Summary of main results
1. Soldiers
Table 5 summarizes the results of the five
consecutive three-day balance periods. One man's data were excluded from
Balances ill and IV because he had diarrhoea.
TABLE 4. Amount of Food Prepared and Offered Daily in the Metabolic Unit, in
Grams
Cooked beans* | 307 |
Fried beans* |
40 |
Corn tortilla | 570 |
Rice | 200 |
Bread | 45 |
Sweet rolls | 66 |
Meat | 1 07 |
Cheese | 1 09 |
Chayote** | 100 |
Squash | 68 |
Carrots | 66 |
Sugar | 37 |
Total energy 2,800 kcal
Total protein 95 9 = 380 kcal (13.6% energy)
Total protein 95 9 = 380 kcal (13.6% energy)
Total fat 35 9 = 315 kcal
(11.2 % energy)
* Black beans: Phaseolus vulgaris.
** Chayote: Sechium edule.
- There was a clear tendency to gain weight through tout
the 15 days. This suggests that energy intake was in excess of expenditure.
- Stool weight was higher in the first balance period. This might be due
to faecal residues of the food ingested before coming into the metabolic unit
and suggests that two days are not enough for "adaptation" to the new
diets.
- Apparent absorption of nitrogen and of total energy was also
lower during the first balance period. This is probably related to the larger
faecal excretion in that balance period.
- Urinary nitrogen excretion was
constant throughout the five balance periods.
- Nitrogen balance was
lower in Balance I than in Balances II and IV. It did not differ from the
overall mean balance of Balances II to V.
TABLE 5. Guatemalan Soldiers: Results of Metabolic-Balance Studies in Five
Consecutive Three-Day Periods (Mean + S.D.)
Measurement |
Three-day balance periods | Average of balance periods II-V | Least significant difference** |
I (13)* | II (13) | III
(12) | IV (12) | V (13) |
Body
weight, kga | 62.27 ± 3.08 | 62.77 ± 3.02 | 63.30 ±
2.91 | 62.47 ± 2.98 | 63.21 ± 2.94 | 62.94 ± 2.89 | 0.17 |
Stool
weight, g/3 days | 789 ± 303c |
627 ± 291b | 633 ± 255b | 660 ±
273b | 630 ± 261b | 636 ± 261b | 60 |
Nitrogen,
mg/kg/day | |
Intake | 289 ±
14 | 285 ± 14 | 286 ± 13 | 286 ± 14 | 285 ± 13 | 285 ±
13 | |
Faecal | 60 ± 16C | 40 ± 20b | 43 ±
20b | 46 ± 20b | 37 ± 14b | 41 ±
18b | 11 |
Urinary | 200 ± 27 |
193 ± 21 | 213 ±
33 | 194 ± 29 | 216 ± 23 | 204 ± 28 | |
Apparent | 30 ± 20b |
52 ± 22c | 30 ± 31b | 47 ±
24c | 32 ± 25b | 40 ± 27 | 15 |
Apparent absorption, % | 79 ± 5b | 86 ±
6c | 85 ± 6c | 84 ± 6c | 88
± 5c | 86 ± 6c | 3.8 |
Energy, kcal/kg/day | |
Intake | 50 ± 3 | 50 ± 2 |
49 ± 2 | 50 ±
2 | 49 ± 2 | 49
± 3 | |
Faecal | 6 ± 3c | 4 ± 2b | 4 ±
2 | 4 ± 1b | 4 ± 2b | 4 ±
2b | 1.4 |
Apparent absorption, % | 89 ± 5b | 93 ±
4c | 92 ± 3 | 92 ± 2c | 93 ±
5c | 92 ± 4c | 3.0 |
Fat,
mg/kg/day | |
Intake | 556 ±
27 | 583 ± 28 | 515 ± 23 | 586 ± 28 | 547 ± 25 | 558 ±
38 | |
Faecal | 87 ± 32 | 88 ± 34 | 80 ± 28 |
71 ± 27 | 68 ±
31 | 70 ± 32 | |
Apparent
absorption,% | 84 ± 6 | 85± 3 | 84 ± 5 | 88 ± 5 | 88 ± 6 | 86 ± 6 | |
* Number of men in parentheses. ** L.S.D. shown only when groups differed by
analysis of variance, p < 0.05.
a Linear tendency to gain weight with
time. b Lower than values with superscript c, P <0.05..
2. Rural Men
- There were some
differences between Balances I and II but they were not consistent throughout
the four years of the investigation. Based on these findings, on the studies in
the soldiers, and on the fact that some men were offered less than 2,800 kcal of
diet in Balance I of 1974, the data from the second Balance period were used for
comparisons.
- There were no consistent differences between 1974, 1975,
and 1976 in FA or between 1974 and 1975 in GU. Absorption of nutrients was
higher in GU in 1976 than in other years (see tables 6 and 7).
- There
were no differences between the "longitudinal" and
"non-longitudinal" groups.
- Table 6 summarizes the results of
the second Balance periods in 1974 and 1976. Table 7 shows the differences in
absorption of nutrients and in nitrogen balance between the two communities and
between them and the soldiers.
- The differences in nitrogen balance
seem to be mainly due to the high urinary nitrogen excretion in GU in 1976. f.
The men from FA had a tendency for larger stool volumes throughout the four
years of the study than those of men from GU and MZ, although the differences
were not always statistically significant.
- The men from FA were thinner
and weighed less. Consequently, dietary intakes per unit of body weight tended
to be higher in them than in GU and MZ men.
- The apparent absorption of
nutrients was lower in 1974 and 1975 in both villages than in MZ. In 1976,
however, the men from GU absorbed as well or better than those from MZ men.
- All men from GU and FA had between one and seven intestinal parasite species
at the metabolicbalance studies (A. lumbricoides, T. trichiura, hookworm,
Enterobius vermicularis, Giardia tamblia, Enterococcus coli, Entamoeba
histolytica). All were asymptomatic, and ova counts suggested
mild-tomoderate infections. There was no correlation between apparent absorption
of nitrogen total energy and the number of parasite species in the host's
intestine.
TABLE 6. Guatemalan Rural Men: Results of Metabolic-Balance Studies after
Three Days in the Metabolic Unit (Balance I I, Longitudinal Group) and
Comparison with Soldiersa
Measurement |
FA1974 n=28b |
GU1974 n=34 |
FA1976 n=28 |
GU1976 n=34 |
MZ11 n=13 |
Body
weight, kg |
50.35 ± 5.67c |
58.86 ± 10.39 |
51.02 ± 5.51 |
60.69 ±10.53 |
62.77 ± 3.02 |
Stool weight,
g/3 days |
1,056 ± 442 |
776 ± 238 |
928 ± 442 |
759 ± 229 |
627 ± 291 |
Nitrogen,
mg/kg/day | | | | | |
Intake |
324 ± 46 |
300 ± 62 |
329 ± 42 |
303 ± 49 |
285 ± 14 |
Faecal |
83 ± 32 |
70 ± 29 |
71 ± 24 |
44 ± 20 |
40 ± 20 |
Urinary |
194 ± 40 |
171 ± 51 |
220 ± 37 |
225 ± 46 |
193 ± 21 |
Apparent
balance |
59± 62 |
79 ± 25 |
34 ± 39 |
31 ± 26 |
52 ± 22 |
Apparent absorption,
% |
75 ± 8 |
77 ± 8 |
78 ± 9 |
84 ± 6 |
86 ± 6 |
Energy,
kcal/kg/day | | | | | |
Intake |
57 ± 8 |
53 ± 10 |
56 ± 6 |
49 ± 8 |
50 ± 2 |
Faecal |
7± 3 |
5± 2 |
6± 3 |
3± 1 |
4± 2 |
Apparent absorption,
% |
88 ± 5 |
90 ± 3 |
89 ± 6 |
95 ± 2 |
93 ± 4 |
Fat, mg/kg/day |
| | | | |
Intake |
702 ± 78 |
589 ± 106 |
574 ± 60 |
573 ± 89 |
583 ± 28 |
Faecal |
150 ± 51 |
115 ± 45 |
96 ± 46 |
54 ± 26 |
87 ± 34 |
Apparent absorption,
% |
79± 6 |
81± 6 |
84± 7 |
91± 7 |
85±3 |
- Men from
villages FA and GU in 1974 and 1976, and soldiers from MZ (Balance 11).
- Number of men.
- Means ± S.D. Results of comparisons betueen groups
shown in table 7.
TABLE 7. Comparisons between the Second Metabolic-Balance Periods Rural
Men (FA and GU,1974 and 1976) and Soldiers (Mz)a
|
FA-1974 Compared with |
GU-1974 Compared with |
GU-1976 Compared with |
GU | | FA | GU | | GU | FA | | FA |
1974 | MZ | 1976 | 1976 | MZ | 1976 | 1976 | MZ | 1976 |
Stool weight, 9/3 days | **b |
** | - | ** | - | - | - | - | - |
Apparent absorption | |
Nitrogen | - | ¯ ** | - | ¯ ** | ¯ ** | ¯ ** | - | - | ** |
Total energy | - |
¯ ** | - | ¯ ** | ¯ ** | ¯ ** | - | - | ** |
Fat | - | ¯ ** | ¯ ** | ¯ ** | ¯ ** | ¯ ** | - | *** | ** |
Nitrogen balance, mg/kg/day |
|
Intake | - | ** | - | - | - | - | ¯ * | - | ¯ * |
Faecal | - | ** | - | ** | ** | ** | - | - | ¯ * |
Urinary | - |
- | ¯ ** | ¯ ** | - | ¯ ** | ¯ ** | * | - |
Balance | - |
- | - | * | ** | ** | ** | ¯ * | - |
a From data shown in table 6.
b Mean values were higher ( ) or lower (
¯ ) based on student's grouped ''t" test with p < 0.05 (*) or 0.01
(**).