Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
Sweet butter, butter without salt, is less apt to be old
when purchased than the salted variety, as the flavor of rancid fat is
unmistakable in butter which has not been especially treated.
~Milk.~--Milk is without a doubt the most valuable food in the invalid
dietary, furnishing not only a highly nutritious beverage, but
likewise acting as a carrier of additional nourishment when such is
necessary. Its form, its lack of definite flavor and odor, all add to
its value as a food in sickness. Milk is one of the few foods which
includes in its composition all of the chemical combinations known as
foodstuffs. The carbohydrates, comprising 4.88% to 5% of the solids in
milk, occur as lactose or milk sugar. This sugar belongs to the
disaccharide group, and is, in the majority of cases, readily digested
by even the most delicate digestive apparatus. This form of sugar
lends itself particularly well as a reinforcing agent, and is
generally used in such cases as typhoid fever, etc. The fat in milk,
comprising 4% of the solids and occurring as butter fat (cream), is
made up chiefly of olein and of palmitin, with smaller amounts of
stearin and from 5% to 6% of its composition in the form of butyric
acid (the fatty acid to which butter owes its name and flavor) and
traces of other fatty acids, as well as small quantities of
cholesterin, lecithin, and a yellow coloring matter.
The proteins of milk, which form the curd or larger part of the
solids, according to Van Slyke[29] are in the form of casein and
albumen. There are 3.6 parts casein to 1 part soluble proteins, but
these figures vary somewhat at times. Casein is insoluble in pure
water, but dissolves readily in water to which an alkali or calcium
carbonate is added. The soluble protein in the form of lactalbumen is
one of the constituents of whey. This substance contains more sulphur
than does casein, but no phosphorus.
~Whey~ is the opalescent fluid which remains when the casein is
precipitated, and is composed of water 93.8%, total ash 0.44% (Koenig).
~Mineral salts~, 0.7% of milk, are made up of calcium, potassium,
sodium, magnesium, iron, sulphur, phosphorus, and chlorine. Milk is so
rich in calcium that it requires only 400 c.c. (or about 2-1/2 cups)
to furnish 1 gram of calcium. This is the amount believed to be
necessary for the welfare of man each day and this must be derived
from food.[30]
~Water.~--The fluid part of milk is composed chiefly of water,
constituting 87% of whole milk.
Milk as a food for infants will be discussed in another chapter.
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