Académique Documents
Professionnel Documents
Culture Documents
AMERICAN
Vol.21,
JOURNAL
No.
11,
or
Printed
Fat,
CLINICAL
November,
1968,
in
NUTRITION
pp.
1291-1301
U.S.A.
Carbohydrate,
Salt,
Further
M.
WALTER
BORTZ,
HE
INCONSISTENT
source
of
plateaus
are
M.D.,3
PAULA
L.
number
be
frequent
1)055i1)ilities.
activity
l)atterns
(2)
time
number
of
trigued
with
stituencv
sil)ie.
time idea
tlailv
(7)
calories
recently
1)erformed
weie
exclusively
in
given
time
amount
all
diets
of
considered
it
observed
carbohydrate
tlifferences
periods
gluconeogenic
or
were
mecimanisms.
providing
From
pital,
time
Division
of
b-
National
I)ivision
Department
Assistant,
of
of
Division
Division
of
of
Research.
(liets
one
were
other
initial
nitro-
a severe
felt
it was
to
study
isitim
Imigimer
study
(7).
was
Time
nearly
nine
sub-
years
lb. at
all were
free from
conmfrom
two
3-hr passes/
confined
to the Metanot
than
diet
All
diet
day.
permitted
time usual
(9)
The
any
physi-
sedentary
this
fed
for
ward
stabilization
were
fat
(to
35%
Follow-
timat was
time subjects
total
studies
to
40
were
made
exclusion
4 g NaCl
calories
reduced
the
high
until
constant.
calories
time
were
percentage
in
was contilmued
containing
weeks,
for-
protein/
carbohydrate.
formula
of 2-3
carbohydrate
Re-
1291
and
usually
In
fat
and
Director,
calories
calories)
120
re-
relatively
Researcim.
g or
duced
to 800 kcal for the rest of time study.
six subjects,
in the first hypocaloric
period,
their
period
Health
80
to maintain
iim a liquid
were
and
Hos-
given
providing
a period
designed
were
remaining
ing
one
was
feedings
of time total
fat
Research,
They
activity
mula
and
to
Formerly
Medicine.
its
with
of the
previous
project;
Aside
subjects
were
the
The
by the
of
time
Ward.
riods,
of
time
MENTAL
of the
weight.
the
lmigh
Lankenau
Institutes
cal
We
activated
Research,
be-
in
activities.
study
Pennsylvania.
AM-08887.
Research
.-ssociate,
search
that
coupled
in some
way to timese
It also
seemed
possible
timat
lmiglmer levels
of dietary
protein
Philadelphia,
Assistant,
of
some
protein,
conserve
of
disease.
bolic
and
between
time fat
were
due
directly
low
Supported
Grant
In
start
week,
carbohy-
g protein/day.
nmeclmanisms
noncarboimydrate,
diet
respon-
absence
that
to
we
(8),
(five mets,
four
women)
were
19-34
all but two weigimed
more
timan 300
the
possible
addition
others
confronted
protocol
to
jects
old;
plicating
and
general
identical
Metabolic
the
salt.
40
content.
The
in-
isocalorically
contained
protein
a tietailed
added
body
wimen
EXPERt
time conbe
or
time
observations
reported
presence
of
In
as imave
content
on
fat
effects.
similar
been
may
interchanged
such
interested,
of
and
varying
Ward
drate
Imave
that
AND
Smith
salt;
(3-6)
are
physical
time effect
dietary
workers
have
\\Te
simown
of
M.P.H.,4
calorie
restriction.
Timerefore,
we
of interest
to extenti
our earlier
in
influential;
imave
level
of
study
are
offset
gen
most
timere
anti
nmay
capacity
are
fac-
the
However,
Hormonal
(1)
Drenick
cimanging
is
B.S.,
PH.D.5
came
variance
calories
explanation.
otimer
almd
daily
is a
and
of
HOWAT,
HOLMES,
Weight
observed
a number
responsible.
of
loss
dieters.
Loss
in proportion
calorie
weigimt
Following
time
to
diet.
This
loss became
control
pe-
were
placed
on 24-day
diets
60%
protein;
time remaining
up of fat or carbolmydrate
to
of
and
time
other.
3 g KC1
1mm seven
were
used;
of
time
in
time
could
time
weigimt
to
frequently
Obviously
discouragiimg.
tors
of
RATE
confusion
Weight
Studies12
WILLIAM
and
1292
Bortz
et al.
6TE
CHO
Diel
4400
Calories
800
Ssb1DR
663
FAT
169
PRO
80
52
30
80
20
0
0
54
120
0
80
80
80
Coories
445
Diet
gin
435
800
3300
CHO
FAT
PRO
469
32
54
54
80
80
80
SC
304
425
294
415
284
405
274
395
385
264
375
254
365
244
355
0
20
30
40
50
60
70
80
90
20
30
40
50
60
70
80
90
Oars
Subj
Days
N S
800
3300
Calories
.ASCC
V
CHO
Diet
FAT
469
1 3
PRO
80
4000
Calories
20
120
54
80
0
80
80
800
CHO 560
FAT
56
PRO
80
120
0
80
54
80
0
54
80
120
0
80
340
450
330
440
430
320
-5
A
420
310
410
300
400
290
390
380
280
0
20
30
40
50
60
70
80
Dajs
FIGS.
otimer
and
studies
no
chenmical
100
per
total
dients
of
casein,6
sucrose,
Artificial
protein
loss
potassium
was
diets
these
sodium
and
feedimmg.
diet
180
mg
basic
purified
corn
on
800-kcal
added,
showed
The
were
cornstarclm,
content.
before
Every
analyzed
The
the
6 days
for
6 Supplied
tories,
mg
weight
ap-
and
Evansville,
free
as
subjects
were
blood
fatty
Casec
Indiana
acids
by
Mead
was
butter.
Johnson
and
were
(13),
ammonia
milled.
check
riodic
or
(12).
made
and
sodium
mmitrogen
Urinary
dioxide
quotients
KC1.
Correspolmding
measured
(14),
levels
and
(17)
urine
for
urinary
potassium
of urea
(15).
mmitrogen
were
was
creatinine
on completeness
measurements
carbon
piratory
weighed
NaCI
cholesterol
collections
In five experiments,
collected
(10),
(1 1), and
added
nitrogen
first feeding.
venous
without
ingre-
powdered
oil,
diets
potas-
flavorings
were
added
to improve
The
diets were analyzed
chemically
for
taste.
daily
or
of
daily
the
Daily
sodium
analysis
proximriately
siunm
1-4.
Days
also
(16)
deter-
nmeasured
as
of collection
(18).
of oxygen
consumption
production
determined
were
made
(19).
and
Peand
res-
and
RESULTS
triglycerides
Labora-
Figures
terations
1-4
in
slmow
dietary
weigimt
response
carbolmydrate
to
anti
al-
fat
Fat,
in
time
absence
firmation
paper,
of
rate
of
the
initial
after
of
weight
witim time
of calories.
Figures
was
essentially
5-1 1 show
of
Whereas
time results
timere was
following
boimydrate
loss
the
and
80-g
of
protein
time
study,
study
anti
(Figs.
except
that
In
ceiving
Time
are
supplements
on
fat
those,
weight
fat
generally
initial
It
as
previously
self-limited,
all
comes
offset
homeostatic
nutritional
sine-wave
sodium
dietary
time
by
shown.
object
periods
that
be
Figures
19-22
in
were
an
mechanisms
One
can
extending
data,
changes.
which
beChanges
the
subjects
to
added.
amazing
to
bear
sodium.
All
time
nitrogen
whose
quotient
stabilization
diet
diet,
was
of
was
035;
and
all
0.85;
on
the
bal-
no
demon-
(22),
(23).
are
and
the
we
critical
body
wahormonal
composition
reported
of
and
the
results
of
obese
subjects
in
carbohydrate
were
switched
firm
of our
those
tlmis study
cltmsion
weight
earlier
did
that
loss
report
not
affect
was due
capacity
bohydrate.
et
Katz
carbohydrate
diet
fasting.
regardless
and
bring
experiments
protein
content
the
prior
con-
any difference
in time rate
between
fat and
carbohydrate-
containing
diets
and fluid-retaining
in
ni-
body
shown
of
(20),
(21),
fat-carbohydrate
interclmange
to a total of 22. The higher
drate
urinary
are
witimin
an 800-kcal
formula
data
of the present
study
con-
caloevi-
of
diet
a group
and
despite
marked
was
particularly
analyses
in
fat
protein
high
It imas been
of
and
(7)
that
stay
study.
to serum
lipids
electrolyte
balance
near
to
carbohydrate
events
isocaioricaliy
diet.
The
of
periods.
definitive
of intense
which
to
diet
subjects
capacity
nitrogen
equilibrium
rie restriction.
This
during
high
clmoiesterol
respiratory
modifications
studies
effect.
curve,
represent
those
minerals
serum
of dietary
of metabolic
Recently
as other
Body
weigimt
cimanges
seem
to be related
time urinary
sodium
fluctuations.
More
time
roles
a host
levels
weiglmt
em-
observed,
in urinary
potassium
appear
rougim
correlation
with
urinary
dent
on
importance
ter and
loss,
Conperiods
are
a crude
are
diet
should
changes
through
strateti
average
The
in
fat
period.
imowever,
sodi tim-sensitive
overcome
the
ances
the
time carbohydrate
diet, 0.73.
nitrogen,
subjects
re-
carbohydrate
retention.
these
fatty
the
are
by sodium
mixed-diet
early
sodium
imagine
present
to
sodium,
in the
of time high
pimasized,
that
the
in
parts
the
simow
in
free
on
low.
subjects
our
higher
DISCUSSION
12-18
the
balances
time
versely,
in
comparable
mineral
first
iim
subject
time fluctuations
characterized
as
ni-
studies.
show
triglycerides
degree.
Figures
potassium
and
been
time results
4-6)
of a lesser
are
imad
higimer
al.
was
the
Our
as
stutiies,
of
time
dietary
carbohydrate
sodium
retention.
to the
sodiumof dietary
car-
(24)
have
effective
reversal
of
salt
however,
level
of
reported
as
carbohy-
loss
due
indicate
protein
appears
This
of
confirms
to
that
intake
to
mediate
an
earlier
earlier
CC
subjects
nitrogen
time initial
was
diet
values
formulas
The
Subject
five
diet,
althougim
the latter
difference
is
statistically
significant
(Table
mm). On
both
diet.
There
lower
extremely
fat
in
during
time fat
periods
carbohydrate
periods
(see
12-22),
particularly
in the
formula
lipid
and
fat
not
rapid
of
period.
Serum
acids
made
all,
total
urinary
highest
during
trogen
excretion
than
during
the
bar graphs,
Figs.
to
1293
were
In
was
i).
hypocaloric
subjects
period
content
linear
similar
reinstitution
Loss
source
a period
of weight
stabiintroduction
of time car-
upon
Weight
(Table
excretion
to the
seven
and
trogen
con-
potassium.
grossly
of
formula
weigimt
the
and
are
six
In
response
sodium
in
Salt,
previous
loss, the
of
weight
added
above,
studied
lization
sodium.
of our
weight
independent
presence
those
added
results
rapid
loss
and
Carbohydrate,
Bortz
1294
et al.
0
0
03
to
$
3e5
5a.rnod
6 2
Co
03
is
-o
ot-0
I,
si
________________________
-0
-3
r-.
ni
api/no0,
0
sp1rno
Sri
Fat,
Carbohydrate,
Salt,
and
Weight
Loss
1295
is
0
a
30
z
50
5.03
2062
.
-o
6
api/nod
a
0
0
bO
I)
_o
OOo
SPUflOd
C
C
is
0
ID
0I-0
0)
al.
et
Bortz
1296
is
Ii
S
Fat,
Carboimydrate,
Salt,
and
Weight
Loss
1297
02
6.
0,
V
S.
!j_
0
.0
X
Cl
>1
V
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is
l._J
0
0fi
C
C
CO
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C
Cl
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nir,_z
cs
0iD6OPJ
...-
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I
80
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ZE
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C
6.
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6.
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IsV
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is
m
Cl.
Cl
00
.55
OV
VV
Is
-
So
.C
Coo.
-a
&
S.tt DR
NITROGEN
80gm
BALANCE
psiem
NOIS7C/ci-KC/
3300
Calories
Stab
gm
19
Days
SubtCC
NITROGEN
80gm
BALANCE
pem
ADA6C/o,
KC/
Calories
4000
Stab.
CHO
High
fat
High CHO
-I
Sulo:TE
BALANCE
10
20
30
40
50
20
80gmpem
44004-
800
21
70
80
90
100
hO
-+3700
NS
Si4
Days
60
Days
NITROGEN
80
BALANCE
gm prolem
KC/
No4loOo-
V#{176}#{176}
Catones
4i
--
-6:
4
N2_
qm
C
F
-2
j
20
1OC.lO
30
..
403.50.i60
FIGS.
the
19-22.
equilibriunm
Effect
of
between
dietary
nitrogen
fat
and
intake
carbohydrate
and
7O
38O01l39O.
Days
22
urinary
interchange
excretion.
1298
on
urinary
nitrogen.
The
x-axis
represents
COO
-4
Calories
High
-I
flr
NITROGEN
tot
High
Fat,
report
of
specificity
In sum:
Bloom
(21)
Carbohydrate,
that
of carbohydrate
essentially,
over
indicated
and
our
excretion
the figure
derives
gram
80-,
earlier
values
635
and
take
not
on
relate
timat
by
during
all
nitrogen
al.
N5
Fat
in
day
in
their
periods
to
the
different
7.4
141.0
of
the
8.2
blood
the
dietary
are
the
number
by
each
III
excretion
intake
of 24-
value.
and
as
related
fat-carboimydrate
interchange
40-g
N,
hr
monia
N, g/24
hr
Coeatinine
g/24
N,
hr
Un-
protein
diet
Urinary
g/24
N,
studies
periods
80-g
account-
periods
protein
Fat
ed for N,
g/24 hr
diet
and
periods
protein
Fat
6.3
8.5
6.3
6.2
12 . 5
13.9
12 .6
11 .3
18.9
19.1
18.9
18.5
studies
periods
Carbohydrate
(80-g
diet
studies
periods
Carbohydrate
periods
inData
Stabilization
11.1
8.88
Mixed
17.2
12.93
Fat
14.0
9.66
1 .65
0.71
1 .98
Carbohy-
12.6
8.20
0.96
0.58
2.86
0.82
0.71
0.69
1 .06
0.74
2.47
represent
CC,
and
(120-g
during
the
tiespite
subjects
pro-
gen
Stabilization
16.1112.16
Mixed
19. 7215
Fat
l9.0714.92
l8.53l4.64
Carbohy-
.06
represent
for
the
averages
respective
1-2
in
balance.
lates
on
to
time
1.19
0.69
2.78
of
1 .25
0.51
2.39
g/day
for
humans
1 .34
0.54
2.01
stores
are
extremely
of
dietary
values
periods.
of urine
brain
which
cannot
sustain
During
our
received
no
fat
is
diet
said
any
fat-diet
dietary
our
negative
nitro-
of
this
ob-
particularly
glucose
(26).
inthat
restriction
slight
significance
the
2.21
fecal
it is apparent
calorie
obligate
0.59
urinary
collections
additional
only
Time
all
6-day
periods.
g/day,
marked
were
1.15
drate
data
the
servation,
Diet
deitary
an
of
of
1 to
in
appropriate
loss
PP
averages
obtained
Acknowledging
GS,
intake)
the
values
trogen
drate
The
118.4
18.4
errors.
nitrogen
protein
nitrogen
collections
ml
136.4
11.8
during
represented
urinary
averages
6 days
TABLE
Total
take)
tein
99.4
parentheses
their
Diet
Subjects
the
standard
in
dietary
been
(25)
and
l20-g
protein
(14)
0.09
0.68
0.06
every
Numbers
Fat
Am-
Urea
g/24
hr
NW
Cholesterol,
mg/100
aol
N Intake,
g/24 hr
Total
VB
0.92
represent
obtained
periods
ap-
difference
data
samples
Carbohydrate
Subjects
(12)
Carbohydrate
periods
N, g/24
Triglycerides,
mg/100
onEq/
excretion
Urinary
levels
senmistarvation.
TABLE
Urinary
the
inter-
lipid
FFA,
The
carbo-
previously
et
on
______________dietary
serum
liter
uses
anti
balance
has
Keys
experiments
fat-carbohydrate
on
Diet
respectively.
but
Tlmis
demonstrated
classic
higher,
striking.
dietary
these
intake,
one
1 g nitrogen
nitrogen
the
of
change
present
equilibrium.
During
the fat-diet
there
was a slightly
more
negative
balance
on the lower
protein
inthan
Effect
II
to
Body
limited
prolonged
periods,
carbohydrate
re-
requirement
be
about
200
carbohydrate
anti
obviously
glucose
time
at
need.
subjects
all;
yet
proaches
periods
nitrogen
1299
TABLE
ex-
the
studies,
then,
periods,
Loss
protein
It is apparent,
Weight
time
nitrogen
To
to protein
g protein/
120-g
hytirate
is
one.
the figures
6.3,
per day nitrogen
and
in this
regard.
a long
period
of
weight
loss, a calorie
is a calorie.
Table
iii
illustrates
urimmary
cretion
figures
derived
from
study
Salt,
Bortz
1300
their
by
nitrogen
only
tary
excretion
a small
exceeded
amount.
conditions,
intake
Under
therefore,
these
one
must
die-
periods.
the 80-g
con-
distinctly
dude
either
that brain
and other
glucosedependent
organs
do not require
as much
glucose
as proposed,
or that
glucose
is be
ing
formed
dated.
Cahill
by processes
et al. (27)
as
have
yet unelucishown
that
potential
gluconeogenic
substrates
timan protein
(i.e., glycerol,
pyruvate),
erated
during
calorie
privation,
provide
sufficient
substrate
carbon
supposed
et
glucose
al.
(28)
duction
have
reported
content
for
this
glucose
from
gives
process
production
glucose-14C
Wrenshall
that
as calculated
other
gencannot
for the
glucose
the
pro-
urinary
ni-
erroneously
low
when
compared
as
estimated
turnover
data.
the
suggest
time possibility
of glucose
formation
from
another
major
source,
which
by implication is body
fat. Alternatively,
Owen
et al.
(29) have
documented
ketone
bodies
by human
vation.
A study
in vitro
on brains
demonstrate
bodies
ter
the
oxidation
of
brain
during
starin our laboratory
of starved
rats,
preferential
over
a period
Whatever
glucose
by
of ketosis
the
however,
use
of
time brain,
did not
ketone
even
reconciliation
of
nitrogen.
Under
time
mi-
conditions
total
shown
starvation
Owen
et
that
ammonia
is the
nous
excretory
sents
tions
a byproduct
that
yield
skeletons
resents
product.
creased
organic
ing
starvation
specimens)
the
was
higher
sodium
part
of
implicated
vated
less
in the
higher
stud-
protein
by
marked
in
diets.
in-
quantitative
random
urine
subjects
on
Whether
bear
a
unknown.
cause
The
these
and
effect
increased
excretion
noted
during
the early
the fat-tiiet
period
has also
been
(32) as a cation
cover
for ele-
organic
acids.
SUMMARY
Eleven
studies
were
perfornmed
on nine
obese
subjects.
Fat and carboimydrate
were
interchanged
in an 800-kcal
constant-protein
diet.
loss
No
was
difference
noted
apart
to alterations
in
dynamics.
ably
low
on
in
from
rate
and
fluid-balance
was
regimens.
those
a lower
weight
attributable
excretion
all
of
that
sodium-
Nitrogen
confirmed
involving
Ammonia
1.
remark-
These
results
from
our previous
protein
intake.
studies
importance
energy
I.
2.
Gun.
4.
durfat
submaintenance
diet.
Quart.
the
in
J.
human
fat,
6: 447,
New
Engi.
LYON,
Med.
AND
obesity.
and
of
Sci.
31: 437,
in
diets
and
or
in
the
patients
effect
to
of
in
the
Metabolic
isocaloric
carbohydrate.
varia-
fat
body
1966.
obese
carbohydrate
diets
high
Metab.
Clin.
on
obesity.
1957.
Med.
A reorientation
248:
M.,
thyroid
in
Am.
starvation
weight
AND
D. M.
A comparison
D.
of
J.
Changes
prolonged
of
obesity
A. W.
PENNINGTON,
Rel-
girls.
Clin.
of
protein
Exptl.
6.
ratio
A.,
KEKWICK,
in
5.
obesity.
in
school
DsiNIcK.
during
A. B. Loss
tion
high
MAYER.
overeating
1956.
E. J.
sodium
extreme
study
of
and
J.
and
obese
4: 37,
AND
AND
BURKE
inactivity
of
Nutr.
R.,
ANDERSON,
on
of
balance
SMITH,
for
repre-
observed
our
dietary
M. L., B. S.
JOHNSON,
ative
3.
al.
(31)
have
major
nitroge-
formation.
cation
cover
acid excretion
or during
the
protein
two
observations
relationsimip
is
fat-formula
observed
Ketosis
(as judged
ketones
in several
water
of transamination
reacthreeand
four-carbon
for glucose
a potential
on
the
on
was
REFERENCES
from
use
as an energy
substrate.
bulk
of the total
urinary
nitrogen
our feeding
conditions
is urea
nitro-
ammonia
not
subjects
take.
urinary
on subjects
ammonia
af-
gen.
Change
in one
is directly
reflected
by a change
in the other.
A smaller
percentage
of time urinary
nitrogen
is present
as
on
studies
urinary
during
was
(30).
nor urinary
nitrogen
loss and the supposed
glucose
need,
the
body
demonstrates
its
wisdom
in conserving
its nitrogen
substances
The
under
Imigher
This
periods.
ies
two
diet,
figto
from
Tlmey
In our
protein
extract.
959,
1953.
DUNLOP.
of the
Quart.
The
treatment
effects
1. Med.
of diet
1: 33,
1932.
7.
BORTZ,
\V.
ISSEKUTZ,
loss.
Am.
A. WROLDSEN,
P. MORRIs
Fat, carbohydrate,
salt, and
J. Clin. Nutr.
20: 1104, 1967.
M.,
JR.
AND
weight
B.
trogen
ures
requirement.
et al.
Fat,
8.
J. M., H. B.
STRANG,
Nitrogen
balance
obesity.
9.
K.
RODAHL.
ing.
10.
1 1.
P.,
AND
tion
of long
chain
sues.
J.
Chem.
VAN
Biol.
metimod
for
the
triglycerides.
12.
total
13.
acids
235:
2595,
AND
\V.
direct
LEVY,
cholesterol
hid.
152,
BRODIE
for
and
1957.
F. E.
AND
of
demonstration
of
195:
357,
17.
(2nd
of
HAFF,
A.
In:
istry.
18.
New
Medical
to
Fifth
Modification
ed.).
New
27.
York:
and
Edition
the
Methods
CHAPPEL
of
Academic,
Public
Health
of
1965,
Laboratory
A.
Kap-
Dietary
vascular
1967.
States
fats,
disease.
29.
New
and
Engi.
J.
the
atherosclerotic
Med.
277:
obesity.
1967.
balance
and
body
Med.
composition
68:
467,
1968.
Minneapolis:
1950,
KETY,
vol.
S. In:
University
Metabolism
Intern.
of
Neurochem.
New
of
Minnesota
1, p. 381.
the
Nervous
Symp.,
York:
System,
edited
Pergamon
Press,
by
D.
1957,
p.
G.
CAHILL,
S.
F., M. G.
J.
SOELDNER,
D.
AND
HERRERA,
STEINKE,
M.
A. R. MORGAN,
P. L. LEVY,
G. A.
KIPNIs.
during
Hormone-fuel
I.
fasting.
in-
Clin.
Invest.
WRENSHALL,
J.
A.,
G.
A.
S.
M.
M.
VRANIC.
Tracer
determined
Lion
versus
nitrogen
excretion
RAPPAPORT,
G.
COWAN,
A.
KUK5I5,
E.
M.
HETENYI,
PAUL
glucose
in
AND
produc-
fasting
normal
depancreatized
dogs. Diabetes
16: 507, 1967.
OWEN,
0. E., A. P. MORGAN,
H. G. KEMP,
J. M.
SULLIVAN,
M. G. HERRERA
AND G. F. CAHILL,
JR.
metabolism
during
J.
fasting.
Clipz.
Invest.
Army
carbohydrates
KEYS,
Brain
Successor
of
PLACIDO
in
and
5, p. 245.
Methods
DI
Chem-
(6th ed),
edited
by J. S.
Simmons
and C. J. Gentzkow.
Philadelphia:
Lea
& Febiger,
1955, p. 844.
19. Procedure
for
calculating
RQ. Deift,
Holland:
Kipp Analyzer.
20. MCGANDY,
R. B., D. M. HEG5TED
AND
F. J. STARE.
United
314,
Internal
terrelationships
of
vol.
276:
Energy
Ann.
RIOICHARD
pho-
Clinical
Methods:
F.
J.
secretion
by
26, 1962.
A. I., D. R. HOLLINGSWORTH
AND
I. H. EpRenal
sodium
excretion
during
fasting
refeeding.
Clin.
Res.
15: 361, 1967.
A., J. BR0ZEK,
A. HEN5CHEL,
0. MICKELSEN
H. L. TAYLOR.
The
Biology
of Hutnan
Star-
KATZ,
J.
AND
flame
method
of
GRANDS,
excretion
109:
BOSHELL,
Insulin
Med.
salt
Med.
221.
of
Standard
I.
Richter.
MACINTYRE,
lan.
Engl.
2nd
Micromethods
method
Chen.
New
Press,
26.
of
Internal
R. A., B. R.
R0DDAM.
vation.
1952.
1301
Inhibition
Arch.
R. F.
ANI)
I. Flame
photometry.
In: Advances
in Clinical
Chemistry,
edited
by H. Sobotka
and
C. P. Stewart.
New York:
Academic,
vol. 4, 1961.
16. AutoAnalyzer
Method
File N-lc. Modification
of
method
of W. H. Marsh,
B. Fingerhut
and
H.
Miller. Ardsley,
New York: Technicon
Corp.
15.
24.
25.
estimation
L.
KREISBERG,
and
serum
pp.
Improved
Eng.
tis-
Microof
J. W., D. G.
BERRY,
BARNES.
B.
Analysis
347
1942,
from
tometry.
B.
\V.
AND
STEIN.
50:
NIEDERL.
Organic
\\Tiles-
and
Loss
186,
H., AND W.
OlENsHAw,
cose,
of
acetoacetate,
normal
and
and
ketotic
BORTZ.
Oxidation
palmitate
in
rats.
of
brain
Diabetes
glu-
mince
17:
90,
1968.
31.
OWEN,
Changing
0. E., J.
prolonged
P.
WAHREN,
patterns
of
FELIG
AND
gluconeogenesis
G.
CAHILL.
during
starvation.
Clin.
Res.
16: 348, 1968.
32. ACKERMAN,
J. P. Aldosterone
secretion
and natritlresis
of total
fast in obese subjects.
Clin
Res.
12: 261, 1964.
York:
14. Adapted
R. B.
plasma
BLoosi,
changes.
1960.
C/tern.
V.
AND
Quantitative
in
Med.
in serum
J. B.,
NIEDERL,
23.
Microdetermina-
method
J. Biol.
AND
1960.
Weight
carbohydrate.
feed-
ZILVERSMLT.
Clin.
Simplified
specificity.
of
determination
J. Lab.
KENDELL.
376,
fatty
L. L., B. B.
ABELL,
its
274:
MEINERTZ.
21.
22.
JR.
frequency
H.
and
of
B. I5SEKUTZ,
Med.
E.,
HANDEL,
correction
Sci.
loss and
J.
Engi.
V.
Salt,
F. A. EVANS.
AND
dietary
A. WROLDSEN,
Weight
New
DOLE,
Med.
M.,
W.
MCCLUGAGE
during
J.
A,n.
BORTZ,
Carbohydrate,