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I . .1 ‘ - O s-ftn ‘1 -1 ~‘«\ .,t s ' , ~11! . p . .4. n at I . .4». 3.... «I 55...“. . . .r .. I. :. .h?. l 0'» up . . . A . ..v..~.1.‘ u... . .34. ‘91. ”cur ox .u.r\ .. .. . I ‘ . .v... . . . . v a ‘ A . “a w ...c . N . \II . .. . . ft»: .2 - .. I .. 4?. I . . t -1 . 3. fl lmqul lifts tarl ll\fl ‘ “I FOOD CONSUMPTION STUDY OF A RANDOMIZED SAMPLE OF TWENTY YOUNG MARRIED STUDENT COUPLES OCCUPYING LIVING QUARTERS ON MICHIGAN STATE COLLEGE CAMPUS By Jean Audrey Johnson A THESIS Submitted to the School of Graduate Studies of Michigan State College of Agriculture and Applied Science in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Department of Foods and Nutrition 1952 ACKNOWLEDGMENT The writer wishes to express her sincere appreciation to Dr. Margaret A. Ohlson for her guidance, interest and patient assistance throughout this study; and to the twenty married couples who served as subjects and whose cooperation made this study possible. The writer also wishes to acknowledge with deep appreciation the scholarship provided by the W. K. Kellogg Foundation without which this study could not have been accomplished. £10fo .--. *u 1."'“1;I"})'}H TABLE OF CONTENTS PAGE I. INTRODUCTION AND REVIEW OF LITERATURE . . . . 1 II. REVIEW OF METHODS . . . . . . . . . . . . . . 20 Individual Food Consumption Studies . . . . 20 Diet History . . . . . . . . . . . . . . 20 Twenty-four Hour Recall Diet . . . . . . 22 Metabolic Balance Study . . . . . . . . . 24 Family or Group Food Consumption Studies . 24 Family Food Accounts Method . . . . . . . 24 Food Inventory . . . . . . . . . . . . . 25 Food List Method or Recall . . . . . . . 26 III. EXPERIMENTAL PROCEDURE . . . . . . . . . . . SO Determining the Sample . . . . . . . . . . SO Recording Initial and Closing Inventory . . 51 Computation of Certain Nutrients . . . . . 33 IV. RESULTS AND DISCUSSION . . . . . . . . . . . 34 Evaluation of Adequacy of Diets . . . . . . 36 V. SUMMARY AND CONCLUSIONS . . . . . . . . . . . 55 VI. BIBLIOGRAPHY . . . . . . . . . . . . . . . . 58 VII. APPENDIX . . . . . . . . . . . . . . . . . . 64 Sample Diet Record Computation . . . . . . 65 Forms . . . . . . . . . . . . . . . . . . . 68 LIST OF TABLES TABLE PAGE 1 Comparison of American, British, and Canadian Dietary Standards for Calories and Certain Nutrients for Sedentary Man Weighing 154 lb. . . . . . . . . . . . . . . . lO 2 Influence of Income on Dietary Adequacy. Per Cent of Families Deficient . . . . . . . . 12 5 Per Cent of Persons in the United States, Distributed According to Geographical Sections, who were found not to eat Certain Protective Foods. (5) . . . . . . . . 18 4 Characteristics of Age, Height. Weight, Calorie Consumption Per Person Per Day, and Incidence of Pregnancy of Twenty Couples . . . . . . . . . . . . . . . . . . . 55 5 Intake of Calories, Protein, Calcium, Vitamin A and Vitamin C of Twenty Couples . . 57 6 Comparison of Food Cost, Average Income, Source of Income and Student Status and Calories Ingested by Twenty Couples . . . . . 44 7 Marketing and Meal Preparation Practices of Twenty Couples . . . . . . . . . . . . . . 49 LIST OF TABLES TABLE PAGE 8 Commodities Owned by Twenty Couples . . . . 52 9 Consumption of Beer and Cigarettes of Twenty Student Couples . . . . . . . . . . 54 lO Calculation of Certain Nutrients of Food Consumed in One Week by a Representative Couple . . . . . . . . . ... . . . . . . . 65 INTRODUCTION AND REVIEW OF LITERATURE The problem of determining the caloric content of human diets has been of fundamental significance since early days, not only as the basis of the knowledge of nutrition, but in the history of science generally. The modern era of chemical advances is believed to have originated around 1770 through introduction by Lavoisier of the balance and the thermometer in clinical and biologic studies. The eXperi- ments performed by Lavoisier on animal and human subjects. led to the establishment of the principle that the com- bustion of foodstuffs resulted in the formation of carbon dioxide and water. with a simultaneous production of heat which was measurable by its effect on the temperature of a surrounding mass of water. During the second half of the nineteenth century, the Munich school of physiologists, under the leadership of Voit and Rubner, showed that if studies were performed with sufficient care, the caloric content of ingested food minus the caloric equivalent of the urine and feces was strictly equivalent to the heatiproduced by the subject. This was taken as proof that the principle of the conser- vation of energy could be applied to life. and to man in particular. and established the fact that there was no mysterious 'vitalist force” at work in living organisms which would prevent the application of chemical thermo- dynamics to physiology, nutrition, or medicine. (1) The advances in science that were being made by research workers in EurOpe, were introduced into the United States during the end of the 19th Century and the beginning of the 20th Century. The nutrition research in this country was greatly benefited by the studies of the fuel value of the important foods in American dietaries performed by Dr. W. C. Atwater. Voit in Germany, had been Atwater's professor, consequently the eXperiments performed in the United States were an extension of the EurOpean accomplish- ments in research. The analysis of the fuel value of the principal foods appearing in the diets of people in the United States was accomplished by classifying the foods into groups. The per cent of protein. fat and carbohydrate contributed by each food group was calculated, and the energy value determined. The specific fuel values were established for each.food group by determining the heats of combustion, the coefficient of digestibility of each food, and making allowances for the energy value of urinary nitrogen. The fuel values determined by Atwater for protein. carbohydrate and fat are still widely used in present day food composition tables. The first few decades of the 20th Century marked the beginning of the deveIOpment of various methods for the collection of dietary data. The total food intake of members of a family or group were estimated by weighing all foods consumed during a Specified period of time. Dietary information on an individual basis was calculated by dividing the total amount of food ingested by the number of subjects comprising the sample, with suitable weighting for the composition of the family. The information furnished by the early diet surveys was not of a highly specific nature, such as has been obtained through the controlled balance studies of later years. The initial diet surveys were of value, however, in providing a better understanding of the food habits of various groups in different geographical areas. Dunluce and Greenwood in 1918 (2) surveyed diets in hostels for munition workers and determined an over-all consumption per man per day of the workers in one hostel as being 3951 Calories daily. Details of twenty-three foods consumed in this one hostel, in quantities per man value weekly, were included in their study, the total energy value of these being 5575 Calories per man per day. The authors explained the discrepancy between the over-all mean value and that of the detailed entries by the inclusion in 4 the latter of nutritive constituents of a large number of smaller items (eggs, dried fruit, poultry, etc.) which were not consumed in sufficiently large quantities per head for their detailed tabulation to be useful: Data have been collected and analyzed on a nation wide scale in the United States and abroad, which throw light on the extent to which various groups of the papulation share in the national food supplies, and the degree of ade- quacy in terms of the probable nutrient requirements, of the customary diets ingested by the various peoples of a country. The numerous family dietary studies that have been conducted in the United States since the early 1920's, as well as the United States Department of Agriculture's statistical analyses of the average quantities of various groups of foods dis- appearing in consumption channels, have shown that there has been a tremendous rise in the sugar and citrus fruit intake by the citizens of the United States, as well as an upward trend in the consumption of dairy products and fruits and vegetables as a whole. Paralleling these increases, there has been a decline in the consumption of potatoes, meat, and grain products. According to dietary studies made during the period 1885 to 1957, the decline in the consumption of grain products by village and city families, has been greater among those with comparatively low food expenditures. Among families spending less than average amounts for food ($1.87 - $2.00 per person per week, 1955 retail food prices) meat consumption fell to a low level in 1915 - 1924, and since that period has increased relatively little. In contrast, in families spending more than average amounts for food, meat consumption declined relatively more in the decade 1915 - 1924, but since that period has increased considerably. The rate of increase in the consumption of milk and leafy green vegetables during the last fifty years, has been of about the same order of magnitude among all eXpenditure groups, whereas the relative increase in the consumption of vitamin C rich foods has been more striking at lower than at higher budgetary levels. In 1955 in New York City a nutrition survey revealed that 48 per cent of the low income families included in the representative sample, had an average daily caloric intake below that estimated to be the minimum allowance. (4) In the same year a survey of low-income families in Baltimore, Cleveland, Detroit, Pittsburgh and Syracuse showed that 27 per cent of them had an average daily caloric intake lower than the minimum standard, 18 per cent had diets with a caloric value approximately 20 per cent or more below that standard. (5) 6 Among families of employed wage-earners and clerical workers in forty-three industrial centers in eight major geographical regions, it was found during 1955 - 1956 that the maximum proportion of white families with good diets in any region was only 21 per cent. In the region with the poorest showing, no more than 11 per cent of the families had good diets, classified according to the National Research Council Recommended Allowances. (6) The Food and Nutrition Board of the National Research Council has promulgated the recommended dietary allowances of essential nutrients in the daily diet, with the object of having the standards applied as representing not merely the minimal requirements of average individuals, but as levels enough higher to substantially cover all individual variations in the requirements of normal peOple. The recommended dietary allowances are thus to be understood as desirable goals or objectives. The standards that have been recommended are generally higher than average require- ments but generally lower than the doses used to meet needs created by pathological states or in certain environmental conditions, or in compensating for an earlier period of depletion. A diet shown to be below the recommended allowance would thus not necessarily indicate a condition of deficient nutrition, but a diet which meets the allowances can be assumed to provide adequate nutriture. 7 Dietary investigations conducted in sixty-six counties in five different geographic regions during 1956-1957 showed that only 55 per cent of white farm Operator's families in the North and West, and 27 per cent in the South had diets meeting recommended allowances. Thirty-four per cent of the families in the North and West, and 50 per cent in the South- east had diets rated as fair. The diets rated as fair in this study were those containing less than 50 per cent Calories above the estimated minimum requirement. Among the negro families in the Southeast, 24 per cent had diets rated as fair and 65 per cent had diets rated as poor. (7) According to the allowances of the essential nutrients to be contained in the daily diet as determined by the National Research Council, less than one-fifth of the families in the United States had food supplies in 1956 that met the Council's recommendations. About one-fourth of the farm families were in this category, but only about one-seventh of the non-farm families. At least 60 per cent of the village and city families fell short of the Council's allowances with reSpect to calcium, vitamin Bl’ ascorbic acid, and/or riboflavin, and 50 per cent with reSpect to vitamin A. (7) A comparison of the American, British, and Canadian dietary allowances shows that though differences exist between the three tables, the basic figures seem to be 8 fundamentally similar. Most of the differences are considered to derive from different uses for which each standard is intended. The chief differences come from ”a difference in the philosophy underlying the nature and purposes of Feeding Standards” . (8) The American Recommended Dietary Allowances are “levels of nutrient intakes which the Food and Nutrition Board recommends as normally desirable goals or objectives“. (9) ”They are intended to represent not merely the literal . (minimal) requirements of average individuals, but levels enough higher to substantially cover all individual vari- ations in the requirements of normal people“. In most categories (calories are an exception), the ”margin of safety” for the average person is estimated to be from thirty to one hundred per cent. The British Medical Association figures ”are believed to be sufficient to establish and maintain a good nutritional state in representative individuals of the groups concerned“. They "concern the needs of healthy individuals”, not the sick or convalescent. (10) The Canadian dietary standard "is recommended as a basis for planning food supplies for individuals or groups, except where clinical observations or tests have established particular or Special food requirements“. (11) They “can 9 also be used to assess the amount of each nutrient provided by a diet for an individual or for a group of people”. Finally, they “indicate a nutritional floor below which maintenance of health in people cannot be assumed”. ”The Standards presented have been eSpecially based on the concepts of size, and for certain nutrients, of maintenance plus work". (11) Thus British Standards are based on average require- ment; the American on an average requirement plus a margin of safety to describe the highest need of anyone in an age or sex category; and the Canadian on the use of variations in.body size in order to extract the probable cause of the individual variations in needs. The Canadian Standard is believed to represent a closer approach to the needs of the individual, in contrast to those of a population group, than is true of the other two standards. Table l illus- trates the three dietary standards. In a food consumption study of twenty-nine families with an income between $500. and $1,500. in Edmonton, Alberta in 1959, Sandin gt al,(l2) found that the average intake of calories, protein, fat,and phOSphorus was in excess of the requirements as defined by the Canadian Council on Nutrition. However, though the mean consumption of these nutrients for the group was more than adequate, 10 Table l COMPARISON OF UNITED STATES, BRITISH, AND CANADIAN DIETARY STANDARDS FOR CALORIES AND CERTAIN NUTRIENTS FOR A SEDENTARY MAN WEIGHING 154 LBS. (8) Nutrients Calories Protein (gm.) Calcium (gm.) Iron (mg.) Vitamin A (I.U.) Thiamine (mg.) Riboflavin (mg.) Niacin (mg.) Ascorbic Acid (mg.) U. s. fiadim Recommended Dietary Allowances, Standards, Including British to be "Margin of Dietary Adjusted for ngety' Standards Body Weight 2400 2250 2476 70 66 67 1.0 0.8 0.7 12 12 6 5000 5000 5000 (as carotene) 1.2 0.9 0.75 1.8 1.4 1.2 12 9 7.5 75 20 50 Footnote: The standards are stated on a per day basis. 11 great variation in intake was found even in the small sample under observation. Some families appeared to be very deficient in calcium and iron. Twelve of the twenty- nine families studied were recorded as ingesting adequate amounts of all nutrients. The families living on the lowest incomes were shown to be deficient in protein, calcium and iron. The mean intakes in families with no children were above standards; those with one child had a low iron intake; where there were two children in the family group, there was a deficiency in calcium and iron. The larger the family, the more deficient the diet. Pett and Hunter conducted a dietary survey in Edmonton, Alberta in 1941. (15) The authors employed the individual consumption method in their study of seventy- six families (525 individuals). The sample was comprised of 88 per cent British stock, 9 per cent French, and 5 per cent Scandinavian and Chinese. A weighed inventory was taken of all foods on hand at the beginning of the week of study, records were kept of all food consumed at each meal by each individual during the week, and then a final inven- tory was made at the end of the week. A comparison was made of the number of families in the low income group ($500. per annum) who were deficient as compared to those in the higher income group ($1,500.). 12 Table 2 INFLUENCE OF INCOME 0N DIETARY ADEQUACY PER CENT OF FAMILIES DEFICIENT — :‘Z F C c S’ 0 Low Income 60 64 57 70 71 Higher Income 48 48 50 50 60 Studies have been made on college students to determine their nutritional needs. Hetler (l4) determined the urinary nitrogen, basal metabolism, and protein and caloric intake of eighty-five women students at the University of Illinois, ranging in age from nineteen to thirty-seven years. Records of food intake were kept by the students eating their custom- ary diets at dormitories, restaurants and at home. The individuals in the group ingested daily quantities of protein which ranged from 0.5 to 1.5 grams per kilogram of body weight, and showed an average basal metabolic rate of 1260 Calories per twenty-four hours which was below the standard. (Harris-Benedict Standards based on Age and Stature for Women). A definite relationship between low protein intake and low basal metabolic rates was not established. In 1942, NhKay gt_a1,(l5),studied the calcium, phosphorus and nitrogen intakes and retentions or losses 15 of a large group of young college women. The women carried on their customary activities and consumed their usual diets. During two consecutive school years, a study was made of the calcium, phOSphorus and nitrogen intakes and retentions of nine young women when they were on basal diets supplemented during each of three periods by one, two and three cups of milk, reapectively. The calcium in the diet varied with the amounts of milk used. The mean daily intake of calcium was shown to be 0.9 grams for a group of 124 who were eating according to their customary dietary habits, with large individual variations. Mean daily retentions were signifi- cantly dependent on intake. Lower intakes of calcium were more efficiently utilized when the diet adequately provided other dietary factors than when customary food intakes were consumed. The nitrogen intakes of the women college students observed by McKay at al,, varied only slightly from the daily allowance of 60 grams of protein, with the retentions being significantly related to intake. No evidence was shown of better nitrogen utilization with a controlled diet than when the subjects were consuming their customary food intake. That milk increased calcium retention due to the improvement of the diet in.factors other than calcium is a conclusion suggested by the authors. The desirability 14 of a generous allowance of calcium.for young women is believed by the authors to be indicated by the findings of the study. Calcium and phosphorus retentions were studied when cod liver oil and yeast were added to the usual, unrestricted dietaries of thirty-four women by Hunscher and others. (16) No consistent changes were noted in the retentions by the addition of the concentrated vitamin supplements. Nutrition surveys, wherein medical evaluation and biochemical determinations of nutrient levels in the body fluids are analyzed, have develOped during the last two decades. A more complete appraisal of the state of nutrition of the individual or groups of pe0ple can be accomplished by approaching the over-all evaluation from several view- points. The medical examination furnishes information concerning the clinical condition of the individual, but tends to be a subjective analysis which does not measure minor degrees of under-nutrition. Biochemical methods for measuring nutritional status are as yet too limited in number to provide a complete evaluation of all the essential nutrients in the diet. The techniques of recording dietary information that have been formulated through the years in the organization, collection of data, and interpretation of the findings of the survey have contributed greatly 15 to the reliability in the interpretation of the results of surveys. The modern trend of employing a variety of skills or "tools“ in the dietary evaluation of individuals still depends to a large extent on the diet survey as a means of assessing nutritional status. A medical survey of nutrition in Newfoundland corre- lated the food intakes observed in eight hundred and sixty- eight subjects in St. John‘s and several other outports with clinical and biochemical evidence of abnormality relating to nutrition. The diets consumed by the pe0p1es of Newfoundland were found to be adequate in calories and protein, but deficient in calcium, ascorbic acid, vitamin A and riboflavin. In keeping with the very poor average diet, a very large pr0portion of the p0pulation was found with dry skin, staring, lusterless eyes, edema of the tongue, swollen gums, or other abnormalities of the skin and mucous membrances which have come to be regarded as signs of mal- , nutrition. A high infant mortality rate is prevalent amongst the inhabitants of Newfoundland as well as an elevated death rate from upper reSpiratory infections. (17) In a nutrition survey of Norris Point, Newfoundland, in 1944, Goldsmith g§_a1, (18) studied one hundred and twenty-six subjects who were all under physiologic stress due to growth or pregnancy. The initial survey was conducted in 1944 prior to the 16 compulsory flour enrichment and fortification of margarine program. A second survey was organized.four years later upon the same fishing and 10gging village to determine the effects of the enrichment program. The 1944 initial survey showed a deficiency of vitamins A and riboflavin, and iron to be prevalent among the p0pulation. In 1948, following the administration of a school lunch program wherein the children were given cocoa and cod liver oil; pregnant and lactating women and infants received concentrated orange juice; and 0.5 per cent bone meal with 51 per cent calcium was added to all flour, the caloric content of the.diet as well as the total protein, thiamine, iron and niacin all appeared to be adequate. The physical findings which correlated with the increased dietary intake, were a decrease in glossitis and neurological signs, increased height in children, elevated plasma protein readings, as well as higher hemoglobin in the blood, no avitaminosis A, and a lack of improvement in ascorbic acid and riboflavin nutriture. Diet surveys conducted in the United States during 1940 - 1941 have shown that over-all per capita consumption of many foods was higher in 1940 than in 1956, as a result of the combined influence of educational programs, increased power of consumers to buy, food distribution, and more 17 abundant food supplies. Gains were greatest in fruits and vegetables and the utilization of fresh citrus fruits was more than one-third higher. Other fruits and fresh vegetables have risen 10 to 15 per cent in consumption. The intake of meat and eggs was 8 to 10 per cent higher, but dairy products less than 5 per cent higher. There was a slight decrease in the quantities of grain products and potatoes consumed. These shifts probably have meant considerable increases in the ascorbic acid content of American diets and some increase in the consumption of protein, thiamine and riboflavin. (5) A nation-wide canvass in February 1945, in which one-day diet records were obtained from selective sampling of the population in each of forty-eight states, showed that the per cents of persons as listed in Table 5 were found not to eat these protective foods. The peak years in average intake of food were 1945 - 1946. Intakes of calcium have increased as is true of riboflavin, which reflects the fact that milk, which is an excellent source of both these nutrients, has contributed from two-thirds to three-fourths of the calcium and nearly half the riboflavin in the national diet. Higher intakes of vitamin A.as well as ascorbic acid can be associated with the increased consumption Table 5 PER CENT OF PERSONS IN THE UNITED STATES, DISTRIBUTED ACCORDING TO GEOGRAPHICAL SECTIONS, WHO WERE FOUND NOT TO EAT CERTAIN PROTECTIVE FOODS. (3) 18 -. 5. FUO.‘ Citrus fruits, tomatoes and greens Dairy products Leafy and yellow vegetables Other vegetables and fruits Meat, fish and poultry Whole grain or enriched products NewIEngland and :i 0 A 46 45 28 :n 1 31 26 12 55 31 21 12 14 28 24 14 19 of vegetables and fruits. The greatest increases in nutrient intakesin.recent years, as shown by diet survey studies, have been in thiamine, niacin, riboflavin and iron. About one half of these increases are the result of the enrichment of bread and flour. (19) ‘Man's life span, initiative, and productivity are all intimately related to his food intake and dietary habits, and in consequence, the more that is known about the food intake of peoples from.all the walks of life, the more that can be added to the fund of knowledge which is necessary for the betterment of mankind. The following study is a contribution towards the appraisal of the daily diet habits of a representative sample of young married college students. REVIEW OF METHODS The techniques to be used in studies of what families and individuals eat may be determined by the primary purpose to be served in the resulting information, whether nutritional, sociological, psychological or economic. Rarely is a study useful for only one purpose, but the main objective of the study will affect the methods selected and the use to which the final results can be applied. Outlined here are some of the methods commonly used for studying the food consumption of p0pulations. Studies of the diets of individuals differ from family studies with reSpect to methods used and objectives. The methods employed in estimating the consumption of individuals range from a qualitative diet history or food habit inquiry to quantitative laboratory measures of the quantity and composition of the food eaten. The procedures for collecting food intake information may be enumerated as follows: The dietary history aims to discover the usual food pattern over a relatively long period as contrasted to a list of the quantities of different foods eaten during a defined Span of time. This procedure is useful in revealing major individual deviations from the traditional concepts 21 of good food habits.and furnishes a basis for classifying individuals into certain broad groups such as those falling above or below determined standards in one or more nutrients. Some investigators believe that diet histories can be obtained with sufficient accuracy and completeness to justify calculation into terms of nutrients and appraisal of the individual's dietary practices. The evaluation of the dietary history must be done keeping in mind that an' adequate diet can be obtained from a variety of food combi- nations. A set pattern of food consumption need not be adjudged as the basis for evaluation of adequacy. The daily food intake composed entirely of meat, milk and fruit for example, can provide a fully adequate diet. The individual diet record may be obtained by estimating or measuring the food actually eaten by the individual, using common measures, or the subjects may be taught to use balances or scales. The subjects are shown how to keep the individual record for a period of seven days or more. A.fu11 description of the food, and a recipe of all mixed dishes is obtained. Compound cooked dishes greatly complicate the individual survey. These are dealt with in one of three ways: 1. A recipe is procured with the dietary record and a weight for the cooked dish is assumed, or an experi- mental dish is cooked and the result is taken to represent the dish of which part was actually eaten. 22 2. The analyses in food composition tables are used. 5. The ingredients of the dish are recorded, the weight of the cooked dish is determined, and the weights of the individual portions are referred to the original ingredients. The third method has been shown to be the most reliable. Another method for collecting individual data, is that in which the subject is asked to recall what he ate during a previous period, usually the last twenty-four or forty-eight hours. The subject may be asked for an estimate of the quantity of each food in terms of food models and standard measurements supplied by the investigator. The information from this type of study is of most value as a basis for determining the need for educational programs. Average values of nutrients consumed during the defined period may be computed from standard food composition tables and compared to the recommended dietary allowances for an evaluation of adequacy. There are inherent errors in the collection of information concerning the dietary practices of the individual by the methods whereby the subject is asked to keep his individual record for a period of seven days or more, as well as that in which he is asked to recall what he ate during a previous period. The subject may 25 keep an incorrect record; the analyst may err in translating the subject’s quantitative measures or estimates into units employed in the food table used; the food tables may not be applicable in a given case. However, various studies have shown that the carefully taken individual food record is of value in nutrition surveys. (20) Studies of this type permit reasonably good characterization of the dietary habits of groups. A modification of the individual record method is that in which a duplicate sample of each serving of food which is consumed by the subject, is taken for analysis. This method is of value even though two portions of the same food, equal by weight, may vary in chemical composition, as the variation inherent in food samples is of lesser magnitude than that existing in the analysis of nutrient intake by computation from standard food composition tables. A factor which must be considered in applying this method is the possibility of non-inclusion in the duplicate of small items taken with or between meals. A.further COD! sideration is the effect the weighing of all food consumed has on the subject. The factor of having to weigh all food eaten during the day, usually causes the individual to cut out between meal snacks, thus altering the usual intake. 24 The application of the above mentioned methods may be extended to include the metabolic studies executed under controlled laboratory conditions by research groups with Special facilities for the collection and analysis of data. Accurate information collected in diet surveys depends to a considerable degree upon the personal relations established between the investigator and the subject. Skill in interviewing is an essential quality in the person con- ducting the investigation, as many seemingly unrelated facts can be elicited through general conversation which will increase the accuracy of the data being recorded. The establishment of good personal relations between the persons being questioned and that of the investigator is thus a factor of considerable importance in all types of dietary surveys. Three general methods commonly employed in the study of diets of families or other groups of individuals may be designated as follows: A perpetual inventory of food purchased and produced for household use is recorded in the family food accounts method. Day by day records of food purchases and food expenditures furnish valuable facts about family food consumption, eSpecially among urban groups who keep only small stores of food on hand. This method is readily understood by the homemaker, requires low cost in the collection of data and, in households where food purchasing is pretty much hand to mouth, it is not necessary to keep food accounts over a very extended period. The limiting factors may be a lack of interest on the part of the home- maker resulting in an incomplete record and difficulty in getting a random sample, as the participants must be co- 0perative and able. A record by weight of food on hand at the beginning and end of a Specific period of time is the procedure followed in the food inventory method. A daily entry of all food brought into the home during the designated period under study is recorded by weight. A trained investigator takes the initial and closing inventory so as to minimize the possibility of error. A calibrated scale is left at the home with careful instructions concerning the daily recording by weight of food purchased. A record of menus is obtained for the same period of study to serve as a check on the inventory records. Daily visits are made by the investigator to supervise the daily record. The food inventory method provides one of the most accurate measures of food consumption for individual families as well as averages for groups of families. The limitations of the method are that it does not distinguish between food 26 intakes of family members; there is no record of plate and kitchen waste; the frequent visits of the investigator may influence the customary food pattern of the family; and the burden it places on the household that is collaborating may be considerable. A relatively high proportion of families drawn in the sample may fail to cooperate. Another limitation of this method is the high cost involved in the collection of field data and in the tabulations that follow the field work, when a survey of extensive magnitude is being conducted. In the food list method or recall, a report is obtained from the homemaker of the estimated quantity by weight, house- hold measure or retail unit of the various foods consumed during the previous seven days. The interviewer uses a schedule covering a complete list of foods. The food list method has been proved to give a fairly accurate measure of food bought or procured by individual families, though understatements tend to be high. For an individual family, the over-estimates of some food may partially offset the under-estimates of others, so that in terms of various nutrients, errors may be less than for individual foods. The advantages of this method are that only a single and relatively short visit by the investigator is required and a greater degree of 000peration by the homemaker can be expected. The cost of the method is low. 27 The original data collected in diet surveys, may be translated into nutrient terms by various methods, one of which is the computation of food values from food composition tables. The daily dietary may be estimated by the calcue lation of each individual item.figuring on the food record, or the short method of dietary analysis may be adopted. Several food composition tables have been devised in different areas in the United States which permit the calculation of dietaries on the basis of the customary pattern of food consumption in the region. Foods are grouped according to the extent to which they figure in the dietary, and are weighted in accordance with the findings from food consumption studies of the area. The Food Composition Table for Short Method of Dietary Analysis of Leichsenring and Donelson Wilson (21), was develOped for the computation of food consumption data collected in the Northeastern section of the United States. The values in the food table were computed chiefly from the figures compiled by Watt and Merrill in Agriculture Hand- book No. 8, Composition of Foods - Raw, Processed, Prepared, (22) supplemented by some values from the tables of Bowes and Church. (25). Values for cooked foods were used except for those foods customarily eaten raw. The means for the food groups were derived from the values for commonly used 28 foods, and weighted in accordance with the findings from food consumption*studies in the United States for the years 1946 - 1948, inclusive. (24) In most instances the values were computed for the size of portions commonly used, as suggested by Bowes and Church. Foods are listed as separate items when they deviated sufficiently in composition from the means of any group to alter significantly the value obtained for any one nutrient. Certain.foods which are highly seasonal in use, or which occur infrequently in American diets were not included in the table. (21) The accuracy of the values analyzed by means of the short method were tested on two series of dietary records. These were computed first by the usual method whereby each food item is calculated separately and then by the short method. Comparison of the results obtained by the two methods showed a high degree of accuracy for the values in the food composition table. The observed differences were shown by statistical tests to be due to error in random sampling and not to real differences between the two methods. (21) The diet survey conducted on the twenty student couples attending Michigan State College, was organized employing the food inventory method in the collection of dietary data, and was analyzed for nutrient content by the 29 Food Composition Table for Short method of Dietary Analysis of Leichsenring and Donelson Wilson. The Short Method was used on account of the similarity of food consumption patterns of the pe0p1es in Michigan and those of the other states included in the Northeast region. PROCEDURE The study of the food intake of twenty married couples was initiated by securing a list of the couples living in the married student housing areas from the Housing Office of Michigan State College. The unit numbers of the apartments of the married students without children were placed in two boxes. A total of fifteen numbers from each box were selected at random. Fifteen couples living in the Barracks section and fifteen in the Trailer Village comprised the initial sample. Because six of the couples from the Barracks refused to participate, a sixteenth family was chosen. The interviewer selected at random two couples from each area to be studied each week. No particular order of sequence was established. Six couples in the Barracks section and four in Trailer Village refused to cooperate in the survey, stating that the lack of time did not allow them to do so. Since a total of twenty couples were es- tablished as a desirable sample, one couple from the Trailer Village was not used. Ten couples from each living area comprised the final sample. The collection of data was commenced during the three week period following the closing of the nine week summer session, and prior to the beginning of Fall Term. As the 51 survey extended throughout the last weeks of the summer, and into the beginning of the hunting season in the fall, several of the couples made week-end canoeing and hunting trips which increased the total amount of physical activity exerted during the period they were serving as subjects. The couples living in the Barracks quarters were contacted on two separate evenings at the beginning of each week, and two couples in Trailer Village were inter- viewed on two consecutive evenings at the end of each week, for a period of six consecutive weeks. The subjects were given an explanation of the project and their cooperation was solicited. The couples were not contacted prior to the evening on which the study was to be initiated, to avoid any possible change in the normal pattern of food habits. A questionnaire was completed on the initial visit which comprised information concerning the economic status of the couple. A twenty-four hour recall diet and a brief dietary history were obtained at this time, to determine the characteristic dietary habits of each couple, as well as the distribution of food between the husband and wife. An inventory by weight of all food on hand was made of all fresh foods, left-overs, meat and produce, and a record was kept of the measured contents of all canned 52 goods as stated on the container. Fresh groceries were weighed as edible portions. A daily record sheet was left with each couple which was to be used to record all food items brought into the home during the seven consecutive days that were being studied. The importance of keeping an accurate account by weight of all items introduced into the home was ex- plained, and a Spring scale was left at the home of each subject. Prices of all food recorded on the daily record sheet were obtained simultaneously. A.form was given to each couple for checking all the meals eaten in the home, and for recording in terms of Servings per person, all food consumed other than.from the home food supply. One or two visits were made by the interviewer on each couple throughout the week of study. Answers were given to questions concerning the daily record sheet, and a check was made to ascertain whether all items were being descriptively recorded. The closing and final inventory was made by weight, seven days following the initial interview and the recording of the first inventory. The daily record sheet was collected, and all food items that had been included in the week's menus were checked, and all left-overs were weighed. 55 The total food consumption for each couple was determined by subtracting the items recorded on.the final inventory from that of the initial inventory. The purchases included on the daily record sheet that had been utilized during the week were added to the inventory data. The food eaten away from the home was totaled and contributed towards the final over-all estimate of intake. While the nutritive value of food from gardens, and eaten away from home was included, no attempt was made to estimate the cost of this food. The total consumption of calories, protein, calcium, vitamin A and ascorbic acid were calculated on a weekly basis employing the Food Composition Table for Short Method of Dietary Analysis of Leichsenring and Donelson Wilson. (21) Food items that were not included in the table, were de- termined by computation.from the values reported in the United States Department of Agriculture Handbook No. 8. (22) The consumption of each nutrient per day was assessed by dividing the total intake for the week equally by seven days. The computed value of each nutrient on a per day basis was then divided equally between husband and wife for each couple. The economic data collected at the time the question- naire was completed, were compiled into tables to aid in interpretation of the dietary information. RESULTS AND DISCUSSION The weighed inventory method requires a proportionate amount of time expended by the subjects in a diet survey, but the degree of cooperation is relatively high in a college student sample. College students in general, have an intellectual interest in all types of research; are quick to understand the purpose of the investigation and are guided by a willingness to help a fellow student. The percentage of acceptance was quite high in the couples who were asked to participate in the study. Thirty couples were contacted, twenty of whom collaborated in the diet survey. The recording of the initial and final inventories required on an average of two hours per couple. The greater proportion of the homemakers in the sample were working wives and thus were not home during the day, making it necessary to conduct the recording of the data during the evening hours. The subjects were asked to maintain a continuous record of all food purchases during the seven day period comprising the dietary study, as well as checking all meals eaten in the home. The food consumed at the home of parents, or other than from the home food supply was recorded in terms of average number of servings. Table 4 shows the characteristics of age, height, weight, and calories consumed per day in the twenty couples 55 Table 4 COMPARISON OF AGE, HEIGHT, WEIGHT, EXISTENCE OF PREGNANCY AND CALORIES INGESTED BY TWENTY COUPLES Calories Age Height Weight Family Per Person Years Inches Lbs. Wife Ngmber Per Day A; F M F M F Preggggt 5 2,146 25 25 70 64% 156 98 No 18 2,556 21 2O 71 64 165 124 8 months 12 2,656 22 19 66 62 140 115 No 2 2,678 25 20 69 61 170 140 No 19 2,755 20 21 68 66 157 118 No 15 2,757 21 22 71 62 155 98 . No 16 2,761 24 24 67% 65 165 120 5 months 4 2,811 24 25 72 70 165 142 7 months 20 2,812 22 21 72% 65 215 140 No 7 2,950 50 29 72 67% 190 140 No 11 2,989 22 21 66 61 140 102 No 10 5,051 29 26 67 61 160 108 No 1 5,067 24 22 75 69 205 150 8 months 15 5,069 25 21 70 65 170 150 No 9 5,245 25 21 68 62 150 108 No 8 5,510 57 51 66% 65 160 160 No 17 5, 408 20 20 70 62 210 115 8 months 14 5,615 26 25 67 65 158 119 No 6 5,695 27 25 76 69 185 150 No 5 5,805 27 5O 69% 62 180 125 No 56 comprising the randomized sample for the dietary survey, as well as the incidence of pregnancy amongst the wives of the group. The mean age in years of the twenty males was 24.6, with a range of 20 to 57 years. The mean age for the women was 25 years, with a range of 19 to 51. The average weight for the men was 167 lbs and that of the women was 124 lbs. The height in inches for the men ranged from 66 to 76. The height for the women was from 61 to 70 inches. The mean calorie intake per person per day was 2,990 with a range from 2,146 to 5,805 calories. No obesity was apparent in the group. Two of the women were of stocky build and might be considered somewhat, though not excessively, overweight. Five of the twenty women in the sample were pregnant, one-fourth of the sample. Three of the five pregnancy cases were in the third trimester of their term, but were not consuming the higher caloric intakes. Table 5 records the intake of calories, protein, calcium, vitamin A and ascorbic acid of the twenty couples. Both members of each couple were receiving a fully adequate number of calories per day, as can be seen by comparing the computed values determined by an analysis of the food intake for one week to that of the National Research Council Recommended Allowances. 37 Table 5 INTAKE OF CALORIES, PROTEIN, CALCIUM, VITAMIN A AND VITAMIN C OF TWENTY COUPLES Couple Calories Protein Calcium Ingérfiiigofial VNIEIIE C Ngmber Per Day Grams Grams Units grgms 5 2,146 81.5 .64 1,988 58.1 18 2,556 95.1 .91 8,210 118.5 12 2,656 85.6 1.06 4,565 89.0 2 2,678 97.9 .96 18,790 51.7 19 2,755 95.0 .97 5,594 46.8 15 2,757 95.8 1.16 5,559 74.5 16 2,761 100.9 1.51 16,746 170.7 4 2,811 110.7 1.80 14,905 65.6 20 2,812 96.7 1.04 6,291 84.0 7 2,950 122.0 1.17 11,561 99.9 11 2,989 106.2 .48 26,250 68.1 10 5,051 106.8 1.05 11,691 98.9 1 5,067 127.8 1.58 4,619 21.8 15 5,069 78.7 1.57 7,266 79.0 9 5,245 101.6 .62 28,200 79.4 8 5,510 122.5 .75 12,145 140.6 17 5,408 111.1 1.71 7,110 74.5 14 5,615 114.1 1.06 8,272 84.4 6 5,695 112.9 1.45 16,626 117.0 5 5,805 150.5 2.20 16,185 192.0 58 The mean calorie consumption per person per day was obtained by weighing all food as edible portions, and allow- ing for the waste factors of bone in meat, vegetable refuse and loss of vitamin content during cooking and processing. No correction was made for plate waste. The mean caloric intake per person per day would be 2,691 calories if the 10 per cent plate waste factor of the British per capita calorie estimate is assumed. A11 nutrient estimates were calculated on the basis of an equal distribution of food items between the two members in the household. This was based on the information provided by the diet history recorded by each couple at the time of the initial interview. The Food and Nutrition Board of the National Research Council has suggested that an intake of 2,400 calories per day can be applied as a standard for the average, sedentary, seventy kilogram man, and 2,000 calories per day for the average fifty-six kilogram sedentary woman. The Recommended Daily Dietary Allowances represent group averages however, and the proper calorie allowance is considered to be that which will maintain body weight at the degree most conducive to well-being of the individual over an extended period. The absence of any manifest obesity may be taken as an indication that the subjects included in the study were not consuming an excessive number of calories. 59 The average protein intake of each individual studied exceeded the National Research Council Allowance of 70 grams per day required by a seventy kilogram average man, and the 60 grams per day which is recommended for the average sixty kilogram woman. The protein allowances recommended for normal adults are based on the standard of one gram of protein per day for each kilogram of body weight. This allowance carries generous provision for differences in the proteins of normal diets, as well as for individual variations of protein requirement among normal pe0p1e. The total protein intakes of the subjects studied in the diet survey, consisted of both animal and vegetable protein and ranged from 85 to 156 grams per person per day. This range of intakes easily covers the needs of the five women known to be pregnant, all of whom were consuming more than 100 grams of protein per day, even if a 10 per cent plate waste were assumed and deducted from the protein intakes reported. A comparison of the total daily calcium intake of the twenty couples with the Recommended Allowances suggested that seven couples consumed less than the allowance for calcium. The recommended allowance for calcium is stated as being one gram per day for adults of average needs, which is believed to cover the needs of all but one in one hundred of the so-called ”normal" adult population. 40 The allowance includes a margin of safety for those indi- viduals requiring a greater intake due to stress, poor nutritional history, faulty absorption or for other physiologic reasons. However, according to the most recent information, an allowance of 0.50 grams per person per day is believed to be sufficient to cover average needs. (25) The couple that was consuming 0.48 grams per person per day of calcium may therefore be assumed to be meeting the minimum standards, although no margin of safety may have been available on this intake. The seven couples consuming 0.96; 0.64; 0.75; 0.98; 0.62; 0.91; and 0.97 grams per person per day, reSpectively may be assumed to be covered with varying margins of safety. The wife in the couple with the intake of 0.91 grams per day was in her last trimester of pregnancy, and may therefore have been meeting only her minimum needs. The remaining thirteen couples were all consuming generous amounts of calcium. Three-fourths of the subjects in the study were consuming more than the National Research Council Allowance for vitamin A. The intakes ranged between 1,988 and 26,250 International Units per person per day. Studies on the allowance of vitamin A for adults have indicated that the average requirement is 25 to 55 units for each kilogram, or 2,000 to 4,000 units of vitamin A per gg daily for the 41 adult, and twice these amounts or more if the sole source is carotene from foods. One couple can be considered to be ingesting a minimum amount with an intake of 1,996 International Units per person per day, only 800 of which was provided as pre-formed vitamin A. Three of the twenty couples were consuming 5,559; 4,565; and 4,674 International Units per person per day, reapectively, which would be in the lower range of adequacy. However, approximately one-third of this was consumed as vitamin A and thus would probably meet the needs of the body for this vitamin. The recommended allowance for ascorbic acid is 75 milligrams for the adult man and 70 milligrams daily for the adult woman, with a standard of 100 milligrams for the latter part of pregnancy. Five of the twenty diets analyzed by computation were found to be below the National Research Council Recommended Allowance for ascorbic acid, their intakes being the following: 51.7; 65.6; 58.1; 68.1; and 46.8 milligrams per person per day. However, there is little evidence that adult maintenance requires these allowances for vitamin C. 0n the other hand, three of the wives who were pregnant were below the standard. One case, who was in the last trimester of pregnancy, had an average intake of only 21.8 milligrams, which may be considered lower than desirable. The values computed in 42 the daily food intakes of the twenty couples were calculated with allowances being made for a decreased content of ascorbic acid in canned fruit Juice as well as in frozen Juices. Cooking losses were also accounted for, consequently the final values probably do not over-estimate the value of the food as actually eaten. The thiamine, riboflavin and niacin content were not calculated in the twenty food intake records as the protein intake exceeded the recommended allowance and therefore, these vitamins would most probably be present in adequate quantities. The amount of milk consumed by the subJects may be considered to have supplied the necessary riboflavin, except in the case of the couple who had the intake of 0.48 grams of calcium. This diet was examined for other sources of riboflavin and appeared to contain quantities of protein sufficient to meet the allowances for this vitamin. The niacin and thiamine intakes would be directly related to the liberal intakes of high quality protein. The calculation of other nutrients did not seem Justified. The effect of season should be considered on the economic status as well as on the dietary intake of each couple. The abundance of fresh foods on the market and from vegetable gardens, enabled the couples to increase their over-all caloric intake without a subsequent increase 45 in the total food budget. Fourteen of the couples had acquired a Job during the summer months when they were not attending classes. If it is assumed that the average income of more than half of the subJects was probably slightly higher during the period under study than during the rest of the year, it may be believed that the caloric and protein content of the diet would be increased proportionally. , The average expenditure for food by the twenty subjects was calculated as $1.10 per person per day. The total food cost was determined on the basis of the local food store prices, and did not include the savings effected by the possession of a vegetable garden, nor by the gifts of food given to the couples. The average expenditure for food was based on the food purchases made during a seven day period, with allowance for food used from the inventory. As can be seen in Table 6, the majority of the couples were re- ceiving contributions from their parents. Three couples were financed almost entirely by their reapective parents, but fourteen couples received presents of groceries or ate at the home of their parents on the week-ends. Thus, the actual food cost per couple was probably above the calculated figure. The lowest caloric intake was that a 9m 9% .mmn ¢O.H Hmo.n 0H on up a .maa oa.a mmm.m Ha a a an em . .men ne.a omm.m e as ea .mmm mm. mam.m om a: an em a.o>a - ma.a Ham.m e o 0 mm. an .mmm em. Hoe.m ma up an em s.oma mm.a eme.m ma up a an a .mmn aw. mme.m ma on a an *.oma Hm. meo.m m on am am *.oma em. ono.m NH so: am ‘ a .memA oo.a omn.m ma no men Ham .men» am. a sea.m m ammmmmm mama Immmmnuammmmmm. mama Ampamnaa apnea use an a m an ham no 2 Jail: .H.o g meooaH nomnom Hem momma mom mafia—mm owmaaoo oaoonH mo monsom owwnmad vMMWAMMMh meanoaoo mmqmboo Nazmaa Mm QMHmMOZH mmHmoqflo Gad mbawam BzmQDHm .HEOQZH m0 Mombom .MEOQZH mw4mm>< .Hmoo Qooh ho zomHma .OmH *.mHH .omaa o m 0 am am a am am as am up 2 am an ab ob H am an as am am as am pm a mafia Haam gunman same omowaoo .H.c wmdomeo eonsom mpaomwm gpqoa mom oaoocH omonohd H¢.H mom.n n mm.a 905.9 m mo.a mam.n ea om.a mo¢.n ea mm.a can.» m oa.a new.» a ma.a moo.n ma ma.a a poo.n a ammIMMMIIIIIHumIMMMIllmwmmmm moaned mom moaned mom madamm pmoo eoom moanoado mmmnopq 335.268 2 mafia 46 of the couple who had the lowest total food eXpenditure (81 cents per person per day). However, they did not have the lowest income. This couple consumed a very moderate amount of food during the week, making up for it during the week-ends at the home of their parents. The majority of the subjects had been occupying living quarters on the campus for at least six months and thus had availed themselves of the Opportunity to develop a vegetable garden. Thirteen couples depended to a large degree on the produce obtained from their gardens. The decreased cost of fresh vegetables produced in this manner influenced the total intake of vitamin A and ascorbic acid considerably. The couples who did not own a vegetable garden likewise had an elevated intake of fresh foods, as these items were reasonably priced in the grocery stores. The parents and friends of many of the couples presented them with gifts of fresh foods which contributed signifi- cantly to the total food consumption. The seasonal effect on the total food intake could thus be assumed to be considerable. Table 6 also presents the source of income of the twenty couples included in the diet survey. Three of the couples were receiving a living allowance from the govern- ment through the 6.1. Bill. Three couples were being 47 financed by their parents, though part time summer jobs held by the husband of each of these couples contributed to their total income. Ten of the homemakers were working full time, their salary being the principal source of income for the couple. Three wives and twelve of the husbands held part time jobs. Two of the husbands were working full time on the night shift at one of the factories in down-town Lansing, and attending classes during the day. Two of the husbands were being financed by scholarships through their college career, which afforded a subsistence allowance for both the husband and wife. It is believed that the stated incomes of couples number 2 and 15 are underestimated, as these two couples appeared unwilling to furnish reliable facts concerning their economic status. There were seven wives who had a full time Job, who also carried the reaponsibility of all meal preparation in the home. Six of the twenty wives included in the study shared the meal preparation duties with their husbands, and six non-working wives and one husband did all the cooking. The husband who did all the cooking for the couple, was a full time student during the college year, as well as a full time factory worker during the night shift on six evenings a week. His wife had a full time Job. 48 The mean money income per month was $241. with a range from $110. to $425. per month. The daily food expenditures did not bear a very close relationship to the total monthly income, as can be seen in Table 6. The lack of correlation between the two figures may be explained on the basis of the contributions provided by the parents of each couple. In the majority of the couples the reSponsibility for marketing was shared by the husband and wife. Thirteen couples customarily marketed on the week-ends, the remain- ing seven couples shOpped several times during the week. Table 7 shows that more couples buy in the chain stores than at the more expensive independent stores located near the college campus. One couple bought daily in an independent store, and another couple shOpped daily at the c00perative store located on the college campus. The degree of education in the twenty couples included in the dietary survey was high, as can be eXpected in a group of college students. Thirteen of the husbands were completing their senior year in under- graduate school, and seven were candidates for a graduate degree. The seven graduate students consisted of two who were working on a master's degree and five who were studying for the degree of Doctor of Philosophy. Two of Table 7 OF TWENTY COUPLES MARKETING AND MEAL PREPARATION PRACTICES 49 Family Number Marketing Practices 18 12 19 15 16 20 q Week-end Every day Friday P.M. Saturday Every other day Any time Three P. M. 's a week Week-end Thursday P.M. Saturday Saturday Thursday or Friday Friday P.M. Evenings Thursday or Friday Every day —- Place Chain Store Chain Store Chain Store Chain Store Father‘s Store Independent store Chain Store Chain Store Chain Store Chain Store Chain Store Chain Store Chain Store Chain Store Chain Store Father's Store Chain Store Campus CO-Op Meal Buyer Prepgged by Wife Wife Wife Wife Both Both Both Husband Both Wife Both Both Both Wife Both Wife Both Both ‘Wife Wife Wife Wife Both Both Both Both Both Wife Wife Wife Wife Wife Table 7 (Continued) 50 Family Marketing Pragtiges Meal EEEQ§£:4 ._;_lfl9 a r 17 Week-end Chain Store Both Wife 14 Week-end Chain Store Both Wife 6 week-end Chain Store Both Both 5 Every other Chain Store Both Wife day 51 the wives were graduate students, and three were in their senior year of undergraduate school. Table 8 shows the number of families possessing a car, radio, telephone, or television set. Nineteen of the twenty couples owned a car, one hundred per cent of the couples owned at least one radio, and in many instances, there were two or three radios in the home. Ten of the couples interviewed had a telephone, and seven owned a television set. The couples who possessed a television set were not necessarily those who had a more liberal monthly income. Five of the television sets had been given to the couples by their reSpective parents. A factor which needs to be considered in the critical evaluation of the diet consumed by twenty couples living on the campus of Michigan State College, is the effect that the mechanics of recording the food consumed had on the general pattern of dietary habits. The presence of the interviewer can be considered to have had only a minor effect on the customary food habit patterns of the twenty couples, as the subjects were not contacted more than three times during the period of one week in which ' they were being recorded. However, the knowledge that an evaluation was to be made of the food consumed during the week, could safely be said to have influenced the Table 8 COMMODITIES OWNED BY FAMILIES Family Number Car Ba 0 T evi ion T 1e 1 Yes Yes Yes Yes 2 Yes Yes No No 5 No Yes No No 4 Yes Yes Yes Yes 5 Yes Yes Yes Yes 6 Yes Yes No Yes 7 Yes Yes Yes Yes 8 Yes Yes No Yes 9 Yes Yes Yes Yes 10 Yes Yes Yes No 11 Yes ‘Yes No No 12 Yes Yes No No 15 Yes Yes No ‘ No 14 Yes Yes No Yes 15 Yes Yes Yes No 16 Yes Yes No No 17 Yes Yes No Yes 18 Yes Yes No No 19 Yes Yes No No 20 Yes Yes No Yes 55 subjects in their buying habits. The caloric content was probably increased by the study, but an elevated intake of meat and eggs can be assumed as the most probable change that was made. In summary, it may be stated that whereas the diet consumed by the twenty students included in the sample was generally considered quite adequate, the food intake may not be representative when considered on a yearly basis. The abundance of fresh foods from vegetable gardens, their availability on the market, and the contributionsfrom the parents would increase the total food consumption during the summer months, but these sources of extra food may be lacking at other seasons of the year. A further con- sideration would be that a number of students in the study had taken temporary Jobs during the late summer. They may not be able to supplement their incomes by extra jobs during the school year. A.more limited budget might decrease the total food intake but in particular less meat and similar high cost protein tends to be purchased thus decreasing the protein content of the diet. It is recommended that further studies be conducted on the food intake of a representative sample of students at other seasons of the year to determine the adequacy of the diet over a more extended period of time. Table 9 CONSUMPTION OF BEER AND CIGARETTES BY TWENTY COUPLES family . OIPZEEE—PEQ Week Numb tt 3 Pa We b W 5 6 ‘None None 18 6 5 5 12 5 5 None 2 None 7 None 19 48 5 5 15 None None None 16 None None None 4 None 8 None 20 6 None 5 7 7 4 5 11 None None None 10 None None None 1 12-16 5 5 15 None None None 9 None 6 6 8 12 5 5 17 None 4 4 14 2 7 None 6 12 7 None 5 None 1% None 54 SUMMARY AND CONCLUSIONS The food intake of a randomized sample of twenty married couples was measured. Ten of the couples occupied living quarters in the area commonly referred to as "The Barracks” and ten were located in 'Trailer Village” at Michigan State College. A weighed inventory of all food on hand at the beginning and end of a seven day period was recorded. A questionnaire was completed which comprised information concerning the economic status and food history of the couple. All food purchases that were made during the week were recorded, as well as the food items that were taken outside of the home. The total number of servings of each foodstuff consumed in seven days was converted into terms of nutrients by means of the values included in the Food Composition Table for Short Method of Dietary Analysis of Leichsenring and Donelson Wilson (21) and the Agriculture Handbook No. 6 - Composition of Foods - Raw, Processed, Prepared (22). The findings of the diet survey may be stated as follows: 1. The average age of the male subjects was 24.6 years, with a range from 20 to 57 years. The mean age for the 56 women was 25 years, ranging from 19 to 51 years. The average weight for the men was 167 lbs, and that for the women 124 lbs. The height in inches for the men was between 66 and 76, with that for the women between 61 and 70 inches. Five of the twenty homemakers were pregnant. 2. The average caloric intake per person per day was 2,990 or 2,691 calories per person per day if a ten per cent plate waste factor is applied. Plate waste was not recorded. 5. The protein intake was in excess of the standard of one gram per kilogram, even with an allowance for plate waste. 4. All couples probably were receiving at least minimum amounts of calcium. 5. Vitamin A intakes ranged from 1,996 to 55,596 International Units per person per day. 6. Six of the twenty diets analyzed had less than 75 milligrams ascorbic acid per day. Three of the wives who were pregnant were below the recommended allowance of 100 milligrams per day for the latter part of pregnancy. 7. The total food cost per person per day was calculated as $1.10, but did not take into account food which was not purchased. 57 8. Three couples were financed by their parents, and three were receiving government allotments. Three wives and twelve husbands worked part time, and two husbands held full scholarships. Seven of the twenty wives were working full time, and two husbands worked the night shift at a factory. Six of the couples shared the meal preparation reaponsibility; thirteen wives and one husband did all the cooking. The majority of the couples did the marketing cooperatively between the husband and wife. 9. Nineteen of the twenty couples owned a car, and all of the subjects had at least one radio in the home. Ten couples possessed a telephone, and seven couples owned a television set. 10. The diet consumed by the subjects appeared to be adequate, but included many inexpensive seasonal foods which would not be available at other times during the year. 1. 2. 5. 4. 5. 6. 7. 8. 9. 58 BIBLIOGRAPHY Mayer, J.: Food Composition Tables and Assessment of the Caloric Content of Diets. Journal American Dietetic Association Vol. 28:509. 1952. Dunluce and Greenwood: Medical Research Council Special Report Series No. 15, H.M.S.O., 1918. Stiebling, H. K.: Adequacy of American Diets. Journal American Medical Association Vol. 121:851, 1945. Wiehl, D. G.: Diets of Low Income Families in New York City. Millbank Memorial Fund Quarterly Bulletin No. 11:508. 1955. Wiehl, D. G.: Diets of Urban.Families with Low Incomes. An Analysis of Weekly Food Budgets in 472 Families in Baltimore, Cleveland, Detroit, Pittsburgh and Syracuse in April - may 1955. Millbank memorial Fund Quarterly No. 12:545, 1945. National Research Council: Inadequate Diets and Nutritional Deficiencies in the United States. Their Prevalence and Significance. National Research Council Bulletin No. 109, 1945. Stiebling, H. K.; Monroe, D.; Phipard, E. F.; Adelson, S. F.; and Clark, F.: Family Food . Consumption and Dietary Levels, Five Regions. Consumer Purchases Study, Urban and Village Series. United States Department of Agriculture Misc. Pub. No. 452, 1941. Pett, L. B.: Limitations on the USe of Dietary Standards. Differences in American, British and Canadian Standards. Journal American Dietetic Association Vol. 27:28, 1951. National Research Council: Recommended Dietary Allowances, Revised. Food and Nutrition Board, National Research Council Reprint and Circular Series No. 129, 1948. 10. 11. 12.. 15. 14. 15. 16. 17. 18. 19. 59 Report of the Committee on Nutrition. London: British Medical Association, 1950. Canadian Council on Nutrition: A Dietary Standard for Canada Approved by the Canadian Council on Nutrition. Bulletin Canadian Council on Nutrition No. 2:1, 1950. Sandin, H.; Patrick, H.; Stewart, A.: Food Consumption of 29 Families in Edmonton, Alberta. Canadian Journal Public Health Vol. 50:177, 1959. Pett, L. B.; and Hunter, G.: Dietary Survey in Edmonton. Canadian Public Health Journal Vol. 523259, 1941. ‘Hetler, R. A.: Protein Intake and Basal Metabolism of College Age Women. Journal of Nutrition Vol. 5:69, 1952. McKay, H.; Patton, M. B.; Ohlson, M. A.; Pittman, M. S.; Leverton, R. M.; March, A. G.; Stearns, G.; and Cox, G.: Calcium, PhOSphorus and Nitrogen Metabolism of Young College Women. Journal of Nutrition Vol. 24:567, 1942. Hunscher, H. A.; Donelson, E.; Erickson, B. N.; and Macy, I. G.: Results of the Ingestion of Cod Liver Oil and Yeast on Calcium and PhOSphorus Metabolism of Women. Journal of Nutrition Vol. 8:541, 1954. Adamson, J. D.; Joliffe, N.; Kruse, H. D.; Lowry, O. H.; Moore, P. E.; Platt, B. S.; Sebrell, W. H.: Medical Survey of Nutrition in Newfoundland. ganadian Medical Association Journal Vol. 52:227, 945. Goldsmith, G. A.; Darby, W. J.; Steinkamp, R. 0.; Beam, A. 8.; McDevitt, E.: Resurvey of Nutritional Status in Norris Point, Newfoundland. Journal of Nutrition Vol. 40:41, 1950. Phipard, E.; Stiebling, H. K.: Adequacy of American Diets. Journal American Medical Association Vol. 159:579, 1949. 20. 22. 25. 24. 25. 26. 27. 28. 29. 60 National Research Council, Committee on Nutrition Surveys, Food and Nutrition Board: Nutrition Surveys: Their Technique and Value. National Research Council Bulletin No. 117, May 1949. Leichsenring, J. N.; Wilson, E. D.: Food Composition Table for Short Method of Dietary Analysis. (2nd Revision). Journal American Dietetic Association Vol. 26:586. 1950. Watt, B. K.; and Merrill, A. L.: Composition of Foods - Raw, Processed, Prepared.. United States Department of Agriculture Handbook No. 8, 1950. Bowes, A. deP.; and Church, C. F.: Food Values of Portions Commonly Used. 6th ed. Philadelphia: College Offset Press, 1946. United States Department of Agriculture: Consumption of Food in the United States, 1909 - 1948. United States Department of Agriculture Misc. Pub. No. 691, 1949. Ohlson, M. A.: By personal communication. Cornell University Agriculture Experiment Station, Ithaca, New York: COOperative Nutritional Status Studies in Northeast Region. 1. Techniques. Northeast Regional Publication No. 5 Cornell University Agriculture Experiment Station Memoir 507, March 1951. Maynard, L. A.: The Atwater System of Calculating the Caloric Value of Diets. Editorial Review. Journal of Nutrition Vol. 28:445. 1944. Chalmers, F. W.; Clayton, M. M.; Gates, L. 0.; Tucker, R. E.; Wertz, A. W.; Young, 0. M.; Foster, W. D.: The Dietary Record e How Many and Which Days? Journal American Dietetic Association Vol. 28:711. 1952. Lewis, H. B.: Fifty Years of Study of the Role of Protein in Nutrition. Journal American Dietetic Association Vol. 28:701. 1952. 50. 51. 52. 35. 54. 55. 56. 57. 58. 61 Morris, T.: Dietary Surveys. Their Techniques and Interpretation. Food and Agriculture Organization of the United Nations. December 1949. Stiebling, H. K.: Better Nutrition as a National Goal. Food and Life. Yearbook of Agriculture 1959. United States Department of Agriculture. Stiebling, H. K.; Monroe, D.; Phipard, E. F.; Adelson, S. F.; Clark, F.: Family Food Consumption and Dietary Levels. Consumer Purchases Study. Farm Series. Misc. Pub. No. 405. Bureau of Home Economics. United States Department of Agriculture. 1950. Leitch, 1.; and Aitken, F. 0.: Technique and ' Interpretation of Dietary Surveys. Nutrition Abstracts and Reviews. Vol. 19:507. 1950. Storvick, C. A.; Schaad, B.; Coffey, R. E.; Deardorff. M. B.: Nutritional Status of Selected Population Groups in Oregon. 1. Food Habits of Native Born and Reared School Children in Two Regions. Millbank Memorial Fund Quarterly Vol. 29 No. 2, 1951. Burch, H. B.; Salcedo, J.; Carrasco, E. 0.; Intengan, C. Ll.; Caldwell, A. B.: Nutrition Survey and Tests in Bataan. Philippines. Journal of Nutrition Vol. 42:9, 1950. Hunscher, H. A.; and Macy, I. G.: Dietary Study Methods. 1. Uses and Abuses owaietary Study Methods. Journal American Dietetic Association Vol. 27:558. 1951. Young, C. M.; Hagan, G. C.; Tucker, R. E.; Foster, W. D.: A Comparison of Dietary Study Methods. III. Dietary History vs. Seven-Day Record vs. 24-Hour Recall. Journal American Dietetic Association Vol. 28:218. 1952. Young. C. N.; Chalmers, F. W.; Church. H. N.; Clayton..M. N.; Tucker, R. E.; Werts. A. W.; Foster. W. D.: A Comparison of Dietary Study Methods. 1. Dietary History vs. Seven-Day Record. Journal American Dietetic Association Vol. 28:124. 952. 59. 40. 42. 44. 45. 46. 47. 62 Young, C. M.; Musgrave, K.: Dietary Study Methods. 11. Use of Dietary Score Cards. Journal American Dietetic Association Vol. 27:745. 1951. Thomas, R. U.; Rutledge, M. M.; Meyer, E. B.; Miller, 0. N.; Robinson, A. R.; Coryell, M. N.; Metz, H.; Beach, E. F.; Macy, I. G.: Nutritional Status of Children. XII. Evaluation by Computing the Food Intake of a Group and by Weighing and Analyzing Foods Eaten by Representative Subjects. Journal American Dietetic Association Vol. 26:788. 1950. Steele, B. F.; Franklin, R. E.; Smudski, U} 14 Young. C. M.: Use of Checked Seven-Day Records in a Dietary Survey. Journal American Dietetic Association Vol. 27: 957, 1951. Thomas, R. U.; Rutledge. M. M.; Beach. E. F.; Moyer, E. R.; Drummond, M. C.; Miller. 8.; Robinson, 0. N.; Coryell, M. N.; Macy, I. G.: Nutritional Status of Children. XIII. Accuracy of Calculated Intakes of Food Components with Reapect to Analytical Values. Journal American Dietetic Association. Vol. 26:889. 1950. Young, E. G.: A Dietary Survey in Halifax. Canadian Public Health Journal Vol. 52:256. 1941. McHenry, E. W.: Determination of Nutritional Status. Canadian Public Health Journal Vol. 52:251. 1941. Patterson. J. M.; McHenry. E. W.: A Dietary Investigation in Toronto Families Having Annual Incomes between $1,500. - $2,400. Canadian Public Health Journal Vol. 52:251. 1941. Patterson, J. M.; McHenry, E. W.: Errors in the Calculation of the Nutritive Value of Food Intake. 1. Comparison of Calculated and Determined Amounts of Calories. Protein and Fat. Canadian Public Health Journal Vol. 52:562. 1941. Young, C. M.; McHenry, E. W.: Errors in the Calculation of the Nutritive Values of Food Intake. II. Comparison of Calculated and Determined Amounts of Ascorbic Acid. Canadian Public Health Journal Vol. 55:224. 1942. 65 48. Young, C. M.; McHenry, E. W.: Errors in the Calculation of the Nutritive Value of Food Intake. III. Comparison of Calculated and Determined Amounts of Iron. Canadian Public Health Journal Vol. 54:567. 1945. 49. Semmons. E. M.; MCHenry, E. W.: Errors in the Calculation of the Nutritive Value of Food Intake. IV. Comparison of Calculated and Determined Amounts of Calcium. Canadian Journal Public Health Vol. 55:286. 1944. 50. McHenry, E. W.; Ferguson, P.; Gurland, J.: Sources of Error in Dietary Surveys. Canadian Journal Public Health Vol. 56:555. 1945. APPENDIX .Hmma .omn .d .em oasaos .doapaeoommq oapopoaa assenoae dungeon so .a .am .domaaa dooaodoa .m use ..a .am .mdandomnoaoq .2..e . doama>om edmv .6 .uauaaad4 anauoeo no cones: anode hoe oasaa doapwmodaoo 6662. on» mugged so eoaaasoaeo a o.e med do. 6. «a oma neon e.om «00.4 «o. m.m mom owe nomad o.oo omn.m mo. o.o can coo season 0.00» oee.on ma. 0.2 oma oom doao: o.Ha we - H. ed on unseen impasse .HHH - - mm. m.nma new.a Hem «Add: doonodsq - - «a. n.6em mmn.n noa.a Hso>.saaa.uoom - - mo. m.ema mnm.a one shod eds sum - - no. o.mn omn com dosoaeo “seam ado poo: .HH - 3m .3 mm . m .18. 03 .m one .a meme o.¢m omo.oa e.m o.me com.» omm.a aaono ooH . omn.a e. p.4m «He ooa ooooao mama neocono - om e. e.em ewe and omooao owoppoo - ema.aa - . nem.m men odesomosaooao o.mm ome.oa em.e o.mnm omw.¢ mne.o nae: unposeonm enema .H m p o a who u no :umoom .fiaaea HadoepeqnoodH aseoaso deduced ease «Ydeeasas oanuoom4 qumboo m>HHQHzmmmmmmm 4 Mm Mmma mzo 2H szbmzoo Doom mo mezmHmHDz ZHQHMHO mo ZOHH¢QD0440 OH magma 66 - - - - 0m0.H own soul om newsmv asufim.mmmsm.m0qeo "osmoam .HH> - - m.a 0.mma om0.m mod usoaev mme.a eases operas eoaoasdm 0mm cameo macs; - - s0. 0.6a owe 02H ones: .maaom codaeom «muofifiofim Hdmhoo .H> 0.2 0n ma. m.ma 005 00a adsom “moasmoq .> e.no mma 60. m.mH nee 0H0 moopspom o .2. man .. 3 . m m .e 22.22 o.mma mmn.aa Ha. o.HH 0mm 00H.H moopmsoa om meoaoov 4.0o nee.a on. n.m 00H 00a eonasosov . new oosppoqv 0.mn 0mm ma. 0.e 00H 006 mdoedo 0.emm 0mm.m n0. e.n we 00m onoddod noose 0.wa 046.« ad. 0.o 00H 004 maoom noose 6.4 000.0 00. m.w em 00» moanspomo> amass 0.4 0me.ne 0a. >.a 50H one sponsso 0.mH 06m.a o0. 0.ma 0am 009 mood "moanmuowo> .>H madam mafia: mango manna mo moamo o -mmmm -aaaas aesoapeassde asaoaso esoponm ease 4 daaepa> cannoomd Aessdasdoov 0H oases 67 o.mo 000.oa oH.H - on no. 0.oa 40m no. one 82m ma. - - H0. - - 00. - was . - mma - - «no 04. - 0am o0. madam... open: nu uaaafiz Honoapomnoan asaoaoo ease .4 daeopa> cannoomq 0.0NH H.H mod H.m m.m ®.Hm ®.H¢ m.mH O.nH O.Hm daooosd meo.m dad mom om ma dob 00H mmm.m mon.H moo mom someom mom “mqwsoa mm nnfioaom Dem moaxofim noupsm s cooam mar moaneam Adan ema commoonuaoonmosa mam.a noom mam oxaana whom «meonpo .M oe ash somv 0nd .peosm manopomo>0 00» ooaoadoaoav mom cooom «ovum .MH wad mnfieesm own moaxooo «manommoa .HHH> madam 000m Aeoeaapsoov 0H oases 1. 2. 5. 4. 5. 6. 7. 8. 9. 10. ll. 12. 15. 14. 15. 16. 17. 18. 19. 20. 21. 68 Interview Form to be filled out on First Day of Inventory Name of Family: Unit Number. Members in the Family: ‘Name ‘Age_ Height- Weight Wife Husband Is husband or wife on 0.1. Bill? If not. what is main source of income? Does husband and/or wife have a part time Job? Assistantship? ' I (husband How long has (wife been a student on the campuS? How much rent do you pay. including all utilities?- Do you own a car? . Do you own your furniture? Do you own a radio? ' Telephone? I Television? Does housewife or husband prepare the meals? Who does the marketing? ' When is it done? ' Where is it generally done? Has husband or wife taken any Home Economics courses? Do you have a vegetable garden? . Is any member of the family taking vitamin preparations? 22. 25. 24. 25. 26. 27. 28. 29. 50. 51. 52. 69 Any medicine such as iron. laxatives, etc.? Is any member of the family under a doctor‘s care? Is wife pregnant? I ‘ When was last pay cheque received in relation to this study? When is pay day customarily? Please check figure closest to your monthly income. 10 $1000 ' $120. " 20 $1200 " $1400 - 30 $1400 " $1600 "' 40 $160. " $1800 " 5. $180. - $200. - 6. $200. - $250. - 7. $250. - $500. - 8. $3000 " $4000 " 90 $4000 "’ $5000 ‘ Does the religious affiliation of the family affect the food pattern in any way? Does wife/husband smoke? How many packets of cigarettes does the family buy per week? How many bottles of beer do you buy per week? Other liquor? 7O Recall Sheet of Food Consumed by Family in one Twenty-Four Hour Period Name: Day of the week: Date: Unit Number: Directions: List all the food that you ate during the day. including butter, sugar, cream, and beverages. Tell whether one member of the family did not eat all foods on menu, or if one person ate a double serving of one food. Tell whether food was raw. cooked. If ice cream is included during the day, list the kind and brand. Egogs eaten for Breakfast pagcziptioa. Eatan by bggh aaabara? List any in-between meal foods such as coffee, fruit, milk. cookies, etc. 1. 2. 5. 4. 71 Foods aaten.for Lungh Qascyipgion , , Eaten by bgph aambeya? List any insbetween meal foods such as coffee, fruit, milk, cookies, etc. Foods eagen gor Diaaer Qascriptiga. Eaten by bath aembars? Cgagt N9. 1 72 Please check meals eaten at home by each family member during the week. He w Tim‘s L‘D 13?"ng e L ‘1“? D Fr B L S t %T%fl%%" '— 52. If lunch was not eaten at home. was a box lunch taken from the home? 55. If any meal was eaten away from the home, where was it taken? 75 Daily Record Sheet To be filled out each time a food product is brought into the house during the week that the inventory is being taken. Record the item, description such as brand, and the weight or measure. Please include all vegetables or fruits that are home grown. Quantity, weight Naaa of Product Dascriptiga or meaaaya Ezgga, Example: Bread Whole Wheat 1 large loaf t$.20 Product 1. 6. Milk: Fresh Canned Powdered Evaporated Bread: Whole Wheat Cracked Wheat White ‘ Rye Raisin Other Eggs Butter Oleomargarine Meat: Cold cuts Weiners Hamburger Sausages Pork ch0ps Stew meat Bologna Salami Other Flour: Enriched Nonenriched Salt: Regular Iodized Crackers: Soda Graham Ry-KriSp Cheese Initial Inventory Weight or heasure Description 74 Bales. Product 9. IO. 11. 12. 14. 15. 16. Canned Soups: Kind and brand: Fresh Fruits: Canned Fruits: Dried Fruits: Frozen Fruits: Fresh Vegetables: Canned Vegetables: Frozen Vegetables: Dried Beans Dried Lentils Dried Peas Macaroni, Spaghetti, Weight 0r Measure noodles 75 Description Price 27. 51. ()1 {\3 o 55. Product 21. Coffee: Instant Regular 22. Cocoa 25. Tea 24. Beer 25. Coca-cola 26. Orange P0p Carbonated Beverages Cookies Cigarettes Candy Bars Prepared Foods in Cans: Prepared Mixes: Baked Goods: Bread Cakes Cookies Pies Home Produced Foods: Fresh Vegetables Weight or Measure 76 Description Price Product 54. Fresh Fruits 55. Frozen Fruit Juices: Orange Lemon Grapefruit 56. Others: We ight o r heasure 77 Description Price A . ROOM USE ONE. 5. l.- “ I. ' £7 (I lllllllllllllllH 36 I III“ III II II! I I II I II I I ll 7