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Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability (1997)
Institute of Medicine (IOM)

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. "IV Tracer Techniques for the Study of Metabolism." Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability. Washington, DC: The National Academies Press, 1997.

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Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability

IV
Tracer Techniques for the Study of Metabolism

THE AUTHORS IN THIS SECTION discuss various tracer techniques, stable isotopes, positron emission tomography, and nuclear magnetic resonance, for studying metabolic processes. Chapters 8 and 9 focus on stable isotopes, which can be used to study turnover of protein, carbohydrate, and fat, thus monitoring changes in energy expenditure, relative fuel utilization, gluconogenesis, and other aspects of metabolic substrate oxidation. For in vivo nutritional studies, stable isotope tracers are injected into accessible compartments in order to compile data on inaccessible compartments from the tracer dilution curve. Mass spectrometry is the analytical method used for measuring stable isotope samples. The problem of the natural abundance of stable isotopes, which differs from place to place, must be overcome if any meaningful data are to be collected, especially in the field.

Positron emission tomography (PET), a noninvasive technique for the evaluation of protein metabolism that traces radioactive atoms incorporated into biological fuels, is discussed in Chapter 10. This technique can be used in conjunction with stable isotopes to evaluate the contribution of individual organs and body areas to whole-body protein metabolic processes. Unfortunately, widespread use of PET is not possible at this time due to the limited number of specialized laboratories that are needed and the high cost of operation.

Page
199
Front Matter (R1-R18)
I Committee Summary and Recommendations (1-2)
1 Project Overview and Committee Summary (3-50)
2 Committee Responses to Questions, Conclusions and Recommendations (51-68)
II The Current Army Program and Its Future Needs (69-70)
3 Emerging Technologies in Nutrition Research for the Military: Overview of the Issues (71-78)
III Techniques of Body Composition Assessment (79-80)
4 Military Application of Body Composition Assessment Technologies (81-126)
5 Imaging Techniques of Body Composition: Advantages of Measurement and New Uses (127-150)
6 Dual-Energy X-Ray Absorptiometry: Research Issues, and Equipment (151-168)
7 Bioelectrical Impedance: A History, Research Issues, and Recent Consensus (169-192)
Part III Discussion (193-198)
IV Tracer Techniques for the Study of Metabolism (199-200)
8 Stable Isotope Tracers: Technological Tools That Have Emerged (201-214)
9 Measurement of Energy Substrate Metabolism Using Stable Isotopes (215-230)
10 Combined Stable Isotope-Positron Emission Tomography for In Vivo Assessment of Protein Metabolism (231-258)
11 Nuclear Magnetic Resonance Studies of Liver and Muscle Glycogen Metabolism in Humans (259-272)
Part IV Discussion (273-278)
V Ambulatory Techniques for Measurement of Energy Expenditure (279-280)
12 Doubly Labeled Water for Energy Expenditure (281-296)
13 Measurement of Oxygen Uptake with Portable Equipment (297-314)
14 Advances in Ambulatory Monitoring: Using Foot Contact Time to Estimate the Metabolic Cost of Locomotion (315-344)
15 Noninvasive Measurement of Plasma Metabolites Using Near-Infrared Spectroscopy (359-360)
Part V Discussion (361-362)
VI Molecular and Cellular Approaches to Nutrition (363-374)
16 The Role of Metals in Gene Expression (375-388)
17 Metabolic Regulation of Gene Expression (389-400)
18 Use of Isolated-Cell and Metabolic Techniques Applied to Vitamin Transport and Disposition (401-414)
19 Assessment of Cellular Dysfunction During Physiologic Stress (415-416)
VII Assessment of Immune Function (417-430)
20 The Validity of Blood and Urinary Cytokine Measurements for Detecting the Presence of Inflammation (431-450)
21 New Approaches to the Study of Abnormal Immune Function (451-500)
Part VI and VII Discussion (501-504)
VIII Functional and Behavioral Measures of Nutritional Status (505-506)
23 Involuntary Muscle Contraction to Assess Nutritional Status (507-518)
24 Application of Cognitive Performance Assessment Technology to Military Nutrition Research (519-532)
25 New Techniques for Assessment of Mental Performance in the Field (533-550)
26 The Iowa Driving Simulator: Using Simulation for Human Performance Measurement (551-568)
Part VIII Discussion (569-576)
Appendixes (577-578)
Appendix A: Workshop Agenda (579-584)
Appendix B: Biographical Sketches (585-604)
Appendix C: Abbreviations (605-608)
Appendix D: Emerging Technologies for Nutrition Research - A Selected Biography (609-680)
Index (681-711)

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Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability IV Tracer Techniques for the Study of Metabolism THE AUTHORS IN THIS SECTION discuss various tracer techniques, stable isotopes, positron emission tomography, and nuclear magnetic resonance, for studying metabolic processes. Chapters 8 and 9 focus on stable isotopes, which can be used to study turnover of protein, carbohydrate, and fat, thus monitoring changes in energy expenditure, relative fuel utilization, gluconogenesis, and other aspects of metabolic substrate oxidation. For in vivo nutritional studies, stable isotope tracers are injected into accessible compartments in order to compile data on inaccessible compartments from the tracer dilution curve. Mass spectrometry is the analytical method used for measuring stable isotope samples. The problem of the natural abundance of stable isotopes, which differs from place to place, must be overcome if any meaningful data are to be collected, especially in the field. Positron emission tomography (PET), a noninvasive technique for the evaluation of protein metabolism that traces radioactive atoms incorporated into biological fuels, is discussed in Chapter 10. This technique can be used in conjunction with stable isotopes to evaluate the contribution of individual organs and body areas to whole-body protein metabolic processes. Unfortunately, widespread use of PET is not possible at this time due to the limited number of specialized laboratories that are needed and the high cost of operation.

OCR for page 200
Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability Chapter 11 describes the use of nuclear magnetic resonance (NMR) spectroscopy for the investigation of both liver and muscle glycogen synthesis as well as the pathogenesis of Type II diabetes mellitus. This technique is based on the action of nuclei in the presence of a strong magnetic field, which in the end generates an image from released energy. For the purposes described here, NMR is noninvasive and safe but is relatively insensitive and expensive when the costs of the magnet and staff are considered. The use of NMR imaging for body composition analysis is described in Chapter 5 of this volume.

Representative terms from entire chapter:

nuclear magnetic