Biomedical subjects

Reed W Hoyt

Publications and source records attributed to Reed W Hoyt.

13 recordsLinked to original sources

PubMed2006

Negative energy balance in male and female rangers: effects of 7 d of sustained exercise and food deprivation.

BACKGROUND: A challenging 7-d ranger field exercise (FEX) by cadets in the Norwegian Military Academy provided a venue in which to study the effects of negative energy balance. OBJECTIVE: We quantified total energy expenditure (TEE), food intake, and changes in body composition in male and female cadets. DESIGN: TEE (measured by doubly labeled water), food intake, activity patterns (measured by accelerometry), and body composition (measured by dual-energy X-ray absorptiometry) were measured in 16 cadets (10 men and 6 women aged 21-27 y). RESULTS: The physically active (approximately 23 h/d) and semistarved (0.2-2.2 MJ/d) cadets lost weight (x +/- SD: men, -7.7 +/- 1.1 kg; women, -5.9 +/- 1.1 kg; P < 0.05). Absolute TEE differed by sex (men, 26.6 +/- 2.0 MJ/d; women, 21.9 +/- 2.0 MJ/d; P < 0.05) but body weight-specific TEE did not (men, 343 +/- 26 kJ . kg(-1) . d(-1); women, 354 +/- 18 kJ . kg(-1) . d(-1); NS). Fat-free mass (FFM) loss differed significantly by sex (men, -4.0 +/- 1.2 kg; women, -2.5 +/- 1.1 kg; P < 0.05), but percentage FFM loss did not (men, -6.3 +/- 1.9%; women, -5.6 +/- 2.4%). In contrast, absolute FM loss did not differ significantly by sex (men, -3.45 +/- 0.72 kg; women, -3.42 +/- 0.22 kg), but fat oxidation (men, 5.2 +/- 1.0 mg . min(-1) . kg FFM(-1); women, 7.3 +/- 0.5 mg . min(-1) . kg FFM(-1)) and the relative contribution of FM to TEE (men, 74 +/- 14%; women, 89 +/- 6%) were significantly greater in women than in men (P < 0.05). CONCLUSION: Female cadets maintained a significantly more fat-predominant fuel metabolism than did male cadets in response to sustained exercise and semistarvation.

Absorptiometry, Photon↗

PubMed2006

Field studies of exercise and food deprivation.

PURPOSE OF REVIEW: The increase in obesity in developed societies drives interest in the interplay of energy intake, metabolic energy expenditure, and body energy stores. A better understanding of energy management in physically active and undernourished humans should help guide strategies to manage obesity safely and effectively. This review focuses on field studies of men and women engaged in prolonged strenuous activities, ranging from ranger training to extreme expeditions. RECENT FINDINGS: Although scientifically unconventional and limited, field studies of exercise and food deprivation have yielded interesting findings: 4-5% body fat is the normal lower limit to fat reserves in physically active underfed young adult men, and in response to exercise and underfeeding, women used more fat mass and less fat-free mass to meet metabolic fuel requirements. SUMMARY: Field studies have shown that fat energy reserves in young adult men can be estimated as percentage body fat minus 5%, and initial body fat mass has a significant positive influence on fat oxidation rates per kilogram of fat-free mass during rapid weight loss associated with underfeeding and exercise. Data logging pedometers, activity monitors, global positioning systems, and wireless body and personal-area networks promise to make it easier to study and care for free-living humans.

Adipose Tissue↗

PubMed2006

Energy expenditure in men and women during 54 h of exercise and caloric deprivation.

UNLABELLED: Fifty U.S. Marine recruits (30 men, 20 women) were studied during a physically intense, energy intake-restricted, winter-time 54-h field training exercise (FEX) at Parris Island Marine Corps Recruit Depot. Men and women completed the same physical tasks. PURPOSE: To characterize and compare the total energy expenditure (TEE) and core temperature responses in men and women working almost continuously for 2.25 d in an outdoor environment while developing a substantial energy deficit. METHODS: TEE was measured using doubly labeled water (D(2)O(18)). Energy intake was estimated using beverage diaries and collecting ration wrappers saved by each volunteer and adding the known caloric value of each food item consumed. Core temperature was measured using an ingested thermometer pill. Physical activity level (PAL) was calculated by dividing TEE by the calculated basal metabolic rate. RESULTS: TEE was higher (P < 0.001) for the men (25.7 MJ.d(-1)) than women (19.8 MJ.d(-1)), but there were no differences between men and women in TEE normalized to body mass (men, 0.35 +/- 0.05 MJ.d(-1).kg(-1); women, 0.34 +/- 0.06 MJ.d(-).kg(-1)), corrected body mass (men, 0.29 +/- 0.04 MJ.d(-1).kg(-1) corrected body mass; women, 0.27 +/- 0.04 MJ.d(-1).kg(-1) corrected body mass), fat-free mass (men, 0.41 +/- 0.07 MJ.d(-1).kg(-1) FFM; women, 0.46 +/- 0.07 MJ.d(-1).kg(-1) FFM), or corrected fat-free mass (men, 0.30 +/- 0.05 MJ.d(-1).kg corrected body mass; women, 0.30 +/- 0.04 0.30 +/- 0.05 MJ.d(-1).kg(-1) corrected body mass). PAL was the same for men (3.4 +/- 0.5) and women (3.3 +/- 0.4). Energy intakes were higher (P < 0.05) in men (6.0 +/- 2.0 MJ.d(-1)) than women (4.8 +/- 1.8 MJ.d(-1)). The average minimum core temperature was 36.0 +/- 0.4 degrees C, and the mean maximum core temperature was 38.5 +/- 0.3 degrees C. CONCLUSIONS: For both men and women, total energy expenditures were among the highest observed for a military FEX. TEE, when normalized or corrected to body mass and fat-free mass, and PAL were the same for men and women.

Adolescent↗

PubMed2005

Modeling physiological responses to military scenarios: initial core temperature and downhill work.

INTRODUCTION: Previous field studies suggested that a thermoregulatory model developed by the U.S. Army Research Institute of Environmental Medicine (USARIEM) needed an adjustment of initial core temperature (Tcr) for individual variation and a metabolic (M) correction during downhill movements. This study evaluated the updated version of the model incorporating these new features using a dataset collected during U.S. Marine Corps marksmanship training at Quantico, VA. METHODS: Individual anthropometrics, physiological, and environmental time series data were obtained from five Marine men. The study focused on the marksmanship training for approximately 2 h, then 30-min marching including uphill and downhill movements in a moderately hot environment (air temperature: approximately 30 degrees C; dew point: approximately 21 degrees C). The predicted and observed heart rate (HR) and Tcr measurements were compared by root mean square deviations (RMSD). RESULTS: Overall, the current model improved predictions of physiological measures (HR RMSD = 23 bpm, Tcr RMSD = 0.46 degrees C), particularly for marching in the heat (HR RMSD = 21 bpm, Tcr RMSD = 0.32 degrees C). The model under-predicted both HR and Tcr during marksmanship training, indicating that a greater solar effect or non-thermal factors may have required higher M rates during these periods. CONCLUSIONS: Updated features of the model significantly improved physiological predictions. However, accurate M estimates are required for slow movements of subjects under heat stress, such as movements on the firing range. Such improvement should result in more accurate simulations of physiological status and better risk assessment, thereby reducing heat injuries and improving performance of deployed military personnel.

Adult↗

PubMed2005

Body fluid regulation in a simulated disabled submarine: effects of cold, reduced O2, and elevated CO2.

INTRODUCTION: Survivors awaiting rescue aboard a disabled submarine (DISSUB) lacking power and/or environmental control would potentially be exposed to cold and reduced O2 and elevated CO2 levels. We hypothesized that elevated CO2 levels would lead to hormone changes that would mitigate cold and hypoxia-induced body fluid losses. METHODS: Blood was drawn from seven men on three mornings: baseline (21% O2, 0.05% CO2), after 4 d of low O2, cold, and high CO2 (T101; 4 degrees C, 16.75% O2, 2.5% CO2), and following acute withdrawal of cold and high CO2 (T173, 16.75% O2, 0.05% CO2). Total body water (TBW) was measured using deuterium oxide dilution at baseline and at T148. Hormone analyses included atrial natriuretic peptide (ANP), aldosterone (ALDO), and plasma renin activity (PRA). RESULTS: TBW decreased by 0.4 +/- 0.4 L. Water turnover was 3.0 +/- 0.5 L x d(-1). ANP (pg x ml(-1)) was lower (p < 0.05) at T101 (3.46 +/- 1.17) and T173 (4.97 +/- 2.28) vs. baseline (8.19 +/- 3.40). PRA (pg x ml(-1)) was higher (p < 0.05) at T101 (10.43 +/- 4.90) and T173 (14.23 +/- 4.48) vs. baseline (6.81 +/- 3.43). ALDO, serum osmolality, and electrolytes were not different across time. Urine flow was lower at T101 and T173 vs. baseline, and urine osmotic clearance was lower at T173 vs. baseline. Free water clearance did not change across time. DISCUSSION: These data indicate that the combination of cold, low O2, and high CO2 for 5-7 d did not change total body water and hormone changes and urinary measures across the DISSUB were consistent with fluid retention.

Accidents↗

PubMed2004

Energy requirements of military personnel.

Energy requirements of military personnel (Soldiers, Sailors, Airmen, and Marines) have been measured in garrison and in field training under a variety of climatic conditions. Group mean total energy expenditures for 424 male military personnel from various units engaged in diverse missions ranged from 13.0 to 29.8 MJ (3109-7131 kcal) per day. The overall mean was 19.3+/-2.7 MJ (mean+/-SD) (4610+/-650 kcal) per day measured over an average of 12.2 days (range 2.25-69 days). For the 77 female military personnel studied, mean total energy expenditures for individual experimental groups ranged from 9.8 to 23.4 MJ (2332-5597 kcal) per day, with an overall mean of 11.9+/-2.6 MJ (2850+/-620 kcal) per day, measured over an average of 8.8 days (range 2.25-14 days). Women, presumably due to their lower lean body mass, resting metabolic rate, and absolute work rates, had lower total energy expenditures. Combat training produced higher energy requirements than non-combat training or support activities. Compared to temperate conditions, total energy expenditures did not appear to be influenced by hot weather, but tended to be higher in the cold or high altitude conditions.

Adult↗

PubMed2004

Total energy expenditure estimated using a foot-contact pedometer.

BACKGROUND: Total energy expenditure (TEE) assessment using pedometers provide an easy and less expensive method than doubly labeled water (DLW). This study assessed TEE by a new pedometry method (TEEpedo) compared to the doubly labeled water method (TEEdlw). MATERIAL/METHODS: Shipboard sailors (7 men, age: 23.0+/-3.9 yrs; ht: 180.2+/-6.5 cm; wt: 83.8+/-11.8 kg, and 10 women, age: 24.7+/-4.4 yrs; ht: 165.2+/-8.0 cm; wt: 63.5+/-14.0 kg) (Mean +/-SD) were studied for 8 days. The energy cost of activity was estimated using (a) total body weight, (b) foot-ground contact times [Tc] during running, walking, and non-exercise activity [NEAT], and (c) the known proportion of time spent in each activity category. Resting metabolic rate (RMR) was estimated from lean body mass. RESULTS: TEEPEDO was calculated as: TEEpedo (MJ) = (1440 x [%Run Time x ((0.0761 x [Total Body Weight/TcRun]) - 7.598) +%Walk Time x ((0.056 x [Total Body Weight/TcWalk]) - 2.938) + (%NEAT Time x 0.1 x [RMR/Minute])] + RMR)/239. This method, explained 79% of the variance of TEEpedo with a 95% confidence interval of +/-0.81 MJ/day, relative to TEEdlw (12.55+/-3.3MJ/day). Mean TEEpedo (12.65+/-3.1 MJ/day) did not differ from mean TEEdlw (p=0.95). CONCLUSIONS: At TEEs >14 MJ/day, the TEEpedo method underestimated actual TEE, possibly due to unaccounted for upper body exercise. At more moderate TEEs of 9 to 14 MJ/day, the Tc pedometry method provided accurate estimates of TEE.

Deuterium↗

PubMed2004

Total energy expenditure estimated using foot-ground contact pedometry.

Routine walking and running, by increasing daily total energy expenditure (TEE), can play a significant role in reducing the likelihood of obesity. The objective of this field study was to compare TEE estimated using foot-ground contact time (Tc)-pedometry (TEE(PEDO)) with that measured by the criterion doubly labeled water (DLW) method. Eight male U.S. Marine test volunteers [27 +/- 4 years of age (mean +/- SD); weight = 83.2 +/- 10.7 kg; height = 182.2 +/- 4.5 cm; body fat = 17.0 +/- 2.9%] engaged in a field training exercise were studied over 2 days. TEE(PEDO) was defined as (calculated resting energy expenditure + estimated thermic effect of food + metabolic cost of physical activity), where physical activity was estimated by Tc-pedometry. Tc-pedometry was used to differentiate inactivity, activity other than exercise (i.e., non-exercise activity thermogenesis, or NEAT), and the metabolic cost of locomotion (M(LOCO)), where M(LOCO) was derived from total weight (body weight + load weight) and accelerometric measurements of Tc. TEE(PEDO) data were compared with TEEs measured by the DLW (2H2(18)O) method (TEE(DLW)): TEE(DLW) = 15.27 +/- 1.65 MJ/day and TEE(PEDO) = 15.29 +/- 0.83 MJ/day. Mean bias (i.e., TEE(PEDO) - TEE(DLW)) was 0.02 MJ, and mean error (SD of individual differences between TEE(PEDO) and TEE(DLW)) was 1.83 MJ. The Tc-pedometry method provided a valid estimate of the average TEE of a small group of physically active subjects where walking was the dominant activity.

Adult↗

PubMed2004

Adequacy of Garrison feeding for Special Forces soldiers during training.

This study evaluated whether Special Forces (SF) soldiers training in garrison would meet nutrient intake recommendations using the available garrison dining facility. Dietary intakes were obtained by a visual estimation method and self-reported food records from 32 SF and 13 support soldiers for 9 days. Total energy expenditure (TEE) was measured in nine soldiers from each group using doubly labeled water. Mean (+/- SD) total energy expenditure of SF (4,099 +/- 740 kcal/day) was higher than support soldiers (3,361 +/- 939 kcal/day, p < 0.01). Energy intake did not differ between groups. Median energy intake for all soldiers was 3,204 kcal/day. The nutrient intake goals of SF soldiers were not fully met by eating in the dining facility. Extending meal times and providing additional meals or "take out" foods may allow energy needs of SF soldiers (approximately 4,200 kcal/day) to be met, while reducing the reliance on potentially less nutritious outside foods.

Anthropometry↗

PubMed2004

Life sign decision support algorithms.

There is a pressing need in the military for a system that interprets data from a suite of wearable physiological sensors to infer a soldier's current clinical state on the battlefield. The Warfighter Physiological Status Monitoring (WPSM) concept is envisioned by the US Army to address this need. Life sign detection is a key component. The future WPSM system will consist of a body-worn network of biosensors with a central processing control unit containing firmware for assessing the soldier's physiological status. In the present application, the system will diagnose a Dead, Alive, or Unknown (DAU) physiological state, and this information will be made available to field medics and others over separate communication channels. This paper describes the various modules in the DAU determination algorithms and how they interact with each other, as well as a simulator system built for parametric studies of the overall system.

Algorithms↗

PubMed2003

High-speed running performance: a new approach to assessment and prediction.

We hypothesized that all-out running speeds for efforts lasting from a few seconds to several minutes could be accurately predicted from two measurements: the maximum respective speeds supported by the anaerobic and aerobic powers of the runner. To evaluate our hypothesis, we recruited seven competitive runners of different event specialties and tested them during treadmill and overground running on level surfaces. The maximum speed supported by anaerobic power was determined from the fastest speed that subjects could attain for a burst of eight steps (approximately 3 s or less). The maximum speed supported by aerobic power, or the velocity at maximal oxygen uptake, was determined from a progressive, discontinuous treadmill test to failure. All-out running speeds for trials of 3-240 s were measured during 10-13 constant-speed treadmill runs to failure and 4 track runs at specified distances. Measured values of the maximum speeds supported by anaerobic and aerobic power, in conjunction with an exponential constant, allowed us to predict the speeds of all-out treadmill trials to within an average of 2.5% (R2 = 0.94; n = 84) and track trials to within 3.4% (R2 = 0.86; n = 28). An algorithm using this exponent and only two of the all-out treadmill runs to predict the remaining treadmill trials was nearly as accurate (average = 3.7%; R2 = 0.93; n = 77). We conclude that our technique 1) provides accurate predictions of high-speed running performance in trained runners and 2) offers a performance assessment alternative to existing tests of anaerobic power and capacity.

Exercise↗

PubMed2003

Effects of a 3-month endurance event on physical performance and body composition: the G2 trans-Greenland expedition.

OBJECTIVE: Prolonged physical exertion with inadequate time for recuperation may result in an overtraining phenomenon characterized by reduced physical strength and endurance capacity. We tested the hypothesis that highly motivated men pushed to the limits of their endurance capacity for 3 months would suffer physical breakdown characterized by loss of lean mass and reduced physical performance capacity. METHODS: Two well-trained men (VO2max > 60 mL/kg/min), aged 25 years, completed an unsupported, 2928-km, south-to-north ski trek across Greenland in 86 days. The trek involved ski marching, typically for 9 h/d, pulling sleds initially containing 150 kg and a high-fat (60%) energy-dense diet of 25.1 MJ/d. Body composition and physical performance data were collected 14 days before and 4 days after the trek. RESULTS: Energy expenditure based on doubly labeled water during three 2-week periods ranged from 28.3 and 34.6 MJ/d in rugged terrain to 14.6 and 16.1 MJ/d during travel on flat terrain for subjects 1 and 2, respectively. Both men lost weight, completing the trek with low-normal fat stores (approximately 13% body fat). The lighter man gained 0.6 kg lean mass, while the heavier man lost 1.4 kg lean mass and a larger amount of fat weight (7.0 kg). Most performance measures showed trivial changes within the errors of measurement and test reproducibility, indicating no loss of endurance capacity, but anaerobic tests (Wingate and vertical jump) were markedly reduced. Markers of metabolic status, including oral glucose tolerance tests, indicated no functional impairments. CONCLUSIONS: Although the number of subjects was limited, this observational study demonstrated that well-trained and experienced long-distance ski trekkers who eat an adequate high-calorie diet can perform endurance treks in severe cold, with little or no loss of lean mass and physical capability.

Adult↗

PubMed2002

Combat medical informatics: present and future.

In this paper, we describe a U.S. Army concept to monitor soldier physiologic status and provide computer-based medical support to increase the likelihood of soldier survival on the battlefield. Supported by an underlying platform of complex wearable computerized systems, the "Warfighter Physiological Status Monitoring" (WPSM) concept consists of an array of biosensors embedded in the soldier's uniform integrated with a database management system and a decision support system that will provide assistance in casualty prevention and casualty management. We discuss the main components of the WPSM, its present status, key requirements and outstanding challenges, and near- and far-term research directions.

Biosensing Techniques↗