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Military Strategies for Sustainment of Nutrition and Immune Function in the Field

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Size: 722 pages, 6 x 9

Publication Year:1999


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ISBN-10: 0-309-06345-0
ISBN-13: 978-0-309-06345-6
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Authors:
Committee on Military Nutrition Research, Institute of Medicine
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Description:
Every aspect of immune function and host defense is dependent upon a proper supply and balance of nutrients. Severe malnutrition can cause significant alteration in immune response, but even subclinical deficits may be associated with an impaired immune response, and ...
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Table of Contents
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Front Matter i-xiv  
Executive Summary 1-16 (skim)
I Committee Summary, Responses to Questions, Conclusions, and Recommendations 17-18 (skim)
1 A Review of the Role of Nutrition in Immune Function 19-98 (skim)
2 Committee Responses to Questions 99-124 (skim)
3 Committee Conclusions and Recommendations 125-135 (skim)
II Stage Setting: The Military Situation 137-138 (skim)
4 Why is the Army Interested in Nutrition and Immune Function? 139-162 (skim)
5 Physiological and Immunological Impact of U.S. Army Special Operations Training: A Model for the Assessment of Nutritional Intervention Effects on Temporary Immunosuppression 163-184 (skim)
6 Immune Function Studies During the Ranger Training Course of the Norwegian Military Academy 185-202 (skim)
III Introduction to Immune Function 203-204 (skim)
7 Nutrition and Immune Responses: What Do We Know? 205-220 (skim)
8 Cytokines and Nutritional Status: Possible Correlations and Investigations 221-232 (skim)
IV Assessment 233-234 (skim)
9 Methodological Issues in Assessment of Human Immune Function 235-248 (skim)
10 Application of Whole-Blood Cultures to Field Study Measurements 249-262 (skim)
V Nutrition 263-264 (skim)
11 Glutamine 265-278 (skim)
12 Vitamin A and Immune Function 279-288 (skim)
13 Vitamin E, Vitamin C, and Immune Response: Recent Advances 289-304 (skim)
14 Fatty Acids and Immune Functions 305-316 (skim)
15 Iron Metabolism, Microbial Virulence, and Host Defenses 317-336 (skim)
16 Trace Minerals, Immune Function, and Viral Evolution 337-359 (skim)
VI Health and Stress 361-362 (skim)
17 Exercise, Infection, and Immunity: Practial Applications 363-390 (skim)
18 Neuroendocrine Consequences of Systemic Inflammation 391-408 (skim)
19 Inflammatory Stress and the Immune System 409-436 (skim)
20 Chronobiology of the Immune System 437-496 (skim)
21 Conclusion: Militarily Important Issues Identified in this Report 497-508 (skim)
Appendixes 509-510 (skim)
Appendix A: Overview of the Immune System and Other Host Defense Mechanisms 511-526 (skim)
Appendix B: Glossary of Immunological Terms 527-536 (skim)
Appendix C: Overview of Immune Assessment Tests 537-542 (skim)
Appendix D: Emerging Infections, Nutritional Status, and Immunity 543-552 (skim)
Appendix E: Workshop Agenda 553-558 (skim)
Appendix F: Biographical Sketches 559-574 (skim)
Appendix G: Acronyms and Abbreviations 575-580 (skim)
Appendix H: Nutrition and Immune Function: A Selected Bibliography 581-656 (skim)
Index 657-708 (skim)

Description

Every aspect of immune function and host defense is dependent upon a proper supply and balance of nutrients. Severe malnutrition can cause significant alteration in immune response, but even subclinical deficits may be associated with an impaired immune response, and an increased risk of infection. Infectious diseases have accounted for more off-duty days during major wars than combat wounds or nonbattle injuries. Combined stressors may reduce the normal ability of soldiers to resist pathogens, increase their susceptibility to biological warfare agents, and reduce the effectiveness of vaccines intended to protect them. There is also a concern with the inappropriate use of dietary supplements.

This book, one of a series, examines the impact of various types of stressors and the role of specific dietary nutrients in maintaining immune function of military personnel in the field. It reviews the impact of compromised nutrition status on immune function; the interaction of health, exercise, and stress (both physical and psychological) in immune function; and the role of nutritional supplements and newer biotechnology methods reported to enhance immune function.

The first part of the book contains the committee's workshop summary and evaluation of ongoing research by Army scientists on immune status in special forces troops, responses to the Army's questions, conclusions, and recommendations. The rest of the book contains papers contributed by workshop speakers, grouped under such broad topics as an introduction to what is known about immune function, the assessment of immune function, the effect of nutrition, and the relation between the many and varied stresses encountered by military personnel and their effect on health.

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