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Biomedical subjects

W Mertz

Publications and source records attributed to W Mertz.

At least 37 records · Page 2Linked to original sources

Long-term consumption of beef extended with soy protein by men, women and children: II. Effects on iron status.

The iron status of men, women and children consuming beef extended with soy protein was evaluated by measuring serum ferritin and clinical parameters of iron status during a six-month study. Fifty-two families (245 participants) were randomly assigned to consume, for 180 days, 1 of 7 beef products: all beef, beef extended with either soy isolate, soy concentrate or soy flour (20% reconstituted soy product, 80% beef), or beef extended with each of the three soy products fortified with 60 mg Fe and 25 mg Zn/100 g protein. The beef product was consumed by the subjects as their principal source of protein for 1 meal a day (children 1-18 yr) or 1-2 meals a day (11 per week; adult men and women). A control group consumed their usual self-selected diets. No evidence was found that consumption of beef extended with soy protein deleteriously affected the iron status of men, women or children. Consumption of beef extended with soy protein, at the levels used in this study, by military men and women and by school lunch participants would not appear to impose a risk in these population groups.

Adolescent↗

Long-term consumption of beef extended with soy protein by children, women and men: III. Iron absorption by adult men.

Forty-nine ostensibly healthy men consumed either patties of all-beef or beef extended with soy-isolate, -concentrate or -flour as the principal protein source in 1 to 2 meals daily for 180 days. Iron status was monitored by absorption of radioiron from a reference dose of ferrous ascorbate and by serum ferritin concentration. In addition, nonheme iron absorption from a test meal of the respective beef pattie consumed for the 180 days was estimated by the extrinsic tag procedure. There was no detrimental effect on iron stores as indexed by reference ferrous ascorbate absorption or serum ferritin concentration. Absorption of nonheme iron from the test meals was low except for individuals having indices of low iron stores. When adjusted for the effect of level of iron stores the relative absorption of nonheme iron from soy-isolate and -flour containing meals was greater than from the all-beef meal, indicating marked differences in the effect on iron absorption by different soy products. Consumption of soy-extended beef should have no detrimental effect on iron status of adult men if consumed in mixed diets at the level used in this study.

Adolescent↗

Use and misuse of balance studies.

Balance studies are inadequate tools to determine human requirements for minerals and trace elements. At best, they estimate the amount of an element in a specified diet that maintains the existing pool size of the test subject. The relevance of pool size to health remains to be established by different and independent means.

Animals↗

Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence.

The number of days of food intake data needed to estimate the intake of 29 male (n = 13) and female (n = 16) adult subjects, individually and as a group, was determined for food energy and 18 nutrients. The food intake records were collected in a year-long study conducted by the U.S. Department of Agriculture's Beltsville Human Nutrition Research Center. Each individual's average intake of nutrients and standard deviation over the year were assumed to reflect his or her "usual" intake and day-to-day variability. Confidence intervals (P less than 0.05) for each individual's usual intake were constructed, and from these the number of days of dietary records needed for estimated individual and group intake to be within 10% of usual intake was calculated. The results indicated that the number of days of food intake records needed to predict the usual nutrient intake of an individual varied substantially among individuals for the same nutrient and within individuals for different nutrients; e.g., food energy required the fewest days (averaging 31) and vitamin A the most (averaging 433). This was considerably higher than the number of days needed to estimate mean nutrient intake for this group, which ranged from 3 for food energy to 41 for vitamin A. Fewer days would be needed for larger groups.

Adult↗

Effects of sugars on indices of glucose tolerance in humans.

Ten men and nine women were studied to determine whether replacement of utilizable complex carbohydrate by sugars (mono- and disaccharides) in a high-fiber, low-saturated fat diet would affect indices of glucose tolerance. Diets differed in that the 50% of calories derived from carbohydrate was either 35% complex and 15% sugars (low-sugar) on 15% complex and 35% sugars (high-sugar). Summation of glucose responses 30-180 min following an oral glucose tolerance test was significantly higher in men, but not women, after they consumed the high-sugar diet. Corresponding insulin responses were significantly higher in men consuming the high-sugar compared to the low-sugar diet. Insulin binding was significantly lower during the base line period and after the high-sugar diet compared to the low-sugar diet. Results indicate that sugars adversely affect indices of glucose tolerance when they replace complex carbohydrates even in a high-fiber, low-saturated fat diet.

Adult↗

Modification of the United States' diet to effect changes in blood lipids and lipoprotein distribution.

Twenty men, 19 premenopausal and 14 postmenopausal women consumed a diet for 13 weeks that supplied 35% of the calories from fat, 50% from carbohydrate, and 15% from protein. The diet was low in cholesterol, saturated fat, and salt, and high in complex carbohydrate and fiber. The 7-day menu was composed of common well-accepted foods prepared in a simple attractive manner. Plasma total cholesterol, LDL cholesterol, and VLDL cholesterol were reduced, but triglyceride levels were not different than after self-selected diets. When 20% of the complex carbohydrate was replaced by simple carbohydrate and other diet components remained optimal, triglyceride and VLDL cholesterol levels increased in men and premenopausal women and total cholesterol increased in premenopausal women. These results suggest that beneficial effects on the blood lipids and lipoprotein distribution of men and women may be obtained by minimal modification of a typical U.S. diet.

Adult↗

Indices of copper status in humans consuming a typical American diet containing either fructose or starch.

Twenty-four male subjects originally participated in a study to determine the effects of feeding diets comparatively low in copper (1.03 mg/day/2850 kcal) and containing either 20% fructose or starch on indices of copper status. During the course of feeding the diets for 11 wk, four of the subjects exhibited heart-related abnormalities and were removed from the study. Fructose ingestion had no effect on serum ceruloplasmin activity or serum copper concentration but did significantly reduce cuprozinc superoxide dismutase (SOD) activity of erythrocytes as compared to starch. Repletion of the subjects with 3 mg copper/day for 3 wk significantly increased SOD levels in subjects previously fed fructose but not starch. Apparent copper balance was significantly greater when the subjects consumed the fructose as compared to the starch diet. These results suggest that the type of dietary carbohydrate fed can differentially affect indices of copper status in humans.

Adult↗

Sodium and potassium intake and balance in adults consuming self-selected diets.

Twenty eight adults, 12 men and 16 women, participated in a 1-yr study designed to assess daily nutrient intake accurately. All subjects lived at home, consumed self-chosen diets, and maintained a detailed daily dietary record throughout the year. During four 7-day balance studies, one in each season of the year, meals, beverages, urine, and feces were analyzed for sodium and potassium content by atomic absorption spectrometry. Total intakes averaged 3.4 g/day for sodium and 2.8 g/day for potassium. The Na:K ratio for all diets analyzed averaged 1.3. Nutrient densities of sodium and potassium were 1.8 and 1.5 g/1000 kcal, respectively. Apparent absorptions of sodium and potassium were 98 and 85%, respectively, and did not change significantly over the wide range of intakes. Average urinary excretions of sodium and potassium were 86 and 77% of total intake, respectively. Mean metabolic balances were positive for sodium, +0.47 g/day, and potassium, +0.28 g/day. The data of this study provide useful information concerning the dietary intakes, excretions, and balances of sodium and potassium for adults based on analytic determination.

Adult↗

Evaluation of long-term dietary intakes of adults consuming self-selected diets.

Mean daily intakes of calories and 19 nutrients were calculated for 13 males and 16 females, ages 20 to 53 yr, who kept daily diet records for 1 yr. Mean daily caloric and 19 selected nutrient intakes of the subjects met or exceeded the 1980 recommended dietary allowances except for iron and calcium for females. Males had higher intakes than females for all nutrients studied except crude fiber, vitamin A, and vitamin C. However, nutrient density values were comparable for both sexes, except that the females had higher nutrient density values for vitamin A than did the males. The younger subjects had higher intakes of calories and saturated fat than the older ones. The younger males had higher intakes of total fat, saturated fat, and oleic acid than the older males. The consistency of reporting food intakes examined by applying a systematic sampling method designed for this study did not vary considerably when diet records kept over a long period of time were evaluated by four methods.

Adult↗

Effect of making duplicate food collections on nutrient intakes calculated from diet records.

In a 1-yr study in which food intakes were recorded daily, subjects were asked to make duplicate food collections for 1 wk during each of the four seasons. Mean calculated energy intake of the 29 subjects was 12.9% less during the food collection periods than the mean for the entire year (which included collection periods). There were also significant reductions in the reported intake of all nutrients during the collection periods. Protein, vitamin A, saturated fat, and cholesterol intakes were decreased to the greatest extent. The actual decrease in energy intake was greater for the males than for the females, but the percentage was the same (12.9%). The younger group of subjects (less than or equal to 35) decreased energy intake 16.8% and the older group (greater than 35) 8.8%. Comparison of intakes during collection periods with intakes the week before and the week after showed that 28 of the 29 subjects decreased their energy intake from 1.1 to 32.3%. These data suggest that intakes of subjects during food collection periods do not represent their habitual levels of intake reported throughout the year.

Adult↗

Chromium supplementation of human subjects: effects on glucose, insulin, and lipid variables.

Seventy-six normal, free-living subjects were given supplements of 200 micrograms chromium (Cr) in the form of chromic chloride or a placebo in a double-blind crossover study with 3-month experimental periods. Twenty of the 76 subjects had serum glucose concentrations greater than or equal to 100 mg/dL 90 minutes after a glucose challenge (1 g glucose per kilogram of body weight). Chromium supplementation significantly decreased (P less than 0.05) the 90-minute glucose concentration of these subjects from 135 +/- 9 to 116 +/- 11 mg/dL; fasting glucose concentrations also decreased significantly. The 90-minute serum glucose levels of the 35 subjects with glucose concentrations less than the fasting serum glucose level were increased significantly by Cr supplementation, from 71 +/- 1 to 81 +/- 4 mg/dL. Fasting and 90-minute serum glucose concentrations of the remaining subjects who displayed 90-minute glucose concentrations greater than fasting levels but less than 100 mg/dL were not affected by Cr supplementation. In this study, immunoreactive serum insulin concentration, body weight, lipids, and other selected clinical variables did not change significantly during Cr supplementation. These data demonstrate that Cr supplementation decreases the serum glucose levels of subjects with 90-minute glucose concentrations greater than or equal to 100 mg/dL following a glucose challenge, increases serum glucose levels of subjects with 90-minute glucose concentrations less than fasting levels, and has no effect on the serum glucose levels of subjects with 90-minute glucose values similar to but greater than fasting levels.

Adult↗

Trace minerals and atherosclerosis.

Although there is no evidence for a direct cause-effect relationship between mineral and trace element status and atherosclerosis in humans, many elements exert a strong influence on individual risk factors for cardiovascular disease, such as disorders of blood lipids, blood pressure, coagulation, glucose tolerance, and circulating insulin. Studies in humans and animals have shown that optimal intakes of elements such as sodium, magnesium, calcium, chromium, copper, zinc, and iodine can reduce individual risk factors; some of these studies are consistent with the results of epidemiologic correlations. Influences of local geochemical environment and of dietary practices can result in mineral and trace element imbalances; deficiencies of chromium, iron, copper, zinc, selenium, and iodine are well defined. Detection and correction of such imbalances in populations, through diminishing individual risk factors, might ultimately reduce the incidence of atherosclerotic heart disease.

Animals↗

The essential trace elements.

Essential trace elements are required by man in amounts ranging from 50 micrograms to 18 milligrams per day. Acting as catalytic or structural components of larger molecules, they have specific functions and are indispensable for life. Research during the past quarter of a century has identified as essential six trace elements whose functions were previously unknown. In addition to the long-known deficiencies of iron and iodine, signs of deficiency for chromium, copper, zinc, and selenium have been identified in free-living populations. Four trace elements were proved to be essential for two or more animal species during the past decade alone. Marginal or severe trace element imbalances can be considered risk factors for several diseases of public health importance, but proof of cause and effect relationships will depend on a more complete understanding of basic mechanisms of action and on better analytical procedures and functional tests to determine marginal trace element status in man.

Animals↗

The scientific and practical importance of trace elements.

E. J. Underwood's discovery of the essentially of cobalt for ruminant animals is the classic example of the vast benefits to agricultural production of research into the nutritional significance of trace elements. The extension of this discovery, culminating in the identification of vitamin B12, resulted in similar benefits for human health, notably the conquest of pernicious anaemia. Since then, additional essential trace elements have been discovered. Deficiency or imbalance, whether occurring naturally or from human activities, has been shown to present significant problems for the health of man and animals. Essentiality has been proved for a rapidly growing range of 'new' trace elements, whose biochemical mechanisms of action and implications for human health are unknown. In spite of an increasing knowledge of significant changes in the exposure of man and animals to trace elements from diet and environment, the concern of nutrition policy planners for inorganic micro-nutrients remains overshadowed by that for the bulk components of the diet. The application of existing knowledge of trace element nutrition to problems of human and animal health will depend on a clear understanding of events that link molecular, biochemical mechanisms to the clinical manifestation of deficiencies.

Animals↗