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

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. "17 The Physical Eating Situation." 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

on the resulting overall context or environment in which the organism must operate.

The context is frequently labeled as economic because it is hypothesized that the organism—the soldier—chooses what, when, and how to eat in order to best balance the costs and benefits of the situation. For example, in a study conducted by Engell et al. (see Engell, Chapter 12 in this volume), subjects given a pitcher of water within reach during a laboratory lunch meal drank approximately twice as much water with their meal as did subjects who were required to walk across the room or a hallway to obtain water. Apparently the extra "cost" of obtaining water outweighed any motivation to drink water for physiological, sensory, or psychological reasons. It is reasonable to hypothesize that subjects in the higher cost conditions recognized that any fluid "deficit" could easily be met shortly after the meal and hence responded to the cost by decreasing fluid consumption while eating. If, however, subjects had reason to expect that they would be unable to drink for several hours after the meal, they might then have chosen to drink similar amounts of water in all conditions regardless of the differences in required effort. Likewise, for most people, ordering a meal in a restaurant is not purely a function of which meal would give the greatest hedonic pleasure, but a balance of pleasure with factors such as meal price, health concerns, occasion, hunger, time available for eating, and who else is present.

Collier's approach, thus, is not confined to the common research question of what organisms do when given the opportunity to eat. Rather it is an effort to capture the entire process of obtaining (or foraging for) food: locating, procuring, preparing, consuming, and metabolizing food in the broader context of the organism's overall existence. Admittedly, at times the situation is fairly simple. People pick one dessert over another for the simple reason that it tastes better, or they do not drink at dinner because they will soon be driving home. Still, the immediately simple, discrete decisions are obviously the product of a complex, ongoing process that takes a great many forces into account. Current models of optimization have yet to fully reflect what happens in actual situations, yet they do at the very least provide a sense of the importance of different viewpoints.

The impact of taking an economic viewpoint of the eating situation is that while any given factor may indeed have an influential role in human food consumption, that role will change with the specifics of the situation. The work of Collier (1989) and others (Hursh, 1984; Lea, 1978), for example, make apparent that the magnitude and type of consequences for specific factors will vary depending on the multiple inputs of the many variables relevant to the eating situation. Soldiers eating in a field scenario provide one instance of a complex physical environment in which accomplishing one's mission, obtaining sufficient nutrients, and meeting other needs or desires requires soldiers (and their commanders) to adopt strategies (preplanned or not) to achieve an acceptable outcome.

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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)