UNDERHILL.

Date.Body-weight.Urine.
Volume. 24 hours.Sp. Gr.Nitrogen.Uric Acid.P₂O₅.
1903kilosc.c.gramsgramgrams
Oct.1165.41300101510.370.6111.72
1270010229.07
131050102212.350.8202.15
141400101712.01
15870102011.480.6711.76
161165101312.09
17840102011.24
181150101710.000.6131.77
1967810227.79
201165101810.760.6031.60
211460101711.91
22950101910.710.6431.73
231165101712.82
2465.4850102512.49
25850102211.070.6451.76
26102510188.31
daily
average
0.465
daily
average
1.18
daily
average
277751018
2811401015
297651020
308601019
3111501015
Nov.175010207.910.4691.30
26751022
39551014
412701012
58851015
67701020
78601021
877510207.860.5371.40
98901018
1010701018
117551020
129501023
1311001017
149801015
156301020
1665.070010207.820.4671.49
1710001015
189401018
197701023
207701025
217901020
227701021
2359010258.550.4761.67
277101024
2810801017
297601019
3087010187.720.5061.43
Dec.18601017
211201015
314501009
47201019
57201019
65101027
765.170010187.360.4741.44
86501018
98601013
109751020
118001021
128301018
137501019
1486010188.110.4971.35
158701019
168801015
17820
187601021
198601017
205201023
21120010147.181.05
2265.05101025
236506.700.3560.97
24670
25500
26550
27850
2865.29308.700.6261.21
291200
30750
311280
Jan.1750
2750
3870
41230
572010238.230.5301.24
69601020
77601022
810001017
97201025
1065.17301021
1170010167.740.6181.20
126501020
137001024
146601025
156101025
167101024
176601022
1877010167.800.7051.14
1964.87001022
2011301018
218301020
226001019
234801021
247501019
2568010206.850.5001.07
268001018
278001020
287001020
2964.410101014
309801018
318201015
Feb.199010157.980.5351.24
26601020
364.410601015
49801017
59701014
67901019
711201015
871510218.11
964.4122510147.490.450
1064.477010186.140.505
1164.571510228.020.568
1285010218.820.539
1349010287.170.505
1464.479510207.730.543
1578010218.270.558
169201023
176601021
186401027
197301023
208401027
217001018
2244010257.470.556
236001023
247501022
258301017
2664.08701021
279101015
289501014
2960010217.150.526
Mar.16801021
211201011
36401021
410801016
512201034
68901015
7100010148.180.682
86501020
97501020
108501018
119501014
1210001016
1364.28601019
1484010207.830.540
159201016
167501020
178201017
1812201012
199201015
207001022
2190010158.040.733
229801013
239901014
247501020
258201017
267001021
279101020
289301017
309001020
314507.870.5301.44
Apr.1500
2420
3600
4950
5930
6980
7600
8980
9800
10810
1165.294010179.460.496
127101024
137501024
1474010207.55
1559010246.51
1690010167.51
17129010095.11
1865.259010175.960.527
1963010246.39
2067010227.48
2190010218.10
2298010177.00
2385010197.60
2464010237.33
2565.060010218.230.490
2661010145.82
2760010237.27
2897010157.05
2979510175.91
3070010216.80
May179510165.72
265.286010176.500.344
3112010166.92
4109010156.54
558010215.92
670010207.29
789510178.97
880010167.30
965.289510196.280.416
1085010196.27
1196010197.26
1269010226.29
1399010177.96
1469010227.21
1590010156.15
1665.194510145.100.364
17109010166.15
1862010205.21
19111010156.53
2089510166.12
2181010196.95
22111010168.72
2365.068510207.07
2456010216.78
25109010106.020.420
2661010175.97
2779010166.83
28110010147.65
2965010216.12
3065.063010215.21
3166010185.07
June165.192010145.96
265.180010135.81
365.095010147.30
479010156.78
578010208.28
665.189010156.89
772010175.87
895010155.93
9106010144.96
1094010175.92
11105010197.62
12100010176.66
1389010217.26
14134010166.91
15119010156.86
1672010257.99
1765.280010177.25
1882010186.99
1992010146.18
2089010156.03
2190010166.37
2276010186.79
2363010206.06
Daily average from Oct. 26, 190383310187.430.5161.28

It will be seen by a study of the analytical data that Dr. Underhill had an average daily excretion of nitrogen through the kidneys from October 26, 1903, to June 23, 1904, of 7.43 grams. From October 26 to April 13, a period of nearly six months, the average daily excretion was 7.81 grams of nitrogen, while from the latter date to June 23 the average daily excretion amounted to 6.68 grams of nitrogen. Taking the body-weight at 65 kilos, the lower nitrogen figure would mean a metabolism of 0.102 gram of nitrogen per kilo of body-weight, closely akin to the figures obtained with the two preceding subjects.

An excretion of 6.68 grams of nitrogen corresponds to the metabolism of 41.75 grams of proteid matter, while the excretion of 7.43 grams of nitrogen implies the metabolism of 46.4 grams of proteid, being less than one-half the ordinarily accepted requirement for the healthy adult.

During this long period of eight months the body-weight was stationary, carrying with it the assumption that the body was in a condition of nitrogen equilibrium. It should be emphasized in connection with Dr. Underhill’s case, that throughout the entire period of eight months, and more, there was perfect freedom in the choice of food. Further, it will be noticed by a study of the dietary made use of in the balance experiments that Dr. Underhill did not reduce his nitrogen intake by any exclusion of meat. He practically made use of his ordinary diet, such as he had always been accustomed to, but with a decided diminution of the amount of proteid food, accompanied by a gradual reduction in the total amount of food consumed each day. His diet, therefore, was in no sense a vegetable diet. Meat was conspicuous in his daily food, but naturally in reduced quantities.

On February 9 a nitrogen balance was attempted, in which a careful comparison of the nitrogen content of all intake and output was made for a period of six days. By a study of the results of this balance period, shown in the accompanying tables, it will be noticed that not only was there no deficiency of nitrogen, but the body was laying on nitrogen at the rate of 0.158 gram per day. Further, it will be observed that the fuel value of the food per day averaged only a little over 2000 calories. Yet this amount of food, with its comparatively low fuel value, carried with it only 8.83 grams of nitrogen per day. Upon this quantity of food the body was able to maintain itself, with a little nitrogen to spare and with sufficient fuel value in the food to supply all the energy required for muscular contraction, mental effort, and the maintenance of body temperature.

Tuesday, February 9, 1904.

Breakfast.—Bread 22 grams, tea 146 grams.

Lunch.—Macaroni 129 grams, fried sweet potato 85.5 grams, bread 59 grams, butter 15 grams, fig cake with wine sauce 115 grams, sugar 15 grams, coffee 210 grams.

Dinner.—Bread 27.9 grams, beef 48 grams, potato 207.5 grams, butter 19 grams, pie 272 grams, coffee 210 grams, sugar 10 grams.

Food.Grams.Per cent Nitrogen.Total Nitrogen.
Bread22 + 59 + 27.9 =108.9×1.61=1.753grams.
Tea146.0×0.018=0.026
Macaroni129.0×0.87=1.122
Sweet potato85.5×0.28=0.240
Butter15 + 19 =34.0×0.088=0.030
Fig cake115.0×0.69=0.793
Sugar15 + 10 =25.0×0.00=0.000
Coffee (lunch)210.0×0.09=0.207
Beef48.0×2.64=1.267
Potatoes207.5×0.36=0.747
Pie272.0×0.49=1.332
Coffee (dinner)210.0×0.15=0.315
Total nitrogen in food7.832grams.
Total nitrogen in urine7.490
Fuel value of the food2232 calories.

Wednesday, February 10, 1904.

Breakfast.—Bread 33 grams, tea 146 grams.

Lunch.—Bread 71 grams, butter 10.5 grams, apple fritters 119 grams, coffee 210 grams, sugar 21 grams.

Dinner.—Roast pork 80 grams, bread 55.7 grams, butter 27.8 grams, cranberry sauce 150 grams, coffee 210 grams, sugar 21 grams.

Food.Grams.Per cent Nitrogen.Total Nitrogen.
Bread33 + 71 + 55.7 =159.7×1.65=2.635grams.
Tea146.0×0.075=0.109
Butter10.5 + 27.8 =38.3×0.088=0.033
Apple fritters119.0×0.45=0.535
Coffee (lunch)210.0×0.11=0.231
Sugar21 + 21 =42.0×0.00=0.000
Roast pork80.0×4.80=3.840
Cranberry sauce150.0×0.04=0.060
Coffee (dinner)210.0×0.11=0.231
Total nitrogen in food7.674grams.
Total nitrogen in urine6.140
Fuel value of the food1694 calories.

Thursday, February 11, 1904.

Breakfast.—Bread 38.7 grams, tea 146 grams.

Lunch.—Bread 97.5 grams, butter 31.5 grams, sweet potato 108.7 grams, spaghetti 82.5 grams, peaches 89.4 grams, coffee 210 grams, sugar 21 grams.

Dinner.—Bread 75 grams, butter 21.5 grams, roast beef 116 grams, lemon pie 188.5 grams, coffee 210 grams, sugar 21 grams.

Food.Grams.Per cent Nitrogen.Total Nitrogen.
Bread38.7 + 97.5 + 75 =211.2×1.75=3.696grams.
Tea146.0×0.084=0.122
Butter31.5 + 21.5 =53.0×0.088=0.046
Sweet potato108.7×0.31=0.336
Spaghetti82.5×0.47=0.387
Peaches89.4×0.09=0.080
Coffee (lunch)210.0×0.096=0.201
Sugar21 + 21 =42.0×0.00=0.000
Roast beef116.0×3.00=3.480
Lemon pie188.5×0.61=1.149
Coffee (dinner)210.0×0.13=0.273
Total nitrogen in food9.770grams.
Total nitrogen in urine8.020
Fuel value of the food2334 calories.

Friday, February 12, 1904.

Breakfast.—Bread 34 grams, tea 146 grams.

Lunch.—Bread 42 grams, butter 20 grams, codfish cake 72 grams, potato 100 grams, custard 100 grams, coffee 210 grams, sugar 21 grams.

Dinner.—Bread 46 grams, butter 25.5 grams, veal 53 grams, potato 75 grams, lima beans 50 grams, apple dumpling 120 grams, coffee 210 grams, sugar 21 grams.

Food.Grams.Per cent Nitrogen.Total Nitrogen.
Bread34 + 42 + 46 =122.0×1.71=2.086grams.
Tea146.0×0.045=0.065
Butter20 + 25.5 =45.5×0.088=0.040
Codfish cake72.0×1.57=1.130
Potato100.0×0.41=0.410
Custard100.0×0.83=0.830
Coffee (lunch)210.0×0.078=0.163
Sugar21 + 21 =42.0×0.00=0.000
Veal53.0×5.51=2.920
Potato75.0×0.37=0.277
Lima beans50.0×0.90=0.450
Apple dumpling120.0×0.72=0.860
Coffee (dinner)210.0×0.12=0.252
Total nitrogen in food9.483grams.
Total nitrogen in urine8.820
Fuel value of the food1735 calories.

Saturday, February 13, 1904.

Breakfast.—Bread 35 grams, tea 146 grams.

Lunch.—Bread 57.5 grams, butter 28 grams, sweet potato 100 grams, coffee 210 grams, sugar 21 grams, quince 105.5 grams, apple turnovers 153 grams.

Dinner.—Bread 35.5 grams, butter 11 grams, peas 70 grams, roast beef 50 grams, pie 169 grams, coffee 210 grams, sugar 21 grams.

Food.Grams.Per cent Nitrogen.Total Nitrogen.
Bread35 + 57.5 + 35.5 =128.0×1.64=2.099grams.
Tea146.0×0.033=0.048
Butter28 + 11 =39.0×0.088=0.034
Sweet potato100.0×0.37=0.370
Coffee (lunch)210.0×0.15=0.315
Sugar21 + 21 =42.0×0.00=0.000
Quince105.5×0.047=0.049
Apple turnovers153.0×0.96=1.468
Peas70.0×0.96=0.672
Roast beef50.0×3.22=1.610
Pie169.0×0.43=0.726
Coffee (dinner)210.0×0.11=0.231
Total nitrogen in food7.622grams.
Total nitrogen in urine7.170
Fuel value of the food2186 calories.

Sunday, February 14, 1904.

Breakfast.—Bread 31 grams, tea 146 grams.

Lunch.—Bread 70.5 grams, butter 29 grams, potato 123 grams, apple sauce 127.5 grams, coffee 210 grams, sugar 21 grams.

Dinner.—Bread 20.5 grams, butter 23 grams, chicken 101.5 grams, potato 80 grams, succotash 80 grams, chocolate cake 103 grams, ice cream 125.8 grams, coffee 210 grams, sugar 21 grams.

Food.Grams.Per cent Nitrogen.Total Nitrogen.
Bread31 + 70.5 + 20.5 =122.0×1.75=2.135grams.
Tea146.0×0.063=0.091
Butter29 + 23 =52.0×0.088=0.045
Potato123.0×0.41=0.504
Apple sauce127.5×0.029=0.037
Coffee (lunch)210.0×0.10=0.210
Sugar21 + 21 =42.0×0.00=0.000
Chicken101.5×5.08=5.150
Potato80.0×0.37=0.296
Succotash80.0×0.57=0.456
Chocolate cake103.0×0.75=0.772
Ice cream125.8×0.58=0.729
Coffee (dinner)210.0×0.11=0.231
Total nitrogen in food10.656grams.
Total nitrogen in urine7.730
Fuel value of the food2231 calories.

NITROGEN BALANCE.—Underhill.

Nitrogen
Taken in.
Output.
Nitrogen in Urine.Weight of Fæces (dry).
Feb.97.832grams.7.49grams.9.5grams.
107.6746.14
119.7708.0232.0
129.4838.829.5
137.6227.1728.0
1410.6567.7324.0
103.0grams contain
6.52% N.
53.03745.37+6.715grams nitrogen.
53.037grams nitrogen.52.085grams nitrogen.
Nitrogen balance for six days=+0.952gram.
Nitrogen balance per day=+0.158gram.

Average Intake.

Calories per day2068.
Nitrogen per day8.83 grams.

On June 1, near the close of the experiment, a second nitrogen balance was attempted, with a view to seeing if under the existing conditions of life and activity it was possible to reduce the fuel value of the food, and at the same time diminish in still greater measure the quantity of proteid food taken. The results of this trial are seen in the accompanying tables, where for four days a careful comparison of output and intake is shown. It will be observed from these tables that the average fuel value of the food per day was reduced to 1785 calories, and that the average intake of nitrogen was restricted to 6.73 grams per day. The balance shown is a minus balance, although the deficiency per diem is not large. It is very obvious that both the nitrogen and fuel value of the food can be reduced considerably below the average maintained during the period of the first balance, but not to the degree attempted in the second balance, and secure nitrogen or body equilibrium. It will be noted in this last nitrogen balance, that the average daily output of nitrogen through the urine amounted to 6.46 grams, while the average nitrogen intake was 6.73 grams. The fuel value of the food, however, averaged only 1785 calories per day. It is quite evident, if the non-nitrogenous food had not been reduced quite so much, that a plus nitrogen balance would have been obtained. Still, it is obvious that under the conditions of life and activity, this subject needed to metabolize only about 40 grams of proteid per day, with the total fuel value of his food equal to about 2000 calories, in order to secure both body and nitrogen equilibrium. Here, again, we have an illustration of the possibility of physiological economy which shows itself in a reduction of the daily proteid food more than 50 per cent, with a reduction of the non-nitrogenous food fully 30 per cent, and with maintenance of health, strength and vigor equal, if not superior, to that which the subject has ever experienced.

Wednesday, June 1, 1904.

Breakfast.—Champagne wafer 21.5 grams, tea 146 grams, sugar 15 grams.

Dinner.—Bread 67.4 grams, butter 15.1 grams, beefsteak 55.5 grams, potato 128 grams, asparagus 103.5 grams, tea 146 grams, sugar 15 grams, banana 83.5 grams.

Supper.—Bread 15.7 grams, butter 11.8 grams, banana and nuts 106 grams, crullers 90.2 grams, coffee 145 grams, sugar 15 grams.

Food.Grams.Per cent Nitrogen.Total Nitrogen.
Champagne wafer21.5×0.64=0.138gram.
Tea146.0×0.015=0.022
Sugar15 + 15 + 15 =45.0×0.000=0.000
Bread67.4 + 15.7 =83.1×1.46=1.212
Butter15.1 + 11.8 =26.9×0.10=0.027
Banana83.5×0.28=0.192
Beefsteak55.5×4.72=2.620
Potato128.0×0.32=0.410
Asparagus103.5×0.35=0.362
Tea146.0×0.033=0.048
Crullers90.2×1.04=0.938
Banana and nuts106.0×0.69=0.731
Coffee145.0×0.060=0.087
Total nitrogen in food6.787grams.
Total nitrogen in urine5.960
Fuel value of the food1913 calories.

Thursday, June 2, 1904.

Breakfast.—Bread 30 grams, tea 146 grams, sugar 15 grams.

Dinner.—Clam chowder 270.5 grams, bread 64 grams, butter 14.5 grams, lobster 36.5 grams, Saratoga chips 15 grams, caramel custard 79 grams, tea 146 grams, sugar 15 grams.

Supper.—Bread 35.2 grams, butter 13.8 grams, pineapple 148.7 grams, crullers 84.8 grams, tea 140 grams, sugar 15 grams.

Food.Grams.Per cent Nitrogen.Total Nitrogen.
Bread30.0×1.46=0.438gram.
Tea146.0×0.045=0.066
Sugar15 + 15 + 15 =45.0×0.00=0.000
Bread64 + 35.2 =99.2×1.44=1.428
Butter14.5 + 13.8 =28.3×0.10=0.028
Clam chowder270.5×0.34=0.920
Lobster36.5×3.73=1.361
Saratoga chips15.0×0.97=0.146
Caramel custard79.0×0.77=0.608
Tea146.0×0.036=0.053
Tea140.0×0.036=0.050
Pineapple148.7×0.054=0.080
Crullers84.8×1.04=0.882
Total nitrogen in food6.060grams.
Total nitrogen in urine5.810
Fuel value of the food1921 calories.

Friday, June 3, 1904.

Breakfast.—Bread 31 grams, tea 146 grams.

Dinner.—Fried ham 61 grams, asparagus 124.2 grams, baked potato 85 grams, bread 29 grams, butter 23.5 grams, tea 140 grams, sugar 15 grams, pineapple 74.8 grams.

Supper.—Bread 34 grams, butter 17.8 grams, pineapple 158.5 grams, tomato 132.5 grams, cup cake 121 grams, tea 140 grams, sugar 15 grams.

Food.Grams.Per cent Nitrogen.Total Nitrogen.
Bread31 + 20 + 34 =94.0×1.44=1.354grams.
Tea146.0×0.039=0.057
Fried ham61.0×4.90=2.989
Asparagus124.2×0.50=0.621
Baked potato85.0×0.55=0.468
Butter23.5 + 17.8 =41.3×0.10=0.041
Tea140.0×0.027=0.038
Sugar15 + 15 =30.0×0.000=0.000
Pineapple74.8 + 158.5 =233.3×0.065=0.152
Tea140.0×0.054=0.076
Tomato132.5×0.150=0.199
Cup cake121.0×0.85=1.029
Total nitrogen in food7.024grams.
Total nitrogen in urine7.300
Fuel value of the food2011 calories.

Saturday, June 4, 1904.

Breakfast.—Bread 32 grams, tea 140 grams.

Dinner.—Hash 133 grams, peas 151.5 grams, bread 61.4 grams, butter 16.1 grams, custard 150 grams, sugar 15 grams, tea 140 grams.

Supper.—Bread 62.5 grams, butter 17 grams, tea 140 grams, sugar 15 grams.

Food.Grams.Per cent Nitrogen.Total Nitrogen.
Bread32.0×1.44=0.461gram.
Tea140.0×0.021=0.029
Hash133.0×1.50=1.995
Peas151.5×1.04=1.576
Bread61.4 + 62.5 =123.9×1.47=1.821
Butter16.1 + 17 =33.1×0.10=0.033
Custard150.0×0.78=1.170
Sugar15 + 15 =30.0×0.00=0.000
Tea140.0×0.033=0.046
Tea140.0×0.030=0.042
Total nitrogen in food7.173grams.
Total nitrogen in urine6.780
Fuel value of the food1297 calories.

NITROGEN BALANCE.—Underhill.

Nitrogen
Taken in.
Output.
Nitrogen in Urine.Weight of Fæces (dry).
June16.787grams.5.96grams.10grams.
26.0605.8110
37.0247.3025
47.1736.786
51grams contain
5.81 % N.
27.04425.85+2.963grams nitrogen.
27.044grams nitrogen.28.813grams nitrogen.
Nitrogen balance for four days=-1.760grams.
Nitrogen balance per day=-0.442grams.

Average Intake.

Calories per day1785.
Nitrogen per day6.73 grams.

Dr. Arthur L. Dean, Instructor in Plant Physiology in the Sheffield Scientific School, twenty-five years of age, and weighing 64 kilos, likewise became a subject of study in this investigation. He is a man of strong physique, and as an undergraduate student at Harvard University trained for various athletic events. He began on the experiment October 13, 1903, and continued until April 3, 1904. From October 13th to October 27 he followed his usual dietary habits, simply reducing in some measure the amount of food consumed. During this period of fifteen days, the average excretion of nitrogen per day through the kidneys was about 12 grams. On the 28th of October he began to reduce in still greater measure the amount of proteid food eaten, and gradually diminished the extent of his proteid metabolism, although not to the same degree as the preceding subjects. He had full freedom of choice in the character and quantity of his diet, but his food was characterized by a predominance of vegetable matter, with an almost complete exclusion of meat.

For a period of nearly six months, or more exactly, from October 28 to April 3, the average daily output of nitrogen through the kidneys amounted to 8.99 grams, while the average daily output of uric acid was 0.386 gram. This daily excretion of 8.99 grams of nitrogen implies a metabolism of 56.18 grams of proteid. This, to be sure, means a reduction in proteid metabolism of about 50 per cent, as compared with the Voit and other standards, but does not show an economy equal to that practised by the preceding subjects. It is to be noted, however, in Dr. Dean’s case, that the body-weight did not show at any time in the experiment a tendency to diminish. In fact, all through the experiment his body-weight was a little higher than at the beginning.