A simple technique to estimate severity of stress

A simple procedure to estimate stress has been developed based upon 24 hour urine urea nitrogen excretion. This catabolic index partitions total urea excretion into that resulting from dietary protein intake and obligatory urea excretion and that due to an increase in endogenous protein catabolism: catabolic index equals 24 hour urine urea nitrogen excretion - (0.5 dietary nitrogen intake + 3 grams) where an index of less than zero represents no significant stress; an index of zero to 5, moderate stress, and an index greater than 5, severe stress. In 111 persons, significant differences were noted in the catabolic index, reflecting varying degrees of stress, nutrient intake and nutritional status. The catabolic index may have useful diagnostic and treatment applications.