Robert McCance
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Robert Alexander McCance, CBE, FRS (9 December 1898 in
Ulster Ulster (; or ; or ''Ulster'') is one of the four traditional or historic provinces of Ireland, Irish provinces. It is made up of nine Counties of Ireland, counties: six of these constitute Northern Ireland (a part of the United Kingdom); t ...
– 3 March 1993 in
Cambridge Cambridge ( ) is a List of cities in the United Kingdom, city and non-metropolitan district in the county of Cambridgeshire, England. It is the county town of Cambridgeshire and is located on the River Cam, north of London. As of the 2021 Unit ...
) was a British paediatrician,
physiologist Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a subdiscipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out chemical and ...
,
biochemist Biochemists are scientists who are trained in biochemistry. They study chemical processes and chemical transformations in living organisms. Biochemists study DNA, proteins and Cell (biology), cell parts. The word "biochemist" is a portmanteau of ...
and
nutritionist A nutritionist is a person who advises others on matters of food and Human nutrition, nutrition and their impacts on health. Some people specialize in particular areas, such as sports nutrition, public health, or animal nutrition, among other disci ...
and was the first Professor of Experimental Medicine at the
University of Cambridge The University of Cambridge is a Public university, public collegiate university, collegiate research university in Cambridge, England. Founded in 1209, the University of Cambridge is the List of oldest universities in continuous operation, wo ...
.


Life

Born in Ulster, the son of a linen merchant, he was educated at St. Bees School, before wartime service in the
Royal Naval Air Service The Royal Naval Air Service (RNAS) was the air arm of the Royal Navy, under the direction of the Admiralty (United Kingdom), Admiralty's Air Department, and existed formally from 1 July 1914 to 1 April 1918, when it was merged with the British ...
flying an observation aircraft from the warship HMS Indomitable. From 1919 he read Natural Sciences at
Cambridge University The University of Cambridge is a Public university, public collegiate university, collegiate research university in Cambridge, England. Founded in 1209, the University of Cambridge is the List of oldest universities in continuous operation, wo ...
, after an initial start on the Agriculture course. In 1925 he went on to study medicine at King's College Hospital in London. While studying with R. D. Lawrence at his diabetic clinic and McCance became interested in diabetes, particularly in one of the complications of
diabetic coma Diabetic coma is a life-threatening but reversible form of coma found in people with diabetes mellitus. Three different types of diabetic coma are identified: #Severe diabetic hypoglycemia, low blood sugar in a diabetic person #Diabetic ketoac ...
,
sodium chloride Sodium chloride , commonly known as Salt#Edible salt, edible salt, is an ionic compound with the chemical formula NaCl, representing a 1:1 ratio of sodium and chloride ions. It is transparent or translucent, brittle, hygroscopic, and occurs a ...
(salt) deficiency. He then began a scientific career in the study of nutrition.


Career

Remaining at Kings College in the 1930s, McCance conducted research on himself, studying the physiological effects of salt. He would use volunteers who would eat a salt free diet, and lie sweating under heat lamps for two hours a day for 10 days, to remove salt from the body, and become salt deficient. This would lead to suffering in the volunteers including
cramp A cramp is a sudden, involuntary, painful skeletal muscle contraction or overshortening associated with electrical activity. While generally temporary and non-damaging, they can cause significant pain and a paralysis-like immobility of the aff ...
s and
shortness of breath Shortness of breath (SOB), known as dyspnea (in AmE) or dyspnoea (in BrE), is an uncomfortable feeling of not being able to breathe well enough. The American Thoracic Society defines it as "a subjective experience of breathing discomfort that con ...
as well as
anorexia Anorexia nervosa (AN), often referred to simply as anorexia, is an eating disorder characterized by Calorie restriction, food restriction, body image disturbance, fear of gaining weight, and an overpowering desire to be thin. Individuals wit ...
and
nausea Nausea is a diffuse sensation of unease and discomfort, sometimes perceived as an urge to vomit. It can be a debilitating symptom if prolonged and has been described as placing discomfort on the chest, abdomen, or back of the throat. Over 30 d ...
. This led to further research which established that infants with salt deficiency, excreted little salt. A later line of research, initiated with a patient who had polycythaemia rubra vera led to research which established that the amount of iron in the body is regulated, not by intestinal excretion as had been taught, but by controlled absorption. With colleague H. Shipp, he published ''The Chemistry of Flesh Foods and their Losses on Cooking'' in 1933. In 1936, he delivered the Goulstonian Lecture to the Royal College of Physicians, on the subject of ''Medical problems in mineral metabolism'', the keystone based on his research on salt deficiency. In 1938, at the invitation of J. A. Ryle, he was promoted to Reader and moved to
Cambridge Cambridge ( ) is a List of cities in the United Kingdom, city and non-metropolitan district in the county of Cambridgeshire, England. It is the county town of Cambridgeshire and is located on the River Cam, north of London. As of the 2021 Unit ...
. He wrote the long-standard text and reference book ''The Chemical Composition of Foods'' in 1940 in collaboration with his colleague Elsie Widdowson. Their work became known as the basis for modern Western nutritional thinking, with editions in print from 1940 to 2002. McCance and Widdowson played a leading part in wartime rationing and 1940s government nutrition efforts. Research conducted by McCance led to the introduction of the National Loaf when he conducted research into the absorption and excretion of
calcium Calcium is a chemical element; it has symbol Ca and atomic number 20. As an alkaline earth metal, calcium is a reactive metal that forms a dark oxide-nitride layer when exposed to air. Its physical and chemical properties are most similar to it ...
and other nutrients, which led to a long series of metabolic studies. This research described the result, which shown that
phytate Phytic acid is a six-fold dihydrogenphosphate ester of inositol (specifically, of the ''myo'' isomer), also called inositol hexaphosphate, inositol hexakisphosphate (IP6) or inositol polyphosphate. At physiological pH, the phosphates are partia ...
in brown flour interfered with calcium absorption, which could be mitigated by adding
calcium carbonate Calcium carbonate is a chemical compound with the chemical formula . It is a common substance found in Rock (geology), rocks as the minerals calcite and aragonite, most notably in chalk and limestone, eggshells, gastropod shells, shellfish skel ...
to the bread mix during preparation.. This led to legislation, which is still in effect today, which ensures that
chalk Chalk is a soft, white, porous, sedimentary carbonate rock. It is a form of limestone composed of the mineral calcite and originally formed deep under the sea by the compression of microscopic plankton that had settled to the sea floor. Ch ...
is added to the bread mix, to ensure sufficient calcium uptake. After the war, in 1945 a personal chair was created for him and he became the first professor of experimental medicine in the UK. He was later the director of the Medical Research Council's infantile malnutrition unit in
Kampala Kampala (, ) is the Capital city, capital and largest city of Uganda. The city proper has a population of 1,875,834 (2024) and is divided into the five political divisions of Kampala Central Division, Kampala, Kawempe Division, Kawempe, Makindy ...
,
Uganda Uganda, officially the Republic of Uganda, is a landlocked country in East Africa. It is bordered to the east by Kenya, to the north by South Sudan, to the west by the Democratic Republic of the Congo, to the south-west by Rwanda, and to the ...
. He was elected a
Fellow of the Royal Society Fellowship of the Royal Society (FRS, ForMemRS and HonFRS) is an award granted by the Fellows of the Royal Society of London to individuals who have made a "substantial contribution to the improvement of natural science, natural knowledge, incl ...
in 1948, and appointed CBE in 1953. He died on 5 March 1993 in
Cambridge Cambridge ( ) is a List of cities in the United Kingdom, city and non-metropolitan district in the county of Cambridgeshire, England. It is the county town of Cambridgeshire and is located on the River Cam, north of London. As of the 2021 Unit ...
.


Awards and honours

* James Spence Gold Medal, Royal College of Paediatrics and Child Health


References

{{DEFAULTSORT:McCance, Robert 1898 births 1993 deaths Food scientists People educated at St Bees School Royal Naval Air Service aviators Fellows of the Royal Society Commanders of the Order of the British Empire Recipients of the James Spence Medal