Committee on Military Nutrition Research Activity Report 1994-1999 (1999) / Chapter Skim
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E: Letter Report: Review of Issues Related to Iron Status of Women During U.S. Army Basic Combat Training
E: Letter Report: Review of Issues Related to Iron Status of Women During U.S. Army Basic Combat Training
Pages 121-140
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Appendix E Letter Report: Review ofIssues Restated to fro n Status in Women During U.S. Army Basic Combat Training Submitted December 1995
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Assessment of Nutritional Intake (Klicka et al., 1993~; (3) Relationship between Iron Status and Physical Performance in Female Soldiers during U.S.
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Therefore, additional research should be conducted on the most susceptible groups of military women. It is important to determine whether the compromised iron status observed in women in BCT affects performance; therefore, initial studies should emphasize this issue, using an iron supplement that has the greatest potential for preventing or correcting decrements in iron status with appropriate nutrition counseling stressing the importance of taking such supplements, to help assure compliance with the study design.
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· A screening program for military women be established to identify the extent of deficits in iron status and periods of greatest vulnerability, in order that remedial steps can be instituted where appropriate. · Enlistment of any individual with iron deficiency anemia be delayed until this medically-reversible condition has been corrected.
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Chairman, Committee on Military Nutrition Research Attachments cc: COL J
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1995. Relationship between iron status and physical performance in female soldiers during U.S.
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Given available data, it seems clear that a sizable fraction of the population of both military and civilian women exhibit a significant degree of diminished iron storage, but it is not yet possible, due to disparity in the definitions of iron status, to compare directly the relative degrees of compromised iron status. Profiles of iron status of military women entering BCT were similar to those of civilian women with comparable demographic characteristics, as presented in preliminary form at the meeting (NHANES III, Personal communication, A
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In general, however, military women are more vulnerable than civilian women to developing depleted iron stores due to the demands placed on them for vigorous physical activity. A careful comparison has not yet been made, and it is thus not possible to conclude whether the military population of women differs from the civilian population regarding iron status.
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, but the literature is not conclusive regarding the level of suboptimal stores necessary for impairment (Edgerton et al., 1979; Gardner et al., 1977~. Too few data exist to evaluate whether cognitive performance in military women is affected by poor iron status.
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should evaluate iron status and identify both iron deficiency and iron deficiency anemia (by including an initial measurement of serum ferritin)
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Iron deficiency anemia can be expected to have adverse effects on the military performance of both men and women, depending in part upon its severity. Performance deficits in both men and women due to compromised iron status have been demonstrated most clearly during exercise of prolonged duration, such as long distance running (Newhouse and Clement, 1988~.
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In the proposed intervention study, if the primary objective is to determine the effect of compromised iron status on physical and cognitive performance, then the CMNR recommends consideration that a prospective intervention trial using iron supplements be conducted initially. If this study indicates clear positive effects on performance, then a subsequent study could be designed to evaluate nutrition education (i.e., dietary intervention without supplementation)
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personnel is less desirable because they have just been subjected to 8 weeks of BCT. Studies have demonstrated that measures of iron status tend to stabilize by 12 weeks, and physiological adaptation or compensatory reaction may take place (Blum et al., 1986; Rajaram et al., 1991~.
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Yes. Data should be collected to investigate the iron status of career military women, as recommended in the answer to Question 5 regarding screening.
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1992. Iron status in exercising women: The effect of oral iron therapy vs.
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1995. Relationship between iron status and physical performance in female soldiers during U.S.
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(available by fax to review reports Palo Alto Veterans Administration Medical Center, and Program in Human Biology, Stanford University Palo Alto, CA John D Fernstrom, Ph.D.
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Lieberman, Ph.D. Military Nutrition Division U.S.
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Chief of Nutrition Statistics Branch National Center for Health Statistics Hyattsville, MD APPENDIX E Stay (All sessions) Bernadette M
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