Summary of main results
1. Energy Intake
During period 1, the men received 46 i
4 kcal/kg/day, and during period 2, their energy intake was increased to 58 i 4
kcal/kg/day.
2. Anthropometry
Table 3 shows the anthropometric data
obtained during the study. All subjects except one lost weight. The remaining
anthropometric indices did not show significant changes.
3. Urinary Nitrogen Excretion
Figure 1 and tables 4A and
4B show the daily urinary nitrogen losses. It should be noted that subject E.R.
on day 6 did not comply with the experimental protocol and exercised heavily. We
eliminated the abnormally high value obtained that day and, for computational
purposes, replaced it with the mean obtained from days 5 and 7. A kinetic
evaluation of the data is presented in Table 4A. Subject S.L. did not reach
stability by day 10 and his data were not included to calculate the mean
parameters of the equations. The asymptotically derived urinary nitrogen loss
(P3) after stability had been reached was 35.8 mg N/kg/day. The mean time to
stabilitY (tS) was 6.5 days. Data from subject H.R. on day 15 and from E.R. on
day 13 were not included in the pooled regression analyses and daily means
because these abnormally elevated values corresponded to days on which the
conditions of the experimental protocol were not fully met. The regression
analysis of nitrogen loss versus days with excess energy showed a trend toward
decline in nitrogen loss.
TABLE 3. Anthropometric Measurements of Subjects Fed a Nitrogen-Free Diet at
Two Levels of Energy Intake
|
Days |
Variable |
1 |
10 |
18 |
Height, cm |
169.8 ±4.8* |
169.8 ± 4.8 |
169.8 ± 4.8 |
Weight, kg |
64.4 ± 6.4 |
63.9 ± 6.1 |
63.6 ± 6.4 |
Waist, cm |
82.38±5.3 |
81.81 ±5.18 |
80.88±5.07 |
Gluteal
circumference, cm |
91.19 ±3.40 |
90.63 ± 3.68 |
89.88 ± 3.81 |
Mid-upper right
arm circumference, cm |
28.94 ±2.29 |
28.54 ± 2.34 |
28.19 ± 2.34 |
Mid-upper left
arm circumference, cm |
28.25 ±2.55 |
27.94 ± 2.44 |
27.69 ± 2.50 |
Right triceps
skin-fold, mm |
7.5 ± 2.5 |
7.5 ± 2.6 |
7.3 ± 2.6 |
Left triceps
skin-fold, mm |
7.6 ± 2.6 |
7.4 ± 2.6 |
7 3 ± 2.6 |
Right subscapular
skin-fold, mm |
11.9 ± 3.5 |
11.7 ± 3.4 |
11.5 ± 3.3 |
Left subscapular
skin-fold, mm |
11.8 ± 3.3 |
11.6 ± 3.2 |
11.4 ± 3.2 |
* Mean ± S.D.
4. Other Urinary Excretions
Table 5 shows the mean
urinary creatinine, urea nitrogen, and total nitrogen lost daily during the last
five days of each period.
TABLE 4A. Kinetic Analysis of Daily Nitrogen Excretion in Subjects Fed a
Nitrogen-Free Diet for Ten Days. Dietary energy intake: 46 kcal/kg/day.
Day | J.A. | J.B. | O.G. | S.L.* | H.R. | E.R. | R.E. | N.A. | Mean ± S.D. |
(mg N/kg/day) |
1 | 115.7 | 134.4 | 100.8 | 92.2 | 117.7 | 161.0 | 82.5 | 94.6 | 115.2± 26.3 |
2 | 76.3 | 68.4 | 69.7 | 97.6 | 81.6 | 92.9 | 56.2 | 67.4 | 73.2 ± 11.7 |
3 | 53.2 | 54.6 | 44.5 | 57.9 | 69.3 | 74.3 | 44.4 | 54.4 | 56.4 ± 11.5 |
4 | 44.9 | 57.3 | 42.9 | 54.9 | 65.0 | 52.1 | 42.4 | 41.5 | 49.4 ± 9.0 |
5 | 41.6 | 47.3 | 31.0 | 56.3 | 43.9 | 77.3 | 37.8 | 44.1 | 46.1 ± 14.7 |
6 | 36.3 | 37.2 | 31.0 | 51.6 | 43.5 | 65.1* | 32.5 | 34.0 | 40.0 ± 11.8 |
7 | 39.9 | 36.3 | 26.7 | 53.4 | 43.9 | 54.1 | 32.7 | 28.7 | 37.5 ± 9.5 |
8 | 29.8 | 32.4 | 32.7 | 54 4 | 45 7 | 54.1 | 27.4 | 33.9 | 36.6 ± 9.7 |
9 | 34.8 | 29.0 | 24.2 | 21.4 | 43.5 | 35.2 | 27.4 | 30.0 | 32.0 ± 6.4 |
10 | 31.6 | 33.8 | 25.2 | | 65.0 | 33.9 | 27.4 | 27.4 | 34.9± 13.7 |
P1 | 159.0 | 229.5 | 135.8 | 92.0 | 136.8 | 244.4 | 93.3 | 106.9 | 158.0 ± 58.2 |
P2 | 0.6591 | 0.8488 | 0.5996 | 0.1500 | 0.6668 |
0.7885 | 0.5454 | 0.4819 | 0.6557±0.1295 |
P3 | 33.46 | 36.19 | 26.27 | 13.29 | 47.50 |
49.91 | 28.44 | | 35.77 ± 9.47 |
S.D. | 1.369 | 3.188 | 1.731 | 49.72 | 4.109 |
5.867 | 1.507 | 1.920 |
|
ts | 7.2 | 5.0 | 7.3 | * | 5.3 | 4.7 | 7.6 | 8.3 | 6.5 ± 1.4 |
* Subject S,L did not reach a stable nitrogen loss during this period. His
data were not included in the means. P1 and P3 are expressed in mg N/kg/day; P2
is given in days1; ts stands for days needed for stability.
TABLE 4B, Daily Nitrogen Excretion in Subjects Fed a Nitrogen-Free Diet with
Excess Energy. Dietary energy intake: 58 ± 4 kcal/kg/day.
Day | J.A. | J.B. | O.G. | S.L. | H.R. | E.R. | R.E. | N.A. | Mean ± S.D. |
(mg N/kg/day) |
11 | 36.6 | 35.1 | 31.1 | 42.7 | 48.3 | 51.8 | 27.6 | 32.7 | 38.2 ± 8.5 |
12 | 36.6 | * |
26.7 | 43.9 | 48.8 |
30.0 | 27.7 | 30.9 | 34.9 ± 8.5 |
13 | 35.1 | 32.6 | 23.7 | 57.8 | 42.3 | 90.7** | 27.5 | 28.9 | 35.4 ± 11.5 |
14 | 33.5 | 30.3 | 29.5 | 46.4 | 50.3 | 46.1 | 31.6 | 28.9 | 37.1 ± 8.9 |
15 | 30.2 | 31.5 | 26.6 | 44.8 | 69.7** | 46.0 | 30.3 | 31.6 | 34.4 ± 7.7 |
16 | 29.2 | 27.6 | 25.1 | 49.4 | 36.3 | 44.6 | 27 6 | 32.9 | 34.1 ± 8.8 |
17 | 35.4 | 26.3 | 20.8 | 31.0 | 25.6 | 29.7 | 26.3 | 31.5 | 28.3 ± 4.5 |
18 | 37.3 | 22.7 | 17.9 | *** | 27.2 | *** | 19.7 | 27.6 | 25.4 ± 7.0 |
* Sample was lost.
** Data not included in the calculation because they
deviated from expected values. Regression equations for (a) the complete set of
data, and (b) for days 15 through 18: (a) v = - 1.50x + 55.4, r = - 0.39, p <
0.01; (b) - 3.31 x +8.52, r = - 0.46, p < 0.05.
*** Subjects did not
complete study

FIG. 1. Obligatory Nitrogen Excretion in Chilean
Young Adult Males Fed Two Levels of Dietary Energy Intake
5. Faecal Nitrogen Excretion
Table 5 also shows the mean
daily faecal nitrogen excretion for both experimental periods.
6. Measurements in Serum
Table 6 summarizes the
biochemical measurements obtained initially and at the end of each period.
7. Factorial Calculation
Table 7 shows the factorial
calculation of mean protein requirements. Adding 30 per cent for individual
variability as suggested in 1973 by FAD/WHO, the safe level of protein intake
would be 0.62 g/kg/day.
TABLE 5. Obligatory Nitrogen Losses in Young Male Subjects Fed a Protein-Free
Diet at Two Levels of Energy Intake
| Days 6 to 10
46 ± 4 kcal/kg/day ( g/day ) | Days 14 to 18 58
± 4 kcal/kg/day (g/day ) | Paired t test
p< |
Creatinine | 1.33 + 0.25* | 1.22 +
0.29 | N.S. |
Urea nitrogen | 1.41 ± 0.68 | 1.54 ± 0.46 | N.S. |
Total urinary nitrogen | 2.365 ± 0.477 | 2.107 ±
0.388 | 0.01 |
Faecal nitrogen | 1.029 +
0.194** | 0.562 + 0.141 *** | 0.001 |
* Mean ± S.D.
** Faecal nitrogen losses for days 1 to 10.
*** Faecal
nitrogen losses for days 11 to 18.
TABLE 6. Plasma Biochemical Measurements for Subjects Consuming a
Nitrogen-Free Diet at Two Levels of Energy Intake
|
Day of study |
ANOVA |
|
1 |
10 |
18 |
P |
L.S.D.* |
Protein (g/dl) |
7.4 ± 0.5 |
6.9 ± 0.5 |
6.9 ± 0.6 |
N.S. |
- |
Albumin (g/dl) |
5.0 ± 0.3 |
4.6 ± 0.3 |
4.2 ± 0.3 |
<.001 |
0.61 |
Glucose (mg/dl) |
81.4 ± 8.7 |
78.3 ± 8.5 |
86.6 ± 6.4 |
N.S. |
- |
Urea (mg/dl) |
24.9 ± 5.2 |
10 2 ± 2.6 |
12.5 ± 3.9 |
< 001 |
7.7 |
Urea N (mg/dl) |
11.6 ±3.4 |
4.7 ± 1.2 |
5.8 ± 1.8 |
< 001 |
3.6 |
SGOT (Karmen
units/dl) |
28.8 ± 11.0 |
23.1 ± 10.9 |
38.6 ± 11.0 |
<.05 |
11.4 |
SGPT (Karmen
units/dl) |
17.1 ± 10.2 |
13.9 ± 9.6 |
15.4 ± 14.5 |
N.S. |
- |
Creatinine (mg/dl) |
0.65 ± 0.1 |
0.79 ± 0.1 |
0.72 ± 0.1 |
<.05 |
0.01 |
Triglycerides(mg/dl) |
52.8±25.1 |
44.9±11.5 |
49.1 ±12.5 |
N.S. |
- |
Cholesterol (mg/dl) |
174.9 ± 38.1 |
160.8 ± 42.2 |
134.6 ± 14.3 |
N.S. |
- |
* Least significant difference to the indicated p value.
TABLE 7. Factorial Nitrogen Losses for Young Males Consuming a Nitrogen-Free
Diet
Subject |
P3a |
Urinary nitrogeb |
Faecal nitrogenc |
Total obligatory nitrogen lossesd |
Correction factor 1.3 |
(mg N/kg/day) |
J.A. |
33.5 |
34.5 |
13.9 |
53.4 |
69.4 |
J.B. |
36.2 |
33.7 |
16.0 |
54.7 |
71.1 |
O.G. |
26.3 |
28.0 |
18.9 |
51.9 |
67.5 |
S.L. |
13.3 |
45.0 |
14.0 |
64.0 |
83.2 |
H.R. |
47.5 |
48.3 |
18.0 |
71.3 |
92.7 |
E.R. |
49.9 |
48.5 |
20.2 |
73.7 |
95.8 |
R.E. |
28.4 |
29.5 |
13.7 |
48.2 |
62.6 |
N.A. |
28.6 |
30.8 |
13.7 |
49.5 |
64.4 |
Mean |
35.8 |
36.2 |
16.1 |
58.4 |
75.8 |
S.D. |
9.5 |
8.6 |
2.6 |
9.9 |
12.9 |
FAO/WHO (1973) | |
37 |
12 |
54 |
70 |
- Urinary
nitrogen loss (mp N/kg/day) after asymptotic stabilization,
- Obligatory
urinary nitrogen losses for days 6 to 10.
- Obligatory faecal nitrogen
losses for days 1 to 10.
- Assuming 5 mg N/kg/day for integumental and
miscellaneous losses.