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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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. "13. Endocrinological Responses to Dietary Salt Restriction During 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

(T2) was removed immediately after the fourth work bout (approximately 11:30 a.m.). The final blood sample (T3) was withdrawn after the final walk (approximately 3:30 p.m.). Collecting tubes were immediately placed into ice and transported to the laboratory for centrifugation (4°C, 10,000 rpm); EDTA plasma or serum was removed and stored (-20°C) for subsequent analysis.

Radioimmunoassays

Aldosterone was quantitated in serum using commercially available kits purchased from the Diagnostic Products Corporation (Los Angeles, California) and following techniques described in their technical bulletin (Aldosterone, No Extraction, Coat-A-CountR). This technique provides an approximate detection limit of 16 picograms (pg) per ml and is extremely specific for aldosterone; the range for this hormone is usually 4 to 31 nanograms (ng) per deciliter in salt-replete, standing adults (Aldosterone, No Extraction, Coat-A-CountR). Plasma renin activity was estimated by the quantitation of angiotensin I in EDTA plasma. Commercially available test kits (RIANEN Angiotensin I [125I] RIA Kit) were purchased from DuPont NEN Products (Boston, Massachusetts), and the assay was performed according to techniques outlined in their technical manual (RIANEN Assay System, Angiotensin I, Instruction Manual). When endogenous converting enzyme and angiotensinases of human plasma are appropriately inhibited, then angiotensin I formation quantitatively reflects PRA. Control values in adult men ordinarily range from 1 to 4.1 ng angiotensin I formed per ml per hour (Young, 1987).

Arginine-vasopressin was quantitated in EDTA plasma according to the techniques outlined by LaRose et al. (1985). One ml of EDTA plasma was treated with 10 µl per ml of 50 percent trifluoroacetic acid to acidify the sample to a pH of 4.0 to 4.5. Rabbit antibody to arg8-vasopressin was purchased from the Calbiochem Corporation (San Diego, California), and 125I-AVP was purchased from the DuPont NEN Corporation. Prepared standards were purchased from the Incstar Corporation (Stillwater, Minnesota). The range of circulating AVP in healthy adult males has been reported to be non-detectable to 4.7 pg per ml (Incstar, Vasopressin 125I RIA Kit).

Statistical Analysis

Repeated measures analysis of variance was performed using statistical package BMDP4V (BMDP Statistical Software, Los Angeles, California). Tukey's mean critical difference test was applied post hoc to determine significant differences of appropriate mean values. The null hypothesis was rejected at p < .05.

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263
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)