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

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204
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FIGURE 12-1 Schematic representation of interactions between appetite and components of energy balance. SOURCE: J. A. LeBlanc (Unpublished data, Laval University, Quebec City, 1993).

COMPONENTS OF ENERGY EXPENDITURE IN THE COLD

Basal Metabolic Rate

When the total energy expenditure for a typical subject is 2,750 kcal/d, approximately 60 percent of this total energy is due to basal metabolic rate (BMR) (1,500 kcal). Some years ago it was reported that Eskimos had higher BMR than Caucasians. It was suggested that this might be due to an increased thyroid activity induced by cold (Rodahl, 1952a, b). Subsequent work disproved this hypothesis. It was shown that the higher BMR of Eskimos was due to the high protein content of their diet. When Eskimos were made to eat a mixed diet comparable to the one consumed by Caucasian subjects, BMRs were the same for the two groups (Rodahl, 1952a, 1952b, 1955).

Thermogenic Effect of Feeding

The digestion, absorption, and storage of ingested nutrients require energy. The level of expenditure, known as the thermogenic effect of feeding (TEF), is different depending on whether carbohydrates, proteins, or lipids are consumed (Unpublished data, J. A. LeBlanc, Laval University, Quebec City, 1992) (Figure 12-2). For a comparable calorie intake, the TEF is small for fat,

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204
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)