as an Indicator of Welfare 76

Part II Feeding the Dairy Cow 77

5 Nutrition: Supply and Demand 79

Nutrient Requirements and Responses 81

Nutrient Allowances for the Lactating Cow 84

Mineral Requirements 88

Nutritive Value of Feeds 90

Ration Formulation 93

Prediction of Food Intake 93

Assessment of an Existing Ration 94

Feeding Plans for Dairy Cows 95

Inputs 95

Outputs 96

Allowances for Growing Heifers 97

6 Feeds and Feeding Strategies 99

Pasture 100

Grazing Strategies 102

Legumes 104

Grass Silage 104

Dry Matter 105

Metabolisable Energy 106

Protein 106

Silage Additives 107

Hay 107

Straw 108

Ensiled Whole-crop Cereals 108

Other Green Feeds 109

Root Crops 109

Cereals 109

By-products 111

Oilseed Cakes and Meals 111

Miscellaneous By-products 113

Sugar Beet Pulp 113

Maize Gluten 113

Brewers’ and Distillers’ Grains 114

Wheat Bran 114

Balancing Forages and Concentrates 114

Feeding Strategies 117

Feeding to Yield 117

Total Mixed Rations and Flat Rate Feeding 119

7 Feeding Problems and Metabolic Diseases 121

Feeding Problems 123

Rumen Acidosis 123

Abomasal Disorders 125

Bloat 126

Metabolic Disorders 127

Ketosis 127

Prevention and Treatment 129

Parturient Hypocalcaemia (‘Milk Fever’) 130

Prevention and Treatment 131

The Downer Cow 132

x

Hypomagnesaemic Tetany (Grass Staggers) 133

Prevention and Treatment 135

Other Mineral Deficiencies 136

Phosphorus 136

Copper and Molybdenum 137

Cobalt 138

Selenium 138

Vitamin Deficiencies 139

Vitamin A 139

Vitamin D 140

Vitamin E 140

Last Words on Minerals and Vitamins 141

Part III Housing Health and Management 143

8 Healthy and Humane Housing and Handling 145

Accommodation 145

The Cow House 146

Cubicle Design 150

The Cubicle Bed 153

Passageways 154

Calving and Isolation Boxes 154

Heifer Yards 156

Handling Facilities 156

Lameness 157

Conditions that Cause Lameness 159

Sole Haemorrhage and Sole Ulcers 159

White Line Disease 161

Digital Dermatitis 161

Interdigital Necrobacillosis ‘Foul’ 162

Aseptic Laminitis, ‘Founder’ 162

Risk Factors for Lameness 162

Transport and Slaughter 164

Loading and Unloading 164

The Journey 165

A Gentle Death 166

9 Milking and Mastitis 168

The Milking Machine 171

The Milking Parlour 174

Hygiene in the Milking Parlour 174

Mastitis 175

Indicators of Mastitis 176

Contagious Mastitis 177

Environmental Mastitis 178

Summer Mastitis 180

Dry Cow Therapy 181

10 Miscellaneous Maladies 182

Signs of Disease 183

Sudden Death 183

Drooling 185

Abdominal Symptoms 186

Nervous Symptoms 187

Fever 187

Inappetence and Anorexia 188

Notifiable Diseases 189

Bovine Tuberculosis 191

Foot and Mouth Disease 192

Other Infectious Diseases 193

Bovine Viral Diarrhoea (BVD) 193

Johne’s Disease 194

Salmonellosis 194

Leptospirosis 195

Parasitic Diseases 195

11 Breeding 199

Selection Criteria 202

Genomic Selection 206

Sexed Semen 206

Cow Selection 207

Beef Bulls 209

12 Fertility 211

Fertility Management 212

Behaviour at Oestrus 212

Aids to Oestrus Detection 213

Synchronisation of Oestrus 216

Time of Insemination 217

Pregnancy Diagnosis 217

Rebreeding 219

Infertility 219

Ovarian Dysfunction 220

Uterine Disorders 221

Retained Placenta 221

Endometritis 222

Early Foetal Death 222

Abortion 223

Nutrition and Infertility 223

Condition Score at Calving? 225

Condition Score at the Time for Rebreeding? 225

Milk Yields in Early and Mid-lactation? 225

How Well Does Nutrient Supply Match Requirements? 226

Transition Management 226

Part V Cows, People and the Environment 229

13 Cows, People and the Living Environment 231

Most of Those who can Consume Too Much Meat and Milk 232

Food We Could Eat is Fed to Animals While the Poor Grow Hungry 233

Intensive Livestock Production is Incompatible with Animal Welfare 233

Livestock’s Long Shadow is Destroying the Planet 235

Methane Production and Climate Change 237

Pollution from Dairy Units 238

Alternative Husbandry Systems 240

Organic Dairy Farming 240

Traditional and Village Systems 241

Fair Play for Cows, People and the Planet 242

Herd Health and Welfare 242

Herd Health Management 243

Animal Welfare: Quality Assurance and Quality Control 243

Further Reading 247 Index 252

Acknowledgements

I thank the following for permission to reproduce illustrations: Geoffrey Pearson, Figure 2.3; The Scottish Farm Business Investigation Unit, Figure 8.1; The Institute for Food Research, Reading, Figures 8.1 and 8.2; Martha d’Andrade, Figure 13.2. The wisdom of any group with shared interests and enthusiasms is so much greater than the sum of its parts. I owe an immense debt of gratitude to all my special friends and colleagues on farms, in the veterinary profession and academe who share my fascination with the dairy cow. Among so many I give special mention to Nick Bell, Geoff Davies, Richard Dewhurst, Clive Snell and Becky Whay. Finally, I must once again thank Nick Jeanes, who contributed the best of the illustrations.

Preface to the Third Edition

The mediaeval expression ‘milch cow’ is, in modern parlance, variously used to describe a cow kept for milk production and an everlasting source of easy money. It is not hard to see how this second definition has come about. Since the earliest days of agriculture, the cow has served humankind as a regular, reliable source of excellent sustenance, in many different physical and social environments and from almost any mixture of feeds that we can provide or that she can forage for herself. Her value comes from her infinite ability to adapt. At the time when the first edition of ‘Understanding the Dairy Cow’ (UDC) was published in 1987, most dairy farmers in the UK fed their cows largely from pasture and other home‐grown crops, the milk lorry took it away and regular cheques arrived in the post. It was all so simple. The subsequent 30+ years have witnessed a roller‐coaster ride of change. The imposition then removal of quotas on milk production. The explosive increases in individual cow yields, achieved by a combination of genetic selection and radical changes in nutrition. Our greater concern about the environmental impact of farming in general and ruminants in particular. Our greater concern, expressed through our buying habits, about farm animal welfare and the potential risks attached to the consumption of food from animals. The circumstances in which the dairy cow may find herself are many and varied but a cow is still a cow. For this reason UDC, in its successive editions, has never taken the form of an instruction manual on dairy cow management but an examination of the fundamental principles of physiology, health and behaviour that govern both her capacity to produce milk and also give proper attention to her welfare in all circumstances; intensive or extensive, high‐tech or organic.

This third edition is, in effect, is a complete rewrite with over half the material radically updated or entirely new. It reflects the major shift in dairy production away from family farms with 100 cows or less, each producing modest amounts of milk largely from their own resources, to very large production units, with perhaps 1000 cows, housed throughout lactation, producing very large quantities of milk (and excrement) from feed tractored to them from near and far. It considers in detail the impact of these changes on cow health and welfare, and their environmental impact in terms of methane production and nitrogen pollution. It also

Preface to the Third Edition xv

acknowledges that dairy farmers can no longer operate on the simplistic assumption that while they continue to produce milk, the people will continue to buy it. Consumers and retailers now demand quality assurance as to production standards with regard to environmental quality, sustainability and animal welfare. All these things receive my attention.

There are some changes in the presentation. I have decided to include no references to specific papers and reviews within the text. If I were to give proper credit to the good scientific and technical publications that underpin the evidence I present in this book, the list of publications would run into thousands. If I were to be selective, I would be rightly accused of leaving too many good papers out. This book has been written for those actively involved with dairy cows and those university and college students beginning their education in these matters. It is not really intended for postgraduates and research workers – although I would like to think they might enjoy it and learn something. The list of papers and websites for further reading, which appears at the end of the text, provides a lead into the literature for those who wish to delve deeper. I would add that one of the incentives for me to prepare this new edition, and one of the reasons I felt I could achieve it, has been the recent publication of a multi‐author, high‐science (expensive) book ‘Achieving sustainable production of milk: Vol 3. Dairy Herd Management and Welfare’. I was invited to edit this book and, in the process, learned a lot.

Finally, I have acknowledged the need to conform to public demand for gender neutrality. Farmers and vets are no longer referred to simply as ‘he’. Stockmen have become herders or cowherds. I draw the line at emasculating that excellent word ‘husbandry’.

Achieving Sustainable Production of Milk Vol 3 Dairy Herd Management and Welfare 2017 ed. John Webster, Burleigh Dodds Science Publishing.

About the Companion Website

Don’t forget to visit the companion website for this book: www.wiley.com/go/webster‐dairy‐cow

The website contains downloadable figures from the book.

Part I

How the Cow Works

Introduction – The Dairy Cow of Today

Understanding the dairy cow is a matter of heart and mind. We need to consider her scientifically as a complex and elegant biological instrument to provide us with milk, the nearest thing in nature to a complete food. Equally, we need to recognise her as a sentient (and highly engaging) creature who deserves a reasonable quality of life and, at the end, a gentle death. In both senses of the word this understanding is not static. The more we study the workings of the dairy cow, the more we can exploit her capacity to produce food for human consumption from milk, butter, yoghurt and a dazzling variety of cheeses. The more we study her health, behavioural and environmental requirements, the better we can ensure her welfare.

The cow was one of the first animals to be domesticated for human use and has come a very long way since then. The traditional role of the family cow was to provide milk, work, fertiliser, fuel, clothing and the occasional fatted calf, while sustained by fibrous feeds that the family could not digest for themselves, usually from land that the family did not own. The modern dairy cow, typified by the Holstein breed, is a very different creature: bred, fed and managed to produce as much milk as possible within intensive, highly mechanised dairy units. Meat production has become a relatively minor consideration, with calves destined for beef or veal sent, more often than not, off farm to other specialist rearing units. Other roles for the milch cow have disappeared altogether. The modern Holstein is most unlikely to be harnessed to a plough! Most of this change has taken place in the last 80 years since the industrialisation and mechanisation of agriculture made it more convenient to bring the feed to the cows than expect them to forage for themselves on a year‐round basis. This has had a profound effect on the types of cow that we have bred to suit our current purpose. Consider the four pictures in Figure 1.1. All illustrate top quality cows from breeds in use today. The Dairy Shorthorn (Figure 1.1a), now something of a rare breed, has the traditional, functional shape of a dual‐purpose cow bred to produce milk and beef, primarily from grazed and conserved pasture. In the second half of the 20th Century this breed was largely replaced in the UK by the British Friesian (Figure 1.1b), which, when managed essentially within a pastoral system but given more concentrate, was able to produce more income from the sale of milk (with beef

Understanding the Dairy Cow, Third Edition. John Webster. © 2020 John Wiley & Sons Ltd. Published 2020 by John Wiley & Sons Ltd.

Companion website: www.wiley.com/go/webster-dairy-cow

as a good secondary enterprise). The two cows are rather similar in appearance (phenotype). Both have deep bodies, containing a large rumen able to digest large quantities of forage. Both also carry a substantial amount of muscle (and fat when well fed) which enables them to sustain health and production at times when the quantity and quality of feed may be in relatively short supply. This trait is, obviously, consistent with the potential to produce good beef. These two breeds may be said to be at the dairy‐type end of dual‐purpose (milk and beef) cows.

The modern Holstein, however, is a very different creature (Figure 1.1c). Not only does she have a conspicuously larger udder, she is bigger framed, much more rhomboid in shape and carries much less muscle. This phenotype is the consequence of a breeding policy designed to ensure the production of as much milk as possible from individual cows spending most of their adult life in barns on a diet of rich feed. The fourth picture is of a Jersey cow (Figure 1.1d), much smaller and daintier than the Holstein, but essentially similar in shape and conformation. These breeds are both examples of the extreme dairy type.

This book will explore our understanding of the physiology, behaviour, feeding and breeding of the modern dairy cow mostly within the context of specialist, intensive systems of dairy production. There are several good textbooks on dairy farming (see section on Further Reading) and the information given in these is constantly augmented and brought up to date by booklets from the advisory services: in the UK, the Agricultural Development and Advisory Service (ADAS), the Milk Marketing Board

(a)
(b)
(c)
(d)
Figure 1.1 Shapes of dairy cows. (a) Dairy Shorthorn, (b) British Friesian, (c) American Holstein, (d) Jersey.

– The Dairy Cow of

(MMB) and a number of private enterprises (e.g. GENUS, etc.). This book is not intended to compete with these excellent sources of information but to complement them. It is intended for those who wish to enrich their concern for the dairy cow with better understanding based on sound evidence. It is primarily addressed to students in agriculture and veterinary science but will, I hope, be of interest and value to farmers, stockpersons (herders), those supporting the dairy industry as feed advisors and in other agricultural support trades; also for those with no direct contact with the dairy industry but that have real concerns for the welfare of farm animals and the environment.

If we wish to achieve this better understanding, we have no option but to take a deep breath and plunge into the principles of nutrition, physiology, genetics, animal health and behaviour. This poses a different set of problems. Most textbooks and scientific papers that deal with the workings of the cow, i.e. the physiology of digestion, reproduction, lactation etc. are written by scientists (such as myself) who have spent most or all their working lives in academic research. They tend to carry a degree of complexity that may be necessary for those directly involved in agriculture or veterinary science, but which are prone to tell the farmer, student or advisor rather more than they actually want (or need) to know. Publications of this sort that are full of information important to the fundamental scientist may provoke from the farmer, non‐specialist student or concerned member of the general public, the question ‘gee whiz, but so what?’. They are of interest to the microbiologist, for example to identify the thousands of species of microorganisms that inhabit the rumen and fundamental information of this sort has undoubtedly contributed much to (e.g.) the development of feed additives, and current efforts to restrict production of methane, a significant contributor to climate change. Similarly, they are of interest to the reproductive physiologist to investigate in ever greater depth the cascade of hormones that regulate sexual function and such research has led to major innovations in the practical control of reproduction. However, knowing the names and specific biochemistry of the individual microorganisms in the rumen, or all the specific hormones involved in reproduction, is not really of much practical use to the dairy farmer. My aim in this book is therefore to concentrate on those aspects of cow function in health and disease that are of economic or welfare importance and amenable to improvement through action on the farm. These will be presented in sufficient detail to convey a basic understanding – but no more.

Part I: How the Cow Works deals with the physiology of digestion and metabolism, reproduction and lactation, together with the science of animal behaviour in the context of welfare and adaptation to the environment. True scientists may find this section rather simplistic, although it is undoubtedly more complex that that found in most textbooks of husbandry and management. It assumes no more than a good general knowledge of chemistry and biology and is, I hope, largely self‐explanatory. Recommendations for further reading are given at the end of the book.

Parts II–IV deal respectively with feeding, breeding and fertility, housing, and health and welfare. In each case husbandry practices are evaluated critically in the context of the physiology, behaviour and welfare of the cow. This is not an instruction manual that says ‘do this, do that’. It assumes that the reader has

reasonable practical knowledge of dairy cow management and addresses the question ‘when I do this, or if I do this, how will the cow respond?’.

Part V goes beyond simple consideration of how the cow works, behaves and responds to various inputs and management practices to examine important current themes within the broad context of cows, humanity and the living environment. When the first edition of ‘Understanding the Dairy Cow’ was published in 1987, the objectives of dairy farming for most producers were simple: to produce wholesome milk in large quantities as effectively and efficiently as possible, in the confident assumption that it would all sell at a fair price and the consumer would not ask too many questions. Since then, times have changed. Relatively affluent consumers with far greater access to information, more‐or‐less supported by evidence, have become much choosier in their food selection and buying habits. Those who continue to buy milk (omnivores and lacto‐vegetarians) may select low‐fat, lactose‐free, or organic options for reasons usually related to anxiety about personal health. Many consumers, including vegans, express concerns about cow welfare and the impact of cattle production on the living environment. These are valid concerns and it is in the interest of both dairy cows and dairy farmers that they are given proper attention. Part V considers environmental issues: environmental challenges and factors relating to sustainability and quality of life in intensive and pastoral systems. It examines what is meant by good husbandry in the context of practical ethics and public opinion then explores how these aims may be achieved through the establishment, validation and promotion of systems that best reconcile the occasionally conflicting demands of biological and economic efficiency with the need to ensure healthy and reasonably happy lives for both the cows and the farmers.

I say again, this is a book about cows. It is not a treatise on dairy farming. The success or otherwise of dairy farming in general and individual systems in particular is heavily influenced by non‐biological issues of economics, politics, market forces and fashion. Predictably, these things are unpredictable. However, the yield of nutrients from the land and their conversion by cattle into milk and meat are governed by fundamental, logical and essentially invariant laws of biology. In this book I shall devote little space to the economics of dairy farming because they are so variable and subject to so many factors outside the scope of my argument. The processes that define the biology and behaviour of the dairy cow are complex, and we do not yet fully comprehend any of them, but the more that we who are interested in dairy cows and dairy farming can understand them the better we shall preserve and develop our craft to meet the needs of the age and our long‐term responsibilities as custodians of the land and the animals.

Milk as Food

The four essential qualities of a good diet are to:

1) Provide a correct balance of nutrients to meet our metabolic needs at all stages of life

2) Ensure healthy digestion

3) Satisfy taste and appetite

4) Do no harm.

Nutrient Supply

The most important nutrient for all animals is energy. We tend to get more excited by essential but quantitatively minor components of food such as minerals and vitamins but our greatest need by far is for fuel to sustain the fire of life. The energy value of food is measured in joules or calories (1 kcal = 4.2 kJ). This describes the amount of heat liberated when that food is combusted completely in a bomb calorimeter. One gram of wheat, for example, generates about 16.6 kJ of heat on combustion. Animals extract energy from food by the processes of digestion and absorption, use it to meet metabolic needs for maintenance, exercise and synthetic processes like growth and lactation and produce heat in the process. After energy, the principal nutrients required, in decreasing amounts, are amino acids from proteins, minerals and vitamins.

Table 1.1 lists the principal nutrient requirements for an adult doing moderate exercise and a growing four‐year‐old child, and illustrates the extent to which these can be met from whole milk alone. Table 1.2 illustrates how these requirements would be met if man and boy were to subsist on a daily diet of 500 g of whole milk and breakfast cereal. These tables make some important points that are too frequently overlooked in many popular articles on human nutrition and dietetics. The adult and child require, respectively, 12.6 and 6.4 MJ/day. The adult can meet this need by consuming 800 g cereal plus 60 g of milk solids (total 860 g), the child needs to consume 350 g cereal plus 60 g milk solids (total 410 g). Requirements for protein, the second most important nutrient, are 87 g/day and 56 g/day, i.e. only 10% and 14% of the diet respectively. Absolute daily requirements for minerals and vitamins are much smaller still. In other words, an adult requires about 90% of digestible food as a source of energy (fuel), the child about 85%. The affluent are inclined to

Table 1.1 Contribution of 0.5 L cow’s milk per day to the daily nutrient requirements of a four‐year‐old child and an adult doing moderate work.

Four‐year‐old child Adult

Table 1.2 Meeting the energy and protein requirements of an adult and a four‐year‐old child from a diet of milk and breakfast cereal.

Adult Child

Energy supplied by milk (60 g solids, kJ)

required from cereal (kJ)

Cereal intake (g/day)

Protein

from milk and cereal (g/day)

paranoia about calories but this is because we eat too much. For the hungry, calories are the biggest need by far.

A balanced diet is one in which the nutrients match the specific requirements of the consumer. Humans cannot live on a diet of bread and milk alone (not quite) because it lacks some of the minor nutrients. However, as indicated above, milk and cereal can meet not only energy but also protein requirements, even for growing children. When one looks at the minor nutrients, milk becomes even more impressive (Table 1.1). Relative to its capacity to provide energy, milk is rich in high quality protein, calcium, vitamin A and vitamin C. The nutrients it lacks are iron, vitamin D and some of the B vitamins, e.g. nicotinic acid. In practice this only constitutes a problem for animals such as veal calves reared on milk alone. As a food for human consumption therefore, cow’s milk is rich in almost all the nutrients essential for life, especially essential nutrients such as high‐quality protein (well balanced with respect to essential amino acids), calcium and vitamin A, so can provide an excellent balancer for low‐cost, high energy foods such as cereals.

Healthy Digestion

Most people who drink milk on a regular basis can digest it without difficulty. Some individuals can suffer the consequences of lactose intolerance manifest by abdominal pain, bloating and diarrhoea. This is caused by a deficiency in the enzyme lactase that divides the disaccharide, lactose into its constituent monosaccharides, glucose and lactose. All healthy mammals must have lactase at birth to digest their mother’s milk. If, after weaning, they drink no more milk the lactase enzyme is down‐regulated so that if they suddenly consume milk as adults, they may experience discomfort. The real prevalence of lactose intolerance is difficult to gauge, being confounded by individual differences in severity of symptoms, real and imagined. It is certain that the prevalence of lactose intolerance is much higher some Asian and African communities than in Western communities accustomed to consuming dairy products throughout life. What is not certain is the extent to which

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