National Academy of Sciences | 150 Year Anniversary

Questions? Call 800-624-6242

| Items in cart [0]

The National Academies Press

PAPERBACK
price:$99.00
add to cart

Rights & Permissions

topleft topright

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

Citation Manager

. "14. Subjective Reports of Heat Illness." Nutritional Needs in Hot Environments: Applications for Military Personnel in Field Operations. Washington, DC: The National Academies Press, 1993.

Please select a format:

BibTeX EndNote RefMan


Page
279
bottomleft bottomright

The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy.


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

was Hispanic. The subjects assigned to the 8-g salt group averaged 19.9 years old, 70.9 inches tall, and weighed 169.67 pounds; eight were Caucasian and one was Hispanic.

Procedure

The ESQ was administered to all participants 13 times during the study. To obtain baseline measures during nonheat exposure days when all were consuming a constant 8 g of dietary salt per day, the ESQ was administered during the afternoons of days 1, 4, and 7. On each of the 10 days of heat acclimation (days 8 to 17), the ESQ was administered at the end of the 8 hours of heat exposure.

Subjective reports of heat illness were assessed in two ways: (a) a tabulation of 12 ESQ symptoms selected for their previously established relationship to exercise in the heat (Armstrong et al., 1987), and (b) the formulation and analysis of an overall index of subjective heat illness.

Release 2.1 of the computer-based statistical package Complete Statistical System (CSS) (StatSoft, 1988) was used to perform all statistical analyses.

RESULTS

Tabulation of Selected ESQ Symptoms

The 12 items on the ESQ that are related to the 9 symptoms of heat illness observed by Armstrong et al. (1987) are displayed in Table 14-2 (4-g salt diet) and in Table 14-3 (8-g salt diet) for each subject for each of the 10 heat acclimation days. The 12 symptoms include stomach cramps (item 17), chilly (item 36), dizzy (item 4), warm and sweaty (items 30 and 33), heart beating fast (item 11), irritability and restlessness (items 62 and 63), disturbed coordination (item 7), weakness (item 19), shivering (item 37), and nausea (item 24). Only those symptoms rated at least "1" by the participant (indicating that the symptom was present regardless of how intense it was felt) are listed in the tables. An analysis of variance of the number of symptoms reported as present differed among days, F (9, 135) = 6.10967, p < .001, with the mean number of symptoms present being greater, by Duncan post hoc tests (p < .05), during the first 2 days of heat acclimation (means = 4.3 and 4.0) than during the remaining 8 heat acclimation days (means = 3.1, 2.9, 3.2, 2.4, 2.5, 2.5, 2.2, and 2.3). Although there was a trend for more symptoms to be reported by subjects in the 4-g diet group (mean = 3.2) than by the 8-g diet group (mean = 2.6), the analysis of variance was not significant with respect to the main effect of diet, F (1,15) = 1.17, p > .20; the interaction between diet and heat acclimation day was also not significant, F (9,135) = 1.775, p > .05. In Tables 14-4 (4-g salt diet)

Page
279
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)