Monitoring Metabolic Status: Predicting Decrements in Physiological and Cognitive Performance
Committee on Metabolic Monitoring for Military Field Applications, Standing Committee on Military Nutrition Research, Food and Nutrition Board, Institute of Medicine
National Academies Press, 30. jul. 2004 - 437 strani
The U.S. military’s concerns about the individual combat service member’s ability to avoid performance degradation, in conjunction with the need to maintain both mental and physical capabilities in highly stressful situations, have led to and interest in developing methods by which commanders can monitor the status of the combat service members in the field. This report examines appropriate biological markers, monitoring technologies currently available and in need of development, and appropriate algorithms to interpret the data obtained in order to provide information for command decisions relative to the physiological “readiness” of each combat service member. More specifically, this report also provides responses to questions posed by the military relative to monitoring the metabolic regulation during prolonged, exhaustive efforts, where nutrition/hydration and repair mechanisms may be mismatched to intakes and rest, or where specific metabolic derangements are present.
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Systems Theory and the Study of Individuals
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accelerometers actigraphy algorithms amino acids Appl Physiol assess associated Aviat biochemical biomarkers blood body odors body temperature body weight bone resorption brain cell changes chemical energy chronic Clin clinical cold combat service members concentrations core temperature cortisol cytokines decreased dehydration disease effects electrolyte energy expenditure environment environmental evaluation exercise exposure factors flight fluid Friedl glucose heart rate heat stress hormones human hydration status hyponatremia IGF-I immune increased indicators individual insulin-like growth factor intake laboratory lactate levels loss markers of bone measures mechanical Medicine metabolic Metabolic Monitoring methods models mood muscle fatigue noninvasive normal NSS NSS NSS Nutrition operational osmolality osteoblasts oxygen parameters percent physical activity physiological plasma potential predict renal Sawka sensors serum skeletal muscle sleep deprivation sodium specific stress fractures stress response studies sweat tasks tion tryptophan turnover types U.S. Army urinary urine validated variability