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Not Eating Enough: Overcoming Underconsumption of Military Operational Rations (1995)
Institute of Medicine (IOM)

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. "8 An Overview of Dietary Intakes During Military Exercises." Not Eating Enough: Overcoming Underconsumption of Military Operational Rations. Washington, DC: The National Academies Press, 1995.

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Not Eating Enough: Overcoming Underconsumption of Military Operational Rations

(MND) so that the Committee on Military Nutrition Research can put the issue of underconsumption of rations into perspective and determine what interventions are warranted. Is there really a problem? If so, is underconsumption a problem of such magnitude as to threaten health or performance, or is the problem mainly one of degrading morale or wasting of food dollars?

METHODS

MND conducts ration tests in the field, using troops in their usual environments while they perform their everyday military duties. Most ration studies are performed to assess the nutritional impact of a prototype or an improved version of an operational ration. Data have been collected mostly from men, ages 19 to 30 years. Mean body weights have ranged from 75 to 81 kg. Study durations have varied from 5 to 30 days, although most studies lasted 7 to 10 consecutive days. One major exception was the Combat Field Feeding System-Force Development Test and Experimentation (CFFS-FDTE) conducted in Hawaii in 1985, which recorded food intake on days 2, 3, 6, 7, 12, 13, 18, 19, 24, 25, 30, 31, 36, 37, 42, and 43 of a 44-d field exercise (USACDEC/USARIEM, 1986). In all of the other field studies summarized in this chapter, although the study duration varied, data was collected on consecutive days.

In studies when most food intake was obtained from military dining facilities or when hot meals were served in the field, the dietary intake data were usually collected by visual estimation. For this method, the test subject presented his or her tray to a data collector before sitting down to eat. The data collector recorded the food items and visually compared the portion sizes of foods on the subject's tray to a weighed standard of the same food. The data collectors were trained to estimate portion sizes to within 10 percent. After the meal, the test subject returned to the data collector, who recorded the quantity of food remaining on the tray. Foods consumed outside the dining facility were recorded by the subject on food records.

For studies of individual field rations, dietary intakes were also obtained by self-recorded food record. Cards that were precoded and printed with the menu items were provided to the subjects. The subject had only to circle the proportion of a serving consumed next to the appropriate menu item. There were separate prompts for recording canteens or cups of water. When it was important to determine water intake accurately, subjects were provided with graduated bottles or canteens to measure their fluid consumption. A food record is a reasonably accurate method of collecting food intake data because ration items are individually packaged, single serving-sized pouches or bars. When the test subjects were accessible, dietitians collected and reviewed the

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122
Front Matter (R1-R13)
I Committee Summary and Recommendations (1-2)
1 Introduction and Background (3-40)
2 Conclusions and Recommendations (41-54)
II Background and Introduction to the Topic (55-56)
3 Introduction to the Concepts and Issues: Underlying Underconsumption in Military Settings (57-64)
4 Army Field Feeding System-Future (65-76)
5 Commanders' Perceptions and Attitudes About Their Responsibilities for Feeding Soldiers (77-90)
6 Nutritional Criteria for Development and Testing of Military Field Rations: An Historical Perspective (91-108)
7 Evolution of Rations: The Pursuit of Universal Acceptance (109-120)
8 An Overview of Dietary Intakes During Military Exercises (121-150)
9 The Effects of Ration Modifications on Energy Intake, Body Weight Change (151-174)
III Factors Underlying Food Intake and Underconsumption--Food (175-176)
10 The Role of Image, Stereotypes, and Expectations on the Acceptance and Consumption of Rations (177-202)
11 Effects of Food Quality, Quantity, and Variety on Intake (203-216)
12 Effects of Beverage Consumption and Hydration Status on Caloric Intake (217-238)
13 Industry Approaches to Food Research (239-250)
IV Underconsumption and Performance (251-252)
14 When Does Energy Deficit Affect Soldier Physical Performance? (253-284)
15 Impact of Underconsumption on Cognitive Performance (285-302)
16 The Functional Effects of Carbohydrate and Energy Underconsumption (303-316)
V Factors Underlying Food Intake and Underconsumption--The Eating Situation and Social Issues (317-318)
17 The Physical Eating Situation (319-340)
18 Eating Situations, Food Appropriateness, and Consumption (341-360)
19 From Biologic Rhythms to Chronomes Relevant to Nutrition (361-372)
20 Social Facilitation and Inhibition of Eating (373-392)
21 Lessons from Eating Disorders (393-410)
22 A Plan to Overcome Ration Underconsumption (411-416)
Appendixes (417-418)
A Biographical Sketches (419-432)
B Abbreviations (433-436)
C Factors Related to Underconsumption --A Selected Bibliography (437-464)
Index (465-483)