Dinner.—Potatoes galore and herrings, or other salt fish.

Supper.—Porridge and milk, or oat bread and cheese, and tea.

“I have often been assured by shepherds that they could work all day ‘on the hill’ after a breakfast of oatmeal brose and milk, without fatigue and without feeling hungry, returning in the evening to partake of a dish of broth, potatoes, and salt mutton. In these diets, proteid forms a very small proportion, and yet a hardier race than these shepherds and fishermen cannot be found.” It should be added that “brose” consists of a few handfuls of oatmeal, to which is added boiling water, the mixture being stirred vigorously and placed for a few minutes near the fire. It is then eaten with milk, or better, with cream. In the absence of positive data, it can only be asserted that the above dietary stands for simplicity and frugality. Its proteid-content may be low, but the amount of proteid taken per day by these Highlanders will obviously depend upon the quantity of food consumed. Oatmeal is fairly rich in proteid, and it is quite conceivable that the amount eaten daily may be such as to result in a high proteid exchange.

It will be profitable for us to gain, if possible, a fairly clear idea of the quantities of food requisite for our average man of 70 kilograms body-weight; i. e., the amounts necessary to provide 60 grams of proteid and 2800 calories. With this end in view, we may outline a simple dietary, expressed in terms that will convey a clear impression, showing what may be eaten without overstepping the required limits of proteid or total calories:

BREAKFAST

Proteid

Calories

One shredded wheat biscuit
30 grams

3.15

grams

106

One teacup of cream
120 grams

3.12

206

One German water roll
57 grams

5.07

165

Two one-inch cubes of butter
38 grams

0.38

284

Three-fourths cup of coffee
100 grams

0.26

. . .

One-fourth teacup of cream
30 grams

0.78

51

One lump of sugar
10 grams

. . .

88

12.76

850

LUNCH

Proteid

Calories

One teacup homemade chicken soup
144 grams

5.25

grams

60

One Parker-house roll
38 grams

3.38

110

Two one-inch cubes of butter
38 grams

0.38

284

One slice lean bacon
10 grams

2.14

65

One small baked potato
2 ounces, 60 grams

1.53

55

One rice croquette
90 grams

3.42

150

Two ounces maple syrup
60 grams

. . .

166

One cup of tea with one slice lemon

. . .

. .

One lump of sugar
10 grams

. . .

38

16.10

928

DINNER

Proteid

Calories

One teacup cream of corn soup
130 grams

3.25

grams

72

One Parker-house roll
38 grams

3.38

110

One-inch cube of butter
19 grams

0.19

142

One small lamb chop, broiled
lean meat, 30 grams

8.51

92

One teacup of mashed potato
167 grams

3.34

175

Apple-celery lettuce salad with
mayonnaise dressing 50 grams

0.62

75

One Boston cracker, split
2 inches diameter, 12 grams

1.32

47

One-half inch cube American cheese
12 grams

3.35

50

One-half teacup of bread pudding
85 grams

5.25

150

One demi-tasse coffee

. . .

. .

One lump of sugar
10 grams

. . .

38

29.21

951

BREAKFAST

Proteid

Calories

One shredded wheat biscuit
30 grams

3.15

grams

106

One teacup of cream
120 grams

3.12

206

One German water roll
57 grams

5.07

165

Two one-inch cubes of butter
38 grams

0.38

284

Three-fourths cup of coffee
100 grams

0.26

. . .

One-fourth teacup of cream
30 grams

0.78

51

One lump of sugar
10 grams

. . .

88

12.76

850

LUNCH

Proteid

Calories

One teacup homemade chicken soup
144 grams

5.25

grams

60

One Parker-house roll
38 grams

3.38

110

Two one-inch cubes of butter
38 grams

0.38

284

One slice lean bacon
10 grams

2.14

65

One small baked potato
2 ounces, 60 grams

1.53

55

One rice croquette
90 grams

3.42

150

Two ounces maple syrup
60 grams

. . .

166

One cup of tea with one slice lemon

. . .

. .

One lump of sugar
10 grams

. . .

38

16.10

928

DINNER

Proteid

Calories

One teacup cream of corn soup
130 grams

3.25

grams

72

One Parker-house roll
38 grams

3.38

110

One-inch cube of butter
19 grams

0.19

142

One small lamb chop, broiled
lean meat, 30 grams

8.51

92

One teacup of mashed potato
167 grams

3.34

175

Apple-celery lettuce salad with
mayonnaise dressing 50 grams

0.62

75

One Boston cracker, split
2 inches diameter, 12 grams

1.32

47

One-half inch cube American cheese
12 grams

3.35

50

One-half teacup of bread pudding
85 grams

5.25

150

One demi-tasse coffee

. . .

. .

One lump of sugar
10 grams

. . .

38

29.21

951

The grand totals for the day, with this dietary, amount to 58.07 grams of proteid and 2729 calories. It is of course understood that these figures are to be considered as only approximately correct, but the illustration will suffice, perhaps, to give a clearer understanding of the actual quantities of food involved in a daily ration approaching the requirements for a man of 70 kilograms body-weight. Further, there may be suggested by the figures given for proteid and fuel value of the different quantities of foods, a clearer conception of how much given dietary articles count for in swelling the total values of a day’s intake. Moreover, it is easy to see how the diet can be added to or modified in a given direction. If a little more proteid is desired without changing materially the fuel value of the food a boiled egg can be added to the breakfast, for example. An average-sized egg (of 53 grams) contains 6.9 grams of proteid, while it will increase the fuel value of the food by only 80 calories. Or, if more vegetable proteid is wished for, a soup of split-peas can be introduced, without changing in any degree the calorific value of the diet. Thus, one teacup of split-pea soup (144 grams) contains 8.64 grams of proteid, while the fuel value of this quantity may be only 94 calories. The addition of one banana (160 grams) will increase fuel value 153 calories, but will add only 2.28 grams of proteid. If it is desired to increase fuel value without change in the proteid-content of the food, recourse can always be had to butter, fat of meat, additional oil in salads, or to syrup and sugar.

Such a menu as is roughly outlined, however, has perhaps special value in emphasizing how largely the proteid intake is increased by foods other than meats, and which are not conspicuously rich in proteid matter. All wheat products, for example, while abounding in starch, still show a large proportion of proteid. Thus, shredded wheat biscuit (1 ounce), which is a type of many kindred wheat preparations, from bread and biscuit to the various so-called breakfast foods, yields about 3 grams of proteid per ounce and approximately 100 calories. Even potato, which is conspicuously a carbohydrate food owing to its large content of starch, yields of nitrogen the equivalent of at least three-fourths of a gram of proteid per ounce. If larger volume is desired without much increase in real food value, there are always available green foods, such as lettuce, celery, greens of various sorts, fruits, such as apples, grapes, oranges, etc. Too great reliance on meats as a type of concentrated food, on the other hand, augments largely the intake of proteid, and adds a relatively small amount to the fuel value of the day’s ration.

An ingenious method of indicating food values, which promises to be of service in sanatoria and under other conditions where it is desirable to record or correct the diet of a large number of persons, has been devised recently by Professor Fisher.[77] The method aims to save labor, and is likewise designed to visualize the magnitude and proportions of the diet. The food is measured by calories instead of by weight, a “standard portion” of 100 large calories being the unit made use of. In carrying out the method, foods are served at table in “standard portions,” or multiples thereof. In the words of Fisher, the amount of milk served, for example, “instead of being a whole number of ounces, should be 4.9 ounces—the amount that contains 100 calories. This ‘standard portion’ constitutes about two-thirds of an ordinary glass of milk. Of the 100 calories which it contains 19 will be in the form of proteid, 52 in fat, and 29 in carbohydrate.” In the carrying out of this plan, it is evident that the weight of any food yielding 100 calories becomes a measure of the degree of concentration. From the standpoint of fuel value, olive oil is probably one of the most concentrated of foods, approximately one-third of an ounce containing 100 calories. The following table, taken from Fisher’s description of his method, will serve to show the amounts of several foods constituting a “standard portion,” and also the number of calories in the form of proteid, fat, and carbohydrate: