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Committee on Military Nutrition Research: Activity Report 1992-1994 (1994)
Institute of Medicine (IOM)

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. "Nutritional Requirements for Work in Cold and High Altitude Environments." Committee on Military Nutrition Research: Activity Report 1992-1994. Washington, DC: The National Academies Press, 1994.

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Committee on Military Nutrition Research: Activity Report

Nutritional Requirements for Work in Cold and High Altitude Environments

The Committee on Military Nutrition Research (CMNR) was asked by the Division of Military Nutrition, U.S. Army Institute of Environmental Medicine (USARIEM), to review current research pertaining to nutrient requirements for working in cold and high altitude environments and to comment on how this information may be applied to military nutrient standards and military rations. The Committee was thus tasked with providing a thorough review of the literature in this area and interpreting these diverse data in terms of military applications. In addition to a focus on specific nutrient needs in cold environments, the Committee was asked to include consideration of factors that might change food intake patterns and therefore overall energy intake. The Army has conducted extensive research in this area and the CMNR has previously discussed both specific ration items (Ration, Cold Weather [RCW]) and Alaska -based cold weather experimental studies that compared soldier intake and performance between several versions of the Meal, Ready-to-Eat (MRE) and the RCW (Marriott, and Earl, 1992). This project also parallelled and earlier CMNR study of the nutrient requirements for hot environments (Marriott, 1993; see page XX and Appendix G).

The principal questions that the CMNR was asked to address were:

  1. Aside from increased energy demands, do cold or high altitude environments elicit an increased demand or requirement for specific nutrients?

Page
45
Front Matter (R1-R14)
Summary (1-2)
Background and Introduction (3-8)
The Relationship of Soldier Body Composition to Physical Performance (9-12)
Nutritional Requirements for Work in Hot Environments (13-16)
Military Nutrition Research at the Pennington Biomedical Research Center (17-22)
Military Recommended Dietary Allowances (23-26)
Project Review of the Nutritional Intervention Study of the Ranger Training Class, 11/92 (Ranger II) (27-30)
Military Nutrition Research in Historical Perspective (31-32)
Can Food Components Be Used to Enhance Soldier Performance? (33-36)
Underconsumption Field Rations: What Can Be Employed to this Problem of Military Strategies Overcome? (37-40)
Use of Carbohydrate-Electrolyte Solutions for Fluid Replacement (41-44)
Nutritional Requirements for Work in Cold and High Altitude Environments (45-48)
References (49-50)
Appendixes (51-52)
Appendix A Meetings of the Committee on Military Nutrition Research April 1, 1992–November 30, 1994 (53-56)
Appendix B Biographical Sketches of Members of the Committee on Military Nutrition Research April 1, 1992-November (57-66)
Appendix C Letter Report: Research Progress Review of the Pennington Biomedical Research Center Submitted May 1992 (67-76)
Appendix D Letter Military Review Proposals Nutrition of Three from the Biomedical Report: Committee on Research Research… (77-96)
Appendix E Conclusions and Recommendations from the Workshop Report: Body Composition and Physical Performance Submitted… (97-102)
Appendix F Conclusions and Recommendations from the Workshop Report: Nutritional Needs in Hot Environments Submitted March… (103-114)
Appendix G Conclusions and Recommendations from the Brief Report: Review of the Results of Nutritional Intervention, Ranger… (115-128)
CONCLUSION (129-130)
SPECIFIC RECOMMENDATIONS FOR RANGER TRAINING (131-131)
AREAS FOR FUTURE RESEARCH (132-132)
Suggestions for Additional Analyses of the Ranger I and II Data (133-134)
Suggestions for Specific Future Studies of Ranger Training (135-135)
REFERENCES (136-136)
Appendix H Summary and Recommendations the Workshop Report: Fluid Replacement and Heat Stress, third printing Submitted… (137-144)
Appendix I Conclusions and Recommendations from the Workshop Report: Food Components to Enhance Performance Submitted May… (145-161)

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OCR for page 45
Committee on Military Nutrition Research: Activity Report Nutritional Requirements for Work in Cold and High Altitude Environments The Committee on Military Nutrition Research (CMNR) was asked by the Division of Military Nutrition, U.S. Army Institute of Environmental Medicine (USARIEM), to review current research pertaining to nutrient requirements for working in cold and high altitude environments and to comment on how this information may be applied to military nutrient standards and military rations. The Committee was thus tasked with providing a thorough review of the literature in this area and interpreting these diverse data in terms of military applications. In addition to a focus on specific nutrient needs in cold environments, the Committee was asked to include consideration of factors that might change food intake patterns and therefore overall energy intake. The Army has conducted extensive research in this area and the CMNR has previously discussed both specific ration items (Ration, Cold Weather [RCW]) and Alaska -based cold weather experimental studies that compared soldier intake and performance between several versions of the Meal, Ready-to-Eat (MRE) and the RCW (Marriott, and Earl, 1992). This project also parallelled and earlier CMNR study of the nutrient requirements for hot environments (Marriott, 1993; see page XX and Appendix G). The principal questions that the CMNR was asked to address were: Aside from increased energy demands, do cold or high altitude environments elicit an increased demand or requirement for specific nutrients?

OCR for page 46
Committee on Military Nutrition Research: Activity Report Can performance be enhanced in cold or high altitude environments by the provision of increased amounts of specific nutrients? To assist the CMNR in developing a response to these questions, a workshop was convened on January 31-February 2, 1994 in Washington, D.C., that included presentations from individuals familiar with or having expertise in digestive physiology, energetics, macronutrients, vitamins, minerals, appetite, psychology, exercise physiology, and high altitude physiology. The titles of the presented papers are listed below: Scenarios of Cold Exposure in Military Settings William D. Strauss COL Russell W. Schumacher, Jr. How the Army Feeds Soldiers in the Cold LTC Nancy King CW4 Thomas J. Lange The Physiology of Cold Exposure Andrew J. Young Central Nervous System Function, Sleep, and Cold Stress Robert S. Pozos The Influence of Cold Exposure on Body Fluid Balance Major Beau Freund Muscle Metabolism and Shivering During Cold Stress Ira Jacobs Macronutrient Requirements for Work in Cold Environments Peter J.H. Jones Cold Exposure, Appetite, and Energy Balance Jacques LeBlanc Influence of Cold and Altitude on Vitamin and Mineral Requirements Robert D. Reynolds Micronutrient Deficiency States and Thermoregulation in the Cold John L. Beard Drug-Induced Delay of Hypothermia Andre Vallerand Food and Ice Robert E. Feeney The Physiology of High Altitude Exposure Allen Cymerman The Effects of High Altitude on Physical Performance and Well-Being Robert B. Schoene Fluid Metabolism at High Altitude Inder S. Anand

OCR for page 47
Committee on Military Nutrition Research: Activity Report Effects of High Altitude on Basal Energy Requirement, Body Composition Maintenance and Fuel Source When Energy Intake is Adequate Gail E. Butterfield Energy and Macronutrient Requirements for Work at High Altitude Reed W. Hoyt Vitamin E and Antioxidants Irene Simon-Schnass Effects of Altitude on Cognitive Performance and Mood States Barbara Shukitt-Hale Environmental Stress Management by Adaptogens Kaushal Kishore Srivastava Food Components and other Treatments that may Enhance Mental Performance at High Altitude and in the Cold Harris Lieberman A panel discussion was held at the end of the workshop to summarize the findings and discuss specific issues raised during the two-day workshop. The six invited panelists, Robert B. Schoene, Robert S. Pozos, Murray Hamlet, Bill Strauss, Irwin Taub, and COL Russell Schumacher, had either contributed presentations to the workshop or brought additional expertise in food development, cold physiology, high altitude research, and military operations at high altitude. The invited speakers discussed their presentations with the Committee members at the workshop and submitted the content of their verbal presentations as written reports. The committee met in executive session after the workshop to discuss the issues raised and the information provided. The members of the committee will draw upon their expertise and the scientific literature to develop a summary, conclusions, and recommendations based on this workshop. The CMNR is currently in the process of completing this report for submission to the U.S. Army Medical Research, Development, Acquisition, and Logistics Command (Provisional) [USAMRDALC (PROV)]. The completed report will also include the written papers by invited speakers and will be submitted in early spring, 1995 in the CMNR workshop report series format.

OCR for page 48
Committee on Military Nutrition Research: Activity Report This page in the original is blank.

Representative terms from entire chapter:

altitude environments