Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Age and Weight.~--As has already been stated, there are certain
points to be kept in mind in attempting to provide an adequate diet
for the human machine; _First_, the _age_ and _weight_. The gain
during infancy should be steady--an allowance of 40 calories per pound
of body weight to cover the energy requirements and 4 protein calories
per pound to cover the nitrogen needs. During the second and third
years the energy requirements will be covered by 30 to 40 calories per
pound and the nitrogen needs by 3 to 4 protein calories per pound.
From the fifth to the eighth year the nitrogen needs continue to be
covered by 3 to 4 protein calories per pound and the energy
requirements by 35 to 37 calories per pound during the fifth year; 32
to 34 calories per pound during the seventh year. After the body has
reached its full development its requirements will be met if
sufficient protein is provided to cover its maintenance needs and if
the energy calories are regulated according to the amount of exercise
taken, keeping in mind that the energy requirements of a man at rest
(sitting) will be about 2,000 calories per day and that exercise,
especially that taken in the open air, raises the energy needs of the
body.
~Daily Gain.~--In estimating the relative daily gain in body weight of
children of different ages, Mendel[64] gives the following table:
TABLE
In the first month, about 1.00 per cent
At the middle of the first year 0.30 per cent
At the end of the first year 0.15 per cent
At fifth year 0.03 per cent
Maximum in later years for boys 0.07 per cent
Maximum in later years for girls 0.04 per cent
~Retention of Nitrogen in Infancy.~--When the baby is gaining in
weight and strength there is a retention of both nitrogen and salts,
and when the baby is not gaining there may be a loss of both of these
bodies; when one is retained in the body the other is apt to be
retained.[65]
NORMAL INFANT FEEDING
Much has been written in the past few years on the care and feeding of
infants and children. This is well, since statistics show an alarming
increase in the rate of infant mortality during the early years of
life, and anything which can be done to check this lamentable and
often avoidable waste of valuable life should be resorted to with care
and attention.
~Food for Infants.~--The natural food of all young mammals is the milk
of their own mother. The rate of growth and development differs in
every species; the calf, for example, doubles birth weight much more
quickly than does the baby of the same age. However, the milk of the
cow, which meets the needs of the calf perfectly, falls short of
meeting the requirements of the infant, whose rate of growth is not
nearly so rapid. For this reason if for no other, it would be
advisable to give the baby its natural food rather than to attempt a
substitute which is, at best, a poor one.
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