Ganapathy S N, Booker L K, Craven R, Edwards C H
J Am Diet Assoc. 1981 May;78(5):490-7.
In summary, the ingestion by adult men of an all-plant diet supplying 46 gm. protein per day, primarily as bread made from white wheat four, over a period of 74 days, resulted in positive balances for copper, iron, molybdenum, selenium, and zinc. Iron balances were significantly decreased by the isonitrogenous substitution of pinto beans or peanut butter for 20 percent of the nitrogen supplied by white bread. When pinto beans or white rice substituted for 20 percent of the nitrogen of white bread, the retention of molybdenum was lower and the retention of selenium was greater. Although the men were nitrogen balance and total plasma protein concentrations were normal, the ingestion of diets providing 46 gm. protein, from all-plant sources resulted in significantly lower plasma albumin, with corresponding elevations in alpha, beta and gamma globulins. However, the substitution of pinto beans for a portion of the white bread improved plasma albumin and alpha-globulin levels. Routine clinical data obtained on patients who previously consumed strictly vegetarian diets should include determinations of plasma albumin. The ability of the subjects to maintain nitrogen balance on protein intakes of 46 gm. per day from all-plant sources appeared to be correlated with decreases in the urinary excretion and plasma concentration of alpha-aminobutyric acid, a metabolite of methionine and threonine, suggesting conservation of methionine or re-utilization of this metabolite. The possible mechanism of this adaptation to minimal protein intake, or dietary protein from all-plant sources, is discussed.
总之,成年男性连续74天摄入以白小麦粉制成的面包为主、每天提供46克蛋白质的全植物性饮食,结果铜、铁、钼、硒和锌均呈正平衡。用斑豆或花生酱等量替代白面包提供的20%氮时,铁平衡显著下降。当用斑豆或白米替代白面包20%的氮时,钼的潴留量降低,而硒的潴留量增加。尽管这些男性氮平衡正常且血浆总蛋白浓度正常,但摄入来自全植物性来源的46克蛋白质饮食会导致血浆白蛋白显著降低,同时α、β和γ球蛋白相应升高。然而,用斑豆替代部分白面包可改善血浆白蛋白和α球蛋白水平。对以前严格食用素食的患者进行的常规临床数据应包括血浆白蛋白的测定。受试者从全植物性来源每天摄入46克蛋白质时维持氮平衡的能力,似乎与甲硫氨酸和苏氨酸的代谢产物α-氨基丁酸的尿排泄量和血浆浓度降低有关,这表明甲硫氨酸得到了保存或该代谢产物得到了再利用。本文讨论了这种对最低蛋白质摄入量或全植物性来源膳食蛋白质的适应的可能机制。