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Home Science & Environment Medical Research

Semi-skimmed milk introduction in 1980s transformed public health outcomes, study shows

August 19, 2025
in Medical Research
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What happened when whole milk was replaced by semi-skimmed milk?
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What happened when whole milk was replaced by semi-skimmed milk?
Hazard ratios and 95% CIs for all-cause, CVD-related, IHD-related, and AMI-related mortality per quartile of cumulative mean intakes of whole and low-fat milk compared with those of no intake (n = 73,860). Credit: The American Journal of Clinical Nutrition (2025). DOI: 10.1016/j.ajcnut.2025.07.035

A new study reveals that individuals who enjoyed whole milk during the 1970s and early 1980s had a higher risk of mortality. However, beginning in the mid-1980s, a significant change occurred.

Before 1984, the only milk options available in Norway were whole milk and skim milk. While milk is known for its numerous health benefits, whole milk contains a substantial amount of fat, with most of its cream remaining intact, resulting in approximately 3.5% fat content. The introduction of reduced-fat milk, with only 1.5% fat, in 1984 led to a rapid increase in its popularity. Until now, no one had examined the impact on public health and mortality when consumers switched from whole milk to reduced-fat and skim milk.

Researchers from the Department of Nutrition at the Institute of Basic Medical Sciences at the University of Oslo collected data from three county surveys conducted during the 1970s and 80s, involving nearly 74,000 participants. The researchers then linked these participants to the Norwegian Cause of Death Registry, 40 years later, to assess their health outcomes.

“In the first survey, only whole milk and skim milk were available, and milk consumption was high. Whereas two-thirds of participants consumed whole milk in the initial survey from 1974 to 1976, only one-third did during the last survey period from 1985 to 1988—following the introduction of reduced-fat milk,” explains researcher Erik K. Arnesen, the study’s first author.

Whole milk and increased mortality risk

The new study, published in The American Journal of Clinical Nutrition, found that individuals who drank a significant amount of whole milk during the 1970s and 80s had a higher risk of dying from cardiovascular diseases and from all causes combined.

“Among different types of milk, this increased risk was only associated with whole milk, not reduced-fat or skim milk. Compared to those who primarily consumed whole milk, participants who drank reduced-fat or skim milk had about a 10% lower mortality rate,” Arnesen notes.

The research team also specifically examined the risk of mortality from cardiovascular diseases.

“The group that consumed mostly whole milk—an average of 5 dl per day—showed a 13% higher mortality rate from heart diseases, with the association being strongest among women. In contrast, individuals who drank reduced-fat or skim milk had a 10 to 12% lower risk of dying from heart diseases and heart attacks compared to those who preferred whole milk,” he explains.

Arnesen emphasizes that the study assessed only milk intake as a beverage, not milk used in cooking, such as soups or sauces.

Positive effects on public health from switching to reduced-fat milk

This study suggests that the shift from whole milk to reduced-fat milk has had a beneficial impact on public health, a development that has not been directly researched until now, according to Arnesen.

The researchers made efforts to account for other factors that might influence health, such as smoking habits, physical activity, education, and the consumption of other beverages: meat, butter, and margarine. One limitation of the study was that participants self-reported their milk intake, which is often subject to inaccuracies.

“Whole milk was a significant source of not only saturated fats but also trans fatty acids. We believe that the fat content in milk primarily accounts for the differences in mortality rates. The nutritional profiles of the different milk varieties are otherwise quite similar,” says Arnesen.

Recommendations for low-fat milk consumption

Professor Kjetil Retterstøl, last author of the study, notes the rising popularity of higher-fat milk varieties.

“We’re witnessing a growing interest in milk with higher fat content, possibly because it’s perceived as being more natural and healthful than low-fat options. However, our findings indicate that this perception is misleading,” he remarks.

Retterstøl emphasizes that for people who consume a lot of milk, the type of milk can significantly affect their health.

The researchers strongly recommend that people continue to drink milk but opt for low-fat varieties, such as reduced-fat or skim milk.

“Nutritional guidelines suggest consuming three servings of milk or dairy products daily, equating to around 5 dl of milk. Regardless of fat content, milk is a valuable source of calcium, iodine, and B vitamins,” concludes Retterstøl.

More information:
Erik Kristoffer Arnesen et al, Low-fat and whole milk consumption in relation to cardiovascular disease–related and all-cause mortality: a prospective cohort study in 3 Norwegian counties, The American Journal of Clinical Nutrition (2025). DOI: 10.1016/j.ajcnut.2025.07.035

Provided by
University of Oslo


Citation:
Semi-skimmed milk introduction in 1980s transformed public health outcomes, study shows (2025, August 19)
retrieved 19 August 2025
from https://medicalxpress.com/news/2025-08-semi-skimmed-introduction-1980s-health.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.




What happened when whole milk was replaced by semi-skimmed milk?
Hazard ratios and 95% CIs for all-cause, CVD-related, IHD-related, and AMI-related mortality per quartile of cumulative mean intakes of whole and low-fat milk compared with those of no intake (n = 73,860). Credit: The American Journal of Clinical Nutrition (2025). DOI: 10.1016/j.ajcnut.2025.07.035

A new study reveals that individuals who enjoyed whole milk during the 1970s and early 1980s had a higher risk of mortality. However, beginning in the mid-1980s, a significant change occurred.

Before 1984, the only milk options available in Norway were whole milk and skim milk. While milk is known for its numerous health benefits, whole milk contains a substantial amount of fat, with most of its cream remaining intact, resulting in approximately 3.5% fat content. The introduction of reduced-fat milk, with only 1.5% fat, in 1984 led to a rapid increase in its popularity. Until now, no one had examined the impact on public health and mortality when consumers switched from whole milk to reduced-fat and skim milk.

Researchers from the Department of Nutrition at the Institute of Basic Medical Sciences at the University of Oslo collected data from three county surveys conducted during the 1970s and 80s, involving nearly 74,000 participants. The researchers then linked these participants to the Norwegian Cause of Death Registry, 40 years later, to assess their health outcomes.

“In the first survey, only whole milk and skim milk were available, and milk consumption was high. Whereas two-thirds of participants consumed whole milk in the initial survey from 1974 to 1976, only one-third did during the last survey period from 1985 to 1988—following the introduction of reduced-fat milk,” explains researcher Erik K. Arnesen, the study’s first author.

Whole milk and increased mortality risk

The new study, published in The American Journal of Clinical Nutrition, found that individuals who drank a significant amount of whole milk during the 1970s and 80s had a higher risk of dying from cardiovascular diseases and from all causes combined.

“Among different types of milk, this increased risk was only associated with whole milk, not reduced-fat or skim milk. Compared to those who primarily consumed whole milk, participants who drank reduced-fat or skim milk had about a 10% lower mortality rate,” Arnesen notes.

The research team also specifically examined the risk of mortality from cardiovascular diseases.

“The group that consumed mostly whole milk—an average of 5 dl per day—showed a 13% higher mortality rate from heart diseases, with the association being strongest among women. In contrast, individuals who drank reduced-fat or skim milk had a 10 to 12% lower risk of dying from heart diseases and heart attacks compared to those who preferred whole milk,” he explains.

Arnesen emphasizes that the study assessed only milk intake as a beverage, not milk used in cooking, such as soups or sauces.

Positive effects on public health from switching to reduced-fat milk

This study suggests that the shift from whole milk to reduced-fat milk has had a beneficial impact on public health, a development that has not been directly researched until now, according to Arnesen.

The researchers made efforts to account for other factors that might influence health, such as smoking habits, physical activity, education, and the consumption of other beverages: meat, butter, and margarine. One limitation of the study was that participants self-reported their milk intake, which is often subject to inaccuracies.

“Whole milk was a significant source of not only saturated fats but also trans fatty acids. We believe that the fat content in milk primarily accounts for the differences in mortality rates. The nutritional profiles of the different milk varieties are otherwise quite similar,” says Arnesen.

Recommendations for low-fat milk consumption

Professor Kjetil Retterstøl, last author of the study, notes the rising popularity of higher-fat milk varieties.

“We’re witnessing a growing interest in milk with higher fat content, possibly because it’s perceived as being more natural and healthful than low-fat options. However, our findings indicate that this perception is misleading,” he remarks.

Retterstøl emphasizes that for people who consume a lot of milk, the type of milk can significantly affect their health.

The researchers strongly recommend that people continue to drink milk but opt for low-fat varieties, such as reduced-fat or skim milk.

“Nutritional guidelines suggest consuming three servings of milk or dairy products daily, equating to around 5 dl of milk. Regardless of fat content, milk is a valuable source of calcium, iodine, and B vitamins,” concludes Retterstøl.

More information:
Erik Kristoffer Arnesen et al, Low-fat and whole milk consumption in relation to cardiovascular disease–related and all-cause mortality: a prospective cohort study in 3 Norwegian counties, The American Journal of Clinical Nutrition (2025). DOI: 10.1016/j.ajcnut.2025.07.035

Provided by
University of Oslo


Citation:
Semi-skimmed milk introduction in 1980s transformed public health outcomes, study shows (2025, August 19)
retrieved 19 August 2025
from https://medicalxpress.com/news/2025-08-semi-skimmed-introduction-1980s-health.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.



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