Nutrition and Related Factors
- Ensure that energy intakes by military women are consistent and adequate to maintain weight during intense physical fitness training.
- Aim aggressive education programs at helping military women identify and select appropriate foods and fortified food products to meet their nutrient requirements.
- Continue to gather dietary intake data and evidence concerning calcium intakes throughout a soldiers' career as training programs, food choices and food supply change over time.
- Develop research efforts to assist in identifying those factors, such as diet, lifestyle, and ethnicity, that may contribute to achieving peak bone mass, as well as components of military programs that may interfere with this process.
- Develop research to assess the effect of military women's dietary energy status on the secretion of hormones that affect bone health, particularly in situations of high stress. Little is known about the prevalence and underlying causes of menstrual cycle disturbances (oligomenorrhea, amenorrhea).
- Evidence indicates that oral contraceptives have no detrimental effects on bone mineral density, and may in fact have a positive effect. Develop a research program to determine the effects of implant and injectable contraceptives on bone mineral density and bone health.
The committee's responses to the questions, conclusions, and recommendations from this report are included in Appendix J.