Committee on Military Nutrition Research Activity Report 1994-1999 (1999) / Chapter Skim
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D: Letter Report: Review of the Revision of the Medical Services Nutrition Allowances, Standards, and Education (AR 40-25, 1985)
D: Letter Report: Review of the Revision of the Medical Services Nutrition Allowances, Standards, and Education (AR 40-25, 1985)
Pages 95-120
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From page 95... ...
Appendix D [ester Report: Review ofthe Revision of the Medical Services Nutrition Allowances, Standards, and Education (AR 40-25' 1985) Submitted October 1995
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From page 97... ...
This document is a Joint Army, Navy and Air Force Regulation for which the OTSG, DA is identified as the DoD Executive Agent for Nutrition and has responsibility for drafting revisions and coordinating changes with the responsible offices in the other Services. The CMNR was requested to perform this review as part of its task to provide scientific support to USARIEM, which has the mission to perform military nutrition and related research.
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From page 98... ...
, Estimated Safe and Adequate Daily Dietary Intakes, and Nutrient Standards for Operational and Restricted Rations as they reflect changes in the latest version of the Recommended Dietary Allowances (RDAs) , published by the Food and Nutrition Board ~C, 1989b)
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From page 99... ...
· The CMNR recommends that Table 2-3 on nutritional standards for operational and restricted rations be retained and that the narrative accompanying the table values (section 2.3) explain clearly how the reference values were derived.
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From page 100... ...
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.
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From page 101... ...
A report of the Subcommittee on the Tenth Edition of the RDAs, Food and Nutrition Board, Commission on Life Sciences. Washington, D.C.: National Academy Press.
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From page 102... ...
Director, Nutrition Studies Palo Alto Veterans Affairs Health Care System(GRECC/182-B) Visiting Associate Professor, Program in Human Biology, Stanford University 3801 Miranda Avenue Palo Alto, CA 94304 (415)
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From page 103... ...
Director, Frances Stern Nutrition Center Professor, Department of Medicine Tufts Medical School and New England Medical Center 750 Washington Street, Box #783 Boston, MA 02111 (617)
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From page 104... ...
104 APPENDIX D COMMITTEE ON MILITARY NUTRITION RESEARCH ROSTER (former committee, January 1994) Robert O
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Professor, Department of Medicine, Tufts Medical School and New England Medical Center Director, Frances Stern Nutrition Center 750 Washington Street, Box #783 Boston, MA 02111 (617)
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From page 106... ...
The CMNR questions whether the military population in the 1990s varies significantly from the American population in ways that would not be addressed within the framework of the previously mentioned nutritional and dietary guidelines. Therefore, the CMNR suggests that the Army consider adopting the RDAs and Dietary Guidelines for Americans, and modifying the RDAs only for nutrients where sufficient scientific evidence exists to justify a change due to energy expenditure or environmental demands typical for moderately active personnel.
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From page 107... ...
There is a critical need for a croup of individuals who are familiar with the development of RDAs to assist in the derivation of the MRDAs as well as the nutritional standards. The RDAs are developed on a periodic basis by a panel of scientific experts, convened by the Food and Nutrition Board, who carefully review the existing scientific information, consult extensively with scientific colleagues, and prepare a document that then is reviewed both by the Food and Nutrition Board members and anonymous peers.
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From page 108... ...
At present, as noted in the specific comments below, there are inconsistencies between the RDAs and AR 40-25REV that are not clearly explained in the text or tables. · A section needs to be added discussing the rationale behind and the derivation of the values for the Operational and Restricted Rations.
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From page 109... ...
To mention but a few examples, page 47 lines 633-634, "Most health professionals recommend a diet containing less total fat, saturated fat and cholesterol". It appears that the point trying to be made is that many health professionals suggest that a diet low in fat, saturated fat and cholesterol is healthy.
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From page 110... ...
The entire draft regulation requires thorough proofreading and the use of a professional copy editor to address general editing problems of this nature as well as the use of correct English, spelling (dietitian should replace dietician) and scientific abbreviations; for example "calorie" should be replaced with kcal as a measurement of energy throughout the text.
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From page 111... ...
This statement does not match the calculated values in Table 2-1 because the energy values in the table assume moderate to heavy physical activity. Please consider revising text or table values for consistency.
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From page 112... ...
Total energy requirements for individuals performing strenuous work at altitude may reach 6,000 kcal/d. The loss of appetite that occurs at high altitude coupled with this increased need makes obtaining sufficient energy to maintain lean body mass very difficult to attain without conscious effort and may require a disciplined food and water intake program." (Keep last sentence in this section.
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From page 113... ...
There is no identifiable reference in this report to salt tablets. In addition, the CMNR Activity Reports are summaries of previous reports and the correct citation would be the original report.
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From page 114... ...
Basically, increased fluid intake for active personnel in the cold is dependent on sweating plus excessive respiratory water loss because of the low ambient vapor pressure. The committee has deleted this section in AR 40-25REF since there is no reference cited.
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From page 115... ...
See comment above regarding the use of the title of an edited volume as a reference and revise to provide a specific scientifically accurate reference. Specific Comments on Table 2-1 See suggested wording changes in AR 40 25REF.
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From page 116... ...
Folic Acid: The folic acid value was calculated using 78 kg reference weight for men and 3 ,ug/l~g body weight (RDAs, NRC, 1989b)
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From page 117... ...
The Army must consider the newly issued Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 1995 (USDA, 1995) in revisions to this section.
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From page 118... ...
APPENDIX B Justification for Protein Recommendations Note: The word "requirement" needs to be changed to "recommendation" throughout Appendix B See suggested wording changes in AR 40-25REF.
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From page 119... ...
A Brief Report of the Committee on Military Nutrition Research, Food and Nutrition Board. February 25, 1991.
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From page 120... ...
1985. Army Regulation 4025/Naval Command Medical Instruction 10110.1/Air Force Regulation 160-95.
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