The calories used in food tables are kilo-calories, representing the amount of heat which would raise a kilogramme (1000 grammes) of water 1° Centigrade. This is the same as raising 1 pound weight 4° Fahrenheit. According to the table given, 125 grammes of dry proteid are required per day; this contains 20 grammes of nitrogen and 62 of carbon. When thoroughly consumed or utilised in the body, the heat or its equivalent in muscular work equals 512 kilo-calories. Proteids have, of course, an additional value as tissue formers. The factors used here, of 4.1 and 9.3, are those commonly employed; but the latest and most reliable research, taking account only of that part of the food which is actually available in the body, gives for proteid and carbo-hydrate 4 calories, and for fat 8.9 calories.
Fat has a higher food value than the carbo-hydrates, as 4.1 : 9.3 = 2.27 or 4.0 : 89 = 2.225, according to whether the old or new factors are used. In the table of analyses 2.225 was used. The standard dietary for a woman, or of a boy 14 to 16 years of age, is given as equivalent to eight-tenths that of a man; a child of 10 to 13 six-tenths; of 2 to 5 four-tenths. A man doing hard work requires one-tenth more. The following table gives three standard dietaries, and a few actual ones, in grammes per day. The food of persons in easy circumstances, and of working men in the receipt of good wages, approximate to the standard dietaries, except that the fat is higher and the carbo-hydrates proportionately less. This is due to an abundance of animal food. It was thought unnecessary to give them in detail:—
Dr. Alexander Haig considers that 88 grammes of proteid is required by a man leading a decidedly active life.
NOTES.—(a) The Japanese are of small stature and weight.
(b) One of a series of experiments by A.W. Blyth, 1888. 1½ lbs. of wheatmeal per day was required for equilibrium; sedentary occupation, with a daily walk of six miles.
(c) See "A Text Book of Physiology," by M. Foster, 5th edition, part ii., p. 839; the diet was bread, fruit and oil. The man was in apparently good health and stationary weight; only 59 per cent. of the proteids were digested, leaving the small quantity of 32 grammes available for real use. In commenting upon this, Professor Foster writes:—"We cannot authoritatively say that such a reduction is necessarily an evil; for our knowledge will not at present permit us to make an authoritative exact statement as to the extent to which the proteid may be reduced without disadvantage to the body, when accompanied by adequate provision of the other elements of food; and this statement holds good whether the body be undertaking a small or large amount of labour."
(d) The Miller of Billericay's case is quoted by Dr. Carpenter, and also by Dr. Pavy. It was reported to the College of Physicians in 1767 by Sir George Baker. A remarkable degree of vigour is said to have been sustained for upwards of eighteen years on no other nutriment than 16 oz. of flour, made into a pudding with water, no other liquid of any kind being taken.
A striking instance of abstemiousness is that of Cornaro, a Venetian nobleman, who died in the year 1566 at the age of 98. Up to the age of 40 he spent a life of indulgence, eating and drinking to excess. At this time, having been endowed with a feeble constitution, he was suffering from dyspepsia, gout, and an almost continual slow fever, with an intolerable thirst continually hanging upon him. The skill of the best physicians of Italy was unavailing. At length he completely changed his habits of diet, and made a complete recovery. At the age of 83 he wrote a treatise on a "Sure and certain method of attaining a long and healthful life." He says, what with bread, meat, the yolk of an egg and soup, I ate as much as weighed 12 ozs., neither more nor less. I drank 14 oz. of wine. When 78 he was persuaded to increase his food by the addition of 2 oz. per day, and this nearly proved fatal. He writes that, instead of old age being one of weakness, infirmity and misery, I find myself to be in the most pleasant and delightful stage of life. At 83 I am always merry, maintaining a happy peace in my own mind. A sober life has preserved me in that sprightliness of thought and gaiety of humour. My teeth are all as sound as in my youth. He was able to take moderate exercise in riding and walking at that age. He was very passionate and hasty in his youth. He wrote other treatises up to the age of 95.
Kumagara, Lapicque and Breis-acher, have, as the result of their experiments, reduced the quantity of proteid required per 24 hours to 45 grammes. T. Hirschfeld states, as the conclusion of his research, that it is possible for a healthy man (in one case for 15 days and in another for 10 days) to maintain nitrogenous balance on from 30 to 40 grammes of proteid per day. Labbé and Morchoisne (Comptes Rendus, 30th May, 1904, p. 1365) made a dieting experiment during 38 days, upon one of themselves. The proteid was derived exclusively from vegetable food. The food consisted of bread, lentils, haricots, potatoes, carrots, chestnuts, endives, apples, oranges, preserves, sugar, starch, butter, chocolate and wine. At the commencement, the day's food contained 14.1 grammes of nitrogen = 89.3 proteid, which was gradually diminished. On the 7th day 11.6 g. N. = 73.5 g. proteid was reached; during this time less N. was eliminated, indicating that the proteid food was in excess of that required for the wear and tear of the body. As the quantity of nitrogenous food was diminished almost daily, the N. eliminated was found to diminish also. This latter was in slight excess of that absorbed; but when a day or two's time was allowed, without further reduction in the food, the body tended to adjust itself to the dimished supply, and there was an approximation of income and expenditure. The smallest quantity of food was reached on the 32nd day with 1.06 N. = 6.7 proteid, which was obviously too little, as 2.19 N. = 13.9 proteid was eliminated. On the 21st day 4.12 N. = 26 proteid was injested, and 4.05 N. was eliminated. The inference drawn from the research is that about 26 grammes of proteid per day was sufficient. The weight of the body remained practically constant throughout, and the subject did not suffer inconvenience. Of course the full amount of calories was kept up; as each succeeding quantity of the proteid was left off, it was replaced by a proper quantity of non-nitrogenous food. These experiments were carried out in the usual approved scientific manner. It may, however, be urged against any generalised and positive conclusions as to the minimum quantity of proteid required for the body, being drawn from such experiments, that the period covered by them was much too short. A prolonged trial might have revealed some obscure physiological derangement. We are quite justified in concluding that the usual, so-called "standard dietaries" contain an unnecessarily large proportion of proteid. In some practical dietaries, 50 grammes and under have seemed enough; but for the ordinary adult man, who has been accustomed to an abundance of proteid, and whose ancestors have also, it is probably advisable not to take less than 70 or 80 grammes per day (2½ to 3 ounces). If it is desired to try less, the diminution should be very gradual, and a watch should be kept for any lessening of strength.