with a Population of 3 million
The effect of Food Restriction on Mortality in Copenhagen during War
M. Hindhede, Laboratory for Nutrition Research, Copenhagen, Denmark, Feb. 7, 1920.
Français - from EVU News, Issue 1, 1996 - Româna
As I have already pointed out the blockade placed the people of Denmark in a very serious situation. We had been importing more than half of our bread cereals and a very considerable amount of corn and oil cakes for the use of domestic animals. While Denmark had only half as large a supply of rye and potatoes per capita as Germany. Denmark had proportionately twice as many domestic animals. The reason for this advantageous state of affairs was that the committee which had charge of proportioning the crops between man and animals (April 4. 1917) was converted to the newer ideas on nutrition.
The Danish food regulation was a most interesting problem for me. It was a low protein experiment on a largescale, about 3,000,000 subjects being available. What was the result? What was the effect on the health of the people? What was the death rate? - at a later time I hope to be able to report on the death rate for both sexes, at different periods of life and from various diseases. In the accompanying table I give some data on the numbers of deaths per 10,000 population in Copenhagen, between the age of 25 and 65 years.
|Number of death per ten thousand men between the ages 25 and 65, from Oct. 1.1917 to Oct. 1.1918:|
1: All Diseases 2: Epidemic Diseases and Tuberculosis 3: Other Diseases 4: Ratio
Food restrictions were initiated in March, 1917, and by October, 1917, they had become very severe. Therefore, my calculations embrace a year beginning and ending October 1. I could not continue my studies after October, 1918, because of the epidemic of influenza then existing. The death rate, as is known, has decreased in the last decades, as the result of a fall in the rate for epidemic diseases and tuberculosis. The cause of these diseases being known, we are able to combat them successfully. The death for all other diseases have been practically the same since 1900 or even earlier than this.
Placing the average for the period from 1900 to 1916 (109) at 100, the variation (ratio) is small, from 93 to 107, until food regulation began. During the year of severe regulation, it fell to 66. a decrease of 34 per cent. It would seem, then, that the principal cause of death lies in food and drink. It must be remembered in this connection that we took the cereals and potatoes from the distillers so that they could not make brandy, and one half of the cereals from the brewers, so that the beer output was reduced one half. Is it possible that this reduction in the output of alcoholic beverage is wholly responsible for the lower death rate? This question cannot be answered: but beyond a doubt while the lessened alcohol consumption is a great contributing factor to the lowered death rate, it is not the only one. The death rate for women has also been lowered 17 per cent, in the four year period 1910-1914. It is difficult to imagine that women consumed so much alcohol that this reduction in the death rate among women is to be charged solely to greater abstention from alcoholic beverages.
The death rate for Denmark for the year October, 1917, to October, 1918, was 10.4 per thousand. It never had been lower than 12.5 (1913, 1914). A difference in death rate of 2.1 per thousand for a population of 3,000,000 means a saving of 6,300 lives. Hence, the saving of lives in Denmark as a result of the allied blockade was considerable.
This result was not a surprising one to me. Since 1885, when I began my experiments with a low protein diet (mostly vegetarian), I have been convinced that better physical conditions resulted from this standard of living. It may be said that a vegetarian diet is a more healthful diet than the ordinary diet. As the result of extensive studies in this field I am convinced that overnutrition, the result of palatable meat dishes, is one of the most common causes of disease. I agree with McCollum that:
Lacto-vegetarianism should not be confused with strict vegetarianism. The former is, when the diet is properly planned, the most highly satisfactory plan which can be adopted in the nutrition of man ... The only successful combination of natural foods or milled products for the nutrition of the animal are: (a) combinations of seeds or other milled products, tubers and roots, either singly or collectively, taken with sufficient amounts of the leaves of plants: (b) combinations of the foodstuffs enumerated under (a), taken along with a sufficient amount of milk to make good their deficiencies.
I wish to call attention to the unusual amount of bran consumed by the people of Denmark during the period of food restriction. In other countries, for example, Germany, Norway and Holland, the question was discussed whether grain should be milled to yield 70, 80, 90 or 94 per cent, of bolted flour.
We not only milled our rye to 100 per cent but profiting by previously made experiments, we added all our wheat bran to the whole rye bread: and as we added also 24 per cent of barley meal (milled to 95 per cent, only the coarsest shells being removed) we had more than twice the amount of bread we would have had if we had milled only to 70 per cent. As the difference in digestibility was only 9 per cent ( 94-85) we got about twice the amount of digestible bread. And, be it emphasised, we could bake good bread with this mixture. People entered no complaints: there were no digestive troubles, but we are accustomed to the use of whole bread and we know how to make such bread of good quality. If further proof were needed, this war experiment on such a large scale has demonstrated that bran is excellent food.
These findings agree with those of Osborne and Mendel. These investigators found that bran is a very good food for rats, and that mixed with white flour it can take the place of meat and eggs. Their results lead me to conclude - if may be permitted to apply results obtained on rats to human beings - that: As bran can replace meat and eggs, man should eat whole bread and not so much of the more costly foods. Mendel concludes contrariwise: As people eat enough of meat and eggs "no practical advantage on this score can be expected by converting the entire grain into flour". In my opinion Mendel not only overlooks the economical question, but also that there are good reasons for believing that a diet composed mostly of meat, eggs and white bread - a common diet of the well-to-do - is far from being a healthful diet. Even in the case of rats, a meat diet seems eventually to be harmful. Although rats can thrive quite well on a meat diet - which man cannot do - the young of meat fed rats seldom survive. The fact of the matter is that it is claimed that rats, like human beings, will not choose an exclusive meat diet from natural instinct. That statement does not, however, apply to the rat. Watson says, on the basis of his numerous experiments on rat feeding: "I have never seen a young rat which would look at porridge or milk if meat was available." I have seen 'human' rats who would not eat porridge when beefsteak was available! And we know that beef, in large amount, is not good for either man or rat.
While not all readers will agree with what I have said, no one can dispute the fact that the people of Denmark have no cause to regret that during the war their diet consisted mostly of milk, vegetables and bran. If Central Europe had adopted a similar diet, I doubt that any one would have starved. It seems to me, however, that the German scientists, as represented by Rubner, have not learned anything from the war. Rubner writes about the "necessity of bringing the supply of live stock up to the pre-war basis. ... From what I have stated, it follows that meat products must again form an adequate proportion of our diet." Rubner wants an abundance of meat in order that the people can be "aufgefüttert". I do not agree with him. The people must first have bread, potatoes and cabbage in sufficient quantity, and then some milk. Meat is the last requirement to be met. If the people must wait until pigs and cattle have sufficient food, they will die of starvation one year before they get an abundance of meat.
Source: Journal of the American Medical Association (JAMA), Feb. 7. 1920, Volume 74, Number 6.