C. Nageswara B. S.

of varying energy intake on nitrogen in men on two levels of protein intake1 Rao,2

Narasinga

Rao,3

B. Sc.,

Dip.

increased by

Effect

in five

young

of changing

men

were

with increase in energy

a reduction

obtained

A.

in urinary

energy

nitrogen

Am.J.

levels

Sc.,

and

was 2,249

Five apparently normal healthy young men were the subjects of the study and the details of the subjects are given in Table I. All the subjects were the research staff of our institute and from their activities they fit into the light activity category. During the period of the investigation all the subjects were residing in the Metabolism Unit

Journal

of Clinical

Nutrition

of protein.

Energy

protein

while

and This

was

levels at which

intake.

kcal,

at constant

of protein-40

levels

excretion.

Clin. Nutr. 28: 1116-1121,

and methods

The American

M.

of the diet

at two

intake at both

Subjects

1116

levels

studied

It has long been known that protein utilization and energy intake are closely interrelated. On a fixed adequate level of protein, level of energy intake is the deciding factor in N balance; with a fixed adequate level of energy intake, level of protein intake determines the extent of N balance (I). Recommended dietary allowances of protein are valid only under conditions of adequate energy intake. Diet survey data indicate that in India many subjects ingest adequate amounts of protein with inadequate intakes of energy (2, 3). Under these circumstances, a significant proportion of the ingested protein may be used for energy purposes. It was considered important, therefore, to determine the influence of variation in energy intake on nitrogen metabolism under conditions similar to the dietary situation existing in India. The effect of different levels of energy intake on nitrogen balances in young men on two different levels of protein intake, 40 g and 60 g daily, is reported in this paper. Material

Naidu,2

were different for the two levels of protein

required for zero nitrogen balance protein.

Nadamuni

Ph.D

A BSTRACT balances

Diet.,

intakes

on nitrogen

60 g. Nitrogen brought

nitrogen

balance

about

primarily

equilibrium

was

At 40 g protein intake the energy

it was 2,066 kcal when

intake

the diet provided

60 g

1975.

of the normal

Institute and daily activities.

Design

of the experiment

continued

to

be

engaged

in

their

In each subject, three to seven balance studies were done. Each balance period was of 1 1 days duration, the first 7 days of which served as stabilization period and during the last 4 days urine and feces were collected daily. Urine was collected in toluene and acetic acid. The experimental diets used in this study were mainly based on rice and their composition is shown in Table 2. At each level of protein and energy, the proportion of energy obtained from fat and carbohydrates was kept constant at an approximate ratio of 1:2. Three energy levels, namely, 2,700, 2,400 and 2,100 kcal, were studied with 60 g protein level. At 40 g protein, five levels of energy intake-3,000, 2,700, 2,400, 2,100 and 1,800 kcal/day -were employed. And the diets were given in the descending order of calorie intake. The subjects were weighed regularly at the beginning and at the end of each balance period, using a sensitive lever actuated weighing machine. A nalytical

procedures

Diet.

In each experimental period, a duplicate sample of cooked experimental diet was mixed in the Waring blender and dried to constant weight. An aliquot was used for nitrogen estimation. Urine and feces. Each day’s feces were mixed in a Waring blender and an aliquot taken in duplicate for nitrogen estimation. Twenty-four-hour collections of urine were mixed thoroughly, volume measured and aliquots taken for the estimation of total nitrogen, urea N and creatinine.

‘From

the

National

Institute of Nutrition,

Council of Medical Research, bad, 500007, India. 2 Assistant Research Officer.

28:

OCTOBER

1975,

pp.

Jamai

1116-1121.

Osmania, 3Assistant

Printed

Indian Hydera-

Director.

in U.S.A.

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Influence balance

INFLUENCE

OF

ENERGY

INTAKE

ON

TABLE 1 Details of the subjects Age, years

Height, cm

Weight, kg

CN NB KM VJ RN

35 24 25 31 22

161.3 164.7 166.6 159.0 164.5

64.4 50.8 55.6 47.4 49.2

TABLE 2 Composition

and nutritive value of the experimental Item,

g

Rice Redgramdal Milk Skimmed milk powder Vegetables Sugar Groundnut oil Sago Corn starch Nutritive value Energy, kcal Protein,g

Diet

I

300

55 500 350. 70 72 30

2,700 60

Diet

1117

all the subjects on 60 g protein were in positive N balance on an intake of both 2,700 kcal and 2,400 kcal, they were all in negative balance when the intake was lowered to 2,100 kcal. On 40 g protein intake it was observed that one of the subjects continued to maintain his N balance around equilibrium irrespective of the changes in energy intake with only slight fluctuations on either side of zero balance. Of the other three subjects two were in positive N balance at 2,700, 2,400 and 2, 100 kcal levels and showed negative balance at I ,800 kcal intake. The fourth subject was in positive balance at 3,000 and 2,700 kcal intakes and showed negative balance at 2,400 kcal intake itself. Three out of the five subjects were studied both at 40 and 60 g protein levels. Two of them who were in negative N balance at an intake of 2,400 kcal on 40 g protein diet were in positive balance on a similar energy intake when the protein intake was raised to 60 g. The third subject CN, however, showed an opposite trend. His N balance at 2,100 kcal level on 60 g protein diet was negative while on 40 g protein diet on the same calorie intake the N balance was positive. This was possibly due to much higher excretion of fecal N on the 60 g protein diet than on the 40 g protein

Results The values of fecal and urinary N on each day are shown in Fig. 1 and the average individual values of N excretion, N balance and body weight changes are given in Table 3. Both at 40 g and 60 g of protein intake urinary nitrogen increased in all subjects with a decrease in energy intake. Only in the case of subject CN was there a reduction in urinary N excretion when the calorie intake was reduced from 2,700 to 2,400 during the 60 g protein period. Urea nitrogen expressed as percent of urinary nitrogen was unaltered at different levels of energy intake. The figures for urea N as percent of total urinary N observed in this study were however within the normal ranges reported by other Indian workers (6-9). Nitrogen balance tended to decrease with decrease in energy intake at both the protein levels. However, the change was less consistent than that observed with urinary N. While

Subj

BALANCE

diet. In general the subjects maintained their body weights during the experimental periods although there was a slight tendency for the body weights to decrease with decrease in energy intake. However, there were a few exceptions caused probably by the slight

diets 2

300 50 180 25 350 32 75

2,400 60

Diet

3

300

55 120 30 350 30 53

2,100 60

Diet

4

Diet

5

Diet

6

Diet

7

Diet

8

260 30 240

260 30 240

260 30 240

260 30 240

260 30 240

270 60 87 37 140

270 75 76 37 75

270 52 65 30

270 40 54

270 37 43

55

47

3,000 40

2,700 40

2,400 40

2,100 40

1,800 40

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Nitrogen in diet, feces and urine was estimated by macro-Kjeldahl procedure. Urea N was determined by the method of VanSlyke and Cullen (4). Creatinine in urine was estimated by the method of Clark and Thompson (5).

NITROGEN

NAGESWARA

1118

RAO

ET

AL.

204-.

20

6-

42-. 04-

2..... 0..

Energy (KcaI) Prein (g

.................60

__________________ 40 FIG.

variations

ties

of the

I. Daily

the intensity of the individual subjects.

excretions

daily

in

60

of urinary

activi-

Discussion There experimental

been animals

a

number

and

of in

human

studies

in

subjects

effect of energy intake on N utilizaThe effects of both surfeit calories and insufficient calories on N balance have been studied. Increase in N balance with increase in energy intake on constant intake of protein has been reported in rats (10). Cuthbertson and Munro (11) observed in a young man that addition of 780 kcal to a diet providing 2,890 kcal (46 kcal/kg) and 66 g protein (1 g/kg) per day resulted in a 34% decrease in urinary N excretion. Beattie et al. (12) reported that it was possible to obtain a significant positive N balance in undernourished men on N intakes as low as 0.17 g/kg provided the calorie intake exceeds 35 kcal/kg. A reduction in N retention and efficiency of protein utilization when energy on

tion.

the

have

and

fecal

________

______ 40 _______

nitrogen.

intake is restricted has been documented in several species of animals (13-15). In most of the studies the aim was not to elucidate the exact relationship between energy intake and protein utilization in the practical range of protein and energy intakes. This can be studied effectively only when the protein content of the diet is well controlled and the levels of energy intake are varied. In the present investigation in which the protein intake was kept constant, a gradual but significant decrease in the urinary N excretion was noticed with the increase in energy intake. Alterations in urinary N in response to changes in energy intake were more consistent than alterations in N balance. This was primarily due to variation in fecal N excretion. While the coefficient of variation in urinary N excretion was only 6 and 11% at 60 and 40 g protein levels, respectively, it was 30 and 54% in fecal N excretion at the two protein levels. Analysis of variance (Table 4)

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4...

INFLUENCE

ENERGY

INTAKE

--

0

r.4

t

(1

o

-

r.4r’-

r-4

-

-8

0

00

00-

0 0



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r’i

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or-it I

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ON

NITROGEN

BALANCE

I I 19

indicated that there was no significant difference in fecal N between individuals, between days or between calorie levels either at 40 or 60 g protein level. Therefore, in the statistical evaluation of the relationship between energy intake and N utilization only the urinary N data was considered. Analysis of variance of the data (Table 5) showed that while the differences in urinary N between the days and between individuals were not significant, the differences between calorie levels were highly significant. The significant F value at 5% level found for the interaction between individuals and the energy intakes also suggests that within each individual the differences between calorie intakes were significant. The interactions between energy and days as well as between individuals and days were found to be not significant. A significant linear relationship was observed between urinary N and energy intake on both levels of protein intake. This is shown in Fig. 2. The regression equations calculated from the urinary N and energy intake are Y 10.4363 0.00 1597 X in the case of diets providing 60 g protein and Y = 6.2830 0.000867 X in the case of diets containing 40 g protein where Y urinary N in grams and X energy intake in kilocalories. These equations were employed to compute the energy intake for N equilibrium (zero N balance) at two levels of protein intake. For this, expected urinary N (Y) at N equilibrium was calculated by deducting the mean fecal N from intake. Since fecal N excretion was not related either to protein or calorie intake, average fecal N of all the subjects during the 60 g protein (2.5 g) and 40 g protein (2.2 g), respectively, were used. The expected urinary N (viz, intake-fecal nitrogen) values at N equilibrium from the above calculations were found to be 7.1 g and 4.3 g =

-

-

=

. C)

00 0

a .0 U

oor

r

-00

.0

00 C)

r-.-

r

0 .0 . 00

C

a

Nr.1riri

r’i

Or’000r

C

C) U

C

a a

00

.0 C C) 0/1

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0 00 C

.

C 0 C)

U ‘C C) C C)

00 0

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r4

ei

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,

=

for 60 and 40 g protein intakes, respectively. From these equations it was found that the energy intake for N equilibrium was 2,066 kcal at a protein level of 60 g and 2,249 kcal at 40 g protein intake. The slopes of the two curves appeared to be different although this difference was not statistically significant. Nevertheless, these curves show that the trend to lower the urinary N with increased energy intake was more with an intake of 60 g protein than with

Downloaded from https://academic.oup.com/ajcn/article-abstract/28/10/1116/4716641 by East Carolina University Health Sciences Library user on 13 January 2019

0

OF

1120

NAGESWARA

for the data on fecal N

and energy

ET

AL.

intake 40 g Protein

60 g Protein Source

of variation

Mean

Degrees of

Degrees

F

of

Mean

freedom

of squares

freedom

Betweenenergylevels Between individuals Betweendays

sum

sum

F

of squares

2 3 3

1.2843 0.4476 0.1409

NS NS NS

4 3 3

0.3398 0.0549 0.1354

NS NS NS

6 6 9 13 42

0.5467 0.5482 0.7088 0.5788

NS NS NS NS

12 12 9 12

0.0764 0.4559 0.9118 1.4855

NS NS NS NS

Interaction Energy levels x individuals Energy levels x days Individuals x days Error Total

TABLE Analysis

5 of variance

for

the

data

on

urinary

55

N and

energy

intake

60 g Protein Source

of variation

of

Degrees

Mean

40 g Protein

sum

Degrees of freedom

F

Mean sum of squares

F

freedom

of squares

2 3 3

3.3171 0. 1018 0.2149

18.969” NS NS

4 3 3

1.9023 0.4 188 0.1760

8.815” NS NS

6 6 9 14 43

0.5263 0.2493 0.4393 0.1748

3.010’ NS NS

12 12 9 12 55

0.5767 0.2280 0.1203 0.2158

2.672c NS NS

Betweenenergylevels Between individuals Between days

Interaction Energy Energy

levels levels

x individuals x days x days

0.001.

“P

Individuals

Error Total “P

Influence of varying energy intake on nitrogen balance in men on two levels of protein intake.

Effect of changing energy levels of the diet at constant protein intakes on nitrogen balances in five young men were studied at two levels of protein-...
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