The basal metabolism as measured by 70 calories per hour in the case of
this individual represents the sum of the fuel needed--(1) to maintain
the beating of the heart, which every minute of a man's life moves the
blood or one-twentieth part of the weight of the body, in a circle
through the blood-vessels; (2) to maintain the muscles of respiration
that the blood may be purified in the lungs; (3) to maintain the body
temperature at that constant level which is so characteristic that a
slight variation signifies illness, and (4) to maintain in the living
state the numerous tissues of the body. Any extraneous muscular
movements are carried out in virtue of an increased oxidation of
materials and the heat production rises above the level of the basal
metabolism with increased muscular effort. For a long time the power for
the maintenance of the human machine can be furnished by its own body
fat, as is seen in cases of prolonged fasting, but usually the power is
derived instead from the food-fuel which is taken. The great question in
the world to-day is whether or not a sufficient quantity of food-fuel is
available to support the human family. The question of calories is not
an academic one, but an intensely practical one.
Science strives to express itself in mathematic terms, and this paper is
written with that end in view.
Phenomena of life are phenomena of motion. These motions are maintained
at the expense of chemical energy liberated in the oxidative breakdown
of carbohydrate, fat, and protein. Furthermore, the protein structure of
the body cells and the salts of the bones and other tissues are in a
constant state of wearing down. The energy for the human machine and the
materials for its self-repair are taken in the form of food. The general
term _metabolism_ includes all the chemical activities which take place
under the influence of living cells.
The total quantity of heat produced by the body is a measure of the
intensity of the oxidation of carbohydrate, fat, and protein within the
body.
It is important to know definitely whether there is any constant measure
of the level of the basal metabolism in normal people, so that one may
determine in cases of disease whether the heat production is normal or
increased or decreased.
Rubner discovered that the heat production of mammalia during rest was
the same per square meter of surface whether the being was a horse, a
man, a dog, or a mouse. The proposition has appeared so improbable as to
call forth much antagonism. DuBois deserves the credit of having
established this relationship for man beyond the possibility of a doubt.
He was able to do this on account of his discovery of a new and accurate
method of measuring the area of the body surface. It appears from his
work that the _basal metabolism_ for men between twenty and fifty years
old is approximately 40 calories per hour per square meter of body
surface, within a +/- error of 10 per cent.
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