Published Science

During and after strenuous prolonged exercise, sedentary individuals develop high blood levels of acetoacetate and beta-hydroxybutyrate whereas exercise-trained animals and human subjects do not. We have investigated the possibility that exercise training can increase the capacity of skeletal muscle to oxidize ketones. In this study we measured rates of D-beta[3-14-C]-hydroxybutyrate and [3-14-C]acetoacetate oxidation, and the levels of activity of the enzymes involved in the oxidation of ketones in homogenates of gastrocnemius muscles of exercise-trained and of untrained male rats. The trained animals had markedly lower blood ketone levels immediately and 60 min after a 90 min long bout of exercise than did the sedentary animals. The rates of D-beta-[13-14C]hydroxybutryate and [3-14-C]acetoacetate oxidation were twice as high in homogenates of muscles from the trained as compared to the sedentary rats. The increases in levels of activity in gastrocnemius muscle in response to the exercise program were: beta-hydroxybutyrate dehydrogenase threefold; 3-ketoacid CoA-transferase twofold; and acetoacetyl-CoA thiolase 55%. This exercise-induced increase in the capacity of skeletal muscle to oxidize ketones could play a role in preventing development of ketosis in the physically trained animal during and following prolonged strenuous exercise.

A case is reported of megaloblastic anemia resulting from folate deficiency in a vegetarian who had been taking oral contraceptives for eight years. A brief report of the pertinent literature is included,

This study tests the hypothesis than obligatory cation coverage of metabolicaly generated anions is the mechanism for the sodium diuresis of fasting. Nine obese female subjects were equilibrated on a constant sodium and caloric intake and then fasted while sodium intake was maintianed. Particular activity schedule during fasting as during control. Consecutive 3-h increases in urinary sodium , ammonium, and potassium excretion during fasting were matched against simultaneously determined increases in organic acid anions (OAS) and H2PO4 minus, which would exist in combination with the cations. The changes were significantly correlated (r equals 0.891, P less than 0.001) in the relationship y equals 0.73x plus 19 where y equals increases in organic acid salts plus H2POJ minus and x equals increases in cations. As ammonium excretion rose, sodium conservation occurred with ammonium replacing sodium at the major urinary cation. Corollaries to the hypothesis were also found to be true. They were: (a) Increases in ammonium excretion lagged considerably behind increases in OAS plus H2PO4 minus during the diuretic phase making sodium coverage necessary. (b) Sodium loss was much greater than chloride although chloride balance was minimally negative. (c) After refeeding with glucose, sodium excretion promptly decreased and appeared best correlated with simultaneous decreases in OAS. Ammonium excretion also fell but much less than sodium. The data support the hypothesis that obligatory cation coverage of metabolically generated aniuns is a major mechanism responsible for the sodium diuresis of fasting.

The present study was undertaken to determine whether alterations in ketone body utilization and hepatic production, independent of the FFA load, were also involved in the development of fasting ketosis. Plasma Beta-OH butyric acid (Beta-OHB) increased to 2.5-4.5 mM and plasma FFA to 1,000-1,400 muEq/L. in normal weight individuals after five to seven days' starvation and in obese subjects after ten to fourteen days' fasting. Acute elevations fo the plasma FFA greater than 1,500 muEq/L. for sixty minutes in fed normal weight and obese subjects with a fat meal-heparin regimen resulted in peak elevations of plasma Beta-OHB (0.25-0.45mM), only 10 percent of that seen during fasting. When plasma FFA were lowered acutely during fasting with the antilipolytic agent Pyrazole to control levels (400-600 muEq/L.), plasma Beta-OHB decreased 35 plus or minus 5 per cent. Comparable lowering of plasma FFA in normal weight or obese starved subjects given dexamethasone to maintain elevated fasting plasma insulin levels resulted in an 87 plus or minus 3 per cent decrease in plasma Beta-OHB. Similar studies in obese fasted subjects pretreated with an intravenous infusion of insulin (1.0 U/hr. for eight hours) before receiving Pyrazole resulted in a 65 plus or minus 5 per cent decrease in plasma Beta-OHB. Plasma Beta-OHB half-life, determined after injections of 12 gm. Beta-OHB, increased significantly during fasting (110 plus or minus 15 minutes) and was decreased when the fasting subjects were maintained on dexamethasone (65 plus or minus 7 minutes). These studies indicate that accelerated hepatic ketogenesis during starvation is a result of both enhanced activity of the enzymatic system(s) involved in ketone body production as well as an increased FFA load. The increase in plasma Beta-OHB during fasting reflects not only an accelerated rate of hepatic ketogenesis but also an impairment of peripheral utilization, both processes apparently being sensitive to insulin. Diabetes 24:10-16, January, 1975.

This is a study of attitudes toward and knowledge about nutrition among chief food shoppers from households in the United States. To our knowledge, it is one of the first studies existing in the field of nutrition which covers these subject areas in as much depth among as broad a population base.

This paper examines variables useful in reconstructing oral (caries, antemortem tooth loss, alveolar defects) and physiological (cribra orbitalia, linear enamel hypoplasia) well-being in two bioarchaeological assemblages from Hokkaido, Japan: Okhotsk (n = 37 individuals) and Jomon (n = 60). Findings are compared and contrasted with each other, with published series from Honshu Japan, and samples from climatically near-equivalent Alaska. It was found that more meaningful comparisons of Hokkaido paleohealth could be made with Alaskan material, rather than the more southerly Jomon. Results were ambiguous with respect to physiological well-being. Low levels of LEH in the cold-adapted samples suggest operating in arctic and subarctic environments with marine-based subsistence regimes is not physiologically expensive. However, the relatively high levels of cribra orbitalia in Hokkaido, relative to Alaska, suggest the picture is not straightforward: the reasons for elevated cribra orbitalia in Hokkaido are unclear. The subarctic and arctic samples formed three broadly similar groupings in terms of oral health profiles: (1) Aleuts and Eskimo; (2) Ipiutak and Tigara; (3) Hokkaido Jomon, Okhotsk, and Kodiak Island. Differences between these groupings could be explained with a combination of sample demographics and subsistence orientations. The extremely high frequency of caries in one sample, caribou hunting Ipiutak, may have been influenced by factors such as low levels of dietary magnesium and potentially cariogenic foodstuffs, such as preparations of caribou stomach contents. It was concluded that oral health profiles are potentially sensitive to differences in subsistence strategies among cold-adapted hunter-gatherers, although they lack predictive value.

The microdistribution of adult subalpine butterflies was examined in relation to several components of the mountain meadow flora in Gunnison County, Colorado. With the exception of two small, sedentary species, there was no significant correlation between the microdistribution of the butterflies and that of their larval food plants. Similarly, correlational studies indicated no strong habitat selection on the basis of nectar source abundance. The diversity of the butterfly fauna was, if anything, negatively correlated with overall floral diversity. It thus seems that most of the butterflies studied treat a wide array of meadow-vegetation associations as suitable habitat.

Large herbivores must select food from a wide variety of plant parts, species, and strains. These differ in nutritional value (protein, carbohydrate, etc.), toughness, spinosity, etc. Even greater differences are found in types and concentrations of secondary compounds. Every plant produces its own set of secondary chemical compounds, which to a great extent are unique to it or its species. Ingestion of natural concentrations of these compounds can lead to either death or severe physiological impairment. The ubiquitous nature of these compounds would make herbivory impossible unless animals had mechanisms for degrading and excreting them. An animal displaying no obvious symptoms of poisoning is not free of the problem of ridding itself of toxic compounds; if it is eating plants, it almost certainly has this problem. Herbivores are capable of detoxifying and eliminating secondary compounds. Limitations of these mechanisms force mammalian herbivores to consume a variety of plant foods at any one time, to treat new foods with caution, to ingest small amounts on the first encounter, and to sample food continuously. Selection of foods is based on learning in response to adverse internal physiological effects, and herbivores probably cannot predict these from the smell or taste of new foods. Herbivores prefer to eat familiar foods and can seek out and consume foods that rectify specific nutritional deficiencies induced by detoxification. They should prefer to feed on foods that contain small amounts of secondary compounds, and their body size and searching strategies should be adapted to optimize the number of types of foods available with respect to the total amount of food that can be eaten and will be present in the future. Natural selection can increase the efficiency of degrading particular secondary compounds. Specialist herbivores, like koala and mountain viscacha, are expected where a large amount of several related toxic foods is present in a year-round supply. However, few large herbivores are specialized on such a restricted range of foods.

The effects were studied in 8 women of the consumption of the low carbohydrate diet, in which the amount of carbohydrate was restricted to some 80 g a day, but protein and fat were allowed freely. As in previous studies, the energy intake was found to be about 30 % lower on this diet than on the subject’s habitual diet, but the nutrient content was not reduced. During the 6 weeks of the dietary period, there was no change in the plasma concentration of triglyceride, cholesterol or uric acid. There was an intermittent urinary excretion of small amounts of ketone bodies, consistent with the degree of ketosis accompanying moderate weight loss. The urinary excretion of nitrogen and creatinine were unchanged, indicating no significant loss of tissue protein.

A 27-year-old male patient fasted under supervision for 382 days and has subsequently maintained his normal weight. Blood glucose concentrations around 30 mg/100 ml were recorded consistently during the last 8 months, although the patient was ambulant and attending as an out-patient. Responses to glucose and tolbutamide tolerance tests remained normal. The hyperglycaemic response to glucagon was reduced and latterly absent, but promptly returned to normal during carbohydrate refeeding. After an initial decrease was corrected, plasma potassium levels remained normal without supplementation. A temporary period of hypercalcaemia occurred towards the end of the fast. Decreased plasma magnesium concentrations were a consistent feature from the first month onwards. After 100 days of fasting there was a marked and persistent increase in the excretion of urinary cations and inorganic phosphate, which until then had been minimal. These increases may be due to dissolution of excessive soft tissue and skeletal mass. Prolonged fasting in this patient had no ill-effects. Images: Fig. 1:

This book contains edited notes collected from three decades of teaching before McCay's death in 1967.

This study was carried out to determine if, in fasting, an adaptation to utilization of ketones could prevent cerebral dysfunction during periods of acute, insulin-induced glucopenia. In the course of standard insulin tolerance tests (0.1-0.2 U/kg), nine obese subjects manifested frank hypoglycemic reactions resulting in an increase in urinary catecholamine excretion from 61 to 113 mug/24 hr (P < 0.01). After fasting 2 months, administration of weight-adjusted doses of insulin produced identical maximum insulin concentrations and disappearance curves. However, no insulin reactions nor significant rises in catecholamine excretion occurred despite equal extent and rate of glucose fall. Glucose concentrations as low as 0.5 mmoles/liter (9 mg/100 ml) failed to precipitate hypoglycemic reactions. During the postfast insulin tolerance tests, mean plasma 2-hydroxybutyrate (beta-OHB) decreased from 8.02 to 6.69 mmoles/liter (P

ABSTRACT— The propensity of legumes to promote formation of intestinal gas was evaluated in healthy young men by measuring flatus passed from the rectum and the amount of bacterially formed gas in the exhaled breath. Previous experience has shown that flatulent test meals fed in the morning cause elevation of breath hydrogen concentration, flatus volume and flatus hydrogen and carbon dioxide content about 5–7 hr later. Test responses were measured against a baseline derived from feeding a bland, low-residue formula diet. In the present study, mature, dry lima beans were found to be as high in flatulence-inducing factor(s) (FF) as are California small white beans. Mung beans and soybeans caused the same excretion of hydrogen in the breath as did white beans, but only about 2/3 as much flatus. Peanuts were not gas-forming. When the dosage of soybeans was doubled, so that the carbohydrate contribution from the two varieties was more nearly equalized, soybeans caused as much passage of flatus as did white beans. Several products processed by methods that might be expected to alter FF concentration or activity were evaluated in the same way. Soybean and mung bean sprouts appeared to retain most of the FF present in the whole bean. Soybean curd (tofu) had little residual FF but another high-protein food, MPF, made from toasted soy grits, caused as much gas formation as an equal weight of soybean carbohydrate fed as whole beans. Enzymatic treatment of comminuted soybeans, designed to hydrolyze the constituent oligosaccharides, raffinose and stachyose, frequently cited as gas-formers, had only negligible effect on production of intestinal gas. Tempeh, made from soybean grits by mold fermentation, did not increase gas production over baseline values and caused a significant delay in the time of gas formation, suggestive of temporary suppression of intestinal bacteria. Ethanolic extraction of whole white beans reduced but did not eliminate their gas-forming quality.

Certain anthropometric increases occur among the immigrant and subsequent two generations of Japanese-Americans in Hawaii. These changes are correlated with stature and appear to reflect a general increase in body size. The growth trend was more rapid in males and terminated after one American-born generation, suggesting that a maximization of hereditary growth potential may have been reached. For the females, however, metrical increases were more gradual and extended into the third generation. Ethnographic factors of cultural conservatism of women and male dominance in the Japanese family are discussed in connection with this sex difference.