Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Determination of Fuel Value of Food.~--In determining the amount of
heat produced by a given amount of food, it is first essential to
reduce the amount to grams (for example, 1 lb. equals 480 grams):
first, because the gram is a unit of weight commonly used in dietetic
calculations; second, because the fuel factors are based on the amount
of heat produced by the burning of one gram of organic foodstuffs.
Knowing the composition of food, that is the number of hundredths of
protein, carbohydrate and fat it contains, it is a simple matter to
estimate its fuel value by multiplying the amount of each contained in
one gram by its physiological fuel factor 4.4.9. Thus if the
composition of a food is 3-3/10% protein, 4% fat and 5% carbohydrate,
one gram would contain .033 gram of protein, .04 gram of fat and 0.5
gram of carbohydrate. Hence one gram of milk would produce
.033 x 4 = .132 calorie from protein
.04 x 9 = .36 calorie from fat
.05 x 4 = .20 calorie from carbohydrate
or .692 calorie in all
But it is not necessary to estimate the fuel value of so small a
quantity as one gram, and, since the value of protein, carbohydrates
and fats is always the same it is more satisfactory to estimate the
amount of the organic constituents contained in the entire given
quantity of food, rather than stopping to figure out the fuel value of
the small quantity.
This is done by multiplying the entire number of grams of food given
by the amount of protein, fat and carbohydrate contained in one gram,
then multiplying these results by the physiological fuel factor of
each. Thus 100 grams of milk would yield
100 x .033 = 3.3 x 4 = 13.2 calories from protein
100 x .04 = 4.0 x 9 = 36.0 calories from fat
100 x .05 = 5.0 x 4 = 20.0 calories from carbohydrates
or a total of 69.2 calories from 100 grams of milk.
~The Standard or 100 Calorie Portion.~--Just as it has been more
convenient to estimate a larger rather than a smaller quantity of food
material, so it is frequently more desirable to estimate a hundred
calories, rather than one calorie. This is especially useful when
dietaries of high caloric (fuel) value are to be estimated, or
dietaries in which foods of like composition and fuel value are to be
interchangeable. In such cases it is a simple matter to select the
desired number of 100 calorie portions of those foods which are to
make up the dietary.[19]
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