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Nutritional Needs in Cold and High-Altitude Environments: Applications for Military Personnel in Field Operations (1996)
Institute of Medicine (IOM)

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. "14 Micronutrient Deficiency States and Thermoregulation in the Cold." Nutritional Needs in Cold and High-Altitude Environments: Applications for Military Personnel in Field Operations. Washington, DC: The National Academies Press, 1996.

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discussed, only iron deficiency has any significant prevalence in the human population, although selenium deficiency is observed in certain specific regions of China. However, despite the recent evidence showing that peripheral conversion of the thyroid hormone thyroxin (T4) to tri-iodothysonine (T3) is performed by a selenium-dependent enzyme, there is no evidence linking selenium deficiency to poor thermoregulation in humans.

Profound and severe exercise, especially of the types undertaken by military personnel in the course of their activities, can also cause a dramatic alteration in plasma concentrations of some of these micronutrients which may lead to acute transitory deficiency states in particular tissues. This notion has not been the experimental paradigm for any of these studies and, therefore, warrants further investigation.

THERMAL BALANCE

The body temperature of an animal is dependent on the balance between processes of heat gain and heat loss. These can be described mathematically by the heat-balance equation:

where S = net rate of heat storage, M = metabolic heat production, W = mechanical work transferred to the environment, E = evaporative heat transfer, C = convective heat transfer, K = conductive heat transfer, and R = radiant heat exchange.

In an environment that is below thermoneutrality, the sole means of heat gain for homeotherms2 is metabolic heat production. Heat loss can occur by evaporation, convection, conduction, radiation, and mechanical work. Metabolic heat in mammals comes from the following metabolic sources: basal metabolism, postprandial thermogenesis, diet-induced thermogenesis, shivering thermogenesis, and nonshivering thermogenesis (Gordon, 1993).

Shivering and nonshivering thermogenesis are the main sources of heat production utilized during cold exposure, and both may be affected by micronutrient deficiency states. In the cold, peripheral vasomotor tone is increased via central nervous system control of smooth muscle in arterioles and arteriovenous anastomoses, leading to a decrease in convective and conductive heat loss (Grayson, 1990). There is reason to believe that the failure to control this process is the fundamental reason iron-deficient anemic humans (and animal models) fail to thermoregulate adequately (Beard et al., 1990a, b; Lukaski et al., 1990).

2  

Any species that maintains a constant body temperature.

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Front Matter (R1-R16)
I: Committee Summary and Recommendations (1-2)
1 A Review of the Physiology and Nutrition in Cold and in High-Altitude Environments (3-58)
2 Committee on Military Nutrition Research Recommendations and Conclusions (59-80)
II: Background and Introduction to theTopic (81-82)
3 Cold Weather and High-Altitude Nutrition: Overview of the Issues (83-94)
4 Leadership Insights for Military Operations in Cold Weather and at High Altitudes (95-100)
5 Cold-Weather Field Feeding: Military Rations (101-114)
6 Feeding the US Army Sixth Infantry Division (Light) in the Cold (115-122)
Part II Discussion (123-124)
III: The Cold Environment (125-126)
7 The Physiology of Cold Exposure (127-148)
8 Military Schedules vs. Biological Clocks (149-160)
9 Influence of Cold Stress on Human Fluid Balance (161-180)
10 Muscle Metabolism and Shivering During Cold Stress (181-188)
11 Macronutrient Requirements for Work in Cold Environments (189-202)
12 Cold Exposure, Appetite, and Energy Balance (203-214)
13 Effects of Cold and altitude on Vitamin and Mineral Requirements (215-244)
14 Micronutrient Deficiency States and Thermoregulation in the Cold (245-256)
15 Drug-Induced Delay of Hypothermia (257-270)
Part III Discussion (271-292)
IV: The High-Terrestrial Environment (293-294)
16 The Physiology of High-Altitude Exposure (295-318)
17 Physical Performance at High Altitudes (319-330)
18 Fluid Metabolism at High Altitudes (331-356)
19 Maintenance of Body Weight at High Altitudes: In Search of 500 kcal/day (357-378)
20 Energy and Macronutrient Requirements for work at High Altitudes (379-392)
21 Oxidative Stress at High Altitudes and Effects of Vitamin E (393-418)
Part IV Discussion (419-432)
V: Performance in Cold and in High-Altitude Environments (433-434)
22 Effets of Altitue on Cognitive Performance and Mood States (435-452)
23 Food Components and Other Treatments That May Enhance Mental Performance at High Altitudes and in the Cold (453-466)
General Discussion (467-478)
Appendixes (479-480)
A: Environmental Stress Management at High Altitudes by Adaptogens, summary of unpublished manuscript (481-484)
B: Biographical Sketches (485-500)
C: Abbreviations (501-504)
D: Factors Related to Nutritional Needs in Cold and in High-Altitude Environments- A Selected Bibliography (505-554)
Index (555-568)