The association of dietary fat with serum cholesterol in vegetarians: the effect of dietary assessment on the correlation coefficient.

The biologic relation between dietary fats and serum cholesterol established in controlled dietary studies usually has not been found in cross-sectional studies of the general population. In vegetarian groups, dietary variables and serum cholesterol have been correlated significantly. To examine the role of technique of dietary assessment versus the dietary pattern of vegetarians, the authors studied the relation of diet with total serum cholesterol in 46 predominantly vegetarian adults in the Boston, Massachusetts, area in 1973-1974. The basis of the dietary information was 10-day diet records. Total serum cholesterol was positively associated with dietary cholesterol (r = 0.53) and saturated fatty acids (r = 0.50) in partial correlation analysis adjusted for age, sex, and triceps skinfold. The use of one-day dietary records lowered these correlation coefficients to about 0.3. Analysis of the components of variation of nutrient intake demonstrated that the vegetarians had a lower within-person variance, a higher between-person variance, or both compared with nonvegetarian study groups. Biologic responsiveness to dietary fat in the vegetarians was similar to that predicted by the Keys equation derived from nonvegetarians. Therefore, multiple-day averaging of dietary records and relatively smaller ratio of within-person to between-person variation in intake favor the detection of cross-sectional associations of diet with serum cholesterol.

Effects of ascorbic acid on in vitro steroidogenesis in guinea pigs.

Guinea pig ovarian whole tissue homogenates were incubated with [14C]-labelled cholesterol, pregnenolone, and progesterone. Testicular homogenates were incubated with [14C]-progesterone. All incubations were carried out in the presence of 0, 0.5, 1.0, or 2.0 mM ascorbic acid. The conversion of cholesterol to pregnenolone was significantly decreased in testosterone and progesterone production. The addition of 0.5 mM ascorbic acid increased the conversion of pregnenolone to delta 4 steroids and decreased its conversion to delta 5 steroids, relative to the other ascorbic acid treatments. The conversion of progesterone to 17 A-hydroxyprogesterone was significantly decreased in the presence of 1.5 mM ascorbic acid over the O mM treatment. The data supports a general inhibitory effect of high ascorbic acid on the steroid hydroxylations, and a possible regulatory role of ascorbic acid on the conversion of pregnenolone to delta 4 and delta 5 steroids.

Comparative nitrogen balance study between young and aged adults using three levels of protein intake from a combination wheat-soy-milk mixture.

The protein requirement and the efficiency of protein used were studied in young and old adult human subjects. Protein intake levels (N X 6.25) of 0.4, 0.8, and 1.6 g/kg body weight per day from a combination wheat-soy-milk mixture were fed. Caloric intake was held constant at 40 kcal/kg body weight per day throughout the 11-day study of each dietary period. No significant differences were observed in their protein requirement, efficiency of protein use or the ability to adapt to changes of protein intake levels. Protein digestibility was not impaired in the aged. It is concluded that the protein requirement and the efficiency of protein use are not affected by the aging process.

The dietary status of "new" vegetarians.

A study of fifty well educated young adults, average age twenty-eight years, living in a metropolitan area of New England, who were followers of Zen macrobiotics, revealed that none was below his/her desirable weight although all were at the limit of the normal range. Average triceps skinfold thickness of the men and women fell in the 15th percentile, while arm circumference for members of both sexes was in the 5th percentile (24). Their ten-day dietary records indicated that the base of their diet was grains interspersed with a wide variety of vegetables, fish, cheese, and eggs and that nutrient intakes of the adults were limiting in energy, calcium, and riboflavin--and additionally in iron for the women. Improvement in the nutritional value could be achieved by greater consumption of foods common to macrobiotic dietary practices. Calcium and energy intakes of ten young children were low, especially for a period of rapid growth and development. Because of the bulk necessary to achieve nutritional adequacy with respect to calcium, increasing the children's consumption of macrobiotic food would not be advisable. Consequently, it is suggested that milk be included in their diets.