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Nutritional Needs in Hot Environments: Applications for Military Personnel in Field Operations (1993)
Institute of Medicine (IOM)

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. "12. Responses of Soldiers to 4-gram and 8-gram NaCl Diets During 10 Days of Heat Acclimation." Nutritional Needs in Hot Environments: Applications for Military Personnel in Field Operations. Washington, DC: The National Academies Press, 1993.

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Nutritional Needs in Hot Environments: Applications for Military Personnel in Field Operations

RESULTS

Morning Body Mass and Urinalysis

There were no between-diet differences in mean morning body mass values for LNA and MNA (days 1 to 18, p > .05, NS). Between-day differences (p < .001) were observed in the body mass of LNA, in that days 10 to 15 were significantly lower (p < .001) than day 8 (the initial day of heat exposure). The day-to-day body mass fluctuations in LNA and MNA may have involved changes in body fat, fat-free mass, or total body water. However, estimates of percent body fat showed no significant diet or day effects: day 1, 14 ± 1 percent (LNA), 14 ± 1 percent (MNA); day 8, 13 ± 1 percent (LNA), 14 ± 2 percent (MNA); day 17, 14 ± 1 percent (LNA), 15 ± 1 percent (MNA).

The mean morning urine specific gravity values for LNA and MNA (days 1 to 18) showed no between-diet differences (p > .05, NS). All mean urine specific gravity values (range: 1.016 to 1.023) indicated normal hydration status for both LNA and MNA on all days.

Figure 12-1 presents the concentrations of Na+ and K+ (mEq per liter) in the initial morning urine samples. The extremely low mean Na+ concentration on days 9 to 15 indicated that LNA adhered to the salt-restricted dietary regimen. The significant between-diet (LNA versus MNA) differences (p < .05 to .001) in Na+ and K+ are represented by asterisks. The differences in urinary Na+ were attributed to differential Na+ consumption and conservation, while differences in urinary K+ were of unknown origin and may have involved type I statistical errors of null hypothesis testing. Significant day-to-day differences in urinary Na+ (not shown in Figure 12-1) were identified for LNA between day 1 and days 3 to 18 (p < .05 to .001), as well as between day 8 and days 9 to 17 (p < .05 to .001). Significant day-to-day differences were observed for urine Na+ in group MNA between day 1 and days 2 to 18 (p < .01 to .001).

Preexercise Blood Measurements

Mean values for hematologic variables in Table 12-2 represent preexercise samples drawn at 7:30 a.m. on days 8, 11, 15, and 17. A noteworthy between-diet difference in percent change in plasma volume (PV) occurred on days 11 and 15. Although the LNA group exhibited a significantly smaller (p < .05) expansion of PV than MNA on days 11 and 15, both treatment groups manifested a similar percent change in PV by day 17 (+12.3 percent versus +12.4 percent). Similar, significant between-day decreases (Table 12-2) were identified for total plasma protein in LNA and MNA (day 8 versus days 11, 15, 17; p < .01), even though PV expansion exhibited

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Front Matter (R1-R14)
Part I: Committee Summary and Recommendations (1-2)
1. Introduction and Backgrounds (3-44)
2. Conclusions and Recommendations (45-52)
Part II: Invited Presentations (53-54)
3. Physiological Responses to Excercise in Heat (55-74)
4. Effects of Excercise and Heat on Gastrointestinal Function (75-86)
5. Water Requirements During Excercise in the Heat (87-96)
6. Energetics and Climate with Emphasis on Heat: A Historical Perspective (97-116)
7. The Effect of Excercise and Heat on Mineral Metabolism and Requirements (117-136)
8. The Effect of Excercise and Heat on Vitamin Requirements (137-172)
9. Heat as a Factor in the Perception of Taste, Smell, and Oral Sensation (173-186)
10. Effects of Heat on Appetite (187-214)
11. Situational Influences on Food Intake (215-244)
Part III: U.S. Army Presentations: A Reevaluation of Sodium Requirements for Work in the Heat (245-246)
12. Responses of Soldiers to 4-gram and 8-gram NaCl Diets During 10 Days of Heat Acclimation (247-258)
13. Endocrinological Responses to Dietary Salt Restriction During Heat Acclimation (259-276)
14. Subjective Reports of Heat Illness (277-294)
Part IV: Committee Discussion Paper (295-296)
15. Food Intake, Appetite, and Work in Hot Environments (297-304)
Appendixes (305-306)
Appendix A: Military Recommended Dietary Allowances, AR 25-40; 1985 (307-328)
Appendix B: Nutritional Needs in Hot Environments -- A Selected Bibliography (329-352)
Appendix C: Biographical Sketches (353-362)
Index (363-378)