07775nam 2200757Ia 450 991095720520332120251116140849.0978661018684697803091736360309173639978128018684412801868449780309591898030959189997805850372400585037248(CKB)110986584752306(OCoLC)42636416(CaPaEBR)ebrary10055527(SSID)ssj0000234410(PQKBManifestationID)11203231(PQKBTitleCode)TC0000234410(PQKBWorkID)10237732(PQKB)10772875(MiAaPQ)EBC3376364(Au-PeEL)EBL3376364(CaPaEBR)ebr10055527(CaONFJC)MIL18684(OCoLC)923262318(Perlego)4736878(BIP)47792997(EXLCZ)9911098658475230619981027d1998 uy 0engurcn|||||||||txtrdacontentcrdamediacrrdacarrierReducing stress fracture in physically active military women /Subcommittee on Body Composition, Nutrition, and Health of Military Women, Committee on Military Nutrition Research, Food and Nutrition Board, Institute of Medicine1st ed.Washington, D.C. National Academy Press19981 online resource (xii, 117 pages) illustrationsBibliographic Level Mode of Issuance: Monograph9780309060912 0309060915 Includes bibliographical references (p. 59-67).Reducing Stress Fracture in Physically Active Military Women -- Copyright -- Preface -- HISTORY OF THE SUBCOMMITTEE -- COMMITTEE TASKS AND PROCEDURES -- ORGANIZATION OF THE REPORT -- ACKNOWLEDGMENTS -- Contents -- Executive Summary -- CHARGE TO THE COMMITTEE -- METHODS -- ORGANIZATION OF THE REPORT -- RESPONSE TO TASK QUESTIONS -- Conclusions -- Recommendations -- Conclusions -- Recommendations -- Conclusions -- Recommendations -- Conclusions -- Recommendations -- Conclusions -- Recommendations -- RECOMMENDATIONS FOR FUTURE RESEARCH BY THE MILITARY -- 1 Pathophysiology and Epidemiology of Stress Fractures in Military Women -- ESSENTIAL CONCEPTS -- HORMONAL REGULATION OF BONE METABOLISM AND REMODELING -- PATHOPHYSIOLOGY OF STRESS FRACTURES -- Bone Loading -- Accelerated Remodeling -- Microdamage -- DIAGNOSIS -- EPIDEMIOLOGY -- Military Training Programs -- Army -- Navy and Marine Corps -- Air Force -- Fitness Levels of Recruits -- SUMMARY -- 2 Bone Health and Risk Factors -- BONE MINERAL DENSITY -- TECHNICAL MEASUREMENTS -- Bone Markers -- Bone Mass -- Genetic Markers -- Diet -- BODY COMPOSITION -- PHYSICAL ACTIVITY AND FITNESS -- ORAL CONTRACEPTIVES -- OTHER LIFESTYLE FACTORS -- SUMMARY -- 3 Effects of Caloric Intake, Physical Activity and Hormonal Factors on Bone Health -- CALORIC/HORMONAL FACTORS -- Effects of Low Energy Intake on Hormonal Levels and Bone Health -- Effect of Dieting and Weight Loss on Bone Health -- Incidence of Caloric Restriction and Disordered Eating Patterns in Military Women -- Hypothalamic Amenorrhea and Bone Health -- Possible Effects of Excessive Exercise on Bone Health -- SUMMARY -- 4 Conclusions and Recommendations -- RESPONSE TO TASK QUESTIONS -- CONCLUSIONS -- RECOMMENDATIONS -- Bone Mass and Bone Health -- Fitness and Training -- Reproductive Health and Bone Health -- Energy Intake and Bone Health.RECOMMENDATIONS FOR FUTURE RESEARCH -- Bibliography -- A Workshop Agenda and Abstracts -- WORKSHOP AGENDA -- Agenda -- WORKSHOP ABSTRACTS -- STRESS FRACTURE AMONG PHYSICALLY ACTIVE WOMEN IN THE GENERAL POPULATION -- PHYSICAL TRAINING INTERVENTIONS TO REDUCE STRESS FRACTURE INCIDENCE IN NAVY AND MARINE CORPS RECRUIT TRAINING -- Introduction -- Ongoing Research -- Conclusions -- STRESS FRACTURE EXPERIENCE AT FORT JACKSON -- Introduction -- Physical Training and Rehabilitation Program -- Experience and Interesting Observations -- Interventions -- IS THERE A GENETIC BASIS FOR STRESS FRACTURES? -- STRUCTURAL INDICES OF STRESS FRACTURE SUSCEPTIBILITY IN FEMALE MILITARY RECRUITS -- Introduction -- Materials and Methods -- Results -- Discussion and Conclusions -- References -- QUANTITATIVE ULTRASOUND AND OTHER RISK FACTORS FOR STRESS FRACTURE DURING BASIC TRAINING IN FEMALE U ... -- CALCIUM INTAKE AND EXERCISE LEVEL: SYNERGISTIC EFFECTS ON BONE -- CALCIUM AND IRON: FOOD VERSUS SUPPLEMENTS -- Mineral Requirements -- Bioavailability -- Nutrient-Nutrient Interactions -- Foods Versus Supplements -- DIETARY CALCIUM AND RELATED NUTRIENT INTAKES IN MILITARY MEN AND WOMEN -- References -- EFFECTS OF PROLONGED INACTIVITY ON THE MUSCULOSKELETAL SYSTEM WITH EVALUATION OF COUNTER MEASURES -- Introduction -- Review -- Conclusions -- EFFECT OF MODULATORS OF BONE TURNOVER ON CHANGES IN MARKERS OF BONE TURNOVER -- IGF-1, MUSCLE MASS, AND BONE DENSITY -- DIETARY ENERGY REQUIREMENTS IN PHYSICALLY ACTIVE MEN AND WOMEN: THRESHOLD EFFECTS ON REPRODUCTIVE FUNCTION -- EFFECT OF PREGNANCY ON THE FITNESS AND HEALTH OF POSTPARTUM SOLDIERS -- Results -- Conclusions -- THE ART AND SCIENCE OF LONGITUDINAL STUDIES OF HEALTHY YOUNG PEOPLE -- B Military Recommended Dietary Allowances(AR 40-25, 1985: Chapters 1 and 2) -- CONTENTS -- CHAPTER 1 INTRODUCTION -- 1-1. Purpose -- 1-2. References.1-3. Explanation of abbreviations and terms -- 1-4. Responsibilities -- CHAPTER 2 NUTRITIONAL ALLOWANCES AND STANDARDS -- 2-1. Military recommended dietary allowances -- 2-2. Estimated safe and adequate daily dietary intakes -- 2-3. Nutrient standards for operational and restricted rations -- 2-4. Energy requirements -- 2-5. Nutrient discussion -- C Dietary Reference Intakes for Calcium and Related Nutrients (IOM, 1997) -- D Biographical Sketches -- E Abbreviations.The incidence of stress fractures of the lower extremities during U.S. military basic training is significantly higher among female military recruits than among male recruits. The prevalence of this injury has a marked impact on the health of service personnel and imposes a significant financial burden on the military by delaying completion of the training of new recruits. In addition to lengthening training time, increasing program costs, and delaying military readiness, stress fractures may share their etiology with the longer-term risk of osteoporosis. As part of the Defense Women's Health Research Program, this book evaluates the impact of diet, genetic predisposition, and physical activity on bone mineral and calcium status in young servicewomen. It makes recommendations for reducing stress fractures and improving overall bone health through nutrition education and monitored physical training programs. The book also makes recommendations for future research to evaluate more fully the effects of fitness levels, physical activities, and other factors on stress fracture risk and bone health.Stress fractures (Orthopedics)Women soldiersHealth and hygieneUnited StatesWomen soldiersNutritionUnited StatesPhysical education and training, MilitaryStress fractures (Orthopedics)Women soldiersHealth and hygieneWomen soldiersNutritionPhysical education and training, Military.617.15052MiAaPQMiAaPQMiAaPQBOOK9910957205203321Reducing stress fracture in physically active military women4366957UNINA