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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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. "1. Introduction and Backgrounds." 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

The CMNR was asked to address the following questions:

  1. What is the evidence that there are any significant changes in nutrient requirements for work in a hot environment?

  2. If such evidence exists, do the current Military Recommended Dietary Allowances provide for these changes?

  3. Should changes be made in military rations that may be used in hot environments to meet the nutrient requirements of soldiers with sustained activity in such climates?

  4. Specifically, are the meals, ready-to-eat (MREs) good hot-weather rations? Should the fat content be lower? Should the carbohydrate content be higher?

  5. What factors may influence food intake in hot environments?

  6. To what extent does fluid intake influence food intake?

  7. Is there any scientific evidence that food preferences change in hot climates?

  8. Are there special nutritional concerns in desert environments in which the daily temperature may change dramatically?

  9. Is there an increased need for specific vitamins or minerals in the heat?

  10. Does working in a hot climate change an individual's absorptive or digestive capability?

  11. Does work at a moderate to heavy rate increase energy requirements in a hot environment to a greater extent than similar work in a temperate environment?

To assist the CMNR in responding to these questions, a workshop was convened on April 11–12, 1991, that included presentations from individuals familiar with or having expertise in digestive physiology, energetics, macro-nutrients, vitamins, minerals, appetite, psychology, sociology, and olfaction. The invited speakers discussed their presentations with committee members at the workshop and submitted the content of their verbal presentations as written reports. The committee met after the workshop to discuss the issues raised and the information provided. The CMNR later reviewed the workshop presentations and drew on its collective expertise and the scientific literature to develop the following summary, conclusions, and recommendations.

MILITARY RECOMMENDED DIETARY ALLOWANCES

History

The history of the Military Recommended Dietary Allowances (MRDAs) is related to the history of both the Recommended Dietary Allowances (RDAs)

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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)