228. Normal Digestion and Health.—While the process of digestion has been extensively studied, it is not perfectly understood. Between the initial compounds of foods and their final oxidation products a large number of intermediate substances are formed, and when digestion fails to take place in a normal way, toxic or poisonous compounds are produced and various diseases result. It is probable that more diseases are due to imperfect or malnutrition than to any other cause. There is a very close relationship between health and normal digestion of the food.
The cells in the different parts of the digestive tract secrete fluids containing substances known as soluble ferments, or enzymes, which act upon the various compounds of foods, changing them chemically and physically so that they can be absorbed and utilized by the body. (See Section 31.) Some of the more important ferments are: ptyolin of the saliva, pepsin of the stomach, and pancreatin and diastase of the intestines. In order that these ferments may carry on their work in a normal way, the acidity and alkalinity of the different parts of the digestive tract must be maintained. The gastric juice contains from 0.1 to 0.25 per cent of hydrochloric acid, imparting mildly antiseptic properties; and while the peptic ferment works in a slightly acid solution, the tryptic ferment requires an alkaline solution. To secrete the necessary amount and quality of digestive fluids, the organs must be in a healthy condition. Many erroneous ideas regarding the digestion of foods are based upon misinterpretation of facts by persons suffering from impaired digestion, and attempts are frequently made to apply to normal digestion generalizations applicable only to diseased conditions.
229. Digestibility of Animal Foods.—The proteids and fats in animal foods, as meats, are more completely digested than the same class of nutrients in vegetables. In general, about 95 per cent of the proteids of meats is digestible, while those in vegetables are often less than 85 percent digestible. The amount of indigestible residue from animal foods is small; while from vegetables it is large, for the cellulose prevents complete absorption of the nutrients and, as a result, there is much indigestible residue. Animal foods are concentrated, in that they furnish large amounts of nutrients in digestible forms. There is less difference in the completeness with which various meats are digested than in their ease of digestion; the proteins all have about the same digestion coefficients, but vary with individuals as to ease of digestion and time required. It is generally considered that the digestible proteins, whether of animal or vegetable origin, are equally valuable for food purposes. This is an assumption, however, that has not been well established by experimental evidence. In a mixed ration, the proteins from different sources appear to have the same nutritive value, but as each is composed of different radicals and separated into dissimilar elementary compounds during the process of digestion, they would not necessarily all have the same food value.
There is but little difference between the fats and proteins of meats as to completeness of digestion,—the slight difference being in favor of the proteins. Some physiologists claim that the fat, which in some meats surrounds the bundles of fiber (protein), forming a protecting coat, prevents the complete solvent action of the digestive fluid. Very fat meats are not as completely digested as those moderately fat. It is also claimed that the digestibility of the meat is influenced by the mechanical character, as toughness of the fiber.
230. Digestibility of Vegetable Foods.—Vegetable foods vary in digestibility with their mechanical condition and the amount of cellulose or fiber. In some the nutrients are so embedded in cellular tissue as to be protected from the solvent action of the digestive fluids, and in such cases the digestibility and availability are low. The starches and sugars are more completely digested than any other of the nutrients of vegetables; in some instances they are from 95 to 98 per cent digestible. Some cellular tissue, but not an excess, is desirable in a ration, as it exerts a favorable mechanical action upon the organs of digestion, encourages peristalsis, and is an absorbent and dilutant of the waste products formed during digestion. For example, in the feeding of swine, it has been found that corn and cob meal often gives better results than corn fed alone. The cob contains but little in the way of nutrients, but it exerts a favorable mechanical action upon digestion. Occasionally too many bulky foods are combined, containing scant amounts of nutrients, so that the body receives insufficient protein. This is liable to be the case in the dietary of the strict vegetarian. Many of the vegetables possess special dietetic value, due to the organic acids and essential oils, as cited in the chapter on fruits and vegetables. The value of such foods cannot always be determined from their content of digestible protein, fat, and carbohydrates. This is particularly evident when they are omitted from the ration, as in the case of a restricted diet consisting mainly of animal foods. Many vegetables have low nutritive value on account of their bulky nature and the large amount of water and cellulose which they contain, which tends to decrease digestibility and lower the amount of available nutrients. Because of their bulk and fermentable nature, resulting in the formation of gases, a diet of coarse vegetables has a tendency to cause distention and enlargement of the intestinal organs. The carbohydrates, which are the chief constituents of vegetables, are digested mainly in the intestines, and require special mechanical preparation in the stomach, hence the nutrients of vegetables are not, as a rule, as easily digested as those of animal foods.
231. Factors influencing Digestion.—There are a number of factors which influence completeness as well as ease of digestion, as: (1) combination of foods; (2) amount of food; (3) method of preparation; (4) mechanical condition of the food; (5) palatability; (6) physiological properties; (7) individuality of the consumer; and (8) psychological influences.
232. Combination of Foods.—In a mixed ration the nutrients are generally more completely digested than when only one food is used. For example, milk is practically all digested when it forms a part of a ration, and it also promotes digestibility of the foods with which it is combined, but when used alone it is less digestible.[[27]] Bread alone and milk alone are not as completely digested as bread and milk combined. The same in a general way has been observed in the feeding of farm animals,—better results are secured from combining two or more foods than from the use of one alone. The extent to which one food influences the digestibility of another has not been extensively studied.
In a mixed ration, consisting of several articles of food of different mechanical structure, the work of digestion is more evenly distributed among the various organs. A food often requires special preparation on the part of the stomach before it can be digested in the intestines, and if this food is consumed in small amounts and combined with others of different structure, the work of gastric digestion is lessened so that the foods are properly prepared and normal digestion takes place. The effect which one food exerts upon the digestibility of another is largely mechanical.
233. Amount of Food.—Completeness as well as ease of digestion is influenced by the amount of food consumed. In general, excessive amounts are not as completely digested as moderate amounts. In digestion experiments with oatmeal and milk, it was found that when these foods were consumed in large quantities the fat and protein were not as completely absorbed by the body as when less was used, the protein being 7 per cent and the fat 6 per cent more digestible in the medium ration. Experiments with animals show that economical results are not secured from an excess of food.[[5]] Some individuals consume too much food, and with them a restricted diet would be beneficial, while others err in not consuming enough to meet the requirements of the body. Quite frequently it is those who need more food who practice dieting. When there is trouble with digestion, it is not always the amount or kind of food which is at fault, but other habits may be such as to affect digestion. The active out-of-door laborer can with impunity consume more food, because there is greater demand for nutrients, and the food is more completely oxidized in the body and without the formation of poisonous waste products. The amount of food consumed should be sufficient to meet all the demands of the body and maintain a normal weight.
234. Method of Preparation of Food.—The extent to which methods of cooking and preparation influence completeness of digestion has not been extensively investigated. As is well known, they have great influence upon ease and comfort of digestion. During cooking, as discussed in Chapter II, extensive physical and chemical changes occur, and these in turn affect digestibility. When the cooking has not been sufficient to mechanically disintegrate vegetable tissue, the digestive fluids fail to act favorably upon the food. Cooking is also beneficial because it renders the food sterile and destroys all objectionable microörganisms which, if they remain in food, readily undergo incubation in the digestive tract, interfering with normal digestion. Prolonged heat causes some foods to become less digestible, as milk, which digestion experiments show to be more completely digested when fresh than when sterilized. Pasteurized milk, which is not subjected to so high a temperature as sterilized milk, is more completely digested. See Chapter VII for discussion of sterilizing and pasteurizing milk.[[38]] The benefits derived from the destruction of the objectionable bacteria in foods are, however, greater than the losses attendant on lessened digestibility due to the action of heat. The method of preparation of a food affects its digestibility mainly through change in mechanical structure, and modification of the forms in which the nutrients are present.[[5]]