Armored Medical Research Laboratory Kf bx, Kentucky Report On PROJECT NO. 1 - COLD WEATHER OPERATIONS PROJECT NO. 2 - OPERATIONS AT HIGH TEMPERATURES Subject: A Critique of Army Rations; Acceptability and Deitary Requirements INFORMATION COPY Action copies have been forwarded to Require- ojeiits Section, AGF for approval and execution. Project Nos, 1-7, 1 -17, 2-5, 2-14 10 April 1944 ARMORED MEDICAL RESEARCH LABORATORY Fort Knox, Kentucky Project No* 1-7,1-15 - 2-6,2-14 File No* 430.2 10 April 1944 A Critique of Army Rations; Acceptability and Dietary Requirements 1* PROJECTt Project No, 1 - Cold weather operations. First partial report on: Sub-project 7, Test of Adequacy of all combat zone rations intended for use in sub-zero climates: Sub-project 15, Study of the total and specific dietary requirements for cold weather. Project No, 2 - Operations at high temperatures: Sub-project No. 5, Test of Adequacy of all combat zone ration intended for use in Operations at high temperatures: and Sub-project No, 14, Study of total and specific Dietary Requirements for Operations at high temperatures, a. Authority: Letter Commanding General, Headquarters Armored Force, Fort Knox, Kentucky, File No, 400.112/6 GNOHD, dated September 24, 1942, b. Purposes: (1) To review the energy (oxygen and calorie) r quirements of soldiers in various activities, (2) To estimate the ideal ration for satisfying energy and other nutritional requirements© (3) To determine how well rations as issued and as consumed satisfy ideal specifications, (1) in training areas, and (2) in comVat theaters. 2, DISCUSSION: aQ Various &rmy rations have been developed under the acute necessity of urgency, and others have evolved slowly from peacetime practices« In view of (l) the increasingly narrow gap between food supply for the country and overall demand; and (2) reports of unsatisfactory feeding of troops in certain combat areas, it is important to examine current rations and dietetic regulations from theoretical and practical view points* These include appraisal of i (a) The acceptability and satisfying qualities of the diet as well as the caloric and nutritional (vitamin, mineral, carbohydrate, protein, water and fat) contento (b) Use of rations under conditions for which they were not intended; e,g, the use of K or C rations for many weeks in combat© 1 (c) Regulations which affect the quantity of food available to each soldier, especially where conditions preclude regular attendance at mess, (d) The effect of unusual environmental conditions upon palata- bility, acceptability, stability and keeping qualities of rations, and upon dietary requirements, (e) The validity of standards set up for daily needs of vitamins, minerals and other constituents of food. (f) Waste, spoilage, deterioration, packaging. 3. CONCLUS10MS: a. The emergency rations K and C are satisfactory as emergency rations (3-5 days), When they are used for long periods, they present the grave fault of monotony; certain components are thrown away so that the portions still eaten do not constitute a balanceddiet and do not satisfy the soldier. Vitamin deficiencies have occurred in the field from protracted use of only those parts of the ration still acceptable, bo The field and garrison rations are satisfactorye It is possible that some waste can still be reduced by attention to the eating habits of soldiers and avoiding foods which are not generally eaten. Co Suggested requirements for an ideal emergency ration which will permit its general use in many circumstances, are listed in Appendix B, Table 1. d. Ration requirements based upon tests carried out in camps, training areas, maneuvers and in the laboratory may give ideas about different rations which cannot be verified except by detailed study of rations in theaters of combat, and in the front lines. 4. HEC OMMEND ATIO NS; a. If an emergency ration is to be used for more than a week at a time, it should be modified in accordance with the specifications in Appendix B, Table 1. b. Testing of rations in non-combatant zones should be validated by tests in combat theatrese c. The determination of acceptability, adequacy and use of rations should be a Medical Corps as well as Quartermaster Corps function. 2 (NOTE: The conclusions and recommendations set forth above have been concurred in by Headquarters, Armored Center, W. H* Nutter, Colonel, G. S. C., Chief of Staff.) Submitted by; William B, Bean, Major, MC APPF.OVED: WILLARD MACHLE Colonel, Medical Corps Coramanding 2 Incls. #1 - Appendix A #2 - Appendix B 3 APPENDIX A U EMERGENCY RATIONS. Bmergenoy rations were designed to tide the soldier over during phases of combat when usual messing practice is impossible© They were designed for use by paratroopers, by assault troops, in establishing beachheads, and in certain types of patrol activity. Use in air operations, in amphibious warfare and in life rafts was a logical development. A number of specialised rations, B, C, D, K, 10-in-l, 5-in-1, mountain, desert and Jungle have been developed, tested and, in many instances, used in the field. Implicit in the specifications for such rations has been the belief that they should be nutritionally perfect, that they satisfy the daily requirement not only of calories, but of each vitamin and mineral. It has also been the aim to have a single ration for emergency use in desert. Jungle, arctic and temperate zone theaters® If the emergency ration was used for emergencies only, almost any one of those listed above would be satisfactory in practice; however, parti- cularly where the supply problem has been difficult (as it usually is ), emergency rations have been used for long periods. There are many reports of C or K rations singly or combined being used continually in combat for 1-2 months — even as long as 67 days in one instance. Those in charge of supply have taken the easy way, or perhaps the only way out, and put emergency rations to the use for which field rations were intended® This has resulted not only in depressing morale, but also in the occurrence of actual vitamin deficiency diseases® Some observers have said that the combat efficiency of troops in some areas had been reduced by two-thirds© The satiety effect of many components of emergency rations increases with time. As an example in the K ration, the K1 and K2 bisquits, the meats, the dextrose, malted milk tablets are rarely eaten. The soldier subsists on the gum, cigarettes, fruit bar, cheese, candy and beverages, although he discards the lemon Juice in Italy and in warm regions where no ice is avail- able. As a consequence, he loses much weight - reports of 20-40 lbs. lost in 2 months at the front are not rare. He may develop vitamin deficiencies© Thus the attempt to assure a high vitamin intake has defeated the whole purpose of the emergency ration. This dilemma may be escaped by : 1. Using the emergency ration for short periods only (3-5 days)® By the nature of warfare and the practice of supply, it is evident that field mess will not be possible in many situations so this alternative may be expected to fail in the future as it has in the past. 2. Alteration of emergency rations to permit more general accep- tance by the soldiers. In Table I suggested specifications for emergency rations have been listed. Attention is drawn to the order of importance of these requirements. First the ration must be accepted by most of the mem most of the time. It is 1 worse then useless to supply a theoretically perfect food which the soldiers will not eat# Mo matter what the dietetic value of an Item, the prime requisite is that it be eaten and satisfy the soldier* Where the acceptability is establ- ished, the food values can be checked* A few instances of failures from past experience will illustrate some of the difficulties which may affect the morale and performance of soldiers © In the experience of the First Armored Division in North Africa the C ration, on which the division subsisted for many months, was inadequate as to vitamin and salt content* A considerable number of symptoms of vitamin B deficiency were common# It was recommended that both salt and poly-vitamin tablets be included in each biscuit tin. An adequate amount of sugar was not furnished with the lemon powder which was the sole source of vitamin Cj there- fore, the troops did not use it. It was suggested that about 5 or 6 types of . meat instead of 3 would render the C ration much more palatable# Troops usually preferred the C rations to the K ration. C rations actually made men sick# Cold meals over a prolonged period produced gastritis, associated with nausea, vomiting and occasionally diarrheao A ration to be in fact a ration must be eaten. Neither C or K rations could be generally consumed by troops beyond a very few days (estimates, 2-6 days)# To be eaten, the rations must be more attractive, appealing to the American taste* No ration with so much health built in was considered likely to appeal to, or be well consumed by American troops* An observer from the Italian theatre noted — "Losses of weight after 2 months on the K and/or C ration ranged from 20-40 pounds* Hot meals were rare in forward areas# The K ration did not fill the belly. In areas behind the front lines where a rest and changes were looked for, the men were often given the same emergency rations, which they were sick of. The cold drink in the K ration was thrown out during the winter, or was used as a substitute for baking powder which was scarce. The pattern of food dislikes appeared to be fixed by early experience with a ration under adverse conditions, because of irregulatiry of messing, some provision is needed to see that the man who misses a meal in time of duty doesnft go hungry for 15-20 hours. A snack-bar open 24 hours would prevent this and allow extra food for men doing unusually heavy work". A case of clinical pellagra with skin and tongue lesions was seen by another observer in a soldier too long on C and K rations# Powdered milk was not used in Aleutian campaign because men had not been instructed in its use. While such failures of food may be exceptional, they have oocured in many theaters. In most cases, the difficulty could be corrected by never using an emergency ration for long periods. If it appears that such rations will continue to be used for more than a few days, the ration must be altered, variations added, simplifications made in accordance with the specifications in Table 1# The improved ration, after sufficient field testing in training areas in this country, should be combat tested and every effort made toward getting the final product to the men in combat in a form which he will eat# Since an Army travels on its stomach, the locifttice of food sunolv is as 2 important as that of sheila. And by the same token, labor spent in the trans- port of inedible food to the front line soldiers may be compared to bringing up duds for tne artillery. II. INTERMEDIATE ZONE RATIONS. Between the garrison ration or field equivalent and the emergency .ration is a terra incognita where the type of food varies greatly from theater , to theater. An attempt is made to supplement food shipped overseas by local produce. Problems of logistics as well as the state of local agricultural and farming determine the practices which, however, must fall within the regulations set up by the local quartermaster under the theater commander. As may be expect- ed there has been great variation in the results where so many unpredictable circumstances operate. III. THE GARRISON RATION. Under the garrison ration system, money is allotted to an organiz- ation for purchase of prescribed foods. The garrison ration is fixed by the President of the United States, and the actual amount spent varies with market prices, from station to station and from time to time. The organization commander is responsible for planning the meals; and individual tastes and ideas of an organization influence the resulting diet. Money not spend for food may be saved to be used later for food or special treats. A constant review by Medical Officers of practices under this system is necessary to keep the diet adequate for there is a tendency to feed well early in the month and stint towards the end. Where the field ration, or rationing-in-kind is practiced, menus are prepared under the direction of Service Command Generals and their advisers. A variable supplement to the food intake of soldiers in permanent camps comes from candy, soft drinks end beer from the post exchanges. This allows soldiers to obtain additional calories when meals are missed, or there is an increased expenditure of energy. No such reserve is availaole in many combat areas. The garrison ration system has been found satisfactory in practice. Strict supervision has curtailed waste to a minimum and personnel familiar with operation of the system have been trained Airing the period of rapid expansion in the armed forces. Table 2 gives a detailed breakdown of the types of food for a sample month. How this system works may be seen in Tables 3 and 4 which compare (l) the specific Army recommendations for various classes of activity, (2) National Research Council recommendations, (3) the planned diet for the month of December, 1943 at Fort Knox, Kentucky and (4) the actual food issued, A scrutiny of these tables shows a remarkably close agreement between these four categories. The absence of any nutritional deficiency disorder among soldiers of the camp during this period is further validation of the dietary practices. Many pitfalls make the literal interpretation of dietary require' 3 went8 given in the tables of great hazardo lo The tables are approximations of averages• There is marked discrepancy between similar items in various tables. Methods of testing vitamin and mineral content of foods are far from perfect. 2o Foods from different regions may show a significant vari- ation in dietary values depending on soil, fertilizer, rainfall, sunlight and variety of plant cropso These factors also affect the animals raised in different regions and later used for foodo * 30 Food as issued is not the same as that finally converted to fuel and reparative processes by the individual soldiero a0 Deterioration may occur in transportation. bo Deterioration may occur in storageo Co Deterioration may occur in preparation for cooking, Table 5o do Deterioration may occur in cooking, Table 5© e o Deterioration may occur while food is kept hot before serving. f. Waste may occur: all that is served is not eaten. IV o THE VITAMIN REQUIREMENT OF SOLDIERS o • For any protracted period, all dietary needs should be satisfied# for shorter periods men can work vigorously and safely without continual replacement of various factors essential for long term activityo Depletion of dietary factors leads to deterioration in performance and danger to health at rates which bear a roughly inverse relationship to their customary During work, oxygen-want produces symptoms within a matter of seconds, lack of water within a few hours, of energy foods within a day, of salt within a few days, while vitamins and certain minerals can be missing from the diet for weeks without disaster The body has reserves effective against short term starvationo It has been assumed, chiefly from animal experiments and anthropo- logical observations, that if certain food factors are provided in quantities well above the minimal needed for existence, better health will occur. Such a subsistence level is said to be optimum. Scientific demonstration will need generations to establish this in man. There is even some evidence that man can adapt himself to live successfully on diets which contain some vitamins in only a small percentage of their supposed minimal concentrations (layers. Am® J. Medo Sc., 201i 785, 1941j Najjar & Holt, J. A. Mo A., 123* 683, 1943)0 Nonetheless, in view of disorders which occur in dietary diffic- ulties of many sorts, the National Research Council set up rather high tentative daily allowances of calories, minerals and vitamins (See Table 6)o Current emphasis on vitamins has elevated standards of feeding the Arrayo This has been satisfactory in the garrison and field rations0 Most recruits gain several pounds during the early months of trainingo Soldiers do not eat all of some items of vitamin-rich food• This is notoriously true of liver which is largely wasted in the Army Uesso An unexpectedly evil effect of emphasis oh high dietary require- ments is seen in emergency rations® The high vitamin content has necessitated use of rich, sometimes greasy and often unpalatable, components which are discarded so generally that the diet as eaten is unbalanced. This is of grave import when the emergency ration is used for long periods, as has happened in several -theaters® Recent work from the Laboratory of Physiological Hygiene of the University of Minnesota under the direction of Dr. Ancel Keys has demonstrated that deficits of B complex vitamins are well tolerated by men doing hard work for many days. This is at variance with previous ideas® With other consideration, it requires a basic reappraisal of the concepts upon which emergency rations have been designed® V» THE ENERGY REQUIREMENT OF SOLDIERS. a0 The energy, fuel of caloric requirement of soldiers is governed by the following principles* lo The fuel requirement rises as work becomes harder and more prolonged® 20 The fuel-food need varies with size; a small man needs less than a large one doing the same work® Although the Army mess is organized to feed the average soldier, anthropometric measurements demonstrate significant variations (ranges of from 72-137$ of the average - Table 7). 3* It is not known whether the stress of combat, the hazards of battle, and the emotional turmoil and physical fatigue associated with them cause any alteration in the food requirements* It is certain that alimentary functions are upset, that digestion may be impaired, that appetite may vanish® Other less well understood factors may cause inequalities in food requirements of men of equal size and equal energy output. 4o There is no evidence that operations in desert or Jungle increase energy requirement* It may be reduced. Cold weather operations, however, increase the caloric requirement appreciably; in arctic operations, it may increase more than 1000 calories per man per day (Sea Table 11). 5® Diarrhea and other conditions of disease in troops may alter requirements or interfere with nutrition in other ways. b® Table 8 shows what a recruit weighing 150 lbs® may be expected to burn in accomplishing some tasks in training® From Tables 7-11 may be computed the expected energy requirements for any group of men of average size® These tables give only an approximate gauge of the calories or energy required for the types of activity a soldier experiences in training and some forms of combato - 5. APPENDIX B The data presented in the several tables and much of the information on which this report is based have been obtained from medical and scientific literature, from studies carried out by the Laboratory, and from information obtained from combat surgeons and medical observers who have seal conditions in the field. It is emphasized that some of the figures presented are tenta- tive. They represent the nearest approach to exact measurements available with existing techniques, but must be used as rough gauges only. SOURCES; 1. Armored Medical Research Laboratory Reports 2. Harvard Fatigue Laboratory Reports 3« University of Minnesota Laboratory of Physiological Hygiene Reports 4. Tables of Allowances recommended by National Research Council 5« Personal reports from observers, division surgeons and troops 60 Nutrition as it affects Military Personnel, Col0 P. E. Howe, Medo Clinics of North America - 2?: 581, 1943 TABLE 1 SPECIFICATIONS FOR EMERGENCY RATIONS IN ORDER OF IMPORTANCE I<, Acceptability and Palatability* No item in ration not used regularly by 80% of men after a month of constant use of ration0 The meal must satisfy hunger and fill the belly. Mo single item, which if not used, would render ration totally unbalanced Acceptable hot or cold - if unacceptable cold, heating provisions must be available with the ration as issued. Common American foods, not exotic types, be usedo Blandness in all foods, if seasoning is supplied, keep it separate so it may be used to taste. Variation: At least 2 and preferably more alternate menus for each meal, or its main constituent, must be available for rotation when ration is used 3 or more days0 * Unless this requirement is met, the ration is of very little valueo 1 II. Food Properties Ration must supply adequate calories as eaten. If to be used longer than 10 days, vitamin and mineral requirements should be met° This should not be done at the expense of acceptability. III. Stability Packages for shipment and storage must withstand exposure for several months to expected ranges in these conditions without alteration of essential characteristics: Moist Heat Dry heat Radiant Heat Cool Cold Fresh Water Salt water Sand Mud Dust And various combination of the above. IV. Packaging Individual units should fit pockets snugly and comfortably; be water and sweat proof; be so packaged that flavors do not intermingle; hold up under ordinary combat, patrols, landing operations; be readily available, opened with minimum of equipment, when in dark; have efficient ratio of food value to volume and weight; be so labelled as to be identified at glance with stable label (see Par. III.), be camouflaged, and so packed that indi- vidual items cannot be stolen from large or small issue units. Opening containers must not endanger opener. V. Physiological Characteristics Must not tend to cause: Undue thirst Nausea Vomiting Diarrhea Constipation Gas Allergic reaction VIa Miscellaneous No main item in emergency ration which is standard ration in relief areas. 2 Some provision for individual variation in needo Extra rations or supplements of particularly desired items should be included in the larger packages for distribution. 1 0 a c 3 •S^ •H ’ & 00 < O *H 0 s •tf •< §* • -p © •H O 'd c: •H © -P O (h x cd tc 0 cd © c: -p © -H 4 O X» •H 0 mI O •H X) P. 0 o u (0 X •H c 0 o. 0 0 Pm > PQ C •H PA s Cs X ** Vi. Vi. w. VI Vi. Vi. Vi. Vi. Vi Vi. Meats, fish and Poultry • 7-o9 .8U1a5 21.8* 1+2.1* 1*1.2* .3 3.U 29.9* 33.8* ll*,6* 52 08* 30.1* 65.3* 1.8 Eggs, fresh d5-ol7 .1777 2o6 7ol Uo2 .1 3.8 7.1* 7o9 5.1a a.9 12.8* .1 Milk Products (Equivalents) 1.00 1.0350 9.0 13.3* 110 7* 5.3 59c6* 22o8* I4.OO 3.6 IaoU 29.5* 1.5 3.1 ‘Butter e07 .0930 7.1 .2 17.5* .0 .7 03 o3 10 0 5* .0 .1 .2 Fats, other .05 .031*7 7.6 .1 13 08* Jt .0 oO .0 .1 .0 cO .1 , Grain Products .6-.7 c7373 23 0 3* 22.6* 5.3 38.3* 11.7* 17.5* 16.6* .1 II+06* 7.7 10.5* dry —i .03-.05 .0660 2.5 1».9 .5 3.6 3.5 6.1* 11.0* - 5.3 3.2 2.8^ Sugars, s.yrups °3kk9 13.1** .3 - 28.2* 1.3 o3 3.1 - - - - Vegetables, .1*202 1.5 leafy, green or yellow .3-.? 2.3 .2 2o5 60O 3.1 60O U6o7* aa 3.6 3.8 U.U Tomatoes 1 • M vn .1603 o5 .6 .1 .8 1.0 L. lo3 1.7 a.7 lo9 1.1 1.2 9o0 Citrus Fruits .3 .2097 o7 o3 .1 1.3 1.9 .7 loO cl lc6 o5 1.1 i77» Potatoes, white «6—0 7 .651*0 5o0 i*.o - 9°3 1.9 60O 7c5 o7 7.a IaoIa 9o9 l7o8* Vegs0, other .2-0 3 .3006 lo3 I.U .2 2.2 3.0 2.6 2.3 .1a lo2 2.3 o9 ioT5r Fruits, fresh .25-.35 .1*098 5.5 1.1a 60O & canned 2.7 06 o2 1.0 2o2 1.2 2.5 1.9 7.0 Fruits, dried .03-.05 .03U2 1.0 .3 c0 2.0 .8 08 2.5 2.1 <>5 2.0 c8 Weights & Units 1*200 128gm 192gm l*90gra 980mg 198Qng 2i*mg 135X) iu 3.3mg 2.6mg NUTRITIONAL CONTRIBUTION (PER CENT) OF VARIOUS CLASSES OF FOODS Based on food prescribed for U.S. Array May - October, 19lil TABLE 2 Contribute or more of daily total Class Moderate Activity Average for Army Very Active Troops As Planned As Issued Ft. Knox December 19^3 A-I i A-2 T-I B-2 Meats, Fish and Poultry .75 o75 c8U 1.00 loOO .975 0 91U Eggs, fresh .125 .125 .18 .125 .125 .169 »177~ Milk Products loOO loOO 1.09 loOO loOO 1.13 1.115 Butter .10 .10 o09 .125 ol25 .070 «070 Fats, other .056 o056 .03 .075 .075 .051 .026 Grain Products .50 .50 .73 .88 »90 .635 oil 83 Legumes, dry .031 o03 .07 olO .12 oOU5 .oia Sugars & Syrup .25 .25 o25 .33 c3ii5 <>337 Vegetables, L. G. & Y. .hh .33 oli 2 •Ui .33 .1(21 0U18 Tomatoes .31 .28 .37 .20 .25 .103 olOil Citrus Fruits .269 o250 Potatoes, white .50 .70 .65 o90 1.00 •571t .575 Vegetables, other c5o .25 .30 .50 o25 .256 .235 Fruits, fresh 4 canned .50 .20 .u. .30 .25 .li32 .382 Fruits, dried .05 .05 .03 olO .10 o028 o020 Total (lbs. per man per day) 5.533 5.219 CLASSIFIED FOOD ALLOWANCE UoS« Army (in Ibs/man/day) TABLE 3 5 ■K Nutrient Moderate Activity A-l A-2 Average Very Active Troops B—1 B-2 As As Planned Issued Ft Knox Dec *143 Nation^ Research Council Sr-* Calories 3,556.00 3,1^68.00 i*,331.00 ii, 751.00 14,889.00 it, 099 3,677 300CH450Q Protein gm 107.00 IO60OO 131o00 Ih9o00 150.00 13k 122 70^ Fat gm 168000 168000 195.00 215.00 216.00 183 165 Carbohydrate gm i|03 e 00 382.00 513.00 552.00 585.00 U81 1*21* Calcium gm 0.91 0.86 loOl 1.03 0.99 ipio 0992 " Phosphorus gm 1.71 1,68 2.03 2.29 2.29 3P36 3c899 Iron rag 20.00 20.00 2I4.OO 29.00 29.00 26.6 2l*-l 12„ 00 Vitamin A. I.U. 13,h0hc00 11,560.00 13,2714.00 13,785.00 10,1*62.00 13,696 11,157 5ooo ♦Thiamine mg 2.51 2.1*9 2.99 3-1*9 3-1*9 2.35 2.16 I.9TTT' c« J ♦Riboflavin mg 2.JU9 2.1*0 2.80 2.99 2.91* 2.70 2.29 2.2 - 3.3 ♦Nicotinic Acid rag 31.1* 28.1* 15 ♦Ascorbic Acid mg 13U.OO(97) 105.00(71*) lUOoOO(97) 135.00(110) 105.00(73) 100 96 75 DISTRIBUTION OF NUTRIENTS IN RATIONS AS ISSUED ♦Corrected fcrmoderate cooking losses. Values for ascorbic acid in parenthesis, TABLE h 6 TABLE 5 VITAMIN LOSSES IN COOKING AND SERVING Thiamin Meats 50$ Processed Meats 80$ Cooked vegetables 25$ if cooking water is retained Cooked vegetables 50% if cooking water is discarded Riboflavin Meats 30$ Negligible losses if entire process done in dark. Nicotinic acid Negligible Pantothenic acid Moderate to slight in vegetables; up to 30$ in meats. Biotin Moderate to negligible in vegetables; up to 75% in meats. Inositol Very great in vegetables (up to 95%) moderate in meats. Folic acid Very great for most foods. Vitamin C Cooked vegetables 50% - higher in metal containers Dehydrated foods - near 100$ - higher in metal containers - newer methods of dehydration have greatly reduced this loss. Salads prepared beforehand-and left for sometime - 20-30$ - higher in metal containers. 7 TABLE 6 RECOMMENDED DAILY ALLOWANCES FOR SPECIFIC NUTRIENTS COMMITTEE ON FOODS AND NUTRITION, NATIONAL RESEARCH COUNCIL < < 03 a> •3 o a a ►i ® a § 154 lb. > o (U c+ man ft (0 i? 3 (6 > o 1* ® ■T- vo IV) >• vn o >* vn Calories o o 8 8 -VI Protein O O o Grams O • o o o o Calcium 00- 00 a> Grams K K K Iron mg vn >* Vn >• vn >• Vitamin A 8 o o g Units O o ° -v3 -o Ascorbic Acid vn vn vn mg io H H> Thiamin Co O) vn mg V*) o ro o Riboflavin VO -vl IV) mg IO H* H Nicotinic VO 00 vn Acid mg TABLE 7 WEIGHT OF 2960 SOLDIERS Distribution in Percentiles Y/eight in Pounds Weight _ Percentiles 128.5 5 133.8 10 137 c 2 15 139 o 8 20 142.1 25 144.5 30 146.5 35 148.7 40 150.8 45 153 ol 50 155c3 55 157.4 60 159 c 9 65 162.4 70 165.5 75 168.8 80 172.7 85 177. A 90 184.0 95 Number; 2960 Range: 110-210 Median: 153.12 from: Armored Medical Research Laboratory report on Project No. y, file Noe 741-3 dated 1 February 1943; Anthropometric Measurements, 8 TABLE 8 TABLE FOR ESTIMATING CALORIC EXPENDITURE The energy requirements of soldiers may be determined by actual measure- ment of oxygen used in doing a specific piece of work, or by reference to tables in which the oxygen expenditure for standard types of work is recorded* In some instances where no data are available and direct measurement is not feasible, an estimate can be made. There is reasonably close agreement1 between calculated and measured oxygen requirements0 The following tables give estimates or actual records of calorie expenditure for varying types of activity. From them, calculations for caloric requirements may be computed for practically any situation. It is not known whether the conditions of combat, extreme fatigue and other factors influence these estimates, but wide discrepancies are not anticipated* For appraisal of the caloric adequacy of a ration, the following caloric output values for various military activities have been obtained. Many of these values have been checked on soldiers by the Douglas bag technique. The table gives figures for a soldier weighing 150 pounds* All values listed (except those marked with asterisk) include a ten minute rest period in each hour. The unadjusted caloric values per hour may be computed from the values below by subtracting 21, and multiplying the remainder by 6/5® Inspection of the table indicates that some of the activities listed must have been carried out under comparatively easy conditions. For instance, the caloric requirement for touch football and softball are both given as 138* The bayonet drill and gas mask drill look far too low compared with marching* The table should, therefore, be used to gain general rather than absolutely quantitative data* Activity Cals, per hour Off duty Sleeping* 67 75 130 130 130 100 130 271 188 188 188 310 310 Eating* Off Duty in Area Clean Up Inspection Policing Area Toilet* Fatigue details - raking up, etc Athletics Mass Games Touch Football Softball Volley Ball Wrestling, by pairs Boxing, by pairs 9 Basic Training Activities Calisthenics*: 1/2 hour consists of 15 mins, standing about between exercises, and 15 mins, activity includ- ing 1 min. running in place, 50 side straddle hops, 48 squat hops, 15 pushups, 50 knee-bends, 10 mins, of light arm exercise. 300 Calisthenics with rifle Close Order Drill Close Order Drill with rifles Bayonet Drill Bayonet Drill dummies Hand Grenade Drill Manual of Arms Gas Mask Drill Rifle Marksmanship Obstacle Course Obstacle Course with Rifles Obstacle Course with Rifles and Pack 395 255 275 201 201 137 171 137 171 (293)** (340) (393) 171 289 33$ 410 455 320 212 338 396 433 Marches (50 ainute march plus 10 minute rest) Retreat Parade Field March Field March with Rifles Marching on level with light pack (27 lbs.) and rifle lb(9 lbfc„)*-$0 rains. of marching and 10 nins. rest, covering 3 miles Field March with Rifles and heavy pack; as above Tank Driving Driving M4A2 Tank over wooded terrain without* roads and with steep grades, deep gullies, sharp turns and deep mud. Driving Bendix Power Control Tank over same terrain NOTE; Under ordinary circumstances the driver may be having the highest caloric requirements of members of considered as a tank crew0 Extended Order and Maneuvers (Activity as described) Field rushes with full equipment (repetition of 5 secso running, 10 secs, lying prone)0 One hour con- sists of 10 mins0 march to area; 40 mins0 rushing in which 5 secs0 running followed by 10 secs, lying prone is repeated for 40 min; 10 rains« rest at end. 415 ** Respective values where activity consists of 20 min0 obstacle » course and 30 min0 march to or from the course0 10 Creeping and crawling with full equipment. One hour consists of 20 mins, marching, 10 mins* resting, 7-1/2 mins, creeping, 1-1/2 rains, crawling both high and low, with 15 rains, of prone resting 405 305 380 Creeping and crawling as above without equipment. Obstacle course with light pack and rifle. Course lasts about 5 minutes and consists of pit jump, hurdles, log crossing, ditch jumps, maze run, log step climb, ditch climb up and down, 12 foot landing net climb, high tunnel run, log ladder up and down, broken field run, low tunnel crawl, rope swing, high fence clirab> one log sitting bridge, walking log bridge, and parapet ditch jump. One hour consists of 20 mins, marching, 2 circuits of course and 20 mins. rest. (There is great variation in different courses.) Digging fox holes. Two hours consists of 20 mins, march, eighty minutes of digging (half the time spent resting) followed by 20 min, break 240 Rifle Exercises. 1/2 hour consists of 15 minutes of standing about, and 15 mins. of exercises including 32 squat hops with rifle above head, 36 side lungs with rifle and other exercises as in Calisthenics, but with rifle. 450 TABLE 9 CALORIC EXPENDITURE OF A 150 LB. SOLDIER DURING VARIOUS TYPES OF ACTIVITY ENERGY EXPENDITURE (Cals/hr CALCULATED MEASURED BY ACTIVITY BY GROUP AT HARVARD FATIGUE camp lee Laboratory 1, Marching on level with light pack (2? lb, and rifle (9 lbs,), 50 mins, of marching and 10 mins, rest, covering 3 miles. > % 2. Field rushes with full equipment (repetition of 5 secs, running, 10 secs, lying prone). One hour consists of 10 mins. march to area, 40 mins, rush- ing in wMch 5 secs* running followed by 10 secso lying prone is repeated for 40 mins; 10 mins, rest at end. 392 318 410 415 11 3. Creeping and crdwling with full equipment, ‘ One hour consists of 20 mins, marching, 10 mins, resting, 7-1/2 mins, creeping, 7-1/2 mins, crawl- ing both high and low, with 15 mins0 of prone resting. 4. Obstacle course with light pack and rifle. Course lasts about 5 minutes and consists of pit jump, hurdles, log crossing, ditch jump, maze run, log step climb, ditch climb up and down, 12 foot land- ing net climb, high tunnel run, log ladder up and down, broken field run, low tunnel crawl, rope swing, high fence climb, one log sitting bridge, walking log bridge, and parapet ditch jump. One hour consists of 20 mins, marching, 2 circuits of course and 20 mins. rest. 5. Digging fox holes. Two hours consists of 20 mins, march, eighty minutes of digging (half the time spent resting) followed by 20 rain0 break. 6. Calisthenics: 1/2 hour consists of 15 mins, standing about and 15 mins. activity including 1 rain, running in place, 50 side straddle hops, 48 squat hops, 15 pushups, 50 knee-bends, 10 mins, of light arm exercise. 7® Rifle exercises. l/2 hour consists of 15 mins, of standing about, and 15 mins, of exercises including 32 squat hops with rifle above head, 36 side lunges with rifle and other exercises as in 6, but with rifle. 318 374 240 300 418 405 380 300 450 TABLE 10 CALORIC EXPENDITURE DURING TWO SAMPLE DAYS (150 lb. SOLDIER) VALUE, MEASURED OR VALUE USED CUSTOMARILY used. BY GROUP AT BY HARVARD FATIGUE GAMP LEE LABORATORY (Cals.) (Cals.) 1st Sample Day 0500 AM 1st Call 0510 Reveille 22 25 0515-0545 Calisthenics 250 150 0545-0600 Rest & Fatigue duties 33 25 0600-0630 Breakfast 54 55 12 0630-0730 Calisthenics vrith rifle 413 450 0730-0830 Creeping & crawling 313 305 0330-0930 Field March 319 310 0930-1030 Obstacle Course 374 380 1030-1130 Field March 319 310 Hot 1130-1200 PM Rest and fatigue duties 65 50 Weather 1200-1245 Dinner 56 35 Schedule 1245-1445 Rest and fatigue duties 130 200 1545-1645 Boxing and Wrestling 375 350 1715-1730 Rest and fatigue duties 33 25 1730-1315 Supper 56 35 1815-1915 Close order drill 200 280 1915-2015 Calisthenics with rifle 417 450 2015-2130 Fatigue duties 163 190 2130-0500 AM Bed 502 525 TOTALS 4104 4250 2nd Sample Day 0500 AM 1st Call 0510 Reveille 22 25 0515-0545 Calisthenics 250 150 0545-0600 Rest and fatigue duties 33 25 0600-0620 Breakfast 25 35 0620-0645 Fatigue duties 54 50 Normal 0645-1145 Road march I960 2050 Weather 1145-1200 PM Fatigue duties 33 30 Schedule 1200-1220 Dinner 25 35 1220-1315 Rest and fatigue duties 119 110 1315-1615 Road march 1176 1230 1615-1730 Fatigue duties 166 150 1730-1750 Supper 25 35 1750-2130 Off duty in area 478 365 2130-0500 AM Bed 502 525 , TOTALS 4868 4815 TABLE 11 Summary of daily caloric requirement for complete balance in a 150 lb, man performing various types of duty. Calories Sedentary Clerical 2,500 Moderate Work Driving vehicles 3,300 Hard Work Jungle patrols, armored maintenance 4,000 Very Hard Work Mountain patrols, construction, landing operations 4,800 Extreme Work Forced marches, opposed landing operations, high speed construction. 5,300 Note: Add at least 1,000 calories for arctic operations 13