But it must be noted that the formation of fat is not the object with which heat-supplying food is taken. It is an indication of derangement of the system when heat-giving food is too readily converted into fat. And in so far as this process of conversion takes place beyond what is required for the formation of muscles and nerves, the body suffers in the loss of its just proportion of heat-supply. Of course, if too large an amount of heat-giving food is taken into the system, we may expect that the surplus will be deposited in the form of adipose tissue. The deposition of fat in such a case will be far less injurious to the system than an excessive heat-supply would be. But when only a just amount of heat-giving food is taken, and in place of fulfilling its just office this food is converted into adipose tissue, it becomes necessary to inquire into the cause of the mischief. Technically, the evil may be described as resulting from the deficient oxygenation of the heat-supplying food. This generally arises from defective circulation, and may often be cured by a very moderate but systematic increase in the amount of daily exercise, or by the use of the sponge-bath, or, lastly, by such changes in the dress—and especially in the articles of attire worn next to the skin—as tend to encourage a freer circulation of the blood. The tendency to accumulate fat may sometimes be traced to the use of over-warm coverings at night, and especially to the use of woollen night-clothes. By attending to considerations of this sort, more readily and safely than by an undue diminution of the amount of heat-supplying food, the tendency to obesity may frequently be corrected.
In warm weather we should diminish the supply of heat-giving food. In such weather the system does not require the same daily addition to its animal heat, and the excess is converted into fat. Experiments have shown that despite the increased rate at which perspiration proceeds during the summer months, men uniformly fed throughout the year increase in weight in summer and lose weight in winter.
So far as mere existence is concerned, heat-forming food may be looked upon as the real fuel on which the lamp of life is sustained. But man, considered as a working being, cannot exist without energy-forming food. All work, whether of the brain or of the limbs, involves the exhaustion of nervous and muscular matter; and unless the exhausted matter be renewed, the work must come to an end. The supply of heat-giving food may be compared to the supply of fuel for the fire of a steam-engine. By means of this supply the fire is kept alive; but if the fire have nothing to work upon, its energies are wasted or used to the injury of the machine itself. The supply of water, and its continual use (in the form of steam) in the propulsion of the engine, are the processes corresponding to the continual exhaustion and renewal of the muscles and nerves of the human frame. And the comparison may be carried yet further. We see that in the case of the engine the amount of smoke, or rather of carbonic acid, thrown out by the blast-pipe is a measure of the vital energy (so to speak) within the engine; but the amount of work done by the engine is measured rather by the quantity of steam which is thrown out, because the elastic force of every particle of steam has been exerted in the propulsion of the engine before being thrown out through the blast-pipe. In a manner precisely corresponding to this, the amount of carbonic acid gas exhaled by a man is a measure of the rate at which mere existence is proceeding; but the amount of work, mental or muscular, which the man achieves, is measured by the amount of used-up brain-material and muscle-material which is daily thrown off by the body. I shall presently show in what way this amount is estimated.
In the composition of the muscles there is a material called fibrine, and in the composition of the nerves there is a material called albumen. These are the substances[42] which are exhausted during mental and bodily labour, and which have to be renewed if we are to continue working with our head or with our hands. Nay more, life itself involves work; the heart, the lungs, the liver, each internal organ of the body, performs its share of work, just as a certain proportion of the power of a steam-engine is expended in merely moving the machinery which sets it in action. If the waste of material involved in this form of work is not compensated by a continual and sufficient supply of fibrine and albumen the result will be a gradual lowering of all the powers of the system, until some one or other gives way,—the heart ceases to beat, or the stomach to digest, or the liver to secrete bile,—and so death ensues.
The fibrine and albumen in the animal frame are derived exclusively from vegetables. For although we seem to derive a portion of the supply from animal food, yet the fibrine and albumen thus supplied have been derived in the beginning from the vegetable kingdom. “It is the peculiar property of the plant,” says Dr. Lankester, “to be able, in the minute cells of which it is composed, to convert the carbonic acid and ammonia which it gets from the atmosphere into fibrine and albumen, and by easy chemical processes we can separate these substances from our vegetable food. Wheat, barley, oats, rye, rice, all contain fibrine, and some of them also albumen. Potatoes, cabbage, and asparagus contain albumen. It is a well-ascertained fact that those substances which contain most of these ‘nutritious secretions,’ as they have been called, support life the longest.” They change little during the process of digestion, entering the blood in a pure state, and being directly employed to renew the nervous and muscular matter which has been used up during work, either mental or muscular. Thus the supply of these substances is continually being drawn upon. The carbon, which forms their principal constituent, is converted into carbonic acid; and the nitrogen, which forms about a sixth part of their substance, re-appears in the nitrogen of urea, a substance which forms the principal solid constituent of the matter daily thrown from the system through the action of the kidneys. Thus the amount of urea which daily passes from the body affords a measure of the work done during the day. “This is not,” says Dr. Lankester, “the mere dream of the theorist; it has been practically demonstrated that increased stress upon the nervous system, viz., brain work, emotion, or excitement from disease, increases the quantity of urea and the demand for nitrogenous food. In the same manner the amount of urea is the representative of the amount of muscular work done.”
It has been calculated that the average amount of urea daily formed in the body of a healthy man is about 470 grains. To supply this daily consumption of nitrogenous matter, it is necessary that about four ounces of flesh-forming substance should be consumed daily. It is important, therefore, to inquire how this substance may be obtained. The requisite quantity of albuminous and fibrinous matter “is contained,” says Dr. Lankester, “in a pound of beef; in two pounds of eggs; in two quarts of milk; in a pound of peas; in five pounds of rice; in sixteen pounds of potatoes; in two pounds of Indian meal; in a pound and a half of oatmeal; and in a pound and three-quarters of flour.” A consideration of this list will show the importance of attending to the quality as well as the quantity of our food. A man of ordinary appetite might satisfy his hunger on potatoes or on rice, without by any means supplying his system with a sufficient amount of flesh-forming food. On the other hand, if a man were to live on bread and beef alone, he would load his system with an amount of nitrogenous food, although not taking what could be considered an excessive amount of daily nourishment. We see, also, how it is possible to continually vary the form in which we take the required supply of nitrogenous food, without varying the amount of that supply from day to day.
The supply itself should of course also vary from day to day as the amount of daily work may vary. What would be ample for a person performing a moderate amount of work would be insufficient for one who underwent daily great bodily or mental exertions, and would be too much for one who was taking holiday. It would appear, from the researches of Dr. Haughton, that the amount of urea daily formed in the body of a healthy man of average weight varies from 400 to 630 grains. Of this weight it appears that 300 grains results from the action of the internal organs. It would seem, therefore, that the amount of flesh-forming food indicated in the preceding paragraph may be diminished in the proportion of 47 to 40 in the case of a person taking the minimum of exercise—that is, avoiding all movements save those absolutely necessary for comfort or convenience. On the other hand, that amount must be increased in the proportion of 74 to 63 in the case of a person (of average weight) working up to his full powers. It will be seen at once, therefore, that a hardworking man, whether labourer or thinker, must make good flesh-forming food constitute a considerable portion of his diet; otherwise he would require to take an amount of food which would seriously interfere with his comfort and the due action of his digestive organs. For instance, if he lived on rice alone, he would require to ingest nearly seven pounds of food daily; if on potatoes, he would require upwards of twenty-one pounds; whereas one pound and a third of meat would suffice to supply the same amount of flesh-forming food.
Men who have to work, quickly find out what they require in the way of food. The Irishman who, while doing little work, will live contentedly on potatoes, asks for better flesh-forming food when engaged in heavy labour. In fact, the employer of the working man, so far from feeling aggrieved when his men require an improvement in their diet, either as respects quality or quantity, ought to look on the want as evidence that they are really working hard in his service, and also that they have a capacity for continuous work. The man who lives on less than the average share of flesh-forming food is doing less than an average amount of work; the man who is unable to eat an average quantity of flesh-forming food, is unable to do an average amount of work. “‘On what principle do you discharge your men?’ I once said,” relates Dr. Lankester, “to a railway contractor. ‘Oh,’ he said, ‘it’s according to their appetites.’ ‘But,’ I said, ‘how do you judge of that?’ ‘Why,’ he said, ‘I send a clerk round when they are getting their dinners, and those who can’t eat he marks with a bit of chalk, and we send them about their business.’”
At a lecture delivered at the Royal Museum of Physics and Natural History at Florence, by Professor Mantegazza, a few years since, the Professor dwelt on the insufficient food which Italians are in the habit of taking, as among the most important causes of the weakness of the nation. “Italians,” he said, “you should follow as closely as you can the example of the English in your eating and in your drinking, in the choice of flesh-meat (in tossing off bumpers of your rich wines),[43] in the quality of your coffee, your tea, and your tobacco. I give you this advice, dear countrymen, not only as a medical man, but also as a patriot. It is quite evident, from the way millions of you perform the process which you call eating and drinking, that you have not the most elementary notions of the laws of physiology. You imagine that you are living. You are barely prolonging existence on maccaroni and water-melons. You neither know how to eat nor how to drink. You have no muscular energy; and, therefore, you have no continuous mental energy. The weakness of the individual, multiplied many millions of times, results in the collective weakness of the nation. Hence results insufficient work, and thence insufficient production. Thus the returns of the tax-collector and the custom-house officer are scanty, and the national exchequer suffers accordingly.” Nor is all this, strange as it may sound, the mere gossip of the lecture-room. “The question of good feeding,” says Dr. Lankester, “is one of national importance. It is vain to expect either brain or muscles to do efficient work when they are not provided with the proper material. Neither intellectual nor physical work can be done without good food.”
We have now considered the two principal forms of food, the heat-forming—sometimes called the amylaceous—constituents, and the flesh-forming or nitrogenous constituents. But there are other substances which, although forming a smaller proportion of the daily food, are yet scarcely less important. Returning to our comparison of the human system to a steam-engine—we have seen how the heat-forming and flesh-forming constituents of food correspond to the supply of fuel and water; but an engine would quickly fall into a useless state if the wear and tear of the material of which it is constructed were not attended to and repaired. Now, in the human frame there are materials which are continually being used up, and which require to be continually restored, if the system is to continue free from disease. These materials are the mineral constituents of the system. Amongst them we must include water, which composes a much larger portion of our bodies than might be supposed. Seven-ninths of our weight consists simply of water. Every day there is a loss of about one-thirtieth part of this constituent of our system. The daily repair of this important waste of material is not effected by imbibing a corresponding supply of water. A large proportion of the weight of water daily lost is renewed in the solid food. Many vegetables consist principally of water. This is notably the case with potatoes. Where the water supplied to a district is bad, so that little water is consumed by the inhabitants—at least, without the addition of some other substance—it becomes important to notice the varying proportion of water present in different articles of food. As an instance of this, I may call attention to a remarkable circumstance observed during the failure of the potato crops in Ireland. Notwithstanding the great losses which the people sustained at that time, it was noticed that the amount of tea imported into Ireland exhibited a remarkable increase. This seemed at first sight a somewhat perplexing phenomenon. The explanation was recognized in the circumstance that the potato—a watery vegetable, as we have said—no longer formed the chief portion of the people’s diet. Thus the deficiency in the supply of water had to be made up by the use of a larger quantity of fluid food; and as simple water was not palatable to the people, they drank tea in much larger quantities than they had been in the habit of taking before the famine.