1
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Westerterp KR. Predicting resting energy expenditure: a critical appraisal. Eur J Clin Nutr 2023; 77:953-958. [PMID: 37391582 DOI: 10.1038/s41430-023-01299-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 06/02/2023] [Accepted: 06/12/2023] [Indexed: 07/02/2023]
Abstract
BACKGROUND The most commonly used prediction models for resting energy expenditure (REE) are Harris-Benedict (1919), Schofield (1985), Owen (1986), and Mifflin-St Jeor (1990), based on height, weight, age and gender, and Cunningham (1991), based on body composition. METHODS Here, the five models are compared with reference data, consisting of individual REE measurements (n = 353) from 14 studies, covering a large range of participant characteristics. RESULTS For white adults, prediction of REE with the Harris-Benedict model approached measured REE most closely, with estimates within 10% for more than 70% of the reference population. DISCUSSION Sources of differences between measured and predicted REE include measurement validity and measurement conditions. Importantly, a 12- to 14-h overnight fast may not be sufficient to reach post-absorptive conditions and may explain differences between predicted REE and measured REE. In both cases complete fasting REE may not have been achieved, especially in participants with high energy intake. CONCLUSION In white adults, measured resting energy expenditure was closest to predicted values with the classic Harris-Benedict model. Suggestions for improving resting energy expenditure measurements, as well as prediction models, include the definition of post-absorptive conditions, representing complete fasting conditions with respiratory exchange ratio as indicator.
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Affiliation(s)
- Klaas R Westerterp
- NUTRIM, Maastricht University Medical Centre, Maastricht, The Netherlands.
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2
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Segedi LC, Saint-Martin DRF, da Cruz CJG, Von Koenig Soares EMK, do Nascimento NL, da Silva LL, Nogueira RM, Korre M, Smith DL, Kales SN, Molina GE, Porto LGG. Cardiorespiratory fitness assessment among firefighters: Is the non-exercise estimate accurate? Work 2020; 67:173-183. [PMID: 32955482 DOI: 10.3233/wor-203263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Minimum cardiorespiratory fitness (CRF) has been recommended for firefighters due to job requirements. Thus, it is important to identify accurate and readily available methods to assess CRF in this population. Non-exercise CRF estimates (NEx-CRF) have been proposed but this approach requires validation in this population. OBJECTIVE To evaluate the accuracy of a NEx-CRF, as compared to a field maximum exercise test, among career military firefighters of both genders using a comprehensive agreement analysis. METHODS We evaluated the accuracy of a NEx-CRF estimate compared to the Cooper 12 min running test among 702 males and 106 female firefighters. RESULTS Cooper and NEx-CRF tests yielded similar CRF in both genders (differences <1.8±4.7 ml/kg-1.min-1; effect size <0.34). However, NEx-CRF underestimated Cooper-derived CRF among the fittest firefighters. NEx-CRF showed moderate to high sensitivity/specificity to detect fit or unfit firefighters (71.9% among men and 100% among women). Among men, the NEx-CRF method correctly identified most firefighters with less than 11 METs or greater than 13 METs, but showed lower precision to discriminate those with CRF between 11-13 METs. CONCLUSIONS The NEx-CRF method to estimate firefighters' CRF may be considered as an alternative method when an exercise-based method is not available or may be used to identify those who require more traditional testing (CRF 11-13 METs).
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Affiliation(s)
- Leonardo Correa Segedi
- Faculty of Physical Education, The University of Brasilia FEF/UnB, Brazil.,Federal District (Brasilia) Military Firefighter Brigade, CBMDF, Brazil.,Grupo de Estudos em Fisiologia e Epidemiologia do Exercício e da Atividade Física (GEAFS), Brazil
| | - Daniel Rodrigues Ferreira Saint-Martin
- Faculty of Physical Education, The University of Brasilia FEF/UnB, Brazil.,Grupo de Estudos em Fisiologia e Epidemiologia do Exercício e da Atividade Física (GEAFS), Brazil
| | - Carlos Janssen Gomes da Cruz
- Faculty of Physical Education, The University of Brasilia FEF/UnB, Brazil.,Grupo de Estudos em Fisiologia e Epidemiologia do Exercício e da Atividade Física (GEAFS), Brazil
| | - Edgard M K Von Koenig Soares
- Faculty of Physical Education, The University of Brasilia FEF/UnB, Brazil.,Grupo de Estudos em Fisiologia e Epidemiologia do Exercício e da Atividade Física (GEAFS), Brazil
| | | | | | - Rosenkranz Maciel Nogueira
- Faculty of Physical Education, The University of Brasilia FEF/UnB, Brazil.,Federal District (Brasilia) Military Firefighter Brigade, CBMDF, Brazil.,Grupo de Estudos em Fisiologia e Epidemiologia do Exercício e da Atividade Física (GEAFS), Brazil
| | - Maria Korre
- Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard T. H. Chan School of Public Health, USA
| | - Denise L Smith
- Department of Health and Human Physiological Sciences, Skidmore College, First Responder Health and Safety Laboratory, Saratoga Springs, NY, USA
| | - Stefanos N Kales
- Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard T. H. Chan School of Public Health, USA.,Occupational Medicine, The Cambridge Health Alliance/Harvard Medical School, Cambridge, MA, USA
| | - Guilherme E Molina
- Faculty of Physical Education, The University of Brasilia FEF/UnB, Brazil.,Grupo de Estudos em Fisiologia e Epidemiologia do Exercício e da Atividade Física (GEAFS), Brazil
| | - Luiz Guilherme Grossi Porto
- Faculty of Physical Education, The University of Brasilia FEF/UnB, Brazil.,Grupo de Estudos em Fisiologia e Epidemiologia do Exercício e da Atividade Física (GEAFS), Brazil.,Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard T. H. Chan School of Public Health, USA
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3
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O'Leary TJ, Wardle SL, Greeves JP. Energy Deficiency in Soldiers: The Risk of the Athlete Triad and Relative Energy Deficiency in Sport Syndromes in the Military. Front Nutr 2020; 7:142. [PMID: 32984399 PMCID: PMC7477333 DOI: 10.3389/fnut.2020.00142] [Citation(s) in RCA: 46] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 07/21/2020] [Indexed: 12/15/2022] Open
Abstract
Military personnel experience energy deficit (total energy expenditure higher than energy intake), particularly during combat training and field exercises where exercising energy expenditures are high and energy intake is reduced. Low energy availability (energy intake minus exercising energy expenditure expressed relative to fat free mass) impairs endocrine function and bone health, as recognized in female athletes as the Female Athlete Triad syndrome. More recently, the Relative Energy Deficiency in Sport (RED-S) syndrome encompasses broader health outcomes, physical and cognitive performance, non-athletes, and men. This review summarizes the evidence for the effect of low energy availability and energy deficiency in military training and operations on health and performance outcomes. Energy availability is difficult to measure in free-living individuals but doubly labeled water studies demonstrate high total energy expenditures during military training; studies that have concurrently measured energy intake, or measured body composition changes with DXA, suggest severe and/or prolonged energy deficits. Military training in energy deficit disturbs endocrine and metabolic function, menstrual function, bone health, immune function, gastrointestinal health, iron status, mood, and physical and cognitive performance. There are more data for men than women, and little evidence on the chronic effects of repeated exposures to energy deficit. Military training impairs indices of health and performance, indicative of the Triad and RED-S, but the multi-stressor environment makes it difficult to isolate the independent effects of energy deficiency. Studies supplementing with energy to attenuate the energy deficit suggest an independent effect of energy deficiency in the disturbances to metabolic, endocrine and immune function, and physical performance, but randomized controlled trials are lacking.
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Affiliation(s)
- Thomas J O'Leary
- Army Health and Performance Research, Army Headquarters, Andover, United Kingdom.,Division of Surgery and Interventional Science, UCL, London, United Kingdom
| | - Sophie L Wardle
- Army Health and Performance Research, Army Headquarters, Andover, United Kingdom.,Division of Surgery and Interventional Science, UCL, London, United Kingdom
| | - Julie P Greeves
- Army Health and Performance Research, Army Headquarters, Andover, United Kingdom.,Division of Surgery and Interventional Science, UCL, London, United Kingdom.,Norwich Medical School, University of East Anglia, Norwich, United Kingdom
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4
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Ikonen JN, Joro R, Uusitalo AL, Kyröläinen H, Kovanen V, Atalay M, Tanskanen-Tervo MM. Effects of military training on plasma amino acid concentrations and their associations with overreaching. Exp Biol Med (Maywood) 2020; 245:1029-1038. [PMID: 32363923 DOI: 10.1177/1535370220923130] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
IMPACT STATEMENT The diagnosis of overtraining syndrome and overreaching poses a great challenge. Military training aims at improving the physical performance of the conscripts, but an excessive training load could also lead to overreaching. This study of Finnish conscripts provides new insights into the pathophysiology of overreaching and overtraining through amino acids concentrations. In addition to confirming the possible use of plasma glutamine/glutamate concentration to indicate and predict overreaching, we made a novel finding, i.e. low alanine and arginine concentrations might have a role in performance decrement and fatigue related to overreaching. Moreover, this study is the first to show the possible association between amino acids with putative neuronal properties and overreaching. Thus, the present findings might help to detect and prevent overreaching and offer a reliable diagnostic approach. In order to avoid overreaching, military training should be planned more periodically and individually, especially during the first four weeks of military service.
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Affiliation(s)
- Jenni N Ikonen
- Institute of Biomedicine, University of Eastern Finland, Kuopio 70211, Finland
| | - Raimo Joro
- Institute of Biomedicine, University of Eastern Finland, Kuopio 70211, Finland
| | - Arja Lt Uusitalo
- Department of Sports and Exercise Medicine, Clinicum, University of Helsinki, Helsinki 00530, Finland.,Clinic for Sports and Exercise Medicine, Foundation for Sports and Exercise Medicine, Helsinki 00530, Finland
| | - Heikki Kyröläinen
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä 40014, Finland
| | - Vuokko Kovanen
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä 40014, Finland
| | - Mustafa Atalay
- Institute of Biomedicine, University of Eastern Finland, Kuopio 70211, Finland
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5
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Effects of baseline fitness and BMI levels on changes in physical fitness during military service. J Sci Med Sport 2020; 23:841-845. [PMID: 32067916 DOI: 10.1016/j.jsams.2020.02.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2019] [Revised: 01/13/2020] [Accepted: 02/07/2020] [Indexed: 11/21/2022]
Abstract
OBJECTIVES The purpose of the present study was to investigate how aerobic fitness, muscle fitness and body mass index (BMI) change in relation to their baseline levels during 6-12 months of military service. DESIGN Retrospective longitudinal follow-up study. METHODS The study group consisted of 249279 healthy young male conscripts (age 19.1±0.4 yrs.) who completed their military service between the years 2005-2015. Anthropometrics (body mass, height, BMI), aerobic fitness (12-min running test) and muscle fitness (sit-ups, push-ups, standing long jump) were measured. RESULTS A 12-min running test improved by 5% (107±292m), standing long jump 1% (2.1±16.2cm), 1-min sit-ups 19% (4±8 repetitions/min) and 1-min push-ups 33% (5±10 repetitions/min) (p<0.001 for all). Baseline fitness and baseline BMI levels were inversely associated with their changes (r=-0.37 to -0.47, p<0.001). Performance improved in conscripts in the lowest two baseline fitness quartiles in all tests, while it decreased in conscripts in the highest fitness quartiles. In addition, in conscripts who were obese at baseline, body mass decreased on average by 4.9±7.0kg (p<0.001). CONCLUSIONS On average, the physical fitness of conscripts improved during their compulsory military service. In particular, conscripts with a lower baseline fitness level or higher BMI showed the largest improvements, which may be significant findings from both a military readiness and national health perspective. However, the decline in physical performance of high-fit conscripts highlights the importance of individualization of physical training and military training load during military service.
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6
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Boutari C, Bouzoni E, Joshi A, Stefanakis K, Farr OM, Mantzoros CS. Metabolism updates: new directions, techniques, and exciting research that is broadening the horizons. Metabolism 2020; 102:154009. [PMID: 31715175 DOI: 10.1016/j.metabol.2019.154009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Accepted: 10/15/2019] [Indexed: 12/19/2022]
Affiliation(s)
- Chrysoula Boutari
- Division of Endocrinology, Diabetes and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
| | - Eirini Bouzoni
- Division of Endocrinology, Diabetes and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
| | - Aditya Joshi
- Division of Endocrinology, Diabetes and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
| | - Konstantinos Stefanakis
- Division of Endocrinology, Diabetes and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
| | - Olivia M Farr
- Division of Endocrinology, Diabetes and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
| | - Christos S Mantzoros
- Division of Endocrinology, Diabetes and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA; Section of Endocrinology, Boston VA Healthcare System, Harvard Medical School, Boston, MA 02130, USA.
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7
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Effects of military basic training on VO2max, body composition, muscle strength and neural responses in conscripts of different aerobic condition. BIOMEDICAL HUMAN KINETICS 2019. [DOI: 10.2478/bhk-2019-0023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Summary
Study aim: The purpose of this study was to evaluate neuromuscular adaptations in conscripts with different fitness levels (VO2max) during 8 weeks of military basic training (BT).
Material and methods: Twenty-four male conscripts (18–21 years) were divided into two groups (Good Fitness [GF] and Low fitness [LF]) based on their VO2max at the beginning of BT. Body mass (BM), fat free mass (FFM) and Fat% were measured after 2, 4, and 7 weeks of training. VO2max, maximal isometric leg press force (MVC), H-reflex (Hmax/Mmax) at rest and V-wave (V/Mmax) during maximal isometric plantarflexion were measured from the soleus muscle at the beginning, after 5, and after 8 weeks of training.
Results: FFM decreased significantly in LF after 7 weeks of training (–3.0 ± 1.7%, p < 0.001), which was not observed in GF. Both GF (6.9 ± 4.6%, p < 0.01) and LF (5.7 ± 4.6%, p < 0.01) showed improved VO2max after 5 weeks, with no changes during the last 3 weeks. A main effect of training was observed in decreased leg press MVC (–7.3 ± 9.3%, F = 4.899, p < 0.05), with no between-group differences. V-wave was significantly lower in LF during 5 (–37.9%, p < 0.05) and 8 (–44.9%, p < 0.05) weeks.
Conclusion: Poor development of the neuromuscular system during BT suggests that explosive and/or maximal strength training should be added to the BT protocol for all conscripts regardless of fitness level. In addition, individualized training periodization should be considered to optimize the training load.
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8
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JURVELIN HEIDI, TANSKANEN-TERVO MINNA, KINNUNEN HANNU, SANTTILA MATTI, KYRÖLÄINEN HEIKKI. Training Load and Energy Expenditure during Military Basic Training Period. Med Sci Sports Exerc 2019; 52:86-93. [DOI: 10.1249/mss.0000000000002092] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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9
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Ando T, Piaggi P, Bogardus C, Krakoff J. VO 2max is associated with measures of energy expenditure in sedentary condition but does not predict weight change. Metabolism 2019; 90:44-51. [PMID: 30385380 PMCID: PMC6317969 DOI: 10.1016/j.metabol.2018.10.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 10/19/2018] [Accepted: 10/25/2018] [Indexed: 12/19/2022]
Abstract
BACKGROUND/OBJECTIVES Energy expenditure measured under sedentary conditions predicts weight change but evidence that directly measured VO2max is associated with weight change is lacking. The aim of this study was to determine the associations of VO2max with measures of predominantly sedentary 24-h thermogenesis, and subsequent weight change. SUBJECTS/METHODS Three hundred fifty-seven individuals (162 females; 27 Blacks, 72 Caucasians, and 258 American Indians) had measures of body composition, resting metabolic rate (RMR), and intermittent treadmill run test for assessment of VO2max. On a separate day, 24-h energy expenditure (EE), diet-induced thermogenesis (DIT) expressed as "awake and fed" thermogenesis (AFT), sleeping metabolic rate (SMR), and spontaneous physical activity (SPA) were measured in a whole-room indirect calorimeter. Follow-up weight for 217 individuals was available (median follow-up time, 9.5 y; mean weight change, 12.4 ± 14.9 kg). RESULTS After adjustment for fat free mass, fat mass, age, sex, and race, a higher VO2max was associated with a higher RMR (β = 68.2 kcal/day per L/min, P < 0.01) and 24-h EE (β = 62.2 kcal/day per L/min, P < 0.05) and including additional adjustment for energy intake higher AFT (β = 66.1 kcal/day per L/min, P = 0.01). Neither SMR (P > 0.2) nor SPA (P > 0.8) were associated with VO2max. VO2max at baseline did not predict follow-up weight after adjustment for baseline weight, follow-up time, sex, and race (P > 0.4). CONCLUSION VO2max is associated with measures of EE including 24-h EE, RMR and DIT implying a common mechanism regulating the energetics of skeletal muscle during exercise and thermogenesis. However, this did not translate to VO2max as a predictor of weight change.
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Affiliation(s)
- Takafumi Ando
- Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, AZ, USA; Japan Society for the Promotion of Science, Tokyo, Japan.
| | - Paolo Piaggi
- Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, AZ, USA
| | - Clifton Bogardus
- Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, AZ, USA
| | - Jonathan Krakoff
- Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, AZ, USA
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10
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Burrows TL, Ho YY, Rollo ME, Collins CE. Validity of Dietary Assessment Methods When Compared to the Method of Doubly Labeled Water: A Systematic Review in Adults. Front Endocrinol (Lausanne) 2019; 10:850. [PMID: 31920966 PMCID: PMC6928130 DOI: 10.3389/fendo.2019.00850] [Citation(s) in RCA: 100] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Accepted: 11/21/2019] [Indexed: 12/17/2022] Open
Abstract
Accuracy in quantifying energy intake (EI) using common dietary assessment methods is crucial for interpreting the relationship between diet and chronic disease. The aim of this systematic review was to evaluate the validity of dietary assessment methods used to estimate the EI of adults in comparison to total energy expenditure (TEE) measured by doubly labeled water (DLW). Articles in English across nine electronic databases, published between 1973 and February 2019 were retrieved. Studies were included if participants were adults (≥18 years) and used the DLW technique to measure TEE compared to self-reported EI. A total of 59 studies were included, with a total of 6,298 free living adults and a mean of 107 participants per study. The majority of studies including 16 studies that included a technology based method reported significant (P < 0.05) under-reporting of EI when compared to TEE, with few over-reporting EI. Misreporting was more frequent among females compared to males within recall based dietary assessment methods. The degree of under-reporting was highly variable within studies using the same method, with 24 h recalls having less variation and degree of under-reporting compared to other methods.
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11
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Kyröläinen H, Pihlainen K, Vaara JP, Ojanen T, Santtila M. Optimising training adaptations and performance in military environment. J Sci Med Sport 2018; 21:1131-1138. [DOI: 10.1016/j.jsams.2017.11.019] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Revised: 11/15/2017] [Accepted: 11/28/2017] [Indexed: 11/28/2022]
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12
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Sargent C, Gebruers C, O’Mahony J. A review of the physiological and psychological health and wellbeing of naval service personnel and the modalities used for monitoring. Mil Med Res 2017; 4:1. [PMID: 28116111 PMCID: PMC5242023 DOI: 10.1186/s40779-016-0112-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Accepted: 12/30/2016] [Indexed: 12/28/2022] Open
Abstract
Naval cohorts rely heavily on personnel to ensure the efficient running of naval organisations. As such, the wellbeing of personnel is essential. In an occupational setting, naval service personnel experience a variety of physiological and psychological stressors. Most naval services arrange annual physical fitness and body composition tests to ensure the physical readiness of personnel. However, these tests only evaluate a small amount of physiological capabilities. Components such as aerobic and strength capabilities are assessed, however, other components of physical fitness such as speed, agility, anaerobic capacity and flexibility are not. In addition to the physical capabilities, personnel are impacted by fatigue, nutrition and psychological stressors such as copping in stressful situations or dealing with time away from family and friends. This review will discuss the physiological and psychological factors that affect personnel's wellbeing. In addition to this, it will also evaluate the methods that are used to assess both physiological and psychological wellbeing.
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Affiliation(s)
- Cliodhna Sargent
- Cork Institute of Technology, Rossa Avenue, Bishopstown, Cork Ireland
| | - Cormac Gebruers
- National Maritime College of Ireland, Ringaskiddy, Cork Ireland
| | - Jim O’Mahony
- Cork Institute of Technology, Rossa Avenue, Bishopstown, Cork Ireland
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13
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Margolis LM, Pasiakos SM, Karl JP, Rood JC, Cable SJ, Williams KW, Young AJ, McClung JP. Differential effects of military training on fat-free mass and plasma amino acid adaptations in men and women. Nutrients 2012; 4:2035-46. [PMID: 23250145 PMCID: PMC3546621 DOI: 10.3390/nu4122035] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2012] [Revised: 11/30/2012] [Accepted: 12/13/2012] [Indexed: 01/14/2023] Open
Abstract
Fat-free mass (FFM) adaptations to physical training may differ between sexes based on disparities in fitness level, dietary intake, and levels of plasma amino acids (AA). This investigation aimed to determine FFM and plasma AA responses to military training, examine whether adaptations differ between male and female recruits, and explore potential associations between FFM and AA responses to training. Body composition and plasma AA levels were assessed in US Army recruits (n = 209, 118 males, 91 females) before (baseline) and every three weeks during basic combat training (BCT), a 10-week military training course. Body weight decreased in men but remained stable in women during BCT (sex-by-time interaction, P < 0.05). Fifty-eight percent of recruits gained FFM during BCT, with more (P < 0.05) females (88%) gaining FFM than males (36%). Total plasma AA increased (P < 0.05) during BCT, with greater (P < 0.05) increases observed in females (17%) then in males (4%). Essential amino acids (EAA) and branched-chain amino acids (BCAA) were increased (P < 0.05) in females but did not change in males (sex-by-time interaction, P < 0.05). Independent of sex, changes in EAA (r = 0.34) and BCAA (r = 0.27) from baseline were associated with changes in FFM (P < 0.05); greater (P < 0.05) increases in AA concentrations were observed for those who gained FFM. Increases in FFM and plasma AA suggest that BCT elicits a more pronounced anabolic response in women compared to men, which may reflect sex-specific differences in the relative intensity of the combined training and physiological stimulus associated with BCT.
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Affiliation(s)
- Lee M. Margolis
- Military Nutrition Division, United States Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA; E-Mails: (L.M.M.); (S.M.P.); (J.P.K.); (A.J.Y.)
| | - Stefan M. Pasiakos
- Military Nutrition Division, United States Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA; E-Mails: (L.M.M.); (S.M.P.); (J.P.K.); (A.J.Y.)
| | - J. Philip Karl
- Military Nutrition Division, United States Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA; E-Mails: (L.M.M.); (S.M.P.); (J.P.K.); (A.J.Y.)
| | - Jennifer C. Rood
- Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA; E-Mail:
| | - Sonya J. Cable
- Experimentation and Analysis Element, Directorate of Basic Combat Training, Fort Jackson, SC 29207, USA; E-Mails: (S.J.C.); (K.W.W.)
| | - Kelly W. Williams
- Experimentation and Analysis Element, Directorate of Basic Combat Training, Fort Jackson, SC 29207, USA; E-Mails: (S.J.C.); (K.W.W.)
| | - Andrew J. Young
- Military Nutrition Division, United States Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA; E-Mails: (L.M.M.); (S.M.P.); (J.P.K.); (A.J.Y.)
| | - James P. McClung
- Military Nutrition Division, United States Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA; E-Mails: (L.M.M.); (S.M.P.); (J.P.K.); (A.J.Y.)
- Author to whom correspondence should be addressed; E-Mail: ; Tel.: +1-508-233-4979; Fax: +1-508-233-4869
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14
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Kinnunen H, Tanskanen M, Kyröläinen H, Westerterp KR. Wrist-worn accelerometers in assessment of energy expenditure during intensive training. Physiol Meas 2012; 33:1841-54. [PMID: 23110981 DOI: 10.1088/0967-3334/33/11/1841] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
We assessed the ability of the Polar activity recorder (AR) to measure energy expenditure (EE) during military training. Twenty-four voluntary male conscripts participated in the study and wore an AR on the non-dominant wrist 24 h a day for 7 d. The AR analyzed and stored the frequency of hand movements (f_hand) into memory at 1 min intervals. The relationship between f_hand and EE was studied over a 7 d period of military training using the doubly labeled water (DLW) technique. In addition, the relationship between f_hand and EE was analyzed during walking and running on a treadmill with an indirect calorimeter (IC), and f_hand was measured during a supervised 45 min field march test where the conscripts carried combat gear. EE was expressed as physical activity level (PAL), total energy expenditure (TEE), and activity-induced energy expenditure adjusted for body mass (AEE/BM). Over the 7 d period, f_hand alone explained 46% of inter-individual variation in PAL(DLW). After inclusion of body height and mass in the model used to predict PAL(DLW) from f_hand, a very high positive correlation and a low standard error of estimate (SEE) were observed between the AR and DLW techniques: for TEE r = 0.86 (p < 0.001), the SEE was 6.3%, and for AEE/BM r = 0.84 (p < 0.001), the SEE was 12.8%. In the treadmill exercise, f_hand correlated highly with PAL(IC) (r = 0.97 ± 0.02). In the 45 min field march test, the AR measured similar f_hand as on the treadmill at the same speed. In conclusion, the wrist-worn AR can be regarded as a reliable and valid method for assessing EE during intensive training.
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Tanskanen MM, Westerterp KR, Uusitalo AL, Atalay M, Häkkinen K, Kinnunen HO, Kyröläinen H. Effects of easy-to-use protein-rich energy bar on energy balance, physical activity and performance during 8 days of sustained physical exertion. PLoS One 2012; 7:e47771. [PMID: 23094083 PMCID: PMC3475712 DOI: 10.1371/journal.pone.0047771] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2012] [Accepted: 09/17/2012] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Previous military studies have shown an energy deficit during a strenuous field training course (TC). This study aimed to determine the effects of energy bar supplementation on energy balance, physical activity (PA), physical performance and well-being and to evaluate ad libitum fluid intake during wintertime 8-day strenuous TC. METHODS Twenty-six men (age 20±1 yr.) were randomly divided into two groups: The control group (n = 12) had traditional field rations and the experimental (Ebar) group (n = 14) field rations plus energy bars of 4.1 MJ•day(-1). Energy (EI) and water intake was recorded. Fat-free mass and water loss were measured with deuterium dilution and elimination, respectively. The energy expenditure was calculated using the intake/balance method and energy availability as (EI/estimated basal metabolic rate). PA was monitored using an accelerometer. Physical performance was measured and questionnaires of upper respiratory tract infections (URTI), hunger and mood state were recorded before, during and after TC. RESULTS Ebar had a higher EI and energy availability than the controls. However, decreases in body mass and fat mass were similar in both groups representing an energy deficit. No differences were observed between the groups in PA, water balance, URTI symptoms and changes in physical performance and fat-free mass. Ebar felt less hunger after TC than the controls and they had improved positive mood state during the latter part of TC while controls did not. Water deficit associated to higher PA. Furthermore, URTI symptoms and negative mood state associated negatively with energy availability and PA. CONCLUSION An easy-to-use protein-rich energy bars did not prevent energy deficit nor influence PA during an 8-day TC. The high content of protein in the bars might have induced satiation decreasing energy intake from field rations. PA and energy intake seems to be primarily affected by other factors than energy supplementation such as mood state.
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Affiliation(s)
- Minna M Tanskanen
- Department of Biology of Physical Activity, University of Jyväskylä, Jyväskylä, Finland.
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Bingham CML, Lahti-Koski M, Puukka P, Kinnunen M, Jallinoja P, Absetz P. Effects of a healthy food supply intervention in a military setting: positive changes in cereal, fat and sugar containing foods. Int J Behav Nutr Phys Act 2012; 9:91. [PMID: 22849620 PMCID: PMC3511183 DOI: 10.1186/1479-5868-9-91] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2011] [Accepted: 07/05/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In Finland, all men are liable to military service and a clear majority completes service. The increasing prevalence of obesity also among soldiers concerns conscripts' food choices. Conscripts are served nutritionally planned regular main meals but individual choices take place in free-time eating. This study assesses the effects in conscripts' eating habits in an intervention targeting the supply of healthy foods available in the military setting. METHODS Participants were 604 18-21-year old male conscripts of whom 242 belonged to Control Group and 362 to Intervention Group. Participants of Control Group were historical controls performing military service one year before Intervention Group. The intervention targeted selection, placement, and attractiveness of healthy foods in garrison refectories and soldier's home cafeterias, the two main food providers in the military. Dietary intake data was collected by self-administered questionnaire at three time points: before/beginning of military service (T0), 8 weeks (T1) and 6 months (T2) of military service. Outcome measures were food consumption frequencies and four dietary indexes (Cereal Index, Fruit and Vegetable Index, Fat Index and Sugar Index) developed to characterize the diet. Changes between study groups in outcome variables and in time were analysed by repeated-measures analysis of covariance. RESULTS Significant (p < 0.05) intervention effects and time-intervention interactions mostly in favor of Intervention Group were found. In Intervention Group, Cereal Index was significantly higher at T2 and the overall level of porridges and cereals was higher during follow-up when comparing to Control Group. Also, the overall levels of Fat Index, potato chips, soft drinks and desserts as well as sweet pastries at T1 were significantly lower in Intervention Group. At the same time, Fruit and Vegetable Index and the level of fruit and berries were lower in Intervention Group during follow-up. CONCLUSIONS In the military setting, healthier food choices can be promoted by intervening on the main food environments by improving the supply of healthy foods. However, impacting on conscripts' individual selection as fruit and vegetable consumption is more challenging.
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Affiliation(s)
- Clarissa M L Bingham
- Health Behavior and Health Promotion Unit, Department of Lifestyle and Participation, National Institute for Health and Welfare, FI-00271, Helsinki, Finland.
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Jallinoja P, Tuorila H, Ojajärvi A, Bingham C, Uutela A, Absetz P. Conscripts’ attitudes towards health and eating. Changes during the military service and associations with eating. Appetite 2011; 57:718-21. [DOI: 10.1016/j.appet.2011.08.019] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2011] [Revised: 08/17/2011] [Accepted: 08/27/2011] [Indexed: 10/17/2022]
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TANSKANEN MINNAM, UUSITALO ARJAL, KINNUNEN HANNU, HÄKKINEN KEIJO, KYRÖLÄINEN HEIKKI, ATALAY MUSTAFA. Association of Military Training with Oxidative Stress and Overreaching. Med Sci Sports Exerc 2011; 43:1552-60. [DOI: 10.1249/mss.0b013e3182106d81] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Westerterp KR. Physical activity, food intake, and body weight regulation: insights from doubly labeled water studies. Nutr Rev 2010; 68:148-54. [DOI: 10.1111/j.1753-4887.2010.00270.x] [Citation(s) in RCA: 99] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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