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

Page
81
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II
BACKGROUND AND INTRODUCTION TO THE TOPIC

IN PARTS II THROUGH V THE PAPERS from the workshop appear in the in which they were presented. The chapters have undergone limited editorial change, have not been reviewed by an outside group, and represent the views of the individual authors. Selected questions and the speakers' responses are included at the end of each section to provide the flavor of the workshop discussion.

Part II includes four chapters based on the introductory presentations by current and former Army scientists and personnel to provide the background for understanding military nutrition issues in the cold and at high altitudes and to highlight the importance of coordinating research and logistical considerations. Chapter 3 presents the purpose of the workshop and an overview of cold and high-altitude research conducted or sponsored by the Army. Research efforts were largely a civilian-military collaboration until the 1970s, and now much of the research on soldiers' nutritional needs in environmental extremes are conducted by the military. This chapter puts this report into historical perspective.

The influence of a positive attitude at environmental extremes should not be underestimated. In Chapter 4, the performance expectations of unit commanders are discussed as being essential to developing and maintaining their troops' positive attitude.

Page
81
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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--> II BACKGROUND AND INTRODUCTION TO THE TOPIC IN PARTS II THROUGH V THE PAPERS from the workshop appear in the in which they were presented. The chapters have undergone limited editorial change, have not been reviewed by an outside group, and represent the views of the individual authors. Selected questions and the speakers' responses are included at the end of each section to provide the flavor of the workshop discussion. Part II includes four chapters based on the introductory presentations by current and former Army scientists and personnel to provide the background for understanding military nutrition issues in the cold and at high altitudes and to highlight the importance of coordinating research and logistical considerations. Chapter 3 presents the purpose of the workshop and an overview of cold and high-altitude research conducted or sponsored by the Army. Research efforts were largely a civilian-military collaboration until the 1970s, and now much of the research on soldiers' nutritional needs in environmental extremes are conducted by the military. This chapter puts this report into historical perspective. The influence of a positive attitude at environmental extremes should not be underestimated. In Chapter 4, the performance expectations of unit commanders are discussed as being essential to developing and maintaining their troops' positive attitude.

OCR for page 82
--> Chapters 5 and 6 summarize the preparation and use of military operational rations in cold environments, an important topic given that rations are the principal source of nutrients for soldiers in the field. In Chapter 5, the options for group and individual field feeding are reviewed, as is the composition of the rations in relation to the cold. The problems of feeding soldiers in harsh environments are discussed in Chapter 6. The development and improvement of mobile kitchen equipment requires attention because the unique conditions of cold and wind affect the sheltering of personnel and the preparation of food.

Representative terms from entire chapter:

positive attitude