79 



the standard, was somewhat higher in energy than the results of study 

 No. 374. 



While the subjects of study No. 374 at the Government hospital did 

 not appear to be undernourished, still it is probable that they would 

 have been more adequately nourished if their diet had supplied a 

 larger quantity of energy. They apparently had large appetites, and, 

 as mentioned in the discussion of the results on page 49, the amount 

 of food supplied to the dining room was frequently insufficient to sat- 

 isfy them, so that it was necessary to send to the kitchen for more. 



Studies Nos. 366 and 371 were with patients in poor health, many of 

 them infirm and bedridden. The average amount of muscular activity 

 of these patients was very small indeed, and a diet furnishing 97 grams 

 of protein and 2,519 calories of energy, the average consumption per 

 man per day for those two studies, would seem to be, at least in regard 

 to protein, more than sufficient for their bodily needs. In the investi- 

 gations in the New York hospitals the average consumption in eight 

 studies with infirm patients was 72 grams of protein and 2,331 calories 

 of energy per man per da}^ and the average of two studies with acute 

 and sick patients was 65 grams of protein and 2,553 calories of energy. 



The patients in studies Nos. 381 and 382 were j^ounger and more 

 active than those in the preceding groups. They were, on the whole, 

 less demented, and with some of them there was hope of recovery. 

 About half of the number in one study and about a third in the other 

 were workers. The food consumption was a little larger in the former 

 stud}", owing, no doubt, to the large proportion of working patients, 

 to whom extra rations were served. The average for the two studies, 

 104 grams of protein and 2,917 calories of energ}^ approximates the 

 standard given above for normal individuals with light to moderate 

 muscular work, being a little lower in protein and a little higher in 

 energy than the standard. 



Studies Nos. 387 and 388 contained a large proportion of "paying 

 patients," who were not classed as insane, but were recovering from 

 dipsomania, the efiects of fever, etc. They received the "first sec- 

 tion's " diet, which was somewhat difierent from that served to the 

 patients in other departments. They were allowed to go about the 

 grounds at will and spent much of their time out of doors. They were 

 all more or less active and took considerable exercise each day, but 

 their total muscular activity was by no means equal to that of an ordi- 

 nary individual at " moderatel}" active muscular work." Their food 

 consumption, however, averaging 125 grams of protein and 3,398 calo- 

 ries of energy per man per da}", was equivalent to the standard quoted 

 for such persons. 



The patients in studies Nos. 367 and 383 were less easily classified 

 than those in the other groups. Study No. 383 comprised patients of 

 widely difl'ering ages— from children to old men. Some were fairly 



