Development and biomedical testing of military operational rations

Annual Review of Nutrition

Volumn 17, Issue , 1997, Pages 51-75

  Friedl, Karl E ^a   Hoyt, Reed W ^b  

^a U S ARMY MEDICAL RESEARCH AND MATERIEL COMMAND   (United States)

^b U S ARMY RESEARCH INSTITUTE OF ENVIRONMENTAL MEDICINE   (United States)

Author keywords

Carbohydrate intake; Energy expenditure; Environmental extremes; Exercise; History

Indexed keywords

ALPHA TOCOPHEROL; RETINOL;

CARBOHYDRATE INTAKE; DIETARY INTAKE; ENERGY RESOURCE; HUMAN; HYPOXIA; MILITARY PHENOMENA; NUTRITIONAL DEFICIENCY; NUTRITIONAL PARAMETERS; PHYSICAL ACTIVITY; PRIORITY JOURNAL; REVIEW; SLEEP DEPRIVATION;

CLIMATE; ENERGY INTAKE; ENERGY METABOLISM; EXERTION; FOOD, FORMULATED; HUMANS; MILITARY PERSONNEL; NUTRITION PHYSIOLOGY; NUTRITIONAL REQUIREMENTS; STRESS;

EID: 0030853905     PISSN: 01999885     EISSN: None     Source Type: Book Series    
DOI: 10.1146/annurev.nutr.17.1.51     Document Type: Review

References (112)

1. Am. Coll. Sports Med. 1996. Position stand on exercise and fluid replacement. Med. Sci. Sports Exerc. 28:i-vii
2. Armstrong LE, Hubbard RW, Askew EW, DeLuca JP, O'Brien C, et al. 1993. Responses to moderate and low sodium diets during exercise-heat acclimation. Int. J. Sports Nutr. 3:207-21
3. Army Combat Dev. Exp. Cent. 1985. Combat Field Feeding System. Force Development Test and Experimentation (CFFS-FDTE). Test Rep. CDEC-TR-85-006 A,B,C. US Army Combat Dev. Exp. Cent., Fort Ord, CA
4. Askew EW. 1986. Changing nutritional requirements for the armed forces of the future. Calorie dense or carbohydrate rich? Act. Rep. Res. Dev. Assoc. 38:69-73
5. Askew EW, Claybaugh JR, Cucinell SA, Young AJ, Szeto EG, et al. 1986. Nutrient Intakes and Work Performance of Soldiers During Seven Days of Exercise at 7,200 Feet Altitude Consuming the Ready-to-Eat Ration. USARIEM Tech. Rep. T3-87. US Army Res. Inst. Environ. Med., Natick, MA
6. Askew EW, Claybaugh JR, Hashiro GM, Stokes WS, Sato A, et al. 1987. Mauna Kea III: Metabolic Effects of Dietary Carbohydrate Supplementation During Exercise at 4100 m Altitude. USARIEM Tech. Rep. T12-87. US Army Res. Inst. Environ. Med., Natick, MA
7. Askew EW, Munrol, Sharp MA, Siegel S, Popper R. 1986. Nutritional Status and Physical and Mental Performance of Special Operations Soldiers Consuming the Ration, Lightweight, or the Meal, Ready-to-Eat Military Field Ration During a 30-Day Field Training Exercise. USARIEM Tech. Rep. T7-87. US Army Res. Inst. Environ. Med., Natick, MA
8. Baker-Fulco CJ. 1995. Overview of dietary intakes during military exercises. See Ref. 65, pp. 121-49
9. Banderet LE, Lieberman HR. 1989. Treatment with tyrosine, a neurotransmitter precursor, reduces environmental stress in humans. Brain Res. Bull. 22:759-62
10. Bean WB. 1967. President's address: the ecology of the soldier in World War II. Trans. Am. Clin. Chem. Assoc. 79:1-20
11. Beisel WR. 1995. Herman Award Lecture, 1995: Infection-induced malnutrition-from cholera to cytokines. Am. J. Clin. Nutr. 62:813-19
12. Brown A, Smolensky M, D'Alonzo G, Redmond D, Conrad E, et al. 1990. Circadian rhythm in human activity objectively quantified by actigraphy. Prog. Clin. Biol. Res. 341A:77-83
13. Bugge JF, Opstad PK, Magnus PM. 1979. Changes in the circadian rhythm of performance and mood in healthy young men exposed to prolonged, heavy physical work, sleep deprivation, and caloric deficit. Aviat. Space Environ. Med. 50:663-68
14. Burstein R, Askew W, Coward A, Irving C, Moran D. 1994. Energy Balance in Military Recruits Performing Intense Physical Efforts Under Extreme Climate Conditions. Final Rep. DAMD17-92-J2027. Heller Inst. Med Res., Tel Hashomer, Israel
15. Burstein R, Moran D, Lev B, Wiener M, Epstein Y. 1995. Energy balance in soldiers on infantry assignments under cold weather conditions. Int. Rev. Armed Forces Med. Serv. 68:193-200
16. Carlson SJ, Costello RB, eds. 1997. Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability. Washington, DC: Natl. Acad. In press
17. Comperatore CA, Lieberman HR, Kirby AW, Adams B, Crowley JS. 1996. Melatonin efficacy in aviation missions requiring rapid deployment and night operations. Aviat. Space Environ. Med. 67:520-24
18. Consolazio CF. 1966. Nutrient requirements of troops in extreme environments. Army Res. Dev. Newsmag. Nov:24-27
19. Consolazio CF, Johnson HL, Nelson RA, Dowdy R, Krzywicki HJ, et al. 1979. The Relationship of Diet to the Performance of the Combat Soldier Minimal Calorie Intake During Combat Patrols in a Hot Humid Environment (Panama). Tech. Rep. No. 76. Letterman Army Inst. Res., San Francisco, CA
20. Consolazio CF, Schnakenberg DD. 1977. Nutrition and the responses to extreme environments. Fed. Proc. 36:1673-78
21. Costill DL. 1988. Carbohydrates for exercise: dietary demands for optimal performance. Int. J. Sports Med. 9:1-18
22. Crowdy JR, Haisman MF, McGavock H. 1971. Combat Nutrition. The Effects of a Restricted Diet on Performance of Hard and Prolonged Physical Work. Tech. Rep. APRE-2/71. Army Pers. Res. Establ., Farnborough, UK
23. Darsch GA, Brandler P. 1995. Evolution of rations: the pursuit of universal acceptance. See Ref. 65, pp. 109-20
24. 18O to measure energy expenditure of soldiers at different energy intakes. J. Appl. Physiol. 67:1922-29
25. Dunne CP. 1994. Biochemical strategies for ration design: concerns of bioavailability. See Ref. 64, pp. 93-109
26. Edwards JSA, ed. 1989. Nutritional Aspects of Military Feeding. Final Rep. Panel 8, Res. Study Group S. Tech. Rep. AC/243(Panel 8/RSG.8)D/9. Def. Res. Sect., NATO Hqrs, Brussels, Belgium
27. Edwards JSA, Askew EW, King N, Fulco CS, Hoyt RW, et al. 1991. Assessment of the Nutritional Intake and Energy Expenditure of Unacclimatized U.S. Army Soldiers Living and Working at High Altitude. USARIEM Tech. Rep. T10-91. US Army Inst. Environ. Med., Natick, MA
28. Edwards JSA, Roberts DE. 1991. The influence of a calorie supplement on the consumption of the Meal, Ready-to-Eat in a cold environment. Mil. Med. 9:466-71
29. Edwards JSA, Roberts DE, Morgan TE, Lester LS. 1989. An Evaluation of the Nutritional Intake and Acceptability of the Meal, Ready-to-Eat Consumed With and Without a Supplemental Pack in a Cold Environment. USARIEM Tech. Rep. T18-89. US Army Inst. Environ. Med., Natick, MA
30. Fairbrother B, Kramer FM. 1995. Long range patrol ration acceptance. In Nutritional and Immunological Assessment of Ranger Students with Increased Caloric Intake. USARIEM Tech. Rep. T95-5, pp. 11.1-11.8. US Army Inst. Environ. Med., Natick, MA
31. Forbes-Ewan CH, Morrissey BL, Gregg GC, Waters DR. 1989. Use of doubly labeled water technique in soldiers training for jungle warfare. J. Appl. Physiol. 67:14-18
32. Forbes-Ewan C, Morrissey B, Waters D, Gregg G. 1990. Food Intake and Energy Expenditure of Sailors at a Large Naval Base. MRL Tech. Rep. TR-90-11. Mater. Res. Lab., Def. Sci. Technol. Org., Scottsdale, Tasmania, Aust.
33. Francesconi RP, Hubbard RW, Szlyk PC, Schnakenberg D, Carlson D. 1987. Urinary and hematologic indexes of hypohydration. J. Appl. Physiol. 62:1271-76
34. Freeman S, Last JH, Petty DT, Faller IL. 1955. Total Body Water in Man: Adaptation of Measurement of Total Body Water to Field Studies, Tech. Rep. EP-11. Quartermaster Res. Dev. Cent., Natick, MA
35. Freund BJ, Montain SJ, Young AJ, Sawka MN, DeLuca JP, et al. 1995. Glycerol hyperhydration: hormonal, renal, and vascular fluid responses. J. Appl. Physiol. 79:2069-77
36. Friedl KE. 1995. When does energy deficit affect soldier physical performance? See Ref. 65, pp. 253-83
37. Friedl KE, Mays MZ, Kramer TR. 1996. Acute recovery of physiological and cognitive function in U.S. Army Ranger students in a multistressor field environment. In NATO AC/243 Panel VIII, Workshop Eff. Prolonged Exhaust. Mil. Act. Man-Physiol. Psychol. Changes - Possible Means Rapid Recuperation. In press
38. Friedl KE, Moore RJ, Martinez-Lopez LE, Vogel JA, Askew EW, et al. 1994. Lower limit of body fat in healthy active men. J. Appl. Physiol. 77:933-40
39. Fulco CS, Lewis S, Frykman P, Boushel R, Smith S, et al. 1995. Quantification of progressive muscle fatigue during dynamic leg exercise in humans. J. Appl. Physiol. 79:2154-56
40. Hirsch E. 1995. The effects of ration modifications on energy intake, body weight change, and food acceptance. See Ref. 65, pp. 151-73
41. Hirsch E, Meiselman HL, Popper RD, Smits G, Jezior B. 1984. The Effects of Prolonged Feeding Meal, Ready-to-Eat (MRE) Operational Rations. NAT-ICK Tech. Rep. 85/035. US Army Res. Dev. Cent., Natick, MA
42. Hodgdon JA, Friedl KE, Beckett MB, Westphal KA. 1996. Use of bioelectrical impedance analysis measurements as predictors of physical performance. Am. J. Clin. Nutr. 64(Suppl.):463-68S
43. Hoyt RW, Jones TE, Baker-Fulco CJ, Schoeller DA, Schoene RB, et al. 1994. Doubly labeled water measurement of human energy expenditure during exercise at high altitude. Am. J. Physiol. 266:R966-71
44. Hoyt RW, Jones TE, Rose MS, Forte VA, Durkot MJ, et al. 1991. Dietary Fat Does Not Affect Fuel Oxidation or Endurance Exercise Performance of Soldiers. USARIEM Tech. Rep. T5-91. US Army Res. Inst. Environ. Med., Natick, MA
45. Hoyt RW, Jones TE, Stein TP, McAninch GW, Lieberman HR, et al. 1991. Doubly labeled water measurement of human energy expenditure during strenous exercise. J. Appl. Physiol. 71:16-22
46. Hoyt RW, Knapik JJ, Lanza JF, Jones BH, Staab JS. 1994. Ambulatory foot contact monitor to estimate metabolic cost of human locomotion. J. Appl. Physiol. 76:1818-22
47. Hoyt RW, Moore RJ, DeLany JP, Friedl KE, Askew EW. 1993. Energy balance during 62 days of rigorous physical activity and caloric restriction. FASEB J. 7:A726
48. Jacobs I, Anderberg A, Schele R, Lithell H. 1983. Muscle glycogen in soldiers on different diets during military field manoeuvres. Aviat. Space Environ. Med. 54:898-900
49. Johnson MJ, Friedl KE, Frykman PN, Moore RJ. 1994. Loss of muscle mass is poorly reflected in grip strength performance in healthy young men. Med. Sci. Sports Exerc. 26:235-40
50. Johnson RE, Kark RM. 1947. Environment and food intake in man. Science 105:378-79
51. Johnson RE, Kark RM. 1947, Feeding Problems in Man as Related to Environment. An Analysis of United States and Canadian Army Ration Trials and Surveys, 1941-1946. Quartermaster Food Contain. Inst. Armed Forces, Res. Dev. Branch, Off. Quartermaster Gen., Chicago, IL
52. Jones PJH, Jacobs I, Morris A, Ducharme MB. 1993. Adequacy of food rations in soldiers during an arctic exercise measured by doubly labeled water. J. Appl. Physiol. 75:1790-97
53. Jones TE, Hoyt RW, Baker CJ, Hintlian CB, Walczak PS, et al. 1990. Voluntary Consumption of a Liquid Carbohydrate Supplement by Special Operations Forces During a High Altitude Cold Weather Field Training Exercise. USARIEM Tech. Rep. 770- 90. US Army Res. Inst. Environ. Med., Natick, MA
54. Jones TE, Mutter SH, Aylward JM, DeLany JP, Stephens RL. 1993. Nutrition and Hydration Status of Aircrew Members Consuming the Food Packet, Survival, General Purpose, Improved During a Simulated Survival Scenario. USARIEM Tech. Rep. T1-93.US Army Res. Inst. Environ. Med., Natick, MA
55. Kark R, Croome RRM, Cawthorpe J, Bell DM, Bryans A, et al. 1948. Observations on a mobile arctic force. The health, physical fitness and nutrition of exercise "Musk Ox," February-May 1945. J. Appl. Physiol. 1:73-93
56. King N, Mutter SH, Roberts DE, Sutherland MR, Askew EW. 1993. Cold weather field evaluation of the 18-man Arctic Tray Pack Ration Module, the Meal, Ready-to-Eat, and the Long Life Ration Packet. Mil. Med. 158:458-65
57. Kramer TR, Moore RJ, Shippee RL, Friedl KE, Martinez-Lopez L, et al. 1997. Influences of energy intake and expenditure on expressed T-lymphocyte activation. Int. J. Sportsmed. In press
58. LeBlanc JA. 1996. Cold exposure, appetite, and energy balance. See Ref. 66, pp. 203-14
59. Lichton IJ, Miyamura JB, McNutt SW. 1988. Nutritional evaluation of soldiers subsisting on Meal, Ready-to-Eat operational rations for an extended period: body measurements, hydration, and blood nutrients. Am. J. Clin. Nutr. 48:30-37
60. Lieberman HR. 1994. Tyrosine and stress: human and animal studies. See Ref. 64, pp. 277-99
61. Lieberman HR, Corkin S, Spring BJ, Wurtman RJ, Growdon JH. 1985. The effects of dietary neurotransmitter precursors on human behavior. Am. J. Clin. Nutr. 42:366-70
62. Lyons TP, Riedesel ML, Meuli LE, Chick TW. 1990. Effects of glycerol-induced hyperhydration prior to exercise in the heat on sweating and core temperature. Med. Sci. Sports Exerc. 22:477-83
63. Marriott BM, ed. 1993. Nutritional Needs in Hot Environments. Applications for Military Personnel in Field Operations. Washington, DC: Natl. Acad.
64. Marriott BM, ed. 1994. Fluid Replacement and Heat Stress. Washington, DC: Natl. Acad.
65. Marriott BM, ed. 1994. Food Components to Enhance Performance. An Evaluation of Potential PerformanceEnhancing Food Components for Operational Rations. Washington, DC: Natl. Acad.
66. Marriott BM, ed. 1995. Not Eating Enough. Overcoming Underconsumption of Military Operational Rations. Washington, DC: Natl. Acad.
67. Marriott BM, Carlson SJ, eds. 1996. Nutritional Needs in Cold and in High-Altitude Environments. Applications for Military Personnel in Field Operations. Washington, DC: Natl. Acad.
68. Deleted in proof
69. Marriott BM, Earl R. 1992. Committee on Military Nutrition Research Activity Report. September 30, 1986 through March 31, 1992. Washington, DC: Natl. Acad.
70. Marriott BM, Grumstrup-Scott J, eds. 1992. Body Composition and Physical Performance. Applications for the Military Services. Washington, DC: Natl. Acad.
71. Martinez-Lopez LE, Friedl KE, Moore RJ, Kramer TR. 1993. A prospective epidemiological study of infection rates and injuries of Ranger students. Mil. Med. 158:433-37
72. Mays MZ. 1995. Cognitive performance. In Nutritional and Immunological Assessment of Ranger Students with Increased Caloric Intake. USARIEM Tech. Rep. 795-5, pp. 7.1-7.18. US Army Inst. Environ. Med., Natick, MA
73. Mays MZ. 1995. The functional effects of carbohydrate and energy underconsumption. See Ref. 65, pp. 303-11
74. Deleted in proof
75. Meiselman HL, Kramer FM. 1994. The role of context in behavioral effects of foods. See Ref. 64, pp. 137-57
76. Meyer AI, Klicka MV. 1982. Operational Rations, Current and Future, of the Department of Defense. Tech. Rep. NATICK TR-82/031. US Army Res. Dev. Lab., Natick, MA
77. Montner P, Stark DM, Riedesel ML, Murata G, Robergs R, et al. 1996. Preexercise glycerol hydration improves cycling endurance time. Int. J. Sports Med. 17:27-33
78. Moore RJ, Friedl KE, Kramer TR, Martinez-Lopez LE, Hoyt RW, et al. 1992. Changes in Soldier Nutritional Status & Immune Function During the Ranger Training Course. Tech. Rep. T13-92.US Army Res. Inst. Environ. Med., Natick, MA
79. Moore RJ, Friedl KE, Tulley RT, Askew EW. 1993. Maintenance of iron status in healthy men during an extended period of stress and physical activity. Am. J. Clin. Nutr. 58:923-29
80. Morgan TE, Hodgess LA, Schilling D, Hoyt RW, Iwanyk EJ, et al. 1988. A Comparison of the Meal, Ready-to-Eat, Ration, Cold Weather, and Ration, Lightweight Nutrient Intakes During Moderate Altitude Cold Weather Field Training Operations. USARIEM Tech. Rep. T5-89. US Army Res. Inst. Environ. Med., Natick, MA
81. 2 and endurance in runners. Med. Sci. Sports Exerc. 26:81-88
82. Murlin JR, Miller CW. 1919. Preliminary results of nutritional surveys in United States Army camps. Am. J. Publ. Health 9:401-13
83. Murphy TC, Hoyt RW, Jones TE, Gabaree CLV, Askew EW, et al. 1994. Performance Enhancing Ration Components Program: Supplemental Carbohydrate Test. USARIEM Tech. Rep. T95-2. US Army Res. Inst. Environ. Med., Natick, MA
84. National Research Council. 1986. Cognitive Testing Methodology. Washington, DC: Natl. Acad.
85. Neri DF, Wiegmann D, Stanny RR, Shappell SA, McCardie A, et al. 1995. The effects of tyrosine on cognitive performance during extended wakefulness. Aviat. Space Environ. Med. 66: 313-19
86. Patton JF, Murphy MM, Bidwell TE, Mello RP, Harp ME. 1995. Metabolic Cost of Military Physical Tasks in MOPP O and MOPP. USARIEM Tech. Rep. T95-9. US Army Res. Inst. Environ. Med., Natick, MA
87. Penetar D, McCann U, Thorne D, Kamimori G, Galinski C, et al. 1993. Caffeine reversal of sleep deprivation effects on alertness and mood. Psychopharmacology 112:359-65
88. Phinney SD, Bistrian BR, Evans WJ, Gervino EE, Blackburn GL. 1983. The human metabolic response to chronic ketosis without caloric restriction: preservation of submaximal exercise capability with reduced carbohydrate oxidation. Metabolism 32:769-76
89. Phinney SD, Bistrian BR, Wolfe RR, Blackburn GL. 1983. The human metabolic response to chronic ketosis without caloric restriction: physical and biochemical adaptation. Metabolism 32:757-68
90. Popper RD, Hirsch E, Lesher L, Engell D, Jezior B. 1987. Field Evaluation of Improved MRE (Meal, Ready-to-Eat), MRE VII, and MRE IV. Tech. Rep. 87/027. US Army Res. Dev. Cent., Natick, MA
91. Popper RD, Smits G, Meiselman HL, Hirsch E. 1989. Eating in combat: a survey of U.S. Marines. Mil. Med. 154:619-23
92. Rai RM, Sridharan K, Swamy YV, Mukherjee AK, Radhakrishnan U, et al. 1983. Effect of Repeated Strenuous Exercise Under Low Energy Intake on Physical Performance. Tech. Rep. DIPAS/6/83. Def. Inst. Physiol. Allied Sci., Delhi, India
93. Roberts DE, Askew EW, Rose MS, Sharp MA, Bruttig S, et al. 1987. Nutritional and Hydrational Status of Special Forces Soldiers Consuming the Ration, Cold Weather, or the Meal, Ready-to-Eat Ration During a Ten Day Cold Weather Field Training Exercise. USARIEM Tech. Rep. T8-87. US Army Res. Inst. Environ. Med., Natick, MA
94. Roberts DE, McGuire BJ, Engell DB, Salter CA, Rose MS. 1989. The Role of Water Consumption on Consumption of the Ration, Cold Weather. USARIEM Tech. Rep. T13-89. US Army Res. Inst. Environ. Med., Natick, MA
95. Rose MS, Carlson DE. 1986. Effects of A-Ration Meals on Body Weight During Sustained Field Operations. USARIEM Tech. Rep. T2-87. US Army Res. Inst. Environ. Med., Natick, MA
96. Rose MS, Szlyk PC, Francesconi RP, Lester LS, Armstrong L, et al. 1988. Effectiveness and Acceptability of Nutrient Solutions in Enhancing Fluid Intake in the Heat. USARIEM Tech. Rep. 10-89. US Army Res. Inst. Environ. Med., Natick, MA
97. Sahlin K. 1986. Metabolic changes limiting muscle performance. Biochem. Exerc. VI. Int. Ser. Sports Sci. 16:323-44
98. Sauberlich HE. 1984. Implications of nutritional status on human biochemistry, physiology and health. Clin. Biochem. 17:132-42
99. Schnakenberg DD. 1984. Military nutrition research: a brief history and overview of future directions. In Predicting Decrements in Military Performance Due to Inadequate Nutrition, ed. FM Peter, pp. 7-14. Washington, DC: Natl. Acad. 316 pp.
100. Schnakenberg DD. 1995. Nutritional criteria for development and testing of military field rations: an historical perspective. See Ref. 65, pp. 91-107
101. Schoeller DA. 1988. Measurement of energy expenditure in free-living humans by using doubly-labeled water. J. Nutr. 118:1278-89
102. Shurtleff D, Thomas JR, Schrot J, Kowalski K, Harford R. 1994. Tyrosine reverses a cold-induced working memory deficit in humans. Pharmacol. Biochem. Behav. 47:935-41
103. Simon GA, Schmid P, Reifenrath WG, van Ravenswaay T, Stuck BE. 1994. Wound healing after laser injury to skin-the effect of occlusion and Vitamin E. J. Pharmaceut. Sci. 83:1101-6
104. Simon-Schnass I. 1996. Oxidative stress at high altitudes and effects of Vitamin E. See Ref. 66, pp. 393-418
105. Spurr GB, Prentice AM, Murgatroyd PR, Goldberg GR, Reina JC, et al. 1988. Energy expenditure from minuteby-minute heart rate recording: comparison with indirect calorimetry. Am. J. Clin. Nutr. 48:552-59
106. Stein TP, Hoyt RW, Toole MO, Leskiw MJ, Schluter MD, et al. 1989. Protein and energy metabolism during prolonged exercise in trained athletes. Int. J. Sports Med. 10:311-16
107. Taylor HL, Buskirk ER, Brozek J, Anderson JT, Grande F. 1957. Performance capacity and effects of caloric restriction with hard physical work on young men. J. Appl. Physiol. 10:613-23
108. Thomas CD, Friedl KE, Mays MZ, Mutter SH, Moore RJ, et al. 1995. Nutrient Intakes and Nutritional Status of Soldiers Consuming the Meal, Ready-to-Eat (MREXII) During a 30-Day Field Training Exercise. USARIEM Tech. Rep. T95-6. US Army Res. Inst. Environ. Med., Natick, MA
109. US Dept. Army, Navy, and Air Force, Med. Serv. 15 May 1985. Nutrition Allowances, Standards, and Education. Army Regul. 40-25/Naval Command Med. Instr. 10110.1/Air Force Regulation 150-95, Washington, DC
110. Vanggard L. 1996. Experiences from long duration expeditions in the Arctic. In NATO AC/243 Panel VIII, Workshop Eff. Prolonged Exhaust. Mil. Act. Man - Physiol. Psychol. Changes-Possible Means Rapid Recuperation. In press
111. Wenkam NS, Fox M, Thiele MN, Lichton IJ. 1989. Energy and nutrient intakes of soldiers consuming MRE operational rations: physiological correlates. J. Am. Diet. Assoc. 89:407-9
112. Westphal KA, Friedl KE, Sharp MA, King N, Kramer TR, et al. 1995. Health, Performance, and Nutritional Status of U.S. Army Women During Basic Combat Training. Tech. Rep. T96-2. US Army Res. Inst. Environ. Med., Natick, MA