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Committee on Military Nutrition Research: Activity Report 1994-1999 (1999)
Food and Nutrition Board (FNB)

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. "A Review of the Revision of the Medical Services Nutrition Allowances, Standards, and Education." Committee on Military Nutrition Research: Activity Report 1994-1999. Washington, DC: The National Academies Press, 1999.

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of aspects of the revised draft confusing and discussed their findings with the full committee. The CMNR concluded that the confusion generated by the present draft could most likely be alleviated through expansion of several sections and the addition of explanatory footnotes and text. The committee verbally conveyed a request for additional materials to Office of the Surgeon General, Department of the Army (OTSG, DA) and deferred further discussion and formulation of recommendations until receipt of additional material or a second revised draft.

In late January 1994, the CMNR received another revision of the MRDAs for their consideration and recommendations. The committee included discussion of this revision in their executive session after a workshop in February 1994. After the initiation of the current grant in November 1994, the completion of this letter report (along with other outstanding commitments from the previous grant) was a priority for the committee. The completed report was delivered in October 1995. The letter report is thus based on past reviews of AR 40-25, reviews of military rations and ration developments, workshops on nutrient requirements for military personnel in environmental extremes, and committee deliberations regarding the present version, and is a thoughtfully developed presentation incorporating the scientific opinion of the CMNR and comments of the anonymous peer review panel of the National Research Council.

Conclusions and Recommendations

It is the view of the CMNR that there does not appear to be a scientific basis to have distinct military recommended dietary allowances for individuals performing duties in normal peacetime military operations and non-field conditions. However, since the MRDAs have an extensive history of use by the military in areas such as menu planning and procurement of military rations, the committee recognizes that they may serve an essential purpose beyond that usually identified with the RDAs. In addition, nutritional standards for the development and procurement of operational and restricted rations are necessary to assure that the issued rations meet the needs of service men and women whose entire diet while under simulated or actual combat conditions may consist of the issued rations for extended periods of time, such as experienced during Operation Desert Shield/Storm and during peace-keeping operations in Somalia and Haiti.

The staffs of OTSG, DA and U.S. Army Medical Research and Materiel Command are urged to review whether there continues to be a need to maintain separate MRDAs in light of existing information that has been developed by the Institute of Medicine, U.S. Department of Health and Human Services, and other organizations for the general population.

Page
14
Front Matter (R1-R14)
Summary (1-2)
Background and Introduction (3-8)
Not Eating Enough: Overcoming Underconsumption of Military Operational Rations (9-12)
A Review of the Revision of the Medical Services Nutrition Allowances, Standards, and Education (13-16)
A Review of Issues Related to Iron Status in Women During U.S. Army Basic Combat Training (17-20)
Nutritional Needs in Cold and in High-Altitude Environments (21-24)
Pennington Biomedical Research Center September 1996 Site Visit (25-28)
Emerging Technologies for Nutrition Research (29-32)
Assessing Readiness in Military Women (33-36)
Reducing Stress Fracture in Physically Active Military Women (37-40)
A Review of Antioxidants and Oxidative Stress in Military Personnel (41-44)
Military Strategies for Sustainment of Nutrition and Immune Function in the Field (45-48)
The Role of Protein and Amino Acids in Sustaining and Enhancing Performance (49-52)
References (53-58)
A: Meetings of the Committee on Military Nutrition Research (59-64)
B: Biographical Sketches of Members of the Committee on Military Nutrition Research (65-76)
C: Conclusions and Recommendations from the Workshop Report: Not Eating Enough (77-94)
D: Letter Report: Review of the Revision of the Medical Services Nutrition Allowances, Standards, and Education (AR 40-25, 1985) (95-120)
E: Letter Report: Review of Issues Related to Iron Status of Women During U.S. Army Basic Combat Training (121-140)
F: Conclusions and Recommendations from the Workshop Report: Nutrional Needs in Cold and in High-Altitude Environments (141-162)
G: Conclusions and Recommendations from the Brief Report: Pennington Biomedical Research Center September 1996 Site Visit (163-184)
H: Conclusions and Recommendations from the Workshop Report: Emerging Technologies for Nutrition Research (185-206)
I: Conclusions and Recommendations from the Workshop Report: Assessing Readiness in Military Women (207-218)
J: Conclusions and Recommendations from the Brief Report: Reducing Stress Fractures in Physically Active Military Women (219-228)
K: Letter Report: Antioxidants and Oxidative Stress in Military Personnel (229-256)
L: Conclusions and Recommendations from the Workshop Report: Military Strategies for Sustainment of Nutrition and Immune Function in the Field (257-282)
M: Conclusions and Recommendations from the Workshop Report: The Role of Protein and Amino Acids in Sustaining and Enhancing Performance (283-290)