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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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. "V: Performance in Cold and in High-Altitude Environments." 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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V
PERFORMANCE IN COLD AND IN HIGH-ALTITUDE ENVIRONMENTS

PART V FOCUSES ON THE MENTAL aspects of performance in the cold and at high altitudes. Chapter 21 describes the adverse changes in mood, behavior, and cognitive performance that accompany exposure to high altitudes. Initial impairments in many critical behavioral functions such as memory, reasoning, and vigilance affect both judgment and rate of performance. These behavioral decrements may be attributable to neurochemical changes.

Exposure to hypobaric hypoxia and to extreme cold at high altitudes can cause deficits in mental performance, as noted in Chapter 22. The causal relationship between changes in brain catecholaminergic neurons and the stress that accompanies them is important in understanding the mechanisms that cause the decline in mental function in adverse environments. The use of catecholaminergic agonists like tyrosine and other food constituents such as caffeine may provide a common approach to treating the adverse effects of cold exposure and stress.

Page
433
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)

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OCR for page 433
--> V PERFORMANCE IN COLD AND IN HIGH-ALTITUDE ENVIRONMENTS PART V FOCUSES ON THE MENTAL aspects of performance in the cold and at high altitudes. Chapter 21 describes the adverse changes in mood, behavior, and cognitive performance that accompany exposure to high altitudes. Initial impairments in many critical behavioral functions such as memory, reasoning, and vigilance affect both judgment and rate of performance. These behavioral decrements may be attributable to neurochemical changes. Exposure to hypobaric hypoxia and to extreme cold at high altitudes can cause deficits in mental performance, as noted in Chapter 22. The causal relationship between changes in brain catecholaminergic neurons and the stress that accompanies them is important in understanding the mechanisms that cause the decline in mental function in adverse environments. The use of catecholaminergic agonists like tyrosine and other food constituents such as caffeine may provide a common approach to treating the adverse effects of cold exposure and stress.

OCR for page 434
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mental performance