• Title/Summary/Keyword: dietary balance

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케톤음료를 보충한 저탄수화물·고지방식이 섭취가 치매고위험 노인의 인지기능 및 신체활동 능력 변화에 미치는 영향 (Effects of Low-carbohydrate and High-fat Diet Supplemented with Ketogenic Drink on Cognitive Function and Physical Performance in the Elderly at High Risk for Dementia)

  • 김은지;박정식;최원선;박유경
    • 대한지역사회영양학회지
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    • 제24권6호
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    • pp.525-534
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    • 2019
  • Objectives: Reduced glucose utilization in the main parts of the brain involved in memory is a major cause of Alzheimer's disease, in which ketone bodies are used as the only and effective alternative energy source of glucose. This study examined the effects of a low-carbohydrate and high-fat (LCHF) diet supplemented with a ketogenic nutrition drink on cognitive function and physical activity in the elderly at high risk for dementia. Methods: The participants of this study were 28 healthy elderly aged 60-91 years showing a high risk factor of dementia or whose Korean Mini-Mental State Examination (K-MMSE) score was less than 24 points. Over 3 weeks, the case group was given an LCHF diet with nutrition drinks consisting of a ketone/non-ketone ratio of 1.73:1, whereas the control group consumed well-balanced nutrition drinks while maintaining a normal diet. After 3 weeks, K-MMSE, body composition, urine ketone bodies, and physical ability were all evaluated. Results: Urine ketone bodies of all case group subjects were positive, and K-MMSE score was significantly elevated in the case group only (p=0.021). Weight and BMI were elevated in the control group only (p<0.05). Grip strength was elevated in all subjects (p<0.01), and measurements of gait speed and one leg balance were improved only in the case group (p<0.05). Conclusions: We suggest that adherence to the LCHF diet supplemented with a ketogenic drink could possibly influence cognitive and physical function in the elderly with a high risk factor for dementia. Further, we confirmed the applicability of this dietary intervention in the elderly based on its lack of any side effects or changes in nutritional status.

한국 노인의 쌀 섭취와 대사위험지표에 관한 연구: 근육량 중심으로 (Study on White Rice Consumption and Metabolic Risk Factor in Korean Elderly: Focused on Muscle Mass)

  • 오초롱;노재경
    • 한국조리학회지
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    • 제21권5호
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    • pp.147-159
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    • 2015
  • 한국인의 주식인 쌀 중심의 식사패턴은 다양한 식품군의 섭취와 영양의 균형을 얻을 수 있는 장점을 가지고 있다. 따라서 본 연구에서는 노화과정에서 생리적 기능 저하에 따른 노인기 쉽게 야기될 수 있는 영양의 불균형으로 인한 영양결핍이 쌀을 중심으로 한 식사 패턴이 노인기 근육량에 미치는 영향에 대해 살펴보고자 하였다. 본 연구 대상자는 2010년 제5기 국민건강영양조사 자료를 이용한 60세 이상 노인 남녀 각각 658명, 775명을 대상으로 연구하였다. 연구 결과로 특히 남성의 경우, 결혼 및 배우자 유무 그리고 교육 수준에 따라 쌀의 섭취량에 유의적 차이가 있음을 알 수 있었다. 본 연구의 흥미로운 점은 노인기 남녀 모두 쌀 섭취량이 높을수록 더 높은 근육량을 보여주었다. 또한 쌀 섭취가 높을수록 육류 섭취가 낮았고, 다른 곡물, 면류, 만두류, 밀 및 빵에 대한 섭취가 남녀 모두 낮았다. 노인기의 식사패턴에서 쌀 섭취량의 증가가 근감소와 대사관련 위험 요인에 대한 위험도를 낮추어 주었다. 그러나 쌀 섭취량과 포도당 대사의 위험성에 대한 결과는 유의한 차이를 나타내지 않았다. 본 연구의 결과를 통해 노인기에 충분한 쌀 섭취를 통한 식사 패턴은 근감소와 대사증의 위험 지표에 영향을 미친다는 것을 살펴볼 수 있었다.

여대생의 체지방률에 따른 식이섭취와 혈중지질농도, 철분지표 및 항산화능 (Dietary Intake, Serum Lipids, Iron Index and Antioxidant Status by Percent Body Fat of Young Females)

  • 배현숙
    • 대한지역사회영양학회지
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    • 제13권3호
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    • pp.323-333
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    • 2008
  • The aim of this study was to measure and compare nutrient intake, anthropometric measurements and serum indices by percent body fat as one of the index of obesity degree in female college students. Additionally we attempted to investigate percentile distribution of fat free mass index (FFMI) and fat mass index (FMI) for developing reference values for these two parameters. The subjects were 91 female college students who were classified to 4 groups according to the percentile of percent body fat (Group1: 25 th < percentile of percent body fat, Group 2 : 25 th ${\le}$ percentile of percent body fat < 50 th, Group 3 : 50 th ${\le}$ percentile of percent body fat < 75 th, Group 4 : percentile of percent body fat ${\ge}$ 75 th). The mean percent body fat and body mass index were 28.2%, $20.5 kg/m^2$ respectively. The mean energy intake was 1707 kcal(81% of KDRIs) and vitamin C, folate, Ca and Zn intake were 73.9%, 54.7%, 79.6%, 97.5% of KDRIs respectively. Most nutrient intake (energy, carbohydrate, cholesterol, fatty acid, Ca, Fe) of G4 was lower than that of G1, G2 and G3. Serum HDL-cholesterol concentration was significantly lower in G4 than G1, G2, G3 and it tended to increase as percent body fat decreased. LDL/HDL, A1 of G4 were significantly the highest among the 4 groups and increased as percent body fat increased. The mean fat free mass index and fat mass index were $14.5 kg/m^2$, $6.0 kg/m^2$ respectively. The criteria of sarcopenic obesity which has been defined as under 25 th percentile of FFMI and below 75 th percentile of FMI were shown $12.8 kg/m^2$, $8.2 kg/m^2$ respectively in this study. In conclusion, we should continue to more systematically research on the studies of new obesity measurement which includes FFMI and FMI as one of the variables. And the public education for weight control that emphasizes both the understanding of body composition and the importance of nutrition balance is also required.

양질의 계란 생산전략 I. 난각과 난각색형성 (A Strategy for Quality Poultry Egg Production I. Eggshell Strength and Pigmentation)

  • 남기홍
    • 한국가금학회지
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    • 제27권2호
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    • pp.115-132
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    • 2000
  • 본 장에서는 양질의 계란생산에 필요한 난각과 난각색의 형성에 관해서 언급하였다. 강한 난각의 형성은 난각을 이루는 내적인 요인들 (큐티클층, 진각, 난각층의 조직)과 소화기, 난각형성에 관여하는 각종 체내 분비선, 신장, 호르몬 등의 적정기능에 의하여 결정된다. 병아리가 성성숙에 달하면 골수골은 산란계가 난각의 형성이 정점에 달했을 때를 대비 할 수 있는 정도가 되어야 한다. 난각이 형성되는데 중요한 기능을 갖는 요인들로는 산란계 사료중의 칼슘원, 산란계사료 중의 칼슘과 인의 비율, 비타민 D의 적정수준, 체액중의 각종 무기물 균형, 기타 영양소 수준들을 들 수 있다. 또 생리적, 환경적인 요인들과 산란계의 나이나 산란계사의 온도와 습도, 산란계의 계통, 질병, 계사에서 알의 수집부터 수송에 이르기까지의 각종 관리형태 등은 계한이 생산자에서부터 소비자에 이르기까지 여러 단계에서 나타나는 각종 난각 파괴의 요인이 된다. 난각에 나타나는 색소에 관여되는 요인들로는 protoporphyrin-IX, biliverdin-IX, 아연 등이 함유된 킬레이트와 때로 적은 양이 관여하기는 하지만 coproporphyrin-III 등이 포함된다. 그러나 이러한 요인들이 난각색의 형성에 관여하는 데에는 산란계의 연령, 질병, 약품 첨가 여부, 난각 형성도 중 난각 표면의 손상 여부 등 여러 가지가 관여된다.

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고학력 기혼여성의 취업여부별 영양소 섭취로 본 식사의 질 평가 (Evaluation of Diet Quality according to Nutrient Intake between Highly Educated, Married, Unemployed and Employed Women)

  • 최지현;정영진
    • Journal of Nutrition and Health
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    • 제39권2호
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    • pp.160-170
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    • 2006
  • This study was conducted to provide foundation data for making health care policy for married women by assessing the dietary intake between highly educated married, employed and unemployed women. It is a direct interview, cross-sectional study with 24-hour recall method for one day. In selecting the subjects for this study, married, unemployed women were selected from a certain area (Daedeok Science Town) in Daejeon where there are high rates of highly educated women, and the married, employed women were selected from the teaching profession in order to avoid confounding due to including a variety of jobs. According to the Korean Standard Classification of Occupations, teaching is the representational occupation of highly educated, married women. Then, to prevent confounding due to age, we selected the subjects out of each age group at the same rate through random sampling. Women who had not graduated college, worked only part-time, or had no current spouse were excluded. As a result, 486 highly-educated, married, unemployed (250) and employed (236) women were used for analyzing data. The unemployed women consumed a higher amount of fat, cholesterol, sodium, vitamin C and folic acid while the employed women consumed a higher amount of iron, vitamin $B_l$ and vitamin $B_2$. P/M/S ratio being 1/1.18/1.05 and 1/1.05/0.87, for the unemployed women and the employed women, respectively, unemployed respondents had a higher saturated fat intake than those of employed. It is in excess of the standard ratio (1/1/1) of the Korean RDA. At the same time, in unemployed respondents the percent of energy intake from fat (24.8%, 23.2%) and animal fat (12.4%, 11.4%) were higher than those of employed respondents. The mean daily nutrient intake of calcium, zinc, and iron for both groups of respondents were lower than the Korean RDA. Both groups had phosphorus as the highest nutrient and calcium as the lowest nutrient of INQ (Index of Nutritional Quality) while nutrients with the INQ being less than 1 were calcium and iron. To sum up, the following conclusions can be made: Nutrition education and guidance for reduction of the intake of fat, especially animal fat, are necessary for unemployed women. In addition, highly educated, married, unemployed and employed women should increase the consumption of foods rich in iron and calcium to prevent anemia and osteoporosis, while decreasing the intake of phosphorus to balance proportions of calcium and phosphorus.

Evaluating and predicting net energy value of wheat and wheat bran for broiler chickens

  • Ning, Ran;Cheng, Zichen;Liu, Xingbo;Ban, Zhibin;Guo, Yuming;Nie, Wei
    • Animal Bioscience
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    • 제35권11호
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    • pp.1760-1770
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    • 2022
  • Objective: It is crucial to accurately determine the net energy (NE) values of feed ingredients because the NE system is expected to be applied to the formulation of broilers feed. The NE values of 5 wheat and 5 wheat brans were determined in 12-to 14-day old Arbor Acres (AA) broilers with substitution method and indirect calorimetry method. Methods: A total of 12 diets, including 2 reference diets (REF) and 10 test diets (5 wheat diets and 5 wheat bran diets) containing 30% of test ingredients, were randomly fed to 864 male AA birds with 6 replicates of 12 birds per treatment. These birds were used to determine metabolizable energy (ME) (8 birds per replicate) in the chicken house and NE (4 birds per replicate) in the chamber respectively at the same time. After a 4-d dietary and environment adaptation period, growth performance, energy values, energy balance and energy utilization were measured during the following 3 d. Multiple linear regression analyses were further performed to generate prediction equations for NE values based on the chemical components and ME values. The NE prediction equation were also validated on another wheat diet and another wheat bran diet with high correlation (r = 0.98, r = 0.75). Results: The NE values of 5 wheat and 5 wheat bran samples are 9.34, 10.02, 10.27, 11.33, and 10.49 MJ/kg, and 5.37, 5.17, 4.87, 5.06, and 4.88 MJ/kg DM, respectively. The equation with the best fit were NE = 1.968AME-0.411×ADF-14.227 (for wheat) and NE = -0.382×CF-0.362×CP-0.244×ADF+20.870 (for wheat bran). Conclusion: The mean NE values of wheat and wheat bran are 10.29 and 5.07 MJ/kg DM in AA broilers. The NE values of ingredients could be predicted by their chemical composition and energy value with good fitness.

Calcium chloride is a better calcium source rather than calcium carbonate for weanling pigs

  • JunYoung, Mun;ChangBeon, Lee;Abdolreza, Hosseindoust;SangHun, Ha;Habeeb, Tajudeen;JinSoo, Kim
    • Journal of Animal Science and Technology
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    • 제64권5호
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    • pp.871-884
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    • 2022
  • Two experiments were conducted to evaluate the effects of calcium (Ca) levels in weanling pigs (Landrace × Yorkshire × Duroc). In experiment 1, one hundred and eighty weanling pigs were randomly allotted to one of the three treatments. The treatments were low (Ca 0.60% in phase 1 and 0.50% in phase 2), standard (Ca 0.72% in phase 1 and 0.66% in phase 2), and high (Ca 0.84% in phase 1 and 0.72% in phase 2). In experiment 2, hundred and forty weanling pigs were randomly assigned to one of four treatments differing in Ca levels (high and low) and sources (CaCl2 and CaCO3) in a 2 × 2 factorial arrangement. There were 10 pigs per replicate in both experiments, with 6 replicates in each treatment, and they were conducted in two phases (phase 1, days 0-14; phase 2, days 15-28). In experiment 1, body weight (BW), average daily gain (ADG), and growth to feed ratio (G/F) increased as the Ca level decreased (p < 0.05). P digestibility was higher in the low-Ca diet group than in the high-Ca diet group (p <0.05). In experiment 2, the final BW, ADG, and G/F increased in the CaCl2 diet group compared with the case in the CaCO3 diet group (p < 0.05). The digestibility of crude protein (CP), Ca, and P was higher in the CaCl2 diet group than in the CaCO3 diet group (p < 0.05). Cl- levels were higher in the CaCl2 diet group than in the CaCO3 diet group (p < 0.05). The bicarbonate (HCO3-), base excess (BE), and electrolyte balance (EB) levels were lower in the CaCl2 diet group than in the CaCO3 diet group (p < 0.05). Hematocrit increased as the Ca level decreased (p < 0.05). The HCO3- interacted with the Ca sources and thus, affected the Ca levels (p < 0.05). Bone ash, Ca, and P were downregulated in the low-Ca diet group compared with the case in the high-Ca diet group. Overall, the low dietary Ca supplementation led to greater growth performance. Furthermore, CaCl2 appeared to be a better Ca source than CaCO3 because of the greater digestibility of CP, Ca, and P, and improved EB.

북한이탈주민의 식사의 질 평가: 성인 영양지수를 기반으로 (Assessment of diet quality of adults from North Korea: using nutrition quotient (NQ) for Korean adults)

  • 권새별;김경남;신문경
    • Journal of Nutrition and Health
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    • 제56권2호
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    • pp.217-230
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    • 2023
  • 본 연구는 성인영양지수 조사지를 바탕으로 북한이탈주민의 전반적인 식사의 질을 평가하고자 진행되었다. 특히 연령대별 식품 섭취 빈도와 식습관 및 식행동, 영양 지수의 차이를 분석하였다. 대상자는 서울 및 경기 일부 지역의 만 19-64세 성인 166명을 대상으로 진행되었으며 각 연령대별로 20대 41명, 30대 41명, 40대 41명, 50대이상 43명으로 연령대를 평준화하였다. 연령대가 낮을수록 라면, 패스트푸드, 과자 (초콜릿, 사탕 포함), 달거나 기름진 빵 (케이크, 도넛, 단팥빵 등), 가당 음료 등 고에너지 식품 섭취 빈도와 외식, 야식 섭취 비율이 높은 것으로 나타났다. 또한 20대 연령대에서 총점 NQ, 절제 영역 총 점수가 낮고 등급은 '하'로 판정된 비율이 높았다. 50대 연령대에서 절제영역의 점수가 높게 나타난 원인은 라면, 패스트푸드, 과자, 달거나 기름진 빵, 가당 음료 등과 같은 고에너지 식품 섭취 빈도도 낮기 때문인데, 이는 이 집단이 절제력있는 식사를 하고 있는 것으로 비춰질 수도 있으나 중년층에서 패스트푸드, 라면과 같은 식품의 기호도가 낮아 아예 섭취 고려 대상이 아니라는 점에 주목해야 한다. 본 연구에서 주목해야 할 점은 연령이 낮을수록 식사의 질이 매우 열악하게 나타나 식사의 질 개선을 위한 맞춤형 영양 교육 프로그램 개발 및 보급의 필요성을 시사한다. 이에 본 연구의 결과와 시사점이 북한이탈주민의 건강 증진을 위한 영양 교육과 이를 위한 정책 마련의 기초자료로 활용되기를 기대한다.

커뮤니티케어 대상 노인의 NQ-E 지수 기반 개별영양상담 효과성: 복합만성질환과 삶의 질 개선에 관한 중재 연구 (Effectiveness of NQ-E index-based individual nutrition counseling for community-care elderly: an intervention study on improving nutritional status, complex chronic diseases, and quality of life )

  • 최윤정;이지현;임희숙;박유경
    • 대한지역사회영양학회지
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    • 제28권6호
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    • pp.480-494
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    • 2023
  • Objectives: This study sought to assess the effectiveness of community-based nutrition counseling on improving nutritional status, managing complex chronic diseases, and enhancing the quality of life for elderly individuals with chronic conditions, particularly in older adults with high levels of food insecurity and multiple chronic illnesses. Methods: Thirty elderly subjects with diabetes and hypertension who were registered at local Senior Welfare Center received individualized nutrition counseling, based on their Nutrition Quotient for the Elderly (NQ-E) index. Over a 16-week period, they received tailored counseling and underwent various health and nutritional assessments. The final analysis included 28 participants after two dropped out. Data analysis was conducted using the SPSS v28.0. Results: The subjects were over 70, with multiple chronic diseases including diabetes and hypertension and predominantly female. After 16 weeks, significant improvements were observed in the subjects' grip strength, and HbA1c levels, as well as in their NQ-E scores, indicating improved dietary balance and diversity. There were no significant improvements in the 'Moderation' subdomain of the NQ-E index, suggesting that this aspect requires further attention in nutritional counseling. The subjects' nutritional risk scores (NSI) were also significantly decreased, indicating less nutritional risk. Lastly, as measured by the SF-36K, the subjects' quality of life showed significant improvement in several domains including physical role performance and social function. Conclusions: This study demonstrates that tailored nutrition counseling, based on the NQ-E index, can improve elderly health, manage chronic diseases, and enhance quality of life. This approach potentially broadens the scope of community nutritionists' roles within an aging society. However, additional research is necessary to evaluate these interventions' long-term effects and sustainability.

Nutrient Utilization, Body Composition and Lactation Performance of First Lactation Bali Cows (Bos sondaicus) on Grass-Legume Based Diets

  • Sukarini, I.A.M.;Sastradipradja, D.;Sutardi, T.;Mahardika, IG.;Budiarta, IG.A.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권12호
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    • pp.1681-1690
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    • 2000
  • A study on energy and protein utilization, and milk production of Bali cows on grass-legume diets was carried out using 12 first lactation cows (initial BW $263.79{\pm}21.66kg$) during a period of 16 weeks starting immediately post calving. The animals were randomly allotted into 4 dietary treatment groups R1, R2, R3 and R4, receiving from the last 2 months of pregnancy onwards, graded improved rations based on a mixture of locally available grass and legume feed ad libitum. R1 contained on a DM basis 70% elephant grass (PP, Penisetum purpureum) plus 30% Gliricidia sepia leaves (GS), R2 was 30% PP plus 55% GS supplemented with 15% Hibiscus tilliactus leaves (HT, defaunating effect), R3 and R4 were 22.5% PP+41.25% GS+11.25% HT+25% concentrate, where R3 was not and R4 supplemented with zinc di-acetate. TDN, CP and zinc contents of the diets were 58.2%, 12.05% and 18.3 mg/kg respectively for R1, 65.05%, 16.9% and 25.6 mg/kg respectively for R2, 66.03%, 16.71% and 29.02 mg/kg respectively for R3 and 66.03%, 16.71% and 60.47 mg/kg respectively for R4. Milk production and body weight were monitored throughout the experimental period. In vivo body composition by the urea space technique validated by the body density method and supported by carcass data was estimated at the start and termination of the experiment. Nutrient balance and rumen performance characteristics were measured during a balance trial of 7 days during the 3rd and 4th week of the lactation period. Results indicated that quality of ration caused improvement of ruminal total VFA concentration, increments being 52 to 65% for R2, R3 and R4 above R1, with increments of acetate being less (31 to 48%) and propionate being proportionally more in comparison to total VFA increments. Similarly, ammonia concentrations increased to 5.24 to 7.07 mM, equivalent to 7.34 to 9.90 mg $NH_3-N/100ml$ rumen fluid. Results also indicated that feed quality did not affect DE and ME intakes, and heat production (HP), but increased GE, UE, energy in milk and total retained energy (RE total) in body tissues and milk. Intake-, digestible- and catabolized-protein, and retained-protein in body tissues and milk (Rprot) were all elevated increasing the quality of ration. Similar results were obtained for milk yield and components with mean values reaching 2.085 kg/d (R4) versus 0.92 kg/d (R1) for milk yield, and 170.22 g/d (R4) vs 71.69 g/d (R1), 105.74 g/d (R4) vs 45.35 g/d (R1), 101.34 g/d (R4) vs 46.36 g/d (R1) for milk-fat, -protein, and -lactose, respectively. Relatively high yields of milk production was maintained longer for R4 as compared to the other treatment groups. There were no significant effects on body mass and components due to lactation. From the relationship $RE_{total}$ (MJ/d)=12.79-0.373 ME (MJ/d); (r=0.73), it was found that $ME_{m}=0.53MJ/kgW^{0.75}.d$. Requirement of energy to support the production of milk, ranging from 0.5 to 3.0 kg/d, follows the equation: Milk Prod. ($Q_{mp}$, kg/d)=[-2.48+4.31 ME($MJ/kg^{0.75}.d$)]; (r=0.6) or $Q_{mp}$=-3.4+[0.08($ME-RE_{body\;tissue}$)]MJ/d]; (r=0.94). The requirement for protein intake for maintenance ($IP_m$) equals $6.19 g/kg^{0.75}.d$ derived from the relationship RP=-47.4+0.12 IP; (r=0.74, n=9). Equation for protein requirement for lactation is $Q_{nl}$=[($Q_{mp}$)(% protein in milk)($I_{mp}$)]/100, where $Q_{nl}$ is g protein required for lactation, $Q_{mp}$ is daily milk yield, Bali cow's milk-protein content av. 5.04%, and $I_{mp}$ is metabolic increment for milk production ($ME_{lakt}/ME_{m}=1.46$).