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

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. "9 The Effects of Ration Modifications on Energy Intake, Body Weight Change." 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

intake, less weight loss, and improved customer satisfaction. These studies will also be reviewed from the perspective of trying to develop a better understanding of the factors that control food intake during military exercises.

MEAL, READY-TO-EAT

The Meal, Ready-to-Eat (MRE) was introduced as the military's operational ration in the early 1980s. Packaged in a flexible, retort pouch2, it replaced a canned ration, the Meal, Combat Individual (MCI). Components of both rations can be eaten hot or cold and provide a nutritionally complete diet. When the MRE was introduced into the military feeding system, there was considerable interest among military planners and logisticians in having troops subsist on operational rations as their sole source of food for lengthy periods of time. For this reason the initial test of the MRE was designed to determine the consequences of prolonged feeding of this ration to troops during an extended field training exercise (Hirsch et al., 1985).

During MRE test development, the remaining stock of MCIs was being depleted, and some units were already eating the MRE in the field. Undocumented reports from these units suggested that troops consuming the MRE were experiencing gastrointestinal difficulties. These rumors, in conjunction with the possibility that food monotony (Kamen and Peryam, 1961; Schutz and Pilgrim, 1958; Siegel and Pilgrim, 1958) might develop with the MRE, led to the decision to conduct a laboratory test prior to a field evaluation (Hirsch and Kramer, 1993). The Army was concerned that a serious decline in consumption might occur when a ration with as few different components as the MRE was fed as the sole source of food for an extended time.

Prolonged Feeding Studies

The results of two extended feeding studies where the MRE was fed as the only source of food (Hirsch and Kramer, 1993; Hirsch et al., 1985) provide both a definition of the underconsumption problem and potential insight into its solution. The laboratory study was conducted with paid student volunteers at the Massachusetts Institute of Technology over a 44-d period (Hirsch and Kramer, 1993). Volunteers took all their meals in a small, pleasant dining room. Hot and cold water was available for preparing beverages and

2  

The retort pouch consists of a laminated foil that is hermetically sealed on all four sides and can withstand thermoprocessing at 240¹ F for 30 minutes.

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152
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)