LEADER 07775nam 2200757Ia 450 001 9910957205203321 005 20251116140849.0 010 $a9786610186846 010 $a9780309173636 010 $a0309173639 010 $a9781280186844 010 $a1280186844 010 $a9780309591898 010 $a0309591899 010 $a9780585037240 010 $a0585037248 035 $a(CKB)110986584752306 035 $a(OCoLC)42636416 035 $a(CaPaEBR)ebrary10055527 035 $a(SSID)ssj0000234410 035 $a(PQKBManifestationID)11203231 035 $a(PQKBTitleCode)TC0000234410 035 $a(PQKBWorkID)10237732 035 $a(PQKB)10772875 035 $a(MiAaPQ)EBC3376364 035 $a(Au-PeEL)EBL3376364 035 $a(CaPaEBR)ebr10055527 035 $a(CaONFJC)MIL18684 035 $a(OCoLC)923262318 035 $a(Perlego)4736878 035 $a(BIP)47792997 035 $a(EXLCZ)99110986584752306 100 $a19981027d1998 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aReducing stress fracture in physically active military women /$fSubcommittee on Body Composition, Nutrition, and Health of Military Women, Committee on Military Nutrition Research, Food and Nutrition Board, Institute of Medicine 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1998 215 $a1 online resource (xii, 117 pages) $cillustrations 300 $aBibliographic Level Mode of Issuance: Monograph 311 0 $a9780309060912 311 0 $a0309060915 320 $aIncludes bibliographical references (p. 59-67). 327 $aReducing 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. 327 $aRECOMMENDATIONS 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. 327 $a1-3. 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. 330 $aThe 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. 606 $aStress fractures (Orthopedics) 606 $aWomen soldiers$xHealth and hygiene$zUnited States 606 $aWomen soldiers$xNutrition$zUnited States 606 $aPhysical education and training, Military 615 0$aStress fractures (Orthopedics) 615 0$aWomen soldiers$xHealth and hygiene 615 0$aWomen soldiers$xNutrition 615 0$aPhysical education and training, Military. 676 $a617.15052 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910957205203321 996 $aReducing stress fracture in physically active military women$94366957 997 $aUNINA