TX 551 fe U, S. DEPARTMENT OF AGRICl R-E. OFFICE OF EXPERIMENT STATIONS— EULLET - A. C. TRUE, Dire- [DIETARY STUDIES AT THE GOVERNMENT HOSPITAL FOR THE INSANE, WASHINGTON, I). 0. BY H. A. PRATT and R. D. MILNER. KSM5, WASHINGTON: GOVERNMENT PRINTING OFFICE, 19 4. Glass A A, 5T r/ Book -7^ 731 U. S. DEPARTMENT OF AGRICULTURE. ( OFFICE OF EXPERIMENT STATIONS— BULLETIN NO. 150. A. C. TRUE, Director. sri f DIETARY STUDIES AT THE GOVERNMENT HOSPITAL FOR THE INSANE, WASHINGTON, D. C. BY H. A. PRATT and R. D. MILNER. WASHINGTON: GOVERNMENT PRINTING OFFICE. 1904. •onogripi OFFICE OF EXPERIMENT STATIONS. A. C. True, Ph. D., Director. E. W. Allen, Ph. D., Assistant Director and Editor <>f Experiment Station Record. C. F. Langworthy, Ph. I)., Editor and Expert on Foods and Animal Production. NUTRITION INVESTIGATIONS. W. O. Atwater, Ph. D., Chief of Nutrition Investigations, Midclletoivn, Conn. C. D. Woods, B. S., Special Agent at Orono, Me. F. G. Benedict, Ph. D., Physiological Chemist, MMdletown, <'unts of nutrients. Protein. Fat. Carbohy- drates. Protein. Fat, Carbohy- drates. Pounds. 75.00 489. 25 Per cent. 12.3 1.9 Per cent. 1.8 .3 Per cent. 74.2 11.4 Pounds. 9.23 9.23 Pounds. 1.35 1.35 Pounds. 55. 65 Cooked cereal 55.65 As illustrating the method of calculating the percentage of nutrients in made dishes containing a large number of articles, the following may be cited: A bread pudding weighing when cooked 228.5 pounds was used in one of the studies and contained, besides flavoring, the following articles: Currants (dried), raisins, sugar, eggs, evaporated cream, butter, bread. The amount of the several ingredients, the percentage composition of each, and the quantity of nutrients each would furnish are shown in the following table: 6523— No. 150—04 2 18 Table 3. — Proportion and amount of nutrients in articles used in making bread pudding. Amount used. Percentage composition. Amounts of nutrients. Protein. Fat. Carbohy- drates. Protein. Fat. Carbohy- drates. Pounds. 4.8 1.5 20.5 6.0 7.5 3.9 46.5 Per cent. 2.4 2.3 Per cent. 1.7 3.0 Per cent. 74.2 OS. 5 100.0 Pounds. 0.1 Pounds. 0.1 Pound*. 3 5 1.0 20.5 Eggs as purchased 13.1 9.6 1.0 9.2 9.3 9.3 85.0 1.3 .8 .7 .6 .7 3.3 .6 11.2 .8 Butter 53.1 4.3 24.7 Total 5.9 5.3 50.5 1 The composition of the cooked pudding was computed as protein 2.6 per cent, fat 2.3 per cent, and carbohydrates 22.1 per cent, by dividing the total quantity of each nutrient given in the table above by 228.5, the weight of the pudding when cooked and multiplying by 100, the assumption being that there would be no appreciable loss of nutrients in cooking. Obviously considerable labor was involved in making weighings of the raw foods used in preparation of the different dishes. In dietary studies Nos. 361, 365, and 371 these weighings were made for all foods served at each meal, but in the other studies, which were made in dining rooms supplied from the larger kitchens, this was not practi- cable, for the reason that the cooking was done for a large number of dining rooms at the same time, and the food for one dining room could not be separated from that for the others. In order to obtain data for computing the composition of the cooked foods under such circum- stances it was necessary to weigh the raw ingredients used in preparing food for all the wards supplied from the kitchen, and the number of weighings involved for such a simple dish as boiled cabbage, for example, was from 10 to 60, so that one observer could not collect data for all the foods used at each meal, in addition to gathering those for food served, returned, and wasted in the dining room. It was there- fore necessary in all other studies than the three just mentioned to reduce to a minimum the labor of collecting statistics in the kitchen. It was observed that for any given dish the cooks would use practi- cally the same quantities of raw ingredients each time, and that the other conditions, namely, the amount of water added and the time of cooking, were gene rall} T the same; under such conditions any given dish made in the same kitchen at different times was quite uniform in char- acter. The composition as computed at different times was likewise quite uniform, the variations being generally no greater than in the analyses of different samples of the same kind of food material. It was therefore believed to be sufficiently accurate to compute the com- position of each cooked food in most cases but once for each kitchen, and use the computed value for all studies in which the particular food 19 was served, though in some instances a number of such determinations were made for the same food, and average values used. All data regarding percentage composition of raw food materials were taken from a previous publication a of this Office giving average values for American food materials. The composition of each cooked food as computed according to the method described above is given in Table 37, and the data by which the computations were made in Table 38 of the Appendix. By use of these data and the statistics regarding the quantities of food consumed the amounts of each nutrient in the different kinds of food used were computed. It is the usual custom to express the results of dietaiy studies in terms of nutrients and energy per man per day. During each study an accurate account was kept of the total number of persons served at each meal, and from these records the equivalent number of men for one day was calculated. In the studies in which both men and women were included the number of meals taken by women were computed to the equivalent number per men by assuming that one meal for a woman is equivalent to 0.8 meal for a man. Dividing the total quantity of each nutrient consumed in each study by the number of days for one man computed as just explained gives the equivalent amount of the nutrient for one man for one day. The fuel value of the diet, that is, the amount of available energy it would furnish, was computed from the quantities of nutrients per man per day on the assumption that each gram of protein and carbohydrates would furnish 1 calories and each gram of fat 8.9 calories. b The details of the dietary studies follow. DIETARY STUDY NO. 364— CHRONIC MALE PATIENTS. This study was made with about 550 male patients, who were nearly all chronic, mostly from middle life to old age, and appeared to be fairly quiet and orderly. Many of them were veterans of the civil war. The larger number of these patients were fed in one dining room; but in addition to these the study also included about 35 patients of a similar class, who were crippled or lame to such an extent that they could not climb the flight of steps to the larger dining room, and were therefore fed apart in a section known as " Home ward," though they received the same diet as the others. The majority of the men in this study did no work and appeared to take very little exercise. However, 120 were classed as workers, though only a part of these did anything except very light work, many of them being employed a few hours each day in the wards or dining room. The study began with breakfast, Tuesday, September 30, 1902, after «U. S. Dept. Agr., Office of Experiment Stations Bui. 28, revised. & See Connecticut Storrs Station Ept. 1899, p. 104. 20 preliminary observations of 1 day, and continued for 7 days, with 21 meals. In the preliminary period the only food weighed was that for supper, but the different kinds of food in the material rejected were separated and an attempt was made to determine clearly just what was desired in carrying on the study. An accurate census of the patients at each meal showed the total number of meals taken to be 11,353, which was equivalent to 1 man for 3,781 days. The food consumed in this study was prepared in the "detached kitchen," described on page 10, which directly adjoins the large dining hall in which these patients were served. This hall is neat and clean, large, and well heated and ventilated. The patients are served by the attendants and, owing to the nearness of the dining room to the kitchen, the food comes to the tables fairly hot, which makes it seem more appetizing. During the week that this study was made the following menu was served: Tuesday, September 30, 1902. Breakfast. — Oatmeal, liver and bacon, rolls, butter, coffee. Dinner. — Beef stew, bread, cabbage, bread pudding, butter, coffee. Supper. — Bread, butter, prune sauce, tea. For workers, meat. Wednesday, October 1, 1902. Breakfast. — Oatmeal, beef stew, bread, coffee, butter. Dinner. — Bean soup, corned beef, bread, eggplant, potatoes, crackers. Supper. — Baked apples, bread, butter, tea. For workers, meat. Thursday, October 2, 1902. Breakfast. — Oatmeal, prune sauce, coffee, butter, biscuit. For workers, meat. Dinner. — Beef potpie, bread, vegetable soup, beets, crackers, butter. Supper. — Baked beans, bread, butter, tea. For workers, meat. Friday, October 3, 1902. Breakfast. — Salt mackerel, bread, butter, coffee, potatoes. Dinner. — Baked cod, bread, coffee, beets, cabbage, steamed pudding, butter. Supper. — Tomato sauce, bread, butter, tea, cheese, crackers. For workers, meat. Saturday, October 4, 1902. Breakfast. — Beefsteak, potatoes, bread, butter, coffee. Dinner. — Vegetable soup, beef, crackers, bread, cabbage, hominy. Supper. — Baked apples, bread, butter, tea. For workers, meat. Sunday, October 5, 1902. Breakfast. — Oatmeal, bread, butter, coffee, baked beans. For workers, meat. Dinner. —Roast beef, corn, potatoes, bread, butter, coffee, rhubarb pie. Supper. — Bread, butter, apple jelly, cake. Monday, October 6, 1902. Breakfast. — Coffee, sausage, hot biscuit, butter, potatoes. Dinner.- — Bean soup, shoulder, bread, cabbage, potatoes, crackers. Supper. — Apple jelly, bread, butter, tea. For workers, beef. Sugar and milk are added to tea and coffee in the kitchen. 21 As has been stated before, the menu is practically the same for each week of any particular month, so that the above may be considered as the regular patient's menu for the month of October. In this study a system of tagging each lot of meat was followed, which somewhat simplified the matter of obtaining separate records of the amounts used from different cookings. This was quite essential because of differences in the percentage composition of different kinds of meat, and also because, in order to compute the percentage com- position of each lot of cooked meat (see p. 16), it is obviously neces- sary to know the weight of fat which is cooked out, the change in weight of the bones in cooking, etc. Great care was taken to secure as accurate data of this sort as possible in these studies. The statistics regarding the total amounts of food sent from the kitchen to the dining room, the amounts served to the patients, and the amounts rejected and wasted in this study are given in detail in Table 35 of the Appendix. The following table shows the amounts of the various nutrients and the energy in the food actually eaten, as calculated per man per day, together with the amounts of nutrients and energy wasted, for the different classes of food and for the whole ration. It should be stated that, as shown by the menu above, in addition to the regular diet served to the whole group in this study the working patients were given a little extra meat at supper, in accordance with the custom of the institution. In computing the results given in the following table, however, this extra meat has been included as if forming a part of the total food for the whole group and served to all alike. This does not appreciably affect the results, because the amount of extra food for such a small proportion of the patients was very small as compared with the total food for the whole number of patients in the study. Table 4. — Nutrients and energy in food eaten and wasted in dietary study No. 364. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Grams. 17 8 3 Grams. 21 17 2 38 5 1 Grams. Calories. 255 183 30 338 61 21 Grams. 2 1 Grams. 2 \ Grams. Calories. 20 Pork 9 Fish 13 4 1 2 33 84 2 888 3 4 48 35 10 1 6 213 59 55 30 1,081 245 317 120 4 1 23 117 11 1 7 4 32 16 Total vegetable food. . 46 17 357 1,763 5 1 34 165 9 11 25 234 L 1 1 17 Total food 88 112 384 2, 885 9 6 35 230 22 The results of the study as summarized in the table above show that the food actually eaten by the patients in this group furnished on the average 88 grams of protein and 2,885 calories of energy per man per day. As explained above, only 120 of the 550 persons studied did any work, and only a part of these did what could be considered a fair day's work; the large majority had little or no muscular exercise; so it is believed that the results of this study may be fairly compared with the commonly accepted American dietary standard for men in health with little or no muscular exercise, which calls for 90 grams of protein and 2,450 calories of energy per man per day. According to this comparison these patients would appear to have been sufficiently nourished. In support of this it may be stated that the physicians in charge considered that they were in good physical health. Many of them gained in weight after they were admitted to the hospital, while only a few lost weight. The general appearance of the men also indi- cated that the amounts of food consumed were sufficient for their proper maintenance. Another indication that the food consumed was adequate is found in the amounts of food rejected. The figures in the table above show that the amount of edible food left on the plates and in the serving dishes was enough to supply 9 grams of protein and 230 calories of energy per man per day. It will be remembered that this represents food which the patients could have eaten if they had not been satisfied without it. Statistics concerning the amounts of individual foods wasted are included in Table 35 of the Appendix, the last column of the table showing what proportion of each food provided was rejected. Appa- rently breakfast cereals were not relished by these patients, as about 22 per cent of the oatmeal and 47 per cent of the hominy provided were not eaten. Comparatively large amounts of beef stew and bean soup were also rejected. The figures for the whole study show that 7 per cent of the animal food and 11 per cent of the vegetable food, or 10 per cent of the total food provided, was wasted. The major portion of this consisted of material left on the plates by the patients, though some of it was material that had not been served. When the food left in the serving dishes was small in amount it was added to that rejected by the patients, but when the amount remaining after the patients were served was large it was sent back to the kitchen. The amounts thus returned are shown in the second column of Table 35 of the Appendix. During the course of this study the only articles returned were corned beef, potatoes, apple jelly, and rhubarb pie. Little or no provision was made, however, for the utilization of such "left-over" material, and most of it, particularly vegetable food other than potatoes, eventually was added to that rejected in the dining room and like other waste was used to feed pigs. The proportion of the 23 total food provided that was actually wasted was therefore somewhat larger than is shown by* the figures in the last column of Table 35. The proportions of rejected food noted in this study do not differ greatly from what has been found in similar studies elsewhere, and in comparison were by no means excessive. Nevertheless, a part of it could have been prevented. In the first place, where the conditions of the patients are such as to unfit them for judging of their own needs, the amount of food to be served to the individual must be decided by the attendants, and the}^ could serve the different patients in their charge in accordance with an estimate of their needs as based to some extent on observations of their food consumption. It is believed that, if judgment were thus exercised by the attendants serv- ing the food, the amounts rejected in cases like the above would be greatly lessened. This would result in more than a reduction of the amount of material left on the plates by the patients, for with a better knowledge of the amount of food needed it would be possible to regulate accordingly the amounts sent from the kitchen to the dining room, so that there would be a corresponding decrease in the proportion of the food remaining after the patients had been served. In this way a consid- erable saving could have been made in the cost of feeding the patients included in this study under the conditions then existing. A substitution of equally nutritious and better relished foods in place of the cereal foods and stews rejected in such large quantities could also have been made without increasing the cost of the diet. Aside from these matters there seemed little need for other changes. As regards the substitution of cheaper foods of equal nutritive value for those of higher cost, it is the impression of the observer that very little could have been done in this particular case, the conditions in this study being apparently very satisfactory in this respect. It may be stated that the observer obtained very favorable impres- sions regarding the cleanliness and wholesomeness of the food and the variety of the diet served. He was constantly in the kitchen during the study and noticed that the kitchen utensils were clean, the dishes were thoroughly washed, and the floors, tables, etc., were in good con- dition. Nearty every article served to the patients was tasted by the cooks, to learn whether it was properly cooked and seasoned. While the diet was on the whole rather simple, there was considerable change in the staple foods from day to day, and accessories such as fresh fruits and vegetables in their season were used. It appeared upon inquiry that nearly all of the patients who were competent to judge were well satisfied with their food, very few complaints being made regarding it. 24 DIETARY STUDY NO. 365— ATTENDANTS AND KITCHEN EMPLOYEES. This study was made with 58 persons, chiefly male attendants, but including- 14 kitchen employees, 3 of whom were women. The greater number of the kitchen help were negroes. The food, which was the same for all, was supplied from the "detached kitchen." As a rule it was cooked separately from that for the patients, though sometimes breakfast foods and meats were cooked together for both patients and attendants. The cooking for the attendants was done by a special cook and her helper, and particular care was taken to have the food wholesome, palatable, and attractive. Considerable attention was also paid to variety in the diet. It is believed that the fare com- pared very favorably with that of attendants in other institutions. The dining room (PI. II), which is neat, attractive, and cheerful, is situated on the second floor of the detached kitchen building. This study began with breakfast, October 12, 1902, after prelimi- nary observations of 1 daj% and continued 1 da}^s, with 21 meals. The total number of persons present at different meals was very variable, owing to leave of absence granted to attendants. The total number of meals eaten during the study, estimating 1 meal for a woman as equivalent to 0.8 meal for a man, was equivalent to 1,227, or equiva- lent to 1 man for 409 days. The following menu was served during this study: Sunday, October 12, 1902. Breakfast. — Wheat breakfast food, baked beans, fried potatoes, fried ham, biscuit, coffee. Dinner. — Baked pork with gravy, mashed potatoes, stewed tomatoes, canned peas, apple sauce, baked custard, bread, tea. Supper. — Fried eggs, potato cakes, grapes, jelly cake, bread, tea. Monday, October 13, 1902. Breakfast. — Oatmeal, pork sausage, corn bread, bread, coffee. Dinner. — Boiled cabbage, boiled potatoes, pork shoulders, canned corn, cottage pudding with sauce, bread, grapes, tea. Supper. — Cinnamon bread, hashed potatoes, dried beef, apple sauce, bread, tea. Tuesday, October 14, 1902. Breakfast. — Wheat breakfast food, liver and bacon, fried potatoes, rolls, coffee. Dinner. — Vegetable soup, meat pie, boiled rice, boiled beets, chocolate pudding with sauce, bread, soda crackers, tea. Supper. — Stewed pears, cold shoulder, creamed potatoes, bread, tea, quick biscuit. Wednesday, October 15, 1902. Breakfast. — Wheat breakfast food, beefsteak and onion gravy, biscuit, coffee. Dinner. — Corned beef, cabbage, boiled potatoes, lemon ice, bread, tea. Supper. — Bologna sausage, apple sauce, gingerbread, potato cakes, bread, tea. U. S. Dept. of Agr., Bu!. 150, Office of Expt. Stations. Plate II. 25 Thursday, October 16, 1902. Breakfast. — Wheat breakfast food, pork chops and gravy, fried potatoes, biscuit, coffee. Dinner. — Vegetable soup, mutton stew, canned corn, apple pie, soda crackers, bread, tea. Supper* — Cold corned beef, baked beans, fresh apples, bread, tea. Friday, October 17, 1902. Breakfast.— -Cereal, fried potatoes, salt mackerel, rolls, coffee. Dinner. — Stuffed cod, bacon, boiled potatoes, macaroni and tomatoes, stewed corn, chocolate custard, bread, tea. Supper. — Scalloped fish, fried apples, bread, cheese, tea. Saturday, October 18, 1902. Breakfast. — Oatmeal, beefsteak and gravy, fried potatoes, bread, coffee. Dinner. — Boiled beef, baked sweet potatoes, cabbage, boiled rice, floating island padding, bread, tea. Sapper. — Hash cakes, mush, stewed pears, Graham bread, tea. Butter served with every meal. Sugar and milk always provided. Bread served ad libitum. The detailed data regarding the total quantities of food served, eaten, and wasted during this stud}^ are given in Table 35 of the Appendix. The results as calculated to show the amounts of nutrients and energy per man per day in the food eaten and that rejected are summarized in Table 5. Table 5. — Nutrients and energy in food eaten and roasted in dietary study No. 365. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates" Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Grams. 19 22 drams. 22 40 drams. 2 4 Calories. 280 ■160 Grams. 5 2 drums. 6 3 Grams. Calories. 73 35 8 2 8 3 29 6 18 2 HI 35 258 77 412 4 1 2 33 5 15 1 23 Milk (evaporated cream)... Total animal food 71 126 32 1,533 11 10 2 141 24 8 146 140 71 39 751 560 453 169 8 3 47 247 11 1 14 1 6 9 34 240 8 Total vegetable food.. 36 23 396 1,933 14 12 83 495 14 21 63 495 4 6 13 121 121 170 491 3,961 29 28 98 757 This table shows that the diet furnished in food actually eaten 121 grams of protein, lfO grams of fat, 491 grams of carbohydrates, and 26 3,961 calories of energy per man per day. This consumption of nutrients and especially of energy is somewhat larger than that of the commonly accepted dietary standard for men at light to moderate muscular work, which calls for 112 grams of protein and 3,050 calories of energy per man per day. A definite classification of the persons in this group as regards amount of muscular activit} 7 could not be easily made. The amount of work done by the kitchen help was apparently more than by the attendants, though that performed by the indi- vidual attendants varied. It is very probable, however, that the food consumed was more than sufficient for their needs; indeed, as regards energy, it seems excessive. Undoubted^ this excess is due to the fact that from the abundant diet provided each person selected and ate freely of that which he liked and rejected that which did not suit his taste. This would tend to increase the total amount eaten, and as preferences were largely for desserts and side dishes that contained considerable proportions of carbohydrates and fat, and the menu was generally such that these tastes might be gratified, the excess of energy in the food consumption is easily accounted for. The conditions in this study were such as would entail considerable waste. The amount rejected in the kitchen was apparent^ small, but that in the dining room was large, the total amount being sufficient to supply 29 grams of protein, 28 grams of fat, 98 grams of carbohydrates, and 757 calories of energj- per man per day, or 19 per cent of the pro- tein, 11 per cent of the fat, 17 per cent of the carbohydrates, and 16 pe*r cent of the energy in the food served. Undoubtedly this large waste was in part due to the absence of attendants from their meals, as mentioned above. No allowance was made for this contingency in preparing the meals, the food being always provided for the maximum number. On the other hand, certain of the foods called for by the menu during the study were regularly provided, notwithstanding the fact that they were not relished and consequently were not eaten. For instance, chocolate pudding, though well made, was almost never eaten. There was also considerable rejection of staple articles of diet. While this was due in part to the fact that some of the attendants did not care for those particular foods, it was also in some measure due to the fact that the amounts supplied were in excess of normal needs. It would of course be better economy to take account of such condi- tions as the above in planning the diet for such a group rather than to follow a prescribed course which it is known will result in waste of food, and, after the results of this study were known, the dietitian in charge of this dining room took advantage of the facts learned and made successful efforts to reduce the waste. 27 DIETARY STUDY NO. 371— SICK AND BEDRIDDEN MALE PATIENTS. This study was made with 114 sick and bedridden chronic male patients in six wards, mainly for the purpose of determining the amount of food actually eaten and wasted, so that improvements might be made wherever desirable. The six wards were included in one study because the patients were all approximately of the same class, and were all supplied from the same kitchen, and so the foods could be weighed in large lots. The kitchen helpers, 6 in number, were also included in the study. Three of them were, in fact, patients, while the 3 who were not did not receive all their food in this depart- ment, and it was estimated that the difference between the average food consumption of these 3 and that of the patients was counterbal- anced by the amount of food which they received from another depart- ment. No nurses nor attendants were supplied from this kitchen. The study began with breakfast on Friday, December 12, 1902, after a day of preliminary observations, and continued 7 days, with 21 meals. The census for the study was obtained by taking the daily population of the wards, as these patients have no way of obtaining food except from this kitchen. The total number of meals taken was 2,385, equiva- lent to 1 man for 795 days. The food was served from the "Allison kitchen,' 1 and was* what is known as a " sick diet," but in addition to this a special diet was pro- vided for a varying number of patients. Those who wished received toast and milk for breakfast and supper; a few received milk ad libi- tum; two patients received toast and milk each day for dinner; several patients received eggs at every meal, and one patient received what- ever he ordered regardless of the regular menu. However, the food of this man was not weighed, and he was not included in the group studied. During the time of this study a small amount of extra food (oranges, etc.) was served besides the regular meals to two patients, but no separate account was taken of these extras as the quantities were so small. It will be seen from the menu given below that the diet was planned to consist largely of soft, easity masticated foods, which it was believed would be easily and readily digested. The food was all cooked with the greatest possible care, very largely under the personal supervision of a dietitian. The dishes were garnished with lettuce, parsley, etc.; much attention was paid to flavoring and seasoning, and the food was all served as attractive!} 7 as possible. 28 Friday, December 12, 1902. Breakfast. — Oatmeal, salt mackerel, baked potatoes, toast, " bread, milk, scrambled eggs," hot milk/' coffee. Dinner. — Corn soup, boiled fish with egg sauce, boiled rice, sweet potatoes, stewed tomatoes, caramel ice cream, bread, toast/' milk, tea, crackers. Supper. — Oyster stew, shredded wheat, apple sauce, bread, toast/' milk, baked potatoes, « tea. Saturday, December 13, 1902. Breakfast. — Oatmeal, browned potatoes, beefsteak, milk, bread, toast/' baked pota- toes," eggs, a coffee. Dinner. — Vegetable soup, roast beef with gravy, creamed mashed potatoes, maca- roni and cheese, bread pudding with lemon sauce, boiled rice, eggs," baked pota- toes, « tea, crackers. Supper. — Creamed chicken, baked potatoes, 05 stewed prunes, toast," bread, eggs," milk, tea. Sunday, December 14, 1902. Breakfast. — Oatmeal, beefsteak, baked potatoes, toast," rolls, milk, coffee. Dinner. — Oyster soup, fricasseed chicken, mashed potatoes, celery, lemon jelly with custard sauce, toast," baked potatoes," milk, bread, jelly or preserves, butter, tea, crackers. Supper^ — Cold sliced boiled beef, apple sauce, bread, toast," eggs," milk, baked potatoes," tea, cake. Monday, December 15, 1902. Breakfast. — Wheat breakfast food, toast," baked potatoes," milk, eggs," steak, browned potatoes, rolls, coffee. Dinner. — Vegetable soup, beef stew, rice, stewed corn, junket with fruit, bread, sweet potatoes, baked potatoes," tea, crackers. Supper. — Scrambled eggs, toast," baked potatoes," baked apples, bread, milk, tea. Tuesday, December 16, 1902. Breakfast. — Liver and bacon, baked potatoes, toast, milk, coffee. Dinner. — Tomato soup, roast mutton, mashed potatoes, rice, canned peas, choco- late blanc mange with custard sauce, milk, eggs," bread, tea, crackers. Supper. — Creamed dried beef, baked potatoes," peach sauce, milk, eggs," toast," bread, tea. Wednesday, December 17, 1902. Breakfast. — Oatmeal, steak, browned potatoes, baked potatoes, " eggs, « milk, toast," 1 tread, coffee. Dinner. — Potato soup, chicken stew, boiled rice, browned parsnips, baked pota- toes," floating island pudding, toast," bread, milk, tea, crackers. Supper. — Creamed oysters, milk, toast," baked potatoes," eggs," apple sauce, tea. Thursday, December 18, 1902. Breakfast. — Oatmeal, veal cutlets, eggs," baked potatoes," milk, toast," bread, coffee. Pinner. — Roast beef, baked potatoes, « sweet potatoes, turnips, eggs," boiled rice, stewed corn, milk, bread, rice pudding, tea, crackers. Supper. — Baked potatoes," salmon, mush, eggs," toast, bread, bananas, tea. Bread served ad libitum. Beef tea served to a few sick patients at every meal. Butter served with breakfast and supper daily. Sugar and milk provided for tea and coffee. "Special diet. 29 Detailed data regarding the amount of food provided, eaten, and rejected during this study are given in Table 35 of the Appendix. These are summarized in the following table, showing the amounts of nutrients and energy per man per day in the food eaten and that rejected: Table 6. — Nutrients and energy in food eaten and wasted in dietary study No. 371. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel Jvalue. Grams. 13 3 4 8 Grams. 12 3 3 6 17 41 Grams. 1 Calories. 163 39 43 85 151 709 Grams. 9 1 2 1 Grams. 9 1 1 Grams. < 'alories. 116 13 17 4 Milk 34 52 3 4 5 68 Total animal food 62 82 53 1,190 16 15 5 •2ls 20 7 118 55 50 27 614 220 269 112 13 2 77 378 6 1 5 3 2 20 3 109 Fruits 12 Total vegetable food . . 27 12 250 1,215 16 4 100 499 Miscellaneous food 10 11 26 242 3 4 7 76 Total food 99 105 329 2,647 35 23 112 793 The food actually eaten furnished 99 grams of protein, 105 grams of fat, 329 grams of carbohydrates, and 2,647 calories of energy per man per day, amounts which are rather larger than was to be expected from the physical condition of the patients. Why this was the case it is difficult to say, but the recorded data show that a large amount of milk was used, both as a beverage and in the cooked foods. In fact, milk furnished fully 33 per cent of all the protein consumed. Milk is almost always an important article of food in the diet of the sick, and rightl} T so, since it affords an easy means of supplying the body with the neces- sary nutriment, and, moreover, is well liked by people in general and is well tolerated. These facts were evidently appreciated by the phy- sicians in charge. It is quite probable that the patients regarded the milk as a drink rather than as a food, as such large amounts were taken. It is probably also true that the diet was much to the taste of the sub- jects, and this could hardly fail to be the case with those who had any appetite or capacity for appreciating their food. It is not altogether surprising, therefore, that the amounts of nutrients consumed by these patients were larger than might seem necessary. On the other hand, it is not impossible that the digestive powers of these men were impaired to such an extent as to make the amounts of nutrients actually utilized by the body less than would be the case with people in robust health. If this be true, it would in part account for the seemingly large amounts of nutrients consumed. There is little 30 doubt, however, that even if the proportions of nutrients digested were much less than normal, the amounts of energy were large as compared with the actual needs of the subjects, since they had almost no mus- cular exercise. In fact, many were bedridden, and life with some was undoubtedly at a very low ebb, the death rate in these wards being high. The quantity of food rejected in this study was enough to supply 35 grams of protein, 23 grams of fat, 112 grams of carboh} 7 drates, and 793 calories of energv per man per day, or 26 per cent of the protein and 23 per cent of the energy of the total food served. These propor- tions are large and are especially noticeable when some of the indi- vidual items are considered. For example, the amounts of beef, veal, and mutton rejected ranged from 24 to 52 per cent of the total pro- vided. In fact there were comparatively few articles of which less than 20 per cent was rejected. The food sent to these wards and not served is necessarily wasted for the reason that it is for the most part of such a character that it could not be prepared for serving again, but especially because coming from the sick wards there might be danger of spreading contagious diseases. It would perhaps be impossible to govern the quantity of food wasted b} 7 such sick, infirm, and bedridden patients as made up the group included in this study. For many of them eating is no doubt a con- siderable effort, and the amounts which they consume vary with their condition from da} 7 to day. It is undoubtedly true that the margin of waste in sick wards in general must necessarily be larger than that for patients in better physical condition. Nevertheless, it was the opinion of the observer that the quantities noted were somewhat larger than necessary, owing to an oversupply of food. The correctness of this deduction is shown by the fact that after the study was completed the dietitian in charge made some improvements in this respect and cur- tailed the waste. DIETARY STUDY NO. 366— MALE PATIENTS, MOSTLY INVALIDS. This study was made with a group of 52 persons, most!} 7 in wards Mos. 1 and 2 of the Toner building. The majority were sick, infirm, and bedridden patients. Several patients not particularly ill but given a light diet, some convalescents, and a few attendants and employees who were sick at the time were also included in the group. The study began with breakfast, November 1, 1902, and continued for 7 days, with 21 meals. The total number of meals taken during the study was 1,086, equivalent to 1 man for 362 days. The food for these wards differed in general from that for any other group studied, since it was in part the regular hospital diet, in part the regular attendants' diet, and in part a special diet. The menu for these wards during this study is here given. This may be taken as typical of the diet regularly supplied to these wards, especially as regards the variety of articles of food served. 31 Saturday, November 1, 1902. Breakfast. — Hominy, oatmeal, ham, fried eggs or boiled eggs, toast, milk, bread, coffee. Dinner. — Bean soup, hash, creamed mashed potatoes, beets, sandwiches," custard," squash pie, toast, milk, bread, tea. Supper. — Stewed oysters," stewed beef, steak, scrambled eggs" and fried eggs," applesauce, custard," bread, toast, milk, tea. Sunday, November 2, 1902. Breakfast. — Oatmeal, steak, scrambled eggs and boiled eggs, toast, rolls, milk, coffee. Dinner. — Oyster soup, stewed chicken, baked sweet potatoes, stewed corn, boiled rice, milk, lemon jelly with custard sauce, rolls, toast, tea. Supper. — Scrambled eggs and boiled eggs, milk, bread, toast, cake, bananas, tea. Monday, November 3, 1902. Breakfast. — Oatmeal, hominy, fried eggs and boiled eggs, bacon, milk, biscuit, toast, coffee. Dinner. — Bean soup, steak," roast beef, mashed turnips, boiled potatoes, boiled rice, bread pudding, toast, milk, bread, tea. Supper. — Fried eggs, boiled eggs" and scrambled eggs," cinnamon bread, stewed dried beef, grapes, milk, bread, toast, tea. Tuesday, November 4, 1902. Breakfast. — Oatmeal, pork chops, baked potatoes, fried eggs," boiled eggs" and scrambled eggs," corn bread, rolls, milk, toast, coffee. Dinner. — Chicken," roast beef, boiled squash, boiled rice," mashed potatoes, rice pudding, milk, bread, toast, tea. Supper. — Cold roast beef, eggs on toast, " fried eggs and boiled eggs, baked apples, milk, bread, toast, tea. Wednesday, November 5, 1902. Breakfast. — Oatmeal, steak, potatoes, fried eggs and boiled eggs," bread, toast, milk, coffee. Dinner. — Chicken," roast veal, boiled rice, baked sweet potatoes, canned peas, milk, bread, toast, tea. Supper. — Hash, oyster stew," fried eggs " and boiled eggs," baked apples, ginger- bread, toast, bread, milk, tea. Thursday, November 6, 1902. Breakfast. — Oatmeal," mush, steak, baked potatoes, scrambled eggs," fried eggs" and boiled eggs," biscuit, toast, milk, coffee. Dinner. — Stewed chicken, steak," stewed corn, rice, beets, lemon jelly, toast, bread, milk, tea. Supper. — Boiled eggs and scrambled eggs, custard," stewed prunes, milk, bread, toast, tea. Friday, November 7, 1902. Breakfast. — Oatmeal, boiled potatoes, salt mackerel, fried eggs," boiled eggs" and scrambled eggs," rolls, milk, toast, coffee. Dinner. — Clam soup, baked cod," steak," oyster stew," stewed tomatoes, boiled potatoes, creamed mashed potatoes, boiled cod, boiled rice, custard, bread, milk, toast, tea. Supper. — Scalloped oysters, poached eggs on toast," boiled eggs," fried and scram- bled eggs," steak," custard," toast, bread, milk, grapes, tea. Butter served with every meal. Sugar and milk provided as usual. " Special or extra diet. 32 The statistics regarding the quantities of food provided, eaten, rejected, etc., are given in Table 35 of the Appendix. The data regarding the quantities of nutrients and energy per man per day in the food eaten and rejected are summarized in Table 7. Considerable difficulty was experienced in this study in separating the different kinds of food rejected so as to get the weights of each. Frequently allowances and estimates had to be made, and though in some cases it was almost impossible to make satisfactory estimates, this was done as carefully as possible, and the data as recorded are believed to be not far from correct. Table 7. — Nutrients and energy in food eaten and wasted in dietary study No. 366. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Grams. 16 4 2 3 10 Grams. 16 7 2 2 12 26 31 Grams. Calories. 206 82 26 34 147 231 536 Grams. 4 2 2 1 1 2 Grams. 4 2 2 1 1 7 3 Grams. Calories. 51 1 1 30 26 1 13 13 Butter . .. 62 Milk (evaporated cream)... 26 39 3 47 Total animal food 61 96 41 1,262 12 20 4 242 21 5 126 633 15 3 86 431 4 1 3 28 15 154 64 2 1 15 5 77 20 Total vegetable food.. 26 S 169 851 17 4 106 528 5 5 17 133 2 2 5 45 92 109 227 2, 246 31 26 115 815 The quantities of nutrients and energy per man per day in the food eaten during this study were larger than was to be expected, being very nearty the same as in study No. 371, which was also made with patients more or less infirm. From a comparison of the figures in the table above with those in Table 6 it would appear that the quantity of carbohydrates, and consequently of energy also, was considerably smaller in the present stud}^ than in No. 371, but unfortunately the amount of sugar consumed was not learned. The observer was able to ascertain, however, that it was not large, but was probably as much as would make the total energy of the food consumed about the same as that in study No. 371, and certainly fully sufficient for the needs of the patients. In this study, as in No. 371, the protein furnished by milk was large, being as much as the total from all vegetable foods. Eggs also formed a noticeable part of the diet, and properl}*, because though not always a cheap food, the}- are of special value in the diet of the 33 sick. The diet seemed on the whole to be very well suited to the needs of the patients, as there was seldom any complaint, and the physician in charge considered it very satisfactory. The total amount of food rejected in this study was large, as in study No. 371 with patients of a similar class. From the statistics in Table 35 of the Appendix it will be observed that very large amounts of some of the individual articles were rejected. While this may have been due to some extent to the varying appetite of the patients, in the case of the cereals and vegetables it was undoubtedly due in part to an excess in the amounts served. Canned corn, peas, tomatoes, and squash, which were necessarily used at this season of the year, were apparently not much relished, and the amounts rejected were large, as was also the case with hash, which though well made was not generally liked. In this study bread, toast, and, in one instance, grapes were the only foods returned to the kitchen which were served again. In wards of this nature apparentl} r any reduction of the amounts rejected by the patients must be made by closely observing the amounts consumed and serving accordingly, for food once served is necessarily wasted if not eaten. It would seem that in these wards, where the time allowed for eating can be made as long as needed, smaller individual servings might be advantageous, the privilege of a second helping being allowed if more food is desired. DIETARY STUDY NO. 367— MALE PATIENTS, NONWORKERS. This study was made with about 103 male patients who were quiet, orderly, and in fairly good physical condition. Like the subjects of study No. 361, they were nonworkers. Meals were eaten in the large "Oaks dining room, 1 ' which is situated near the kitchen where the food was cooked, so it reached the table fairly hot. The study began with breakfast, November 12, 1902, and continued for 7 days, with 21 consecutive meals. The total number of meals taken was 2,157, or equivalent to 1 man for 719 days. This study and No. 368, although with different classes of patients, were carried on simultaneously, as the food for both was supplied from the "Toner general kitchen," and it was possible to make the weigh- ings for both at the same time. The diet was the same as that served to able-bodied patients through- out the institution, the articles all coming from the same general store- room and being practically of the same grade and quality. The menu, which with a few unimportant exceptions was the same for both studies, is given here. This menu does not include "special diet 1 ' articles, small amounts of which were served. 6523— No. 150—04 3 34 Wednesday, November 12, 1902. Breakfast. — Bread, butter, coffee, oatmeal, hash. Dinner. — Cabbage, boiled sweet potatoes, corned beef boiled, bread, tea. Supper. — Canned rhubarb stewed, gingerbread, bread, butter, tea. Thursday, November 13, 1902. Breakfast. — Stewed prunes, mush, coffee, bread, hot rolls, butter. Dinner. — Kidney beans boiled, bread," beef stew, bean soup, crackers. Supper. — Bread, butter, tea, beans baked. Friday, November 14, 1902. Breakfast. — Bread, hot biscuit, steamed potatoes, salt mackerel boiled, butter, coffee. Dinner. — Baked fresh cod, cucumber pickles, fruit pudding steamed, sweet pota- toes, macaroni and tomatoes boiled, bread, « butter, coffee. Supper. — Bread, butter, cheese, tea, stewed peaches. Saturday, November 15, 1902. Breakfast. — Bread, butter, coffee, hominy, beefsteak. Dinner. — Vegetable soup, boiled cabbage, jowl or pig's head boiled, steamed pota- toes, bread. Supper. — Stewed prunes, 6 Graham bread, butter, tea. Sunday, November 16, 1902. Breakfast. — Wheat breakfast food, bread, hot biscuit, butter, baked beans, coffee. Dinner. — Roast pork, steamed beets, baked sweet potatoes, bread/' butter, apple pie, coffee. Supper. — Bread, butter, apple sauce, plain cake, tea. Monday, November 17, 1902. Breakfast. — Hot rolls, steamed sweet potatoes, hominy, fried sausage, butter, coffee. Dinner. — Pea soup, sweet potatoes, boiled pork shoulder, cold slaw, bread/' crackers. Supper. — Currant jelly, bread, cinnamon bread, apple butter, butter, tea. Tuesday, November 18, 1902. Breakfast. — Hot rolls, butter, wheat breakfast food, liver and bacon, coffee. Dinner. — Bread, beef stew, vegetable soup, squash pie, potatoes, stewed peas, crackers. Supper. — Bread, butter, apple butter, finger rolls, tea. Sugar and milk provided for beverages. This menu does not include "special diet" articles. The usual data regarding the amounts of food provided, eaten, rejected, and returned are found in Table 35 of the Appendix. The computations of the quantities of nutrients and energy per man per day in the food eaten and that rejected are summarized in the table here given. a For study No. 368, biscuit. & Study No. 368, apple sauce. 35 Table 8. — Nutrients and energy in food eaten and ivasted in dietary study No. 367. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates'. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Grams. 5 8 Grams. 5 18 Grams. Calories. 65 192 Grams. 2 2 Grams. 2 3 Grams. Calories. 26 35 Poultry Fish 2 2 1 1 3 1 2 29 1 3 17 26 262 13 54 2 2 25 Eggs 4 36 Milk (evaporated cream)... 4 Total animal food 22 59 4 629 6 11 122 29 5 176 94 53 31 864 376 293 128 8 2 49 9 1 5 3 1 15 21 84 Total vegetable food . . 39 10 354 1,661 11 3 85 411 11 13 27 268 3 3 5 58 Total food 72 82 385 2, 558 20 17 90 591 Before this study began it was the impression of both the dietitian and the physician in charge that the amount of food eaten by these patients was less than might be expected, though no definite reason was assigned for this belief other than the fact that they were quiet, non workers. The opinion proved to be justified. The quantities of nutrients and energy, 72 grams of protein and 2,558 calories per man per day, in the food eaten were smaller than those observed in a pre- vious study (Table 4) with a somewhat similar class of patients — though in that case some workers were included — and smaller as regards pro- tein than the commonly accepted American dietary standard for men in health with little or no muscular exercise, namely, 90 grams of pro- tein and 2,450 calories of energy. It might be urged that the amounts of food eaten were smaller than the patients required, but this is much to be doubted, since the amounts provided were generous and the patients were served more than they cared to eat. It may be that though well prepared the food was not suited to their tastes. Consid- ering the nature and amount of the food which they rejected, however, it seems reasonably certain that they ate as much as they would have cared for under any circumstances, and that this was abundantly suf- ficient to satisfy their bodily needs, since their activity was slight. The food rejected in this study was enough to supply 20 grams of protein, 17 grams of fat, 90 grams of carbohydrates, and 591 calories of energy per man per day, or 22 per cent of the protein, 17 per cent of the fat, 19 per cent of the carbohydrates, and 19 per cent of the energy of the total food served. It is noticeable that the percentage of protein rejected was larger than that of the carbohydrates, a con- dition which is not often noted in dietary studies, though observed also 36 in others here reported. These percentages of rejected food were higher than is believed necessary in a dining room of this kind. The amounts of some of the individual articles rejected are worthy of note. Data of this character are given in Table 35 of the Appendix. It will be seen that the amount of meats rejected was large, as was also that of the cereal breakfast foods. This would seem to indicate either that the amounts served were too large, or that the kinds were not relished, or both. In the case of the breakfast foods, it seemed certain that too much was provided. The rejection of cucumber pickles was undoubtedly due to an over- supply. This article is ordinarily and properly supplied merely as a relish and not as a food, and the quantity eaten is naturally not large. As a general thing, the quantity of vegetables eaten, other than potatoes, is very apt to vary widely from day to day, as individuals differ markedly in their preference for such foods. Therefore, in studies of this kind the amount of vegetables rejected may be nor- mally quite large, since the aim is necessarily to supply always enough for all. This would account, in part at least, for the large amount of vegetables rejected in this study. The amount of butter rejected was larger than might have been expected, but it was not necessarily a waste, since it might have been used for cooking purposes. The amount of apple butter rejected is believed to be due to the fact that it was not especially palatable. The amounts of apple sauce, peach sauce, and stewed prunes rejected were also large. Such fruit products hold an important place in the dietetics of this institution, being served with supper very frequently. They are relatively inex- pensive, and though in themselves they have comparatively little nutritive value aside from the sugar added in preparing them, their flavor is generally relished, and they tend to increase the consumption of bread, a food which is both cheap and nutritious. Hence, even though the quantities rejected be large, their use should not be dis- couraged. The apparent waste could be diminished by reducing the amount served to more nearly what is likely to be eaten and by return- ing what is not served to the kitchen for use at another time. It was in this study, which was the fourth made, that improvements due to the investigation began to be noticeable, especially as regards the utilization of the excess of food sent from the kitchen to the dining room but not served. Ordinarily, though in just as good condition as when it left the kitchen, it was added to that left upon the plates by the patients and sent to the garbage can. An attempt was made to have such material returned to the kitchen and to find ways of using it. About 9 per cent of the bread provided was returned in this study and used for bread pudding and in other ways; "left-over" potatoes were also carefully saved and used for hash and in other 37 ways, as would be the ease in an ordinary household. The physician in charge of the department cooperated most heartily with the dietitian in charge of the kitchen and the observer in trying to have unused food returned to the kitchen and utilized. From the standpoint of economy the amounts saved were of some importance, and at the same time the character of the diet did not suffer. DIETARY STUDY NO. 368— MALE PATIENTS, ACUTE CASES. This study was conducted with 26 male patients, mostly acute cases, confined entirely to their ward and constantly under considerable nervous and mental strain. The study began with breakfast, November 12, 1902, and continued 7 days, with 21 meals. The total number of meals taken was 516, equivalent to 1 man for 182 days. The menu was practically the same as in dietary study No. 367. The data concerning the total amounts of food provided, returned, eaten, and rejected are shown in Table 35 of the Appendix. The quantities of nutrients and energy per man per day in the food con- sumed and rejected are summarized in the following table: Table 9. — Nutrients and, energy in food eaten and wasted in dietary study No. 368. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Grams. 4 7 3 1 1 6 Grams. 4 16 2 31 2 7 Grams. Calories. 52 170 30 280 22 122 Grams. 4 2 3 Grams. 3 5 2 4 Grams. ( 'alories. 43 53 Fish etc 30 Butter 35 Milk (evaporated cream)... 9 22 62 9 676 9 14 161 33 6 201 59 48 35 989 236 273 144 10 2 66 322 9 1 5 4 1 1 23 38 117 156 Total vegetable food. . 43 11 343 1, 642 15 3 12? 595 11 13 26 263 2 3 2 42 Total food 76 86 378 2, 581 26 20 129 798 From the table above it will be seen that the food eaten furnished 76 grams of protein, 86 grams of fat, 378 grams of carbohydrates, and 2,581 calories of energy per man per day, or practically the same amounts as were found in the preceding study. While these quanti- ties are somewhat smaller than might have been anticipated, there is no doubt that the patients had all they cared to eat. The amounts served to them were generous and considerable food was left uneaten, 25 per cent of the protein and 21 per cent of the energy of the food served being rejected. From the statistics given in Table 35 of the 38 Appendix it will be observed that this was not confined to any one kind of food, but that a large proportion of different foods was rejected. It seems quite probable from these data that the amounts provided were too large for the appetites, if not the needs, of the patients. Had they eaten all the food served to them the amounts of nutrients per man per day would have been 102 grams of protein, 106 grams of fat, and 507 grams of carbohydrates, with 3,379 calories of energy, which, as regards energy, would be sufficient for the average man at ordinary muscular work, and perhaps nearly sufficient as regards protein also. DIETARY STUDY NO. 369— ATTENDANTS, HOUSE GIRDS, ETC. This and the following study, No. 370, were carried on simultane- ously, with attendants, house girls, waiters, etc., one group having their meals in the dining room of the Toner building and the other in that of the Oaks building. All three meals, breakfast, dinner, and supper, were served twice each day in both dining rooms, so that for each article served four weighings were necessary- The studies began on Monday, November 24, 1902, and ended December 1. They covered 7 days, with 21 meals, as usual, since no account was taken of the food on November 27 (Thanksgiving day), when the regular menu was not served. Study No. 369 comprised 14 persons, 10 males and 4 females. The total number of meals taken was equivalent to 280 meals per man, or equivalent to 1 man 93 days. In order to compute the equivalent num- ber of meals per man from the total number eaten, it was assumed that the average food consumption per woman was 0.8 as much as that per man; thus 21 meals per woman would be 16.8 meals per man. The menu served during these two studies is given herewith. This was supposed to be the same as that for attendants throughout the institution. Monday, November 24, 1902. Breakfast. — Prunes, « oatmeal, sausage, fried hominy, Graham rolls, coffee. Dinner. — Pea soup, pork shoulder, creamed mashed potatoes, boiled rice, mashed turnips,*baked custard, bread, crackers, tea. Supper. — Cold roast beef, fried potatoes, stewed prunes, bread, tea. Tuesday, November 25, 1902. Breakfast. — Oatmeal, liver and bacon, sweet potatoes, rolls, coffee. Dinner. — Roast beef, baked sweet potatoes, boiled cabbage, tomato soup, rhubarb pie, bread, tea, crackers. Supper. — Cold shoulder, fried potatoes, apple sauce, bread, tea. Wednesday, November 26, 1902. Breakfast. — Oatmeal, fried ham, baked potatoes, hot rolls, coffee. Dinner. — Bean soup, roast or corned beef, mashed potatoes, ma3hed turnips, cab- bage slaw, rice pudding, bread, tea, crackers. Supper. — Cold corned beef, baked apples, bread, tea. a Served only to subjects of study No. 370. 39 Friday, November 28, 1902. Breakfast. — Oatmeal, salt mackerel, baked potatoes, baked beans, biscuit, coffee. Dinner.— Oyster soup, roast beef, baked cod, boiled potatoes, boiled beets, boiled rice, tea. Supper. — Deviled eggs, cheese, celery, peach sauce, bread, soda biscuit, tea. Saturday, November 29, 1902. Breakfast. — Oatmeal, beefsteak, baked potatoes, bread, coffee. Dinner. — Vegetable soup, boiled beef, bread dressing, sweet potatoes, boiled squash, cabbage slaw, blanc mange pudding with sauce, bread, crackers, coffee. Supper. — Stewed beef, prune sauce, Graham bread, tea. Sunday, November 30, 1902. Breakfast. — Oatmeal, fried ham, baked beans, baked sweet potatoes, biscuit, coffee. Dinner. — Roast beef, mashed potatoes, turnips, cranberry sauce, mince pie, bread, tea. Supper. — Peach sauce, cake, bread, tea. Monday, December 1, 1902. Breakfast. — Oatmeal, sausage, fried hominy, hot rolls, coffee. Dinner. — Pea soup, browned potatoes, boiled shoulder, boiled cabbage, cranberry sauce, bread pudding with lemon sauce, bread, tea, crackers. Supper. — Dried beef, mashed browned potatoes, cinnamon bread, apple sauce, bread, tea. Butter served as desired. Bread ad libitum. Sugar and milk provided. The detailed statistics concerning the food in this study, No. 369, are given in Table 35 of the Appendix. The following table summa- rizes the results as computed to show the quantities of nutrients and energy per man per day in the food eaten and in that rejected: Table 10. — Nutrients and energy in food eaten and wasted in dietary study No. 369. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Beef, veal, and mutton Pork Grams. 22 12 3 1 1 2 5 Grams. 25 24 2 1 48 3 6 Grams. 1 Calories. 315 262 30 12 431 35 105 Grams. 23 6 3 Grams. 27 10 3 Grams. 1 Calories. 336 113 Fish 39 Butter 8 71 Milk s Total animal food 4C 109 9 1,190 32 48 1 559 29 5 166 33 85 33 825 132 481 132 20 5 113 577 13 10 14 1 9 75 38 436 156 Total vegetable food.. 42 15 317 1,570 35 14 226 1,169 12 17 44 375 5 5 18 136 Total food 100 141 370 3,135 72 67 245 1 864 40 The average amount of muscular work performed by the persons in this group might perhaps be considered equivalent to that of a man engaged at light to moderate muscular work. The commonly accepted dietary standard for this calls for 112 grams of protein and 3,050 calo- ries of energy per day. The results of this study were a little lower than this standard as regards protein, and slightly above as regards energy. Apparently, therefore, the food consumption of these per- sons was sufficient for their bodily needs. Another indication that such was the case is found in the fact that the food provided was greatly in excess of what was eaten, which would naturally indicate an over- supply rather than the opposite, when as was the case the diet was reasonably varied and the foods were well cooked. The amount of food rejected in this study was very large, and con- tained about 42 per cent of the protein and 37 per cent of the energy of the total food served. In addition to this a considerable propor- tion of some of the articles brought to the dining room was returned .to the kitchen. That the food provided was excessive is more plainly shown by the fact that had all the food served been eaten there would have been a consumption of 172 grams of protein, 208 grams of fat, and 615 grams of carbohydrates per man per day. DIETARY STUDY NO. 370— ATTENDANTS, HOUSE GIRLS, ETC. The group included in this study comprised 22 males and 6 females (house girls, attendants, waiters, etc.). As previously noted, the study was carried on at the same time and under the same conditions as No. 369. An accurate account of the number of meals eaten was kept as usual, but, unfortunately, such data for the first 3 days of the study were lost. However, it is believed that the number did not vary greatly from da} r to day, and that no considerable error is introduced by assuming that the average attendance at each meal of the seven days was the same as during the last four days. Making this assumption and counting the food eaten by 1 woman as equal to 0.8 that of 1 man, the total number of meals taken was equivalent to 563 for a man, or 1 man for 188 days. The menu served was the same as in dietary No. 369. The food statistics in detail are found in Table 35 of the Appendix. The quantities of nutrients and energy per man per day in the food eaten and that rejected are summarized in the following table: 41 Table 11 — Nutrients and energy in food eaten and wasted in dietary study No. 370. [Quantities per man per day.] Food eaten. Food wasted. Food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Calories. 344 379 29 39 716 22 207 34 Pro- tein. Fat. Carbohy- drates. Fuel value. liriuiis. 26 18 3 3 1 1 10 2 Gram*. 27 34 2 3 80 2 12 2 Grams. Grams. 12 4 3 1 Grams. 12 7 3 1 Grams. l Calories. 159 1 78 39 13 Butter Milk 15 2 Total animal food 64 162 18 " 1,770 20 23 1 289 41 11 244 139 83 .45 1,238 556 477 184 11 2 63 314 14 1 10 10 1 6 51 37 297 152 Total vegetable fund.. 56 21 511 2, 455 22 8 151 763 11 15 49 373 3 5 5 76 Total food 131 198 578 4,598 45 36 - 157 1,128 The average food consumption in this dietary study, 131 grams of protein and -1,598 calories of energy per man per day, is much larger than that of the persons with similar occupation included in the pre- ceding study; in fact it is slightl} 7 higher in protein and decidedly higher in energy than the commonly accepted American standard for a man at moderately active muscular work, i. e., 125 grams of protein and 3,400 calories of energy. Apparently these persons had large appetites, or they ate more than the}^ actually needed. They certainly ate much more than ordinary people doing equivalent work. The excess of energy in the diet is largely due to the unusual amount of sugar eaten. In no other study made in this institution, with the exception of No. 365 with a group of persons similar to those in the present stud} T , was so much sugar consumed. In No. 369, the.preceding study with a similar group, the consumption of sugar was no more than is commonly found. The food rejected in this study contained 26 per cent of the protein and 20 per cent of the energy in the total food served. While this was larger than seemed necessaiy, it was very much smaller than in the pre- ceding study. The difference in the amounts rejected is accounted for by the difference in amounts eaten, for the total amount of food served per man per day was 3 per cent larger in study No. 370 than in No. 369. From a comparison of the amounts wasted in the two studies it is apparent that the food provided in study No. 369 could have been reduced at least 25 per cent and still leave an excess over the amount actually eaten. 42 DIETARY STUDY NO. 372— MALE PATIENTS, LARGELY NEGROES, CRIMINAL INSANE. The patients in this stud} 7 occupied four wards in the Howard Hall building, which is the criminal department of the institution. The population of this department is composed largely of criminal insane sent from prisons and reformatories, though it includes also those who were committed there directly because of criminal acts due to their demented condition. The patients in these four wards ate in the same dining room. About 65 were included in the study, all males, and all but 16 were negroes. They were in good ph3 7 sical health, and many appeared to be robust. Among this group were 19 who were classed as workers, and a few of them did considerable work, though for short periods only. It seems fair to consider therefore that they did not perform any greater amount of muscular work than men ordinarily engaged at light muscular work. All the patients included in the group took some daily exercise walking, but the amount was probably comparatively small. During the study 9 attendants also ate in this dining room. Their food was for the most part served separately, though some of it was prepared with that of the patients. These men have been included in this study for the reason that no separate classification could be easily made of them, and it seemed practically impossible to keep their food entirely separate. The study began with breakfast, February 2, 1903, and continued 7 days, with 21 meals. The total number of meals taken by patients and attendants was 1,556, equivalent to 1 man for 519 days. During the week of this stud} 7 the following menu was served: Monday, February 2, 1903. Breakfast. — Oatmeal, « fried sausage, boiled hominy, Graham biscuit, butter, coffee. Dinner. — Bean soup, boiled shoulder, steamed potatoes, boiled cabbage/' boiled rice, apple dumplings, " soda crackers, bread. Supper. — Boiled beef b and pigs feet/ rhubarb sauce, doughnuts, bread, butter, tea. Tuesday, February 3, 1903. Breakfast. — Wheat breakfast food, apple sauce, beef stew/ pork chops and gravy, a baked potatoes/''' hot rolls, coffee, butter. Dinner. — Stewed peas/ pork stew, boiled Lima beans, bread pudding, steamed browned potatoes/ roast pork with gravy," bread, butter, coffee. Supper. — Apple sauce, smoked herring," shoulders/' fritters," rolls, butter, tea. Wednesday, February 4, 1903. Breakfast. — Oatmeal, liver and bacon/ stewed potatoes,"'' beef stew/ rolls, butter, coffee. Dinner.— Bean soup, corned beef, steamed potatoes, boiled cabbage, tapioca pud- ding," crackers, bread. Supper. — Rhubarb sauce, fried potatoes," cold corned beef/ head-cheese," ginger cake, bread, butter, tea. " For attendants. '' For working patients. 43 Thursday, February 5, 1903. Breakfast. — Liver and bacon, corn-meal mush, beefsteak,* baked potatoes/' biscuit, butter, coffee. Dinner. — Tomato soup, beef potpie, creamed mashed potatoes/' mashed turnips, " succotash, bread. Supper. — Baked beans, beef potpie,'' corned beef/' soda biscuit, bread, apple sauce," butter, tea. Friday, February 6, 1903. Breakfast. — Boiled salt cod, steamed potatoes, fried mush/' oatmeal," fried salt mackerel/' bread, butter, coffee. Dinner. — Bean soup, baked cod, cucumber pickles, boiled rice, boiled macaroni, steamed pudding, tomato soup/' crackers, steamed browned potatoes," boiled beef," rice pudding," bread. Supper. — Tomato preserves," pork shoulder,'' codfish cakes," soda biscuit," apple sauce, bread, butter, tea. Saturday, February 7, 1903. Breakfast. — Oatmeal," hominy, beefsteak and gravy, corn bread," baked potatoes, bread. Dinner. — Vegetable soup, pork heads, boiled turnips, browned potatoes," stewed potatoes, stewed peas," roast beef and gravy," crackers, bread. Supper.— Boiled beef,'' rhubarb sauce, bread, roast pork," prune sauce/' butter, tea. Sunday, February 8, 1903. Breakfast. — Baked beans, wheat breakfast food," fried ham,"'' fried potatoes," rolls, butter, coffee. Dinner. — Vegetable soup," roast pork with gravy, cucumber pickles, steamed pota- toes, stewed tomatoes, apple pie, creamed mashed potatoes," cornstarch pudding," bread, coffee. Supper. — Stewed prunes, plain cake, bread, baked beans," jelly cake," celery salad." Attendants received 2 quarts milk with breakfast and supper, 1 quart with dinner. Sugar and milk are added in the kitchen to tea and coffee supplied to patients. But- ter supplied with each meal to attendants. Bread supplied ad libitum. The data regarding the kinds and amounts of food provided, returned to the kitchen, eaten, and rejected are given in detail for this study in Table 35 of the Appendix. The following table summarizes the results: Table 12. — Nutrients and energy in food eaten and wasted in dietary study No. 372. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Beef, veal, and mutton Grams. 14 19 4 Grams. 14 31 Grams. Calories. 181 352 16 178 29 Grams. 2 1 4 Grams. 2 2 i n Grams. Calories. 26 Pork 22 Fish 25 Butter 20 2 97 Milk 1 2 Total animal food 38 67 2 756 7 16 170 a For attendants. &For working patients. 44 Table 12. — Nutrients and energy tin food eaten and wasted in dietary study No. 372 — Con. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Grams. 35 Grams. 12 Grams. 216 24 54 23 Calories. 1,111 96 291 92 Grams. 14 Grams. 3 Grams. 84 Calories. 419 10 4 4 1 23 4 117 16 Total vegetable food. . 45 16 317 1,590 18 4 111 552 12 15 29 298 2 2 1 30 Total food 95 98 348 2, 644 27 22 112 752 The data in the table show that the amounts of nutrients and energy in the food actually eaten, 95 grams of protein and 2,644 calories of energy, were not particularly different from those found in study No. 364, being a trifle higher in protein and lower in energ}^. This is about what would be expected, since the subjects in both studies had about the same amount of muscular exercise. In this study about 22 per cent of the total protein and energy of the food served was rejected. The amount of animal food other than fish rejected was small, but fish was evidently not relished by these patients as a considerable proportion of that served was not eaten. Most of the desserts served were eaten, though it should be mentioned that only the attendants received tapioca, rice, and cornstarch pud- dings. Other articles on the menu that were prepared expressly for the attendants were smoked herring, pork chops, head-cheese, boiled beef, fritters, corn bread, fried potatoes, celery salad, tomato pre- serves, apple dumplings, and codfish cakes. Any portions of these articles left after the attendants were served were, however, saved for the working patients. The amount of cereal foods rejected was large. The wheat breakfast foods, and in fact all the breakfast foods, were evidently not relished. The amount of bread rejected, largely crusts, was greater than was to be expected. The bread served in this study was of good quality, and there was apparently no reason why the crusts should not be eaten. The patients in general preferred bread not over 24 hours old. The amount of butter rejected was much larger in this department than was usually the case. It was noticed that butter was served at some meals where the menu did not provide for it. It seems probable that the amount supplied was in excess of what was needed. A large part of the waste of food in this study may probably be accounted for by the fact that the portions for each patient were placed on his plate before he sat down to the table, and so any excess was necessarily wasted. This method of serving, which is generally wasteful, was 45 followed in only a few wards, and may not have been necessary here, though the attendant in charge gave it as his opinion that the patients were not intelligent enough to be supplied in the customary way. The attendant in charge also stated that no attempt was made as a rule to return to the kitchen any foods not served except steamed potatoes, bread, and meat. During the time of this study no food was returned (Table 35 of the Appendix), hence the food provided and that served were the same, and of course equal to the sum of the food rejected and eaten. Although the proportion of food rejected was somewhat larger than might seem necessary, even with the method of serving followed, yet the amounts sent to this dining room are probably as a rule not very much larger than the} 7 should be, to allow for the varying appetites of the men. The attendant in charge believed that though amply sufficient they were none too great. DIETARY STUDY NO. 373— MALE PATIENTS, CRIMINAL INSANE. This study was made with about 90 patients and 10 attendants, all white males, fed in Howard Hall dining room No. 2, the food being supplied from the general kitchen. The patients were insane crimi- nals, as in the preceding study. A few of them did a little work in the wards and dining room, but the larger number had no regular occupation. They all appeared to be in good physical health and well nourished. It was the opinion of the persons in charge of the dining- room that the men were very hearty eaters. The study began with breakfast, February 10, 1903, and continued 7 days. The total number of meals taken was 2,080, equivalent to 1 man for 693 days. The menu served varied little from that of the preceding study. As was the case in the preceding study, some of the foods were pro- vided primarily for the attendants, namely, fried chipped beef, Bologna sausage, mutton chops and roast, boiled pork, head-cheese, corn bread, cucumber pickles, stewed peas, fried and boiled potatoes, baked sweet potatoes, preserved tomatoes, baked apples, cornstarch pudding, and rice pudding. However, any portions left after the attendants were served were given to the patients. The data regarding the kinds and amounts of food provided, etc., are given in Table 35 of the Appendix. In the following table arc sum- marized the figures showing the quantities of nutrients and energ3 T per man per day in the food eaten and rejected: 46 Table 13. — Nutrients and energy in food eaten and wasted in dietary study No. 373. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Beef, veal, and mutton Pork Grams. 19 6 5 G rams. 19 12 5 21 2 Grams. Calories. 245 131 64 187 38 Grows. 3 1 1 Grams. 3 1 1 5 Grams. Calories. 39 13 Fish 13 Butter 44 Milk 2 3 32 59 3 665 5 10 109 38 13 240 12 52 36 1,228 48 296 144 8 1 48 233 ii 5 2 1 8 4 49 16 Total vegetable food . . 49 18 i 340 1,716 10 2 60 298 13 16 26 299 2 2 3 38 Total food 91 93 369 2,680 17 14 63 1 445 The average quantities of protein, 94 grams, and energy, 2,680 calo- ries, per man per day in the food eaten b} T this group were almost iden- tical with those noted in the preceding study and practically conform to the commonly accepted standard for the ordinary man in health with little muscular activity. It is interesting to note that in this study the proportion of total protein furnished by cereal foods is larger than has been commonly found in dietary studies of American families. The quantity of nutrients and energy rejected was nearly 40 per cent less than that in the preceding study. Considering the propor- tions of the individual articles rejected (Table 35 of the Appendix), it will be observed that the largest waste was with the cereal breakfast foods and similar articles. This may have been due to an excessive supply. In the case of most of the other materials the amount rejected was perhaps hardly more than might be expected under the circum- stances, though 18 per cent for the bread is large for bread of such good quality. During this study the observer was informed that the quantities of rejected material were very small as compared with what had previously been brought away. Doubtless more care was observed in serving than was formerly the case, yet no complaints were heard that the quanti- ties provided were not sufficient. The moral influence of an investi- gation like this is by no means inconsiderable, and it happens very naturally that more care is taken by persons who feel that their work is under observation. It was the opinion of the superintendent that this fact alone had been responsible for much improvement in this respect in this and other departments of the institution. 47 DIETARY STUDY NO. 374— MALE PATIENTS, NEGROES. This study was made with about 170 male patients, occupying West Lodge, in the Howard Hall department, all of whom were insane negroes other than criminals. From 15 to 30 were in restraint a large part of the time and many were very violent at certain periods. Most of them were in good physical health and were considered very heart}^ eaters, being noticeably fond of meat. From 70 to 80 of these patients did a fairly large amount of work, many of them being employed out of doors all day, digging tunnels, improving driveways, etc., and handling pick and shovel for 7 or 8 hours a day. Most of the patients in this group had their meals in the regular dining room, but 18, who were aged, crippled, or infirm, did not come there, though they received the same diet as those served in the dining room. During the week of this stud}' 5 patients received at times " special " or " sick"" diet, but the amount of such foods was small. This study began with breakfast, February 20, 1903, and continued 7 days. The total number of meals taken was 3,549, equivalent to 1 man for 1,183 days. The following menu was served during this study: Friday, February 20, 1903. Breakfast. — Boiled salt cod, steamed potatoes, hot rolls, butter, coffee. Dinner. — Bean soup, baked haddock with dressing, macaroni and tomatoes, boiled rice, finger rolls, steamed pudding with sauce, bread. Supper. — Evaporated peach sauce, head-cheese, « bread, butter, tea. Saturday, February 21, 1903. Breakfast. — Fried hominy, beefsteak, bread, butter, coffee. Dinner. — Boiled beef, mashed turnips, steamed potatoes, soup, bread. Supper. — Roast beef, ft apple jelly, Graham bread, butter, tea. Sunday, February 22, 1903. Breakfast. — Baked beans, hash, fried ham, a wheat breakfast food, bread, butter, coffee. Dinner. — Roast beef , steamed potatoes, stewed tomatoes, apple pie, biscuit, bread, butter, coffee. Supper. — Stewed peaches, plain cake, bread, butter, tea. Monday, February 23, 1903. Breakfast. — Pork sausage, hominy, bread, butter, coffee. Dinner. — Bean soup, boiled shoulder, steamed potatoes, boiled rice, bread. Supper. — Cinnamon bread, prune sauce, cold boiled shoulder," bread, butter, tea. Tuesday, February 24, 1903. Breakfast. — Oatmeal, liver and bacon, bread, butter, coffee. Dinner. — Beef stew, boiled beots, steamed pudding with sauce, bread or rolls, butter, coffee. Supper. — Chops, « evaporated apple sauce, soda biscuit, butter, tea. « For working patients. 48 Wednesday, February 25, 1903. Breakfast. — Beef stew, oatmeal, rolls, butter, coffee. Dinner. — Bean soup, corn beef, boiled rice, cucumber pickles, soda biscuit. Supper. — Pork shoulder, « rhubarb sauce, gingerbread, bread, butter, tea. Thursday, February 26, 1903. Breakfast. — Boiled mush, hash, evaporated-apple sauce, hot rolls, butter, coffee. Dinner. — Beef potpie, boiled Lima beans, bread, butter, coffee. Supper. — Baked beans, mutton chops, « bread, butter, tea. Milk and sugar provided as usual. The statistics regarding the kinds and total amounts of food in this study are given in detail in Table 35 of the Appendix. The following table summarizes the results of the study with regard to the quanti- ties of nutrients and energy per man per day in the food eaten and rejected: Table 14. — Nutrients and energy in food eaten and wasted in dietary study No. 374- [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Grams. 1 1 Carbohy- drates. Fuel value. Grams. 19 11 4 Grams. 18 18 2 18 Grams. Calories. 236 208 38 160 (il-IIIIIS. 1 1 2 Grams. ( 'alories. 13 Pork i 1 13 Fish . 8 3 27 34 56 2 642 4 5 61 37 8 226 7 44 34 1,123 28 252 140 5 1 32 157 10 1 4 2 9 6 44 24 Total vegetable food . . 48 12 311 1,543 7 1 47 225 16 16 36 351 1 2 2 29 Total food 98 84 349 2, 536 12 8 49 315 It is difficult to decide just what should be the dietary standard for the average man in this department, as the patients were really divided by their degree of activity into two classes — i. e., those who did con- siderable hard work and those who took little exercise, yet they were fed as one class except that the working patients received an extra allowance of meat once a day, as is the general rule of the institution. The calculation of the results in the table above, which shows 98 grams of protein and 2,536 calories of energy per man per day in the food consumed, was made on the assumption that all patients were fed alike. In this case the food consumption for the working patients would appear to be too small, while that for the others would seem larger than was necessary. As a matter of fact, however, there was "For working patients. 49 some difference in the food consumption of the two classes, as may be seen from the results obtained by slightly altering the method of com- puting the average food consumption and separating the workers from the nonworkers. Instead of adding the amount of the extra ration of meat served to the working patients to the ration served to all alike and dividing the whole quantity by the total number of patients fed, as was done in the computation summarized in the table above, the total food consumed according to the regular menu may be divided by the total number of patients, giving an average of 90 grams of protein and 2,402 calories of energy, which would represent the food consump- tion of the nonworkers. The total quantity of nutrients and energy in the extra meat consumed should then be divided by the number of workers to whom it was fed, to get the average amount per working patient. This added to the before-mentioned values would give 108 grams of protein and 2,694 calories of energy as the average con- sumption for the workers. This method of computation, it is believed, gives values that are more nearly correct for the two classes than the average in the table above, since aside from the extra allowance of meat for the workers both classes received about the same quantity of food in their ration, as nearly as could be observed. During the time of this study the attendants repeatedly sent back to the kitchen for an additional supply of food. This would indicate that the quantities ordinarily supplied to this dining room were not sufficient to meet the demands of the patients. The attendant in charge of the dining room said that the quantity of meat supplied was seldom sufficient to satisfy the patients. The quantity of food eaten by the nonworkers was equal to the standard of 90 grams of protein and 2,450 calories of energy, which is commonly considered sufficient for a man in health w 7 ith little muscular exercise. The quantity of protein and energy in the food eaten by the working patients was somewhat below that of the common standard for a man at moder- ately active muscular work, namely 125 grams of protein and 3,100 calories of energy. If the total amount of food served (i. e., food eaten plus food rejected) had been eaten, the protein consumption of the workers would have been nearl} r equivalent to amount in the standard mentioned, but the energy would still have been a little lower. The amount of food rejected by the patients during this study con- tained 11 per cent of the total protein and energy of the food served, noticeably smaller proportions than were observed in some of the preceding studies. The attendant in charge of this dining room stated that the amount rejected was, as a rule, very small. It was suggested to the observer during the time these studies were in progress that the amount rejected was rather less than usual because the patients were given more time to eat than had formerly been the case. While this opinion could not be verified, there may have been a general ten- 6523— No. 150—04 4 50 dency on the part of the attendants to make the patients hurry through their meals, particularly supper. Much care was taken in this dining room to return all unserved food, but the amounts returned were small, for the reason that practi- cally all the food provided was served. From the statistics in Table 35 of the Appendix it will be noticed that onty a few articles were rejected in large proportions. Boiled salt cod evidently was not rel- ished; neither was wheat breakfast food. DIETARY STTJDY NO. 375— INFIRM MALE PATIENTS. This study was made with 47 male patients from middle life to old age, more or less infirm, more than 50 per cent of them being parole patients — that is, being at liberty to walk about the grounds unattended. A few did light work in the ward and dining room, but most of them were almost entirely idle. They occupied the ground floor of the Dawes building, called "Dawes basement, 1 ' and were supplied with food from the general kitchen. The study began with breakfast, March 4, 1903, and continued 7 days, with 21 meals. The total number of meals taken was 991, equivalent to 1 man for 330 days. The menu during the week of the study was as follows: Wednesday, March 4, 1903. Breakfast. — Oatmeal, hot rolls, beef stew, butter, coffee. Dinner. — Corned beef, crackers, bean soup, bread, steamed potatoes, boiled cabbage. Sapper. — Evaporated-apple sauce, bread, gingerbread, butter, tea. Thursday, March 5, 1903. Breakfast. — Evaporated-peach sauce, hot rolls, butter, coffee. Dinner. — Beef stew with dumplings, boiled kidney beans, bread, butter, coffee. Supper. — Finger rolls, baked beans, butter, tea. Friday, March 6, 1903. Breakfast. —Steamed potatoes, boiled salt cod, hot rolls, butter, coffee. Dinner. — Boiled rice, baked haddock, crackers, bread, steamed potatoes, cottage pudding with sauce, soup. Supper. — Bread, butter, tea, rhubarb sauce. Saturday, March 7, 1903. Breakfast. — Fried hominy, corn bread, bread, beefsteak, butter, coffee. Dinner. — Vegetable soup, bread, boiled beef, steamed potatoes, crackers, fried mush. Supper. — Ginger cookies, apple jelly, bread, butter, tea. Sunday, March 8, 1903. Breakfast. — Baked beans, wheat breakfast food, bread, butter, coffee. Dinner. — Bread, stewed corn, roast beef and dressing, steamed potatoes, apple pie, coffee, butter. Supper, — Bread, cake, stewed peaches, butter, tea. 51 Monday, March 9, 1903. Breakfast. — Fried sausage, hot rolls, hominy, butter, coffee. Dinner. — Crackers, boiled pork shoulders, boiled turnips, boiled rice, bean soup, bread. Supper. — Rhubarb sauce, cinnamon bread, bread, butter, tea. Tuesday, March 10, 1903. Breakfast. — Liver and bacon, wheat breakfast food, biscuit, butter, coffee. Dinner. — Beef stew, boiled hominy and beans, bread pudding, bread, butter, coffee. Supper. — Jelly, rolls, butter, tea. No separate account was taken of a small amount of special diet served in this dining room during- the study. The detailed statistics regarding kinds and amounts of food are given in Table 35 of the Appendix. In the following table are summarized the calculations of the quantities of nutrients and energy per man per day in the food eaten and rejected: Table 15. — Nutrients and energy in food eaten and wasted in dietary study No. 375. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. draws. 10 3 6 1 Grams. 10 7 2 49 Grams. Calorics. 129 74 42 440 Grams. 6 2 5 Grams. 6 3 1 6 Grams. Calories. 77 Pork 36 Fish 28 Butter 53 20 68 685 13 16 194 26 8 166 7 36 17 839 28 190 72 9 3 56 287 7 1 2 4 1 1 20 17 105 72 Total vegetable food . . 34 10 226 1, 129 14 4 93 464 10 13 27 264 1 2 4 38 Total food 64 91 253 2, 078 28 22 97 696 The food consumption was smaller than would have been expected. The average, 64 grams of protein and 2,078 calories of energy per man per day, is much smaller than the commonly accepted American standard for a man with little or no muscular work, which calls for 90 grams of protein and 2,450 calories of energy. Such a comparison would suggest the question whether these patients ate enough to satisfy their bodily needs. On the other hand, the quantity of food rejected was large, containing 28 grams of protein and 696 calories of energy per man per clay, or respectively 30 and 28 per cent of the total in the amount served. Inasmuch as the supply was ample and the proportions rejected were large, the fact that the food consumption of the patients was small indicates either that they ate sufficient amounts or that the food was not suited to their tastes, It seems probable, 52 however, that even if they did not like certain foods they could have readily satisfied their appetites from those which they liked, as it is almost certain that no person would go hungry on the abundant diet provided. It is, therefore, believed that the patients ate as much as their appetites and bodily wants made necessary. From a consideration of the statistics in Table 35 of the Appendix regarding the rejection of individual food materials, it would seem that the supply of some of the foods was somewhat excessive, as a considerable number of them were rejected in large proportions. The crackers served to the patients in this ward were seldom eaten. Wheat breakfast foods were not relished, and the proportions rejected were very large. The men seemed to desire meat rather than cereal or vegetable food, yet the amount of some of the meats rejected was also large. All things considered, there was apparently an oversupply of food, though the amount supplied was not much greater than called for by the previously mentioned standard for men in health with little or no muscular work. It was noticeable that only a part of the surplus food was returned from this ward to the kitchen. At the conclusion of the study the superintendent thoroughly investigated the matter. It was found that in this and some other wards bread and meat were the only articles regularly returned to the kitchen while a considerable amount of good edible food, that might have been utilized again, was not returned because of what appeared to be a misunderstanding. The attendants claimed that the}^ had orders to wash all dishes before returning them; hence, as they could not send back any dirty tins they had to throw away the food. It is probable that considerable amounts, much of which might have been utilized again, were not saved. For instance, it is probably safe to say that from 50 to 100 pounds of boiled rice, which could to great advantage be used in soup, was rejected in this way every time it was served. Evidently there was need of attention to the matter of returning unserved food to the kitchen. A knowl- edge of ways of utilizing such food was also needed, since but little provision was made for this in the dietetic management of the differ- ent departments. DIETARY STUDY NO. 376— DISTURBED MALE PATIENTS. This study was made with 30 rather disturbed male patients occu- pying Gray Ash ward, 23 of whom ate in the dining room and the others in the ward. The study began with breakfast, Wednesday, March 4, 1903, and continued 7 days, with 21 meals. The total number of meals taken was 632, equivalent to 1 man for 211 days. The menu was the same as in the study preceding and very little special diet was served in addition. The statistics regarding the 53 kinds and amounts of food are given in detail in Table 35 of the Appendix. The following table summarizes the results showing the quantities of nutrients and energy per man per day in the food eaten and rejected: Table 16. — Nutrients Pish 2 Butter . Milk 4 7 39 79 9 895 5 6 73 34 12 211 17 52 26 1,087 (18 313 104 2 1 15 Vegetables 13 6 1 2 4 12 16 Total vegetable food. . 47 18 30(1 1,572 3 1 21 105 24 35 32 536 4 5 3 73 Total food 110 132 347 3,003 12 12 24 251 The average food consumption shown by the results in the above table, 110 grams protein and 3,003 calories energy, are very nearly the amounts called for by the commonly accepted American dietary stand- ard for a man in health at light to moderate muscular work. The indi- cations are, therefore, that these patients were amply nourished. The quantity of food left on the plates by these patients was ordinarily very small, the total amount of food rejected being but 7 per cent of that provided, or 10 per cent of the total protein and 8 per cent of the total energy of the food served. In the case of many foods, however, the proportions returned to the kitchen, after the patients had been served, were large, as the quantity sent to the dining room was much in excess of what was needed by the patients. The data given in (31 Table 35 of the Appendix show that 35 per cent of the boiled beef, 36 per cent of the hominy, 45 per cent of the rice, and similarly large proportions of a number of other materials were returned. DIETARY STUDY NO. 382— MALE PATIENTS, YOUNG, QUIET, AND ORDERLY. Sycamore ward, in which this study was made, accommodates about 30 patients; during the study the number varied from 26 to 33. They were chiefly young men, many of them parole patients, quiet and orderly, some of whom would doubtless be cured. Seven of them were workers. The study was carried on simultaneously with No. 381 and the menu served was the same. The total number of meals taken was 617, equivalent to 1 man for 206 days. The statistics of kinds and amounts of food are given in detail in Table 35 of the Appendix. The following table shows the quantities of nutrients and energy per man per day in the food eaten and rejected: Table 22. — Nutrients and energy in food eaten and wasted in dietary study No. 882. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Energy. Pro- tein. Fat. Carbohy- drates. Energy. Grams. 11 Orams. 11 10 10 32 5 Grams. ( 'alories. 142 109 129 284 89 Grams. 2 1 2 Grams. 2 2 2 Grams. ( 'alories. 26 Pork 22 Fish 9 1 26 Butter .. Milk 7 Total animal food Cereals 29 6S 8 753 5 6 74 33 11 2(>S 22 50 28 1,062 88 292 116 2 14 64 Vegetables 12 Fruits 5 4 16 Total vegetable food . . Miscellaneous food 46 16 308 1,558 2 18 80 23 34 32 523 5 8 3 103 Total food 98 118 348 2,834 12 14 21 257 The food consumption, averaging 98 grams protein and 2,834 calo- ries of energy per man per day, was somewhat smaller than that observed for similar patients in the preceding study, the difference being doubtless partly due to the smaller proportion of working patients in the present group. The food appeared to be entirely sat- isfactory, the quantities left on the plates were small, and the indica- tions were that the patients ate all the} r needed. If such had not been the case the amounts sent to the dining room were large enough to have provided much more than they ate. In this study, as in the pre- ceding, much care was taken to return all unserved food to the kitchen. DIETARY STUDY NO. 62 383— CHRONIC MALE PATIENTS AND IDIOTS. This study was made with 24 patients, all males, but of varying ages, some being children and some old men. A few were fairly quiet and orderly chronic patients while others were idiots or at least had very little mental capacity. There were very few disturbed patients. Five of the men were classed as workers, but several others performed some light work, usually about the ward. This study was made at the same time as the two preceding and the menu was the same. The total number of meals taken was 501, equiv- alent to 1 man for 167 days. The statistics of kinds and amounts of food are given in detail in Table 35 of the Appendix. The quantities of nutrients and energy per man per day in the food eaten and rejected are summarized in the following table: Table 23. — Nutrients and energy in food eaten and wasted in dietary study No. 383. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Grams. 11 5 12 Grams.- 11 11 13 28 7 Grains. Calories. 142 118 172 249 114 Grams. 3 1 Grams. 3 1 1 11 Grams. Calories. 39 Pork 8 Fish 2 13 Butter . 98 Milk 5 8 33 70 10 795 4 16 158 38 13 239 20 48 40 1,224 80 288 164 4 1 26 129 13 1 5 1 4 1 20 4 Total vegetable food.. 52 18 347 1,756 5 1 31 153 10 13 26 260 1 1 2 21 95 101 383 2,811 10 18 33 332 The average food consumption, 95 grams of protein and 2,811 calories of energy per man per day, in this stud}' was practically equal to the previously mentioned dietary standard for a man in health with seden- tary occupation. Apparently the patients were abundantly nourished, though it may be that they ate no more than they needed. The quan- tity of food which they rejected contained 10 per cent of the protein and 11 per cent of the energy of the total food served. Large propor- tions of many of the staple foods were returned to the kitchen during this study, indicating that the amounts sent to the dining room were considerably in excess of what was required, 63 DIETARY STUDY NO. 384— MALE PATIENTS, NOT VIOLENT. This study was made with about 30 male patients, from middle-aged to old men, occupying a ward known as "Garfield basement." They were more or less untidy ; most of them decidedly demented, but not violent. Several of them did ward and dining-room work, but as a whole their physical activity appeared to be very slight. The men studied were all supplied with the regular diet, none being sick, though a number of them appeared to be quite feeble. The study began with breakfast, April 16, 1903, and continued for 7 days, with 21 meals. The total number of meals taken was 632, equiv- alent to 1 man for 211 days. The menu served during the week of this study was as follows: Thursday, April 16, 1903. Breakfast. — Oatmeal, apple jelly, bread, butter, coffee. Din tier. — Beef potpie, kidney beans, boiled rice, bread, butter, coffee. Suppier. — Baked beans, linger rolls, butter, tea. Friday, April 17, 1903. Breakfast. — Salt mackerel, steamed potatoes, hot rolls, butter, coffee. Dinner. — Bean soup, fried fresh herring, macaroni and tomato, steamed potatoes, evaporated-peach pie, crackers, bread. Supper. — Prune sauce, bread, butter, tea. Saturday, April 18, 1903. Breakfast. — Hominy, beefsteak, bread, butter, coffee. Dinner. — Vegetable soup, boiled beef, boiled kale, steamed potatoes, crackers, bread. Supper. — Apple jelly, ginger cakes, Graham bread, butter, tea. Sunday, April 19, 1903. Breakfast. — Wheat breakfast food, baked beans, biscuit, butter, coffee. Dinner. — Roast beef with gravy and dressing, steamed potatoes, stewed tomatoes, evaporated-apple pie, bread, butter, coffee. Supper. — Evaporated-apple sauce, cake, bread, butter, tea. Monday, April 20, 1903. Breakfast. — Boiled hominy, fried sausage, bread, butter, coffee. Dinner. — Bean soup, boiled shoulder, steamed potatoes, boiled rice, crackers, bread. Supper. — Rhubarb sauce, cinnamon bread, bread, butter, tea. Tuesday, April 21, 1903. Breakfast. — Wheat breakfast food, peach sauce, biscuit, butter, coffee. Dinner.— Fresh herring, kidney beans, cucumber pickles, bread pudding, bread, butter, coffee. Supper. — Prune sauce, biscuit, butter, tea. Wednesday, April 22, 1903. Breakfast. — Oatmeal, beef stew, rolls, butter, coffee. Dinner. — Bean soup, corned beef, steamed potatoes, boiled cabbage, crackers, bread. Supper. — Peach sauce, gingerbread, bread, butter, tea. Bread served ad libitum with every meal. 64 The detailed data for the total amounts of food returned, eaten, and rejected during this study are shown in Table 35 of the Appendix. The calculated amounts of nutrients and energy per man per day in the food eaten and rejected are shown in Table 24. Table 24. — Nutrients and energy in food eaten 16, equivalent to 1 man for 205 days. Table 35 of the Appendix contains the data regarding food provided, returned, eaten, and rejected during the study. Table 20 shows the calculated amounts of nutrients and energy per man per day contained in the food eaten and rejected. 6523— No. 150—04 5 66 Table 26. — Nutrients and energy in food eaten and wasted in dietary study No. 386. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Grams. is 5 10 Grams. 18 11 11 32 Grams. ( 'aloru s. 232 US 146 285 Grams. 1 Grams. 1 Grams. ( 'alories. 13 Pork Fish 2 i i 13 Butter 33 72 2 781 2 o 26 35 9 216 11 72 53 1,084 44 405 216 6 1 37 181 18 1 5 2 9 8 36 Total vegetable food . . 54 14 352 1,749 6 1 48 225 10 13 32 283 1 1 1 17 Total food 97 99 386 2,813 \ 9 4 49 268 The food consumption in this study, 97 grams of protein and 2,813 calories of energy per man per day, is slightly smaller than in the preceding study, but the average in both was considerably larger than that in study No. 384 and others in which the patients had about the same amount of muscular exercise. The quantity of food rejected was also very small, but was slightly larger than in the preceding study, the difference being comparable with that observed in the food consumption. In other words, the quantity served per man per day was very nearly the same in both studies. The amounts of food sent from the kitchen to the dining room were much nearer the quantities which were served than was the case in the preceding study, so that the proportions returned to the kitchen were smaller. Taken in connection with the small percentage of food rejected, this would seem to indicate that, whether intentionally or accidentally, the amounts of food provided for the ward were gauged more nearly to the desires of the patients than is usual where special attention has not been ^iven to this matter. DIETARY STUDY NO. 387— MALE PAROLE PATIENTS. This study was made in Poplar ward, with about 14 parole patients, most of whom had not been committed to the institution, but came of their own will, some being under treatment for dipsomania and others recovering from the effects of fever, sunstroke, etc. They were quiet and orderly, and gave little sign of mental derangement. Very few of them did any regular work, but all spent a large part of their time out of doors, and must have had considerable muscular exercise. The study began with breakfast, Saturday, May 2, 1903, and con- tinued 7 days, with 21 meals. The total number of meals taken was 275, equivalent to 1 man for 92 clays. 67 The menu served during the week of the .study was as follows: Saturday, May 2, 1903. Breakfast. — Oatmeal, beefsteak, griddle cakes, fried potatoes, biscuit, milk, butter. Dinner. — Vegetable soup, roast veal, browned potatoes, stewed canned peas, ice cream, bread,- crackers, milk. Supper. — Fried bacon, stewed prunes, baked potatoes, bread, milk. Sunday, May 3, 1903. Breakfast. — Wheat breakfast food, fried ham, steamed and fried potatoes, corn bread, baked beans, rolls, milk. Dinner. — Tomato soup, baked chicken, mashed potatoes, boiled rice, lemon jelly, milk, bread. Supper. — Shoulder, lettuce, French fried potatoes, apple sauce, cocoanut cake, bread, milk. Monday, May 4, 1903. Breakfast. — Oatmeal, veal cutlets, baked potatoes, muffins, bread, milk. Dinner. — Bean soup, roast beef, browned potatoes, boiled macaroni, green onions, floating island pudding, bread, crackers, milk. Supper. — Hamburg steak, lettuce, biscuit, bread, milk. Tuesday, May 5, 1903. Breakfast. — Oatmeal, fried mush, beef steak, fried onions, baked potatoes, bread, milk. Dinner. — Vegetable soup, baked shoulder, boiled cabbage, boiled potatoes, rice pudding, bread, crackers, milk. Supper. — Ham omelet, Saratoga chips, lettuce, evaporated peach sauce, bread, milk. Wednesday, May 6, 1903. Breakfast. — Oatmeal, fried ham, potato cakes, muffins, biscuit, milk. Dinner. — Vegetable soup, beef stew, boiled Lima beans, mashed potatoes, lemon pie, bread, milk. Supper. — Fried bacon, baked potatoes, rhubard sauce, toast, bread, milk. Thursday, May 7, 1903. Breakfast. — Oatmeal, fried sausage, fried potatoes, corn bread, bread, oatmeal. Dinner. — Vegetable soup, beefsteak, mashed potatoes, creamed onions, ice cream, crackers, bread, milk. Supper. — Cold roast beef, lettuce, apple sauce, baked beans, finger rolls, bread, milk. Friday, May 8, 1903. Breakfast. — Oatmeal, French fried potatoes, baked hash, fried fresh herring, biscuit, milk. Dinner. — Clam soup, broiled shad, mashed potatoes, roast beef, slaw, boiled rice, evaporated-peach pie, crackers, bread, milk. Supper. — Fried eggs, baked potatoes, stewed prunes, biscuit, bread, milk. Tea or coffee served as desired. Bread served ad libitum with every meal. Butter as usual. 68 Table 35 of the Appendix gives the data regarding- the total amounts of food provided, returned, eaten, and rejected. The following table shows the calculated amounts of nutrients and energy per man per day in the food eaten and rejected during this study: Table 27. — Nutrients and energy in food eaten and wasted in dietary study No. 387. [Quantities per man per day.] Food eaten. Fooc wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Grams. 34 14 3 Grainy. 28 27 3 15 17 3 Grams. Color it s. 385 296 43 134 287 35 Grams. 4 3 Grams. 3 7 Grams. Calm ies. 43 Pork . 74 Fish 1 Butter Milk 13 2 21 66 93 22 1,180 7 10 117 25 9 153 84 70 21 792 336 444 84 8 3 43 231 12 13 4 5 33 7 192 28 Total vegetable food . . 37 22 328 1,656 12 8 83 451 25 29 66 622 4 5 7 89 Total food 128 144 416 3, 458 23 23 90 657 The amount of food consumed supplied 128 grams of protein and 3,458 calories of energy per man per day, amounts corresponding to the previously mentioned dietary standard for a man at moderately active muscular work, such for instance as a carpenter or mason or laborer working actively 10 hours per day. While these men were out of doors much of the time and had considerable muscular exercise it is very doubtful if their activity was equal to that called for by the standard quoted. However, thej^ were in general convalescing, or in a condition which may be compared to it, and it is not unlikely that in such condition the demands of the body for nourishment may be influenced by other than the ordinary factors. DIETARY STUDY NO. 388— MALE PAROLE PATIENTS. This study was made with 9 male patients occupying Maple ward, and of a class similar to those included in dietary No. 387. Only 2 of these patients performed any regular work, but all of them took some exercise each day. The study was made at the same time as No. 387, and the menu served was the same. The total number of meals taken was 188, equivalent to 1 man for (33 days. The data for the total amounts of food provided, returned, eaten, and rejected are given in Table 35 of the Appendix. The following 69 table shows the average amounts of nutrients and energy per man per day in the food eaten and rejected during - this study: Table 28. — Nutrients and energy in food eaten and wasted in dietary study No. 888. [Quantities per man per day.] Food eaten. Food wasted. Kind of food material. Pro- tein. Fat. Carbohy- drates. Fur] value. Pro- tein. Fat. Carbohy- drates. Fuel value. Beef, veal, and mutton Grams. 26 15 4 23 Grams. 24 28 4 28 31 2 Grams. ( uloru s. 318 309 Grams. 5 2 Grams. 3 6 Grams. Calories. 47 61 1 35 Milk 4S1 276 26 •_> ::::::: :::::::: :::::::::::.::::::: 70 117 36 1,465 7 9 108 18 8 113 7') 64 15 595 288 376 60 8 4 42 236 10 9 6 9 35 15 244 60 Total vegetable food.. 28 17 264 1,319 14 13 92 540 22 22 59 520 10 13 15 216 Total food 120 156 359 3,304 31 35 107 864 The average quantity of food eaten by these patients, 120 grams of protein and 3,304 calories of energ} r per man per day, was but a trifle less than in the preceding study, while tin 1 amount of food rejected (a total of IS per cent) was a little higher, the average amount of nutrients and energy in the total food served being about equal in both studies. The food consumption in these two studies was noticeably larger than that observed in any of the preceding. These men had no more muscular activity than some of the others, and they were not consid- ered to be more hearty eaters. The increase in the quantity of nutrients consumed was probably due to a wider variety in the diet. DIETARY STUDY NO. 389— OFFICERS AND EMPLOYEES. This study was made in "Walnut ward" dining room, which sup- plied food for about 20 employees and officers, including three super- visors (males), three men clerks, several women clerks, and maids employed about the halls. A considerable number lived outside the institution and took only a part of their meals in the dining room. This study was carried on at the same time as Nos. 387 and 388, and the same menu was served. The total number of meals taken, estimating 1 meal per woman as 0.8 meal per man, was 23)0, equiva- lent to 1 man for 70 days. Table 35 of the Appendix contains the detailed data for the total amounts of food provided, eaten, and rejected. The total amounts of 70 nutrients and energy per man per day in the food eaten and rejected are shown in the following - table: Table 29. — Nutrients and energy in food eaten and wasted in dietary study No. 389. [Quantities per man per day.] Food eaten. Foor wasted. Kind df food material. Pro- tein. Fat. Carbohy- drates. Fuel value. Pro- tein. Fat. Carbohy- drates. Fuel value. Grams. 30 14 4 31 Grams. 27 23 5 38 7 3 Grams. 1 Calories. 364 261 65 650 62 35 Grams. 4 4 Grains. 3 8 Grams. Calories. 43 Pork . 87 Fish 1 47 Milk Butter 2 81 103 49 1,437 8 11 130 24 9 145 86 63 11 756 344 368 44 7 3 38 207 9 9 6 7 33 21 218 84 Total vegetable food.. 33 18 305 1,512 13 10 92 509 26 30 68 643 6 7 15 146 Total food 140 151 422 3,592 27 28 107 785 The result of this study may quite properly be compared with those of studies with attendants reported in this publication; that is, Nos. 365, 309, and 370. As regards food eaten the present study, averaging 140 grams of protein and 3,522 calories of energy per man per day, shows the maximum as regards protein, being 9 grams higher than No. 370 and 40 grams higher than No. 309. In respect to amount of fat eaten it was moderate, and was next to the lowest in respect to car- bohydrates. The energy was lower than in the case of No. 370, which, however, was extremely high, owing to the large amount of butter and sugar eaten. A comparison of the food consumption of the persons here studied with airy dietary standard is almost impossible, because the group in- cluded employees of both sexes and of varying degrees of muscular ac- tivity. Moreover, some worked only from 8 a. m. to 5 p. m., while others were on duty continuously from 8 a. m. to 9 p. m. It hardly seems probable, however, that the demands of these persons for nutri- ents and energy would be on the average any larger than are called for by the previously mentioned dietary standard for a man at light to moderate muscular work, namely, 112 grams of protein and 3,050 calories of energy per day. It is interesting to note that the results of the study are considerably higher than the standard in respect to both protein and energy. It is reasonably certain, therefore, that these persons had amply sufficient or more than sufficient nourishment. The amount of food rejected in this study was sufficient to supply 71 27 grams of protein and 785 calories of energy per man per day, or 16 per cent of the protein and 18 per cent of the energy in the total food .served. In this respect the results are similar to those of the two pre- ceding studies with subjects receiving the same diet. FOOD ISSUED FROM THE STOREROOM. In connection with these studies of dietaries in different depart- ments of the hospital, it seemed desirable to obtain data regarding the kinds and amounts of food issued from the storeroom to the kitchens of the whole institution. It was not possible to obtain these for the fiscal year during which the dietary studies here reported were con- ducted, partly for the reason that the last of the studies was completed some time before the end of the year. However, the statistics for the year immediately preceding the time of the studies, namely, from July 1, 1901, to June 30, 1902, were obtained, and it was believed that the nutritive value of the food supplied per capita did not differ mate- rially during the two }^ears. These statistics are given in detail in Table 30 of the Appendix. It will be observed that they show the amounts issued to the different departments for use in preparing the food, while the data of the studies show the quantities of food served to the patients and eaten and rejected by them. The way in which the statistics here given were obtained may require a brief explanation. Supplies received at the hospital are placed at once in a general Storeroom or "store"' as it is designated, and are issued to the differ- ent departments upon the receipt of orders signed by an officer of the department in which they are to be used. The order sheets showing the kind and amount of material sent out are tiled with a bookkeeper, who enters tin' items upon a ledger. From these ledgers the statis- tics were taken concerning the kinds and amounts of food issued dur- ing the course of the year. These figures show the kinds and total amounts of different food materials thus taken from the storeroom and supplied to the several hospital kitchens. The composition of each kind of material was assumed to be the same as the average for several analyses of similar materials as previously published." From these data the total quanti- ties of the different nutrients in the food supplied were calculated. In order to compute the quantities per man per day it was necessary to know the total number of persons of each sex fed during the year, and the number of meals taken by each. To ascertain this exactly was impossible, because of variation in the population from day to day, owing to deaths, patients discharged, new patients received, and « U. S. Dept. A.gr., Office of Experimenl Stations Bui. 28, revised. 72 patients or attendants on leave of absence. However, from data show- ing- the average population of the hospital an estimate of attendance was made, allowing- for absences, etc., which was believed to be toler- ably accurate. According to this estimate, the total attendance of men for the j^ear was 2,123 and of women 731. Assuming that as regards food consumption the number of women would be equivalent to 0.8 as many men, or in round numbers 587, the calculated total number of men for the year would be 2,710, and that number of men for 365 days would be equivalent to 989,150 men for 1 day. Dividing the total quantities of each nutrient in the food supplied by this number gives the equivalent per man per day. These data are summarized herewith: Table 30. — Estimated amounts of nutrients and energy per man per day in thefood issued from the storeroom for 1 year. Protein. Fat. Carbohy- drates. Energy. Grams. 54 Grams. 164 8 Grams. 21 496 Calories. •J, 271 1,836 Total fooil 127 172 517 4,107 It has been explained on page 12 that no studies were made with women patients; hence, nothing is definitely known concerning the relative food consumption of men and women inmates in this institu- tion. The assumption above made that the women would eat 0.8 as much as the men is that commonly made in dietary studies of ordinary' families, but in the studies in the New York State hospitals for the insane it was found that with the chronic patients the average amount eaten by women was only about 0.7 of that eaten by men, and with other classes of women patients it was even lower. The results as computed in the present instance' are therefore 'believed to be under rather than over estimates, because if the factor that should be used is lower than 0.8, the equivalent number of men would be smaller than that given above, and the total number of men for one day would be less; consequently the average of nutrients and energ} r per man per day in the food supplied would be higher than has been computed by the method followed. SUMMARY AND DISCUSSION. The principal features of the investigations at the Government Hospital for the Insane, reported in this bulletin, have to do with the study of the quantities of food consumed and wasted by different classes of the hospital population. By comparing the data regarding food consumption with those of similar studies in other institutions, 73 and with dietary .standards for persons in normal mental conditions with equivalent amounts of muscular activity, it is possible to judge of the adequacy of the diet; and a comparison of the amounts of food issued with those supplied to the dining rooms and those eaten and wasted affords information concerning- the economy in the utilization of food. The statistics regarding food eaten and food wasted are summarized and discussed in the following pages. The quantities of nutrients and energy per man per day in the total food served— i. e., that eaten and that rejected at the tables — and the proportion of the quantity of each nutrient and of energy in the total served that was rejected are summarized for all the studies at the Government hospital in Table 31. For convenience in the discussion of results the different studies in which the conditions were similar have been grouped together and averaged, and for purposes of com- parison the results of studies made in similar institutions elsewhere are also included in the table, as well as dietary standards for persons in health with varying amounts of muscular activity. A tentative standard for the average population of hospitals for the insane, proposed by At water as the result of studies made in the New York State hospitals for the insane," is also given in the table. This standard, which is given in the publication referred to on the basis "per person per day," was proposed for a population consisting of about equal numbers of males and females, in which the food consumption of the latter averaged about 0.7 that of the former. The corresponding values "per man per day, 11 computed in accordance with these data, is also given in the table, as this can be better compared with the results of the studies in the Government hospital, which were almost entirely with men. Such facts as could then be found on record, and the observations in the New York hospitals for the insane, led to con- clusions that the standard proposed is decidedly liberal rather than the opposite. "X. Y. State Com. Lunacy Rpt. 13 (1900-1901), p. lli». 74 Table 31.- ■Summary of results of dietary studies at lite Grovernment Sospitalfor the Insane and other institutions. a Food served Proportion of total o served that \v Patients. u Food eaten. Food wasted. wasted. , , £ rt" « ^, a >* a ^ ,0 oB bx bo c - fcJO ■o a <-> . _Q 03 o ^ x g 0) ^j ■° £ cu D pi u o3 s-O S t4 03 OS'S c w V, Ph Pn O W Ph N o W PL, pH O W Studies at Government Hos- pitalfor Insane. PATIENTS, MALES. i,m . Gm. dm. ' 'als. Gut. Gm. Gm. Cats. p. a. P. C . P.ct. I>. rt. 364 372 373 375 377 511 88 112 384 2, 885 9 6 35 229 9 5 8 7 74 95 98 348 2, (ill 27 22 112 752 22 18 24 22 99 94 93 369 2, 680 17 14 63 445 15 13 15 14 Middle to old age, largely chronic, orderly, quiet, 47 42 "1 64 81 84 91 253 112 334 82 377 2,078 2, 657 2, 674 28 22 19 22 16 19 97 73 75 696 522 555 30 21 18 19 13 19 28 18 17 25 16 17 37.S 380 384 385 386 few workers. 39 92 97 349 2,627 11 8 36 259 11 8 9 9 30 79 83 364 2, 511 13 8 56 347 14 9 13 12 30 105 102 409 2,964 b 2 27 146 5 2 6 5 29 97 99 386 2,813 9 4 49 268 8 4 11 9 ',152 88 105 86 92 108 370 2, 767 13 26 29 13 10 50 311 13 9 19 22 7 9 11 1 Acute, nervous, and dis- | turbed nonworkers. Average [Negroes, whole group 368 376 379 ( 26 \ 30 [ 38 76 65 104 378 294 375 2, 581 2, 255 2, 877 20 26 8 129 97 38 798 735 275 26 31 11 25 25 9 24 25 9 94 84 97 84 350 2, 599 22 17 82 567 21 15 19 18 169 98 349 2,536 12 8 49 315 11 9 12 11 374 i Nonworkers alone ... 89 90 73 348 2, 402 12 7 49 306 12 9 12 11 Workers alone ISiek, infirm, and bed- J ridden. Average 80 108 96 109 352 2,694 2,246 13 31 8 49 115 319 11 8 12 11 360 / 52 1114 92 227 26 815 25 19 34 27 371 99 105 329 2,617 35 23 112 793 26 18 25 28 23 166 97 106 297 2, 519 34 24 113 802 26 18 24 381 (Some curable, part work- ers, younger and more | active class. 1 30 110 132 347 3,003 12 V> -1 251 1(1 8 6 8 382 f 29 98 118 348 2, 834 12 14 21 2;>7 11 11 6 8 59 104 125 347 2,917 12 13 23 256 10 9 6 8 I Better class, on tirst-sec- j tiou diet. 387 n 128 144 416 3, 457 76 86 385 2, 609 1H 17 79 539 19 17 17 17 Average of all pa- tients a 90_ 102 359 2, 704 16 12 61 415 15 12 15 13 EMPLOYEES, MALES AND FEMALES. 365 Attendants and kitchen employees 58 121 165 495 3, 961 9C) 28 98 757 19 15 17 16 369 Attendants, house girls, etc 13 100 141 370 3,135 7V 67 245 1,864 4.) 32 40 37 370 ....do 27 11 109 131 140 198 151 57S 422 4,598 3,622 45 27 36 28 157 107 1,128 785 26 16 15 16 21 20 20 389 Officers, clerks, etc 18 123 169 493 3, 968 38 35 131 988 21 17 21 20 Average all of pa- tients and em- ployeesa 92 106 368 2,783 18 14 65 457 16 12 15 14 '(In all cases the averages per man per day given in this table are not numerical averages of the results of the several studies, but are found by dividing the total quantity of each nutrient or energy by the total number of days for one man. 75 Table 31. Summary of results of dietary studies at the Government Hospital for the Insane and other institutions — Continued. Food served. Food eaten. ■S 5 Food wasted. Proportion of total served that was wasted. Studies in New York hos- pitals. PATIENTS, MALES. Chronic, infirm, average 8 studies Light workers and dis- turbed, average 2 stud- ies Restless, active, dis- turbed, average 2 stud- ies Workers, average 10 stud- ies Acute, recent admission, average 2 studies Acute and sick chronic, average 2 studies EMPLOYEES, MALES AND FEMALES. Officers, attendants, etc., average of 6 studies Average of all pa- tients and em- ployees Dietary standards for p< r- sons in health. Man with moderately active muscular work. . Man with light to mod- erate muscular work. . . Man with sedentary work Woman with moderately active work Man with very little ex- ercise Woman with light to moderate work Woman with very little exercise Proposed standard for insane hospitals. Per person per day Per man per day... 1,069 318 258 1,595 70 35 Gm. Gm. 348 ;;s-j Cats. 2, 259 2, 255 2, 605 2, 908 2, -177 2, 432 3,183 Gm. Gm. 4 2 3,400 3,050 2, 700 2,700 2, 450 2, 450 2, 200 2, 500 2,950 10 Gm. 14 Cats. 90 142 132 161 94 P. ct. 3 20 170 P.et 4 P. ct. 4 The studies reported in this bulletin are grouped in the table pre- ceding according- to the general conditions of the patients, since it was not feasible to make distinctions that would accord at all exactly with the amounts of muscular activity. The large majority of the patients were not especially active, though most of the studies included a few who did a small amount of light work each day, and who, by the custom of the institution, received a little extra ration. But, except in one study, the proportion of workers to non workers was so small 76 and the extra ration for them was so limited as compared with the total amount fed that in calculating the results each study was treated as if the patients were all nonworkers and all received the same diet. In the study excepted — No. 374 — the proportion of working patients was large, and some of them did a considerable amount of outdoor work; consequently, account was kept of the amount of extra ration served, and the results of the study have been computed for the workers and nonworkers separately, as well as for the group as a whole. AMOUNTS OF FOOD CONSUMED AND ADEQUACY OF THE DIET. With the ordinary individual in good health and of sound mind, the normal bodily demand for nutrients and energy depends largely upon his muscular activity; and in discussing the results of dietary studies of such persons it is customary to compare the results obtained with dietary standards for men having about the same amount of mus- cular work as that of the persons studied. Standards of this sort, which have been very commonly used in this country and in England, are given in Table 31. Of course, such standards are at best tentative. The} T are general indications rather than exact measures of the actual physiological demands of persons in health, and their uncertainty in this respect is still greater when they are applied to persons in demented or other abnormal condition. Data concerning the actual physiological needs of insane hospital patients of different classes are as yet very inade- quate; hence, it is not certain to what extent dietary standards for persons in health may be compared with the results of studies with persons not in normal mental condition. Some authorities believe that the bodily demands of the insane do not materially differ from those of persons in health with a corresponding amount of muscular activity, while others think that acutely insane patients may require more nourishment, and the chronic classes probably somewhat less than is required by normal persons. It is believed, however, that a comparison of the results of these studies with the commonly accepted standards, and with the results of studies with similar patients in other institutions, will give a tolerabl} 7 clear idea of the sufficiency of the diet for the bodily needs of the patients. Such a comparison can be made with the aid of the data included in Table 31. The ten studies of the first group in the table above comprise those with patients from middle life to old age, largely chronic insane, orderly, and quiet. The proportion of patients who did any consider- able amount of work was small. The amount actually eaten in these ten studies varied from (>4 grams of protein and 2,<>78 calories of energy per man per day to 105 grams and 2,964 calories. It is inter- esting to note, however, that aside from these two extreme cases, the results for the individual studies agree in the main fairly well with 77 the average for the whole group, namely, 88 grams of protein and 2,767 calories of energy. While the patients in these studies included a few at light work, it is doubtful if the average amount of muscular activity would be any greater than that of the average normal individual with "little exer- cise." The dietary standard given in the table above for men under such circumstances calls for 90 grams of protein and 2,450 calories of energy per day. If the bodily demands of these patients for nourish- ment were dependent upon their muscular activity, it would seem from such a comparison that they were very well nourished. Among the studies in the New York hospitals the group most nearly similar to these was that designated as "light workers and disturbed." The average consumption in studies with such patients was 73 grams of protein and 2,255 calories of energy per man per day, which was con- siderably below the average for these patients at the Government hos- pital. The patients of this class, as of others in the New York hos- pitals, had all the food they wanted; indeed, generally speaking, much more was served to them than they cared to eat, and there were no indications of underfeeding. In the three studies in the second group in the table above the patients were so nearly of the same general class that it would be expected that the food consumption in one study would not differ greatly from that in another. The results as actually observed showed a range of protein from 65 to 104 grams, and of energy from 2,255 to 2,877 calories. Such differences, of 40 grains of protein and 600 calories of energy between the largest and smallest food consumption of .the three, are rather surprising. It has already been stated in the account of the individual studies that the patients in study No. 376, with the lowest food consumption, appeared to be sufficiently nourished, though it can not be affirmed that they would not have been better nourished if the}^ had eaten more. The opinion of the observer and attendants in charge, that these patients had enough, was based to some extent on the fact that the food provided was palatable and seemed satisfactory to them; furthermore, the quantities served to them were generous, so that they could have eaten more if they wished it. This was true also in the case of the patients in stud}' No. 368, in which the consumption was also considerably smaller than that in study No. 379. It should be observed, however, that it is by no means always true that persons in normal mental health are able to adapt their food consumption to their actual bodily needs, regardless of the amount of food provided for them or their relish for it, and it may be even more generally true that persons as mentally irresponsible as were many of these patients, lack judgment in this respect. Doubtless there were some individuals who would not eat all that their bodies required, however much was set before them or however attractive or palatable the food might be. 78 Possibly there were some to whom the food was decidedly unattractive, so that their appetites were not stimulated. But it is difficult to believe that any large proportion failed to obtain sufficient nourishment, and the opinion that the subjects of these studies were not undernourished seemed to be justified by their appearance and general condition. On the other hand, it could not be affirmed that the patients in study No. 379, whose average food consumption was so much larger than that in either of the other studies, were overfed. No explanation of the wide differences in the results of these three studies can be given other than that the inclinations of the patients seemed to vary. While it was the opinion of those in charge that the food consumption in each case during the time of these studies was about the same as usual, it is not certain that similar studies with the same patients at another time would not have given results showing more uniformity between the individual studies, as was the case in the preceding group. The results in these three studies (Nos. 368, 376, and 379) are so vary- ing that the average can hardly be taken as representative; yet it is interesting to note that such an average is close to the standard men- tioned above for a man in health with very little muscular activity. Among the studies in the New York hospitals the average consumption in two with patients classed as "light workers and disturbed 1 ' was 73 grams of protein and 2,255 calories of energy per man per day, and the average in two studies with patients classed as "restless, active, and disturbed" was 95- grams of protein and 2,746 calories. Study No. 374 was made with a group of negro patients, a large proportion of whom were workers, some doing considerable amounts of outdoor work. Considering the group as a whole, as has been done in all the other studies, the average consumption was 98 grams of pro- tein and 2,536 calories of energy per man per da} r . It has seemed best in this case, however, to consider the consumption of the workers and the nonworkers separately, since there were so many of the former in the group. The results of calculations according to such a division of patients, and taking account of the extra ration for the workers, gives an average consumption of 108 grams of protein and 2,694 calo ries of energy for the workers and 90 grains of protein and 2,402 calories of energy per man per day for the nonworkers. The results for the nonworkers correspond quite closely to the dietary standard given above for a man with " little exercise." The results for the workers are a trifle lower in protein and noticeably lower in energy than the standard given for men with "light to moderate muscular work." The amount of work done by these patients would probably be on the average no less than that which would be represented by the standard. The results of 10 studies of patients classed as "workers" in the New York hospitals gave an average consumption of 105 grams of protein and 2,908 calories of energy per man per day, which, like 79 the standard, was somewhat higher in energy than the results of study No. 374. While the subjects of study No. 374 at the Government hospital did not appear to be undernourished, still it is probable that they would have been more adequately nourished if their diet had supplied a larger quantity of energy. The}' apparently had large appetites, and, as mentioned in the discussion of the results on page 49, the amount of food supplied to the dining room was frequently insufficient to sat- isfy them, so that it was necessaiy to send to the kitchen for more. Studies Nos. 366 and 371 were with patients in poor health, many of them infirm and bedridden. The average amount of muscular activity of these patients was veiy small indeed, and a diet furnishing 97 grams of protein and 2,519 calories of energy, the average consumption per man per day for those two studies, would seem to be, at least in regard to protein, more than sufficient for their bodily needs. In the investi- gations in the New York hospitals the average consumption in eight studies with infirm patients was 72 grams of protein and 2,331 calories of energy per man per da} T , and the average of two studies with acute and sick patients was 65 grams of protein and 2,553 calories of energy. The patients in studies Nos. 381 and 382 were } r ounger and more active than those in the preceding groups. They were, on the whole, less demented, and with some of them there was hope of recovery. About half of the number in one study and about a third in the other were workers. The food consumption was a little larger in the former study, owing, no doubt, to the large proportion of working patients, to whom extra rations were served. The average for the two studies, 104 grams of protein and 2,917 calories of energy, approximates the standard given above for normal individuals with light to moderate muscular work, being a little lower in protein and a little higher in energy than the standard. Studies Nos. 387 and 388 contained a large proportion of ""paying patients, 11 who were not classed as insane, but were recovering from dipsomania, the effects of fever, etc. They received the "first sec- tion's " diet, which was somewhat different from that served to the patients in other departments. They were allowed to go about the grounds at will and spent much of their time out of doors. They were all more or less active and took considerable exercise each day, but their total muscular activity was by no means equal to that of an ordi- nary individual at " moderately active muscular work.'" Their food consumption, however, averaging 125 grains of protein and 3,398 calo- ries of energy per man per day, was equivalent to the standard emoted for such persons. The patients in studies Nos. 367 and 383 were less easily classified than those in the other groups. Study No. 383 comprised patients of widely differing ages— from children to old men. Some were fairly 80 quiet and orderly chronic patients, while others were practically idiots. Very few of them did any work. The group included in study No. 367 was made up of adult chronic patients, all non workers. The food con- sumption in one study was but 72 grams of protein and 2,558 calories of energy per man per day, while in the other it was 95 grams of pro- tein and 2,811 calories of energy, the average for the two being lower than that of the ten studies in the first group in the table. The last group in the table comprises the four studies with employees, including officers, clerks, ward and dining-room attendants, waiters, and house girls. The average amount of muscular work which they performed might perhaps be equivalent to that of persons with "light to moderate muscular work, 11 possibly greater. The conditions in the different studies with respect to the amount of muscular work did not vary so much, however, as to account for the wide differences in food consumption observed, the quantity of protein as calculated per man per day varying from 100 grams in one study to 140 in another, and the energy from 3, 135 to 4,598 calories. The average for the four studies — i. e., 123 grams of protein and 3,968 calories of energy — was the same as regards protein and higher as regards energy than the standard given above for men at " moderately active muscular' 1 work. The indica- tions are that these employees were very generously nourished. In the New York hospitals the average food consumption in six studies with employees, including both men and women, was 95 grams of pro- tein and 3,183 calories of energy per man per da} r . Considering the total number of studies with patients (No. 374 being taken as two studies rather than as one), the average food consumption was 90 grams of protein and 2,704 calories of energy per man per day. In a few of the studies the consumption was appreciably higher or lower than this average, but in the majority of cases the variations were not unusual, so that the average may be taken as a fair repre- sentation of the food consumption of the patients studied. Inasmuch as the amount of muscular activity of a large majority of the patients was very small, a diet furnishing such quantities of protein and energy would seem to be larger than actually necessary to satisfy their bodily needs. The standard given above for men in ordinary circumstances " with little exercise,' 1 90 grams of protein and 2,450 calories of energy is supposed to be decidedl}' generous, } r et as regards energy it is notice- ably lower than this average consumption. The 26 studies with male patients of various classes in the different New York hospitals averaged 90 grams of protein and 2,698 calories of energy, but this included 10 studies with patients classed as workers, in which the average con- sumption was greatest, whereas in the studies at the Government hospital only a very small proportion of the patients were workers. As already stated, there were no indications that the subjects of the studies in the New York hospitals were not adequately nourished. 81 Taking- all the studies at the Government hospital together, both those with patients and those with employees, the food consumed furnished on an average 92 grams of protein and 2,783 calories of energy per man per day. This is, it should be remembered, an aver- age of studies almost entirely with men. There were some women among the attendants with whom studies were made, but their food consumption has been computed as equivalent to eight-tenths as much as that of the same number of men similarly employed, and accordingly the results are all given per man per day. There was not time to complete studies in all the wards of the institution, and as the female patients comprised only a little over a fifth of the total number, it was believed to be more important to make as many studies as possible with the male patients. Consequently nothing is known by actual study concerning the food consumption of the women patients. Their diet was in general the same in kind as that for the men, and so far as could be estimated the amounts supplied were about three-fourths as large as for the same number of men; but whether the amounts eaten were in the same proportion could not be ascertained without actual investigations. Whether the average just stated would be a fair representation of the food consumption of men in the whole institution it is impos- sible to state with certainty, because there were a number of wards in which no studies were made with either patients or employees. How- ever, from observations made in some of these wards, it was believed that in respect to both their physiological needs and their actual food consumption the persons not included in the studies did not diner materially from those studied. Inasmuch as the number of persons included in the studies was more than half of the total population of the hospital, and represented most, if not all, the different classes of employees and male patients, and furthermore since the proportion of employees to patients in the groups studied was below rather than above that of the whole institution, it seems reasonable to consider that the average of V'2 grams of/protein and 2,783 calories of energy per man per day would not be larger than the food consumption of at least the male population of the hospital, which, as mentioned above, comprised about three-fourths of the whole. A similar average for studies in the New York hospitals, including the 26 with male patients and 6 with employees, was 90 grams of protein and 2,698 calories of energy. Considering both patients and employees it thus appears that as a whole the population of the Government hospital consumed almost exactly the same amounts as the average for similar groups in the New York State hospitals. From such a comparison, and judged by the commonly accepted dietary standards for men with similar amounts of muscular activity, it is evident that the population of the Government 6523— No. 150—04 6 82 hospital received a diet generous as regards the amounts of protein and energy supplied. It seems fair to conclude, therefore, that the diet was certainly adequate for their needs. AMOUNTS OF FOOD WASTED AND ECONOMY IN UTILIZATION OF FOOD. Of the total food brought into the hospital, by no means the whole is eaten. A portion of some food materials consists of inedible sub- stance, such as the bone of meat, the shells of eggs, the skins and seeds of vegetables, and the like, which is commonl} 7 designated as refuse, and is taken into account in considering the composition of the food and computing the quantity of nutrients it contains. But in addition to this, more or less edible material is lost in various ways. There are losses in the storeroom due to handling and in some cases to deteriora- tion and decay. For instance, in cutting up large pieces of meat, like a side of mutton or a quarter of beef, into smaller cuts, edible material is often lost in trimming out bone and surplus fat. There are losses in the kitchen in preparing and cooking foods. In paring vegetables, as potatoes or squash, for example, it is not easy to cut off the skin without taking also more or less of the nutritive material beneath the skin, the amount thus lost depending of course upon the character and condition of the vegetables and the care observed in paring. In transferring food from the kettles and pans in which it is cooked to the dishes in which it is carried to the table, more or less adheres to the cooking utensils and is thus lost. Of the food which is sent to the dining room not all is actually served, the amounts provided being commonly larger than are needed to feed the persons in the dining room. More or less of the "left-over" material is returned to the kitchen and used in preparation of "made dishes " to be served later,, but a portion of it is wasted. Finally j a portion of the food which is served at the tables is frequentl} T left uneaten on the plates, and as such residue is of course unfit for serving again, it is utilized only as food for swine. In short, it is practically impossible to store, prepare, and serve food without more or less loss of edible material, the amount lost depending upon the conveniences for storing and handling, the care and intelligence of the persons who do the work, and the extent to which food served is actually eaten. These losses, whether inevitable or due to carelessness, are designated as " waste," as distinguished from refuse, a term which is explained above. As explained on a later page, some waste is unavoidable, and a reasonable amount is not incom- patible with good management. For a comprehensive discussion of the utilization of food it would be necessary to consider the amounts purchased by the hospital and brought into the storeroom, the amounts supplied from the store- 83 room to the different kitchens, the amounts lost in the kitchens — i. e., the kitchen waste incident to the preparation of food, and the amounts lost in the dining rooms, i. e., table waste due either to failure to return "left-over" edible food to the kitchen for future use or to excessive serving and consequent waste on the plates. Just how large a proportion of the total food of the Government hospital was wasted it is not possible to determine from these inves- tigations. Exact statistics regarding the quantities of food purchased and brought into the storeroom were not conveniently available; hence, the loss due to shrinkage, deterioration, etc., could not be ascertained. Regarding the losses in other ways enumerated above, however, the data collected in the investigations afford considerable information, and these data are summarized and discussed in the following pages. DINING-ROOM OR TABLE WASTE. The figures of the dietary studies showing the total amounts of food served, eaten, and wasted in the dining room, given in detail in Table 35 of the Appendix, are here summarized in the table which follows. Table 32. — Summary of datn regarding total amounts of food provided, relumed, eaten, and ivasted. Food returned. Food served. Proportion of food provided. Dietary study. vided. Total. Propor- tion of food pro- vided. Food eaten. Food wasted. Eat- en. Wast- ed. No. 364 No. 365 No. 366 No. 367 Kilos. 5, 910. 3 1,266.2 805. 3 1,151.7 331.4 306.0 628. 9 2,361.9 979.0 Pounds. 13,002.7 2,785.6 1,771.7 2, 533. 7 729. 1 673. 2 1,383.6 5, 196. 2 2 153.8 Kilos. 32.3 167.3 10.7 65.2 9.5 20.7 32. 1 22. 7 Lbs. 71.1 368. 1 23. 5 143.4 20.9 45* 70." 49. 9 Pt r ct. 0.5 13.2 1.3 5.7 2.9 6.8 5.1 1.0 Kilos. 5, 270. 3 889. 8 610.1 834.3 236. 5 159. 9 453.9 1,850.0 719.4 989.5 1,629.7 331.3 218. 364.1 216. 3 412. 4 383.0 330.5 322. 8 262. 3 298.7 348.3 343.7 185. 3 137. 3 197.1 Pounds. 11,594.7 1, 957. 6 1,342.2 1,835.5 520. 3 351.8 998.6 4,070.0 1,582.7 2,176.9 3,585.3 728.9 479. 6 801.0 475.9 907.3 842. 6 727. 1 710. 2 577.1 657. 1 766.3 756. 1 407.7 302. 1 433.6 Kilos 607.7 209. 2 184.5 2fS2.2 85. 4 125. 5 142.9 489.2 259. 6 187.7 272.4 146.5 100.0 106. 3 58.4 61.6 72. 27. 5 24.6 22. 7 41.1 19.1 25. 9 43. 2 37.4 41.7 Pounds. 1,336.9 460.2 405. 9 554. 8 187.9 276.1 314.4 1, 076. 2 571.1 412.9 599. 3 322. 3 220. 233. 9 128. 5 135.5 158. 4 60. 5 54.1 49.9 90. 4 42. 57.0 95.0 82.3 91.7 /'. ct. 89. 2 70. 3 75.7 72.4 71.4 52.2 72. 2 78. 3 73. 5 84.0 84.6 66. 9 68. 77.4 72. 6 82.6 74.0 84.5 82.5 78.1 69.6 84.4 83.9 71.6 65.4 74.9 P. ct. 10.3 16.5 23.0 21.9 25.7 No. 369 No. 370 No. 371 No. 372... . 41.0 22.7 20.7 26. 5 No. 373 1,177.2 9.S89.8 16.0 No. 374 No. 375 No. 376 No. 377 1 . 925. 6 494.9 320.8 470. 4 298.1 499.5 517.7 391.1 391.1 335.8 429. 412.7 109.8 258. 8 210. 263.0 4, 236. 3 1, 088. 8 705. 8 1,034.9 655.8 1,098.9 1,138.9 860.4 860. 4 738.8 943.8 907.9 901.6 569.4 462. 578.6 23. 6 17.1 2.7 51.9 37.6 5.9 1.2 3.5 .8 14.2 29.6 31.2 22.6 No. 378 No. 379 No. 380 No. 381 No. 382 No 383. 23. 5 25. 4 62. 7 33. 1 13.7 50. 8 89.2 45. 4 40. 3 30.2 35.3 24.2 51.7 55. 9 137.9 72. 8 96. 1 111.8 196.2 99. 9 88. 7 66. 4 77.7 53.2 7.9 5.1 12.1 8.5 11.2 15.1 20.8 11.0 9.8 11.7 16.8 9.2 19.5 12.3 13.9 7.0 6.3 6.8 No. 384 9.6 1.6 No. 386 No. 387 No. 388 No. 389 6.3 Hi. 7 17.8 15.9 Average of 26 studies ... . 867.2 1,907.8 34.9 76.8 4.0 692.1 1,522.6 l 140.2 308.4 79.8 16. 2 The first column, headed "food provided, 1 ' shows in the case of each study the total quantity of food sent from the kitchen where it 84 was pre 'ared to the dining- room or ward where it was to be used. The second column, k ' food returned," shows how much of the food left after serving was sent back to the kitchen to be used again in "'made dishes" or otherwise disposed of. The latter quantities therefore rep- resent an excess of food provided over what was needed to serve the persons included in the study; but they do not show how much of an excess there was in each case, because some food left over from serv- ing was not returned to the kitchen. When the amount was small, it- was commonly thrown into the receptacles for the material left upon the plates. The data in the table show a wide variation in the quantities of food returned in different studies. In some cases there was none, but in several 1<> per cent or more, and in one case over 20 percent of the total amount of food provided was returned to the kitchen, even after the patients had been generously served. Averaging the data for all the studies, the quantity of food returned was equivalent to about 4 per cent of the total food provided. It is not to be inferred that in those studies in which no food was returned the amount provided was not in excess of what was necessary to serve the persons fed. The matter of returning food was left entirely to the discretion of tlie persons in charge of the serving, who appeared to follow no regular system and most of whom had no uniform custom. Meat and potatoes were quite generally returned, but in the case of the other materials, some of the attendants were careful to return whatever was leftover; some returned only the larger quantities; and some returned none, but added all that was left from serving to what was left upon the plates after the meal. In the studies for which there is no record of food returned, therefore, the excess of food provided over food served may have been added to the waste in the dining room. It was not possible to get exact statistics in each study concerning the amounts actually left after serving, though it was possible to take account of whatever was actually returned to the kitchen. While part of this excess material was utilized again, part of it was wasted after it was returned to the kitchen; that is, though wholesome and tit for use on the table, it was given to the pigs. Just what pro- portion was utilized it was not found practicable to determine by actual weighings, but from observation and inquiry it was learned that meat and potatoes thus returned to the kitchen were generally utilized, the former sometimes for serving cold, and both sometimes for hash. Bread returned was also used for pudding, but little or no provision was made for saving most other " left-over' 1 materials and preparing them for serving again in other forms. The term " food served" as used in Table 32 and in the correspond- ing table of the Appendix has reference to the portion of the "food 85 provided " that was disposed of in the dining room, including both the amounts of food which were actually eaten and those which were wasted. The total quantity thus designated is therefore equal to the difference between that provided and that returned. As a matter of fact, there is an inaccuracy in the account of "food served" which, though of minor importance, should lie mentioned, namely, that part of what is designated as " food wasted." and accordingly enters into the account of food served, had never been served and should have been returned to the kitchen. In gathering the data regarding food wasted at the end of each meal the different kinds of food in the rejected material were separated and the quantity of each was determined. In most cases the larger part of this material consisted of what was left upon the plates, but to some extent it comprised also food that had not been served; because, as mentioned above, when the amount of food left in the serving dishes was not large it was frequently added to what was left upon the plates instead of being returned to the kitchen for future use, and indeed in some cases all of such "left-over" material, except meat and potatoes, was thus disposed of. Inasmuch as under the circumstances it Avas impracticable to have such material kept separate from material act- ually left upon the plates, it was necessary to record the whole as " food wasted/ 1 It would seem therefore more appropriate to con- sider the whole as " dining-room " rather than as " table 11 waste. The amount of food wasted in the dining room in some of the stud- ies was relatively small, while in others it formed a considerable pro- portion of the total food provided, the range being from 5 per cent in study No. 385 with patients, to 41 per cent in study No. 369 with emplo} T ees. In 16 of the studies the proportion was above 15 per cent, in one it was 14 per cent, and in the remainder it was between 5 and 12 per cent. On an average for the studies with patients the amount of food thus wasted was 16 per cent of the total amount provided; for those with employees it was 21 per cent; considering all the studies together it was 16 per cent. It would be still more interesting if possible to compare the amounts wasted in the dining room with those served, because such comparison would afford a better idea of how much food was served in excess of the amounts actually eaten, the latter being, of course, the difference between the amounts served and those wasted. The difficulty in mak- ing such a comparison as just explained was that the dining-room waste included some material that was never served. Such considerations of the total amounts of food eaten and wasted are interesting, but the quantities of nutrients and energy per man per day are of more significance. With regard to food eaten and wasted these data form part of the account of the different studies on pages 1!» to 71 and arc summarized in Table 31. The quantities of 86 nutrients and energy in the food returned were also calculated, although the results of the computations are not given in detail. It was explained above that a part of this returned material, chiefly the meat, bread, and potatoes was utilized again and the remainder wasted, and the computations of the quantities of nutrients and energy in the returned material that was wasted were made on this basis. Strictly speaking, this is not a part of the table waste, which, as explained above, is material wasted at the plates; nor is it a part of the kitchen waste, which is loss in the preparation and cooking of food. Since it was actually wasted in the kitchen it might be more logical to consider it along with the latter, but for convenience it is here dis- cussed with dining-room waste. Another reason for considering it here is that part of the material designated in the tables as "food wasted " should really have been returned to the kitchen. The quantities of nutrients and energy per man per day in the food consumed and wasted are summarized in the following table. The data here included are average values derived from the results of all the dietary studies, and probably represent the conditions for the whole institution: Table 33. -Summary of data regarding nutrients and energy per man per day in food consumed and wasted. In food actually eaten In dining-room waste In food returned: Used again Wasted Total in food provided Grams. 92 18 5 1 no Grams. 107 14 Carbohy drates. Grams. 368 65 11 8 Energy. Calories. 2,792 457 100 54 3,403 By referring to Table 31 it will be observed that the table waste ranged from 5 grams of protein and 116 calories of energy per man per day in study No. 385 to 72 grams of protein and 1,864 calories of energy in study No. 386. The average for the total number of persons included in the studies, given in the table above, was 18 grams of pro- tein and 457 calories of energ} 7 . If to this is added the portion of returned food that was eventually wasted, the total amount of waste was sufficient to supply on an average 19 grams of protein and 511 calories of energy per man per day. With regard to the food returned it may be observed that, while the quantity that was eventually wasted was relatively large in compari- son with the total returned, in actual nutritive value it was of much less importance than that used again; for, as seen from the table above, the latter contained 83 per cent of all the protein and 65 per cent of all the energy of the food returned. 87 Considering- all the data in the table it would appear that the food provided, that is, sent from the kitchen to the dining room, was suffi- cient to supply 116 grams of protein and 3,403 calories of energy per man per day. KITCHEN WASTE. The data recorded in the investigations did not include an account of the total amount of food brought into each kitchen. Hence, it is not possible to determine the total amount of kitchen waste. It is possi- ble, however, to make a general estimate on the basis of the quantities of nutrients and energy per man per day sent to the kitchen. As explained on page 71, statistics were obtained regarding the amounts of food issued from the storeroom to all the kitchens of the institution for a year, and the quantities of nutrients and energy per man per day were computed on the basis of the average population for the year. These results are given in Table 30 on page 72. In Table 33 are summarized the results of the investigations regarding the quantities of nutrients and energy per man per day in the food sent from the kitchens to the dining rooms. There is therefore an oppor- tunity to compare average figures for food received in the kitchens from the storeroom and food sent from the kitchens to the dining- rooms. The difference should represent loss incident to preparation and cooking. Such a comparison is given in the following table: Table 34. — Summary of data regarding nutrients and energy in kitchen waste. Protein. Fat. Carbohy- drates" Energy. In food issued from storeroom Grams. vi- Grams. 172 127 Grams. 517 452 Calories. 4 107 ;s 403 li 45 05 Strictly speaking, such a comparison is not warranted for two reasons. In the first place, as already explained, the average consumption for the whole population can not be determined from the investigations reported, because these do not include any studies with women patients; hence, nothing certain is known regarding the consumption of the women as compared with that of the men. In making the computa- tions regarding food issued it was assumed that the food consumption of a woman would be eight-tenths that of a man. In the second place, the statistics obtained for the food issued from the storeroom to the kitchens of the whole institution were not for the same period as that in which the studies were made, but for the year just preced- ing. However, so far as could bo ascertained from a cursory exami- nation of the accounts for the period of the studies, the supplies for the two years differed so little in character and amount that the esti- 88 mate of the quantities of nutrients and energy per- man per day in the food for the preceding year would at least give some indication of what they might be during the year in which the studies were made. With regard to the assumption that the average of the results of the studies with regard to food eaten, wasted, etc., may be taken as representative of the whole population, it may be stated that the number of persons included in the studies was more than half of the total population, and indeed considerably more if the number of women be considered as equivalent to eight-tenths the same number of men. The larger part of the population, nearly three-fourths, consisted of men, and the different classes of male patients were believed to be fairly well repre- sented in the studies made. The groups of employees included in the studies were also considered representative. It therefore seems rea- sonably fair to make the comparison as given in the table above. From the data thus compared it would appear that the amount of food lost in the kitchen in connection with the preparation and cooking of food and transferring it to dishes to be carried to the dining room was sufficient to supply 11 grams of protein and 701 calories of energy per man per day. TOTAL DINING-ROOM AND KITCHEN WASTE.. Combining the data in Tables 33 and 31 above regarding waste of returned food and dining-room and kitchen wastes would indicate that the total loss of food in these ways was sufficient to furnish on an average 30 grams of protein and 1,215 calories of energy per man per day. Similar computations from the results for food supplied and food consumed in the studies made in the New York hospitals" showed a loss sufficient to supply 10 grams of protein and 1,113 calories of energy per man per day. In other words, in respect to actual nutri- tive value, the loss in the Government hospital was about 25 per cent, and in the New York hospitals about 3d per cent of that of the total food. In institutions of this sort some loss of food is inevitable, and what might perhaps reasonably be considered a normal amount may be an appreciable proportion of the total provided. Even in private families and in boarding houses, not all the food purchased is actually eaten. In upwards of 500 dietary studies of such groups in different parts of this country, the waste of food among private families has ranged from practically none, where the diet was extremely simple, to as high with a more varied diet as 8 or 10 per cent of the total pur- chased; and in boarding houses and students' 1 clubs, even where economy was desired and sought, it has been not uncommonly 10, and in some exceptional cases even 20 per cent. In larger establishments, such as hospitals for the insane, economy in dietary management is a more a N. Y. State Com. Lunacy Rpt. 1.". (1900-1901), p. 110. 89 difficult matter than in ordinary families or boarding- houses, and even with the most careful management the losses may easily be larger. PREVENTION OF WASTE. Just what proportion of the waste of food in the Government hos- pital could have been prevented can be determined only by investi- gation and experiment; but from a consideration and comparison of the statistics for the individual studies it would appear that in 'many cases the amount was decidedly larger than would seem necessary. That some of the loss could have been prevented is evident from a consideration of the way in which losses may occur. The food wasted in the dining room consisted in part of material left in the serving dishes, but mostly of what was left uneaten upon the plates. The waste of food that had not been served was due to failure on the part of those in charge of the dining rooms to return such material to the kitchen, owing either to carelessness or lack of instruction in the matter of preserving " left-over v material for future use. It would seem that this waste could be easily prevented, either by more care on the part of those in charge of the serving, or by reducing the quantity sent to the dining room to more nearly that which would be required to feed the patients. The waste upon the plates is less easily prevented. Food may be left uneaten for various reasons. There ma} r be a natural lack of appetite with individuals; or the food may be unsuited to their tastes. Furthermore, because improperly cooked or flavored or unattractively served, it may fail to stimulate the appetite; or it may be unfamiliar or too familiar in appearance or taste to be palatable. On the other hand, the amount served to each individual may be in excess of his needs or desires. In one study, for instance, breakfast foods, meat stews, and leguminous soups were not relished, and from a fourth to a third of the oatmeal and nearly half of the hominy served were wasted. Obviously the amounts served in this case were excessive, and a reduction in quantities served would have materially reduced the waste. This could have been done without affecting the adequacy of the diet, because in spite of the large waste the amounts of nutrients and energy of the food actually eaten were believed to be sufficient for the needs of the subjects. Frequently one of the principal causes of table waste is unsatisfac- tory preparation of food, including cooking, flavoring, garnishing, etc. When food is well cooked and tastefully served, and so attractive to the e} T e as well as pleasing to the palate, it is much more apt to be economically eaten than when the preparation and serving are less carefully done. A considerable part of the pecuniary, and, indeed, the hygienic, economy of nutrition depends upon the methods of handling- the food in the kitchen and dining room. This is a matter 90 to which naturally much more attention can be given in a small family than is possible in a large institution, but even in the latter it is worthy of more consideration than is sometimes given. So far as evidence was obtained in the course of these investigations, however, the rejection of food could be attributed less to any failure in the matter of preparation than to other causes. In general a close supervision was kept over the work of preparing food, the cooking- was well done, and seasoning or flavoring was as carefully attended to as was possible under the circumstances. This has been particularly mentioned in the discussion of study No. 364, on page k 23. It is believed that in this respect the conditions at this hospital would com- pare most favorably with those in similar institutions elsewhere. It is true, however, that the food may be well prepared and attract- ively served and still be rejected in considerable proportion unless it has a familiar appearance and taste, because people generally prefer the kind of food to which they have been accustomed; and frequently, especially when ordinarily they have been used to little variety, they do not at first relish what is novel to them. Such considerations sug- gest that for the most successful and economical feeding of persons in institutions it is essential to take account of their previously acquired food habits. Obviously, however, with a large number of individuals of widely varying habits, it would be difficult to prepare a satisfactory diet that would in all respects be familiar to each one. But it is easy to exclude materials which are more or less unfamiliar or distasteful to man}^ of them, and which would very likely be left uneaten. Failure to do this may have been the reason for the large amount of some of the foods rejected in these studies; for instance, wheat break- fast foods were left uneaten in large proportions in nearly every study, though oatmeal was evidently relished. On the other hand, monotony in the diet is especially to be avoided, as this has a decided tendency to diminish the relish for food. This effect has been observed to follow where there is a uniformity in the rotation of the menu — that is, where the same menu is used on the same day in successive weeks, as is frequently the case in institutions. Under such circumstances a large number of persons associate the days of the week with the kind of food that will be served, and the pleasurable sensation that acts as a sort of stimulation to appetite when the nature of the meal is more or less of a surprise is lost. Under such circumstances the amount eaten is generally smaller. These conditions were present to an appreciable extent in some of the studies here reported. In addition to such conditions which fail to stimulate and may even take away desire for food, there may be a natural variation in appetite from day to day, which may result from differences in either physi cal or mental conditions, and this would affect the quantity of food 91 consumed. Under such circumstances, where the plan is to provide enough for all when conditions of appetite are normal, there would, of course, be more or less waste which it would be difficult to avoid. It could be materially reduced, however, by providing amounts for serving which are based upon the observed consumption through considerable periods. Waste can not be entirely avoided; more or less is inevitable; but it can be kept at a minimum. It is possible, even in large institutions, to provide for the utilization of food so that the losses shall be small. This can be accomplished by a better understanding of the nutritive values of different foods and of the demands of people for nourishment, and by improvements in the methods of preparing, cooking, and serv- ing the food. Under such conditions it would be possible to provide a palatable, attractive, and nutritious diet at minimum cost. That reduc- tion of cost was possible was demonstrated in the course of the studies here reported. From time to time opportunities for improvement were pointed out to the late Dr. Richardson, then superintendent, and were promptly acted upon by him; and he stated that, in his opinion, as a result of the investigations, the cost of the food during the last six months of the year was lower than for any corresponding period during his connection with the institution, and at the same time the general character of the diet was not changed nor was the standard lowered in any way. APPENDIX The statistical details of the investigations, from which the data discussed in the preceding section of the bulletin have been derived, are given here. These include the records of the kinds and amounts of food used in the dietary studies, the account of the food issued from the storeroom for a year, the table of percentage composition, and data for the computation of the composition of cooked foods. STATISTICS OF FOOD USED. The first column in Table 35 below, headed "Food provided," shows the amount f i ach kind of food sent from the kitchen to the dining room. Tin- second column, "Food returned," shows the amount of each food left after serving in the dining room that was returned to the kitchen. The third column shows the amount of each food that was actually eaten, and the next three columns the quantities of protein, fat, and carbohydrates it contained. The seventh column shows the amount of food wasted in the dining room, including both that left at the plates and that left in the serving dishes and not returned to the kitchen. It was not found practicable to obtain separate accounts of actual table waste and material that should have been returned but was added to the table waste. The next three columns show the quantities of nutrients in the food wasted in the dining room. The final column shows the percentage of "Food provided" that was wasted in the dining room. 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S 80 2 «B D? ® £;S 3j§* g 2 oa - . 03 — t r— '.- rH lO tH ■ x i - : -. i - o -r <-i ■ i - i - -c i - -r -o • rH h l~ -x --C p ■ i - — X ■ 7 I ' 7 : 7 S. -.7 •— 7 1 ■ t» cp iC — — X OOOH1»0)H r. cic cc — a . ■ f s_ -. r. ■— — s. y_ i- 77 — / : :- - ■' '.:■'. ~ 71 7. r-^Til- / — -c X / 77. -.2 — — r- SO i-l ■— CI r. r- 71 it g — — ■ . rH Ifi r- I - S. ^ :- i ~r 7 I — - -r -r O '- ' ! I — — - ~ — — — ~ I r- S- r- i*'/.c:i?.::-c / / i - X r - X r-' 7 i r-* r-" 7 I — i ■ 7." 7 l' i— ' — * 7 l" — " — ' ^- 71 — :7 71 — .-t M 71 71 71 M — 71 c - _ — : " ''1. : - v : g ^ ) w o o a 3 f g§2 ? H - T C - - - ~ ' ** 'S fe ~< — £^-r > f£2 u > £ "5 "= — sir ^5': ~ -r = 5 5 .i 148 FOOD ISSUED FROM STOREROOM FOR ONE YEAR. The following table shows the kinds and amounts of food issued from the store- room of the hospital to all the kitchens during the fiscal year July 1, 1901, to June 30, 1902, as shown by the ledger accounts of the storeroom. The quantities of different nutrients in each kind of food are also included in the table and the values for per- centage composition by which they were computed, the latter being assumed from averages of analyses of similar materials." Table 36. — Total weight, composition, and amount of nutrients in food issued from the storeroom for the year July 1, 1901, to June SO, 1902. Percentage composi- tion. Weight used. Kind of food material. Pro- tein. Fat. Carbo- hy- drates. Total food material. Nutrients. Protein. Fat. Carbohy- drates. ANIMAL FOOD. Beef: Per ct. 14.3 39.2 91.4 20.2 20.2 20.2 18.5 2.2 11.9 11.7 14.8 15.6 14.1 13.0 P< r ct. 23.8 5.4 .1 3.1 3.1 3.1 4.5 .1 19.2 1.2 18.1 6.3 18.7 24.0 Per ct. 2.5 2.5 2.5 "".1 Kilograms. 34, 977. 5 1,544.8 245. 9 5. 708. 39.5 59.1 68.1 51.7 563. 7 181.4 114,511..") 9. 334. 1 10,244.7 7, 575. 9 Kilograms. 5, 001. 7 605. 5 224. 7 1,153.0 8.0 12.0 12.6 1.1 67.1 21.3 21,392.6 1, 456. 1 1,444.5 984.9 Kilograms. 8,324.7 83.4 .2 176! 9 1.2 1.8 3.1 Kilogram*. 142.7 1 1.5 Oxtails, as canned Soup, as bouillon Tongue 108.2 2.2 26, 162! 6 588.0 1, 915. 8 1,818.2 Tripe .4 Lamb and mutton: Mutton, fresh, side Total 215, 138. 9 32, 385. 1 39,186.3 145. 6 Pork: 9.1 8.0 19.0 14.2 13.4 4.1 62.2 49.0 34.1 33.4 24.2 6.9 100.0 86.2 31.9 26.6 .5 10, 170. 1 17,800.0 21.0 15,213.5 2, 038. 6 1, 360. 9 22, 247. 4 917.7 17,746.1 35, 611. 1 925.5 1,424.0 4.0 2, 164. 6 273.1 55.8 6, 325. 7 8, 722. 7.1 5, 091. 3 493.3 93.9 22, 247. 4 791.0 5, 661. 9, 472. 6 Fresh pork, side Ham, potted Pig's feet, fresh Lard Salt pork 1.9 15.6 13.0 17.4 2. 768. 4 4. 629. 5 Sausage, salted and 88.7 Shoulder, smoked Total 123, 156. 4 12, 262. 3 58, 905. 4 88.7 Poultry: 13.7 13.4 16.1 12.3 29.8 18.4 10, 282. 7 477.1 3, 568. 1 1, 408. 7 63.9 574. 5 1,264.7 142. 2 656.5 Duek Turkey Total 14, 327. 9 2, 047. 1 2, 063. 4 Fish, etc.: Cod, salt 10.6 16.0 28.6 11.2 20.5 5.9 16.3 1.2 6.0 19.5 19.3 23.7 '-'5. I 9.4 8.1 1.1 .4 .3 3.9 8.8 .7 17.4 .2 L3 7.5 14.0 12.1 1.0 4.8 .5 5.2 .2 .7 3.3 ,2 695.5 3, 147. 3 2.0 3, 083. 5 190.9 24. 5 13,112.1 25.6 5, 137. 2 554.1 19.1 36.1 6. 8 1,418.1 29, 047. 73.7 503.5 .6 345. 4 39.1 1.4 2,137.3 .3 308.2 108.1 3.7 8.6 1.7 133.3 2,352.8 7.6 12.6 36. 2 Cod, shredded Herring 120. 2 16.8 .2 2, 28l! 5 Herring, smoked Mackerel, salt Ovsters, in shell .2 66.8 11. 5 2.7 4.4 .1 68.1 145.3 169.5 Salmon, smoked Sardines Shrimps, canned Shad Unclassified fish Total 56, 199. S 6,017.7 2, 767. 8 205. 9 a\J. S. Dept. Agr., office of Experiment Stations Bui. 28, revised. 149 Table 36. — Total weight, composition, and amount of nutrients in food, etc. — Continued. Kind of food material ANIMAL FOOD — Continued. Eggs. . . Butter. Percentage composi- tion. Pro- tein. Per H. 13.1 1.0 Cheese: Cream . Edam . Total Milk and cream: Condensed milk . . . Whole milk Evaporated cream. Total Total animal food 25.9 25.9 Per ct. 9.3 85.0 33.7 33.7 ( 'a l'l id- hy- drates. 2.4 2.4 8.8 3.3 9.6 VEGETABLE FOOD. Cereals: Barley Buckwheat flour Corn meal Chocolate wafers Crackers, cream Crackers, reception Crackers, soda Wheat breakfast food ... Ginger cakes Ginger snaps Cereal breakfast food ... Hominy Macaroni Oats, rolled Pop corn Rice Rice, flaked Shredded whea t Unclassified breakfast foods Vanilla cakes Vermicelli Wheat flour, Graham Wheat breakfast food ... Zwieback Wheat flour 8.3 4.0 9.3 8. 6 6.4 7.1 12.9 9.7 10.6 9.8 11.0 6.5 6.5 11.7 8.3 13.4 16.7 10.7 8.0 7.9 10. 5 12.1 6.6 10.9 13.3 13.6 9.8 11.4 1.1 1.2 1.3 48.7 12.1 12.7 9.1 1.4 8.6 8.6 1.2 .6 .9 7.3 5.0 .3 .4 1.4 1.8 14.0 2.0 2.2 1.9 9.9 1.0 Total Sugars, starches, etc.: Candy Chocolate Cocoa Honey Molasses Olive oil Sirup Sirup, maple Corn starch Sugar, brown Sugar, cut-loaf Sugar, granulated Sugar, powdered . Tapioca 54. 1 5.0 11.2 77.8 77.9 78.4 30.3 69.7 68. 5 7::. 1 76.3 76.0 76.0 79.9 79.0 74.1 m. 2 78.7 79.0 81.9 77.9 75.2 71. 6 72. 71.4 71.8 73.5 75. 1 12.9 21.6 .1 48.7 28.9 100.0 Total Vegetables: Asparagus... Beans, Lima. Beans, string Beets Cabbage l.s 3.2 2.1 1.3 1.4 96.0 30.3 37. 7 81.2 70.0 70.0 71.4 90.0 95.0 100.0 100.0 100.0 88.0 3.3 9.9 6.9 7.7 4.8 Weight used. Total food material. Kilograms. 29,3,S9. 1 45, 450. 5 Nutrients. 1'rotein. Kilograms. 3,850.0 454.6 Kilograms. 2, 733. 3 38,633.0 Carbohy- drates! Kilograms. 5,681.8 36.5 5,718.3 323. 2 401,194.5 2, 908. 3 404,426.0 894,107.2 1, 171.7 9.4 1,481.0 28.4 13, 239. 5 279.2 13, 547. 1 72. 045. 898.. 6 818.2 6, 753. 4 6.8 174.1 75. 9 13, 575. 9 2.3 1,753.6 515. 4 17.7 4,764.6 2,322.3 6, 453. 7 11.4 7,704.5 75.5 4,015.0 415.0 21. 6 2, 605. 9 4,154.6 8.2 282, 863. 6 340, 086. 5 76.4 52. 1 479.5 .8 16.9 8.0 1,330.4 .3 114.0 35.5 2.1 395. 5 311.2 1,077.8 1.2 616.3 6.0 5.1 485. 8 27.4 2.4 346. 6 565.0 .8 32, 216. 5 38, 203. 9 1,914. 8 12.3 1.927.1 26.8 16,047.7 270.5 162,561.3 9.9 9.8 87.8 3.3 21.0 9. 6 1,235.5 150.8 46.9 .2 28.6 20.9 471.3 .6 23. 1 .3 .7 71.7 58. 1 .5 57. 3 79.1 .8 , 828. 7 519. ! 184.8 239. 5 226. 8 10,461.0 123.9 10,401.7 296. 6 795. 5 212.3 872. 9 115,565. 7 785. 9 352.5 24. 1 51.9 .1 90.0 68.9 123.9 1.5 141.041.2 315. 5 1,660.2 1,548.0 5,638.0 68,802.3 5.7 53. 1 32. 5 73.8 963.2 .6 5.0 4.6 5.6 137.6 137.3 ' 174.8 20, 059. 7 325.7 20, 560. 2 21, 137. 7 699. 1 637. 4 5,294.8 2.0 121.3 52.0 9,924.0 1.7 1,332.8 414.5 14.1 3,761.0 1,720.8 4, 272. 3 8.9 6, 086. 7 61.8 37.8 3,019.3 297. 1 15.5 1,860.6 2, 983. 6.0 212, 430. 8 255, 058. : J > 498.3 56.0 89. 9 184.3 . 322. 9 7,283.3 211.7 715.9 201.6 872. 9 115,565.7 785. 9 310. 2 134,098.8 10.4 164. 1 106.8 134.1 3,302.5 150 Table 36. — Total weight, composition, ami amount of nutrients in food, etr. — Continued. Percentage composi- tion. Kind of food materia] VEGETABLE FOOD— Cont'd. Vegetables — Continued. Carrots Cauliflower Celery Corn, green Cucumbers Eggplant Kale Lettuce Onions, dried Onions, green Oyster plant Parsnips Peas, green Potatoes, Irish Peppers, green Pumpkins Radishes Rhubarb Sauerkraut Spinach Squash Sweet potatoes Tomatoes Turnips Beans, Lima, dried Beans, kidney, dried Beans, white-pea, dried . Corn, canned Mushrooms, canned Peas, canned Peas, split Pumpkin, canned Rhubarb, canned Squash, canned Tomatoes, canned Tomato soup, canned Pro- tein. ', r a. 0.9 1.8 .9 1.2 L2 1.4 1.0 1.4 .5 1.3 1.3 3.6 l.S C>. 2 .5 .9 .4 1.7 2.1 .7 1.4 .9 .9 18.1 18.1 22. 5 2.8 3.5 3.6 24.6 .8 .6 .9 1.2 l.s Total Fruits, berries, and nuts: Apricots Apples Bananas Blackberries Cantaloupes Cherries Citron , dried Cranberries Currants Crab apples Damsons Pigs, fresh Grapes Grapes, Malaga Grapefruit Huckleberries Jelly, apple Lemons Olives Oranges Peaches, fresh Pears Pineapple Plums Raspberries Strawberries Watermelons Whortleberries Fruits, dried: Apples, evaporated . . . Currants, dried Dates Figs 1.0 .3 .8 1.3 .3 .9 .5 .4 1.5 .3 .9 1.5 1.0 1.0 .6 .6 .3 .7 .5 .4 .9 1.7 ■ 9 1.6 2.4 1.9 4.3 Per ct. 0.2 .3 .1 . 1 .4 ■j !i 3.4 .1 .1 .4 .5 .3 .2 .6 .4 .1 .5 .5 1. 1. 1.8 1.2 .4 .2 1.0 1.1 Carbo- hy- drates. Weighl used. Total food material. Per ct. 7.4 4.7 2. 6 7. 7 2.6 5.1 l.s 2. 5 8.9 5.5 Hi. s 10. S 9.8 14.7 26.0 2.6 4.0 2.2 3.8 3.2 4.5 21.9 3.9 " 5.7 65.9 65.9 59.6 19.0 6.8 9.8 62. 6.7 3.6 10.5 4.0 5.6 .3 . 1 1.0 1.5 .6 1.2 1.2 .1 .0 .5 20.2 .1 .1 .4 .3 1.0 .6 .1 3.0 2.2 1.7 2. 5 .3 12.6 10.8 14.3 10.9 4.6 15.9 78.1 9.9 12.8 10.8 19.1 18.8 14.4 It. 1 8.5 16.6 70.0 5.9 8.5 8.6 7.7 12.7 9.7 19.1 12. 6 7.0 2.7 13.5 66.1 74.2 70.6 74.2 Kilograms. 1, 203. 9 33.6 2, 611. 8 14,752.5 2, 150. 1 2,686.5 12, 364. S 980. 9 16,999.5 3, 533. 3 886.9 6, 370. 9 1,672.7 211,329.7 345.5 15.9 6, 105. 6 2, 707. 7 3, 454. 5 439.8 31,904.1 28, 737. 4 15,047.7 30, 380. 2, 114. 5 1,393.2 18, 400. 6.S12.2 15.9 4. 848. 3 4, S28. 2 3S.2 7, 889. 5 1, 489. 1 35,781.1 635. 5 Nutrients. Protein. Kilograms. 10. s .6 23.5 177.1 15. 1 32. 3 17:;. 1 9. s 23S. 17.7 11.5 82. s 60.2 3, 804. 21.4 .1 55.0 10.8 58.7 9.2 223.3 402. 3 135.4 273.4 382.7 252.2 4,140.0 190.7 .5 174. 5 1,187.7 .3 47.3 13.4 429.4 11.5 558,925.0 I 13,804.1 38.2 7, S23. 9 1,307.5 10, 835. 5 19, 02S. 9 10, 029. 1 208. 5 274.1 190. 9 57.3 63. 6 359.1 14,452.7 202. 3 42.9 374.7 4, 93C.. 4 3, tsl.s 182.5 3, 105. 5 1,363.6 4. 636. 4 1. 549. 5 50.9 245. 5 5, 685. o 22, 180. 9 66.6 6, 096. 8 1,936.8 4.5 23.9 .4 23. 5 10.4 140.9 57.1 90.3 1.0 1.1 2.9 2 .6 5.4 m.r. 2.0 .3 2.2 14.8 24.4 1.4 18.6 6.8 23.2 6. 2 .4 4.2 51.2 44.4 .5 97.4 32. 1 .1 1.0 Fat. Kilograms. 2.4 .2 2.6 59. 4.3 s.o 24.7 2.0 50.9 3.5 3.5 25. 5 3.3 211.4 11.7 Carbohy- drates. KilograTtts. S9. 1 6.1 10.8 17.3 1.3 63.8 172.4 60.2 30.4 31.7 20.9 331.2 81.7 .1 9.7 48.3 .1 55. 2 7.5 71.5 7.0 1,593.6 23.5 5.2 108.4 SO. 2 3.1 1.6 173. 5 2.4 2.2 17.4 36.9 3.1 1.4 18.5 4.6 2. 5 34.1 22.2 2.0 134.1 22.7 .1 .1 151 Table 3<>. — Total weight, composition, 2 Steaks. The average of all cuts of steak was used in this set of studies for the reason thatai this institution the cuts of Bteak were aoi as Bharply defined as in ordinary butchers' shops, and Inane, while classed perhaps as rib, a lot of steaks might also contain some sirloin and round. BAKKD FRESH sua i) was assumed to have I lie same composition as baked fresh haddock, as the recipe by which the f<><>il was prepared was nol obtained. Ham omelet.- This article as served in these studies contained very little ham, but was mostly eggs. As no recipe was obtainable, the omelet was assumed to have the same percentage composition as scrambled eggs. Clam soup.- -No recipe was obtained, ft was believed, however, that this article would not be uiucli different in nutritive value from oyster soup, so the percentage composition of this was therefore used for the clam soup. Wheat breakfast food, —Two different kinds of such breakfast foods were used during these studies. Bread, biscuits, and rolls. — The percentage composition used for (his class of articles is the average for all kinds of bread as found by actual analysis. Bread dressing for meat.— This was mostly bread. No weighing of the raw ingredients nor of the cooked material were made, but as the quantities used were relatively extremely small it is believed that no appreciable error was inl roduced by assuming it- to be of the same percentage composition as bread. Baked beans. A numberof weighingsof raw and cooked materials were obtained for this food, as the percentage composition is apt to vary widely. Stewed corn. Canned corn was prepared in several different ways by the addi- tion of various ingredients. Fried onions. — In computing the composition of this dish the amount of fat used was assumed. Fritters. The very small quantity of this article of food made it seem unneces Bary to obtain any weighings of the raw materials used, and fritters were assumed to have the same percentage composition as bread. Celery salad. This salad was composed of celery, with a mayonnaise' dressing of unknown composition. As the amount of this dressing was extremely small, the celery Only was considered, and the percentage composition of the edible portion of celery was assumed. 'I' \iu.k 37. — Percentage composition of foods used in the dietary studies. Refei ence No. Kind of food. Protein. Fat. i larbohj d rates. I \ \i \| A i, FOOD. Beef: Pei' cent. 16, i 18.6 L6.9 80.8 80.6 81.8 21.1 21 i. 9 "i : 28. 6 26. o 28. 8 22. 6 20. 7 22. 9 26. 1 28. 8 28. I 22. 6 21.8 26. 2 26. 8 28. 9 80. 2 Percent. 27. 5 22. 8 25, 2 37.7 80.6 28. 8 85.8 19. 88, l 22.9 15.5 22.5 26, 6 21.8 24.0 86, 6 25. 87, l 84. I 26. 1 27.7 17.5 28. 7 20. 2 Percent. 2 Do :; ■l Boiled, edible portion l><> t; Do 7 Do 8 Do la Average. Num. 4 7 Liver, fried with flour and butter 28. (i 11 2.0 12 L8 Do II L5 in 17 IK 19 Do 20 21 22 Steak, round, fried 23 21 Steak, round, fried L58 Table 87. Percentage composition oj foods used in tJie dietary tudit Continued. Kind "i food Pi in i < larbohj drati'H, inimal pood continued Beel Continued. Pei cent ■■ i 24.8 29 1 (0,0 I . 26, 7 'i i ■'. 1 i i 14 8 19.6 i g 27. 6 22.7 19.9 •i 22.2 i, I o 16. i 21 . 2 24 \:u, 9 1. 1 in ', i ' i i , ,, 22. 7 9,0 27.1 28,8 ,. | 17.x ■i 18. 1 12 i 1 1 | i 1,0 1.8 2. 2 ■ i, 'i.:: / , i . < /// n B 17.:'. •" i 22. 2 i B 17.0 16.8 i. 19.7 26. 7 a e 28. 2 9.1 B0 B 11 40.0 61,8 .i , ,i, g 29 I ■, n 10 ;. 27.1 l , 19. i 60, l i 18,6 II. 1 ,2 1,8 27.1 6.8 II. K 28. 5 11.8 . 1 M.K 24.8 19.0 ! • 1 1 1 1 i, .2 .0 /'. < a at • 'i Do Do . '! Ix. :t Veal: < lutleta, edible portion Million: Roaul edi ble poi i Ion Pork: Boiled Feet, n i purcbai ed Loin, ba I ed, i diblc f •• • r i Ion Jowl, boiled, edible portl< n Do Do Do Bbouldi i mo] ■ 'i Ijoiled edible poi I/O 1 i 9 l.o I 2 ho 1 H Do ■1 1 1 6 1 ] Gravy porl Ho chicken: ii, 2. '.) ■ 'i edlbii porl " in i . b. 'I'-.: dfl ii bal "i H. 1 Codfii ii : tufted 1 II Halibut, bolli d Haddock, baked 1 '1 1, 1 >',!., fiaddoel 1,9 Cod, ..ii bolii 'i Herring, rllon Iip'! ■ i M 2 Milk . , o Cereali: Hominy boiled ii, , Do 21. 2 19 n 11.8 154 Takle 37. — Percentage composition of foods used in Hie dietary stusUes — Continued. Kind of food. vegetable pood — continued. Cereals — Continued. Mush, corn-meal Do Average, Nos. 90, 97 Oatmeal .boiled Do Do •. Do Do Average, Nos. 100, 101, 110, ill ( latmeal, boiled Do Do Do Do Do Do Average, Nos. 109, 110 Average, Nos. 99-103, 105-111 Rice, boiler! Do Do Do Do Do Do Do Do Average, Nos. 120, 121 Average, Nos. 114-121 Shredded wheat Wheat breakfast food, boiled Do Do Do Corn bread Do Average, Nos. 130, 131 Bread, biscuit, and rolls Crackers, soda Fritters (as bread ) Toast Cake, bakers' Cake, jelly Cake, frosted Doughnuts, fried Gingerbread and ginger cake Bread dressing ( as bread ) Macaroni, boiled Sugars, etc.: Molasses Sauce, pudding Sugar Vegetables: Beans, baked Do Do Do Do Average, Nos. 147-149 Beans, kidnev, boiled Do Beans, Lima, boiled Beets, boiled with butter and sugar Beans, boiled Average, 156, 157 Cabbage, boiled Do Do Do Do Do : Average, Nos. 159, 1(52, 163 Average, Nos. 159-164 , Cabbage, with bacon Average, Nos. 160, 161, 167 Celery, as purchased Celery, edible portion Celery salad (as celery, edible portion ) ... Corn, stewed with milk Corn, stewed with butter Fat. a nt. Per cent. 1.3 0.3 1.3 .4 1.3 .4 2.3 1.0 2.8 1.2 2.9 1.3 2.6 1.2 2.3 1.0 2..S 1.2 2.7 1.2 2.3 1.0 2.3 1.0 2.9 1.4 2.9 1.5 2.9 1.3 2.6 1.1 2.9 1.5 2.6 1.2 1 '» 1 4 1 4 1 1 3 1 fi 1 1 1.4 .1 1 1 ° 10.5 1.4 1.4 .1 1.8 .4 2.5 .4 1.9 .3 5.1 13.9 6.6 8.1 5.9 11.0 9.2 1.3 9.8 9.1 9.2 1.3 11.5 1.6 6.3 4.6 6.3 9.0 5.9 9.0 6.7 21.0 5.8 9.0 9.2 1.3 3.3 2.1 8.8 9.8 6.0 6.6 9.7 6.4 8.9 5.9 7.8 7.9 7.1 .6 10.1 .8 5. 6 .5 1.7 1.1 1.8 .1 1.8 .6 1.8 .3 1.9 .5 1.8 .3 1.7 .3 2.1 .4 1.8 .3 1.9 .3 1.9 .4 2.5 3.7 2.1 1.5 .9 .1 1.1 .1 1.1 .1 4.0 2.5 2.9 4.0 155 Table 37. — Percentage composition of foods used in the dietary sludie Kind of food. vegetable food— continued. Vegetables— Continued. Corn, stewed with milk and butter Do Corn, stewed with butter, sugar, and Hour Corn, stewed with milk and Hour Average, Nos. 171—17*; Average, Nos. 172-177 Egg plant, cooked Kale, boiled (as cabbage, boiled) Lettuce Onions, green Onions, boiled Onions, fried Parsnips, boiled and browned Peas, canned, stewed Peas, canned, stewed with butter and sugar Average, Nos. 187, 188 Pickles, cucumber Potatoes, baked, as purchased Do Do Do Do Do Do Do Do Do Do Do Average, Nos. 1 91-202 Potatoes, baked, edible portion (as boiled and browned). Potatoes, steamed, as purchased Do Average, Nos. 205, 2C6 Potatoes, steamed, edible portion Do Average, Nos. 208, 209 Potatoes, boiled, edible portion Do Average, Nos, 208, 209, 211, 212 Potatoes, boiled and browned Do Do Average, Nos. 214-21(1 Potatoes, fried Do Do Do Average, Nos. 218-221 Potatoes, hashed Potatoes, mashed and creamed Do Do Do Do Average, Nos. 227, 228 Average, Nos. 22 1-22 i Potato cakes Potato salad (as potatoes, boiled, edible portion) Saratoga chips Rhubarb, stewed Sauerkraut Slaw Soup, bean Do Average. Nos.237,238 Soup, corn Soup, pea Soup, potato Soup, tomato Do Average, Nos. 243, 211 Soup, vegetal ile Do Do Do Do Do Average, Nos. 248, 249 A verage. Nos. 246-251 try studies — Cont nned. Protein. Fat. Carbohy- drates. I'r r a ill. J'i r CI III. l>, C VI III. 2. 5 3.7 17.1 3.1 5,0 20.0 8.2 2.S 25. 9 2.8 1.2 16.5 2.9 :;. s 21.0 3.1 3.2 20. 2 ii. 1 21.5 \>;i. 5 1.1 8.8 5.0 1.2 .3 2.9 1.0 .1 11.2 1.2 1.8 4.9 1.0 25. 11.0 2.0 6.0 16.5 4.3 .3 11.7 3.4 1.7 11.6 3. 9 1.0 11.7 .5 .3 2.7 2.3 2.0 2. 1 19.2 16.5 ■> 19.1 3.0 .3 24.3 2. :t .1 19.1 2.2 . 2 17.6 2.4 2. 9 20.1 .3 23.1 2.3 .1 IS. 4 3.0 2.8 24.0 is. o 2.3 .1 19.0 2. ."> .1 20.0 2. 5 .1 20.8 1.8 .1 14.9 L.9 .1 15.1 1.9 .1 15.0 2. 2 2. 5 2.4 2.2 2.2 19.3 20.9 20. 1 IS. 9 • 1 18.4 2.3 19.4 2.1 .1 19.6 3.0 •> 25.4 2.1 .1 17.4 2. 5 .1 20.8 2. :', 0. 21.1 2.2 6.2 21.4 2. <; 10.9 21.3 2.7 9.3 22. 2. :. 8. :; 21.5 2.6 2.4 25. s 2.:; 15.7 2. 1 2.2 15. S 2. 5 2. '.> 15.9 2.7 1.2 19.8 2. 6 3.0 20.2 2.7 3.6 20.0 2. 6 2. '.) 17.5 2.0 17.5 2.3 6.8 19.4 39.8 46.7 .5 .6 23.1 1.7 .5 3.8 L.6 .3 5.6 2.1 .2 6.8 2.1 .2 6. 5 2.1 .2 6.7 1.3 2.2 2.8 3.6 . / 7.6 1.5 2. 1 4.8 .3 .5 4.2 .3 . 5.4 .8 .5 4.8 . i .1 4.2 .6 .1 4.1 . 7 1.0 .6 .6 .9 5. 2 8.0 10.3 4.0 I',. 6.0 150 Table 87. — Percentage composition of foods used in the dietary studies — Continued. Refer- ence No. Kind of i' 1. 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 vegetable food — continued. Vegetables — Continued. Squasn, boiled Succotash Sweet potato, baked, as purchased Sweet potato, baked, edible portion Sweet potato, boiled (as raw) Sweet potato, boiled and browned Do Average, Nos. 259, 260 Sweet potato roll Sauce, tomato, slewed Do Average, Nos. 263, 264 Tomatoes, stewed Do Average, Nc is. 266, 267 Turnips, boiled and mashed Do Fruits, etc.: Apples, as purchased Apples, baked with sugar Do Do Average, Nos. 273,274 ' Average, Nos. 272-274 Apples, tried Apple butter Bananas, as purchased Bananas, edible portion Grapes, as purchased Oranges, as purchased Pears, stewed Do Average, Nos. 2.H3, 284 Prunes, stewed Do Do Do Do Average, Nos. 286-2. !9 Jelly, apple Jelly, currant Sauce, apple Do Do Do Do Do Sauce, apple, evaporated. . Average, Nos. 297-299 Average, Nos. 294-299 Sauce, cranberry Sauce, peach, evaporated . Do Do Average, Nos. 304, 305 MISCELLANF.nVS FOOD. Hash, baked do Liver and bacon Meat pie Stew, beef ....do do do Average, Nos. 312-315 Stew, mutton Codfish cakes Chicken, creamed, edible portion Chicken, baked and stuffed Oysters, creamed Oysters, scalloped Oysters, stewed Average, Nos. 321-323 Soup, clam (as soup, oyster) Soup, oyster Omelet, ham (as scrambled eggs) Sauce, for halibut Gravy, for steak CI III. Per cent. 1.9 0.7 4.2 2.1 2.3 .6 2.4 5.9 1.4 .6 2. 1 5.9 1.9 2.6 2.2 4.3 1.8 4.5 1.8 .4 1.8 .4 1.8 .4 1.7 1.4 1.4 1.4 1.6 1.4 1.5 .2 1.3 . 2 .3 .3 .4 .5 .3 .3 .3 .3 .3 .3 .3 .4 4.2 .8 .5 .8 .4 1.3 .6 1.0 1.2 .6 .1 .4 .4 .4 .4 .4 .4 ■7 r- 8 .9 7 8 .3 .4 .2 •> .4 .5 .2 .3 .4 .4 .6 .6 .3 .3 .4 . •) .4 .4 .4 .4 2.3 .5 1.4 .3 1.6 .3 1.9 .4 12.6 10.1 11.7 24. 25. 8 40.2 8.1 21. 6 10.2 11.1 9.8 8.7 9.6 8. <; 10.1 8.5 9.9 9.2 8.2 7.3 19.4 9.8 7.0 6.3 21.8 10.9 4.7 6.5 7.6 13.8 4.0 3.8 4.4 5.2 2.5 2.5 2.5 2.5 13.4 20.5 4.3 9.6 1.4 8.3 157 Table 37. — Percentage composition of foods used in the dietary studies — Continued. Refer- ence No. 330 831 332 333 334 835 836 337 3f8 339 310 341 842 343 344 345 846 317 348 349 350 351 352 353 854 355 356 357 358 359 3(iO 861 302 863 364 865 366 367 368 369 370 371 372 Kind of food. MISCELLANEOUS Pi ;ontinued. < irnvy, for beef < rriddle cakes Hominy and beans Macaroni and cheese, baked ... Macaroni and tomatoes, boiled . Muffins. Protein. i lustard, plain i lueta I'd, chocolate custard sauce Dumplings, apple (as apple pie) — Ice cream, caramel Ice, lemon Jelly, lemon onions, creai 1 (as onions boiled) I'ie, apple Pie, apple, evaporated Pie, custard Pie, lemon Pie, mince Pie, peach, evaporated Pie, rhubarb do Pie. squash Pudding, bread Pudding, chocolate do Average, Nos. 354, 365 Pudding, cornstarch Pudding, cottage (as cake) Pudding, cottage Pudding, floating island do.. Average.Nos. 860, 361 Pudding, junket Pi aiding, rice do Pudding, steamed do Pudding, tapioca Sauce, lemon, for pudding Sauce, for pudding do Sauce, for pudding (as milk) ii. 5 1.7 7. 1 3. 5 9.9 5. fi 4.5 4.9 3.1 3. '.) ,8 3.1 1.2 1. 9 3.1 1.2 :;. 6 5.8 :;. I ■_-. 8 3.1 1.4 2.0 3.2 2.9 3.1 8.0 ii.:; 0.7 4.6 4.7 1.7 2. 6 3.8 1.1 4.9 I.:; 3.3 2.1 .9 5.0 3.3 Fat. ft r cent. Carbohy- drates. 2.8 .9 6.4 .5 15.6 5.0 1.9 4.2 9.8 4.0 1.8 0.7 9.X 0.3 10.1 12.3 17.0 11.0 9.8 8. I 2.3 4.9 5. 8 6.4 .7 4.6 11.1 4.6 4.4 4.5 2.9 3.3 3.4 8.9 5.5 3.2 1.6 4.7 3.8 4.0 Per a »'. 1. 1 37. 2 21.6 10.0 19.2 38.9 10.7 10.3 15. 9 42.8 21.1 82. 4 17.0 4.9 29.0 12.S 26.1 37.4 38.1 38. 5 27. 42.8 21.7 22. 1 21.3 24.6 23.0 33. 9 56. 9 60.0 15.8 22.4 19.1 12.3 10.2 22.7 54.2 55. 5 28.2 19.0 14.0 16.3 5.0 STATISTICS FOR COMPUTING THE PERCENTAGE COMPOSITION <>F THE COOKED BX)OD8 OBED in THE DIETARY STUDIES. It has been explained (p. 15) that in lieu of actual analyses, which it was not practicable to make in connection with these studios, the percentage composition of each cooked food used during the studies was computed from the total weight of the cooked material ami the weight and assumed composition of each raw ingredient used. The method of making such computations for each of the various classes of cooked foods is explained in detail in Tables 1, 2, and 3 and the text accompanying them. The figures for the percentage composition of the different materials as thus computed are given in Table 37 above. The data regarding the total weight of tin- cooked material, the weight and assumed composition of the raw ingredients, the weights of fat and bone removed, etc., from which the figures in Table 37 were com- puted, are given in Table 38 below. The observer's notes regarding the character and quality of the raw materials were essential for a proper estimation of the per- centage composition, hut these are not given as they wen; very voluminous. In connection with the explanation of the method of computation given on pages 15 to If), just referred to, a few remarks here will, it is believed, make the data in the table clear. The figures in tin; column headed "Reference No." correspond with those in Table 37, their purpose being to indicate the data in Table 38 that were used in com- 158 puting the composition of any given cooked article in Table 37. For instance, No. 2 of Table 37 is beef, boiled, "as purchased," the composition of which is given as 18.0 per cent protein and 22.8 per cent fat. By referring to Table 38 it will be seen that the total weight of the cooked meat was 258.5 pounds, and that of the uncooked meat was 325 pounds. The observer's notes showed that this consisted of medium fat beef side, "as purchased," the composition of which was assumed from the average of several analyses to be protein 14.8 per cent and fat 18.1 per cent. Fol- lowing the method of calculation explained on page 16, the total amount of protein in the uncooked meat was found to be4S.l pounds and of fat 58. 8 pounds. Dividing these quantities by the weight of the cooked meat gives 18.6 per cent of protein and 22. 8 per cent fat in the cooked meat, the composition recorded in Table 37. The terms "as purchased" and "edible portion" used in the tables are common in accounts of dietary studies, and serve to indicate the condition of the food materials as regards the presence or absence of refuse, i. e., inedible material, such as the skins and seeds of vegetables, the bone of meat, the shell of eggs, etc. If the food material when weighed contained such inedible material, the term "as pur- chased" is used in the record; whereas if the inedible material or refuse had been removed before the weight was taken the term "edible portion " is used. Thus, in the case of item No. 2 of Table 38, discussed above, "beef side, as purchased, 325 pounds," indicates that the bones were still in the meat; whereas in the case of No. 4 the statement, "beef, boiled, edible portion, 17.5 pounds," indicates an amount of food material not containing refuse. Information concerning the refuse is necessary in estimating the percentage com- position which should be used to compute the nutrients furnished by any given food material. This will be clear from a consideration of item No. 4. A part of beef No. 2, namely 29 pounds, was used to feed a certain group, but before serving, the bones were removed and only the edible portion, 17.5 pounds, was placed on the table. It was necessary therefore to ascertain the composition of the edible portion alone in order to calculate the quantities of nutrients in the amounts eaten. The computa- tion of the composition in this case was exactly the same as that explained just above for beef No. 2. The quantities of protein and fat in the 29 pounds of beef, which still contained bone, were calculated by the use of the figures for the composition of beef No. 2 (Table 37) from which it was taken, and these were divided by the total amount of edible material, 17.5 pounds. The resulting tigures were the percentage composition of edible portion given for beef No. 4 in Table 37. It will be observed that in some cases the figures in the column of Table 38 beaded " Weight of ingredients" are those for materials to be deducted in computing com- position. For instance, in the case of No. 8, allowance is made in computing the composition of beef "edible portion " from beef " as purchased " for fat cooked out of the meat and for bones removed after cooking. This is fully explained in the discussion on page 10. 159 Table 38. — Data for computing percentage composition of cooked foods used in the dietary studies. Etef- Kinds of cooked food and of ingredi- ents. Total weighl of cooked i'ood. Percentage composition of ingredients. ence No. gredients. Pro- tein. Fat. Carl >o hy- drates. 1 Lbs. 24. 50 Kilns. 11.11 Lbs. Kilos. Per ct. Pi r ct. Per ct. Beef, brisket and plate, as pur- 28. 75 L3.04 12.9 23. 4 i) Beef, boiled, as purchased 258. 50 117. 26 325. 00 147.42 14.8 18.1 4 17.50 7.94 Beef, boiled, from lot No. 2 29. 00 11.50 13.15 5.22 IS. 6 22.8 ST. 75 39.80 Beef, shins, brisket, and neck, as 142. 10 64.46 18.8 18.9 6 63.00 28. 58 Beef, plate, neck, clod, and shin, 104.25 17. 29 19.2 17.1 7 163.25 Beef, plate, brisket, and chuck, 232.30 105.37 16.9 25. 2 8 364.00 165. 1 1 Beef, neck, shin, and clod, as pur- 650. 00 16.00 81.00 294. 84 7. 26 36.71 15. 1 13.1 100.0 10 10.50 4. 76 12. 75 3.75 .75 2.65 1.50 5. 78 1.70 .34 1.211 .68 20.7 11.4 1.0 4.5 1.0 85.0 100.0 100.0 1.5 75. 1 Butter 11 15. 75 20. 75 57.50 4.50 26. IIS 2.04 20.7 4.5 100.0 1.5 12 25. 1 1 11.40 37.75 17.12 15.5 15.0 13 20.50 9.80 Beef, chuck and brisket, as pur- 32. 25 14.63 14.3 16.2 14 428.00 194. 14 600.(10 15.50 272.16 7.03 14.8 is. 1 100.0 16 116.50 52. 8 1 Beef, rib, chuck, and plate, edible 17:;. 50 78. 70 17.5 21.6 17 373. 00 169.19 Beef, cooked, as purchased 428. 00 55.00 191. II 24.95 20.7 21.8 18 Beefsteak, fried, edible portion 14.00 6. 35 is. 75 1.00 .75 8. 51 .45 .34 17.5 26.6 100.0 100.0 1 Lard for frving 19 Beefsteak, fried, edible portion 17. 00 7.71 22. 00 9. 98 17.5 26. 6 20 Beefsteak, fried, edible portion Beef, sirloin and rib, edible por- 16.25 7. 37 19.00 S. 62 IS. 2 22. 6 21 Beefsteak, fried, edible portion 14. 75 6.69 20. 50 .80 9.30 .14 IS. 9 is.:, 100.0 22 Beefsteak, fried, as purchased 26. 25 11.91 36. 25 16. 11 19.1) 12.8 23 Beefsteak, fried, as purchased Beef, round and sirloin, as pur- 23. 00 10.43 1 . 75 11. is .79 17.6 15.2 100.0 24 Beefsteak, fried, edible portion 91.50 41.60 L36.00 61.69 20. 3 13.6 28 Beef: Corned, boiled, edible portion Beef, corned, cooked, as pur- 101.50 is". 12 515.50 111.00 233.83 51.71 22. 9 17. S 29 Beef: Corned, boiled, as purchased Beef, corned, as purchased 254. 25 115.83 360.00 15.6 26. 2 160 Table 38. -Data for computing percentage composition of cooked foods Used in tht studies — Continued. dietary Ref- Kinds of cooked food and of ingredi- ents. Total weight of cooked food. Weight of in- gredients. Percentage composition of ingredients. ence No. Pro- tein. Fat. < larbo hy- drates. 29 Beef, corned, boiled, edible portion, Lbs. 27. 50 Kilos. 12.47 Lbs. Kilos. Per ct. Per el. l'< r ct. Beef, corned, boiled, as purchased 38. 75 11.25 17.58 5.10 22.1 37.1 30 Beef, corned, boiled, edible portion . . . 135. 50 61.46 260. 00 117.94 15.6 26.2 31 Beef, corned, boiled, as purchased 515. 50 233. 83 799. 00 56.00 362. 43 25. 40 14.8 18.1 100.0 33 21.0.. 9.53 4.00 9.50 .40 1.00 1.81 4.31 .18 .45 39.2 3.3 1.0 11.4 5.4 4.0 85.0 1.0 Milk 5.0 75. 1 34 4.50 2.04 2.50 .95 1.13 .43 39.2 1.0 5.4 85.0 Butter 36 Veal cutlets, fried, edible portion 16.00 7. 26 21. 00 1.25 9. 53 .57 20. 3 1.0 7.7 85.0 38 23. 25 10.55 33.75 15.31 15. 9 13.6 42 Pork, chops, fried, as purchased 26.25 11.91 43. 75 4. 25 4.25 7.50 19.85 1.93 1.93 3.40 13.4 11.4 24.2 100.0 1.0 100.0 75. 1 43 Pork, feet, boiled, as purchased 77.00 34. 93 102. 00 46. 27 4.1 6.9 45 31.00 14. 06 50. 50 4.00 22. 91 1.81 13.4 24.2 100.0 46 Pork, jowl, boiled, edible portion 179. 50 81.42 325. 00 81.10 243. 90 10.00 147.42 36.79 110.63 4.54 13.4 41.3 100.0 47 85. 00 38.56 175. 00 24.00 79.38 10.89 13.4 24.2 100.0 48 Pork, bacon, fried, edible portion 3.50 1.59 8.00 4.00 3.63 1.81 9.9 67.4 100.0 49 Pork, bacon, fried, as purchased 7.50 3.40 IS. 75 6.50 8.51 2.95 9.1 62.2 100.0 50 Pork, bacon, fried, edible portion 84. 25 15.54 69. 00 25.50 31.30 11.57 9.9 67.4 100.0 53 Pork, ham, fried, as purchased 12.25 5. 56 18. 25 2.50 8.28 1.13 14.2 33. 4 100.0 55 Pork, shoulders, smoked, boiled, as 686. 00 311.17 Pork, shoulders, smoked, as pur- 900. 00 54.50 408. 21 24. 72 13.0 26.6 100. 56 Pork, shoulders, smoked, edible por- 172.00 78.02 Pork, shoulders, smoked, edible 245. 00 10.00 111.13 4.54 15.9 32.5 100.0 57 Pork, shoulders, smoked, boiled, ed- 507. 00 229. 98 Pork, shoulders (same lot as No, 686. 00 91.00 88.00 311.17 41.28 39.92 17.1 27.0 15.4 53.7 68 Pork, sausage, fried, as purchased 35.50 16.10 61.75 10.00 28.01 4.54 13.0 44.2 100.0 1.1 59 Pork, sausage, fried, as purchased 16.50 7.48 20. 75 .35 1.50 9.41 .16 .68 13. o 44.2 100.0 100.0 1.1 60 Pork, sausage, fried, as purchased Pork, sausage, as purchased 86. 50 39. 24 140. 75 3.25 63. 8 1 1.47 13.0 44.2 100. l.l a Estimated from the weight of cooked bones. The loss in cooking is estimated as 10 per cent. 161 Table 38. — DaUi for computing percentage composition of cooked foods used in the dietary studies — ( lontinued. Ref- Kinds of cooked food and of ingredi cuts. Total w cookei light of food. Weigh! of in- gredients. Percentage composition of ingredients. I'tlCC No. Pro- tein. Fat, ( larbo hy- drates. 61 Pork, sausage, fried, as purchased Lbs. ■2X1. 01) Kilos. ]■:,(). is Lbs. Kilos. Per ct. l'i r . 1 75 209.00 94.80 280. CO 127.01 21.5 .5 77 Mackerel, salt, boiled 1 1 . 75 5.::;', 16.75 7. 00 16.8 17. 1 78 Mackerel, salt, boiled 88. 75 •10.20 113.50 51.48 17.3 20. 4 79 Mackerel, sail, boiled 15. 75 7.14 17.25 7. 82 16.3 17. 1 80 Mackerel, salt, fried 280.00 TJ7.01 450.00 201. 12 10.5 17. 1 86 Eggs, fried 1 1. 75 0. 00 18.25 1.50 6.01 . OS 14.8 10.5 100.0 87 li; no 7.20 l 1.50 1 . 75 G ■ .70 1 1 8 10.5 inn ii 92 Hominy, boiled 117.25 5:;. is 24.75 2.0(1 1 1 . 2:'. .01 s. :s in .0 70.0 Butter 98 Hominy, boiled 106.00 28 ,1) 12.93 .0 95 Cereal, mixed, boiled Win 'at breakfast food and oatmeal 29. 7.". 13 io 5.11(1 2. 27 II.:; 4.6 70.0 96 Mush (corn -meal, boiled* 28.00 12.70 5.00 7. 1 1.5 7s, 1 97 22. 25 1 ' I 2 i 7. 1 1.5 78. 1 99 05. 75 43.43 15.00 5. 00 10. 7 7.5 00. 2 10(1 1 18. 75 07. 17 26.00 10.7 7.5 66. 2 101 124.75 50. 50 11. 00 0. OS 10.7 7.5 00. 2 102 '0 ,1. 12.02 Oats, rolled (.25 1 . 93 10.7 7.5. lii',. 2 6523— No. 150—04 162 Table M.-Data for computing percentage composition of cooked fooSa used in the dietary studies — Continued. er- Kinds of cooked food and of lngredi- ence ents. No. Total weight of ooked f I. Lbs. 27.00 Kilos. L2.25 109 no in in 115 116 117 118 119 120 121 122 127 128 L29 130 131 26.50 '24.66 '25.50 "28.66 "27.'25 U9.25 153.' 50 Weight of in- gredients. 395. 00 " 26.25 ' "27.*75 L03 oatmeal, boiled Oats, rolled • in;, oatmeal, boiled Oats, rolled 106 Oatmeal, boiled Oats, rolled 1117 oatmeal, boiled Oats, rolled 108 I Oatmeal , boiled Oats, rolled Oatmeal, boiled Oats, rolled Oatmeal, boiled Oats, rolled Oatmeal, boiled Oats, rolled I- ■ - -- - - Rice, boiled 22 - 00 Rice nl'kk' Rice, boiled %>■ M] Rice • -AK - nn' Rice, boiled -*>• ou Rice "'oQ"nn Rice, boiled »• uu Rice n-'kn Rice, boiled -°- ou Rice • • • : : Rice, boiled 26 -°° Rice, boiled '.'.'. 30 - 00 Rice "oq'o ; Rice, boiled - y - -' Rice Rice, boiled Rice 126 Wheat breakfast food, boiled... Wheat breakfast food Wheat breakfast food, boiled... Wheat breakfast food .----- Wheat breakfast food, boiled : 27. 50 Wheat breakfast food ',■■■■■■■■ Wheat breakfast food, boiled 489.25 Wheat breakfast food \.. ...... Corn bread 27. 25 Corn meal Milk Lard , Eggs, as purchased Sugar ■■:;■;; Corn bread 6b - '° Milk Eggs, as purchased Flour [ Lard Corn meal Sugar -,--.yvf Macaroni and tomatoes, boiled Macaroni Tomatoes, canned Butter Cheese - - - - - Sauce for pudding »■ <*» Sugar Butter Flour ;,\; ","„">' Beans, baked I 191- °° Beans, pea white, dried Pork, salt j Molasses • - ■;-•--■ Beans, baked ^2.00 Beans, pea white, dried Pork, salt ] Molasses , -;.;,", ','„', Beans, baked "0. 00 Beans, pea white, dried | i. BeaK;ked.::::::::::::::::::::::::T^i:oo', '266:11 Beans, pea white, dried Pork, salt ' 143 L45 12.02 L6." 89 ii.57" 12.70 12.36 54.09 69.' 63 "6.98' 'ii."57 "ii."79 'io.'ia "ii."57 "ii.79" 'i3.'6i' "is." 27' 179.17 ii.91 "i2."59 "i-2.47 '22K92 "i'2.36 16.67 369.00 167.38 4.31 86.64 Lbs. "3." 75| '4." 25' "^25' "3.56 '5.66 '5."66" '2L25" 23.56 "3.' 56" "4." 50' "•4.56' ""3.66 "l.'2.V "4." 75" "3.56' "3.50 '70.' 66 "x 66' ""5.66 5. 75 "75.66 Kilos. ""i.70 "i."93 "i.'47 i. 59 Percentage composition of ingredients. Carbo- ln '- Fat. hy- drates. tein. 68. 95 149 58. 97 11.50 6.50 3.00 2. 75 .50 "is." 56' 3.00 L75 1 . 7.". 12.25 .50 9.61 io.'tV;" "i.59 '2.1V1 "i'oi" "i.*36" "L93* "2^5" "i.'59" "i.59 "31.75 "i.'stV 2. 27 ""2.'6t 34." 02 Per ct. "it';.' 7 "i6.7 "i6.7 "ic. 7 it";." 7 ""itlT ""it'i.T "'it';." 7' 8.6 ""s.'o ""s.'o ""h'b """8.6 Perct. Perct. 7.3 I 66.2 7 . :V 1 66.2 7.3 66.2 """7.3 66.2 7.:; 66.2 "7.3 66.2 6u 7, 7.3 66.2 " .3 79.0 .3 79.6 .':';' 79.o .3 79.6 8.0 "s.'o' "8." 6" "s.'o" "ii'i" "io.*9 "vi.'% 'ii'ii' .3 .3 .3 ".'3' ""."3" 'i.'o' i.9' 'i.'s' "i.'s 79. 79.6 "79.6 79.6 TO." 6 ,.\ ' 5. 22 7.1 1 . 3 2.95 3.3 4.0 1.36 100.0 1.25 I 13.1 9.3 .23 75. 00 67.50 6.00 5.00 8.39 L36 2. 15 .79 5. 56 3.3 13.1 11.4 7.1 4.0 9. 3 1.0 100. 1.3 74.2 '74.' 2 78. I 5.0 100. ""5.6 "75.'i 78.4 23 . 100.O 34.02 30. 62 2. 72 2. 27 13.4 1.2 1.0 25. 9 .9 I .2 85. 33. 7 74.1 4.0 6.00 I 2.00 1.50 'ri'.iK ' 14.50 8. 25 ■58.25' 16. 00 11.75 " 72 '. 91 33. 00 6. 58 3.74 "26.42" 7.26 5. 34 1.0 11.4 22. 5 1.9 22. 5 1.9 85. 1.0 1.8 86. 2 1.8 86. 2 33. 75 9. 25 195.00 30.00 15.34 4.20 88. 45 13.61 22 5 T.9 22. D 1.9 1.8 86. 2 1.8 86. 2 2.4 "lOO.11 ""75."] ""59."6 "76.' 6 "59." 6 ""76.6 .'.1. 1'. 163 Table 38. — Data for computing percentage composition of cooked foods used in the dietary si wlies — Continued. Ref- er- t'lll'C No. Kinds of cooked food and of ingredi- ents. Total w cooket eight of 1 food. Kilos. 227. 7 1 Weight of in- gredients. Percentage composition of ingredients. Pro- tein. Fat. Carbo- hy- drates. Lbs. 502.00 Lhs. Kilos. l'i r ct. Per ct. P( r Ct. 153 154 155 195. 00 30.00 23. 00 ss. 45 L3.61 • 10.43 1.9 l.s 86. 2 5y 6 70 o Beans, kidney, boiled 411.00 130. 00 58. 97 22. 5 l.s 59 i; Beans, kidney, boiled 37. 75 17. 12 17.00 7.71 22. 5 T?8 59.6 416.00 188. 70 130.00 58. 97 IS. 1 1.5 65 9 156 Beets, boiled, edible portion 17. 65 8.01 2:;. 25 4. 75 1.15 10. .V, 2. 15 .11 .52 1.3 .1 - - Butter 1.0 85. o 100. 157 152.00 68.95 166.50 1.6 .1 9.7 159 Cabbage, boiled 202.60 91.85 22S. 25 103. 63 1.6 .3 5. li 100 Cabbage, boiled H.25 18.71 52. 50 2::. si 1.6 .3 161 Cabbage, boiled ' 40. 00 is. 1 1 44.00 19.96 1 . 6 .3 5. 6 162 Cabbage, boiled 189. 25 85. 84 205. 25 9:;. lo 1.6 .3 163 Cabbage, boiled 168.00 76.21 224. 50 101.83 1.6 .3 5.6 164 Cabbage, boiled 83. 25 37.76 94.00 42. 04 1.6 .3 5. 6 167 ( 'abbage, boiled with bacon 40. 25 18.26 is. 75 2. 25 22. 11 1.02 1.6 9.1 .3 62. 2 5.6 172 Corn, stewed 10. 25 4.65 11.40 3.00 5.17 1.36 2.S 3.3 1.2 4.0 19.0 Milk 5.0 17:; 15.25 6.92 15.25 .50 6. 92 . 23 2. S 1.0 1.2 85. 19.0 Butter 174 24.50 11.11 21.50 1.75 .60 0. 75 .79 .27 2.S 3.3 1.0 1.2 4.0 S5.0 10.0 Milk 5.0 Butter 175 ( lorn, stewed 26.00 11.79 22. 00 2.25 1.00 1.25 9.98 1.02 .45 .57 2.8 3.3 1.0 11.4 1.2 4.0 85.0 1.0 19. Milk 5.0 Butter Flour 75. 1 176 24.75 11.23 23. 75 .50 1.00 1.25 10.77 .23 .45 .57 2.8 1.0 1.2 85.0 19.0 Butter 100.0 Flour 11.4 1.0 75. 1 177 138.75 62. 94 84.50 5.90 S. 25 38.33 2. 68 3.74 2. S 9.6 11.4 1.2 9.3 1.0 19.0 11.2 Flour 75.1 ISO Eggplant, fried 86.50 39. 24 150.50 26. 75 26. 50 2.50 2. 25 6. 75 70. 99 12.13 12.02 1.13 1.02 3.06 1.2 11.4 14.8 9. 6 .3 100. 1.0 10.5 9.3 100.0 5.1 75.1 11.2 181 Kale, boiled 113.00 51.26 100.00 4.00 15.86 1. si 1.6 .3 100.0 5.6 185 Onions, fried 455.00 206. 39 456. 00 114.00 206. St 51.71 1.0 .1 100.0 11.2 186 Parsnips, boiled and browned 15. 75 7.14 19. 26 1.10 s. 7:! .50 1.6 1.0 . 5 85.0 13. 5 Butter 187 Peas, stewed 15. 25 6.92 IS. 25 s. 28 3. 6 ,2 9.8 188 23.25 10.55 22. 75 .35 .50 L0.32 .16 .23 :;. 6 1.0 2 85! o 9.s Butter 100.0 1(U T^ble 38.— Data for computing percentage composition of cooked foo&s used in thedietary studies — Continued. Ref- ence No. Kinds of cooked food and of ingredi- ents. Total weight of Weight < if in- cooked food, gredients. 191 192 193 194 195 196 197 198 199 200 201 202 205 206 208 209 211 212 214 215 216 218 220 221 223 224 I ■( >tat< »es, baked, as purchased Potatoes, as purchased Potatoes, baked, as purchased Potatoes, as purchased Potatoes, baked, as purchased Potatoes, as purchased Potatoes, baked, as purchased Potatoes, as purchased Potatoes, baked, as purchased Potat< ies, as purchased Potatoes, baked, as purchased Potatoes, as purchased I >i itatoes, baked, as purchased Potatoes, as purchased Potatoes, baked, as purchased Potatoes, as purchased Potatoes, baked, as purchased Potatoes, as purchased Potatoes, baked, as purchased I '( itati >cs, as purchased Potatoes, baked, as purchased Potatoes, as purchased Potatoes, baked, as purchased Potatoes, as purchased Potatoes, boiled, as purchased Pi itati ies, as purchased Potatoes, boiled, as purchased Potatoes, as purchased Potatoes, steamed, edible portion Potatoes, edible portion Potatoes, steamed, edible portion Potatoes, edible portion Potatoes, boiled, edible portion Potatoes, edible portion Potatoes, boiled, edible portion Potatoes, edible portion Potatoes, boiled and browned Potatoes, edible portion Potatoes, boiled and browned Potatoes, edible portion Potatoes, boiled and browned Potatoes, as purchased Potatoes, browned Potatoes, cooked, edible portion. Potatoes, edible portion Butter Lard Potatoes, fried Potatoes, t ked. edible portion. Potatoes, edible portion Butter Potatoes, fried Potatoes, edible portion Butter Potatoes, fried Potatoes, edible portion Butter Lard Potatoes, hashed Potatoes, cooked, edible portion Potatoes, cooked, edible portion Potatoes, mashed and creamed Potatoes, edible portion Milk Butter Potatoes, mashed and creamed Potatoes, edible portion Milk Butter - Potatoes, mashed and creamed Potatoes, edible portion Milk Butter - Potatoes, mashed and creamed Potatoes, edible portion Milk Butter Us. 27.25 Kilos. 12. 36 4.00 "4.25 '3.50 24."56' "5.66 "i'so" "3.'50" 29^25 '•2.00 "3." 50 30.50 i49.'75 175.' 66 "27.66 "27.'75" '27.50 2S'25 "19." 50 "is." 56 "22.06 "\Y. 50 1.81 'i.93' "i.59 ii.'ii "i'27 "i. is "i.59 13." 27' '".91 "i.59 "i.3."84 '67."93 "79.' 38 'i'2.25 'i'i.'sg" "VIAI "i2.81 "8." 85 "s." 39 9.98 "7." 94 Lbs. 35] 50 '4.56' *5. 50 5.75 3i. 75 "(";.' 66' "3.56' "5.56 '36.' 75 "^25 "i." 50 39.50 i5l.50' i79.'50" "28." 25" "8L75 '2s'25 28.66 "26.75 "25.56 "26.06 Percentage compositii >n of ingredients. Pro- tein. Fat. Carbo- hy- drates. Kilos. Perct. Perct. Per a. 'i6."i6'j""i.'8'i""6.'i | ii.7 "ilbl' ""i.*8 .i "" ii.7 "'•2.'50' ""i.'s .'i " 14.7 17. 75 19. 25 'is. 66 15.50 '28.50 8. 05 8. 7:; "6.80 29. 50 7.03 12.98 6.10 15.25 1.00 .25 2. 61 ii'io" '2^72' "i."59 "2.'50' 16. 67 "i.'47 "2." 04 "l7.' l J2 '6s. 72 'kl.42.' "iisi "ii.'io" 'i2."si' 'i2.'70 "*9."ii "ii.'57 'iL'79 1.8 I 'i.'s'l '£*} "ilk' "i.'s'i "i.'s" 'i.'s" i.'s' "i.'s" "i.'s' 2. 2 "2,2 4.75 15.50 1.25 "22 '46' 2. 50 'i7.'66 .75 .75 2.77 6, 92 .45 .11 2.15 7. 03 10. 16 1.18 "i'i'i .34 .34 2.2 2. 2 i.'s 'i'9' 2. 2 i!o .1 .1 85. 100.0 2.2 1.0 1.0 13. 3S 31.75 5.50 15.50 23. 00 5. 00 .50 24. 00 5.00 .50 25.75 6.25 .75 27. 75 2.25 1.25 2. 50 7.03 10. 43 2.27 .23 10.89 2 27 ! 23 "ii.'es 2.84 .31 2.5 2.2 .1 .1 85.0 "".'i 85.0 ....... .s5.ll 100. 2.2 3.3 1.0 2.2 3.3 1.0 "2." 2' 3.3 1.0 .1 4.0 85. .1 4.0 85. 12.69 1.02 .57 2.2 3. 3 1.0 .1 4.0 14.7 "ii."7 'lill ~ii.~7 "ii'7 "i4."7 "ii."7 "ii"? "ii.'7 'ii'7 "ii.7 "is." 4 "is.'i "is.'i "is." 4 "is. 4 "is.'i "ii'7 15.0 is. 1 19.8 IS. 4 18. 1 'is.'i 20. 9 18.9 18.4 5. IS. 4 5.0 .1 I 18.4 4. 5. s.5.0 is.4 5.0 L65 Table 38. — Data for computing percentage composition of cooked foods used in the dietary studies — Continued. Ref- er- ence No. Kinds of cooked food and of ingredi- ents. Weight of in- gredients. Percent ofi ige composition ngredients. conked food. I'm tein. Fat. Per ct. Carbo- hj d rates. 228 Lbs. 26. 75 Kilns. 12.13 Lbs. Kilos. Perct. Per ct. 21.75 4. 15 . 75 1 . 25 'J. 87 1 . 88 .31 . 57 2.3 3.3 i.n 11. 1 0.1 4.0 86.0 1.0 19 s Milk Butter Flour 75 I •>::i Potato cakes, tried 20.00 9.07 19.00 1 . 35 8. 62 .61 2. 2 1.0 .1 S5.0 18 1 Butter •'.;i Rhubarb sauce 19'2. 89 Rhubarb, canned (as fresh rhu- 346.00 89. 25 156. 95 III. IS .0 .7 :; fi 100 "37 Bean soupa 687.75 266.60 45. 66 17.511 20.41 7.94 22. 5 11.4 1.8 1.0 59 Flour 75 1 238 267.17 19. 75 1 1 . 25 1 . 50 22. 57 5.10 .OK 22. 5 11. 1 1.6 l.s 1.0 .3 59 '■'< i 'i 9 "in ( 'urn BOUp, clear" 92.50 tl.96 < lorn, canned & Meat (soup stock) a Milk 29. 75 1.00 1.50 13. 19 .45 .i;s 3. 3 1.0 11. 1 1.0 J6.C 1.0 5 Butter Flour 75. 1 .,,., Potato soup " 96.00 43.55 Onions 2. 00 . 75 10.75 29.50 1 . 25 1.00 .91 .34 l.ss 13.38 ! 15 1.6 1.1 2. 2 3.3 11. 1 I.I! :! .1 1.0 l.u 85.0 9. 9 :; :; is J Milk ;, n 75 1 Butter ?43 95.00 13.09 Tomatoes, canned 6 36. 25 2.50 1 . 75 .50 .50 1 . 50 16.44 1.13 .79 .23 .23 .68 8.0 1.6 II. I 1.0 .3 .3 1.0 S5.ll 7'i li Onions, edible portion Flour 9.9 75 1 Butter 100 "II 94.00 42. 64 Tomatoes, canned '> 37.00 3.00 2. 75 .50 16.78 1.30 .23 8.0 1.0 .3 85. o 79 Sugar 100.0 Butter •.'Hi Vegetable soup" 86. 75 38.90 2.00 2. 75 2. 60 12.50 1.50 1 . 50 . 10 .511 .60 .91 1 . 25 1.18 5. (17 .68 . 68 .18 .23 .27 8.0 3. 2.8 1.2 1.6 1.1 1.1 1.6 11. i .3 .2 1.2 .2 .3 . 1 . 1 .3 1.0 79 o 9. s 19.0 4.0 9.9 9.3 Celery 5 6 Flour 75 ] ?47 Vegetable soup a 94.50 42. 87 •J. 5(1 12.50 2.50 1 . 25 :; ,,n .60 1.13 5. 07 1.13 .57 1 . 59 .27 8.0 1.2 2.8 3.0 1.0 11.1 .3 .2 1.2 .3 1.0 79, ( 1 9 II Corn, canned 19.(1 Onions, potatoes, carrots, and cab- 10.8 Flour 75. 1 248 Vegetable soup o 12.50 19.28 1.50 .511 '.l. 25 .25 1.75 2.:;:, 1 15 . 68 .23 1.211 .11 2. 15 1.07 .52 1.0 .9 1.2 S.O 2.8 2. 2 1.6 .3 .2 .2 .3 1.2 . 1 .3 7 1 1 ii 79.0 19.0 is. 1 249 Vegetable soup « Rice 10.50 18.37 .50 1 . 25 . 22, . 57 s.o 11.1 .3 l.u 79.0 Flour 75. 1 " Stock was used in making soup in almost every instance, but the quantity of nutrients in it could noi be estimated, hence it is generally not mentioned. '• These articles were cooked in the soup lor some time and then str material may have cooked out of them was necessarily neglected ii the soup. trained out. Whatever nutritive in computing the composition of Ifi6 Table 38 —Data for computing percentage composition of cooked foods used in the dietary studies— Continued. Kef- en ce No. 250 Kinds oi cooked food and of ingredi- ents. Total weight of cooked food. 255 257 259 260 264 266 Vegetable soup— Continued. Tomatoes, canned ( inions Carrots Corn, canned Cabbage Potatoes Vegetable soupa Potatoes Carrots Onions Rice Tomatoes, canned Flour Vegetable sou] »« Tomatoes, canned Carrots Onions Potatoes Rice Cabbage Flour Squash, boiled Squash Succotash Beans, lima, dried Corn, canned Butter Flour .--• Sweet potatoes, baked, edible portion Sweet potatoes, edible portion . . . Butter Sugar - - Sweet potatoes, boiled and browned. Sweet potatoes Butter -- Sweet potatoes, boiled and browned. Sweet potatoes, edible portion Sugar Butter Sweet potato roll Sweet potatoes, edible portion Butter Sugar Tomato sauce (stewed plum tomatoes) Plum tomatoes, as purchased Sugar Flour Tomato sauce (stewed plum tomatoes) Plum tomatoes, as purchased Sugar Flour Tomatoes, stewed Tomatoes, canned Butter Sugar Bread Tomatoes, stewed Tomatoes, canned Bread Sugar Butter Turnips, boiled, edible portion Turnips, edible portion Apples, baked, edible portion Apples, edible portion Sugar Apples, baked, as purchased Apples, as purchased Sugar Apples, baked, as purchased Apples, as purchased Sugar Apples, fried Apples, edible portion Eggs, as purchased Flour U>s. Kilos. 5-41.00 ■ 245.40 Weight of in- gredients. Lbs. 8. 75 2.50 1.00 3.70 1.75 2.00 564.25 i 255.94 69.50 I 31.53 530.66' 210.41 17. 50 1.75 2.00 15.00 13.75 14.50 Kilos. 3.97 1.13 .45 1.68 .79 .91 Percentage composition of ingredients. Pro- tein. Per ct. 1.2 1.4 .9 1.6 Carbo- Fat. I hy- drates. Per ct. 0.2 .3 .2 1.2 .3 .1 Per ct. 4.0 S.9 7.4 19.0 5.6 is. 4 7.94 .79 .91 6.80 6.24 6.58 2 2 \.\ 1.6 8.0 1.2 11.4 12.50 2. 25 .25 14.25 12. 00 7.50 12. 25 04.00 42.64 5.67 1.2 1.02 1.1 .11 1.6 6.46 2.2 5.44 8.0 3. 40 1.6 5. 56 11.4 .1 .4 .3 .3 .2 1.0 15. 42 17.00 85. 00 240. 00 S.00 3.00 '42.75 2. 00 .50 21.75 1.00 38. 56 108. 86 3.63 1.36 1.4 'is.T 2.8 1.0 11.4 .2 .4 .3 .1 .3 .3 1.0 19.39 ; 1.8 .91 I 1.0 .28 .5 "i*5 1.2 85.0 1.0 85. 22.25 I 10.09 140.25 I 63.62 59.25 26. SS 19.50 1.00 .40 >1.50 1.00 .50 9. 87 .45 8. 85 1.8 1.0 1.8 1.0 0.75 1.8 .45 , 1.0 .23 I 111.75 17.00 13.00 43. 75 11.00 5.75 50.69 ; .9 7.71 5.90 11.4 85.0 I. n 19.85 I .9 4.99 2.61 11.4 2S5.00 129.28 21.75 215.00 221.00 11.90 9.87 97. 52 18. 75 .25 1.50 1.00 20.10 1.50 .50 .35 1.2 1.0 S.51 .11 .68 ■ . 45 9. 2 S5.0 1.3 1.2 9.2 9.12 .68 .23 .... .16 1.0 1.3 "85* 6 320. 00 100.25 21.00 2.00 238. 00 10. 75 241.50 7.00 8.25 1.50 2.50 9. 53 .91 107.06 4.S8 1.3 . .... 109. 55 3.18 3.74 .68 1.13 .4 .5 13.1 i 9.3 11.4 I 1.0 18.4 9.3 9.9 79.0 4.0 75.1 4.0 9.3 9.9 18.4 79.0 5.6 75.1 9.0 65. 9 19.0 75. 1 ~27^4 100.0 "i»7.'4 27.4 100.0 100.0 3.9 100.0 75.1 3.9 100. 75.1 100.0 53. 1 4.0 53.1 100.0 14.2 100.0 10. s 400.0 40. S 400.0 a Stock was used in makink soup in almost every instance not be estimated, hence it is generally not mentioned. but the quantity of nutrients m 14.2 *75."i it could 167 Table 38. — Data for computing percentage composition of cooked foods used in the dietary studies — < 'on tinned. Ref- er- ence No. 283 284 286 287 288 289 290 •Jill 295 296 297 298 299 800 303 304 Kinds of cooked food and of ingredi- ents. Total weight nt' ci inked food. Lbs. 27.00 Kilos. 12.25 Weight of in- gredients. Lbs. I'ears, stewed, edible portion Pears, edible portion ' 19.00 Sugar 1 3.00 Pears, stewed, edible portion Pears, edible portion 17.00 Sugar 4. 25 Prunes, stewed, as purchased Prunes, dried ' 8, 50 Sugar ] 3.50 Prunes, stewed, as purchased 123.25 55.91 Prunes, dried i ' 50. 50 Sugar 14. 25 Prunes, stewed, as purchased 109.75 49.7s Prunes, dried ' ■ 51.00 Suga r j 1 5. 50 Prunes, stewed, as purchased 96.75! 43.89 Prunes, dried 47.75 Sugar 11.25 Prunes, stewed, as purchased 502.00 227.71 Prunes, dried 200. 00 Sugar 48.00 Apple sauce 19. 00 I 8. 62 Apples, as purchased 13. 50 Sugar 3. 75 Apple sauce 21. 50 9. 75 Apples, edible portion 19. 50 Lemons, as purchased .50 Sugar ! 3. 00 Applesauce 18.50! s. 39 Apples, edible portion 11. 00 Sugar 2. 00 Apple sauce 25. 50 1 1 . 57 Apples, edible portion 22.00 Sugar ! 6. 00 8.62 1.36 17.00 n 5. 07 1.81 103. : 47.06 32.50 14.74 Apple sauce Apples, edible portion ! 12.50 Sugar 4.00 Apple sauce Apples, edible portion 17.50 ; 7.94 Sugar 4.75 2. 15 Apple sauce (from another lot) | 10.50 4.70 Apple sauce (from evaporated apples) Apples, evaporated ! 100. 00 45. 36 Sugar ! 05.00 29.48 Cranberry sauce Cranberries, as purchased ' I 13.50 6.12 Sugar 5. 75 '>, 61 Peach sauce (from evaporated peaches) Peaches, evaporated ' 50.00 22.68 Sugar 7.50 3.40 Peach sauce (from evaporated peaches) Peaches, evaporated '.. 10.00 1.54 Sugar 2. 25 1 . 02 Peach sauce (from evaporated . peaches) Peaches, evaporated 150.00 68.04 Sugar 00.00 27.22 Hash.. Beef, boiled, as purchased ias boiled beef, canned) 25.00 11.34 Onions -• 1. 50 .68 Potatoes, boiled 26.75 12.13 Hash, baked 132.00 59.86 Beef, boiled, edible portion 1 48.00 Potatoes, steamed ' 56.00 Onions, tops ' 3.50 Fatgravy 21.00 Bread crumbs (as bread ) 2. 00 Liver and bacon, fried 10.00 1.54 Li ver 5. 50 Bacon, fat, edible portion 14.50 Fat cooked out • 6.00 Meat pie 49.50 22.46 Stew beef and pork, chopped Average of beef an. 1 pork side ' 21.00 9.53 7.71 1.93 3.86 1.59 22. 91 6. 40 23. 13 7.03 21.00 5. 10 90.: 2i.; 6.12 1.70 8. 85 .23 1.36 Percentage composition of ingredients. Pro- tein. Perct. ""6.6 Fat. Perct. "b'.b Carbo- hy- drates. Perct. .4 ..... 'i.'tV 152.00 205.03 56. 00 25. 10 2.i. ■> 1.6 2.5 22. 77 25.10 1.59 9. 53 .91 2. 50 6.58 2. 72 20. 7 9.9 .5 .4 ±2 1.0 1.0 22. 5 .3 .1 33.1 29 3 2.4 l.o .1 75.0 9.2 1.3 4.5 07. 4 100.0 14.1 100.0 14.0 100. 1 02. 2 100. 02. 2 100.0 02. 2 100.0 02. 2 100.0 02.2 100.0 10. S 100.0 14.2 5.9 100.0 14.2 100. 14.2 100.0 14.2 100.0 14.2 100.0 00. 1 100.0 9.9 100.0 02. 5 1011. 62.5 loo.O 02. 5 100.0 9. 9 20.9 20. 1 11.2 :.:', 1 i.*5 I OX Table 38. — Data for computing percentage composition of cooked foods used in the dietary studies ( Jontinued. Ref- Kinds of cooked f I and of Ingredi rills. \\ eight of in- gredients. Percentage composition of ingredients. er- ence No. cooked food, I'm tein. Kal. 1 :u bO hy- drates. 311 Meal pie— Continued. TJ>8. Kilos. Lbe. 15.00 7. 25 2. 50 KHoi 0. SO :>,. 2'.) 1.18 Per ct. 2.2 11. 1 Per ct. 0. 1 1.0 100.0 Per <■/. is. 1 Flour 7.".. 1 Lard •12.50 19.28 21.25 LI. 50 2.0(1 9. (i 1 .".. 22 .01 IS. 1 2. 2 ll.l 22.0 d is. 1 Flour 7.Y 1 Beei stew 2 IS. (II) 98. 89 Beef (average of several compu- 61.00 6.50 13.75 12.50 2.50 27.25 27. 07 2.'.);. 0.21 5. 07 1.18 12.36 28. 5 22. 2. 5 II. 1 1.0 2. 2 30.5 2 .1 1.0 .8 .1 Beef, lean (as round i, edible poi 2O.0 Flour 7.'.. 1 0. 18. 1 ".ii 207.50 94. 12 Beef, boiled, edible portion (as 51 ,,ii 11.75 30.00 2. 75 20. OS 0. 00 13.61 1 . 25 80.5 II. 1 2.2 1.0 30.6 .3 7. r >. 1 is. 1 0. 226.50 1(12.71 Heel, boiled, edible portion (as No 5) 29. 25 81.00 35.50 2.00 10.50 13.27 11.00 10. 10 .01 7.49 30.5 2.2 31.8 1.0 11. 1 30.6 .1 28. :: .8 1.0 is. 1 0. 75. 1 49.00 Mutton, neck, as purchased 28. 75 17.25 1.25 1.50 IS. 01 7.82 .57 . OS 12.8 2.2 11. 1 17.0 . 1 1.0 100.0 is. 1 7:.. 1 319 Chicken, creamed •jr.. vr. 1 1 68 8.00 12.00 . 25 :;. 68 ... ii .11 17.0 3. :\ 1.0 11.5 1.0 85. 2. 1 Milk 5.0 Mutter . 321 19.75 8.96 9.50 7.50 1.00 .75 4.31 3 to . 15 .::t 0.0 3. 8 1.0 ll.l 1.8 4.0 85,0 1.0 3.8 Milk A. II Butter 75. 1 ...... ■11.75 20.30 15.00 26. 25 .50 o.so 11.01 . 2)'. 0.0 3.8 1.0 1.3 1.0 85.0 3. 3 Milk 5. Butter ... 92. 50 ii 96 12.75 1. 10 11.75 .50 5. 7S .50 18.94 .2:: 0.0 11.1 3.3 1.0 1.3 l.o l.o S5.0 3. :: 75. 1 Milk 5.0 Cutler .. 10 00 2.00 3.00 .50 .75 .01 1 36 . 2:: .34 in. 1 8/8 11. 1 1.0 0. 3 l.o l.o 85.0 Milk 5.0 75. 1 Butter 320 7. 25 8. 29 Butter .75 . 50 .:;t . 23 1.0 11. 1 85.0 1.0 75.1 330 S. 75 _ 8.97 1.15 . 52 1.0 .:; 'I 381 Milk 2. 15 .98 1.00 I.IIO . 15 . 45 . 15 .117 3. :: 11. 1 1.2 l.o 1.0 5.0 Flour 7.-.. 1 Rice, boiled 12. 1 20.00 9.07 2. 75 ::. 2;. 7. 50 .00 1 . 25 1. 17 3.40 .27 25. l;',. 1 :!. :: 11. 1 33. 7 .0 • 4.0 1.0 2. 1 71.1 Milk 5.0 75. 1 :;:;i 59. 25 26. 88 12.00 id. 15 5. II 8. 00 1:: 1 1 1.2 .0 71. 1 Tomatoes, canned 1.0 i The nutrients in these materials could n<>i be calculated. 169 Tabi i: 38.- -Data for computing percentagi composition of cooked foods used in the dietary studies — < Jontinued. Ref- Vllre No. 334 13 836 Kinds of cooked I 1 and of ingredi- ents. Total weight of cooked food. Weigh! of in gredients. Percentage composition i>r ingredients. Pro- tein. Fat. Carbo- hy- Macaroni and tomatoes— Continued. Lbs. Kilos. Lbs. ,25 Kilos. 1.02 . II Per ct. 11. l 1.0 Per ri. 1.0 85. Per ct. 75. 1 Butter Muffins 12.25 5. 56 Butter .75 .7.". 2.50 6.00 5.00 .34 .34 1.13 2. 72 2. 27 1.0 14.8 11. 1 3.8 85.0 LOO.O 10. 5 l.i) 4.0 Flour 7") 1 Milk 5.0 18.00 8.17 2.25 3.25 14.25 1.02 1.47 6. 16 luo.o 14.8 ::. 3 10.5 1.0 Milk :..n ■js. 75 13.04 Milk 22.00 1.00 3.60 3.25 9. 98 .45 1.63 1.47 3. 8 12.9 13.0 1.0 is. 7 .2 5. 30 :: 100.0 10.75 4.88 Milk .' 1.26 1 . 50 3.00 1 . 98 . 68 i 36 3.3 4.0 6.0 100.0 13.1 9.3 84.50 6.00 25.50 ::. 75 2. 72 1 1 . 57 1.70 100.0 Milk : 8. 3 i;;. l 4.0 9.3 5.0 5. 56 1.50 lit. nil .7.". .68 1.54 .34 9. 8 LOO.O 13.0 .2 Lemon jelly 29.00 1.00 1.00 1.50 1.50 . 15 2.04 . 68 91.4 . 1 9. 8 100.0 34.0 25.50 11.57 19. 00 3. 75 1.60 1.90 8. 62 1.70 .7:! .86 .4 11. 1 .6 l.u 100.0 11.2 75. 1 100.0 269. 50 103.00 24.00 60.00 30.00 46. 72 10.89 27.22 13.61 .6 ■■- 3. 6 n in. ii 11.4 1.0 100.0 7f,. 1 Lard 228.50 4. 75 1.60 20.50 6.00 7.50 3. 88 46. 50 2. 15 . 68 9.30 2. 72 3. in 1.76 21.09 2. 1 2. 3 1.7 3.0 71.2 Mutter Pudding, chocolate Milk 25.50 1 1 . 57 68. 5 100.0 13.1 9. ii 1.0 9. 2 9. 3 9.3 85.0 1.3 11.2 58. 1 21.75 2. 75 1.50 9. 87 ,34 1 . 25 . 68 8.8 12.9 1.0 is. 7 .".. 80.8 Sugar 100.0 90.0 Pudding, chocolate Milk 24.35 23.25 3. 25 1. 00 1.35 10.65 1. 17 1.. .61 3. 3 4.0 5. 100. 12.9 is. 7 30.8 90.0 Butter 13.50 6.12 1.35 1.25 •_'. 7.". 1 . 95 5.00 .61 1 . 25 .89 2. 27 "To' 3.3 13. i 11. 1 85. 1.0 9. :; l.u LOO.O Milk 6.0 7.".. 1 2" LI. 34 Milk 20.00 :;. 7.". ,ii 2.50 9.07 1.70 . 28 3. 3 13.1 1.0 9 ;. 5.0 100.0 29.50 13.38 3. 25 1. 17 10.82 LOO.O Milk 3.3 4.0 5, a Percentage composition estimated. 170 Table 38. — Data for computing percentagt composition of cooked foods used in the dietary studies — Conti n ued . a The nutrients in these materials could not be calculated. Ref- Kinds of cooked food and of ingredi- ents. Total weight of cooked food. Weight of in- gredients. Percentage composition of ingredients. ence No. Pro- tein. Carbo- Fat. ! hy- dra tes 361 Pudding, floating island— Continued. Eggs, edible portion Lbs. Kilos. Lbs. 3. .50 1.45 1.25 Kilos. 1.59 .66 •' 7 Per ct. 14.8 Per ct. 10.5 Perct. 90.0 75. 1 11.4 1.0 363 Pudding, junket 33. 75 15.31 Milk 24.00 1.25 1.50 7.00 10. 89 . 57 .68 :;.. 18 3.3 4. 5. 100.0 60.0 1.0 .8 .2 11.6 364 29. 50 13.38 Milk 16. 75 3.25 11.00 7.60 1.47 4.99 3.3 13.1 1.3 4.0 5.0 9.3 ISO o. 8 100.0 2. 50 1.13 365 130.75 59. 31 10.00 14. 25 13.75 53. 50 9.75 4.54 6. 46 6.24 24.27 4.42 8.0 13.1 .3 79. 9.3 100. 5.0 Milk 3.3 S. s 4.0 8.3 54.1 366 110.00 49.90 5. 75 24. 26 10. 25 21.25 10. 00 5.00 8. 75 9.75 2. 61 11.00 4.65 9.64 4.54 2. 27 3.97 4.42 9.0 11.4 4.7 2.4 9.2 2.6 9.3 11.2 1.0 75.1 Suet 81.8 1 - 1.7 74.2 1.3 53.1 3.3 76-1 70. 100.0 367 318. 50 144.47 39. 00 50. 00 69. 00 28. 50 10.00 l.\ ;."' 48. 00 41.50 17.69 22. 68 31.30 12. 93 4.54 7.14 21.77 20.19 11.5 2.4 1.6 61.2 1.7 74.2 70.0 2. 6 3.3 76. 1 100.0 Suet 4.7 3.3 11.4 81.8 4.0 1.0 Milk 5.0 75.1 369 11.50 5. 22 1.50 3.00 2.00 .68 1.36 .91 14.8 . 7 10.5 .5 5.9 ioo.o 370 10. 75 4.88 Butter . . .45 1.00 1.50 .20 .45 . 68 1.0 13.1 85. 9.3 100.0 371 8. 00 3. 63 Milk 6.00 1.25 1.00 2. 72 . 57 .45 3.3 14.8 4.0 10.5 5. o - 100. o LP. Mr '08 V LIBRARY OF CONGRESS