ARMORED MEDICAL RESEARCH LABORATORY Fort Knox, Kentucky Project No. 30 File 430.2 22 November 1944 FIELD TEST OF ACCEPTABILITY AND ADEQUACY OF U.S. ARMY C, K, 10-in-l AND CANADIAN ARMY MESS TIN RATIONS 1. PROJECT: No. 30—Final Report of Acceptability and Adequacy of U. S. Army C, K, 10-in-l and Canadian Army Mess Tin Rations. a. Authority: Letter SPQRD 400.112 (Ration Acceptability, C and K) and 4th Ind. A.S.F. Office of the Surgeon General SPMDO 4 April 1944. b. Purpose: To determine the acceptability and adequacy of the packaged expeditionary* rations C, K, 10-in-l and Canadian Army Mess Tin compared with a supplemented Field Ration B. A comprehensive field test of rations was desirable because of reports from combat areas and the Ca- nadian Army winter trials and because newly introduced changes and ration components had not been tested previously. The acceptability and the adequacy of the rations were studied by all methods available within the limitations of time and personnel to carry out procedures and collect information. The entire testing pro- gram was integrated with the infantry training schedule of the battalion; and it was possible for the subjects to complete most of their FOR training during the test. 2. DISCUSSION: Methods—Five principal methods were used to measure acceptability and adequacy as follows: (1) Questionnaires of individual likes and dislikes of items. (2) Individual item and calorie consumption. (3) Food wastage by company. (4) Physical fitness as determined by; (a) A battery of 3 fitness tests. (b) Appraisal of the military fitness of the individual soldier by line and noncommissioned of- ficers, and by observers. (5) Clinical and biochemical examination to ascertain the nutritional status of individual subjects and companies on the different ration programs. Conditions—In planning the test 5 principles of control were laid down. They were: (1) There be a large enough number of subjects tested to have statistical validity. (2) The men be on the test rations for a long enough period to give meaningful results. (3) Complete isolation from outside sources of food and mutual isolation of the several test groups be enforced. (4) The testing personnel have a preliminary period of training and indoctrination with tests and procedures. (5) The subjects carry out military training resembling combat activities and be organized in units according to army regulations. The officers responsible for the test to have control of the troops and a single program of activity be carried out by all groups to allow satisfactory comparison. Details of procedures and the general program are set forth in the appendices. The 5 conditions of control stipulated prior to the test were satisfied. It was recognized that perhaps the most important element in accep- tability of combat rations—the emotional stress of warfare—was absent in this test. Another factor which un- doubtedly influenced acceptability was the freshness of the rations tested, most of which were not over 3 months old when consumed. Overseas rations are not often eaten before they are 12 months old. Other wmditions of environment affected acceptability and consumption and must be considered in the final evaluation and in ap- plying these findings to other situations. * C and K Rations are called emergency or combat rations in the appendices. Support rations refer only to 10-in-l and B Rations. i: 3. SUMMARY OF RESULTS: a. Acceptability. The high general level of acceptability of all rations was noted throughout, though a number of items were never well received. The New and Experimental C Rations were rated unequivocally the best of the rations packaged for individual consumption; and the Experimental was preferred over the New. All meat components of the old C Ration were rated low and there was large waste of M-l, -2 and -3 compo- nents when ample food was available. The new biscuits were preferred over the old. The chief complaints were the absence of any meat appropriate to breakfast, and the side-opening of the meat cans. K Ration was received fairly well, and consumption improved with time as hunger increased and as new methods of preparation evolved. When there was maximal variety the ration was well received. Exceptions to the general trend were bouillon and biscuits which rated low. Confections were universally well liked. Lemon powder was inter- mediate. The Canadian Army Mess Tin Ration was fairly well accepted, though use of sardines and tea declined during the test and pea soup and milk-and-sugar powder rated low throughout. The 10-in-1 Ration was well received, especially when used for only 2 weeks as a support-area ration. When used for 2 months it became tiresome. The noon meal of K Ration components was not relished, particularly by subjects who had been eating K Ration. When issue was restricted to 1 ration daily during the 6th and 7th weeks, the subjects wanted more food though consumption was about the same as when the ration was first used. No direct comparison was made between the 10-in-l and the Supplemented R Ration though all observers who had eaten both were un- animous in favor of the latter. All items customarily eaten hot were preferred hot and rated low when eaten cold, but actual consump- tion fell off surprisingly little when no heat was allowed. Acceptability of fruit beverages was higher when the weather was warm or hot, and cool water was available; hot drinks were preferred when the weather was cold. Acceptability of most foods was the same at all meals. The emergency-type rations could be prepared and eaten in less time than the 10-in-l. All confections, jams and sugar had high acceptability and little waste. Many packages and containers were opened for these items alone when the issue of rations was high. Of the drinks, bouillon was rated lowest, and the lemon powder was never highly acceptable. Cheeses in the K Ration were rated fairly high, but the waste was large. Beans were popular; in the Experimental C Ration 5 of the 6 best meat components contained beans. Meat components ranged from very high to very low in consumption and ratings. Some were excellent, especially the new products in the C Rations. Others were never highly acceptable. Many of the new biscuits and crackers, approximating the ordinary soda, graham and neutral crackers were rated high, and were still better received when jam was available. Packaging in general was excellent. At the altitude of the test the air tight pliofilm container in the K Ration expanded and its removal from the box was slightly difficult. For details, see Appendix D, Section I. b. Calorie Intake: The average intake was in the neighborhood of 4000 Calories daily which agrees well with the estimate of energy expenditure (Appendix C). Individual variations in calorie intake were marked, but that of the heaviest men did not exceed that of the lightest men. Other factors than weight apparently determined calorie intake. (Appendix D, Section II). c. Weight Changes: All companies experienced a moderate loss of weight during the early part of the test. This was most pronounced in heavy and overweight men. There was a tendency for average weight to fall when calorie intake was under 4000, to remain stable when it was equalled and to rise when it was ex- ceeded. In view of the improvement in physical fitness and the medical and biochemical findings, the weight losses seen here cannot be looked on as detrimental. They probably represent loss of superfluous fat. Many of the lighter men gained weight during the test (Appendix D, Section II). d. Physical Fitness: Performance in marches, in the training program and in the repeated series of physical fitness tests increased steadily in all companies. Line and non-commissioned officers’ rating of the subects agreed well with actual scores on fitness tests. On the 4 mile road march with full pack (AGE Test) only 40% finished the first test on time and over 99% finished the last test on time. Morale and a highly competi- tive spirit, though good from the start, improved during the test. Within the short period of calorie deficit, morale appeared to suffer before there was actual impairment in physical fitness (Appendix D, Section III). e. Rifle Firing: Percentages of hits scored on the rifle range before and after all marches did not show any consistent change related to specific rations. There was a slight improvement in average scores during the test. Pre-and-post-march scores fluctuated and there was no regular trend (Appendix D, Section IV). f. Nutritional Status: Examination of the eyes, mouth, skin, and the neuromuscular system revealed no evidence of ill effect of any ration on the subjects. Indeed the nutritional status of the troops was much better at the end of the test than at the start, both in respect to clinical signs of poor nutrition, and in the de- creased incidence of overweight and underweight men. The health was better during the test than it was in similar groups in garrison. This probably resulted from enforced activity, regular hours and absence of sprees (Appendix D, Sections V and VI). g. Biochemical Studies: The extensive series of vitamin and other biochemical measurements gem erally confirmed the good nutritional status of the troops. Riboflavin appeared to be low in the Canadian Army Mess Tin Ration as eaten. Vitamin C, in the 10-in-l Ration, contained chiefly in the powdered lemon beverage, was not well consumed (Appendix D, Section VII). Administration of vitamins for 3 weeks to subjects on the Supplemented B Ration had no effect on fitness scores, weight or clinical signs. The only change was an increased excretion of vitamins. h. Future Information: Numerous photographs, movie films, machine records cards, all original and tabulated data and the original questionnaires are on file at the Armored Medical Research Laboratory, Fort Knox, Kentucky. Special correlations are being studied and the original data are available for future investi- gations by authorized persons. This report is final and supersedes any preliminary unofficial reports. 4. CONCLUSIONS: a. The improvements in C Ration embodied in the Experimental and New types have rendered it highly acceptable: the components of the Old C Ration had low consumption and poor acceptability rating. Variety, good quality and the use of common American foods all contributed to the excellence of the ration. The inherently messy side-opening of cans was the chief drawback. b. The present K Ration, when the fullest variety was available, was well received and consumed. The issue of cheese was too large. Bouillon was poorly received. Lemon powder rated fair. The new meat components and new biscuits were a definite improvement over the old types. c. Sardines, pea soup and milk-and-sugar powder in the Canadian Army Mess Tin Ration were not well received, but acceptability of jam and butter was high. Monotony is the chief fault over a 3 week period. Low acceptability by American troops is not necessarily true for Canadian or British troops. d. The 10-in-l Ration was excellent for support area feeding. The K Ration components of the noon meal rated low on acceptability. Dehydrated products were not generally acceptable unless their prepa- ration received special attention. The rotation of 5 menus provided ample variation where menus differ sig- nificantly, though qualitative ratings showed decreasing acceptability of certain items as monotony became a factor. The philosophy of having an emergency type ration lunch in a support area ration is not consistent, and its use in theaters of operations should be studied. If mobility is essential, each meal should be packed individually so that all the components would not have to be assembled and sorted when movement takes place. Packaged emergency type rations also present problems where used as “kitchen rations” because of the multitude of small individual containers. e. The Supplemented B Ration used in this test was superior as a support area ration. It was a control ration and not tested in detail. f. Military efficiency, physical fitness, capacity for long, marches and morale were not only well sustained but improved substantially on all rations. Scores in tests of physical fitness and judgment of fitness by trained officers showed good agreement. A moderate protracted calorie deficit may affect morale earlier than it does physical fitness, and officers not familiar with the early manifestations misjudge the condition of their troops. Both quality and quantity of rations have a pronounced effect on morale which rises when quan- tity is ample and quality is excellent. g. Rifle Firing improved slightly in the test battalion and no ration was associated with, a significant decrease in scores. Firing after marches was about as accurate as that before marches. h. Medical Status: No vitamin deficiency disease ascribable to any ration appeared in any company during the test. General health was excellent. No ration imposed any measurable physiological handicap. i. Biochemical Status: Thiamin, niacin and salt were adequate or high on all rations tested, as judged by the chemical status of the troops. Riboflavin was lower in subjects on the Canadian Mess Tin Ration than in those on any other. Vitamin C levels of subjects on the 10-in-l Ration were lower than those on the other rations. While such levels might prove disadvantageous if allowed to continue they were associated with no clinical sign of deficiency and they occurred in conjunction with improving fitness and morale. Within the limits of time of this test they were of no significance. j. “A Ration is the allowance of food for the subsistence of one person for one day” (AR-30-2210). This regulation assumes that all men are the same and all work is the same or that in large messes it will average out. It does not take into consideration individual packaged rations. The calorie value of each of these rations is fixed. The needs per man vary with size and work output. Large men and/or hard work frequently require more food than is in the rations tested. It is concluded from this study that the basis of issue requires reconsideration when calorie requirement exceeds that of individual packaged rations. k. It is concluded that the specific rations tested have been improved to the point where further field testing of these rations in zones of the interior is not warranted. New and improved rations, however, should be subjected to field testing before standardization. 5. RECOMMENDATIONS: a. General—It is recommended that: (1) All packaged expeditionary rations be packed so that the maximal variety is contained in the standard bulk package. Carload lots of a ration containing no variation should never be used as the only source of supply to a unit. This should be incorporated into the ration specifications. (2) C, K and 10-in-l Rations be issued automatically up to llA rations per man per day without the authorizations and medical concurrence now required. Above these levels of issue the usual regulations will hold. (3) Consideration be given to the following in all rations. Jam increases the consumption of bis- cuits; and canned milk and adequate sugar increase the consumption of coffee, (4) Every effort be made to have packaged rations consumed in as fresh a state as is com- patible with the logistics of the strategic and tactical situation. b. C Ration—It is recommended that the following be accomplished: (1) Remove M-l, -2 and -3 items and ham-egg-and-potato. Retain the components and variety of the Experimental C Ration. (2) Improve cans by eliminating the side-opening. (3) Include sweet-center cookie. (4) Add jam or other spreads. (5) Retain new types of biscuits, (6) Increase issue of coffee. (7) Include the utility pack. c. K Ration—It is recommended that the following be accomplished; (1) Add jam. (2) Eliminate K-1A and K-2 biscuits and retain other types tested. (3) Reduce quantity of cheese but retain varieties. (4) Eliminate bouillon and increase coffee issue. (5) Add other meat components for variety. (6) Add cocoa. d. Canadian Army Mess Tin Ration (1) If use for more than a short period is considered, increase available riboflavin by varying sar- dines with other fish; improve opener for can; improve packaging and stability of milk-and- sugar-powder, packaging of cheese, and stability of butter. (2) Increase issue of coffee and sugar. e. 10-in-l Ration—It is recommended that the following be accomplished: (1) Include sugar with Menu #2. (2) Increase availability of Vitamin C by distribution into additional components. (3) Reduce issue of dehydrated products or improve their acceptability. (4) Increase proportion of fruit beverages other than lemon powder. (5) Increase issue of coffee. (6) Increase issue of canned milk. (7) Eliminate the K Ration noon meal and replace with acceptable support-area lunch. (8) Replace old C biscuits and whole wheat biscuits with Type I and II biscuits. (9) Add a packet of condiments for individual seasoning. (10) Increase issue of chewing gum and peanuts. (11) Rearrange Menu #5 so that chocolate bars and cocoa are served at different meals. (12) Increase the proportion of sweet chocolate and reduce the issue of D bars and fruit bars. (13) Add acceptable desserts to all menus. The test was carried out and the report was prepared by the observers under the direction of: Major William B. Bean, M.C., Armored Medical Research Laboratory in collaboration with: Col. John B. Youmans, M.C. (Nutritional Examination Section) Major William F. Ashe, M.C. (Nutritional Examination Section) Major Norton Nelson, Sn. C. (Metabolism Section) Captain David M. Bell, R.C.A.M.C. (Physical Fitness Section) Captain L. M. Richardson, Jr., Q.M.C. (Rations Section) 1st Lieut. Cyrus E. French, Sn.C. (Test Organization Section) 1st Lieut. Charles R. Henderson, Sn.C. (Statistical Section) Dr. Robert E. Johnson (Biochemical Section) with the assistance of: 1st Lieut. Guy M. Ashmore, Q.M.C. 2d Lieut. K. N. Halvorsen, Q.M.C. 2d Lieut. John Wright, Q.M.C. and all members of the Tabulation Section. Cooperation of the Machine Records Branch, Military Personnel Division, Seventh Service Command, Omaha, Nebraska, facilitated preparation of the report. APPROVED WILLARD MACHLE Colonel, Medical Corps Commanding 7 Incls : #1—Appendix A #2—Appendix B #3—Appendix C #4—Appendix D a—Section I b—Section II c—Section III d—Section IV e—Section V f—Section VI g—Section VII #5—Appendix E #6—Appendix F #7—Appendix G APPENDIX A TEST ORGANIZATION AND PROCEDURE Since there is no permanent organization in the Army for the type of field testing carried out—no Table of Basic Allowances and no Table of Organization—the present ration trials were set up without prec- edent, and without fixed channels. The original authorization came from G-4, War Department through the direction of Colonel Crawford S. Sams, General Staff Corps, Chief of Supply Division, to the Office of the Quartermaster General. Colonel Georges F, Doriot, Chief of the Military Planning Division, and Lt. Colonel D. B. Dill of the Research and Development Branch, OQMG, requested the Armored Medical Research Lab- oratory, Fort Knox, Kentucky, to be the testing agency. The Surgeon General’s Office concurred. Colonel Willard Machle, M. C., Commanding Officer of this Laboratory, assigned this mission to Major William B. Bean, M. C. Test troops were authorized by Army Ground Forces, and the 201st Infantry Regiment, Colonel James O’Reilly, Commanding, was assigned the task of providing the troops. Test equipment, trucks, tentage, and other supplies for the test groups and the observers were furnished by the Quartermaster, Seventh Serv- ice Command, and the Armored Medical Research Laboratory. Responsibility for rations was taken by the Office of the Quartermaster General. 1. BACKGROUND: Eighteen officers and 30 enlisted men were assigned on temporary duty to the test by the Quarter- master General. Additional observers, officers and men were assigned by the Surgeon General, The Armored Medical Research Laboratory, and the Royal Canadian Army Medical Corps. A team of civilian and military medical consultants was organized, and headed by Colonel J. B, Youmans. The chemical test section was di- rected by Dr. R. E. Johnson. The physical fitness testing program was under the direction of Captain D. M, Bell, RCAMC, after the first series. The metabolism section was headed by Major Norton Nelson, Armored Medical Research Laboratory. All test assignments in the field are given in Table 1. The following is a sum- mary of types of data gathered, methods used, responsible personnel and section of report in which details are presented. 2. TEST PERSONNEL; RESPONSIBILITIES AND INDOCTRINATION: Methods of Collection - Or Observation 1 Daily Questionnaire 2 Issue and Waste 3 Summary Questionnaire 4 Observer’s Reports 1 Battery of Tests 2 Opinions of Officers 1 Scored Rifle Firing 2 Training Program 3 Marches 1 Observation 1 Routine Examination 2 Consultation with Battalion Surgeon 1 Weight & Food data 2 Energy Expenditure 1 Determinations of serum protein & chloride 2 Estimate of intake 1 Determination of serum and urinary chlorides 1 Determination of Vitamins C, Bl, B2, and niacin in the fasting state and after load tests 1 Headquarters Weather Station 2 Company Weather Stations Responsible Personnel Test Subjects Observers Test Subjects Observers H q. Observers Company Line and non- commissioned Officers Company Officers Company Officers Company Officers Company Officers Panel of Medical Consultants Test Commanding Officer Observers Metabolism Test Section Biochemical Section Observers Biochemical Section Biochemical Section Test Commanding Officer Observers Details Types of Data I Acceptability of Rations II Physical Fitness III Military Efficiency of Subjects IV Morale V General Health & Nutri- tional Status VI Biochemical Balances a. Calories b. Water c. Salt d. Vitamins VII Weather Data Appendix D D D D D D D D D D C D D D D A A Section I III III IV III III III V VI II I VII I & VI VII VII I I Appendix A Inclosure #1 (7: A preliminary period of 5 to 20 days, varying with the time of arrival of test officers and enlisted men at Fort Knox, was devoted to training in conduct of fitness tests, study of rations, familiarization with the questionnaires and a trial run with C Ration on a battalion engaged in battle training in the Armored Replacement Training Center. Major L. W. Eichna held classes and practice sessions in conducting the 3 fit- ness tests. Captains Bell and Richardson were in charge of the ration indoctrination. Major W. F. Ashe, 1st Lt. C. E. French, and others helped draft final plans for the test, and Major Ashe acted as S-3 Officer during the critical preliminary stages. Colonel Machle, Majors Bean and Ashe held conferences with the regimental and battalion officers of the 2d Bn, 201st Infantry Regiment. Colonel James O’Reilly, Regimental Commander, Major James Robison, Battalion Commander, Major Thompson, Captain Myer and others worked out detailed plans for handling troops, equipment and supplies. Majors Robison, Bean and Ashe made reconnaissance of the area selected for the test, established tentative camp sites and set up a program of supply and control. 3. TEST SUBJECTS: a. Organization—The test subjects were organized as a complete battalion of Infantry riflemen, (2d Battalion of the 201st Infantry) receiving their final training for combat. It was composed of an Infantry cadre and enlisted men from deactivated Tank Destroyer and Anti-Aircraft organizations, with smaller numbers from Signal, Ordnance, Infantry Replacement Training Centers, Finance and Quartermaster Organizations. A total of 827 men were designated as test subjects, with an overhead of approximately 70 men and 40 officers (See Table 2) for the functions of supply and command. An initial selection weeded out all men with dis- abilities which might have caused them to become casualties later. A redistribution of the men within the battalion was effected to create 6 test companies, as follows; E Company, 130 men; F Company, 129 men; G Company, 139 men; H Company, 141 men; X Company, 142 men; and Y Company, 146 men. All companies participating in the test had a permanent cadre of 26 men, except X and Y Companies. These cadre men had served in Alaska, and had been with the outfit for some time. In addition to the cadre, the companies had the following special composition: E Company was a mixture of Tank Destroyer and Anti-Aircraft men with 23 former Infantrymen included. F Company was a mixture of almost all arms and services except Infantry. These included Anti-Aircraft, Harbor Defense, Signal Corps, Quartermaster, and Finance. G Company was composed primarily of Tank Destroyers, with a few Anti-Aircraft and Infantry. H Company was formed of Tank Destroyers with the exception of 20 men who were a composite of all arms. X Company was all Tank Destroyers except 40 men who were from an Anti-Aircraft outfit. Y Company was all Tank Destroyers except 10 men who were from other components. The assignment of the different ration programs to the specific companies was done at random after the general plan of testing had been established. b. Strength—During the 2-month test period, a total of 111 men (13%) were dropped as test subjects. Those who were lost because of medical reasons totaled 36 men, or approximately 4% of the 827 men who started the tests. Seventy-five were dropped for reasons listed in Table 3. Only the data from men who com- pleted the entire test were used in preparation of the various charts and tables of ration acceptability, physical fitness, and nutritional status. c. Age—The men ranged in age from 18 to 41 years, with a mean age of 23.7 years. Tables 4 and 5 indicate the mean age by company, and the percentage of men in various groups for each company. None of the companies varied significantly in mean age, but age distribution in F Company was different from that of other companies. d. Height—The men ranged in height from 58 to 76 inches, with a mean height of 68.8 inches (see Tables 6 and 7). e. Weight—At the start of the test, the men ranged in weight from 111 lbs. to 215 lbs., with an aver- age for all men of 152.8 lbs. Average weights for each company and the extremes are shown in Tables 8 and 9. No significant difference existed between companies at the start of the test. f. Initial Physical Fitness—A considerable difference existed in the physical fitness of the 6 com- panies at the start of the test. Average company scores from the combined Step Test, AAF Test and AGF Test scores ranged from 168 to 200 (of a possible 330). The scores and the distribution by company are pre- sented in Tables 10 and 11. g. Initial Medical Status—A special clinical examination designed to assess nutritional state was given Appendix A Inclosure #1 to all subjects on the first and last test days. Only the first 3 platoons of each company were examined after Period I and Period II. The initial clinical findings have been tabulated by company, and are presented in Tables 12-15. h. Initial Biochemical Data—A number of biochemical tests, including vitamin determinations, were carried out on blood and urine samples from the test subjects at the start and several times during the pro- gress of the test. In each company only men in the first platoon and the first half of the second platoon (ap- proximately 50 men) received vitamin load tests. All men in the first 3 platoons, however, (approximately 100) received all other tests. The company averages at the start of the test are presented in Table 16. i. Years of School—The average time spent in school for all men was 9.9 years. Tables 17 and 18 present these data in mean years of school by companies, and the distribution in each company. F Company was the only one that showed any significant difference from the others. Its subjects averaged 1 year more of school than the men of all other companies. j. Army General Classification Test—With the exception of F Company, with an average score of 105.2, all other companies did not vary significantly from an average score of 94.3. These data are shown in Tables 19 and 20, with the distribution of scores for each company. k. Geographical Distribution—All service command areas and some foreign countries were represented by the group of test subjects; the greater proportion coming from the 3d, 5th, 7th, 6th, and 8th Service Com- mands in the order mentioned. Table 21 and Figure 1 present the distribution by companies. The 6 companies differed significantly in proportion of men from each of the nine service commands. l. COS—1The personnel of the companies acting as test subjects were derived from a wide cross sec- tion of civilian occupations. The general types can be seen by referring to Table 22 giving the civilian oc- cupational specialty (COS) of all subjects. Those occurring less than 10 times have been indicated by number only. m. MOS—Since the battalion was composed of soldiers being converted to Infantrymen from a num- ber of other military specialties, the military occupational specialties (MOS) were also heterogeneous. The categories occurring most frequently are given in Table 23 and those less often are listed by MOS number only. n. Length of Army Service—The length of service in the Army ranged from 6 to 149 months, and averaged 21.6 months. The only company that varied significantly from F Company (control company) was X Company. The data are presented in Tables 24 and 25, with the distribution of length of service by all com- panies. None of the men reported actual combat experience, but many men with 36-41 months’ service were in the cadre which had seen service in the Alaska-Aleutian region. o. Men Who Had Previous Experience with Combat Rations—Nearly half of the men had previously lived for a period of days on either C or K Rations; and almost all subject personnel had eaten at least 1 meal of C or K Rations. Only a few had ever eaten 10-in-l Ration. None had experience with the Canadian Army Mess Tin Ration. These data are presented by companies in Table 26. Some of the differences between com- panies may have resulted from different instructions given for recording answers to questions 60, 61, and 62 on the Master Form (see Appendix G). 4. LOCATION: a. General Description—The site chosen for the test was the Pike National Forest in the Rocky Moun- tain area of central Colorado (See pictures in Appendix F). It provided isolation of. the test subjects from ex- ternal sources of food, and mutual isolation of the several groups by virtue of owsorspersal. The area included varied terrain and a multitude of excellent camp locations. Rugged mountains, both rock and timbered, roll- ing hills and valleys, wide plains and little-traversed roads furnished an ideal region for maneuvers, cross- country or road marches, squad, platoon and company problems, and firing ranges, Mr. Gus White, the Game Warden, and Mr. Frank Sokolsky, the Forest Ranger, and other park officials were helpful in selection of camp sites. Supplies and equipment were convoyed to the test site from headquarters at Camp Carson, a distance of about 75 miles. No large towns were nearby. Only a few isolated ranches exist in the very sparsely Appendix A Inclosure #1 settled region. A few tourists visited the lake and streams for fishing. This was strictly forbidden all test sub- jects and personnel, as was any form of hunting or trapping of game. The altitude of the bivouac areas varied from 8700 to 9000 feet. Camp Carson, where the test subjects had been stationed several weeks to several months prior to the test had an altitude of 6100 feet. b. Dispersal of Camp Sites—In order to insure absolute segregation of the several companies, their bivouac areas were widely separated. The park area is well off the main roads, and tourist traffic was at a minimum because of the tire and gasoline shortages. The physical separation was even greater than is indi- cated on the map (Fig. 2) because of intervening mountains and rocky terrain. Either the Test Commanding Officer or the Battalion Commanding Officer visited all company areas daily, with a few exceptions late in the test. Bivouac areas were established tactically, with consideration for dispersal and cover. The forest ranger gave each company a talk and demonstration on forest fire prevention. The soldiers lived in pup tents, many of which had improvised improvements. A command post tent was used by the company commanders, and radio sending and receiving sets were established in it or in the hospital ward tent which was used for recreation, movies, reading, and weekly religious services. Messing was usually individual because of the nature of the rations, but by squads or platoons with the 10-in-l, and F Company had a regular field mess for the Supplemented B Ration. Each observer group had a pyramidal tent for tabulating, collecting and weigh- ing waste, and keeping records. Field sanitation was practiced, the slit trenches being changed frequently because of the shallow top soil. Water was filtered, aerated and chlorinated at three water points controlled by a detachment of engineers (Fig. 2). c. Climate—The climate in the test area was temperate during the months of June, July and August. Weather data were collected daily in the test headquarters area. The maximum daily temperatures ranged from 72° to S0°F., while the minimum temperatures ranged from 32° to 45°F. The average relative humidity varied from 26% to 76% during the day time. Light rains fell for brief periods on 23 of the 63 days of the test, usually in afternoon thunderstorms. Total precipitation for the entire period was 3.9 inches. Wind was gusty in nature with an overall average velocity of 5 miles per hour, and extreme averages of 15 and 1.5 miles per hour, as measured over a period of one hour. Minimum and maximum thermometers and rain gauges were set up in each of the camp areas. Although there were some variations from one site to another, especially in rain storms, these were not significantly different from one another, or from those at headquarters. 5. STANDING OPERATING PROCEDURE FOR OBSERVERS IN THE FIELD: (Extract from Test Headquarters Memorandum #4). a. Officers will be attached to the AMRL for the purposes of administration and pay. b. Enlisted personnel will be attached to designated units of the 201st Infantry Regiment for admin- istration and pay. c. Mail will be delivered through routine 201st Infantry Regiment channels. Packages will be de- livered at Test Headquarters where they will be opened in the presence of a test officer. d. Sick call will be in accordance with the regulations of the unit to which personnel are attached. e. Discipline in Company Areas will be that of the Company. Observers are not to interfere with the training of the test subjects. Time will be arranged after each meal for supervising the recording of ques- tionnaires by each subject. f. Religious services will be held in Company Areas every 7th day. g. Duties of Company Observers: (1) Control, distribution, supervision of filling out and collection of questionnaires daily. (2) Completion of observer portion of questionnaires. (3) Report to be written on daily observations. (4) Supervision of the daily collection and weighing of left-over food. (5) Check the issue of all rations, manufacturer, lot number and date of issue. (6) Assistance in physical fitness tests and weighing of men. Appendix A Inclosure #1 h. Responsibilities of All Test Personnel: (1) Wear identifying arm band at all times. (2) Vehicles will be operated in accordance with standard operational procedure with special regard to park and road regulations. No unnecessary driving will be done, as maintenance in the field will be difficult. (3) Principles of field sanitation will be observed. (4) Fire prevention regulations will be observed. (5) Observers will not be permitted to hunt or fish. i. All test personnel will draw necessary equipment through the test supply officer at Camp Carson, Colorado. j. Observers will avoid influencing the answers given by the test subjects in filling out the ques- tionnaires. k. A rotational system of assignment will be established with respect to the duties of the observer per- sonnel. Some observers will eat the test ration; others will subsist on the Supplemented B Ration. The groups will be alternated. l. Selected observers will be designated to form a permanent field headquarters and be assigned duties. m. No leaves will be issued during the experiment, and the observer personnel will remain in the camp area throughout. 6. BATTALION OPERATION (Extracted with slight changes from Battalion Operational Memorandum #1). a. General Rations Discipline—All infraction of ration discipline will be handled by placing the men in a labor group on K Rations under guard. Disciplinary matters are solely command functions. Observer en- listed men are attached to companies and are subject to their discipline. Observer officers who wish to exercise disciplinary function must do so through the Test Commanding Officer who will in turn give his recommenda- tion to the Battalion Commander. Each company commander will give orders to all members of his command to the effect that no foods or liquids of any kind, other than those issued to them, will be consumed; and in addition, that no such food or liquid will be taken or brought into the operation area. Further, that they will not visit any private homes in the vicinity or have any contact with unauthorized persons. b. Restriction to Bivouac Area—All personnel of Testing Companies are restricted to the immediate area of the bivouac while off duty, and permission to leave this area will be granted only by an officer. The water supply truck driver will leave daily to obtain water. He will be instructed that he must pick up no food of any kind, and he will be searched by a responsible officer when coming into the bivouac area with water or other supplies. The searching officer will be under the supervision of the Test Commander in this regard. c. Garbage Disposal—All burnable garbage and trash will be burned in the bivouac area. Special fireplaces will be prepared for this purpose. All unburnable garbage and trash will be buried. d. Medical Plan (1) Sanitation—The Battalion Surgeon will be responsible for periodic inspection of all bivouac areas and reporting on sanitary conditions direct to the Battalion Commanding Officer. (2) Sick Call—Sick call will be held each morning by the company aid men who will notify the first sergeant of the company if, in their opinion, a medical officer should be consulted by any of the men on sick call. The first sergeant will cause this information to be transmitted to Battalion Command Post when the daily strength report is submitted. Urgent cases will be so reported. The Battalion Surgeon will then visit the company as soon as possible. Due to the late hour of sick call on rest days, the request for a medical officer (See List of Calls—Table 27) will be submitted immediately after sick call, but the strength report will not be delayed for that reason. Appendix A Inclosure #1 (3) Tick Discipline—Instructions for prevention of tick infection will be given at a Battalion Orien- tation School. Commanders are responsible that these instructions are followed in the field. e. Mail—Mail will be delivered to bivouac areas daily. No packages will be delivered during this operation. f. Bathing—Bathing will be done only as scheduled on rest days. One 24-head mobile shower unit is available for this purpose. g. Laundry—Each company will be provided with four washtubs and washboards by Battalion Sup- ply. Laundering will be done by individuals and will be accomplished during “off duty” hours. h. Barbering—Each company will provide itself with a barber who will work at the trade during “off duty” hours for the extra compensation. (A maximum price of 35 cents may be charged for this service). The hair of all men will be kept short, but no heads will be shaved. i. Fire Prevention—Strict Fire Discipline will be maintained by all Commanders. Warming and cook- ing fires will be built on open ground in preference to woods. In all cases, the ground at the firesite will be scraped clear of all combustible material prior to building the fire. j. Fire Fighting—On request of the district National Forest Ranger, all possible assistance will be given to fight forest fires in the area. If a fire is discovered by military personnel, they will immediately take steps to extinguish it. If the fire is of such size that help is needed to control it, the closest company will be notified, will send assistance and notify the Battalion Command Post stating whether additional help is needed and give the location of the fire as accurately as possible. Battalion Command Post will notify the Ranger by telephone, giving all details. k. Hunting and Fishing—No hunting or fishing will be allowed at Topside. No hunting or fishing equipment will be taken to Topside by any military personnel. Ammunition for combat firing will be issued at the firing point only. All unexpended rounds will be collected prior to leaving the firing point. For that reason, and in fairness to the men, no observing personnel, civilian or otherwise, will be permitted to engage in hunting or fishing. l. Overhead—Companies—In all companies except F Company, the overhead will consist of 1 Camp Guard who will be rotated within the company. This guard will allow no unauthorized military personnel, and no civilians without a pass to enter the bivouac area. The Camp Guard will be always on the alert, and be pre- pared to inform authorized persons of the location of his company. m. Supply Plan (1) Rations—Companies will be issued rations from the Supply Dump after presenting to the Battalion Supply Officer approval from Test Headquarters. Test Headquarters is responsible for the count of rations issued to each unit. (2) Water (a) Each company will erect a Lyster Bag in its bivouac area. (b) A 250 gallon tank trailer will be assigned to each company for the purpose of transporting water from a water distributing point to the company area. (3) Cooking Sets—Cooking sets will be furnished by the Test Group to all companies using the 10-in-l Ration (and such other rations as may be designated by the Test Headquarters). (4) Heating Units, Hot Water—Each company will have 3 hot water heating units to be used as a mess kit laundry. (5) Electric Current—Six generators will be procured by Test Supply. Installation of wiring in bivouac areas and Headquarters to be done by Battalion personnel as authorized by the Com- manding Officer or his Executive. (6) Ammunition and Cleaning and Preserving Materials—Ammunition requirements for test firing (691,200 rounds .30 cal ball) to be requisitioned by Battalion Supply. Authority for honoring requisition to be sent by Test Headquarters to Supply Source XVI Corps. Other ammunition required for training purposes will be supplied by Battalion Supply; coordination for shipping to be with Test Supply. Cleaning and preserving material needs and requisitioning to be done Appendix A Inclosure #1 by Battalion Supply. If these requirements exceed amounts which can be requisitioned by the Battalion, additional amounts will be drawn for the test by Test Supply. (7) Toilet Paper and Soap—Toilet paper and soap will be supplied by the companies. (8) Clothing and Equipment—See Table 27. n. Transportation—The requirements in vehicles for both troops and test units are of necessity not completely separable. The test area is approximately 75 miles from a railhead. It will be necessary to move approximately 1000 men with full equipment to and from this area and periodically throughout the period to move them twice daily (to and from fitness test area and showers). Also, it will be necessary to move approxi- mately 300 tons of equipment from Camp Carson to the test area over the 60-day period. The total vehicular requirements are as follows: 11 trucks, 2M ton, 6x6 6 trucks, 1*2 ton, 4x4 1 trailer, 2 wheel, 1 ton 6 trailers, water tank, 250 gal. 2 trucks, % ton, ammunition carrier 1 ambulance 14 trucks, >4 ton (jeep) 2 trailers, 2 wheel, h ton 1 truck, /I ton, carry all 1 truck, refrigerator, 5 ton 1 truck, 4 ton wrecker, 6x6 with winch 1 command car, Sedan Considering all equipment and replacements there will be approximately 300 tons of material to be taken from Camp Carson to the test area. We plan to take 40 tons in the first convoy on 9 June 1944. There- after, one 2/2 ton truck will return to Camp Carson daily for a load of supplies allocated in terms of predicted needs with sufficient surplus for emergencies. Detailed arrangements for the shipping of rations and ammuni- tion as well as other items will be worked out by Battalion Supply and Test Supply so that no shortages will develop at Test Headquarters. o. Training (1) Ration Questionnaire Instruction—To be given in a 2 hour period the evening of D-l at Topside Command Post. (2) Ranges—Ranges for combat firing have been located near each bivouac area and safety limits will be prescribed on the ground by Battalion S-3. (3) Rest Periods—Every 7th day will be a rest period. In general, rest days will consist of showers, religious services, movies, and such individual activities as men wish to indulge in. (4) Night Vision Test Program—Schedules will be coordinated by the Battalion S-3 and Major Roberts. Lt. Mann is to be at Camp Carson by 6 June 1944. Use of incendiary signaling equip- ment must be approved by the Battalion Commander. p. Salt Supply to Troops—When and if the Test Commanding Officer deems it necessary to supply the troops with salted water, he will be responsible for instructing the water vehicle drivers in the supply of 0.1% salt solution. It will be SOP that when the water truck comes to men on the march, they will empty their canteens and refill them with water from the truck. The Test Supply Officer will make salt available to Test Headquarters for this program. Arrangements will have to be made by the Test Commanding Officer and the Test Supply Officer as to whether this salt is supplied in bulk, or packages for a 250 gallon trailer. The battalion had previously been given the mission of training and qualifying infantrymen as over- seas replacements. When selected for the ration tests, training became its secondary mission. With this in mind, all available time was utilized; and any phase of infantry combat training that could be given was added to the training required by the Testing Group. The training was intensive and consisted mainly of practical field work; lectures were held to a minimum. Training of the 6 companies was uniform and each week’s quantity of work was planned to be approximately equivalent to that of any other week. (Tables 29 and 30). a. Marches—Each company participated in 2 day marches each week, and in addition, each company held 3 night marches during the test. During the last week of the test, each company marched for 4 consecutive days on a 90-mile circuit. The marches were tactical, with advance and rear guards preceding and following the column to warn any traffic of moving troops on the road. The marches lasted 8 consecutive hours, exclusive of lunch-time, and were of various lengths, de- pending on the type of terrain. Cross-country marches, mountain climbing marches and road marches were 7. SYNOPSIS OF TRAINING AND ACTIVITY: Appendix A Inclosure #1 held, varying in length from 16 to 32 miles. As a rule, there were 10 minute breaks on the hour, with 1 hour for lunch. The men carried arms, ammunition belts, and combat packs with rifle, weighing about 20 pounds in all. In several instances, the marches were continuous and no hourly breaks were taken; also, at times, the marches ran well over 8 hours’ duration. b. Combat Firing—Each company constructed a combat range near its bivouac area, with targets at ranges varying from 250 to 500 yards. On days when marches were scheduled, each company fired before going on the march, and then again immediately after the march, before returning to the bivouac area. Ammunition was issued to a platoon at a time. This platoon then moved to the firing line and fired (see Appendix E). The process was repeated by the other platoons. The average score for the company was determined. Firing was done on a different range, before and after the 90-mile march. c. Platoon and Squad Tactics—These consisted of field work, both offensive and defensive; some were meeting engagements. When 2 forces opposed each other, blank ammunition was used; and umpires con- trolled the action. When field targets were used, the troops were issued ball ammunition, and advanced by fire and movement. d. Organization of the Army—All troops attended a lecture on this subject. e. Outpost Problems—All phases of outpost work were covered. March outposts, combat outposts, and perimeter defenses were set up, infiltrating groups worked against them, each side used blank ammunition; and in each case, the action was carried through to a decision. Some of these field problems lasted well over the allotted time. f. Map Reading and Compass Work—This consisted of lectures and field work. The compass courses consisted of selected cross-country routes of various lengths ranging from 12 to 18 miles, with an average of 8 changes of direction. These courses were run under full field equipment, both day and night. g. Scouting and Patrolling—This work consisted of both individual and group training in the field. The exercises covered many miles of terrain, and were exceedingly strenuous in execution. Problems in ob- servation and combat were written up and presented to the patrol leaders, who then directed the exercises. Critiques were held. h. Tactical Training of the Individual—This type of training was carried out in conjunction with the Scouting, Patrolling and all other field exercises. i. Transition Firing—Ranges were constructed, and all men fired a Transition Course. Men failing to qualify fired the course again during open time. j Open Time—The term Open Time was a misnomer, since the schedule was set up for 6 eight-hour days per week. Open Time on the schedule was actually resting time during the day, due to the fact that train- ing time was scheduled during off-duty hours. However, Close Combat ranges and Blitz courses were con- structed and the companies utilized this Open Time by sending the company through the courses and other phases of training. k. Bayonet Training—Courses were constructed, and the men were instructed in the use of the bayo- net. After this instruction, the men were pitted against each other individually, then 2 men against 1, and 3 against 2. This training was rough, and many times it was necessary to curb it in order to curtail injuries. l. Field Fortifications—AW types of Infantry field fortifications were constructed and camouflaged. They were used extensively in the field problems. m. Foxholes—The foxholes were constructed in tactical defensive positions. The men entered them and remained there for approximately 24 hours. Live overhead fire was practiced where feasible. The feeding was tactical where the Supplemented B Ration and the 10-in-l Ration were used; a squad from each platoon was withdrawn to eat while the rest remained in position. All men remained in the fox holes to eat C, K and Canadian Army Mess Tin Rations (See Appendix F). n. Night Vision—'This work was taken up in various phases; (1) NCO’s were trained in the testing process; (2) the companies were tested, and men who possessed the best night vision were noted; (3) the training was put to practical use and was stressed at every possible opportunity in the field. o. Grenade Training—This was training in form and accuracy. Only dummy grenades were used. Appendix A Inclosure #1 ;i4] Morale of the test subjects throughout the entire period was excellent. The will to work and cooperate in act and spirit on all phases of the test was, with rare exception, common to ail involved. There was definite improvement in all groups regardless of the ration during the weeks of association in the test. The test personnel were well aware that the success of the test depended in large measure upon com- plete cooperation and much thought was devoted to securing it. At the very start, an effort was made to select a battalion in which the officer leadership was outstanding. This perhaps more than any other tiring, to whole-hearted cooperation, for hardly a day passed that some friction between subjects and test personnel did not arise, and was promptly corrected by the Battalion and Test Commanders. Early in the 2d week of the test, final arrangements were completed to grant a terminal 2-week furlougi} for each enlisted man who conscientiously did his duty throughout the test. This reward for work well done appealed to the average man, and was undoubtedly effective at times when the going was rough. The Battalion was extremely fortunate in having as its senior Chaplain Captain O. W. Randall, who worked steadily to make life as pleasant as possible under the isolation required for the test. Because of the rotation schedule, it was necessary for the Chaplain to hold religious services and show movies on successive days to each of the 7 groups (6 company and 1 headquarters group). In addition to this, he established a travel- ling Post Exchange which was well stocked with all small items desired except for food and drinks. A spirit of competition between companies and between platoons within each company was maintained throughout the test. Physical Fitness Test scores were calculated by platoon upon completion of each test, and were posted in each company area. Company Commanders were successful in encouraging their men to do their best in tests as well as in all other phases of activity. Mail was carefully handled and delivered once daily to all men and officers, at a regular time. A special truck and driver were designated to make a daily round trip to Camp Carson, taking down the outgoing mail in the morning at 0800, and returning with the incoming mail at 1800. The incoming mail was then sorted at the Headquarters Message Center, and dispatched to each company area on the ration trucks. A portable field shower unit was set up on the banks of Tarryall Creek at a point approximately equi- distant from all company areas, and the men in each company used it once a week on a regular schedule, so that all companies had the same number of showers and on the same day of the test (rest days, after fitness tests, and after foxholes). The opportunity to take warm showers was highly appreciated, and contributed to the general feeling that those responsible for the test were interested in the welfare of the men. 8. MORALE: 9. SCHEDULE OF RATION PERIODS AND TESTING: Within the limitations of the test, the program of ration periods was set up to resemble a hypothetical tactical situation with 3 weeks* of combat rations, 2 weeks support area rations, and a final 3 weeks of combat rations. Hereafter these will be called Period I, Period II and Period III. Testing facilities with the available personnel permitted processing only 1 company a day so the schedule was staggered over 6 days. Another rea- son for the staggered schedule was that trucks for convoying subjects, equipment and rations were limited and the program had to be arranged with a view to battalion logistics. This meant that on the 6th day at head- quarters, the last company was being tested while the 1st company processed was in the 5th day of its activi- ties. The only complicating factor was the possibility of a sharp general change in weather occurring with different companies engaged in different activities. No such sudden disturbance occurred. The final schedule, which was adhered to throughout, is given in Tables 30, 31 and 32. The experimental design included a control company (F) on the Supplemented B Ration throughout, another company (H) on the 10-in-1 Ration throughout and 4 companies whose schedule was varied so that they could be compared with (1) the control groups, (2) the other companies on the same rations with either the same or different levels of ration issue, and (3) themselves, on the same or different rations at different times. Two companies (G and E) initially on K Ration had 10-in-1 and Supplemented B Ration for their respective support area ration. Two companies (Y and G) tested C, 10-in-l and K; and K, 10-in-l and C in that order, respectively. X Com- pany, which tested the Canadian Army Mess Tin Ration for 3 weeks, had 2 weeks on 10-in-l Ration, 1 on experimental C Ration, 1 on K Ration, and a week when they had their choice of C, K, or Mess Tin Rations. * Because of the extra fitness test (#3) Period I was actually 22 days. Appendix A Inclosure #1 For the first 3 weeks all companies were issued rations at a level approximately isocaloric, and high enough to insure adequate selection. They had more than they wanted to eat so calculation of the waste as unopened boxes, individual items and garbage gave an internal check on the validity of the palatability rat- ings from the questionnaires. During the last 3 weeks additional experimental items in several rations were tested, and an attempt was made to restrict the issue to that indicated by the packaging of the ration (i.e. 3 boxes of K Rations, 10-in-l for 10 men, and 6 cans of C Ration). See Tables 30 and 31. The routine of the typical test day is given in Table 33. During the morning it was necessary to integrate 5 main procedures: (1) weighing all men, (2) biochemical studies which required collection of fasting and load samples of urine and blood letting on 100 men; (3) a clinical examination; (4) the Step Test; and (5) the Army Air Forces Test. (6) The Army Ground Forces Test was carried out in the afternoon. It was possible to accom- plish this multitude of tests and procedures only by careful planning and rigid attention to control of men, keeping groups together, seeing that each part of the test was carried out on schedule, and channeling groups of subjects to the proper areas at the right time. Laying out the area with attention to the schedule of move- ment from one test to another aided the process of testing. Control and sampling of men was facilitated by the system used to number the test subjects (vide infra). Without splendid cooperation by squad, platoon and com- pany leaders the intricate planning would have been to no avail. 10. METHODS OF COLLECTING DATA: The considerable body of data accumulated during the test required an accurate and simple system of collecting and compiling. Since it was imperative that the analysis of results proceed rapidly, facilities of the Machine Records Unit of the 7th Service Command were enlisted. Many of the questionnaires were de- signed so that the data could be transferred to punch cards with rapidity and ease. For brevity, speed in filing, to assist the Machine Records Unit in punching cards, and to facilitate sampling of test subjects and processing various groups and sub-groups a code system for numbering each test subject was used. The number consisted of an initial letter and 3 numerals, the letter indicating the company, the 1st numeral indicating the platoon, and the last 2 numerals representing the subject’s number in the pla- toon. Example: No. G303 indicates that the subject was in G Company, 3d platoon, and the 3d man in the platoon. To facilitate the weighings, and pairing men for the pig-a-back test, men in each platoon were ar- ranged in order of increasing weight before the test numbers were assigned, so that the balance on the scales was changed very little from one man to the next. The men were weighed, the names arranged according to ascending weights, and each subject was assigned his number and given a piece of adhesive tape with the number inked on, which was fastened to his identification tags. Each record, questionnaire, and all other in- dividual data had the test subject’s number on it. A questionnaire (See Appendix G) was filled out by each soldier on the test after each meaLuay, except F Company on Supplemented B Ration with questionnaires during alternate 10-day cycles. Four categories were included for each item in most questionnaires—(1) meal at which a component was used, whether used hot or cold (See Appendix G). Since the Supplemented B Ration and the 10-in-1 Ration required group mess- ing, and it was not feasible in the field to weigh the issue and waste of each item issued to each soldier for each meal, consumption figures were determined for the whole company by deducting the waste from the total issue (by item). In addition to the record of quantity on the questionnaires, from which daily calculations of calorie consumption per man and per company were made, the waste was collected by individual compo- nent (opened, i.e. plate waste or garbage, and the unopened cans or packages) and deducted from the issue by item. When any considerable discrepancy occurred, a showdown inspection was held. This revealed the degree and type of hoarding, and gave another form of information about the soldier’s likes and dislikes. In spite of all efforts, there was an irreducible minimum of food unaccounted for—which may have been eaten and not recorded, or waste thrown away, or hoarded and hidden too well to be found. After the first few days this error usually ran around 1-2% and very rarely exceeded 5%. Since it was desired to simulate practices usual to army life, no effort was made to prevent exchanges and swapping, which were recorded in the quantity par- tition of the individual questionnaires. There was also some lag between issue and return of unopened cans, though the overall accuracy was not affected thereby. Appendix A Inclosure #1 Tlie questionnaires were collected daily by the company observers; and in some companies, they were collected for safe keeping by the platoon or squad leader after they had been filled out following each meal and issued again before the next one. The general comments of the test subjects were solicited. These constitute an interesting tribute to the good items and a scathing denunciation of the less acceptable ones in the soldiers’ inimitable vernacular. In addition to the tabulated information concerning the rations on each questionnaire, a record was en- tered of the quantity of water consumed, the number of hours slept, number of bowel movements for the 24- hour period, and the time to prepare and eat each meal. Each day the observers calculated the calorie intake, remarked on the general fitness of the subjects, and noted abnormalities of alimentary physiology. At the conclusion of each ration testing period, the subjects filled out questionnaires stating their gen- eral opinions and comments on the items tested. This provided a check on the daily questionnaire. This summary questionnaire for the initial ration used was filled out again at the end of subsequent ration periods, in order to see how well the likes and dislikes were remembered and how consistent were the later data with the earlier. The test observers submitted daily written reports, containing such information as acceptability of items, condition of the items, general morale of the men, criticisms, suggestions, unusual weather and the types of activity which would tend to affect consumption of the rations. The company officers submitted data throughout the test as to the physical fitness of the men under their command, and a bi-weekly report giving the marksmanship qualifications of their units—i.e. the scored rifle fire (percentage of hits) before and after the marches. The Tabulation Section distributed and collected the questionnaires and reports. Each form was checked for completeness and accuracy of information before mailing to the Machine Records Section. Men in this Section also scored the fitness tests, transcribed the chemical data, checked the Master Forms, kept a daily strength roster by platoon and acted as scribes for the clinical examination. The records not processed by the Machine Records Unit were kept on file in the tabulating tent and later sent to the Armored Medical Research Labo- ratory at Fort Knox for final study. The Machine Records Section punched the information indicated using a separate card for each individual per meal. because of the company isolation and control, breaches of ration discipline were difficult. We have no record of any extraneous food coming into any company area. Three men who went A.W.O.L. were put into a labor detail, and subsisted on K Ration thereafter. In G Company, during the period when they were on C Ration, New, (issue, 1 ration per man) 3 cases of rations were stolen from the dump and hidden. Though 1 platoon was implicated, and 1 squad was suspected, it was not possible to obtain a confession from any sol- dier. This, of course, introduces an inaccuracy into the data for this company, but it is of little import in the average figures (3 ration cases out of 400 for the period). No other instance of stealing was detected, and the check on rations by the company and observer officers makes its occurrence doubtful. This is a high tribute to the cooperation of the test subjects and their line and non-commissioned officer leadership. 11. RATION ISSUE, WASTE AND QUESTIONNAIRES: a. General All rations were received by the test supply officer at the railhead at Camp Carson, Colorado. They were then brought by truck convoy to the main ration dump at Topside (see Appendix F). An attempt was made to keep about 10 days’ rations on hand, depending on the availability of trucks. The rations were issued daily to the Chief Observer with each company and transported to the company bivouac area where rations for 48 hours were kept in the local ration dump. Rations for F Company and Headquarters on Supplemented B Ration were convoyed directly to the F Company area where they were stored. A refrigerator truck facilitated the handling of meats and per- ishable food not ordinarily used in Field Ration R. Ration breakdown was in charge of the Mess Officer, b. Issue (1) C Ration—This ration was issued at the rate of 1-1/3 rations, or 8 cans per man per day during Period I; at other times is was issued on the basis of 1 ration per man per day. Each man was issued 4 dif- Appendix A Inclosure #1 ferent meat units, 4 different biscuit cans, plus a jar of jam during specified periods. To prevent duplication, each man was issued 6 cans in one row, top or bottom, and 2 cans from the same row in the other layer. (2) K Ration—Each man was issued 5 boxes (meals) of rations during the isocaloric period (I). Care was taken to give no more than 2 boxes of any 1 meal per day. At other times the issue was limited to 3 boxes per man per day, each of the same meals occurring one time. A 1/2 ounce jar of jam each day per man was issued during specific periods. (3) Canadian Army Mess Tin Ration—One and one-third rations were issued per man per day. Four rations were issued to each group of 3 men, the 4th ration to be divided as they saw fit. The actual disposition was recorded on the individual questionnaire. One man picked up the 4 rations at the time of issue. Sterno for cooking was issued the first day on the basis of 1 can and a tripod to each 3 men; after that, as required, until discontinued on the 7th day because of its suspected use for beverage purposes. (4) 10-in-l Ration—Rations were issued at the rate of 10 rations for 8 men except for an 11 day period H Company used it as an actual 10-in-l. Messing groups usually ranged from 8 to 32 men (squads or platoons). One designated man received and signed for the rations for his group. (5) Supplemented B Ration—Regular field mess facilities and field kitchens were set up and the usual field practices carried out. For men on marches and in foxholes food was transported in Marmite con- tainers, c. Time of Issue—Rations were issued at a designated time each day, between 1800 and 1900 hours except when the time conflicted with the training schedule. d. Cigarettes were issued to all men 20 per day, or the ration was supplemented to make this num- ber—a pack (20) every other day with the Canadian Army Mess Tin and 10-in-l Rations, every day with the C Ration and none with the K Ration. No effort was made to study a possible effect of smoking on food pref- erences or intake. e. Waste Collection—Everything not consumed was collected as waste except drinks in the liquid state, of which there was little excess. Appropriately labeled cans or boxes were set up in each platoon area to receive each individual item of waste. The usual time for collection of waste was immediately after the evening meal, and prior to issuing the next day’s ration. The waste receptacles, however, were always present and waste could be placed in them at any time, preventing indiscriminate discarding and loss. Prior to, and during the issue of rations, at least 1 observer was on duty with the troops to prevent any other dispo- sition of the waste. After collection, waste was weighed on a 4 pound capacity postal scale. f. Questionnaires—Issue and Collection—Questionnaires were given to each man as he drew his ra- tions, when this was done individually. With the Canadian Mess Tin and 10-in-l Rations, questionnaires were issued for the number of men in a group to the man drawing rations. They were collected in 2 dif- ferent ways. (1) When the man came to receive his next day’s rations, he turned his questionnaire over to an observer, who checked it for correctness before allowing him to draw his rations. (2) The platoon sergeant or group leader in the case of 10-in-l, collected them, checked them for completeness, and turned them over to the observer, before permitting his platoon or group to draw rations. g. Methods of Calculating the Calorie Consumption—The calorie values for the components of the various emergency rations were obtained from the Office of the Quartermaster General and from the Cana- dian Army Staff. They are presented in Table 34. Values for all items used in the Supplemented B Ration were obtained from National Research Council Tables of Food Composition. Procedures were adopted for calculating calorie consumption of the C Ration, K Ration and Canadian Mess Tin Ration, as follows: (1) Daily tabulation on each test subject. At the end of each day the company observers collected and checked all questionnaire forms for completeness and accuracy. When this was accomplished, the correct calorie value for the amount of each item consumed was entered on the right hand margin of each questionnaire form. The forms were then turned over to the tabulating section where they were rechecked and the total calories consumed by each man each day were added and entered in the proper place in the questionnaire. The calories consumed by all men in the company were then totaled and divided by the number of men to obtain the average daily calorie consumption per man for that day. (2) Total issued calories less total waste calories. The company observers collected and tabulated all waste Appendix A Inclosure #1 food at the end of each day and computed the number of calories for the total waste. This value was sub- tracted from the total calorie value of the issued food for that day to give total consumption. Divided by the number of men in the company, the average calorie consumption per man per day was obtained. This method gave data only approximately accurate on a daily basis because of the lag in return of full packages and unopened individual component. The data over an entire period, however, were valid. Because the 10-in-l Ration was a group issue, calorie consumption was determined as in (2) above. All waste and left-over food was turned in daily so that there was no lag in the consumption figures from day to day. The company average calorie consumption of the Supplemented B Ration was calculated each day by computing the calorie value of the total issue of each food item, and deducting the calorie value of the waste on each item, and totaling the results. The average consumption per man was then obtained by dividing the total calories eaten by the number of men. h. Tabulation Section—All questionnaires and waste reports were taken to the test Tabulating Sec- tion where they were rechecked for accuracy and completeness. If not complete, the forms were returned to the field to be filled in before final calculations on calorie consumptions were made. When finally verified, the reports were sent to the Machine Records Unit, Omaha, Nebraska, for transfer to punch cards, of which more than 160,000 were used. i. Variations in the above procedures were made in certain circumstances because of some unusual training measure; and minor changes were effected by the chief observer with each company to facilitate obtaining the necessary information. No change was made which might have compromised the validity and comparability of the data. Appendix A Inclosure #1 FIELD ASSIGNMENTS OF TEST PERSONNEL TABLE 1 HEADQUARTERS Major W. B. Bean, Commanding Captain D. M. Bell, RCAMC, S-3 Captain L. M. Richardson, Jr., S-l 1st Lt. C. E. French, S-l 1st Lt. W. A. Cramer, Property Officer, S-4 2d Lt. T. E. Lahy, Assistant S-3 2d Lt. G. W. Hull, Transp. Officer Mr. C. J. Mangan, Consultant Tec 3 M. E. Ress, Asst to CO Pfc W. J. Rega, Sergeant Major Sgt J. F. Demeter, Ration Dump Pfc C. H. Kennedy, Ration Dump Cpl R. C. Gibson, Daily Mail Trip Sgt C. L. Aquino Pvt R. R. Smith OBSERVER GROUPS E COMPANY G COMPANY X COMPANY 1st Lt. C, C. Seebold 2d Lt. L. T. Larson S Sgt E. L. Curran Pfc J. F. Boehling Pvt J. H. Burkholder Captain L. L. Kettering 1st Lt. J. G. Stein Pfc J. M. Robinson Pvt R. D. Ryder Pvt G. D. Voorhees 2d Lt. K. N. Halvorsen Pfc R. H. Copenheaver Pvt A. W. Hill Pvt E. McHenry, Jr. F COMPANY H COMPANY Y COMPANY 1st Lt. C. R. Henderson 2d Lt. M. G. Jacobs 2d Lt. B. B. Margolis Pfc F. M. Pugh Pvt A. Thomas Pvt R. B. Thornton 1st Lt. G. M. Ashmore Pfc I. L. Mitchell, Jr. Pvt E. B. Bergman Pvt D. W. Peters, Jr. 2d Lt. S. Cohen 2d Lt. J. Wright Pfc C. P. Clark Pvt J. U. Taylor Pvt G. S. Webb TABULATION SECTION CHEMICAL TEST SECTION METABOLISM TEST SECTION Major C. D. Shurtleff Pfc R. J. Parden Pvt A. B. Blagg, Sr. Pvt J. C. Dempster Pvt H. A. Eschenbacher * Dr. R. E. Johnson, OIC Mr. P. F. Robinson Dr. L. Contreras Tec 4 E. Ainsworth Tec 4 J. Poulin Tec 5 A. Razoyk Tec 5 M. Castiglione Pfc J. Stachelek Cpl H. Aiton, RCAMC Cpl E. D. Pease, RCAMC Major N. A. Nelson M Sgt T. C. Swigert Pfc F. W. Urbush FORT KNOX SECTION BASE SUPPLY SECTION 1st Lt. J. R. Hall Pvt H. E. Diamond Pvt R. E. Schnell Camp Carson Captain C. F. Simpson, S-4 S Sgt P. Covey NIGHT VISION SECTION Major L. B. Roberts 1st Lt. W. E. Mann MESS SECTION 1st Lt. R. O’Brien CLINICAL EXAMINATION SECTION Colonel J. B. Youmans, OIC Major W. F. Ashe Dr. V. P. Sydenstricker Dr. F. J. Stare Captain W, H. Sebrell, USPHS Major R. Kark, RCAMC Dr. C. B. Chapman Major W. B. Bean Captain M. Corlette Dr. J. Ruffin Dr. R. H. Kampmeier Dr. M. Hamburger Captain A. Freedman Dr. A. Mendeloff Appendix A Inclosure #1 [20] TABLE 2 OFFICERS ROSTER—2D BN., 201ST INFANTRY REGIMENT HEADQUARTERS Major J. C. Robison, Commanding Officer Captain A. H. Myer, S-3 1st Lt. M. F. Schoening, S-4 1st Lt. W. M. Erickson, S-l and Hq Mess Officer 2d Lt. J. F. Walz, Motor Officer (11 June—10 July 44) 1st Lt. P. H. Burks, Motor Officer (10 July—15 Aug 44) Captain H. M. Gruenberg, Battalion Surgeon (10 June—15 Aug 44) Captain W. B. Alsup, Battalion Surgeon (11 July—13 July 44) 2d Lt. W. T. Secor, MAC Captain L. W. Thompson, Dentist Captain W. O. Randall, Chaplains Corps 1st Lt. Harley, Chaplains Corps E COMPANY X COMPANY Captain J. E. Joyal, CO 1st Lt. V. McKenney 2d Lt. M. F. Gowen 2d Lt. A. Bloschin 2d Lt. W. W. Lundberg (15 June—20 July 44) Captain H. L. Hadley, Jr., CO 1st Lt. F. A. DeYoe 2d Lt. M. E. Evans 2d Lt. W. C. Fields (13 June—20 July 44) 2d Lt. C. A. Becker (13 June—20 July 44) 1st Lt. J. E. Robinson (22 July-11 Aug 44) F COMPANY Captain R. E. Oldaker, CO 1st Lt. W. E. Brewer 1st Lt. J. D. Anders 1st Lt. D. F. Dienna, Jr. 2d Lt. J. J. Tuffy, Mess Officer 2d Lt. R. Wolfe (17 June—20 July 44) Y COMPANY Captain C. L, Graybill, CO (12 June—8 July 44) Captain C. R. Wheeler, CO (8 July—22 July 44) 1st Lt. D. L. Gardner, CO (22 July—10 Aug 44) 1st Lt. R. P. Judson 2d Lt. J. D. Shake 2d Lt. R. W. Heidelberg 1st Lt. B. B. Lukacs (12 June—26 July 44) 2d Lt. L. Griset (12 June—26 July 44) 2d Lt. R. E. Snider (22 July-10 Aug 44) 2d Lt. A. L. Shaw (22 July—10 Aug 44) G COMPANY Captain R. J. Pullin, CO 1st Lt. E. Thompson 1st Lt. J. D. Braham 2d Lt. C. E. Burton 2d Lt. Harrysaull (14 June—20 July 44) H COMPANY Captain J. Hunt, CO 1st Lt. J. E. Sherren 2d Lt. J. W. Patrick, Jr. 2d Lt. J. B. Moore 2d Lt. J. W. Newman (16 June—20 July 44) Appendix A Inclosure #1 TABLE 3 PERSONNEL LOSSES DURING TEST Totals ►< X K O *3 W COMPANY to CO h-* CO CO o CO CO Hospitalized 0 h-* 00 Or to CO h-» to Physically Unfit to Ot CO *«. CD f—• 00 Transferred Out Emergency -A I—* to CO H-1 Furlough H-* OX CO CO Truck Drivers CO ►fc. to H- to Key NCO’s 00 ►— to OI Cooks 05 ►—* h- CO Prisoners Ol h—• h-• H-* to Guards h-‘ h-» h~* h-» h-• to h-* K) TOTALS h-* on 05 05 Ol h-* 00 TABLE 4 MEAN AGE BY COMPANIES COMPANY MEAN AGE (Yrs.) E 24.1 F 23.6 G 24.2 H 23.8 X 23.1 Y 23.6 All Companies 23.7 0 These include 10 severe upper respiratory infections, 5 fevers of undetermined cause, 2 gastro-intestinal upsets, 2 cases of appendicitis, hemorrhoids and gon- orrhea (the last from exposure just prior to start of test). The physically unfit were mostly feet and leg casualties. TABLE 5 TABLE 6 PERCENTAGE OF MEN IN VARIOUS AGE GROUPS AVERAGE HEIGHTS BY COMPANIES AGE COMPANY E F G H X Y Average All Companies 18-20 24.8 25.2 20.3 24.5 32.8 24.8 25.2 21-23 27.9 26.0 36.5 35.4 33.8 39.6 33.5 24-26 21.7 30.5 15.5 15.6 12.3 12.1 17.7 27-29 12.4 9.2 12 8 11.6 10.8 10.7 11.3 30-32 7.0 6.1 8.1 7.5 63 9.4 7>i 7-if- 33-35 5.4 2.3 3.4 4.1 3.8 20 3.5 36-38 0.8 08 3.4 0.7 0.8 0.7 1.2 39-41 0 0 0 0.7 0 0.7 0.2 COMPANY HEIGHT (inches) E 68.8 F 69.3 G 68.9 H 68.4 X 68.8 Y 68.5 Average 68.8 TABLE 8 TABLE 7 AVERAGE WEIGHT AT START OF TEST RANGES OF HEIGHT IN INCHES Company Average Weight No. Of Men E 153.3 130 F 153.8 129 G 153.1 139 H 152.1 141 X 152.8 142 Y 151 6 146 Average 152 8 138 Company Shortest Midpoint Tallest E 62 69 75 F 63 69 75 G 62 69 75 H 61 68 75 X 64 70 76 Y 58 66 74 Extremes of all companies are underlined Appendix A Inclosure #1 TABLE 9 TABLE 10 RANGES OF WEIGHT IN POUNDS PHYSICAL FITNESS SCORES AT START (Sum of three tests) Company Lightest Midpoint Heaviest E 117 156 195 F 120 166 212 G 124 158 191 H 119 162 205 X 111 155 198 Y 116 166 215 — Company Average Scores No. Of Men E 179 0 121 F 200 2 124 G 182.2 133 H 183 6 138 X 173.5 136 Y 168.0 137 Average 180 8 131.5 Extremes of all companies are underlined DISTRIBUTION OF SCORES (SUM OF THREE TESTS) BY COMPANIES FOR SECOND TEST (Per Cent of Company Strength) TABLE 11 Company 90-109 110-129 130-149 150-169 170-189 190-209 210-229 230-249 250-269 E 0 1 9 21 27 31 11 0 0 F 0 0 6 4 15 33 30 11 1 G 0 1 8 19 22 36 13 1 0 H 0 0 4 10 33 38 14 1 0 X 1 2 17 23 24 27 6 0 0 Y 2 3 9 21 40 21 4 0 0 All 0.5 1.2 9.5 16.8 26.9 30.4 12.5 2.0 0.2 TABLE 12 CLINICAL DATA AT START OF TEST-EYES (Expressed in percent of those examined) X a O *1 w Company Only one re- ported in 2052 Dryness Examinations CO 00 or 05 OX ox ox -1 CO — o -4 as K- Pterygia CO >— 00 >—* o -4 oo Pingeculae 0 Severe only 0.3% of total examinations ° Severe only 0.1% of total examinations S Slight M&S Moderate & Severe Appendix A Inclosure #1 CLINICAL DATA AT START OF TEST-LIPS & MOUTH TABLE 13 (Expressed in percent of those examined) *< X S o M Company to o o C o o Angular Fissure CA 00 00 CA to OX Cheilosis O o o o o to o Red Glossitis of Pellagra h-• to CA to o to o - 00 to Gingivitis 00 h-* OX CO to o 00 05 Active Acute Inflammation of Dental Margin, etc. 00 45- 45- CD ox CO 4^ OX 45- 05 to oo Good CA CA 45- CO 00 CA 4^ -4 00 OX ox Fair Oral Hygiene K-' H-• to CO 00 - h-» Poor 0 Slight Pellagrous stomatitis—none seen TABLE 14 CLINICAL DATA AT START OF TEST-SKIN (Expressed in percent of those examined) Company Follicular Hyperkeratosis Acneiform Eruption r Petechial Hemorrhages Pellagrous Dermatitis Slight Mod.& Sev.* Slight Mod.& Sev.° Ac Chr. SI. Mod. Sev. E 26 4 20 5 0 0 0 0 0 0 F 34 2 16 2 0 0 1 1 0 0 G 30 1 33 5 0 0 0 0 0 0 H 29 3 14 1 0 0 0 1 0 0 X 19 1 10 2 1 0 1 1 0 0 Y 13 2 17 4 0 0 0 3 0 0 * Severe only 0.2% ° 1 case Severe out of 2052 examinations Dermatitis of Riboflavin Deficiency; purpura—none TABLE 15 CLINICAL DATA AT START OF TEST -NEUROLOGIC (Expressed in percent of those examined) *-< X X o M Company o o o o o o 53 Knee Jerks Absent o o o o o o r o H- o h-* o o Both o o o o o I—* 53 Ankle Jerks Absent o o o o o o r h- H- o H o o Both o o o o o Tenderness of Calf Muscles o o o o o to Nerve Tenderness o o o o o h-• Vibratory Sense Lost CO o o o c to Pitting Edema Pretibial ° Edema is included under neuromuscular findings because of its occurrence in beriberi Muscular weakness, atrophy, and pitting edema of feet or sacrum not seen. Appendix A Inclosure #1 TABLE 16 BIOCHEMICAL DATA (MEANS AT START OF TEST) DETERMINATION : o l i ANY E F G H X Y '"hole Blood Hemoglobin (Gms./lOO ml.) Serum Protein (Qms./lOO ml.) Serum Chloride (Meq./l) Urinary Chloride (Gms, NaCl/Hr.) Fasting Urinary Vitamin C (Mg./Hr.) Vitamin C Load Test (Mg./4 Hr.) * Fasting Urinary Vitamin B]_ ( y/U Hr.)* Vitamin Bx Load Test (//4 Hr„)* Fasting Urinary Factor ?2 if /Hr.) Factor ?2 Load Test (-3 40-59 5.4 .8 2.7 4.2. 2.3 ... 4.7 3.5 . . 60-79 23.3 9.2 17.6 14.2 16.5 . 24.2 17.9 66-99 ' 26.7 25 o4 34.5. 39.9 30.8 28.9 31»5 100-119 31.8 41.5 . 37*8. . 27.0 36.2 i 35.6 , 34.9 I20'-T39 7.0 21.5 6.8 11.5 10.0 6.0 10.3 140-159 3.1 1.5 2.0 .0 1 .7 1.2 , , —■■■■- ■'■■■■ " ■■ ■ — TABLE 21 DISTRIBUTION OF MEN IN VARIOUS SERVICE COMMANDS BY COMPANIES (Percent of Company Strength) SERVICE COMMAND E F G H X Y Average All Companies 1st 1 4 4 _ 1 2 4j 3 2nd 6 4 5 5 5 . .. 5 .5 3rd 21 4 _ 30 _ 28 25 2k_ 22 4th 2 4 11 8 7 7 7 5th 21 18 18 14 9 8 is 6th 14 14 8 13 15 10 12 7th 17 21 7 9.. _ 22 . 14- 14 8th 13 20 6 10 8 14 12 9th 2 10 6 8 1 7 6 Foreign 3 1 ~r~l 4 6 z_ 4 Appendix A Inclosure #1 TABLE 22 CIVILIAN OCCUPATIONAL SPECIALTY ALL COMPANIES COMBINED COS NO. NO.OF MEN DESCRIPTION 590 135 Laborer 499 99 Farmer 245 46 Truck Driver, Heavy 345 43 Truck Driver, Light 460 42 Student, High School, Academic 302 32 Machine Operator 373 23 Sales Clerk 55 13 Clerk, General 316 11 Automobile Serviceman 50 10 Carpenter, Construction 186 10 Receiving or Shipping Checker 244 LO Tractor Driver 321 10 Salesman 462 10 Student, High School, Vocational Nine men had number 481; 8 had number 14; 7 number 60; 6 numbers 199 and 255; 5 had numbers 235, 329, 354 and 405; 4 had numbers 348 and 483; 3 had numbers 37, 101, 114, 195, 248; 2 had numbers 12, 17, 103, 223, 251, 256, 257, 314, 327, 336,044, 431, 478 and 833; 1 had numbers 19, 21, 26, 34, 49, 56, 81, 84, 93, 95, 100, 113, 122, 127, 128, 129, 144, 148, 163, 164, 174, 185, 190, 191, 204, 213, 221, 222, 224, 225, 234, 247, 260, 268, 269, 295, 304, 309, 311, 323, 324, 334, 339, 343, 352, 355, 359, 360, 368, 374, 383, 386, 406, 411, 429, 433, 439, 440, 470, 498, 510, 521, 629, 688, 732, 734, 735, 745, 760, 810, 831, 872 and 992. TABLE 23 MILITARY OCCUPATIONAL SPECIALTY ALL COMPANIES COMBINED MOS NO. NO. OF MEN DESCRIPTION 531 67 Cannoneer 345 61 Truck Driver, Light 653 45 Squad Leader 610 44 Antitank Gunner 736 42 Tank Driver 521 40 Basic or Cook's Helper 652 38 Section Leader 745 36 Rifleman '14 34 Mechanic, Automobile 606 30 Antiaircraft Machine Gunner 60 29 Cook 651 29 Platoon Sergeant 602 28 Gun Commander 601 17 Antiaircraft Gunner 645 17 Fire Control Instrument Operator 733 12 Reconnaissance or Scout Car Diver £21 11 Supply NCO 704 10 Telephone Operator, Field 824 10 Mess Sergeant, Eight men had numbers 121 and 378; 7 had numbers 55, 405, 585, o04, 636, 712 and 846; 6 had numbers 504 and 5H; 5 had numbers 245, 514, 605, 641 and 660; 4 had 103, 539, 677, 776, 803, 813, 835; 3 had numbers 368, 533, 650, 734, 744, 761, 763, 795, 931; 2 had numbers 56, 62, 102, 256, 527, 542, 545, 584, 590, ‘ 690, 692, 696, 802 and 814; 1 had numbers 59, 81, 104, 128, 137, 213, 236, 244, 252, 314, 323, 344, 347, 355, 431, 433, 436, 438, 440, 141, 501, 502, 503, 505, 522, 541, 603, 607, 629, 631, 632, 657, 667, 676, 695, 716, 721, 746, 812, 833 and 975. Appendix A TABLE 24 MEAN TIME IN ARMY BY COMPANIES COMPANY MEAN MONTHS E 23.3 F 21.6 G 24.7 H 22,4 X 17,9 Y 19.4 Average All ... Companies— 21.6 TABLE 25 DISTRIBUTION OF TIME IN ARMY AMONG COMPANIES (Percent of Company Strength) Months In Array s F G H X Y Average All Comranie s 6-11 17.1 33.6 1.4 4.1 ...1*4 15.4 __ 12.5 12-17 41.1 19.1 33.4 52A__ 62.3 59 «7 48.4 18-23 10.1 11.5 12.8 9.5 17.7 - -10*9 24-29 3.9 4*6 4.1. 8.2 5t4 5 .-4 5.4 9.9 1.4 8.8 3.8 . 1.1- 5.0 *36-41 Cttt— 12.4 15.3 16.2 11.6 2.3 6.0 30-7 * 42-47 1.6 .8 4.1 3.4 *8 2.7„ 2.3 *48-U9 8.5 5.3 6.8 2.0 , 2.1 Arl_ 4.9 * Unusually large group of men in the to 149 month classes due to training cadre. TABLE 26 PERCENTAGE OF MEN IN VARIOUS COMPANIES WHO HAD LIVED ON C, K, AND 10-in-l RATIONS PRIOR TO THE TEST COMPANY C RATION K RATION 10-in-l RATION E 77 61 0 F _1 Q -Q G 72 56 5 H 5 1 0 X 51 5 0 Y 78 82 2 Average All Companies 41 35 1 Appendix A Inclosure #1 TABLE 27 CLOTHING AND EQUIPMENT TO BE TAKEN TO TOPSIDE 1 pr. Boots, trench 1 Raincoat 1 pr. Shoes, service 1 Meat Can, Cover, Knife, Fork, Spoon 4 pr. Socks, cushion 2 Towels, hand (minimum) 2 pr. Underwear (minimum) 1 Towel, bath (minimum) 2 pr. Trousers, KBT 1 Jacket, field 2 Jackets, HBT 1 Jacket, fleece lined 1 Belt, cartridge, .30 cal 1 Helmet, steel, with fiber liner 1 Belt, web 1 pr. Gloves, wool, OD 1 Canteen, Cup and Cover 1 Entrenching Tool 1 Bayonet 1 Sleeping Bag 1 First Aid Packet and Pouch with Sulfanilamide 1 Ml Rifle powder and pills 5 Ml Clips (minimum) 1 Haversack Two months supply of the following toilet articles will be taken: Razor and Blades - Shaving Cream Shaving Brush (not required if brushless cream issued) Tooth Brush and paste or powder Comb and Mirror Toilet Soap TABLE 28 LIST OF CALLS Call Work Day Time Rest Day First Call 0530 0630 Reveille 0540 0640 Assembly 0545 0645 Sick Call 0550 0650 Mess Call 0600 0700 Drill Call 0655 0755 Assembly 0700 0800 Recall HOC 1200 Mess Call 1105 1205 Drill Call 1155 1255 Assembly 1200 1300 Recall 1600 1700 Mess Call 1730 1730 Guard Assembly (Outpost Security) 1750 1750 Guard Mount 1800 1800 Tattoo 2100 2100 Call to Quarters 2145 2145 Taps 2200 2200 Movies will be shown at 1900 on rest davs. Appendix A Inclosure #1 TABLE 29 CONSOLIDATED TRAINING SCHEDU1E ACTIVITY VSEK OF TiSST 1 2 3 4 5 6 7 8 TOTAL HOURS Hrs1 Hrs Hrs, Hrs, Hrs. Hrs. Hrs. Hrs. Marches, day 16 16 16 16 16 16 16 112 Marches, night 8 8 8 24 Marches, 90 miles 32 32 Foxhole 24 24 24 72* Outpost Problems 8 8 8 24 Tests 8 8 8 8 8 40 Map Reading 2 2 2 2 8/ Grenades 2 4 2 8 Bayonet 4 4 4 2 2 16 Field Fortification 4 4 8 Organization of Army 2 2 Scouting and I atrolling 4 2 2 4 4 4 20 Tactical Training - Individual 2 4 2 8 Tactical Training - Squad 2 6 8 2 18 Tactical Training - Platoon 4 8 12 Technique of Fire 4 4 Combat Firing 2 2 2 2 2 2 12 Infiltration 2 2 Antiaircraft Firing 2 2 Transition Firing 4 4 Close Combat 2 2 4 TOTAL 48 56 64* 48 64* 48 56* 48 432* * Abnormally hiph totals due to 24-hour periods in foxhole or slit trench. tyiical wssk of comity activity DAY TIMS ACTIVITY DAY TIMS ACTIVITY 0700-073C Combat Firing 0700-090C 1 Tactical Tng. - Individual 1 0730-1630 March (cross country) 4 0900-1100 Scouting and Patrolling 1630-1700 Combat Firing 1200-1400 Tactical Tng, - Squad 1400-1600 Open Time (clean-up) 0545-0630 Weigh in (all men) 0700-1100 Grenades 070C-073Q Combat Firing 2 1200-1400 Field Fortifications 5 0730-1630 March (on roads) (2-man foxholes) 1630-1700 Combat Firing 1400-1600 Tactical Tng. - Squad 0545-C630 Weigh in (all men) 0700-0900 Tactical Tng. - Individual 6 0700-1100 Outpost Problem 3 0900-1100 Scouting and Patrolling 1200-1600 Open Time(clean-up) 1200-1600 Outpost P roblem 2000-24CC Night Outpost Problem 7 Day of Rest Appendix A Inclosmre jj\ June 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 July 12 3 456789 10 11 12 Com- Day pany 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Y x» *cccccc*cccccc C C C C C C C C * 10 10 10 10 10 10 10 X X» * MT MT MT Iff iff MT * MT MT MT iff ITT MT MT MT MT MT MT MT MT MT * 10 10 10 10 10 10 G X* *KKKKKK*KKKK K K K K K K K K K K * 10 10 10 10 10 E X1 *KKKKKK*KKK K K K K K K K KKKK*BBBB H X» * 10 10 10 10 10 10 * 10 10 10 10 10 10 10 10 10 10 10 10 10 10 * 10 10 10 F X* B B B B B B B BBBBBB*BB July August 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 _ 5_ 6 7 8 91011121314 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 62 Y 10 10 10 10 10 10 * K K K K K K K K K K a K K K K K K K K K « X 10 10 10 10 10 10 10 * C C C C C C C K K K K K K K c h o i c e * G 10 10 10 10 10 10 10 10 * C» C» C8 C* C» C» C* C* C* C» C C C C C C C C C C * E BBBBBBBBB^KKKKKKK K K K K K K K K K K K K K * H 10 10 10 10 10 10 10 10 10 10 * 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 * F BBBBBBBBBBB*BBBBB B 5 3 B B B 3 BBBBBBBB* LEGEND: Company Rations Tested * - Examination, Physical Fitness, Clinical and Chera- G - K, 10-in i-l, and C Rationo ical Tests done in Test Headquarters Area. V - C, 10-in i—1, and K Ration. X' - Harvard Step Test and Army Air Forces Tests only. X — MT, 10-in-l, C, K, and a selection done at Camp Carscn0 of their * own choice. C - UoSo Army Field Ration C (Experimental)» E - K and B Rations. C1 - UoSo Army Field Ration C (New). H - 10-in-l with two types of biscuits. K - UoSo Army Field Ration K. F - Supplemented Field Ration B as a 10 -- UoSo Army Field Ration ten-in-one„ control. MT - Canadian Army Mess Tin Ration» B - UoS. Army Field Ration B, supplemented, used as a control Choice - A ration chosen from C, K, or Mess Tin. ; Each company bivouacked in the test headquarters area the night before the initial day. Supplemented E Ration was the ration on initial * day0 Following the last . of its first * day test, each company pro- ceeded to its permanent camp area0 Companies bivouacked i in i their * own area the night before each subsequent test * day, except for the last * day when they established an overnight bivouac in the test headquarters area as was done before the first test. Appendix A Inclosure #1 SCHEDULE OF RATIONS AND TESTS TABLE 30 TABLE 31 DETAILS OF SCHEDULE OF THIRD RATION PERIOD COMPANY 6th Week ?th Week 8th Week Y K Ration: Without supplement of Jam one ration d increased to 1-2/3 rations for last 10 days. New Biscuits fpr 5 days only. lily for 11 days; Type IV and V X C Ration: Experimental with Jam; 1-1/3 rations daily. K Ration; 'With Jam. 1-2/3 rations daily i - - - -. - j 4 days 3 days Select ra- Choice of tion from ration items C, K and in C, K, and CMT CLT G C Ration, New. with Jam; 1 ration daily Same as 6th 'Week C nation. Experimental, with Jam; 1 ration daily E K Ration, 1-2/3 rations daily Type IV and V Biscuit foi 2 days Without Jam i With Jam With Jam Last 5 days cheese was replaced by compressed cheese H 10-in-l Ratipn: with new Type I 1-1/4 rati and Type II biscuits for first days. On 10 days; 1 ration daily. with 1 bo: sandwich r days replc Lons daily for last 11 odd days replace Type I it sugar wafers, and 1 box cookies, on even days ice Type II. F i B Ration, Supplemented Vitamin tablets - 3 dail} to Platoons 2 and 4 Placebos - 3 daily to Platoons 1 and 3 Same as 6th Week Same as 7th Week Cocoa and soups tested Appendix A Inclosure #1 SCHEDULE TABLE 32 E COMPANY l June 13 Step Test and AAF Test at Carson June 13 Physical Examination at Carson June 16 Complete Fitness Tests at Topside June 17 Start K Ration (1-2/3 rations) June 23 Complete Fitness Tests July 8 End K Ration. Complete Fitness Tests. Physical Exam. July 9 Start Supplemented B Ration July 22 End Supplemented B Ration. Complete Fitness Tests. Physical Exam. July 23 Start K Ration (1-2/3 ration with one each Type IV and V biscuits for 2 days) July 31 Add jam to 1-2/3 K Ration (last 5 days cheese replaced by compressed cheese) August 12 End K Ration. Complete Fitness Tests. Physical Exam. F COMPANY June 14 Physical Examination at Carson June 15 Step Test and AAF Test at Carson June 18 Complete Fitness Test at Topside June 19 Start Supplemented B Ration June 25 Complete Fitness Tests July 8 Physical Examination July 10 Complete Fitness Tests July 24 Complete Fitness Tests July 24 Physical Examination. Vitamins and placebos begun August 12-14 Cocoa and Soups tested August 14 End Supplemented B Ration. Complete Fitness Tests. Physical Examination G COMPANY June 12 Step Test and AAF Test at Carson June 13 Physical Examination at Carson June 15 Complete Fitness Tests at Topside June 16 Start K Ration (1-2/3 rations) June 22 Complete Fitness Tests July 7 End K Ration. Complete Fitness Tests. July 8 Physical Examination July 8 Start 10-in-l Ration (as 8-in-l) July 21 End 10-in-l Ration. Complete Fitness Tests July 22 Start New C Ration (1 ration with jam) July 24 Physical Examination August 3 End New C Ration (supply gone) August 4 Start Experimental C Ration (1 ration with jam) August 11 End Experimental C Ration. Complete Fitness Tests. Physical Examination Table 32 Pg. 1 Appendix A Inclosure #1 TABLE 32 (Continued) SCHEDULE H COMPANY June 14 Step Test and AAF Test at Carson June 14 Physical Examination at Carson June 17 Complete Fitness Tests at Topside June 18 Start 10-in-l Ration (as 8-in-l) June 24 Complete Fitness Tests July 9 Complete Fitness Tests. Physical Examination July 23 Complete Fitness Tests, Physical Examination July 24 Start 10-in-l (as 10-in-l) with one each New Type I and II biscuits August 2 End 10-in-l (as 10-in-l) August 3 Start 10-in-l Ration as 8-in-l with 1 box sandwich type cookies replacing on August 13 alternate days one box of Type I or IV biscuit End 10-in-l Ration. Complete Fitness Tests. Physical Exam X COMPANY June 11 Step Test and AAF Test at Carson June 12 Physical Examination at Carson June 14 Complete Fitness Tests at Topside June 15 Start Canadian Mess Tin (1-1/3 rations) June 21 Complete Fitness Tests July 6 End CMT Ration. Complete Fitness Tests. Physical Exam. July 7 Start 10-in-l Ration (as 8-in-l) July 20 End 10-in-l Ration. Complete Fitness Tests July 21 Start Experimental C Ration (1-1/3 rations with jam) July 24 Physical Examination July 27 End Experimental C Ration July 28 Start K Ration (1-2/3 rations with jam) August 3 End K Ration August 4 Start choice of C, K, or CMT complete rations August 7 End choice of complete rations August 8 Start choice of any components of C, K, or CMT Rations August 10 End Rations. Complete Fitness Tests. Physical Exam. Y COMPANY June 10 Step Test and AAF Test at Carson June 12 Physical Examination at Carson June 13 Complete Fitness Tests at Topside June 14 Start Experimental C Ration (1-1/3 rations) June 20 Complete Fitness Tests July 5 End Experimental C Ration. Complete Fitness Tests July 6 Start 10-in-l Ration (8-in-l) July 9 Physical Examinations July 19 End 10-in-l Ration. Complete Fitness Tests July 20 Start K Ration (1 ration, New Type IV and V biscuits for 5 days only) July .23 Physical Examinations July 30 Complete Fitness Tests July 31 Increase K Ration to 1-2/3 rations August 9 Complete Fitness Tests. End K Ration. Physical Exam. Table 32 Pg. 2 Appendix A Inclosure #1 Appendix A,, Inc losure 7/1 HOUR PROGRAM all men CHEMISTRY SECTION STEP TEST A4F TEST A G F TEST CLIN1CAL KIAM ASSEMBLY AREA BEGIN FIELD TEST BEGIN MARCH 0445 Reveille 0500 l,2,3a Told & Discard 0500-0530 Weighing 0630 "L"*£- " jJ Void & Collect Give Test Dose 0645-0700 Breakfast 0800-0900 1,2,3 Bleeding 1 3 1,2 0900-1000 2 4 3,4 1000-1100 3 . 1 1030 1,2,3 Urine Samples 1100-1200 4 2 1130-1215 Lunch 1215-1300 Rest 1245 1,2 1300 1 1320 2 1330 1A 1340 3 1400 4 1 1420 2 1440 3 -15QQ 4 The number* &nd A refer to Platoons TEST DAY SCHEDULE TABLE 33 TABLE 34 APPROXIMATE CALORIE CONTENT OF RATIONS c RATION CANADIAN MESS TIN RATION Total Wto Total Total Wt, Total Item Oz. Calories Item Oz. Calories Meat & Bean 12 390 Biscuits (3 pkgs.) 9.0 noo Meat & Vegetable Stew 12 400 Sardines, 1 tin 3.5 310 Meat & Spaghetti 12 480 Pork Loaf, 1 tin 3.0 180 Meat & Vegetable Hash 12 370 Spiced Beef, 1 tin 3.0 230 Chicken & Vegetable 12 400 Butter, 1 tin 2.0 380 Beans & Frankfurters 12 670 Jam, 1 tin 1.5 150 Beans & Pork 12 4 80 Pea Soup, 1 pkgo 2.0 170 Beef & Noodles 12 570 Cheese, 1 pkg. 1.5 180 Ham & Lima Beans 12 620 Chocolate Drink, 1 pkg. 1.5 120 Ham, Egg & Potato 12 500 Milk <5t Sugar Powder 1.5 160 4 Biscuits, C-l 2 240 Hard Candies 1.2 150 5 Biscuits, C-4 2.5 310 Chocolate, 1 bar 2.0 300 4 Biscuits, C-5 1*6 180 Sugar, 2 lumps 0.7 ...50 Cereal, General Foods 2.25 250 3480 Cereal, General Mills 2.25 2?0 TOTAL Lemon Powder, Synthetic 7 grams 30 Coffee Powder, Soluble 5 grama 20 Cocoa 1.5 180 Bouillon 10 grama 30 • Sugar (per package) 23 grams 90 Sugar (per 3 tablets) 18 grams 70 K RATION Jam Coated Peanuts Coated Raisins 1.5 no 18 grams 18 grams 90 60 Item Total Wt. Oz. Total Calories Caramels 18 grams 70 K Biscuits (average) 300 Hard Candy 18 grams 70 Egg & Meat Product 3o64 270 Jellybeans 18 grams 70 Fruit Bar 20 180 Chocolate cake (comp.) 2.25 350 Coffee .177 20 Sandvdch Cookie 25 grams 90 Sugar .80 90 VALUE OF TYPICAL C RATION K Biscuits Cheese Product 2.48 4.0 300 440 3 Meat Units 1A60 Caramels 2.0 240 Biscuits 730 Lemon Juice Powder 0.25 30 Confections 210 Sugar 0.8 90 Beverages 140 K Biscuits 2.58 300 Sweet Biscuits 220 Meat Product 3.96 290 Cereal 260 Chocolate Bar 2. 300 Sugar 160 Bouillon .35 —20 Total Ration Calories 3180 Total Ration Calories 2880 Jam no Jam no TOTAL 3290 TOTAL 2990 Table 34 Fg. 1 Appendix A Inclosure #1 Appendix A Inclosure #1 TABLE 34 Table 34 Pg. 2 APPROXIMATE CALORIE CONTENT OF RATIONS, Cont'd 10 - IN - 1 RATION Total Wt. total Total Wt. Total Item Oz. Calories Item Oz. Calories H2N0 #1 MENU #3 Cereal 20 2250 Cereal 20 2250 Pork Sausage 66 5100 Ham & Eggs 68 4520 C Biscuits 32 3780 Biscuits (C Square) 32 3790 Jam 22 1580 Jam 22 1580 Coffee 2 210 Coffee 2 210 Milk 12 470 Milk 12 470 Sugar 12 1350 Sugar 12 1350 K Biscuits 24.8 3040 Meat Product 38.7 2870 Hard Candy 13.75 1520 K Biscuits 24.8 3040 Lemon Fowder 2.47 270 Sweet Chocolate 20 2990 Sugar 8 900 Orange Powder 2.47 270 Egg & lie at Product 35.O 2720 Sugar 8 900 Meat & Rice Dehyd* 26 3470 Beef, Corned 48 3550 Tomatoes 38 200 Peas 40 700 F eanuts 15 2550 C Biscuits 32 3790 C Biscuits 32 3790 Array Spread 7.5 1180 Army Spread 7.5 1180 Fruit Bar 20 1810 Cocoa 20 2210 Cocoa 20 2210 TOTAL . . . . . 36600 TOTAL •37480 MENU #2 iSKU #4 Cereal 20 2250 Cereal 20 2250 Bacon 48 9740 Bacon 48 9740 K4 Biscuits 32 4020 Biscuits (C Square) 32 379Q Jam 22 1580 Jam 22 1580 Coffee 2 210 Coffee 2 210 Milk 6 240 Milk 6 240 Sugar 12 1350 Sugar 12 1350 Cheese 40 4410 Meat & Egg Product 35.0 2720 K Biscuits 24.8 3040 K Biscuits 24.8 3040 Caramels 20 2430 Fruit Bar 20 1810 Lemon Powder 2.47 270 Lemon Powder 2.47 270 Sugar 8 900 Sugar 8 900 Stew English Style 60 2360 Roast Beef 48 2790 Snap Beans 38 240 Corn 40 930 K4 Biscuits 32 4020 C Biscuits 32 . 3790 Army Spread 7.5 1180 Army Spread 7.5 1180 Fruit Bar 20 1810 Hard Candy 13.75 1520 Coffee 2 210 Coffee 2 210 Sugar 12 1350 Sugar 12 1350 Milk 6 240 TOTAL .... 41850 TOTAL 39670 | TABLE 34 lO-IN-l RATION Item Total Wt, Ca£ones MENU #5 Cereal 20 2250 Pork & Egg lolk 68 5930 K4 Biscuits 32 4020 Jam 22 1580 Coffee 2 210 Milk 12 470 Sugar 12 1350 Cheese 40 A410 K Biscuits 2Ao8 3040 Fruit Bar 20 1810 Orange Powder 2o47 270 Sugar 8 900 Corned Beef Hash 26 3020 Lima Beans 40 880 K4 Biscuits 32 4020 Army Spread 7.5 1180 Chocolate Bar 20 2990 Cocoa 20 2210 TOTAL . 40540 APPROXIMATE CALORIE CONTENT OF RATIONS, Cont'd CALORIES PER MAN (10- in-l RATION) MENU BY WHEN gON^MEDBY n 3660 4575 #2 A180 5225 #3 3750 4688 #4 3970 4963 #5 4050 5063 AVERAGE 3920 4900 Table 34 Fg. 3 Appendix A Inclosure ff1 FIG. I DISTRIBUTION OF MEN IN VARIOUS COMPANIES BY SERVICE COMMANDS company i n m ix x xr xn xm ix foreign E 1% 6% 21% 2% 21% 14% |7% 13% 2% 3% F 4% 4% 4% 4% 18% 14% 21 %....20% 10% 1% G 4 % 5 % 30% 11 %.... .18%.... 8% 7 % 6 % 6% 5 % H I % 5 % 2 8 % 8% 14%... J 3% 9 %.... 10%... .8% 4% X 2% 5%....25% .7% .9%. ...15%.... 22% 6% 1% 6% Y 4% 5%- • • -24% 7% 8% ...10% 14% 14%.... .7% 7% ALL 3 % 5 % 2 2 % 7 % 15 % 12 % 12 %.... .12 % 3 % 4 % PERCENT OF STRENGTH Appendix A Inclosure #1 FIG.I FIR ? Appendix a Inclosure #1 MAP OF TEST AREA DESCRIPTION OF RATIONS APPENDIX B 1. GENERAL: When comparing one ration with another, it is necessary to bear in mind the specific use for which each ration was designated. Since various rations have different primary uses, one might be more satisfac- tory than another merely because of the conditions of the test. K Ration was designed to be used for a few meals, or at most for 3-5 days. Its calorie content is suf- ficient for light to moderate activity for such periods, but an increased rate of issue is needed for soldiers under- going hard work. It is the lightest and most compact of the U. S. Army combat rations, essentially a light as- sault ration, and one for use by paratroops. The C Ration was designed for front-line feeding of combat troops for periods from a few days to an extreme of 3 weeks when no better ration could be brought up and used ef- fectively. It is adequate for moderate activity and is a medium weight ration. K Ration may be used alter- nately with it to avoid monotony. Either may be supplemented with D Ration chocolate, hot soups, or sand- wiches whenever the tactical situation permits. The Canadian Army Mess Tin Ration is similar to the U. S. Army C and K Rations; it was designed as a combat ration to be used whenever a bulk ration could not be supplied. Its designed period of use is about a week, and its calorie content is adequate for moderate activity. The 10-in-l Ration has a dual function, primarily as a support area ration, but also as a heavy com- bat ration for use by tank crews, artillery groups and even by infantry along a stabilized section of the front. In areas behind the front the 10-in-l Ration is used extensively but is replaced by B Ration whenever the prob- lems of supplying a bulk ration can be overcome. Moderate to heavy work can be sustained on the 10-in-l Ra- tion for periods of many weeks. The control ration used to establish a basis of comparison was a Supplement- ed Field Ration B. This ration is designed to support heavy activity for a period of months. 2. INTENDED USE: The design of the test (Appendix A) required certain departures from the intended use of the emer- gency rations K, C and Canadian Army Mess Tin which were used for 1 or more periods of 3 weeks. This is well within the limits of use in actual practice but necessarily affects the acceptability of rations which have no variety to avoid monotony. Thus we may expect changes in acceptability and consumption which would not appear during a very short period of use. The calorie issue was standardized during Period I so that inade- quate food would not be a factor in acceptability, while the last period (III) was used to study the ration issued according to the specifications of a ration per man per day. These factors are discussed at length in Ap- pendix D, Section I. 3. USE IN THE PRESENT TEST: 4. PACKAGING: This problem was not specifically studied. The rations were shipped and reshipped many times, and exposed to the elements during the test and in general held up well. The fibre case of the Canadian Army Mess Tin Ration tore in some instances, and there was some breakage of C Ration cases. 5. DISCUSSION OF RATIONS: The following is a brief description of the rations noted. For more detailed consideration see Chica- go Quartermaster Depot specifications for each of the U. S, Army packaged rations. a. Ration, Type K—The Ration, Type K, consists of food for 1 man for a day packaged in 3 oblong wax-dipped inner cartons, overwrapped in a camouflaged paperboard carton; 1 package for each meal. The components of each of the meals are as follows: ITEM NET WEIGHT CALORIES Breakfast (°UDCeS) K Biscuits, 2 pkgs, 2.5 300 Meat and Egg Product 3.8 270 Fruit Bar 2.0 180 Appendix B Inclosure #2 ITEM NET WEIGHT (ounces) CALORIES Breakfast (Continued) Soluble Coffee Product 0.3 20 Sugar 0.8 90 Gum 1 piece Cigarettes, 4 1 pkg. Key, can opening 1 Dinner K Biscuits, 2 pkgs. 2.5 300 Cheese Product 4 440 Caramels 4 240 Lemon or Orange Juice Powder 0.3 30 Sugar 0.8 90 Gum 1 piece Cigarettes, 4 1 pkg. Key, can opening 1 Matches 1 book Supper K Biscuits, 2 pkgs. 2.5 300 Meat Product 3.8 290 Chocolate Bar 2.0 300 Bouillon Powder 0.4 30 Gum 1 piece Toilet paper, 12 sheets 1 pkg. Cigarettes, 4 1 pkg. 2880 The meat and egg products can be either ham and eggs or chopped pork and egg yolk. The cheese product can be processed American cheese, processed American cheese with bacon, or processed American and Swiss cheese blend. The meat products can be either beef and pork loaf, or corned pork loaf with carrot and apple flakes added. There are five types of K biscuits, as follows: K-1A (wheat-oat biscuit); K-2 (graham biscuit); K-3 (a sweet milk biscuit); K-4 (a neutral cracker); and K-5 (an enriched soda cracker). Thirty-six meals (12 rations) are packed in a nailed wooden box. b. Ration, Type C, Experimental—The Ration, Type C, Experimental, consists of food for 1 man for a day packaged in 6 key-opening cans 3 inches in diameter, and 3M inches tall. Three of these cans are Bis- cuit Units; the other 3 are Meat Units. A meal consists of 1 can of each. The Biscuit Units of the 2 menus are as follows: MENU NO. 1 MENU NO. 2 Breakfast (B-l) Breakfast (B-4) 4 Biscuits (Type IV) 4 Biscuits (Type IV) Premixed Cereal (General Mills) Premixed Cereal (General Foods) Candy Coated Peanuts Jelly Beans Coffee Coffee Sugar Sugar Dinner (B-2) Dinner (B-5) 5 Biscuits (Type V) 5 Biscuits (Type V) Hard Candy Candy Coated Raisins Lemon Juice Orange Juice Sugar Sugar Appendix B Inclosure #2 MENU NO. 1 MENU NO. 2 Supper (B-3) 4 Biscuits (Type I) 1 Sandwich Cookie Caramels Cocoa Supper (B-6) 3 Biscuits (Type I) 1 Compressed Chocolate Cake Caramels Bouillon With each of the Biscuit Units described above, one of the following Meat Units is added to make a complete meal: M-l M-2 M-3 M-4 M-5 M-6A M-6B M-7A M-7B M-8 M-9 Meat and Beans Meat and Vegetable Hash Meat and Vegetable Stew Ground Meat and Spaghetti Chicken and Vegetables Beans and Frankfurters (Tomato Sauce) Beans and Frankfurters (in Molasses) Pork and Beans (Tomato Sauce) Pork and Beans (in Molasses) Beef and Noodles Ham and Lima Beans 12 oz w » 99 99 99 99 99 99 As provided for this test, 8 C Rations (48 cans) were packed in a nailed wooden box and arranged so that a row of 6 cans is 1 complete ration. The calorie content of this ration is estimated at about 3200 calories per man per day, not including the 1/2 ounce jam supplement which was issued with this ration during the test. The Ration, Type C, Experi- mental, has been supplemented by the Ration, Type C, New. c. Ration, Type C, New—The Ration, Type C, New, like its predecessor has food packed in key- opening cans, 3 by 3M inches. There are 6 cans per ration, half of which are Meat Units. There is more va- riety in the 6 menus of the present Ration, Type C, than in any earlier Ration, Type C. The 6 menus are com- posed of various combinations of the 6 B Units and the 10 M Units. The B Units are assembled as follows: ITEM NEW WEIGHT CALORIES Breakfast (B-l) 4 Biscuits, Type IV, Round 2.0 oz. 260 Cereal, Comp., Premixed 2.0 oz. 240 Peanuts, Candy Coated 1.2 oz. 80 Raisins, Candy Coated 1.2 oz. 60 Coffee Product, Soluble 5.0 oz. 20 Sugar 0.8 oz. 90 Dinner (B-2) 5 Biscuits, Type V, Round 1.75 oz. 220 Lemon Juice Powder, Syn. 7.0 gr. 30 Sugar ■ , 1.2 oz. 140 Candy, Hard 0.6 oz. 70 Supper (B-3) 4 Biscuits, Type I, Round 2.0 oz. 250 Jam, Canned 1.5 oz. 110 Cocoa Beverage Powder 1.5 oz. 160 Caramels 0.5 oz. 60 1790 Appendix B Inclosure #2 Breakfast (B-4) 4 Biscuits, Type IV, Round 2.0 oz. 260 Cereal, Comp., Premixed 2.0 oz. 220 Peanuts, Candy Coated 1.2 oz. 80 Raisins, Candy Coated 1.2 oz. 60 Coffee Product, Soluble 5.0 gr. 20 Sugar 0.8 oz. 90 Dinner (B-5) 5 Biscuits, Type V, Round 1.75 oz. 220 Orange Juice Powder, Syn. 7.0 oz. 30 Sugar 1.2 oz. 140 Candy 0.6 oz. 70 Supper (B-6) 5 Biscuits, Type I, Round 2.0 oz. 250 Jam, Canned 1.5 oz. 110 Coffee Product, Soluble 5.0 gr- 20 Caramels 1.1 oz. 130 Sugar 0.8 oz. 90 1790 The M Units consist of the following: ITEM NEW WEIGHT (ounces) CALORIES M-l Meat and Beans 12 390 M-3 Meat and Vegetable Stew 400 M-4 Ground Meat and Spaghetti » 480 M-5 Ham, Egg and Potato 99 500 M-6 Meat and Noodles 99 570 M-7 Pork and Rice 99 710 M-8 Frankfurters and Beans 99 670 M-9 Pork and Beans 99 480 The Menus are made up as follows; BREAKFAST DINNER SUPPER Menu No. 1 B-l + M-5 B-2 + M-l B-3 + M-ll Menu No. 2 B-4 + M-6 B-5 + M-8 B-6 + M-7 Menu No. 3 B-4 + M-7 B -$.+ M-4 B-6 + M-3 Menu No. 4 B-l + M-9 -f M-4 B-3 + M-10 Menu No. 5 B-l + M-6 B-2 + M-3 B-3 + M-5 Menu No. 6 B-4 -f M-10 B-5 + M-8 B-6 + M-ll Forty-eight cans are packed to the shipping case in such a manner that a row of 6 cans is a ration and there are no 2 cans alike in any ration. An accessory Packet included with each ration contains the following components: ITEM AMOUNT Cigarettes 9 ea. Halazone Tablets 12 ea. Matches, Book 1 (10 sticks ea.) Toilet Paper 1 packet Gum, Candy Coated 2 tablets Can Opener 1 per shipping case (i. e. 1 per 8 rations) Appendix B Inclosure #2 [44] d. Canadian Army Mess Tin Ration—The Canadian Army Mess Tin Ration consists of food for 1 man for 1 day packaged in a wax-dipped carton. The ration contains the following components: ITEM NEW WEIGHT CALORIES (ounces) Spiced Beef 3 230 Pork Loaf 3 180 Sardines 3.5 310 Pea Soup (Dehydrated) 2 170 Butter 2 380 Jam 1.5 150 Biscuits (3 pkgs., *3 oz. each) 9 1100 Chocolate 2 300 Chocolate Drink 1.5 120 Milk and Sugar Powder 1.5 160 Hard Candy 4-9 pieces 150 Cheese 1.5 180 Gum (3 pieces) 1 pkg. Cigarettes, 10 1 pkg. Lump Sugar 0.7 50 Salt (1 pkg.) 0.4 Matches (20) 1 book Wooden Fork 1 Wooden Spoon 1 Fiber Caps for reclosing 1 Butter and Jam Cans 2 Can Opener 1 Menu 1 3480 Twenty-four rations are packed in a solid fiber steel-banded shipping case. e. Ration, 10-in-l— The Ration, 10-in-1, consists of food for 10 men for 1 day and is packed in a steel-banded, fiber shipping case. The ration can be divided and used as a 5-in-l. A typical menu is as follows: Items for Breakfast and Supper Units Net Wt. Calories Army Spread (Preserved Butter) 2 cans 3.8 oz. 1180 Sliced Bacon 2 cans 24.0 oz. 9740 String Beans 2 cans 19.0 oz. 240 Coffee Product, Soluble 4 cans 1.0 oz. 420 Jam 2 cans 11.0 oz. 1580 Milk, Evaporated 2 cans 6.0 oz. 480 English Style Stew 2 cans 30.0 oz. 2360 Biscuits (Type I or Type II) 2 cans 32.0 oz. 8040 Cereal w/added Milk & Sugar 2 boxes 10.0 oz. 2250 Fruit Bar 10 bars 2.0 oz. 1810 Sugar 4 pkgs. 6.0 oz. 2700 Items for Lunch Cheese 10 cans 4.0 oz. 4410 Partial Dinner Unit, Menu No. 2 Biscuits (Type II, IV, V) 10 boxes 2.4 oz. 3040 Caramels 2.0 oz. 2430 Lemon Juice Powder, Synthetic 0.3 oz. 270 Sugar 0.8 oz. 900 Appendix B Inclosure #2 (45) Items for Lunch (Continued) Units Net Wt. Calories Chewing Gum 1 piece Key, Can Opening 1.0 oz. Miscellaneous Salt 2 bags 1.0 oz. Cigarettes 10 pkgs. 10.0 oz. Halazone Tablets 2 bottles 50 tablets Matches 10 books 20.0 oz. Can Opener, Small 2 Toilet Paper 2 packets 125 sheets Soap 2 cakes 2.0 oz. Paper Towels 10 sheets . i 41,850 In the other menus, pork sausage meat, ham and eggs, pork and egg yolk, roast beef, corned beef, de- hydrated corned beef hash, and dehydrated meat and rice are used as alternates for the breakfast and supper meat products. Canned corn, lima beans, peas, and tomatoes are alternates for the supper vegetable. Beverages include coffee, cocoa, orange, grape and lemon. The partial dinner unit and the canned dinner component are varied with each menu. The noon meal is similar to the K Ration dinner unit. The canned components of the 10-in-l Ration are packed together in 2 inner fiber boxes. All food components of the 2 halves are packed in 2 wax-dipped inner cartons. The 4 cartons containing the ration are then packed in the fiber shipping case. The average calorie content of the 5 menus of the 10-in-l Ration is such that each man receives 3900 calories per day. f. Supplemented B Ration—A Supplemented B Ration was used as the control ration designed to sup- ply the men with the best possible food. Accordingly, it contained fresh bread, frozen meat, fresh fruit, and a number of other items which would not occur in most B Rations. There was, in addition to the supplementary items, the usual non-perishable subsistence of canned meats, fruits, vegetables and dehydrated eggs. No dehydrated vegetables were used; all vegetables were canned except potatoes and onions, which were issued fresh. Menus were planned on a 10-day cycle, repeated as long as the ration was used. Appendix B Inclosure #2 (46) OBSERVATIONS ON RESPIRATORY METABOLISM APPENDIX C 1. INTRODUCTION: Estimation of the daily energy expenditure of the test subjects was desirable for several reasons. (1) The severity of daily work affects acceptability of a ration and determines the requirement for mainten- ance of calorie balance. (2) Although data are available for many activities of infantry troops, previous studies have been done at sea level, and not at altitudes around 9000 feet. The influence of altitude had to be as- sessed for this reason. (3) Even the most complete tables contain significant gaps in estimates of many common activities. Therefore, an evaluation of the calorie expenditure for a number of the daily activities was under- taken. 2. METHODS: Four subjects were used throughout, 2 from F Company and 2 from X Company. They approximated the battalion average in age, height, weight and physical fitness (See Table 1). The data were collected between 20 June and 7 July, the standard open-circuit Douglas bag technic being used. A valve, chosen for its low resistance to air flow, was connected to a 3-way valve permitting diversion of expired air into the Douglas bag for sampling. Collection was carried out for a measured inter- val, the contents of the bag metered, and samples withdrawn for analysis in the Haldane apparatus. Follow- ing very severe work, expired air was collected during a recovery period of 2 to 4 minutes. In most instances, the R. Q. was between 0.80 and 0.90. The actual R. Q. for a particular collection was disregarded in the calcu- lation of the calorie equivalent of oxygen; and the value of 4.85 calories per liter of oxygen was used throughout. The results presented in the tables are all expressed as calories per hour or unit of work per man. Since the subjects were closely similar in weight and surface area (less than 5% spread) and these values are very close to the average for soldiers, no correction to a common weight or surface was made. The results should be evaluated with 2 types of limitations in mind: those inherent in establishing a representative mea- sure of the calorie cost of a given task, and those which derive from the uncertainty as to the actual pattern of a day’s activities. In the first category are the technical uncertainties of the procedure. The sampling in- terval is very short, frequently covering only 2 to 3 minutes. Apprehension on the part of the subject was reduced by training and trial runs, but even in the absence of apprehension the equipment modifies in some degree the performance of the subject. Finally, the calorie cost of a given task varies from man to man and is influenced by the training and skill of an individual subject. The march-day was the most predictable of the various training days observed in this study. These limitations do permit, nevertheless, the establishment of a range of values and an approxi- mation of the calorie cost of various activities. In Table 2 are assembled the measurements on the basal condition and light activity. The Basal values ranged from 3 to 4 per cent higher than the Dubois standards in 3 subjects and 12 per cent higher in the case of Har. Table 3 lists a group of activities, exclusive of marching, measured on the subjects. The data are ex- pressed as the cost in excess over a minimal value. This minimal cost was taken as 100 calories per hour. Two advantages are present in this type of treatment: (1) It has been demonstrated that there is less variance in oxygen consumption with respect to rates of work when the excess cost over the resting value, rather than the total oxygen consumption, is related to the work accomplished. (2) Deduction of a reasonable value for resting energy expenditure from the total cost of the measured activity permits this rate to be used as a base cost for all the waking hours. On this value the excess cost of the actual activities can be superimposed. This allows a simpler and more reliable summing of expenditure for a day than does an hour-by-hour addition of the total rates per hour. In order to reconvert the tabulated data to the total cost per hour, one should add 100 calories to the values given in the tables. The marching data, expressed as calories per mile in excess of base, are assembled in Table 4. The pack carried was a light infantry pack of approximately 20 pounds including rifle and canteen. The rate varied from 3.0 to 3.3 mph at cadences of from 106 to 120 steps per minute. 3. ENERGY EXPENDITURE IN VARIOUS TYPES OF ACTIVITIES: Appendix C Inclosnre #3 (4?; The opportunity was taken to compare the relative efficiency of various modes of locomotion. It will be seen from Table 5 that modes of progression involving walking or running cost far less than those involving getting up and down off the ground or lying on the ground. Experience has shown that field rushes, creeping and crawling are exhausting types of exercise, and the present data illustrate some of the reasons. The cost per 100 yards increases markedly when the pace is greatly increased. So far as comparison is possible, these data agree reasonably well with other measurements that are available. (See Armored Medical Research Laboratory Report, Sub-Project No. 2-14, dated 10 April 1944, and the Quartermaster Board Report on Project S-44, 1943.) Apparently, altitude had but little effect. 4. ENERGY EXPENDITURE IN ACTIVITIES PECULIAR TO PRESENT TEST TROOPS: One important feature of the present trials was the battery of physical fitness tests. They took only part of the test day, but the subjects always felt that they had had a strenuous workout. The relative severity of the individual items of the tests is indicated in Table 6 in the column listing the rate per hour. All compo- nents of the tests are relatively severe, the pig-a-back exercise being the most strenuous. Considering the time taken to finish each item, the Step Test, the shuttle-run, the 300 yard run and the 4 mile road march are the most exhausting. In spite of the arduous nature of the individual exercises, the total extra energy expenditure due to the fitness tests amounted to only about 610 calories. In terms of total work output, test days were relatively easy though considered the hardest day’s work by almost all subjects. The procedure followed in estimation of the daily calorie expenditure was to establish a minimum or base representing the sum of the sleeping expenditure (8 hours @ 80 cal/hr.) plus the minimal waking ex- penditure (16 hours @ 100 cal/hr.), plus the cost of the essential and probable daily chores. These are tabu- lated in Table 7, and lead to an estimate of about 2800 calories per day as the minimal expenditure. On this minimal value are superimposed the specific activities of the day. The results of such estimates for 5 typical days are given in Table 8. The calorie expenditure ranges from a low of about 2800 calories to a high value of about 4800 calories the severest day of the schedule (marching). On the basis that each week includes 1 rest day, 3 march days, 2 days each made up of one-half day of class instruction and one-half day of field work, one is led to a rough estimate of about 4000 calories per day for the average week. It should be noted again that these values are subject to uncertainty and are applied to generalized schedules; hence, they should be taken only as an indication of the order of magnitude of the calorie expenditure. 5. ENERGY EXPENDITURE OF TYPICAL DAYS: 6. SUMMARY: a. Observations were made on energy expenditure in a number of typical daily tasks. b. The data gave no indication that the altitude significantly modified the cost of the various activities. c. Estimates were made of the calorie expenditure of the troops on typical days. For rest days the figure was about 2800 calories; for test days, about 3400 calories; for days involving long cross-country marches, about 4800 calories; and for days of work without long marches, from 3600 to 4000 calories. d. Data on the metabolic cost of various modes of locomotion are presented. e. Calorie expenditure is not necessarily a good measure of the effect of work on the subject in terms of discomfort and subjective reaction. Appendix C Inclosure #3 (48) TABLE 1 PHYSICAL CHARACTERISTICS OP THE SUBJECTS Height (inches) Weight (pounds) Surface Area* ... Age P Company Ear 70-3/4 154 ' 'OS 21 Luk 67-7/8 158 20 X Company Wol 72-3/4 133 . 1.91 22 Eel 73-3/4 152 1.92 20 * In square meters TABLE 2 BASAL METABOLISM AND LIGHT ACTIVITY Calories per Man per Hour Bar Luk Wol Kel Basal Metabolism 36 79 3o 77 Foxhole (awake) 108* 66 $ V Supine (awake) 112 104 3? 87 Sitting 118 103 9? 101 Standing 127 106 97 107 Sitting in Class 133 139 12? 104 Letter Writing 144 ““"T 137 - * Restless TABLE 3 Cost per Man in Excess of Base (100 Calories per Hour) MISCELLANEOUS ACTIVITIES ACTIVITY Har Luk Wol Kel Average Cal/hr Unit Average Cal/unit Bayonet Drill 371 4^2 427 20 min. 113.0 Parry Stick Drill ?¥* 470 409 25 min. 170.0 Grenade Throwing - 260 289 2 gren. 2.2 Grenade & Retrieving 245 203 224 2 gren. & retrieve 8.6 Grenade Assault Course 921 739 830 Course 2(5.0 Firing Ml Prone 212 246* 137 157 188 12 rds. 6.3 Shoveling 294 38? “vfT V* 7 393 1 hr. 393.0 Using Pick 604 640 W M 1 hr. 567.0 Scouting & Patrolling - - 352 225 _ _ 289 . 1 hr. 289.0 Manual ot Arms •• •• 126 153 UO 5 min, 8 cycles 11.7 Cleaning Rifle 86 103 5? 69.5 1 hr. 69.5 Policing up sticks) 305 - - 305 1 hr. 305.0 Raking 213 221 - - 217 1 hr. 217.0 Washing Socks 108 82 - - 95 1 hr. . 95.0 .. Playing Horse Shoes 131.1 - - 136 1 hr. 136.0 * Jam Appendix C Inclosure #3 (49) TABLE 4 COST OF MARCHING Calories per Man per Mile In Excess of Base (100 Calories per Hour) Grade Hap Luk Wol Kel Average 74 45 54 45 Down 86 67 88 79 69.1. - ?1 - - - - 69* 64* Level - - 97** 95** 82.8 - - 101 71 104 87 4o 85 Up &' Down - n? 99 110 97.7 Up 96 97 141 106 102 128.9 139 16? 109 124 192 - - * Downwind ** Upwind TABLE 5 INFLUENCE OF RATE AND OTHER FACTORS ON COST OF LOCOMOTION Activity Bar Luk Wol Kel At Speed Ids/min Average Cal/100 yds Casual Walk in) 4-1 lh 4.50 March (1) Aver age 91 5.70 Forced March (hi 6.2 15^ 6.35 Double Time (h) “inr 4.0 245 8.20 Run-150 yd turn (n) 7.7 “XT 269 7.30 Run-60 yd turn (ni 6.3 7.7 271 7.00 Rushes 20.9 24.5 22.4 19.4 240 21.60 Creeping (l) 50.0 59.0 55.0 81.0 12.1 61.20 Crawling (Ij 82.0 109.0 123.0 85.0 5.3 100.00 h s heavy pack (30 lbs.) 1 - light pack (20 lbs.) n ■ no equipment Appendix C Inclosure #3 (50) TABLE 6 0Ost in excess of base (100 Calories per hour) TEST ACTIVITIES TEST Score and Duration Har Luk Average T~* Cal/Test Cal/Hr, Cal/Test Cal/Hr. Cal/Test Step H 5:00 146 L 5:00 130 675 56.2 790 66<>0 61.1 Chin-Ups H 11/0:30 L 6/0:15 720 5.5/10 1115 8.0/10 6.7/10 Shuttle Run 100 Ydc Turn H 1:07 L 1:06 1020 19.0 1288 23.5 21.2 Zig Zag - H 0:26 L 0:29 1780 12.9 1800 14.5 13.7 Road March H 53:0/+ L 52:04- 495 438.0 527 457.0 448.0 300 Yd. Run H 1:06 L 1:08 1255 23 o0 1090 20.6 21.8 Pig-a-Back H '0:22 L 0:23 2030 12 o4 1720 IloO 11.8 Burpees H 10/0:20 L 11/0:20 1800 9.1 1893 10.7 9o9 Pushups H 19/0:32 660 3.1/10 - - (3.1/10) Situps L 21/0:60 - - 435 3.45/10 (3.45/10) H - Har L - Luk Appendix C Inclosure #3 (51) TAELS 7 MINIMUM DAILY ENERGY EXPENDITURE ACTIVITY Time or Distance Calories/Unit Total Calories Wash and dress .25 hr„ 50/hr. 13 Pick up rations 200 yds. fe 4.5/100 yds. 9 Preparations of rations, eating, *and clean up .5 hr. @ 20/hr. 10 x3 30 Police duties .5 hr. 3 250/hr. 125 Miscellaneous walking (latrine, about area, etc.) 1200 yds. 3 4.5/100 yds. 54 'Wash and shave .5 hr. a 95/hr. 48 Laundry .5 hr. ty 95/hr0 48 Evening activities (letter writing, etc.) .5 hr. @ 40/hro 20 Sports .5 hr. @ 135/hr. 68 Cleaning rifle .25 hr. m 75/hr. 19 March to and from instruction area 1400 yds. a 5.7/100 yds. 80 Total Misc. daily activities . 514 Sleep 8 hrs0 & 80/hr 640 Base 16 hrs. * 100/hr, 1600 Total minimal cost normal day . 2754 Appendix C Incloteure #3 (52) TABLE 8 ESTIMATES OP CALORIE EXPENDITURE FOR TTFICAL DAIS ACTIVITY Time or Distance Calorles/Unit fetal Calories MARCH DAT 20 miles Base 9 100/mil. 2000 T°W- 4800 GLASS INSTRUCTION DAI Morning Class, Compass & Map Reading Afternoon Scouting & Patrolling Field Work 3i hrs. •83 hrs. class 2.5 hrs. ® 25/hp. 9 25/hr. 9 290/hp. 88 21 -725 Base Total 334 2800 14& 25 a s s Horning Individual Crawling Creeping Rushes Grenade Throwing Throw and Retrieve Grenade Assault Course Afternoon Bayonet Drill Parry Stick Drill Base Total 20 yds. 50 yds, 200 yds. 30 grenades 1 2 hrs. 2 hrs. 6 100/100 yds $ 61/100 yds ® 22/100 yds *8.6/2 grenades $ 28/course 4 145/hr. 4 170/hr. , 20 31 > 44 129 28 290 Jk0. 882 3682 NON-MARCH FIELD WORK Horning Outpost Problem Afternoon Scouting & Patrolling Class Field Work 5 mile march .83 hrs, 2.5 hrs. $ 100/mile e 25/hr. © 290/hr. 500 21 JZ2L. 1246 2800 4046 Base Total TEST DAT Harvard Step Test krmy Air Forces Test Army Ground Forces Test Base 61 36 515 612 2800 Total 3412 Appendix C Inclosure #3 (53) APPENDIX D Section I ACCEPTABILITY OF RATIONS SUMMARY OF RATIONS TESTED Company Ration Daily Ration Issue Per Man Week of Test Period Used Y C (Exper.) 1-1/3 1, 2 and 3 X C (Exper.) 1-1/3 6 and 8 G C (Exper.) 1 8 G o C (New) 1 6 and 7 E c Q> K 1-2/3 1, 2, 3, 6, 7 and 8 G K 1-2/3 1, 2 and 3 X s w K 1-2/3 7 Y K 1 6 and Y K 1-2/3 M7 and 8 X Canad. M. T. 1-1/3 1, 2 and 3 H 10-in-l 1-1/4 1, 2, 3, 4, 5, and 8 H 05 0> 10-in-l 1 6 and Vtl G < 10-in-l 1-1/4 4 and 5 X 4-> J-H 10-in-l 1-1/4 4 and 5 Y o 10-in-l 1-1/4 4 and 5 F £U Supp. B 4800 calories 1, 2, 3, 4, 5, 6, 7 and 8 E Supp. B 4800 calories 4 and 5 It was pointed out in a report from this Laboratory * that acceptability is the essential requirement of any ration, for regardless of its food value or other attributes, if it is not eaten it is worthless. A prime consideration in a test of rations therefore is acceptability. Information on this point was obtained in a num- ber of ways so that multiple internal checks were available—to study if discrepancies occurred, or to rein- force one another if they agreed. The general consistency of these several types of data in this study increases the significance of the results and indicates the validity of the methods used. 1. INTRODUCTION: 2. GENERAL PLAN: In Appendix A the general plan of the ration trials was presented. Certain aspects require detailing here. The test was divided into 8 weeks, each with approximately equivalent work. The first 3 weeks consti- tuted Period I, the middle 2 weeks, Period II, and the last 3 weeks, Period III. Tests were done and changes in rations were made in accordance with the scheme presented in Figure 1. Period I was designed to compare the rations when issued on an approximately isocaloric basis. In order to obtain data on item acceptability more food was issued than was consumed so that the choice and preference records could be checked against the waste and unopened items returned. Trading was allowed. Its extent was determined from the daily questionnaire record of quantity of each item eaten. Quantity of plate waste differed somewhat from unopened unit or item waste. Waste returned from opened cans was usually of foods rated higher than that in unopened cans. Items actively disliked were not even opened after brief experience with them. Period II was set up to test support area rations. The main comparison was between the Supple- mented B Ration and the 10-in-l Ration. * Armored Medical Research Laboratory Report on Projects 1-7, 1-15, 2-5, 2-14, A Critique of Army Rations; Acceptability and Dietary Require- ments, 10 April 1944. Appendix D I Inclosure #4a (55) Period III was designed to test combat rations, with a number of differences from Period I. Instead of isocaloric issue, some rations were issued in units as packaged with 1 ration per man daily regardless of calorie value. At the prescribed level of energy expenditure a calorie deficit ensued. During the last week of this period, X Company had a choice of C, K or Canadian Mess Tin Rations on 4 days, and a choice of any component of these rations for the last 3 days. E Company was issued jam with K Ration (1-2/3 rations per man per day) which contained a variety of items rather than the monotonous issue of Period I. G Company used both the New and Experimental C Ration with added jam. New biscuits were tested by H Company on the 10-in-l Ration. Additional B Ration components were given a preliminary test by F Company and some substitutions were made in components of K ration tested by Y Company. The supplemented B Ration was used as a control. An effort was made to have the best possible field ration, so fresh bread, fruits and frozen meats were used, and a few special items added. 3. METHODS OF COLLECTING DATA: Types of Data Method Quantitative 1. Individual questionnaires 2. Group issue minus waste (opened and unopened) 1. Individual questionnaires 2. Summary questionnaires Qualitative 3. Conferences and discussion 4. Data on hoarding 5. Subjects’ comments and observers’ reports During the first week, some of the data were inaccurate because of inexperience and early diffi- culties with the methods used. These were corrected rapidly, and by repeated checking the system finally used was evolved by the trial and error of the first few days. A change was made in the method of recording on the questionnaires to facilitate transferring data to the punch cards. There were some differences in details of management in different companies. The following is a description of the methods which worked best and were generally practiced. a. Daily questionnaires were devised to obtain information on quantity eaten, rating by item as good, fair or poor, meal at which the item was used and whether eaten hot or cold. Periods when heating was not permitted gave adequate information on the last point. Questionnaires are included in Appendix G. Except for the Supplemented B and 10-in-l Rations, quantitative data on food eaten were obtained by item and cal- culated as individual calorie intake. Before each company used its first test ration a meeting was held with all subject personnel, company and observer officers and enlisted men. The ration and the questionnaire were explained in detail. In spite of this it took a few days before reliable information could be obtained, and the best methods of procedure evolved. It was the usual practice to issue questionnaires after supper when the ration was issued. When it became advisable to use 1 questionnaire for each meal to facilitate punching cards, they were issued 3 to a man. Before the ration was issued, questionnaires for the previous day were collected, checks, and any omis- sion filled in by the subject. New ones were then issued with rations for the next day. Observers were with the subjects at every meal, and they, with platoon and squad leaders, assisted the few illiterate or foreign subjects, but did not influence their opinions. Sufficient time was always allowed for filling in questionnaires. The observers took the forms to their tent, rechecked them, calculated calorie intake and brought them to the Tabulating Section. They were checked again and sent to the Machine Records unit at Omaha where a final check for completeness was made. The daily questionnaires have a drawback which affects the acceptability ratings when the issue is substantially greater than consumption. Only food eaten is rated, and after a short period the tentative pat- tern of likes and dislikes is fixed. Less acceptable items may not be opened or rated but bulk large in the Appendix D I Inclosure #4a (56) waste. It is believed that the few examples of inconsistency between acceptability and waste are to be ex- plained on this basis. b. The consistency with which individuals rated the acceptability of ration items was invesigated by tabulating samples of the entire acceptability data. The following samples were used: (1) That from 10 men for 5 scattered days for all items from each company for every ration period. (2) That for 2 items by all men in 1 company for a period of 3 weeks. These analyses showed that: (1) Individuals were very consistent throughout a ration period in their opinions of a given item, and (2) Men differ greatly among themselves in their opinions of a given item. It might, therefore, be concluded that little accuracy would be sacrificed if opinion questionnaires were obtained only on alternate days or every 3d or 4th day, and that groups of fairly large size are needed in order to minimize the error due to wide differences of opinion. c. Quantitative data on consumption were obtained on each item consumed every day by each man on all rations except the 10-in-l and the Supplemented B Ration. These were used originally to obtain calorie consumption and little is to be gained from including the mass of figures accumulated since they agree well with the information obtained in other ways (waste and acceptability ratings). d. Summary Questionnaires. In order to get slightly different data, a concise form was filled in by each subject just before each ration was changed and several were repeated 2 and 5 weeks after the ration was last used. The information so obtained was a check against other data on acceptability. It also gave an opportunity to test the subjects’ memory of likes and dislikes. Two sample summary questionnaires are included in Appendix G. Data from these questionnaires are in Appendix E. e. Additional information was obtained from the daily reports by each observer group. Round table discussions of observers with company line and noncommissioned officers were held from time to time in most companies. Weekly meetings of the headquarters group with all observer groups were held to discuss improvement in methods for eliciting information. 4. METHODS OF ISSUE: The usual practice with packaged rations was for each company to establish a ration dump near the center of the bivouac area. Ordinarily not more than 2 days’ rations were kept there. After supper, when ques- tionnaires had been checked, rations for the next day were issued. This was done by platoons. The company mess sergeant and cooks did the actual issuing assisted by squad leaders, all under the direction of the observers. Excellent cooperation of all parties facilitated this detail. 5. COLLECTION OF WASTE: In each platoon area, receptacles (#10 cans and ration boxes) were placed for disposal of unopened packages, unopened cans and waste from partially used products. These were under the supervision of the platoon leader, whose responsibility in seeing that they were used properly was shared by the observers. No effort was made to prevent temporary hoarding, but showdown inspections had to be held from time to time to see what was being hoarded, and to correct the data on waste. Hoarding in itself gave an estimate of cer- tain preferences; and failure ever to hoard special items bore witness to their universal lack of acceptability. A few of the sharp drops in apparent consumption resulted from accumulations turned in during a showdown inspection. Showdowns were held before every change of rations. a. Length of time ration is used: With emergency rations acceptability is often poor at first because of strangeness, unaccustomed foods and containers. It may improve as familiarity and new ideas of prepara- tion develop. Finally, monotony brings a decrease in acceptability. Items issued only rarely may have a spurious high rating because of novelty. b. Type of previous ration: Whenever the previous ration has been rated low, a new ration is likely to be well received. When the previous ration has been excellent, a new one appears at a disadvantage. 6. CONDITIONS INFLUENCING ACCEPTABILITY IN THESE TESTS: Appendix D I Inclosure #4a (57) c. Basis of issue and energy expenditure: If the quantity of food issued is below that required for a given level of work, most will be eaten, though it may be rated low. When more than enough is available, a choice is permitted. d. Supplements of jam: The acceptability of biscuits and crackers is increased by the use of spreads such as jam, butter or cheese. e. Fatigue: After exhausting marches many subjects will not take the trouble to open and prepare the packaged rations but will eat if the food is perpared and served. f. Heat: Most meat items are preferred when hot, especially if there is much grease. In this test the presence or absence of heat did not influence consumption significantly but did affect ratings of acceptability. In very cold operations heat is often the main determinant of acceptability. Anything hot is acceptable. g. Cold Drinks: Acceptability and consumption of synthetic fruit juices is poor when water is luke- warm, good when cool and excellent if cold. No ice was available in these trials, but F Company used its re- frigerator truck to cool beverages. 7. METHOD OF SCORING PREFERENCE: The tables and figures in each section on acceptability were obtained from the percentage of all ratings which were classified as good. In many tables an arbitrary score is used to obtain comparative ratings of each item. Scores of 3, 2 and 1 were given ratings of good, fair and poor, and the average ratings thus ob- tained were then used to classify preferences in the tables. There is good agreement between the two methods. Each ration is discussed under the following headings: (1) Introduction (2) Companies tested (3) Basis of issue—variation (4) Preparation and consumption (5) General acceptability (6) Suggestions for improve- ment (7) Summary and conclusion and (8) Charts and tables. 8. C RATION (Experimental and New) a. Introduction This ration was designed as a combat ration. The special types used in the present test contained many experimental items in addition to those in the old type C Ration. They thus avoided its main faults; lack of variety and unpalatability of most components especially when eaten cold. b. Companies Tested on Ration. G, X and Y Companies subsisted on C Ration at different times under the following circumstances: Ration Company Week of Test Period Used Basis of Daily Issue Per Man C (Exper.) Y 1, 2 and 3 1-1/3 ration C (Exper.) X 6 and 8* 1-1/3 ration C (Exper.) G 8 1 ration C (New) G 6 and 7 1 ration 0 During the 8th week, X Company had its choice of C, K and CMT Rations. C Ration was chosen almost exclusively. c. Basis of Issue—Y Company was issued the Experimental C Ration on a 1 and 1/3 ration basis (8 cans per man per day). G Company was issued the New C Ration with jam for the first 13 days of Period III, and the Experimental C Ration with jam on the last 8 days, both on a 1 ration basis (6 cans per man per day). X Company was issued the Experimental C Ration with jam on a 1 and 1/3 ration per day basis for 1 week. Variation was effected by alternation of meat components and the 2 menus (See Appendix B). d. Preparation and Consumption—Heating was done by use of stove, Coleman, gasoline 1 burner (2 men were issued 1 stove) or by use of an open pit fire. The stove gave a steady hot flame if protected from the wind, and was found to be more satisfactory than the open fire. The utensils were the individual mess set with meat can, knife, fork, spoon and canteen cup. The meat can was often used as a cooking utensil. Food pre- pared by this method was better than when heated in the ration can because water or bouillon could be added to moisten and season the food. The ration was prepared and eaten individually. The average time required to prepare meals was breakfast, 28 minutes; dinner, 27 minutes; and supper, 32 minutes. Appendix D I Inclosure #4a (58) e. General Acceptability—(Tabulated data are given in Figs. 2, 3 and 4 and the tables at the end of the discussion.) (1) Confections were most often rated good. The return of waste was negligible. In Y Company on Experimental C Ration, candy-coated peanuts and raisins were rated a little lower than the other candies. In G Company on New C Ration, hard candies were rated a trifle lower. Jam and sugar were universally well liked and practically all consumed. (2) Beverages: One of the most favored was the cocoa, none of which was ever turned in. The orange drink was the next most popular, followed by the lemon drink. Coffee was rated much lower though little was returned. Bouillon was the least acceptable and least used of the drinks. Many biscuit tins were opened just for the confection and drinks, (3) Cereals: The compressed cereal cake was well received and very little waste occurred. The General Mills product was preferred over that of General Foods. (4) Meats: The most obvious finding in the acceptability ratings of the meat products was the relegation of the Ml, 2 and 3 units, the old C Ration, to the bottom of the list. Almost 75% of the meat and vegetable hash was returned by Y Company. The best accepted items were baked beans and frankfurters with tomatoes and with molasses, pork and baked beans with tomato sauce, and pork and baked beans with molasses. Less acceptable were meat and spaghetti and beef and noodles. Five of the 6 preferred items contained beans. The rather remarkable re- ciprocal agreement between acceptability ratings and waste return is shown in Figs. 2 and 3. Of the 6 meat components adequately tested in the New C Ration, ham-egg-potatoes, and meat and vegetable stew rated low. Differences between the others were of small magnitude. Waste was insignificant. Pork and beans, and pork and rice were available in limited quantities so their ratings are of dubious value. (5) Biscuits; The soda cracker (C-5) had the highest acceptability, but its waste was approximately equivalent to that of C-4, the neutral cracker. C-l, the whole wheat cracker was rated the same as C-4, but there was a larger return of waste. G Company used three new biscuits which were found to be highly acceptable. The salt cracker was the preferred biscuit of this group. Accept- ability of biscuits improved when jam was issued. The cream center cookie and the compressed chocolate cake never appeared in the waste and were very well liked. Breakfast was the most unsatisfactory meal. The only items usual for this meal were coffee, ce- real and biscuits. There is no typical breakfast meat in the ration. Lunch was a satisfactory meal. Since this meal often was eaten cold, acceptability was lowered on items containing grease and fats, but actual consumption was little affected. Supper was the most satisfactory meal. Combinations of the various items were used and then cooked to suit tastes. Bouillon was often added as flavoring. The meat items preferred when eaten cold were, in order of preference, frankfurters and beans, pork and beans, ham and lima beans, and chicken and vegetables. The accessory utility packet was useful and well received. f. Suggestions for Improvement. (1) Ham-egg-potatoes found in New C Rations should be discarded or improved by decreasing the amount of potatoes. (2) Amount of coffee should be doubled. (3) Milk would improve acceptability of coffee. (4) Coffee or cocoa should be substituted for bouillon. (5) Dryness and texture of spaghetti should be improved. (6) Cans of meat products should open on top, not on the side. g. Summary and conclusion—The New and Experimental C are both superior to the old type C Ra- tion, whose components rated lowest. The meat and beans and the hash components should be eliminated from the ration. The new utility pack with the new C Ration was useful and should be included. Appendix D I Inclosure #4a (59) TABLE 1 RELATIVE ACCEPTABILITY OF EXPERIMENTAL C RATION ITEMS AND TRENDS IN ACCEPTABILITY Item June 14-20 Y Company Scores June June 20-25 25-30 * 30 June 5 July Combined scores* G, X & Y Cos., All Periods Meats Beans & Frankfurters w/tomato 2.75 2.80 2.84 2.90 2.87 Chicken & Vegetables 2.81 2.77 2.83 2.82 2.85 Ham & Lima Beans 2.73 2.72 2.77 2.81 2.79 Beans & Frankfurters w/molasses 2.67 2.75 2.74 2.77 2.83 Pork & Beans w/tomato 2.64 2.44 2.62 2.75 2.77 Pork & Beans w/molasses 2.49 2.45 2.62 2.58 2.72 Meat & Spaghetti 2.52 2.40 2.49 2.47 2.71 Beef & Noodles 2.53 2.40 2.46 2.42 2.64 Meat & Beans 2.40 2.27 2.40 2.36 2.63 Meat & Vegetable Stew 2.31 2.18 2.38 2.10 2.58 Meat & Vegetable Hash 2.11 1.92 2.00 1.95 2.42 Cereals General Mills 2.69 2.85 2.90 2.90 2.89 General Foods 2.57 2.68 2.80 2.85 2.84 Drinks Cocoa 2.86 2.93 2.96 2.97 2.94 Orange Juice 2.86 2.90 2.92 2.94 2.93 Lemon Juice 2.67 2.72 2.80 2.86 2.79 Coffee 2.41 2.62 2.70 2.73 2.75 Bouillon 1.95 1.70 2.03 2.18 2.20 Confection Jam 2.95 2.97 2.98 2.98 2.98 Sugar 2.94 2.94 2.96 2.96 2.96 Caramels 2.90 2.93 2.95 2.95 2.96 Candy Coated Peanuts 2.87 2.88 2.95 2.93 2.94 Candy Coated Raisins 2.84 2.83 2.85 2.90 2.91 Jelly Beans 2.88 2.96 2.93 2.96 2.96 Hard Candy 2.87 2.94 2.95 2.95 2.92 Biscuits Cream Center Cookies 2.95 2.97 3.00 3.00 2.98 Compressed Chocolate Cake 2.83 2.91 2.94 2.98 2.95 Concentrated Fruit Cake 2.74 2.81 2.93 2.85 2.88 Plain Biscuits B3 or B6 2.58 2.65 2.72 2.76 2.67 Plain Biscuits B2 or B5 2.39 2.52 2.59 2.64 2.67 Plain Biscuits B1 or B4 2.39 2.52 2.59 2.64 2.77 * See Par. 7 for method of scoring. Appendix D I Inclosure #4a (60) TABLE 2 TABLE 4 DIFFERENCES AMONG COMPANIES IN ACCEPTABILITY OF EXPERIMEN- TAL C RATION FOOD GROUPS RELATIVE ACCEPTABILITY OF EXPERIMENTAL C RATION ITEMS EATEN AT DIFFERENT MEALS (G, X & Y GO’S) Score Item Breakfast Dinner Supper Group G Co. A CO. Y (JO. Meats Meats 2.74 2.87 2.59 Beans & Frankfurters w/tomato 2.88 2.87 2.87 Cereals 2.91 2.94 2.80 Chicken & Vegetables 2.83 2.84 2.87 Drinks 2.78 2.89 2.74 Ham & Lima Beans 2.80 2.78 2.79 Confections 2.97 2.97 2.93 Beans & Frankfurters w/molasses 2.85 2.84 2.81 Crackers 2.91 2.87 2.64 Pork & Beans w/tomato 2.75 2.79 2.75 Pork & Beans w/molasses 2.71 2.73 2.71 Meat & Spaghetti 2.72 2.71 2.70 Beef & Noodles 2.63 2.63 2.66 Meat & Beans 2.66 2.58 2.65 Meat & Vegetable Stew 2.57 2.56 2.59 TABLE 3 Meat & Vegetable Hash 2.39 2.40 2.44 RELATIVE ACCEPTABILITY OF EXPER- Cereals IMENTAL C RATION ITEMS EATEN General Mills 2.92 2.81 2.81 HOT VS. COLD (G, X & Y GO’S) General Foods 2.86 2.77 2.81 Item Cold Hot Drinks Cocoa 2.95 2.92 2.95 Meats (Score) Orange Juice 2.88 2.93 2.94 Beans & Frankfurters w/tomato 2.86 2.88 Lemon Juice 2.72 2.80 2.79 Chicken & Vegetables 2.75 2.87 Coffee 2.76 2.66 2.73 Ham & Lima Beans 2.70 2.81 Bouillon 2.14 2.12 2.24 Beans & Frankfurters w/molasses 2.79 2.85 Confection Pork & Beans w/tomato 2.70 2.79 Pork & Beans w/molasses 2.68 2.74 Jam 2.98 2.97 2.98 Meat & Spaghetti 2.47 2.75 Sugar 2.97 2.96 2.95 Beef & Noodles 2.32 2.70 Caramels 2.95 2.97 2.96 Meat & Beans 2.50 2.67 Candy Coated Peanuts 2.94 2.95 2.92 Meat & Vegetable Stew 2.36 2.62 Candy Coated Raisins 2.91 2.92 2.90 Meat & Vegetable Hash 2.19 2.47 Jelly Beans 2.93 2.92 2.93 Hard Candy 2.95 2.97 2.96 Cereals General Mills 2.80 2.93 Biscuits General Foods 2.72 2.89 Cream Center Cookies 2.99 2.98 2.98 Compressed Chocolate Cake 2.95 2.95 2.94 Drinks Concentrated Fruit Cake 2.83 2.90 2.93 Cocoa 2.90 2.95 Plain Biscuits B3 or B6 2.75 2.75 2.79 Coffee 2.48 2.77 Plain Biscuits B2 or B5 2.58 2.71 2.64 Bouillon 1.80 2.37 Plain Biscuits B1 or B4 2.69 2.63 2.61 Appendix D I Inclosure #4a (61) TABLE 5 RELATIVE ACCEPTABILITY OF NEW C RATION ITEMS EATEN HOT VS. COLD (G Company, 22 July—3 August) TABLE 6 TREND IN ACCEPTABILITY OF NEW C RATION ITEMS (G Company, 22 July—3 August) Item Days 1-5 Score Days 6-9 Days 10-13 Days 1-13 Meats Frankfurters & Beans 2.89 2.94 2.94 2.92 Meat & Spaghetti 2.91 2.89 2.86 2,89 Meat & Beans 2.87 2.84 2.91 2.87 Meat & Noodles 2.80 2.86 2.84 2.83 Meat & Vegetable Stew 2.82 2.85 2.79 2.82 Ham—Egg—Potato 2.70 2.69 2.77 2.72 Cereal, Compressed 2.93 2.97 2.96 2.95 Drinks Cocoa 2.95 2.97 2.97 2.96 Orange Juice 2.93 2.93 2.92 2.93 Coffee 2.91 2.87 2.88 2.87 Lemon Juice 2.67 2.67 2.70 2.68 Confections Jam 2.99 2.98 2.99 2.99 Sugar 2.99 2.98 2.98 2.98 Candy Coated Peanuts 2.96 2.97 2.98 2.97 Candy Coated Raisins 2.96 2.97 2.98 2.97 Caramels 2.97 2.98 2.98 2.97 Hard Candy 2.92 2.89 2.91 2.91 Biscuits Type V 2.90 2.90 2.90 2.90 Type IV 2.88 2.91 2.89 2.89 Type I 2.82 2.85 2.86 2.85 Items Score Cold Hot Frankfurters & Beans 2.89 2.93 Meat & Spaghetti 2.69 2.90 Meat & Beans 2.83 2.88 Meat & Noodles 2.79 2.84 Meat & Vegetable Stew 2.75 2.83 H am—E gg—Potato 2.73 2.72 Cereal, Compressed 2.96 2.95 RELATIVE ACCEPTABILITY OF NEW C RATION ITEMS WHEN EATEN AT DIFFERENT MEALS (G Company, 22 July—3 August) TABLE 7 Item Breakfast Score Dinner Supper Meats Frankfurters & Beans 2.91 2.92 2.96 Meat & Spaghetti 2.80 2.87 2.93 Meat & Beans 2.94 2.86 2.89 Meat & Noodles 2.95 2.80 2.83 Meat & Vegetable Stew 2.87 2.87 2.73 Ham—Egg Potato 2.72 2.81 2.54 Cereal, Compressed 2.95 2.92 2.99 Drinks Cocoa 2.97 2.87 2.97 Orange Juice — 2.94 2.78 Coffee 2.87 2.84 2.87 Lemon Juice - 2.68 2.58 Confections Jam 2.99 2.97 2.99 Sugar 2.99 2.98 2.97 Candy Coated Peanuts 2.97 2.96 2.96 Candy Coated Raisins 2.97 3.00 2.95 Caramels 2.99 2.96 2.98 Hard Candy 2.98 2.91 2.99 Biscuits Type V 2.92 2.90 2.88 Type IV 2.90 2.88 2.87 Type I 2.87 2.80 2.84 Appendix D I Inclosure #4a (62) FIG. 1 SCHEDULE OF RATIONS AND ISSUE PERIOD I PERIOD n PERIOD nr WEEKS WEEKS WEEKS SUPPLEMENTED 8 - RATION (4800 CALORIES) -K RATION (f) RATION - Of) SUPPLEMENTED 8 RATION (4800 CALORIES) K RATION _ (I I) " 10-IN-1 dir C RATION - NE W 14 DAYS r|< e'x PER I - (') MENTAL 7 DAYS I COMPANY _IO-IN-1_ (if) _ 10 DAYS (I) II DAYS (if) c E X P E R I - MENTAL (13) . CANADIAN MESS T IN_ (13) 10-IN-I ’ (if) ' K _ (if) C HOICE di) _ C RATION _ di) _ (0- IN-I (1*1 K RATION - 11 DATS _ 10 DAYS - df) fitness test (Y COMPANY) EXTRA test NUMBERS IN PARENTHESIS ARE BATONS ISSUED PER MAN PER DAY Appendix D I Inclosure f:4a FIG. I (63) WASTE AS PERCENTAGE OF ISSUE PERCENTAGE RATED GOOD — |ND CA CJi -< X CONFECTIONS JAM BUTTER SUGAR CHEESE CANDY HARD CANDY CHOCOLATE BAR ACCEPTABILITY AND WASTE CANADIAN ARMY MESS TIN ISSUE = I- RATIONS FIG. II BEVERAGES TEA CHOCOLATE DRINK COFFEE PEA SOUP MILK 8 SUGAR MEATS SPICED BEEF PORK LOAF SARDINES 15 JUNE TO 6 JULY BISCUITS BISCUITS Appendix D I JLnclosure #4a FIG. II (80) CANADIAN ARMY MESS TIN RATION TREND IN ACCEPTABILITY OF THE ITEMS BY PERIODS (6-5-5-6 DAYS) ITEM PERIOD I PERIOD 2 PERIOD 3 PERIOD 4 JAM 2.90 2.98 2.95 2.91 SPREADS & SUGAR BUTTER 2.95 2.92 2.89 2.85 SUGAR 2.90 2.00 2.74 2.71 CHEESE 2.71 2.69 2.68 2.61 CONFECTIONS HARD CANDY 2.92 2.94 2.90 2.88 CHOCOLATE BAR 2 82 2.84 2.83 2.81 TEA 2.79 2.77 2.77 2.61 CHOCOLATE DRINK 2.58 2.74 2.76 2.60 DRINKS COFFEE 2.46 2.51 2.50 2.42 PEA SOUP 2.29 2.48 2.43 2.35 MILK 8-SUGAR 1.92 2.16 228 2.24 SPICED BEEF 2.61 2.61 2.61 2.48 MEAT ITEMS PORK LOAF 2.57 2.55 2.54 2.44 SARDINES 2.35 2.17 2.21 ZiO BISCUITS BISCUITS 1.95 2.03 2.17 .2.20 JUNE JULY JUNE JULY 1 TEA 2 CHOCOLATE DRINK 3 BUTTE R 4 COFFEE 5 MILK 0 SUGAR 1 SPICED BEEF 2 PORK LOAF 3 SARDINES 4 CHEESE 5 BISCUITS 6 PEA SOUP CANADIAN MESS TIN RATION PER CENT CONSUMED Appendix D I Inclosure #4a FIG. I la. 11. 10-IN-l RATION: a. Introduction The 10-in-l Ration was designed as a support area ration to be used where it is not practicable to use the B Ration. It is not used in forward combat zones, because issue, breakdown and preparation require too much time and equipment. It is an intermediate ration between the C and K, and the B Ration. It is the purpose of the ration to serve the men a hot meal twice a day and to furnish a variety of menus. The lunch menu is compact and easily carried in a mess packet. In most support areas, troops are able to supplement rations by food acquired from the natives, the Red Cross and purchases from post exchanges. With this reserve available, the items which are not acceptable will not be eaten, regardless of calorie content. Therefore a prime consideration in a support as well as combat ration should be acceptability. b. Companies Tested on Ration—The 10-in-l Ration was issued to H, G, X and Y Companies, under varying circumstances. H Company subsisted on it for the entire 57 days of the test, G, X Y Companies sub- sisted on it for the 14-day Period II. G Company had been on K Ration, X on Canadian Mess Tin and Y had been on Experimental C Ration prior to the change. Company Week of Test Period Used Basis of Daily Issue Per Man H 1, 2, 3, 4, 5, %7 and 8 1-1/4 ration H 6 and M7 I ration G 4 and 5 1-1/4 ration X 4 and 5 1-1/4 ration Y 4 and 5 1-1/4 ration c. Basis of Issue—The 10-in-l Ration was issued 10 rations to 8 men at all times in all companies ex- cept for the 10 day period that H Company used the 10-in-l Ration issued 10 rations to 10 men. One of the features of the 10-in-l Ration is the variety offered by the use of 5 different menus. This was an important factor in high rates of acceptability of 10-in-l when test subject had been on K, C, and Canadian Mess Tin Rations. Two methods of issue were employed. The normal method was issuance of the complete menu for the following day, after the supper meal had been eaten. Breakfast was eaten in the bivouac area, and usual- ly lunch was eaten in the field. For supper, the men returned to the area. The second method of issuance was employed during the 4 day march and remaining 3 days of test. The complete menu was issued before supper so that the men could eat supper and breakfast in the bivouac area, and carry only lunch on the march. When variations were used in components of the ration, the boxes were opened by the subjects and new items were exchanged for old items under supervision of the observers. Individual allotment of ration was not necessary as group eating was practiced. d. Preparation and Consumption—The food was heated by two means: (1) By the 20 Men Field Cook- ing Set, (stove, two-bumer, Coleman) and (2) by cooking over a pit fire. Utensils consisted of a frying pan, 1 and 2 gallon pots, and a deep fat fryer. All groups used the stoves at first, but since it took approximately an hour to cook meals, some groups expedited preparation by cooking over pit fires. Acceptability varied in- significantly when method of preparation was changed. It was difficult to boil water on the stove in the large containers, due to small flame. The open pit fire would boil water in a short time, and it was found that Nes- cafe, Barrington Hall Coffee and cocoa in the 10-in-l Ration were most acceptable when prepared in boiling water, (Because of the altitude the boiling point was around 195°F.) The test subjects ate in groups of 8, 16 or an entire platoon; most in groups of 8, but there were 3 of 16, 1 of 40 (a platoon) in H Company. The larger groups prepared their food faster because of the number of stoves and utensils. The platoon leader assigned 1 person per 8 men to cook, and the squad alternated at performing the duty of K.P. The average time for all men to eat breakfast, 30 minutes; dinner, 19 minutes; and supper 33 minutes. Appendix D I Inclosure #4a e. General Acceptability (1) Evaporated milk led the list in ratings, and practically none was turned in. The great majority of all subjects liked coffee with milk. (2) Jam was well received and none was turned in except when the product contained an excess of crystallized sugar. Army Spread was acceptable. (3) Beverages had a high rating and low return. Coffee was invariably rated best of the drinks, followed closely by cocoa. The powdered lemon and orange were much less popular probably because there was insufficient sugar to sweeten them. Waste on these items appears low be- cause no effort was made to collect liquid waste; only unopened packages. (4) Vegetables—There was some variation in the ratings and consumption of the vegetables in this ration. Generally com was rated highest, followed by peas, tomatoes, snap beans and lima beans. (5) Meats—Bacon and roast beef were rated high and figured very little in the waste. In the next group corned beef, ham and eggs, pork sausage, English stew and meat and rice were grouped with very little to indicate a real preference among them. At the bottom of the list of meat pro- ducts are grouped those components peculiar to the K Ration. This was true whether the previ- ous ration was K or something else. Dehydrated meat items in the supper units were prepared with difficulty and were not well received. (6) Confections—These were rated lower by men eating the 10-in-l Ration than by men eating any other. Peanuts were rated high but the quantity did not satisfy even 8 men. Other ratings were only slightly lower. In spite of the percentage rated good and of the scores of average ratings, the confection group as a whole did not appear in the waste. (7) Cereal—Though the waste was relatively low, the score of acceptability for cereals was not high. In a special questionnaire, H Compnay rated Quaker shredded wheat first followed by Quaker oat premix, General Mills premix, General Foods premix and Pillsbury cereal premix in order. (8) Biscuits—Types I and II as described in Appendix B were rated highest, followed by K-4, K-5, whole wheat, C, K-1A, K-3 and K-2. Types I and II were substituted for Type C in H Com- pany during Period III and were much more acceptable. Sweet cookies were well accepted when tried for a time during the last test period. Variations with meals, and changes in acceptability hot and cold followed the trends found with other rations. f. Suggested Changes—The following suggestions summarize test subjects’ and observers’ remarks: (1) Sausage is flat tasting and flavorless (when eaten cold). (2) Pork and egg yolk in large can is not as good as that in small can. (3) Wax beans are flat in taste. More seasoning would help. (4) More grape and orange drinks would be highly acceptable. (5) Amount of coffee in ration should be doubled. (6) More varieties of beverage needed on luncheon menu. (7) More sweet chocolate bars added and D Ration and fruit bars reduced. (8) Menu #2 should contain sugar. (9) Ketchup and pepper would aid in making food more palatable, (10) Baked beans would be better than several of the meat items. (11) A salted biscuit would be highly acceptable. (12) A soup would be highly acceptable in supper menu. (13) More chewing gum should be added to ration. Appendix D I Inclosure #4a (14) Quaker Oats Company cereals would be highly acceptable even if they were in every menu. (15) Type I and II Biscuits should be used in place of Type C Biscuit. (16) In the new Supper Menu #5, chocolate bars and cocoa are on the same menu; chocolate bars should be replaced by another confection. (17) Dehydrated meats should be replaced by prepared meat items. (18) A larger package of sugar should be placed in K lunch unit. (19) The K meat and egg and K meat items should be replaced by more palatable meat items. Egg and meat items should not be used in the K unit because these items should be hot when eaten, and this is not usually possible. (20) A vegetable, pudding or fruit item would increase the acceptability of the K unit considerably. (21) Halazone tablets could be distributed at the company commander’s discretion, instead of en- closed in rations because of the waste. g. Summary and Conclusion—The 10-in-l Ration is an excellent ration and is of sufficient nutritional value to sustain a soldier’s strength while he is undergoing physical exertion similar to that experienced in actual combat. Appendix D I Inclosure #4a TABLE 14 TREND OF ACC EFT ABILITY OF 10-in-l ITELS (H COLTANY) ITEM (Score by 5 Bay Periods)* 1 2 3 4 5 6 7 8 9 10 n ISATS Fork sausage 2.53 2.35 2.49 2.28 2.33 2.26 2.21 2.20 2.34 2.25 2.17 Bacon 2.74 2.73 2.74 2.69 2.69 2.78 2.76 2.77 2.79 2.82 2.71 Ham & eggs 2.61 2.41 2.29 2.22 2.16 2.30 2.19 2,21 2.27 2.25 2.23 Fork & egg yolk 2o44 2.37 2.19 2.08 2.14 2.11 2.07 2.19 2.22 2.22 2.25 ICgg & meat (K) 2.44 2o22 2.13 2,01 1.97 1.97 1.98 1.98 2.03 1.96 1.97 Cheese (K) 2.24 2.26 2.15 2.21 2.09 2.15 2.10 2.19 2.00 2.17 2.24 Meat Product (K) 2.38 2.04 1.84 1.82 1.72 1.78 1.85 1.86 1.55 1.70 1.81 Meat & rice 2.55 2.29 2.41 2.45 2.32 2.41 2.14 2.11 2.19 2.16 2.15 Stpv, iinglish 2.49 2.56 2.43 2.39 2.26 2.25 2.20 2.13 2.09 2.16 2.34 Corned beef 2.79 2.70 2.68 2.65 2.64 2.60 2.56 2.74 2.67 2.76 2.77 Roast beef 2.70 2.81 2.73 2.77 2.81 2.76 2.78 2.82 2.82 2.87 2.73 Corned beef hash 2.20 * 2.42 2.41 2.16 2.36 2.27 2.16 2.26 2.13 2.06 BEVERAGES Coffee, soluble 2.62 2.88 |2o88‘ 2.90 2.90 2.89 2.90 2.89 2.91 2.91 2.87 Lemon powder 2.27 2.19 2.12 2.11 2.06 2.07 2.01 1.99 1.97 1.96 1.97 Orange powder 2.42 2.39 2.24 2.30 2.19 2.27 2.32 2.30 2.05 2.25 2.29 Cocoa 2.71 2.66 2.66 2.74 2.67 2.54 2.44 2.58 2.63 2.77 2.74 BISCUITS Biscuits, Type 1 - - - - - - - 2.40 2.54 2.72 2.27 Biscuits, Type 2 - - - - - • - ~ 2.42 2.47 2.68 2.41 Biscuits, C 1.8? 1.68 1.71 Lo74 1.79 1.85 1.88 — — — — Biscuits, Whole wheat 1.92 2.04 2.13 L.88 2.15 1.91 1.92 — — _ Biscuits, K-1A 2.00 1.86 1.79 1.75 1.77 1.95 1.74 1.83 1.85 1.81 1.98 Biscuits, K-2 1.59 1.63 1.58 1.61 1.60 1,69 1.61 1,65 1.6^ 1.67 1.59 Biscuits, K-3 1.75 1.70 1.71 1.78 1.77 1.82 1.85 1.85 1.85 1.90 1.91 Biscuits, K-4 1.97 1.82 2.38 2.39 2.33 2.38 2.24 2.41 2.3s 2.44 2,35 Biscuits, K»5 1.86 2.41 2.16 2.53 2.45 2.51 2.37 2.23 2.49 2.42 2.55 CEREAL 2.35 2.38 2.18 2.47 2.38 2.47 2.49 2.51 2.59 2.62 2.62 3VA1 ORATED MILK 2.91 2.90 2.89 2.86 2.89 2.90 2.90 2.90 2.91 2.93 2.90 SPREADS dam 2.90 2.37 2o88 2.85 2.85 2,80 2.82 2.84 2.86 2.88 2,85 kriy Spread 2,69 2.70 2.69 2.73 2.78 2.72 2.77 2.77 2.77 2.80 2.77 VEGET h 31ES Tomatoes 2.84 2.90 2.73 2.84 2.81 2.73 2.75 2.71 2.72 2.76 2.68 Snap beans 2.70 2.77 2.76 2.74 2.76 2.72 2.63 2.61 2.59 2.57 2.64 Peas 2.62 2.79 2.85 2.83 2.76 2.73 2.71 2.79 2.71 2.75 2.81 Com 2.81 2.92 2.80 2.89 2.86 2.87 2.87 2.S7 2.83 2.90 2.84 Lima Beans 2.53 2.69 2.76 |2.78 2.68 2.57 2.53 2.62 2.26 — 2.64 CONFECTIONS Peanuts 2.82 2.77 b.ai 2.74 2.71 2.74 2.54 2.74 2.64 2.68 2.55 Fruit bar 2.45 2.50 p .44 2.16 2.41 2.41 2.40 2.37 2.40 2.38 2.34 Hard candy 2.77 2.60 E.6S 2.66 2.66 . 6 j. 2.65 2.58 2.56 2.50 2.53 Chocolate bar 2.53 2.59 12.71 2.72 2.7h . 5^ 2.66 2.63 2.59 - 2.67 Caramels 2.77 2.76 p.76 2.69 2.74 2.69 2.60 2.63 2.54 2.61 2.55 Sweet Chocolate 2.58 2.65 Lii. 2.56 •2.60 2.67 2.62 2.72 2.66 * See par0 7 for Tiethod of scoringe Appendix D I Inclosure #4a TABLE 16 RELATIVE ACCEPTABILITY OF 10-in-1 ITEMS (Companies G, H, X and Y) TABLE 15 DIFFERENCES AMONG COMPANIES IN ACCEPTABILITY OF DIFFERENT 10-IN-l FOOD GROUPS Group G H Score X Y All Meats 2.66 2.34 2.78 2.65 2.50 Beverages 2.83 2.61 2.85 2.82 2.71 Biscuits 2.48 2.01 2.57 2.36 2.22 Cereal 2.81 2.49 2.84 2.63 2.63 Spreads 2.90 2.80 2.88 2.90 2.84 Vegetables 2.87 2.74 2.92 2.89 2.81 Confections 2.79 2.55 2.88 2.78 2.67 Item Score Meats Bacon 2.82 Roast beef 2.82 Corned beef 2.75 Ham & eggs 2.52 Pork sausage 2.51 Stew, English 2.48 Meat & rice 2.47 Corn beef hash 2.44 Pork & egg yolk 2.41 Cheese product 2.31 Egg & meat 2.30 Meat product 2.09 Beverages Coffee 2.90 Cocoa 2.74 Orange powder 2.46 Lemon powder 2.37 Biscuits Biscuit, Type 1 2.48 Biscuit, Type 2 2.50 Biscuits, K-5 2.49 Biscuits, K-4 2.45 Biscuits, Whole Wheat 2.24 Biscuits, C 2.20 Biscuits, K-1A 2.11 Biscuits, K-3 2.04 Biscuits, K-2 1.91 Cereal 2.63 Evaporated Milk 2.92 Spreads Jam 2.90 Army Spread 2.78 Vegetables Com 2.89 Peas 2.83 Tomatoes 2.81 Snap beans 2.77 Lima beans 2.72 Confections Peanuts 2.79 Caramels 2.75 Hard candy 2.73 Chocolate bar 2.73 Sweet chocolate 2.69 Fruit bar 2.57 TABLE 17 ACCEPTABILITY OF 10-IN-l ITEMS EATEN COLD VS. HOT (G, H, X & Y Companies) Item Score Cold Hot Meats Pork sausage 2.09 2.53 Bacon 2.66 2.83 Ham & eggs 2.46 2.52 Pork & egg yolk 2.21 2.42 Egg & meat 2.25 2.61 Meat product (K) , 2.06 2.38 Meat & rice 2.27 2.48 Stew, English 2.27 2.49 Corned beef 2.67 2.75 Roast beef 2.50 2.83 Corned beef hash 2.04 2.45 Drinks Coffee 2.69 2.90 Cocoa 2.42 2.82 Cereal 2.48 2.71 Vegetables Tomatoes 2.85 2.79 Snap beans 2.57 2.78 Peas 2.63 2.84 Corn 2.59 2.90 Lima beans 2.46 2.73 Appendix D I Inclosure #4a PERCENTAGE RATED GOOD WASTE AS PERCENTAGE OF ISSUE CONFECTION JAM COMPANY G PEANUTS HARD CANDY CHOCOLATE BAR FRUIT BAR MILK DRINKS COFFEE COCOA ORANGE LEMON VEGETABLES CORN ACCEPTABILITY AND WASTE IC-IN-I RATION PEAS TOMATOES BISCUIT AVERAGE RECORDED BEANS. SNAP BEANS, LIMA FIG. 12 BEEF. CORNED-CANNED ISSUE = I4 RATIONS MEATS a SPREADS BEEF. ROAST - CANNED BACON SAUSAGE, PORK ARMY SPREAD STEW, ENGLISH STYLE HASH, CORNED BEEF- DE HYDRATED HAM a EGG PORK 8 EGG YOLK MEAT 8 RICE- DEHYDRA TED EGG 8 MEAT MEAT PRODUCT CEREAL CHEESE CERE AL 8 JULY TO 21 JULY K-5 BISCUITS K -4 C BISCUITS K- IA K- 3 K- 2 Appendix D I Inclosure a FIG. 12 PERCENTAGE RATED GOOD WASTE AS PERCENTAGE OF ISSUE VEGETABLES CONFECTIONS BEANS, SNAP COMPANY X CORN TOMATOES PEAS BEANS, LIMA JAM PEANUTS HARD CANDY CHOCOLATE BAR FRUIT BAR BACON ROAST BEEF, CANNED ACCEPTABILITY AND WASTE 10- IN- I RATION MEATS 8 SPREAD MEAT a RICE ~ DEHY CORNED BEEF, CANNED STEW, ENGLISH STYLE ISSUE = Ii: RATIONS HASH CORNED BEEF - DENY HAM 8 EGGS FIG. 13 PORK 8 EGGS ARMY SPREAD SAUSAGE CHEESE EGG a MEAT MEAT PRODUCT COFFEE DRINKS MILK COCOA LEMON ORANGE CEREAL 7 JULY TO 20 JULY CEREAL TYPE C BISCUITS K- 4 K -5 K BISCUIT I AVERAGE K - I A K- 2 K - 3 Appendix D I Inclosure #i+a FIG. 13 PERCENTAGE RATED GOOD WASTE AS PERCENTAGE UP ISSUE VEGETABLES DRINKS CORN COMPANY Y TOMATOES PEAS BEANS.SNAP BEANS. LIMA MILK COFFEE COCOA LEMON ORANGE CONFECTIONS ACCEPTABILITY AND WASTE 10-IN-l RATIONS JAM *- K BISCUIT, AVERAGE, RECORDED PEANUTS HARD CANDY CHOCOLATE BAR FRUIT BAR ISSUE = I i RATIONS FIG. 14 BACON ROAST BEEF-CANNED ARMY SPREAD MEATS & SPREADS CORNED BEEF- CANNED HAM a EGGS PORK SAUSAGE PORK 8 EGG YOLK CHEESE STEW, ENGLISH STYLE MEAT a RICE, DEHYDRATE D EGG a MEAT CORNED BEEF HASH. | DEHYDRATED MEAT PRODUCT CEREAL JULY 6 TO JULY 19 CEREAL BISCUITS K-5 K —4 C BISCUIT K -I A K —3 K —2 Appendix D 1 Inclosure FIG. 14 WASTE AS PERCENTAGE OF ISSUE PERCENTAGE RATED GOOD COFFEE COMPANY H DRINKS - VE GETABLES-CONFECTIONS- MILK COCOA ORANGE LEMON CORN PE AS TOMATOES SNAP BEANS LIMA BEANS JAM PEANUTS CHOCOLATE BAR ACCEPTABILITY AND WASTE IO-IN-1 RATION HARD CANDY FRUIT BAR ROAST BEEF ARMY SPREAD I SSU E = I i RATIONS I SSUE = I RATION 1SSUE = I i RATIONS MEATS 8 SPREADS BACON FIG. 15 CORNED BEEF STE W, ENGLISH STYLE CORNED BEEF HASH PER-CENT WASTE ALL K BISCUITS = 18% PORK SAUSAGE MEAT a RICE CHEESE HAM a EGG PORK a EGG EGG b MEAT CEREAL MEAT PRODUCT CEREAL TYPE I 18 JUNE TO 23 JULY 24 JULY TO 2 AUGUST 3 AUGUST TO 12 AUGUST K 5 BISCUITS TYPE JI K 4 K 2 C K IA K 3 Appendix D I Inclosure #Aa FIG. 15 12. U. S. ARMY FIELD RATION B SUPPLEMENTED: a. Introduction The ration consists of canned, dehydrated and processed items, and is designed as a support area and interior zone ration. In overseas areas it corresponds to the normal garrison ration or Field Ration A in the United States, Wherever local conditions permit it is customary to supplement the B Ration with fresh vegetables, fruit, and meat. In order to assure the best possible diet for the control group in this test, the usual Field Ration B was supplemented with a large variety of frozen meats, fresh potatoes and onions, fresh oranges and additional quantities of canned fruit and sugar. b. Companies Tested—The control F Company subsisted on this ration throughout the entire test. In addition, E Company used this ration during Period III following 3 weeks on K ration. Company Week of Test Period Used Basis of Daily Issue Per Man F 1, 2, 3, 4, 5, 6, 7 and 8 4800 calories E 4 and 5 4800 calories c. Basis of Issue—In order to have calorie issue approximately equivalent to that of other companies during Period I, and optimal for use on the control diet, this ration was always issued at an average level of 4800 calories per man per day. d. Preparation and Consumption—Food components of the supplemented B Ration were trucked from Camp Carson to the supply dump refrigerator truck at F Company, and were issued to the kitchens daily for preparation. Rations were prepared in quantity for each company as a unit and cooked on standard gasoline Field Ranges (M-1937) by company cooks supervised by especially trained mess personnel from A.S.F. Food Service Program. Men used the regular field mess gear and washed it in the prescribed field manner. The ap- proximate time required to eat meals including standing in mess and laundry lines was breakfast, 25 minutes; dinner, 30 minutes; supper, 30 minutes. Consumption by individuals was variable, depending on appetite. Sufficient food was always pre- pared to allow second helpings. Accurate consumption data were obtained for each company as a whole. Average nutrient intake per man per day is listed in Table 18. It will be noted for both E and F Companies that the average nutrient intake is well above the liberal allowances recommended by the National Research Council. E Company, following 3 weeks on K ration, consumed on the average about 7% more of the ration than did F Company. e. General Acceptability (This ration was not one of the test rations). Ratings of Likes and Dislikes—The comment of all men eating this supplemented B Ration was most favorable. Many stated that it had more variety and was better prepared than the Field Ration A eaten in camps. Few items were not universally accepted. Some of the less acceptable were: powdered eggs in any form, corned beef, cold cereals, sausage, salmon, bean soup, string beans, carrots, beets, spinach and sauer- kraut. Canned vegetables were less well liked than meats, fruits and puddings; while drinks of all types were very well consumed. Contrary to previous experiences Carter’s Spread was well received. f. Suggestions for Improvement—One of the most common suggestions was that powdered eggs either be eliminated from the menu or used only in small amounts as components of pastry, baked products or French toast. Despite all efforts of highly trained personnel they were never rendered very acceptable. An attempt should be made to use a higher grade product, more stable under storage for considerable periods of time. Certain products were of inferior quality that contributed to their lack of acceptability. These were corned beef, canned string beans, canned sausage, canned peas and canned corn. Other items such as carrots, salmon, sauerkraut and spinach never have been popular with American soldiers and might be served less frequently to avoid waste. The use of cold dry cereals with evaporated milk for breakfast in an area where the morning temperature ranged in the vicinity of freezing is believed to account partly for their lowered acceptability. Hot cereals served occasionally were preferred. Appendix D I Inclosure #4a g. Summary and Conclusion—In its highly supplemented form, this ration was considered extremely well suited as a control ration and would undoubtedly meet with favor in any theatre at war as a rest area or support area ration. Comments of the men in E Company who had previously subsisted on K Ration for 3 weeks were highly favorable. TABLE 18 AVERAGE NUTRIENT INTAKE OF SUPPLEMENTED B RATION (PER MAN PER DAY) Ration Cycle* Cal.0 Pro. gm. Ca gm. Fe mgm. Vit. A I. U. Vit. Bi mgm. Vit. Ba mgm. Niacin mgm. Vit. C mgm. Co. E 14 days 4,360 149 1.14 28.0 9,625 2.24 3.12 33.8 115 Co. F 2d 4,020 130 .84 26.1 8,240 2.14 2.49 28.7 141 3d 3,790 126 .92 24.3 7,890 2.04 2.62 28.3 115 4th 3,780 122 .94 23.7 8,710 1.93 2.53 26.6 81 5th 4,140 126 .94 25.5 6,520 2.16 2.62 29.8 94 * Cycle consist of 10 days, except in case of E Company ° Calories issued were 4,800 per man, per day; difference between issue and consumption due to kitchen and plate waste. Appendix D I Inclosure #4a APPENDIX D Section II WEIGHT CHANGES AND CALORIE CONSUMPTION Company Ration Consumption Weight Change Lbs. per. Wk. Kind Issue Duration Calories Trend Y C Exper. 1-1/3 3 weeks 2910 slight increase -0.6 X C Exper. 1-1/3 1 week 3937 level -0.4 G C New & Exper. 1 3 weeks 3173 level -1.2 E K 1-2/3 3 weeks 3199 increase -1.9 E K 1-2/3 3 weeks 4161 level -1.3 G K 1-2/3 3 weeks 3250 increase -0.9 X K 1-2/3 1 week 3833 level 0 Y K 1 11 days 2884 level -1.3 Y K 1-2/3 10 days 4429 level 0 X Mess Tin 1-1/3 3 weeks 3427 decrease-increase -1.7 H 10-in-1 1-1/4 5 weeks 4120 — -0.6 H 10-in-l 1 10 days 3920 — -0.6 G 10-in-1 1-1/4 2 weeks 4400 — +0.1 X 10-in-l 1-1/4 2 weeks 4420 — +0.7 Y 10-in-l 1-1/4 2 weeks 4580 — -0.1 F Supp. B 4800 cals. 10 days 4020 — —0.6 approx. F Supp. B 4800 cals. 3 weeks 3785 — —0.4 approx. F Supp. B 4800 cals. 10 days 4140 — —0.4 approx. E Supp. B 4800 cals. 2 weeks 4360 — + 1.1 1. INTRODUCTION: Change in body weight gives the best available measure of calorie balance. Loss of body weight indicates a negative balance, whereas gain indicates the opposite. While it is recognized that water loss may account for some change in weight for short periods, it is not believed that changes in water metabolism were of any great significance in the present test except perhaps during the first week. Since it is not known exactly what proportions of fat, protein and carbohydrates are lost from the body for a specific quantity of weight loss, certain basic assumptions must be made about the relationship of weight lost and calories ingested. It is generally believed that the chief constituent lost by the body during a period of negative weight balance is fat, but that some protein and carbohydrate are lost also. Students of metabolism have used the standard of 1 gram of weight loss equalling 8 calories (i.e. the loss of one pound indicates a negative balance somewhere in the neighborhood of 3200 to 4000 calories). 2. METHODS OF WEIGHING: In order to have conditions of weighing comparable in all companies, the practice was as follows: All men were weighed in the morning before breakfast. They urinated prior to their assembly at the weighing point. Weighing was usually done in the recreation tent in the bivouac area, a platoon at a time. Men removed all clothing except socks and shorts. Subjects were weighed on field scales of 300 lbs. capacity. Care was taken to see that they were level, and were checked before use for accuracy. Ordinarily 2 scales were em- ployed to expedite weighing. Each company was weighed on the morning of their fitness test days, and, after the first week, twice during every week of the test. 3. RELATIONSHIP OF INITIAL BODY WEIGHT TO LOSS OF WEIGHT. Changes in body weight during a period of standardized exercise and energy expenditure depend on the initial status (obese, normal or underweight). Since the basal energy output for larger men is greater than for small, and the cost of some types of work is similarly greater for heavy men, the weight trend for a group of men on a fixed work schedule and a fixed ration intake will be influenced by the distribution of Appendix D II Inclosure #4b light, medium and heavy men within the group. Consequently the weight changes for subjects grouped ac- cording to initial weights are more meaningful than averages for a whole company. This may be seen in the series of charts of weight loss for each company in which the men were distributed by 10-pound class inter- vals (Figs. 1 to 6). The weight loss is higher for all heavy men than it is for those about the mean, regardless of ration. In some instances light men actually gained weight. The pattern of trends for the entire battalion is given in Table 1. Table 2 gives the distribution of weight losses for all companies in 3-pound classes. These data were analyzed further by multiple regression methods with reference to height as well as initial weight. The within-company partial correlation of weight loss and initial weight independent of height was 0.66 and the partial correlation of weight loss and height independent of initial weight was —0.27. Both of these correlations are highly significant (PcO.Ol.) The first correlation means that among men of similar height in the same company, the heavier men generally lost more weight. Among men in the same company of similar initial weight, the shorter ones tended to lose more weight than the taller ones. In other words, the men who were above average weight for height tended to lose more weight during the test. Differences in weight loss between different companies might occur from abnormal distribution. If a larger number in a given company were were heavy for their height, the expected weight loss would be great, even though the mean company weight were the same as another company with a normal weight dis- tribution curve, or one with a preponderance of light men. While there are slight differences in the distribution for each company (Table 3) the general agreement of the pattern is such that variations between the com- panies would not affect the weight loss. 4. CALCULATIONS OF CALORIES CONSUMED: Methods used in calculating individual and company calorie consumption have inherent inaccuracies. a. Data upon which the calorie consumption calculations were based may be inaccurate because of sampling and other random errors. b. There is a variation in weight in specimens of the canned and packaged components. Another variation is the quantity lost in the container and mess gear which could not be checked accurately in the field. c. The item consumption figures may be inaccurate. This is probably not of significance since the internal checks of preferences, quantity eaten and waste returned, agree in a satisfactory manner. d. The work actually done may have increased in difficulty during later stages of the test, and large variations may have occurred from one company to another and in the same company from time to time even when the scheduled activity was the same. As the physical condition of the men improved, there was a tendency for the officers to require more vigorous work; but this was a gradual and somewhat irregular change. It is not certain that level of energy expenditure did not alter significantly in any company during the test, and it undoubtedly varied somewhat from company to company. The average weights of men who took all tests and were weighed on each test day are given by companies in Table 4. The weights for the morning of Test 2, the first day at Topside and last day on the pre-test ration, are used as control weights for comparison. All companies lost weight between Test 2 and Test 3, E and X Companies losing more than F. Between Tests 3 and 4, all companies lost weight, and none differed in their loss from F Company. In Period II, between Test 4 and Test 5, significant gains were recorded for E, F, H and X Com- panies, with E gaining more than F, and H gaining less. All companies lost weight from Test 5 to Test 6 (Period III) with E, G and Y losing more than F. During the 8 weeks of the test, all companies lost weight, and all lost significantly more than F Company. 5. OBSERVATIONS: 6. WEIGHT CHANGE BY RATION, AND BY CALORIE CONSUMPTION: Weight loss or gain is determined by the relationship of calorie intake to expenditure of energy. A regimen of hard work leads to a loss of weight when the calorie intake is less than the calorie expenditure. Appendix D II Inclosure #4b a. E Company ate K Ration (1-2/3 rations per man per day) for the periods I and III, and used B Ration during the 2 weeks of Period II as its support area ration. The initial weight loss common to all com- panies for the Period I was marked in E Company. During the first week when the average calorie consumption was about 3000 calories, the weight loss was particularly sharp. There was a steady rise during Period II when the subjects were on the Supplemented B Ration. Again during Period III on K Ration there was a sharp fall in mean weight. If we assume that the energy expenditure week by week was reasonably constant, as would be expected from the program of activity, the loss of weight during the last 3 week period is paradoxical, since the calorie consumption was much higher during the last period than during the first period on K Ration. (The difference in consumption is to be explained by the variation in items available during the last period, and by the practice of concocting mixtures out of items which had a low acceptability during the earlier stages of the test.) There was a general trend downward of mean weight of all companies while on K Ration. b. The weight changes in F Company on the Supplemented B Ration cannot be interpreted for the entire period, because calorie intake was calculated for only 4 of the 6, 10-day cycles of this ration. Figure 2 and Table 2 indicate a sharp initial weight loss during the first week; and a more gradual decrease during the last 2 weeks of Period I, when the average calorie consumption was 4020 a day. During the next two cycles calorie consumption averaged just under 3800, and there was an insignificant rise in weight. The re- mainder of the ration test witnessed another significant fall in weight. For the first 10 days of Period III the calorie consumption rose to about 4140 calories per day. Lack of information regarding the calorie consump- tion for the last partial cycle precludes drawing any conclusion about its relationship to weight loss. During short intervals there was no consistent relationship of changing calorie consumption to changing weight. The underlying trend of weight loss throughout the test occurred in all companies. Figures on calorie consump- tion for F Company were obtained from all men eating the ration. Weight averages were obtained from the same group of men. c. G Company showed a generally consistent relationship between calorie consumption and weight change. During Period I, the weight loss was fairly constant in rate. K Ration was consumed during this period at an average of 3625 calories per man per day. The weight decline actually ended before the period was completed. When the 10-in-l Ration was issued as an 8-in-l (10 rations to 8 men) during Period II there was a slight gain in weight. The calorie consumption increased to an average of 4400 daily. During Period III, the subjects ate New C Ration, one ration per man with a calorie consumption of about 3300 daily. There was a fairly constant weight loss slightly greater than that for Period I. The calorie intake averaged about 325 per man/day less during the last period than during the first. d. H Company was on the 10-in-l Ration for the entire test period. For 10 days of Period III it was issued as a 10-in-l; at all other times as an 8-in-l (10 rations to 8 men). Weight loss was gradual and regular for Period I, while the calorie consumption averaged just over 4000 calories. When the basis of issue was reduced the weight loss occurred more rapidly, and continued even during the last 11 days of the test when the average calorie consumption had increased to 4650 over the 3925 level of the preceding 10 days. The behavior of H Company shows some inconsistencies in the relationship of weight change to calorie consumption. e. While on Canadian Mess Tin Ration, X Company had the most precipitous initial drop in weight of all companies, a loss which continued throughout Period I in spite of a gradual rise in calorie intake, which averaged 3580 calories daily for the period. When 10-in-l Ration was eaten, calorie consumption rose to an average 4425 daily, and a gain in weight followed. The 3 one-week divisions of Period III witnessed a gradual decrease in weight while the calorie consumption ranged between 3800 and 3900. Experimental C Ration was eaten for 1 week, K Ration the second week, and during the final week, the almost unanimous choice was Experimental C Ration, with a few items from the K and Canadian Mess Tin Rations during the last 3 days. The trends of calorie consumption and weight changes agree fairly well. f. Y Company which has the least weight loss during Period I also had the lowest calorie intake. No definite reason can be advanced for this discrepancy. Loss of weight continued, but more slowly, during Period II when 10-in-l (10 rations to 8 men) was eaten at an average level of almost 4600 calories daily. Loss continued at a more rapid rate again when the K Ration was issued and consumed at the rate of about 2900 calories per man per day (one ration); though the mean weight rose during the last 3 days of Appendix D II Inclosure #4b the restricted issue period when the men were rather inactive. In spite of the increased consumption of calories (4350) during the last 10 days, the weight did not increase. Y Company thus exhibits anomalous behavior in regard to calories and weight. Figs. 1-6 give the weights by 10-pound classes on the main test days. Bi-weekly weighings reflect changes within the periods. These have been plotted in Fig, 6 for Y Company for the entire test to reveal changes within the main test periods. The table of weights presents these data for all companies. Between 19 July and 27 July there was a sharp weight loss, best seen in the heavier men but present in all groups. This was the period of issue of one K Ration per man per day. Another trend which appeared in all companies during Period III was the weight loss during the 4 day march (2-6 August in this company). This decrease in weight had been overcome to some extent during the rest period preceding the final test. 7. A COMPARISON OF THE CALORIE INTAKE OF THE LARGE AND SMALL MEN: Since there was a constant tendency for heavy men to lose more weight than light (Figs. 1-6) the calorie intake of extremes in these 2 groups was studied in all companies with individual calorie data. The 10 heaviest men and 10 lightest men in E, G, X and Y Companies were selected. The average calorie consumption of these groups on different rations, issues and periods are given in Table 5. Contrary to what might have been expected on the basis of size (weight), in all instances when the difference is significant, the heavy men had a lower calorie intake than the light men. Several reasons may be advanced to explain this finding. a. The light men may be those with higher thyroid activity, with higher resting and working energy expenditure. b. Assimilation may be better in the heavy men. It is a common observation that some light men eat large quantities, while the heavy men are not always those who eat most. c. The activity of the light men may be greater than that of the heavy. None of these speculations is supported by data obtained in this test, and no final explanation can be offered. The quantity of food (cal- ories) eaten varied significantly from person to person, but there was no correlation between body weight and calorie consumption in the subjects studied in this test. 8. VITAMINS AND PLACEBOS: Table 6 shows the weight trends of the groups in F Company given vitamins and placebos for Period HI. There was no significant difference in weight changes for these 2 groups during this period. Appendix D II Inclosure #4b Distribution of Weight Changes M M K O 13 M VO O 131-140 141-150 151-160 161-170 H -vi H H 8 06T-I3I 191-200 201-210 211-220 ro p i o p ig o> H M H M « * --3 H M H M ro £ t 31 ■P* 10 ■F~ 1 10 ro Gain 1*J 49 VO o> 11 10 ON CO VO N 36 H* On 10 00 CO VO o 122 M e 33 VO 00 18 00 00 H ro 118 H* 10 ro c» i 3! 17 vn M H A- 102 H VA ro NO ro VO M M H H P~ 17 20 i 16 nO vn H A. 51 — vn CO G G 00 ro ro £ 34 H vn vn 6 -O M * M 5- ro On VO W oo ro vn H H p 1 H vn H VO -VI VO H £ g* 11 M H PO P- VO ■; w o» H 0> ON H H H H M M 1 8 H h* 1 JS_ vo ro H 1 g VO ro H 1 ro o H-» M I ro oa JO M H g NO 01 O 121 £ ->3 g H 111 22 17 GfN ro ro Distribution of Initial Weights TABLE 1 DISTRIBUTION OF HEIGHTS AND WEIGHT LOSSES Appendix D II Inclosure #/»b' TABLE 2 DISTRIBUTION OF WEIGHT CHANGE Test 2 to Test 6 (All Companies) Range of Weight Change (pounds) Percent of Men 49 to 412 0o2 45 to, 48 OoB +1 to 44 7o4 -o to -3 33°0 -4 to -7 34ol -8 to -11 iioB -12 to -15 7ol -16 to -19 3=6 -20 to -23 ll2 -24 to -27 0.8 TABLE 3 INITIAL COMPANY WEIGHTS Weights E Company Company X Company H Company G Company F Company 221 - 2^0 1 1 211 - 220 1 1 201 - 210 0 1 3 2 191 - 200 3 1 4 1 1 4 181 - 190 7 3 4 5 4 1 171 - 180 10 13 12 9 10 11 161 - 170 17 18 #24 18 22 13 151 - 160 14 21 27 27 23 26 141 - 150 25 34 22 24 30 25 131 - 140 22 22 17 26 14 23 121 - 130 5 13 17 12 8 5 111 - 120 2 2 2 1 2 3 TABLE 4 AVERAGE COMPANY WEIGHTS AT TIME OF FITNESS TESTS Company 1 2 Control 3 4 5 6 Loss E 153 = 5 153 = 9 150ol 148o 1 151.5 U6.4 7 = 1 F 155=2 155 = 8 154=5 153 = 3 154=1 152c7 2=5 G 152,5 152.6 151.4 149 0 7 150o0 U6.5 60O H 150=4 150=9 149.8 148 oO 147 = 2 145.3 5 = 1 X 151.6 152=4 148 = 4 147 ol 148.6 147.8 3.6 Y 151ol 150 0 7 150 = 0 148 o 9 9 6 146.0 5 = 1 Underlined numbers indicate that the change was not significant Appendix D II Tnclosure TABLE 5 AVERAGE CALORIE CONSUMPTION Period Company Ration Issue Rations/man/day 10 Heaviest Men 10 Lightest Men I E K 1-2/3 3025 3200 III £ K 1-2/3 3900 3850 I 11 days G K 1-2/3 2725 3175 III I K 1 2825 2775 10 days T K 1-2/3 4000 4075 III 7 days X K 1-2/3 3425 4025 I Y C (Exp0) 1-1/3 2825 2750 III 14 days G C (Mew) 1 3125 3100 7 days G C (Exp0) 1 3225 3250 III 7 X C (Exp.) 1-1/3 3725 3950 III 7 X C (Exp.) Choice 1-1/3 3800 4025 I X Mess Tin 1-1/3 3275 3450 TABLE 6 P COMPANY VITAMIN VS. PLACEBO WEIGHTS AT TIMES OF FITNESS TESTS Test Placebo Vitamin 1 155o4 155*0 2 156.1 155o4 3 154.8 154.1 4 153 o 8 152.8 5 155oO 153.0 6 153.4 152oO Lljr» indicates period of vitamin adminietration,, Appendix D II Inclosure #4b FIG. 1 NUMBER OF MEN WEIGHT CLASS WEIGHT VARIATIONS E COMPANY A RATION SUPPLEMENTED t B RATION —» -K RATION -K RATION JUNE 23 JULY 8 JULY 22 AUG. 12 JUNE 13 JUNE 16 Appendix D II Inclosure #4b NUMBER OF MEN WEIGHT CLASS WEIGHT VARIATIONS F COMPANY A RATION* -SUPPLEMENTED B RATION Appendix D II In closure //Ah FIG. 2 FIG. 3 WEIGHT VARIATIONS G COMPANY NUMBER OF MEN WEIGHT CLASS A -RATION -K RATION 10-IN' I RATION -NEW C RATION JUNE 12 JUNE 15 JUNE 22 JULY 7 JULY 21 AUG.II Appendix D II Inclosure NUMBER OF MEN WEIGHT CLASS WEIGHT VARIATIONS H COMPANY RATION Appendix D II Inclosure #4b JULY 9 FIG. 4 FIG. 5 NUMBER OF MEN WEIGHT CLASS WEIGHT VARIATIONS X COMPANY appendix D II t ~\ qri i it U-t) NUMBER OF MEN WEIGHT CLASS WEIGHT VARIATIONS Y COMPANY Appendix D II June Inclosure FIG. 6 TRENDS IN AVERAGE WEIGHT AND CALORIE CONSUMPTION FIG. 7 COMPANY E - PERIOD HI PERIOD I PERIOD H - AVERAGE WEIGHT ( POUNDS ) K RATION (if) K RATION (ll SUPPLEMENTED B RATION AVERAGE CALORIE CONSUMPTION DAY No. TEST • MARCH ■ MARCH ■ N. MARCH REST TEST MARCH FOXHOLE FOXHOLE MARCH REST MARCH MARCH REST TEST MARCH MARCH N. MARCH REST MARCH FOXHOLE FOXHOLE MARCH REST TEST MARCH N. MARCH REST MARCH REST MARCH FOXHOLE r0X HOLE MARCH REST MARCH MARCH MARCH MARCH REST TEST ACTIVITY (106) Appendix D II Tnol AtiurR If 11 T~> TRENDS IN AVERAGE WEIGHT AND CALORIE CONSUMPTION COMPANY F (CONTROL) PERIOD I PERIOD H - ■PERIOD UL- AVERAGE WEIGHT (POUNDS) AVERAGE CALORIE CONSUMPTION SUPPLEMENTED B RATION (4800 CALORIE ISSUE ) DAY No. TEST MARCH MARCH N. MARCH REST TEST MARCH FOXHOLE FOXHOLE MARCH REST MARCH MARCH REST TEST MARCH MARCH N. MARCH REST MARCH FOXHOLE FOXHOLE MARCH REST TEST MARCH N. MARCH REST MARCH REST MARCH FOXHOLE FOXHOLE MARCH REST MARCH MARCH MARCH MARCH REST TEST ACTIVITY Appendix D II Inclosure #Ab FIG. 8 (107) TRENDS IN AVERAGE WEIGHT AND CALORIE CONSUMPTION COMPANY G PERIOD I- PERIOD m- period mr - AVERAGE WEIGHT (POUNDS) 10 IN I RATION (8-1) EXPT’L C RATION (1) AVERAGE CALORIE CONSUMPTION K RATION (I ) NEW C RATION (I) DAY No. TEST MARCH MARCH N. MARCH REST TEST MARCH FOXHOLE FOXHOLE MARCH REST MARCH MARCH REST TEST - MARCH MARCH N. MARCH REST MARCH FOXHOLE FOXHOLE MARCH REST TEST MARCH N. MARCH REST MARCH REST MARCH FOXHOLE FOXHOLE MARCH REST MARCH MARCH MARCH MARCH REST TEST ACTIVITY Appendix D II Inclosure #Ab FIG. 9 (108) TRENDS IN AVERAGE WEIGHT AND CALORIE CONSUMPTION COMPANY H PERIOD I PERIOD H PERIOD HI AVERAGE WEIGHT (POUNDS) 10 IN I RATION ( IOr I) 10 IN I RATION (8-1 ) AVERAGE CALORIE CONSUMPTION 10 IN 1 RATION (8-1 ) 10 IN I RATION (8-1) DAY No. test MARCH MARCH N. MARCH REST TEST MARCH FOXHOLE FOXHOLE MARCH REST MARCH MARCH REST TEST MARCH MARCH N. MARCH REST MARCH FOXHOLE FOXHOLE MARCH REST TEST MARCH N. MARCH REST MARCH REST MARCH FOX HOLE FOX HOLE MARCH REST MARCH MARCH MARCH MARCH REST TEST ACTIVITY aj: j II Inclosure #4b FIG. 10 (109) TRENDS IN AVERAGE WEIGHT AND CALORIE CONSUMPTION COMPANY X PERIOD I ■ PERIOD TL ■ - PERIOD IE AVERAGE WEIGHT (POUNDS) EXPT’L C RATION (I-) K RATION (»|) CHOICE (C) CANADIAN MESS TIN RATION (1 + ) 10 IN I RATION (8-1) AVERAGE CALORIE CONSUMPTION DAY No. ACTIVITY l— X II *- t- x LlILU It-I X hhl x X KX LU UJ X (- X X K X h- X UJ Ul I h- X X X X KU- rH 95 90 92 19 90 39 35 260 rH (1) 93 8h 88 18 86 40 83 250 o x 90 78 33 17 82 41 80 240 ftj 85 72 78 16 78 42 78 235 81 70 75 .. 43 75 230 78 69 74 225 75 66 73 15 74 44 74 22U 74 63 72 14 70 45 72 220 T3 73 60 71 46 70 215 cS 72 57 70 13 66 47 67 210 70 54 68 48 64 205 68 51 66 12 62 200 > 66 50 64 195 65 190 64 49 63 - 49 63 189 63 4S 61 11 53 50 62 185 ' 61 45 53 51 60 180 60 42 55 10 54 52 53 175 58 39 52 53 55 170 T3 57 36 51 9 50 54 52 165 O Q 55 33 49 55 50 160 O 54 31 47 8 47 56 47 155 52 150 50 145 48 140 47 . 30 46 7 44 57 46 139 46 ■ 53 44 135 45 27 43 6 41 59 42 130 -P 44 60 40 125 42 24 40 5 33 61 38 120 O co 40 62 36 115 - 38 21 37 4 35 63 34 110 CO £ 36 105 n 35 20 34 100 34 19 33 64 33 99 33 18 30 3 32 65 25 90 30 15 27 b6 22 80 o 27 12 25 2 29 67 20 70 o cu 23 9 22 68 18 60 >» 20 6 13 1 26 69 15 50 0) 17 3 5 70 13 45 > 15 0 0 71 10 40 10 Instructions; The appropriate numbers are totaled and the final fitness rating is read from the last column. Appendix D III Ihclosure (121) £. Scoring of Army Ground Forces Test. Weighing Factor WeiglfecT Score Event Scoring (1) Push-ups (2) 300 yd. run (3) Burpee (4) 75yd. Pig-a-back Run (5) 70 yd. Zig-Zag Run (6) 4 Mile March 3% for each push-up 45 secs, or under score 100%. Deduct 4^5for each sec. (or fraction) over 45 secs. 9% for each complete Burpee 20 secs, or under score 100%. Deduct 4% for second (or fraction) over 20 secs. 30 secs, or under score 100%. Deduct 4% for each second (or fraction) over 30 secs. For straggling during 1st mile deduct 8%; during 2nd mile 6%; 3rd mile 4%; 4th mile 2%. At finish deduct 5% for each minute (or fraction of minute) over 50 minutes, up to 5 minutes. Fail- ing to finish score zero. Penalties for straggling are additive and are added to penalty for failure to finish on time. Strag- gling shall be construed as more than 1 minute late at each mile marker except at finish where men must be on time. 1 2 1 2 1 3 A. The score achieved on each event is multiplied by its weighing factor to give the weigljkd score for the event. B. The weighted scores are added, divided by 10 (the sum of the weighing factors) to give the final score for the Army Ground Forces Test. C. Assessment of Fitness Rating from final score. Below 70 Unsatisfactory 70-77 Satisfactory 78-87 Very satisfactory 88-94 Excellent 94 or over Superior g. Precautions—Because scrupulous attention to detailed management of the tests was enforced, it is believed that the tests are comparable from time to time in one group, and that comparisons between com- panies are valid. Certain precautions were followed. (1) Step Test (a) The platform must be 20 inches high. (b) The rhythm should be maintained as closely as possible. It is easy to distinguish between those unable to keep pace from exhaustion and those who merely have a poor sense of rhythm. Only exhausted men should be stopped before 5 minutes. Those with a poor sense of rhythm can be kept to the pace by a tap on the elbow every 2 seconds. (c) Times must be followed strictly. (d) The subjects must straighten legs and back at each step. (e) Observers unaccustomed to counting rapid pulse must practice before they can expect to obtain accurate results. (2) AAF Test (a) Sit-ups—The men were made to take their positions so that their bodies were level, and their heads were not on a higher or lower level than their feet. Some of the tricks that it was necessary to forbid were: (1) Swinging arms forward before reaching the sitting position. (2) Raising feet to meet hands, and rocking to the sitting position. (3) Lifting buttocks off the ground and bouncing to the sitting position. (4) Taking definite rest periods during the exercise. Appendix D III Inclosure #4c (122) (b) Pull-ups—The man was made to hang free from the bar with the arms fully extended be- fore he commenced the exercise. Arms were extended at the end of each chin. Struggling or kicking was not allowed. (c) 300 Yard Shuttle Run—There was a tendency on the part of the men to remove excess clothing unless continually checked. (d) General—Some men tried to slip out of line and take extra rest between exercises. This was not permitted. Subjects were given only time enough to catch their breath. The rou- tine was exactly followed on each test. (3) AGF Test (a) Push-ups—Constant vigilance was required to insure that the subjects straightened their arms completely when they raised their bodies, and that the body was kept straight and rigid at all times. No rocking up was allowed. (b) Burpee—There was a tendency to combine movements, and the legs were often thrown backwards at the same time the subjects were bending down. Others failed to kick their legs straight back, but only moved them a short distance, and there was also a tendency not to straighten to attention. Observers counted only Burpees which were properly com- pleted. (c) Pig-a-back—Every attempt was made to have the men carry another man of approximately equivalent weight. This was facilitated by the subject numbering system (See Appendix A). (d) 70-Yard Zig-Zag Run—No diving was allowed. Subjects were made to perform the partic- ular type of exercise required throughout each 10-yard interval. To aid in this, strings were run across the track at the starting and finishing markers of the crawl and creep. The men had to go under these strings. This was not initiated until the last group of test days, but was found to be of value. The subjects were instructed to jump in broad jump fashion when they jumped from island to island in the zig-zag. This was never accomplished by all the men, and systematic scoring penalties were used on men who failed to do this prop- erly. (e) 4-Mile March—The packs were weighed before each march. The pack plus rifle was required to weigh 28-30 lbs. All subjects were checked at each mile, so that there was no chance of a man failing to walk the whole distance. h. Calorie Expenditure in Different Parts of the Fitness Tests—A calculation of the expenditure of calories on the 10 different exercises of the 3 fitness tests was carried out on selected subjects. These data, calculated as additional cost over and above the average expenditure for very light activity (100 cals/hr.), are given for the usual performance in total work done: TIME OF DURATION OR NO. . OF TIMES EXERCISE IS COMPLETED Step Test 61 calories 5 minutes Sit-ups 35 calories 100 sit-ups Chin-ups 7 calories 10 chin-ups 300 Yard shuttle run 21 calories 60-70 seconds Push-ups 6 calories 20 push-ups 300 Yard Run 22 calories 60-70 seconds Burpees 10 calories 20 seconds Pig-a-back 12 calories 20 seconds Zig-Zag 14 calories 30 seconds 4 Mile road march, pack and equip- ment (30 lbs.) 448 calories 50 minutes TOTAL 636 calories Appendix D III Inclosure #4c (123) i. Equipment—The equipment listed below was used at Topside, and does not include that which was used during the preliminary tests at Camp Carson. This equipment was sufficient to test 150 men m a day with comparative ease. 4 Step Test Boxes—these boxes should be sturdy and without “give and 20 inches high + k inch and at least 14 inches in depth 4 Lead Balls-2-3 lbs. in weight to serve as pendula 1 Ball Twine Nails, assorted 4 2”x4” uprights for pendula gallows—10’ long each 4 2”x2” arms for pendula gallows—2’ long each 2 2”x6” uprights for chinning bar, 10’ long each 1 Steel Pipe (1”) for chinning bar, 4' long 16 Stakes—course markers, 3’ high 1 Roll muslin—to be used in making flags in marking courses 1 Tape Measure, (50’) 5 Islands—square—2’x2’ 5 Stop Watches 6 Clip boards 6 Chairs and preferably 2 tables 2000 Physical fitness data sheets j. Disposition of Equipment and Management of Tests. (1) Step Test—Four boxes were placed on level ground in a straight line, approximately 10 feet apart. Large rocks were placed in the boxes to stabilize them. Several thicknesses of paper or a shelter-half were put on the ground when it was damp. Gallows constructed from 10 feet lengths of 2 inch x 4 inch plank were sunk about 3 feet in the ground in front of each box. In order for the pendulum to swing in easy sight of the ex- ercising subject, the gallows arm was 7 feet from the ground. A chair was placed beside each box. Two tables with chairs used in tabulating were placed on the opposite side of the pen- dula from boxes. (See Fig. 6). (2) AAF Test-An area of smooth level ground was marked off for sit-ups. A latrine fly was doubled and placed on the ground to protect the men from the dust, dirt or mud. Approximately 20 feet away, the chinning bar was erected. The uprights were sunk in the ground aproximately 1% feet, allowing 4 feet between the 2 uprights. Lateral strutting prevent- ed swaying. The bar was anchored firmly in the uprights. Tape wrapped around the bai reduced slipperiness. A box was provided for the short men to reach the bar. In the close vicinity, a 60 yard course was indicated by stakes to which muslin had been attached. This was level ground, but the surface was loose and soft, and not ideal for run- ning (for diagram of arrangement, see Fig. 6). (3) AGF Test—A level area was marked off so that the men could pass from one exercise to an- other without interference (Fig. 6). Stakes were used as markers for the runs and march. All starting and finishing posts were indicated by a muslin flag. The 5 islands used in the zig- zag were sunk to ground level so that they did not slip out of position. Ideally, the 4 mile march should have been a continuous circuit, but lack of a level road necessitated the use of a 1 mile stretch with 2 slight rises. Subjects went back and forth for 2 round trips. Appendix D III Inclosure #4c (124) k. Assignment and duties of personnel. (1) Introduction—In order to prevent variations in procedure and scoring, 1 tester was assigned to a permanent post. There was some change for relief of observer personnel. The permanent assignments were: Tests Assignment Responsible Observers All Supervision Officer in charge Step Test Box 1 1 Observer Officer, H Company Box 2 1 Observer Officer, E Company Box 3 Assistant to Officer in charge Box 4 Officer in charge AAF Test Sit-ups 1 Officer, X Company, 3 enlisted men, E, H, and X Companies Chins 1 Officer, X Company, 1 enlisted man, F Company 300 Yard Run 1 Officer, G Company, 1 enlisted man, G Company Relief 1 Officer, F Company, 1 Officer and 2 enlisted men from company tested AGF Test Push-ups 1 Officer and 1 enlisted man, F Company 300 Yard Run I Officer and 1 enlisted man, G Company Burpees 1 Officer and 1 enlisted man, X Company Pig-a-back 1 Officer, II Company, 1 enlisted man, E Company Zig-Zag 1 Officer and 1 enlisted man, E Company 4 Mile March 2 Officers and 2 enlisted men. Company Tested 4 (2) The officer in charge or, in his absence, his assistant had final responsibility for the entire fitness testing program including laying out the testing area; getting equipment in shape and ready for use on testing days; arranging any changes in the schedules for testing, blood letting, or medical examinations (See Table 33, Appendix A); establishing program for observers and making the final decision as to whether certain men should take the test or not. He took his turn running specific tests. The senior officer of the company being tested was responsible to the officer in charge for the smooth operation of the test in his company. On the evening before or the morning of the test days, he arranged with the officer in charge, the details of the test day and the allocation of men to specific tasks. He was responsible for the distribution and handling of data sheets, and he alternated with the second officer observer of his company in helping to test the other 5 companies. The second observer officer assisted his senior officer, and acted as a relief man with the other company observer officers. The above schedule was made for Y Company’s test day. It remained the same except that the officer and enlisted man from Y Company took the positions held by the officer and enlisted man of the company tested on successive days. It was not always possible to have all the ob- server personnel shown above. It was possible, however, to make use of the junior officers and noncommissioned officers of the company being tested. There were also officers and enlisted men from the observer headquarters who helped whenever it was necessary. During the first phases, the Test Commanding Officer supervised the tests at Camp Carson, and then set up the arena at Topside. For 3 days tests were going on in 2 places, requiring 2 teams with constantly changing personnel. The detailed scheme was used for all subsequent tests. 1. Schedule of Tests~Table 33, Appendix A, indicates the general program that was followed in test- ing. There were certain variations from this regime in order of testing, but it provides the basic plan followed in most cases. The order of testing, time of test, meals and rest periods were always kept constant for each com- pany, once the initial test had established the precedent. Most of the test subjects ate sparingly at breakfast and lunch on test days. Appendix D HI Inclosure #4c (125) m. Routine Testing Day—On the morning of the test day, immediately after the men had urinated they assembled by platoons and were weighed. Two scales were set approximately two-thirds of the way down the tent. The platoon came into the tent in 2 groups. The first half in ascending consecutive order on one side (numbers 1-18) and the second half in ascending order (19-36) on the other side. In the tent they removed all clothing except for shorts and socks. At a table between 2 scales, 2 enlisted men recorded the weights read by the officers. The third enlisted man kept the record forms in the proper order and the platoons coming through on schedule. As soon as the weights were recorded, subjects picked up their clothing and proceeded to the far end of the tent where they dressed. Following weighing, the subjects were transported to the test area, where a timed specimen of urine was collected. Then they had breakfast of the test ration of that period. After breakfast, the testing program began according to the schedule outlined in Table 33, Appendix A. The Step Test and the AAF Test were run in the morning, and the AGF Test in the afternoon. Two platoons took the Step Test before taking the AAF Test, and 2 did the reverse. One hour was allowed as a rest period between the 2 morning tests. Special forms were made for the recording of scores of the various components of the fitness tests as well as the final scores. These forms also contained space for the subject’s name and number, weight and rating by officer (See Appendix G). (1) Step Test—The platoon was divided into 4 equal groups on a progressive number basis (1-9, 10-18, 19-27, 28-36). Each group took its position in front of its box, and was run through in order. The appropriate forms separated into 4 groups, were on the tables and held in posi- tion by stone weights or clip boards. Four officer observers processed the subjects through the test. Two enlisted men when available were used to tabulate. The subjects did not carry their form sheets during this test. Upon completion of test, subjects retired to a rest area, (Fig. 6) and waited until it was time to take the AAF Test. (2) AAF Test—Enlisted observers were used to count sit-ups and chins. An officer supervised and also tabulated sit-ups. The forms in numerical order were given to the officer. He started the number of men he wished on sit-ups. As they finished, the subject’s number and total sit-ups were reported. The officer tabulated the sit-ups on proper form, then gave it to the subject who proceeded to the chinning bar, where he gave the sheet to the scribe who recorded the number of chins, and returned the form to the test subject. He then proceeded to the 300 yard run. The enlisted man observer took the forms, and sent the men to the starting points in correct order. An officer observer at the other end of the track gave the starting signal and timed the man. This time was recorded by the enlisted man. In order to maintain a steady flow of subjects it was found necessary to start varying num- bers on the sit-ups. A subject occasionally required more than 10 minutes to attain a perfect score, and if there were many high scorers in a platoon, it was of advantage to have 6 or 8 doing sit-ups simultaneously. It was also found to be an advantage to run 2 men at 10 or 15 second intervals in the shuttle run. (3) AGF Test—The platoon was lined up in 2 rows of odd and even numbers in progression up- wards. The record sheets were held by the officer observer who supervised. Enlisted observ- ers counted the number of push-ups and reported to the officer who recorded the results. Upon completion of the push-ups, the subject was given his form, which he took to the en- listed observer who tabulated for the 300 yard run. The officer observer started and timed the subjects. After the run, the man was given his form and reported to the Burpee area. The forms were collected by the officer responsible for starting and stopping this exercise. He recorded results reported by enlisted observers, who counted the number of Burpees. Two or 3 subjects did this exercise simultaneously. The forms were returned to the subject who then reported to the pig-a-back area. There, the enlisted observer tabulated and the officer was responsible for pairing the subjects off according to weight and timing the run. Two or 3 pairs ran at 10 second intervals. On finishing, the men who did the running reported their test numbers, and the officer reported the time to the enlisted observer. After both men of the pair had run, their records were returned to them and they reported to the zig-zag area. The Appendix D III Inclosure #4c (126) enlisted observer collected the forms at the starting post of the zig-zag. The officer stood at the finishing post from which he signaled the start and clocked the time. Groups of 4 or 5 subjects lined up and ran through at 15 second intervals. Observers were posted along the course to see that the test subjects complied with the conditions stipulated. Following the completion of this exercise, the subjects crossed the road to a rest area and remained there for about 30 minutes, until the start of the march. The 4 mile march required an officer and enlisted man at each end of the mile stretch. Their watches were synchronized. It was necessary to note which men were straggling at the completion of each mile, and how many minutes they were late at the completion of the 4 miles. This was tabulated on special sheets opposite the test subject’s number and the scores later were entered on the physical fitness forms. The officer observers of the company being tested were responsible for the general supervision throughout the day, and processed the men through the 4 mile march. n. Local Environmental Factors Influencing Performance—The necessity of moving the test subjects from Camp Carson (altitude 6100 ft.) to the Topside area in the Tarryall Valley, (8700-9000 ft.) required at- tention to the effects of altitude on performance. Because acclimatization to altitude might cause improved performance without any change in the physical fitness, 2 of the battery of 3 tests were done at Camp Carson (AAF Test and Step Test). These were then repeated on the 1st day at Topside, and again a week later in an attempt to evaluate the effects of increased altitude on performance. Two factors besides change in al- titude influenced the scores; (1) Most of the men wore service shoes during the shuttle run at Camp Carson, while combat shoes were worn regularly at Topside, and (2) the course at Camp Carson was on a packed gravel parking lot; at Topside on a loose sandy roadway. The tests were not designed to be carried out at high altitudes, and therefore have certain defects not present at low elevations. It was apparent to all company officers and observers that the scores on the tests done the 1st day at Topside did not reflect the acute distress caused by exertion. The acute dyspnea and rapid respiratory rates with large pulmonary ventilation were out of proportion to the slightly higher pulse rates and slightly worse scores on the tests. Ability to carry out another task immediately after the Step Test was good at Camp Carson, but much impaired after the 1st test at Topside. The effects of in- creased altitude appear to have been largely overcome after a week at Topside. o. Tetany—Hyperventilation tetany was observed 6 times in association with the performance of fit- ness tests. Its manifestations were severe with marked carpo-pedal spasm, Chvostek’s and Trousseau’s signs. It was invariably precipitated by some trivial though painful injury or followed a cramp in the abdomen. It was noted occasionally in marches at altitudes above 10,000 feet. p. Effect of Initial Score on Subsequent Improvement in Score—A covariance analysis showed that there is a highly significant relationship between initial score (sum of 3 tests) and subsequent improvement in score. The “within company” correlation between score on the second examination and improvement from the 2d to the 6th examination was 0.61 (Pc.01). In other words, men with high initial scores tended to im- prove less than company mates with low initial scores. The question therefore arises as to whether the greater improvement of other companies as compared to F Company was due to the higher average initial score of the latter company, A covariance analysis showed that such is the case, for when mean improve- ments are adjusted for difference in initial score, F Company improvement did not differ significantly from the average of the other or from the average of any single company. Test of Significance of Difference Between F Company and all Other Company Mean Improve- ments in Score Test 2 to Test 6. Source of Variation Errors of Estimate D/F Sum of Squares Mean Square Total 590 135,590 Between Adjusted Means 1 296 296° Within Groups (Error) 589 135,294 230 not significant. Appendix D III Inclosure #4c (127) It is of interest to compare the actual mean improvements with the improvements adjusted for initial score. Company Improvement Test 2 to Test 6 Actual Adjusted E 39.0 37.5 F 29.9 38.4 G 41.8 42.0 H 40.4 42.7 X 46.3 41.2 Y 41.9 37.6 Insofar as the scores represent fitness, the originally more fit group has less potential improve- ment before reaching peak fitness when all are subjected to the same program of physical activity. Appendix D III Inclosure #4c (128) Appendix D III Inclosure TABLE 1 a. Mean Scores on Step Test Day D-3 D D47 D+22 D+36 D+47 D+57 Improvement No. 1 2 4 5 _. 6 Test 2-6 £ Co o 69o9 66 o 4 71.0 74.6 79.0 79.6 13.2 F Coo 72.6 72ol 76.9 75.3 80o5 83 o7 11.6 Gr Co® 73 o 4 70o2 78.7 81„2 82.7 86 o 8 16 o 6 H Co. 72.9 72o3 79.2 79.7 79.3 13.6 X Coo 69.6 62.9 71o7 22*1 77.3 82a 20c2 y Co. 68.4 66.9 72-i 73.9 22*° 81c8 82^ 16.0 Battalion Average 71ol 68.5 74.9 78.0 79.3 83.7 15.2 • b. Mean Scores on AAF Test Day D-3 D D47 D+22 D+36 D+47 D+57 Improvement No0 1 2 3 ... 4 5 6 Test 2-6 £ Co o 40o2 39.5 38.4 46.2 48o9 11*2 12.4 F Co. 47 o 5 47.6 48.2 57 o 2 60o7 11*2 9.3 G Co o 41o7 22JL 39d &LZ 44*2 4M 9.8 H Co0 43 o2 2M 39.5 41*1 12*1 11*1 13.5 X Coo 40c 9 36.5 22*1 4202 44 °P 48o0 11.5 Y Coo 42.4 24*8 35.7 4Qq,9 41-6 47.6 46.1 11.3 Battalion Average 42.7 39o3 40.1 46 o 6 48c8 50.6 11.3 Co Mean Scores on AGF Test Day D-3 D D+7 D+22 D+36 D+47 D+57 Improvement No. 1 2 3 4 5 6 Test 2-6 £ Co o 75o2 72 d 86 o0 85.9 88o7 13.5 F Coo 82o0 8572 89.4 93.6 91.0 9.0 G Co. 75.3 77.0 85.9 86d 90o9 15.3 H Co. 78.4 81o9 89.2 92o3 91.7 13.3 X Coo 74o0 77_o3_ 85.0 83.6 8806 14.6 Y Co0 73.4 78.6 83.9 89o2 88c8 88o0 14.6 Battalion 76.4 79.0 86 o 6 88.5 89.8 13.4 Average do Mean of the Sum of Scores on Three Tests Day D-3 D D+7 D+22 D+36 D+47 E+57 Improvement Noo 1 2 3 4 5 6 Test 2-6 E Co. laid 181.5 206 o 8 213.7 220d 38.9 F Co, 201 o 7 211 o 3 221c 9 234.8 231.7 30.0 G Co o 18A.6 194.8 208„ 8 213.8 226„ 3 41.7 H Co. 189 o0 200o6 214.6 222 o 2 229.4 40.0 X Co. 173.4 188o5 20A.7 205.0 219.7 46.1 y Co. 175 d 186 o 6 19fM> 209.9 218 o 2 217.0 42.1 Average of totals 184.2 193.9 209.4 216.6 224.0 39.8 Average of 3 tests 6lo4 64.6 69.8 72.2 74.7 12*2 The dates of tests may be found by referring to Table 30, Appendix A„ All except Test #1 were done at Topside, Underlined scores show statistically significant differences from the score of previous test (excluding Y Company scores on D447 day). (129) TABLE 2 PHYSICAL FITNESS TEST SCORES Platoon Averages of Total Scores (3 tests) of all Men Who Took Any Group of Tests PLA- TOON No. of men 2nd Test 1st Day- Topside Nooof men 3rd Test 1 Week NooOf men 4th Test 3 Weeks No. of men 5th Test 5 Weeks .NOoOf men 6th Test 8 Weeks E Co0 1st 30 172 30 171 24 196 24 214 25 208 2nd 29 182 29 186 27 213 24 223 23 231 3rd 31 177 31 178 29 196 23 213 26 207 4th 31 MS 31 186 30 209 27 212 28 226 121 121 110 98 102 F Coo 1st 32 206 31 218 30 220 29 237 26 237 2nd 33 205 33 216 33 233 31 232 26 ' 228 3rd 30 196 30 206 30 220 30 229 28 233- 4th 20 193 29 212 28 219 27 239 24 231 124 123 121 117 104 G Co o 1st 34 184 34 189 32 205 31 202 27 226 2nd 32 177 32 190 29 202 27 217 27 223 3rd 34 181 34 193 33 199 29 213 32 227 4th -.32— 187 33 191 32 219 31 220 27 232 i?3 133 126 118 113 H Coo 1st 34 177 34 190 35 211 33 223 32 225 2nd 36 187 36 200 34 215 35 224 32 228 3rd 32 189 32 201 29 218 30 221 26 232 4th 36 182 33 189 31 203 30 215 31 229 138 137 129 128 121 X Coo 1st 35 167 35 176 34 192 34 192 33 208 2nd 32 171 32 188 31 204 32 206 31 225 3rd 34 172 34 189 33 201 31 201 32 212 4th -31- 184 35 201 3? 213 32 217 32 235 1?6 136 133 129 128 Y Coo 1st 34 158 33 175 33 188 32 208 30 214 2nd 35 166 34 183 32 198 32 202 28 215 3rd 34 180 33 185 33 195 33 210 30 215 4th 29 167 . 29 182 27 201 26 210 26 219 132 129 125 123 TIT” Appendix D III Inclosure #4c (130) TABLE 3 MEANS OF SUM OF SCORES OF THE THREE TESTS (ALL MEN WHO TOOK TEST) Company 2nd Test 3rd Test 4th Test 5th Test 6th Test £ 179 180 204 216 218 F 200 213 223 234 232 G 182 191 206 213 227 H 184 195 212 221 229 X 173 189 203 204 220 Y 168 181 196 208 216 TABLE 4 COMPARISON OF FITNESS IN MEDICAL CASUALTIES AND MEN COMPLETING TEST PROGRAM Test No . 1 9 'est No. 2 Step Test AAF Step Test AAF AGF Medical Casualties 71o4 41*7 68.3 40.1 73 oS Men Who Completed Program 71.1 42.7 68,5 39o3 76,4 TABLE 5 COMPANY LOW, HIGH AND AVERAGE SCORES OF PHYSICAL FITNESS TESTS FOR FIRST COMPLETE TEST DAY AT TOPSIDE (TEST #2) Co* Step Test AAF Test AGF Test Totals L H A L H A L H A L H A E 30 95 66 17 61 AO 56 97 75 63 227 181 F 30 95 72 28 82 48 52 98 82 133 255 202 G 25 115 70 21 60 39 12 99 75 142 241 185 H 30 115 72 27 59 38 18 96 78 65 239 189 X 15 115 63 10 66 37 53 98 74 119 239 173 I 25 90 67 20 52 35 32 97 73 79 221 175 TABLE 6 F COMPANY AVERAGES AAF TEST Number of Sit-ups Number of Chius Time of Run in Seconds AAF Score Test 1 Test 2 Test 3 Test 4 42c9 S<>4 58o0 64.8 7.7 66.1 47.6 71o9 8„1 6602 48ol 89o3 8o9 6lo3 ?7.1 Appendix D III Inclosure If4c (131) TABLE 7 TEST SCORES AND OFFICERS* RATING OF FITNESS Sum of Three Fitness Scores Officers * Rating of Subjects (Percentage) Number Rated Poor Fair Good Below 100 80 20 5 101 - 110 100 1 m - 120 25 50 25 8 121 - 130 20 50 30 20 131 - 140 28 39 33 18 141 - 150 13 37 50 45 151 - 160 13 54 33 63 161 - 170 3 49 48 73 171 - ISO 9 37 54 105 181 - 190 2 27 71 174 191 - 200 4 29 67 263 201 - 210 2 22 76 389 211 - 220 1 19 80 384 221 - 230 1 16 83 334 231 - 240 0 12 88 264 241 - 250 1 7 92 108 251 - 260 0 12 88 37 2604 0 0 100 19 Data from E Company Tests 3> 4, 5 and 6; G Company Tests 2, 3, 4, 5 and 6; H Company Tests 4, 5 and 6; X Company Test* 3, 4, 5 and 6; and Y Company Tests 4, 5, 6 and Special Test*, Appendix D III Inclosure #4c (132) TABLE 8 DISTRIBUTION OF SCORES ON FITNESS TEST 2 AGF Test AAF Test Step Test 15 20 25 30 35 4° 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 E 3 2 1 7 7 10 2 18 29 20 17 2 3 F 1 2 2 3 1 3 5 19 25 32 21 13 . . 3 G 1 2 3 5 5 5 7 15 28 28 22 7 1 1 H 1 2 3 2 4 7 2 16 33 31 33 7 1 X 1 1 3 5 13 8 4 11 5 10 25 25 12 5 1 1 Y 4 2 3 5 5 6 10 7 18 35 32 10 2 Total 1 6 10 16 27 30 27 46 26 96 175 168 115 36 8 3 E 2 6 9 25 20 38 12 6 1 1 F 7 15 15 20 18 20 18 9 5 1 G c 16 34 26 23 15 8 4 H 2 14 18 39 21 25 14 7 1 X 4 3 28 24 23 27 16 3 1 Y 1 16 24 53 22 12 6 2 • Total 9 44 102 190 127 145 81 46 24 10 6 1 E 2 10 12 18 17 17 20 17 3 1 F 2 3 8 17 22 25 3.8 9 3 G 1 1 5 6 11 13 21 22 21 15 6 2 H 1 12 13 13 24 21 27 20 6 1 X 3 9 19 22 21 14 16 19 4 1 Y 2 3 6 11 14 24 22 17 16 12 5 1 Total 3 4 19 48 72 103 122 113 125 121 33 9 Class interval = 5 Class recorded under last number in interval Appendix D III, Inclosure #4c (133) TABLE 9 F COMPANY FITNESS SCORES VITAMIN VS. PLACEBO Step Test Test Placebo Vitamin 1 46.9 48.2 2 47o3 48o0 3 48 o 3 48 ol 4 56.5 58oO 5 60o6 60.8 6 37c2 56o6 AAF Test Test Placebo Vitamin 1 72,6 12.1. 2 72.8 71o3 3 11 ok 76,3 4 11 o 5 72o9 5 80o2 80o8 6 8504 81o9 AGF Test Test Placebo 1 Vitamin 2 201 o 5 202 o0 3 211 o 2 211 o 4 4 222o3 2210 6 5 234o2 235o4 6 233 o 3 229 o 8 Sum 3 Tests Test Placebo Vitamin 2 81o4 82=7 3 85 = 5 87=0 4 B8o3 90o7 5 93*4 93=8 6 90=6 91*4 Vitamins and placebos were given during Period III indicated by the line between Test '5 and Test 60 Appendix D III Inclosure #4c (134) TEST NO DAYS SCORE PERIOD I AVERAGE COMPANY SCORE BY PERIOD-STEP TEST PHYSICAL FITNESS TESTS - PERIOD TL FIG. I Appendix D III .. „ Xnolosure ttkc * Y CO ONLY PERIOD TH AVERAGE good FITNESS RATING FIG. I TEST NO DAYS SCORE AVERAGE COMPANY SCORE BY PERIOD - A.A.F. TESTS PERIOD I PHYSICAL FITNESS TESTS - PERIOD IL- FIG, 2 - PERIOD m *VCO. ONLY - POOR AVERAGE GOOD Appendix D III Inclosure $4c FIG. 2 TEST NO. DAYS SCALE 2 o —i r DONE PERIOD X AVERAGE COMPANY SCORE BY PERIOD-A.G.F. TESTS PHYSICAL FITNESS TESTS FIG.3 PERIOD XL Aopendix D III Inclosure c PERIOD XL -< o o o 5 —POOR* AVERAGE -GOOD FITNESS RATING FIG. 3 (137) TEST NO, SUM OF SCORES * AGF NOT DONE PERIOD I - COMPANY AVERAGE"SUM OF SCORES OF THREE TESTS PHYSICAL FITNESS TESTS PERIOD I FIG. 4 PERIOD m - W'Y" CO. ONLY Appendix D III Inclosure #4c FIG. 4 (138) COMPARISON OF FIRST AND LAST FITNESS TEST AT TOPSIDE IN RELATION TO AGE HARVARD STEP TEST ARMY GROUND FORCES TEST ARMY AIR FORCES TEST > CD m AVERAGE TEST SCORES Appendix D III Inclosure I'Uc FIG. 5 (139) FIG. 6 AREA OF HARVARD STEP TEST S ARMY AIR FORCES TEST AREA OF ARMY GROUND FORGES TEST ® = TABULATOR Appendix D III xn.closnre rUc (140) APPENDIX D Section IV RIFLE FIRE SUMMARY OF RESULTS Co. Ration Issue Time Scores Y C (Exp.) 1-1/3 3 weeks no change G C (New) 1 2 weeks increase G C (Exp.) 1 1 week increase X C (Exp.) 1-1/3 3 weeks no change E K 1-2/3 3 weeks increase E K 1-2/3 3 weeks slight increase G K 1-2/3 3 weeks slight decrease X K v 1-2/3 1 week no change Y K 1 11 days increase Y K 1-2/3 10 days no change X Mess Tin 1-1/3 3 weeks slight decrease H 10-in-1 1-1/4 47 days no change H 10-in-1 1 10 days no change G 10-in-1 1-1/4 2 weeks no change X 10-in-1 1-1/4 2 weeks no change Y 10-in-1 1-1/4 2 weeks no change F B Supplemented 4800 cals. 8 weeks increase E B Supplemented 4800 cals. 2 weeks no change Infantrymen must be able to handle their basic weapon, the M-l rifle, with ease and skill. For this reason, one of the criteria of fitness of the test subjects on various rations was the score on the rifle range. A true picture of the effects of rations on the men’s ability to fire accurately could be obtained only if. the environmental conditions did not affect accuracy, and if the men were well enough trained for practice to have no significant effect on performance. Each company constructed a combat firing range in a suitable location near its bivouac area. Recause the range sites had to be selected on the basis of suitable terrain and security for the bivouac, it was impos- sible to have them conform to a standard. Thus differences in direction of fire (sunlight), color and contrast of background and elevation of targets from firing line influenced the visibility of the targets and preclude any direct comparison of scores between companies. Firing was accomplished before marching at around 0700 hours and after marching at around 1600 hours. Sunlight was thus an important factor in the visibility of targets in morning and afternoon firing, and there was a definite seasonal change as the summer advanced. Furthermore, the temperature in the morning 35-40°F was decidedly cooler than in the afternoon 70-75°F, which affected comfort, relaxation and degree of steadiness during firing. No attempt was made to assign men to different companies on the basis of skill or amount of practice with the riflle, so there were probably significant differences in the firing accuracy of the companies. All companies did have these factors in common: 1. All ranges were of similar length with the targets placed from 250 to 500 yards away. 2. All men fired the M-l riflle with calibre .30 ball ammunition from the prone position. 3. Regulation prone silhouette targets of light tan color were used by all companies. 4. All men were familiar with the rifle and were accustomed to firing for record. After plotting the scores obtained before marching, against those obtained after marching for each company, it was apparent that no company consistently scored better or worse in the morning or afternoon. These results were in contrast to the subjective feeling of most men who felt more relaxed after the marches, and believed that they could fire better and more accurately.. Appendix D IV Inclosure #4d (141) The morning and afternoon scores for each company are presented in Fig. 1. With the exception of E and F Companies, which improved as the test progressed, all other companies show no significant change. It is interesting to note that the average score for all companies is in the vicinity of 30% hits, except for X Company with an average of approximately 25% hits, and F Company with an average of 45% hits. The prob- able explanation for this lies in range location, target visibility and proportion of trained marksmen in a com- pany. The wide fluctuations in score for pre-march and post-march firing, and the lack of consistency in their relationship to each other makes a detailed analysis of the scores too hazardous to attempt. It can be stated definitely that rifle score by company did not improve consistently with any tested ration. The only group which showed a regular improvement was F Company but if only morning or only afternoon records are used (Fig. A) great variation is seen. On the other hand, there was absolutely no indication of deterioration on any ration, even during periods when the men were restricted to one ration/man/day, and the average improvement in score of 5 companies which could be compared over the 8-week period (X Company changed its range) was from 31 to 42 percent hits. The results are summarized at the beginning of this sec- tion, and the actual figures for men firing and percentage of hits are given in Table 1. Appendix D IV Inclosure #4d (142) T Company X Company G Company E Company H Company P Company Date M,F0 % Ho Date M.F. % Ho Date MoF 0 % H. Date MoF. % Ho Date M.F. % Ho Date M.F 0 % Ho AM 6-15 lit?* 2? 6-18 139 51 6-17 138* 39 6-18 127* 21 6-19 127* 32 6-20 125* 38 PM lit?* 25 139 33 138* 33 121* 24 124* 36 121* 31 AM 6-17 143* 2? 6-22 139* 23 6-19 127 38 6-20 ns 29 6-21 132 32 6-22 120 38 PM 143 28 139* 31 127 33 106 38 122 37 116 ...31... AM 6-21 137 V 6-27 137 33 6-23 12? 30 6-24 n3 38 6-25 131 ... 33 6-26 no PM 136 22 137 27 112 33 in 37 138 34 108 40 AM 6-23 131 31 6-29 138 29 6-28 119 29 6-29 n5 37 6-30 137 38 7-1 116 42 PM 131 18 138 26 116 32 115 36 134 37 113 * 40 AM 7-2 133 24 7-3 137 24 6-30 123 32 7-1 109 39 7-1 136 32 7-3 105 43 PM 133 25 133 22 118 31 109 49 136 30 102 46 AM 7-6 1?? 36 7-7 140 36 7-4 122 26 7-5 114 i+2 7-6 133 . 3? 7-7 117 48 PM 133 34 140 28 108 17 114 47 131. . 36 113 43 AM 7-3 131 3? 7-9 140 26 7-8 111 24 7-9 106 40 7-10 131 44 7-n, n6 44... PM 131 3? 140 30 no 28 106 36 128 41 112 41 AM 7-12 133 26 7-13 140 37 7-10 m 30 7-11 109 39 7-12 131 33 7-13 113 33 PM 133 32 140 30 112 24 109 36 126 38 no 49 AM 7-17 130 30 7-18 140 13 7-14 112 23 7-13 108 30. 7-16 130 27 7-18 114 60 PM 130 33 138 13 112 24 108 38 '126 37 , 112 40 AM 7-20 127 27 7-21 140 17 7-19 116 23 7-20 no 33 7-21 126 27 7-22 114 46 PM 127 29 140 13 113 29 no 38 125 37 in • 44 AM 7-24 130 46 7-24 140 21 7-22 111 24 7-24 102 49 7-24 129 25 7-25 no PM 130 43 140 16 108 28 102 30 128 26 100 38 AM 7-26 130 ?o 7-27 140 18 7-26 108 if 0 7-27 102 43 7-23 135 34 7-29 in 49 PM 130 39 140 18 103 37 102 if3 126 34 107 . 30 AM 7-28 107 41 7-29 104 49 7-30 133 30 7-31 102 45 PM 1 105 Vt 104 60 129 29 100 49 AM 8-2 ! 115 46 8-3 108 46 b-3 107 33 PM 42 108 106 .. .4.7.— M.F, = Number of Men Firing % H. « Percentage of Hits * = 24 Rounds per Man; at all other times 12 rounds were fired Rifle Firing TABLE 1 Appendix D IV Inclosure #4 d (143) FIG. I AVERAGE FIRING SCORES EXPRESSED IN HITS AS PER CENT OF ALL ROUNDS FIRED MORNING AND AFTERNOON. COMBINED PER CENT Appendix D IV Inclosure #4d (144) AVERAGE FIRING SCORES EXPRESSED IN HITS AS PERCENT PRE-AND POST-MARCH FIRING FIRING BEFORE AND AFTER A DAY MARCH PER CENT Appendix D IV Inclosure #Ad PRE-MARCH POST-MARCH FIG.2 (145) APPENDIX D Section V NUTRITIONAL STATUS AS DETERMINED BY PHYSICAL EXAMINATION SUMMARY OF RESULTS No vitamin deficiency disease ascribable to the rations appeared in any company on any ration during the test. 1. INTRODUCTION One of the measures of the nutritional adequacy of a ration is its ability to maintain health and to prevent the occurrence of the manifestations of deficiency disease detectable on physical examination. Al- though few of the physical signs of deficiency disease are specific in the mild and early stages, they do occur, they have significance and they may be present when other evidence, such as laboratory tests, are negative. Therefore, physical examinations were made of all the men in all companies at the beginning and at the end of the test. In addition, the first 3 platoons of all companies were examined at the end of Period I and Period II. The examinations were performed by a team of 14 physicians especially trained and experienced in nutrition. Their names appear in Table 1, Appendix A. All but 5 were present at more than 1 series of examinations. They were all familiar with the criteria listed below which were used as guides for interpre- tation. As a rule the examiners worked in teams of 2 men each, 1 man examining the eyes and the other the rest of the body. Inter-team consultation was frequent and positive findings were usually checked by several examiners. The physical examinations were concerned only with signs of deficiency disease. The subjects were not questioned about symptoms. The abnormalities sought are listed and defined as follows: 2. CRITERIA, STANDARDS, AND DEFINITIONS of Physical Findings for Use in Examinations for Nutritional Status. a. Vitamin A (1) Eyes — Lack of tearing: dryness of conjunctivae and sclerae of a grade deemed significant by the examiner. Conjunctivitis — Characterized by the usual signs of inflammation — redness, injection and swelling, and graded slight, moderate, or severe. Slight will be redness and injection of con- junctivae with little or no swelling or photophobia and minimal involvement of the bulbar con- junctivae (sclerae). Moderate is of greater extent with some photophobia. Severe will include swelling and blepharospasm. Degree of lachrymation will be significant in relation to conjunc- tivitis as will photophobia. Purulent conjunctivitis to be noted. Local (or general) thickening of sclera characterized by loss of translucency, loss of sheen, eleva- tion and pigmentation, and graded slight, moderate, or severe. Slight to be interpreted as one localized area in either eye, or diffuse thickening of significant grade according to judgment of examiner; moderate, 2 to 4 localized areas without significant elevation or pigmentation, or, moderate diffuse thickening; severe, characteristic Bitot’s spots, and/or gross diffuse thicken- ing, folds. Note pterygia and pingueculae. Cloudiness or steaminess of cornea, localized or general, otherwise unexplained. To be re- corded merely as involvement of cornea. (2) Skin (a) Follicular hyperkeratosis consisting of at least several grouped papules, present in at least one of the sites of predilection (the lateral surfaces of arms, thighs, and lower abdomen) Appendix D V Inclosure #4e as well as in any other location, without any consistent folliculitis (infection). Other fea- tures to be considered in forming clinical judgment are dryness of the skin, degree of sweat- ing relative to environment, and broken hairs. To be graded slight, if papules small and confined to approximately one-third of thighs, arms or abdomen; moderate, if papules larger, even though confined to any two of above sites; severe, if papules large (25 mm.) apd involve above and additional areas. (b) An acneform eruption consisting of numerous (more than 3-4) red papules simulating acne but with little actual infection (pus), distributed over trunk and arms with little or no involvement of face. To be graded slight if not more than 6, or if confined to back, chest, or arms; moderate, if 10-20, or involving two or more of above areas; severe, if in greater number in all areas. b. Vitamin B2 (Thiamin) (1) Muscular weakness, lower extremities. To be determined during physical fitness tests. (2) Muscle tenderness (bilateral). To be determined by pinching belly of gastrocnemius with force adjudged by examiners not to cause pain in normal subjects and to be graded slight, moderate, or severe according to judgment of examiner. (3) Nerve tenderness (bilateral). To be determined by pressure over peroneal nerve at head of fibula with force adjudged by examiner not to cause pain in normal subject. Distinction to be made from paraesthesia. To be graded slight, moderate, or severe according to judgment of examiner. (4) Loss of vibratory sense (bilateral). To be tested over internal malleolus with tuning fork (256). To be recorded present or absent. (5) Loss of reflexes (bilateral). Ankle and knee (patellar) reflexes to be tested sitting and kneel- ing, without reinforcement. To be recorded present or absent for each site. (6) Muscle atrophy (bilateral). Atrophy of muscles of lower extremity (thigh and leg) otherwise unexplained. Presence of atrophy, and absence of other cause, to be determined by judg- ment of examiner. (7) Edema. Pitting edema of sacrum and legs (shins) and feet as determined by palpable de- pressions from pressure of fingers of degree to be judged by examiner. Recorded present or absent. c. Riboflavin (1) Eyes — Presence of vascularization of cornea as determined by slit lamp (hand or large) of significant grade. Latter to be defined as penetration of cornea in at least three quadrants of one eye with formation of loops and twigs, at least 25% of vessels to contain blood. To be graded mild (criteria above); moderate, if process is bilateral and extends nearly to pupil; and severe, if there is posterior vascularization or opacities. (2) Skin — A dermatitis of the face (alar folds, malar area and forehead) and ears clinically char- acteristic of the dermatitis of riboflavin deficiency, with or without large, dry comedones. To be recorded present or absent. (3) Mouth (a) Radiating fissures (not scars) at the corners of the mouth, in the absence of false teeth (plates). To be recorded present or absent. (b) Redness and grayish desquamation of the vermillion border of lips, with or without ulcera- tion and crusting, not localized as with trauma, herpes, etc. To be recorded present or ab- sent. d. Niacin (1) Skin—Symmetrical, bilateral, dermatitis of exposed areas as hands, feet, neck or face, (or of scro- tal or anal areas), with active or subsiding inflammation of chronic inflammatory changes char- Appendix D V Inclosure #4e (148) acterized by induration or atrophy, roughing, desquamation and pigmentation. Recorded present or absent, chronic or acute, and slight, moderate, or severe by extent and activity. (2) Mouth (a) Glossitis — A redness and inflammation of tongue with atrophy of papillae involving at least tip, and if sides also tip of tongue, to be graded slight, if including no more than tip and edges to 0.5 cm. without complete atrophy; moderate, if greater in extent or degree or with complete atrophy; and severe, if includes ulceration, infection, edema, etc. (b) Stomatitis — Inflammation similar to the glossitis but only if accompanied by glossitis. To be recorded present or absent. e. Vitamin C (Ascorbic Acid) (1) Skin — Petechial or purpuric eruption otherwise unexplained in judgment of examiner. To be graded slight, if limited to small areas as about ankles, waist, etc.; moderate, if more extensive; and severe, if extensive and large, or associated with similar lesions in mucous membrane or spontaneous bleeding (except from gums). (2) Mouth — Gingivitis, characterized by and recorded as either: (a) Acute redness and inflammation of dental margin, with or without swelling of interdental papillae, with or without bleeding, spontaneous or on slight trauma, (b) Chronic thickening, lividity, and retraction of gums. (c) A combination of both. Also to be recorded, the presence or absence of deposits of tartar, cervical fillings, dental work, debris and infection in such relation to the above charges as to possibly account for their occurrence. The latter to be recorded as present or absent without particular designation. (3) Muscle tenderness (See Thiamin), (4) Edema (See Thiamin), f. Protein (1) Edema (See Thiamin). 3. RECORDING OF DATA: The data were recorded on a form especially designed for that purpose from which they were transferred to punch cards for machine record analysis. The physical examination form included in Appendix F was followed, except that night blindness (19) was not tested and 37 was interpreted as chronic gingivitis, not the gingivitis of pellagra. 4. CHECK ON SUBJECTIVE ELEMENT: Because of the large subjective element in any examination which depends wholly on inspection, a substantial error might be expected. Therefore, to check the consistency of interpretation of individual find- ings, every tenth man was seen independently by each individual examiner at all examinations. A separate form was filled out for each different team’s findings. 5. VITAMIN ADMINISTRATION: During the last 3 weeks (Period III) F Company on the Supplemented B Ration was divided; 2 pla- toons were given 3 U. S. Army vitamin tablets* daily and the other 2 were given placebos of identical appear- ance. None of the test subjects knew that they were getting anything other than vitamins. The clinical ob- servers were not aware of which group was receiving vitamins. 6. RESULTS: The results, obtained from only the 513 men examined every time, are summarized in the accompany- ing tables and described below. For simplicity, the data have been analyzed in groups of signs relating to a specific deficiency. It must be emphasized, however, that these signs are not specific or pathognomonic, °See Appendix D, Section VI| for details. Appendix D V Inclosure ~4e and while they are considered here as definite indications of a given deficiency, such indication is not abso- lute. a. The signs of Vitamin A Deficiency sought were dryness of the eyes, macroscopic changes in opacity of the sclera and cornea, conjunctivitis, follicular hyperkeratosis, and acneform eruption. The percentage of subjects in each Company with one or more of these signs at each examination and the number of men ex- amined is shown in Table 1. No man showed all of these signs at any examination. No classical xerophthalmic lesions were found. Subjects with the eye signs and one skin sign and those with the skin signs and one eye sign in each examination are listed in Table 2. The number of men examined in each case is the same as in Table 1. It is apparent that no classical Vitamin A deficiency signs were present at the beginning of the test and none developed during it. Furthermore, the frequency and severity of such signs as did appear, did not constitute a significant hazard to the health and efficiency of the troops. These signs actually decreased in most cases and varied regardless of ration. b. The signs of Vitamin B i (Thiamin) Deficiency sought were muscular weakness, loss of tendon reflexes, loss of vibratory sensation, muscle or nerve tenderness, muscle atrophy, and edema. The percentage of men showing one or more of these signs at each examination is shown in Table 3. No men showed all the signs indicated on any examination. The F Company group, maintained on Supplemented B Ration (con- trol group), showed the lowest incidence of these findings; and no significant difference was found after Period IV between the subjects on the vitamin supplement and those on placebos. There is no statistically significant difference between the incidence of these signs in any of the 6 companies before the start of the test, in spite of the range of incidence. No individual case of thiamin deficiency was found. None of the men with the individual signs of possible deficiency was ill or had his usefulness as a soldier limited by the existence of these signs. At the end of Period I, G Company, which had subsisted on K Ration for 3 weeks, showed a statistically significant increase in the signs pointing to Bj deficiency. Signs of low grade Vitamin B i de- ficiency were restricted to scattered findings in but 6 men, only 1 of whom showed more than 1 sign (See Table 4). E Company, however, on K Ration at the same time, did not show this trend nor did E Company differ from F Company. One man in E Company who had nerve tenderness and pedal edema at the start lost these signs while on K Ration. The abnormalities, assuming they represent B x deficiency, are not at- tributable to the ration proper but to the fact that certain individuals may have eaten inadequately or may have had unusually large thiamin requirements. This is borne out by the failure of Y Company to show any increase in signs following its 3 weeks on K Ration. It would appear that K Ration, when issued and con- sumed as in this test, will not result in the development of signs of Vitamin B l (thiamin) deficiency in a significant number of men. Y Company, on Experimental C Ration during Period I, showed no significant increase in the number with signs of B x deficiency over that shown on the initial examination (Table 3a). At the second examination this company did, however, differ significantly in the frequency of signs of thiamin deficiency from F Company. The same is true of G Company, on New and Experimental C Ration in Period III. X Company which had Experimental C Ration for only 7 days in Period III had no special studies, so no com- parison with Y and G Companies can be made. The signs of early mild Vitamin B i (thiamin) deficiency are less impressive in either Y or G Companies on C Ration than in G Company on K Ration because the signs are scattered among a few men with no single man presenting more than one sign. Neither company on C Ration fared as well as the control F Company though the differences are of questionable significance. H Company, on 10-in-l Ration throughout the test, showed no significant increase in the signs of Vitamin B x deficiency over initial examination. G, Y, and X Companies on this ration in the 2 weeks Period II compare favorably with E Company on Supplemented B Ration during this period. X Company, subsisting on Canadian Mess Tin in Period I, showed no significant increase in these signs over those found on the original examination. One man developed bilateral loss of knee jerks. There was no other group on this ration with which to compare X Company. It showed a slightly greater number of signs of thiamin deficiency than were shown by F Company. The differences are represented by signs in only 3 men of the whole company and are not significant. Appendix D V Inclosure #4e c. The signs of Vitamin Bj 2 (Riboflavin) Deficiency sought were corneal vascularization, dermatitis, angular fissures of the mouth and cheilosis. The percentage of men showing one or more of these signs (exclusive of corneal vascularization) on each examination are shown in Table 5. Slit lamp examination of the cornea was made by examiners with special experience in the instrument and in the signs of corneal vas- cularization that may accompany riboflavin deficiency. The hand slit lamp was used with the realization that it might not be a dependable instrument. The results obtained by it were checked by means of the large standard slit lamp at the third and fourth examinations where all positive cases detected by the hand slit lamp and many negative ones were examined with the large slit lamp. The examining personnel were the same throughout. In no instance was the positive finding with the hand slit lamp confirmed nor was any sub- ject who was found normal (negative) with the hand slit lamp found positive (abnormal) with the large slit lamp. No subject was found to have corneal vascularization with the large slit lamp. Therefore, the find- ings with the small slit lamp have been discarded and no analysis of slit lamp data has been made. Al- though some instances of corneal vascularization may have been present at the first 2 examinations it is assumed with a high degree of probable correctness that such changes never occurred. Only 3 cases of the dermatitis of Vitamin B 2 deficiency were found. These were on the last ex- amination after Period III, 2 in X Company on the Experimental C and K Rations, and 1 in Y Company on K Ration. Angular fissures of the mouth were found in insignificant numbers in men in G, F and Y Com- panies. Cheilosis was interesting because, for a short period, most men had lip lesions believed to be caused by sun and wind. However, there were a few with more cyanotic and inflamed lips which healed poorly and resembled those attributed to B 2 deficiency. In no company except F, the control group, was there a significant increase in the incidence of these lesions which, in most subjects tended to disappear dur- ing the test. In Period I at a time when the excretion of riboflavin was decreasing rapidly, X Company on Canadian Mess Tin showed a slight but statistically significant increase above the probable mean error in in- terpretation* of the sign and the lesions subsequently healed rapidly during the 2 weeks on 10-in-l Ration (See Table 5). Many, but not all, competent and experienced authorities would question the diagnostic value of this sign under the specific circumstances (extensive sun and wind burns) in which it occurred. d. The signs of Niacin (Nicotinic Acid) Deficiency sought were dermatitis, glossitis and stomatitis. The percentage of men showing one or more of these signs on each examination is shown in Table 6. In no instance were all these signs seen in any man. One case of the chronic dermatitis of pellagra was seen in F Company on the first examination and disappeared during the test. One each was reported in G and Y Company after Period III. Four were noted in X Company on the second examination but the severity was not recorded and since there was no evidence of it 14 days later it may be an incorrect recording. No pellagrous stomatitis was observed at any time in any subject. Two instances of the glossitis of pellagra were reported in E Company and disappeared while on K Ration. None appeared at any time in F Company. Of the total lesions found, 2 were present initially (See Table 6). e. The signs of Vitamin C (Ascorbic Acid) Deficiency sought were petechial hemorrhage, purpura, and gingivitis. No cases occurred which showed all these signs. There were no cases of purpura and only I of petechial hemorrhage during the whole test. The chronic lesions of the gums decreased throughout the test period in all groups. Acute changes possibily attributable to Vitamin C deficiency decreased continuous- ly throughout the test and there were only 3 such cases in the whole battalion at the end of the test as com- pared with 97 at the start. There was an increase in the acute lesions in X and Y Companies during Period II at a time when the urinary excretion of Vitamin C was decreasing. This is probably attributable to poor oral hygiene. It improved promptly on better attention to hygiene on command of the Battalion Commander. A number of instances of minor injury to the gums resulted from eating hard biscuits. f. The only sign of Protein Deficiency sought was edema, which is also included with signs of Vita- min B 1 deficiency. The incidence of edema on the initial examination is given in Table 3a. Edema never oc- curred as an isolated phenomenon without other neuromuscular signs. It should be emphasized that a defi- ciency of thiamin, Vitamin C or protein may be associated with edema. , “Each 10th man examined by each team. These data were analyzed to show probable error of interpretation by each examiner (See Table 8). They will be the subject of a subsequent report. Appendix D V Inclosure #4e g. Comparison of Clinical Findings in Vitamin and Placebo Groups—The clinical data for the F Com- pany vitamin and placebo groups were examined separately to determine if the administration of additional vitamin to men already consuming a liberal diet had any influence on their clinical picture. In Table 7, the percentage incidence of various findings in the vitamin and placebo groups are shown for the examinations just preceding and immediately following the period of vitamin supplementation (Period III). When the in- cidence of the abnormality looked for is zero or practically so, nothing is reported. During the 3 week period of administration, added vitamins had little if any effect on the incidence of any of the signs which might indicate nutritional deficiencies. h. Comparison of Results Obtained by Multiple Independent Examinations of Every Tenth Man— Because it is recognized that there is an element of subjectivity in interpretation, especially of early and mild clinical signs, every 10th subject was examined by each clinician at every routine examination. Perfect or al- most perfect agreement (99 or 100%) was found in the entire neuromuscular examination; in angular fissures, pellagrous glossitis, stomatitis, and dermatitis; purpura, petechial hemorrhages, dermatitis of riboflavin defi- ciency, moderate and severe acneform eruption, gross opacities of cornea and dryness of the eye. The greatest differences in ratings occurred in oral hygiene and changes in opacity of the sclera. Agreement was unanimous about severe lesions and those diagnostic of specific diseases while classification of mild and intermediate de- grees of the lesions of questionable specificity was less consistent. The findings expressed as percentage of agreement are given in Table 8. 7. SUMMARY. It appears from these observations that, as far as the occurrences of physical signs of nutritional deficiency is concerned, the various rations tested were adequate for the periods during which they were used and their use did not result in a significant amount of deficiency disease. Certain changes accepted as signs of deficiency states were found on examination. Many were present at the beginning of the test and most of them did not increase in significant degree.. In fact, they decreased. Such variations in the number and extent of the signs as occurred are not believed to be significant or to indicate any inadequacy of follow- ing; (1) The presence of a number of signs of deficiency at the beginning of the test period capable of persist- ing or disappearing without necessary reference to the basic adequacy of the respective rations; (2) The lack of specificity of the physical signs in the mild or early forms of deficiency disease; (3) The occurrence of only mild or early signs of deficiencies and the consequent variation in detection and interpretation of such signs from one period to the other and between examiners, without any relation to the diet; (4) The effect of en- vironment on signs of a non-specific character. These factors cause inconstant and inconsistent variations in the incidence of the signs at the various examinations. A summary of all the physical examination data indicates that men on the control ration generally showed fewer signs of deficiency than those on other rations. This was not true of every sign, or in comparison with all companies. Changes in the skin attributable to Vitamin A deficiency showed a distinct tendency to improve over the whole test in all subjects. The individual periods were probably too short to reflect effects due to the ration because of the lag in appearance of the changes of Vitamin A deficiency. The apparent in- crease in signs of By deficiency in G Company on the K Ration did not occur in other companies on the same ration. Variations among individuals indicate the influence of idiosyncrasies in food consumption and vitamin requirement rather than a defect in the ration. Furthermore, it should be pointed out that although an increase in positive findings may be statistically significant, that increase may be caused as readily by misinterpretation of questionable signs as by the increased incidence of an actual deficiency. Other signs, except cheilosis, gin- givitis and gross eye lesions, were too infrequent to be significant. Cheilosis is a good example of the incon- sistency of variations in the signs. It showed an increased incidence only in the control company. Lesions of the gums attributable to Vitamin C deficiency decreased in all companies throughout the test irrespective of ration. In the opinion of the examining physicians, the eye lesions were due to environmental conditions and not to nutritional deficiencies. It is recognized that several signs suggestive of vitamin deficiency are less reliable when there is much exposure to the elements. Supplementation of the control diet with vitamins did not affect the physical signs under consideration. It is concluded, therefore, that the rations as tested were nutritionally adequate as far as the physi- cal examination of the troops and the appearance of physical signs of nutritional deficiency are concerned. Appendix D V Inclosure #4e TABLE 1 PER CENT OF MEN SHOWING SIGNS POSSIBLY DUE TO VITAMIN A DEFICIENCY Examination Physical Signs E F Company G H X Y Dryness of Eyes 0 0 0 0 0 0 Scleral Opacities 33 78 63 74 67 53 Initial Corneal Opacities 3 1 0 0 0 5 Gross Conjunctivitis * 72 77 67 69 39 10 Follicular Hyperkeratosis 30 36 31 32 20 15 Acneform Eruption 25 18 33 15 12 21 Dryness of Eyes 0 0 0 0 0 0 After Scleral Opacities 91 97 99 84 89 75 Period Corneal Opacities 0 0 1 1 1 1 I Gross Conjunctivitis * 93 92 81 82 78 86 Follicular Hyperkeratosis 52 44 44 31 39 27 Acneform Eruption 7 27 12 0 2 12 Dryness of Eyes 0 0 0 0 0 0 After Scleral Opacities 87 67 88 73 87 66 Period Corneal Opacities 0 1 0 1 0 0 II Gross Conjunctivitis * 97 93 90 34 97 98 Follicular Hyperkeratosis 29 18 24 22 12 32 Acneform Eruption 10 2 1 3 6 13 Dryness of Eyes 0 0 0 0 0 0 After Scleral Opacities 37 34 96 89 94 82 Period Corneal Opacities 0 1 0 0 0 0 III Gross Conjunctivitis * 100 94 100 97 97 9$ Follicular Hyperkeratosis 42 16 34 29 33 11 Acneform Eruption 5 9 7 2 2 2 * Sun, wind and dust considered sufficient to cause this sign. Appendix D V Inclosure #4e TABLE 2 SIGNS OF POSSIBLE VITAMIN A DEFICIENCY Company All Signs All Eye Signs and One Skin Sign All Skin Signs and One Eye Sign Examination Initial After Period I After Period II After Period III E •v 0 11 2 1 2 F n 0 8 11 1 3 r•> “s 0 13 6 0 3 u 0 7 0 0 1 X 0 0 h 1 1 1 Y C 0 £ 6 U 0 TABLE 3a PER CENT OF MEN SHOWING ANY NEUROMUSCULAR SIGN OR PERIPHERAL EDEMA Company Examination Initial After Period I After Period 11 After Period III E 5.5 1.4 4.1 4.1 F 1.2 0 0 1.2 r% a 3.5 10.5 8.1 14.0 H 0 4.7 3.5 1.2 X 2.1 5.3 13.B 5.3 Y 5.4 7.6 9.8 9.8 TABLE 3b NUMBER OF !*EN WITH NEUROMUSGULAR SIGNS AND EDEMA ON INITIAL EXAMINATION Physical Sign E F Company G H X Y Muscular Weakness 0 0 0 0 0 0 Knee Jerks Absent 0 0 1 0 1 0 Ankle Jerks Absent 0 0 1 0 1 1 Muscle Tenderness (Calf) 0 0 0 0 0 1 Iverve Tenderness 2 0 0 0 0 0 Vibratory Sense Lost (Malleoli) 1 0 0 0 0 0 Syn. Muse. Atrophy (Extremities) 0 0 0 0 0 0 Pitting Edema (Pretibial) 2 0 0 0 0 3 Pitting Ed erne, (Pedal) 0 0 0 0 0 0 Pitting Edema (Sacral) 0 1 0 0 0 0 Appendix D V Enclosure #le TABLE 4 G COMPANY MEN SHOWING SIGNS OF POSSIBLE THIAMIN DEFICIENCY ON 2ND EXAM BUT NOT ON 1ST Subject Abnormalities present on 2nd exam but not on 1st Basal Thiamin mcgm/hr Examination 1st 2nd Load Thiamin me gm/hr Examination 1st 2nd’ Body v;eight mcgm/hr Examination 1st 2nd Gil A Tibial Edema 24 34 385 940 151 151 SI 25 Pedal Edema 12 15 490 700 162 158 CS-35 Muscle Tenderness 5 6 350 395 179 178 G137 Pedal Edema 16 16 260 120 190 192 G20? Absent Ankle Jerks 15 24 425 620 143 143 G218 Muscle Tenderness 27 15 370 145 155 152 030/. Absent Knee Jerks 28 17 - - 135 134 5335 Left K & A Jerks abs 20 37 - - 149 149 G Company Average 18 21 531 616 152.6 151.4 TABLE 5 PER CENT OF MEN SHOEING ONE OR MORE SIGNS OF POSSIBLE VITAMIN B2 DEFICIENCY Company Initial After Period I After Period II After Period III E 15 10 3 5 F 2 5 2 11 G 5 10 3 3 H 8 6 1 0 X 3 9 2 6 Y 5 8 3 0 TABLE 6 PER GENT OF MEN SHOVING ONE OR MORE SIGNS OF NIACIN' DEFICIENCY Examination Physical Signs E F Company G H X Y Pellagrous Dermatitis 0 1 0 0 1 3 Initial Pellagrous Glossitis 1 0 0 0 0 0 Pellagrous Stomatitis 0 0 0 0 0 0 After Pellagrous Dermatitis 0 0 0 0 u 0 Period Pellagrous Glossitis 1 0 0 0 0 0 I Pellagrous Stomatitis 0 0 0 0 0 0 After Pellagrous Dermatitis 0 0 0 0 1 0 Period Pellagrous Glossitis 0 0 0 0 0 0 II Pellagrous Stomatitis 0 0 0 0 0 0 After Pellagrous Dermatitis 0 0 1 0 1 1 Period Pellagrous Glossitis 0 0 1 0 1 3 III Pellagrous Stomatitis 0 0 0 0 0 0 Appendix D V Inclosure #4e TABLE 7 PER CENT INCIDENCE OF ABNORMALITIES IN F COMPANY VITAMIN AND PLACEBO GROUPS BEFORE AND AFTER ADMINISTRATION OF VITAMINS AND PLACEBOS Abnormality Reported Group Be Vitamins Slight fore & Placebos Moderate After Vitamins & placebos Slight Moderate Gross Changes in Placebo 51 15 bp i-i Scleral Opacity Vitamin 60 11 68 18 Gross Conjunctivitis Placeoo 91 1 85 7 a Vitamin 33 9 89 o Pterygia Placebo 2 2 Vitamin 0 0 Pingueculae Placebo i 2 Vitamin 6 1 Follicular Hyperkeratosis Placebo 15 2 15 0 Vitamin __22 6 21 2 Acneform Eruption Placebo 2 0 11 2 Vitamin 1 0 8 2 Cheilosis Placebo 2 11 Vitamin 2 11 Chronic Gingivitis Placebo 11 2 Vitamin 25 9 Active Acute Inflammation Placebo 7 0 of Dental Margin Vitamin 15 0 Oral Hygiene Placebo 30 G; 63 p; 7 ?.* 51 G; U F; 5 P. Vitamin 21 G; 67 F; 12 P. 38 G; 58 F; 1 P. * G a Good; F = Fair; P - Poor. Appendix D V Inclosure #4e TABLE 8 AVERAGE PER CENT AGREEMENT AMONG EXAMINERS IN CLINICAL FINDINGS IN THE SAME MEN EXAMINED AT THE SAME TIME Abnormality Under Examination % Agreement Eyes Dryness 100 Gross Changes in Scleral Opacity (All Degrees of Severity) 78 Gross Changes in Scleral Opacity (Moderate & Severe) 92 Gross Changes in Corneal Opacity 98 Vascularization 92 Gross Conjunctivitis (All Degrees of Severity) 86 Gross Conjunctivitis (Moderate & Severe) 96 Pterygia 89 Pingueculae 95 Skin Follicular Hyperkeratosis (All Degrees of Severity) 81 Follicular Hyperkeratosis (Moderate & Severe) 96 Acneform Eruption (All Degrees of Severity) 84 Acneform Eruption (Moderate & Severe) 98 Dermatitis of Riboflavin Deficiency 100 Petechial Hemorrhages 100 Purpura 100 Pellagrous Dermatitis 100 Lips & Mouth Angular Fissures 99 Cheilosis 92 Pellagrous Glossitis (All Degrees of Severity) 98 Pellagrous Glossitis (Moderate & Severe) 100 Pellagrous Stomatitis 100 Chronic Gingivitis 88 Active Acute Inflammation of Dental Margin 87 Good Oral Hygiene 77 Neuromuscular Muscular Weakness 100 Absence of Knee Jerks 99 Absence of Ankle Jerks 99 Tenderness of Belly of Calf Muscle 98 Nerve Tenderness 100 Loss of Vibratory Sense 100 Symmetrical Muscular Atrophy in Extremities 100 Pitting Edema (Pretibial) 99 Pitting Edema (Pedal) 100 Pitting Edema (Sacral) 100 Appendix D V Inclosure #4e APPENDIX D Section VI EFFECT OF DIFFERENT RATIONS ON ALIMENTARY PHYSIOLOGY, WATER CONSUMPTION AND SLEEP 1. INTRODUCTION An effort was made to collect data on certain aspects of alimentary function, water intake and aver- age number of hours of sleep on the various rations. This information was collected from the daily question- naires issued each man, and from the observers with each company. 2. Loss of Appetite, Nausea and Vomiting occurred occasionally in men on all rations. As a group they appeared about twice as frequently on subjects eating the K Ration as in any other, but they were so uncom- mon as to be of no importance. It was the impression of all observers that stomach upsets were much less common during the ration trials than they had been in garrison, though this appears to be a result of regular hours and lack of sprees, rather than an effect solely attributable to the rations tested. 3. Excessive Flatus. In general, there was no specific medical complaint associated with any ration ex- cept the prevalence of flatus in all subjects eating the Supplemented B Ration, where it was noted more than half of the time. It was particularly noticeable in E Company when they went on this ration after 3 weeks on K Ration. This company recorded excess flatus more than any other, while on K Ration. The trends and differences may be seen in Table 1. Because the rating of excess flatus is a subjective function and differs among companies on the same ration (e. g. E and G Companies on K Ration recorded 38% and 1%, respective- ly), it is not profitable to draw too rigid comparisons. Flatus was prevalent on Supplemented B Ration but not on any other. 4. The average Number of Bowel Movements daily per man in each company is given in Table 2. The range is 1 to 1.3 is not great. Most occurred while the 10-in-l Ration was used, and least on the Canadian Mess Tin Ration, with an apparent relationship between increased bulk of the ration and increased number of bowel movements. 5. The company Average Number of Hours Slept each night did not vary more than % hour from one ration to another, and no importance is attached to any of the differences between companies, or between rations (See Table 3). 6. Water Consumption varied considerably, as may be seen in Table 4. It is probable that the origi- nal data contain inaccuracies, and no attempt is made to draw any conclusions from these figures. Trends in- dicate that, regardless of ration, men drank more water as the summer advanced and the average temperature increased. This outweighed any effect of change in rations. It was never hot enough for a very large water requirement but the average daily fluid intake was about a gallon per man (See Table 4). 7. Sick Call. The battalion surgeon reported that sick call was only half as heavy as at Camp Carson. There were no significant differences between companies, regardless of rations. There were no epidemics of diarrhea or other illness which might have affected ration acceptability, fitness, medical examination, or weight. H Company on the 10-in-l Ration had an unusual number of men suffering from hemorrhoids which were also noted in G Company while on the K Ration. It is impossible to evaluate the role of other factors in their cause. 8. CONCLUSIONS. None of the rations tested caused any important physiological handicap. Aside from excess flatus on the Supplemented B Ration, no noteworthy differences occurred on the various rations tested within the lim- its of admittedly incomplete data. Appendix D VI Inclosure #4f TABLE 1 PERCENTAGE OF SUBJECTS EXPERIENCING EXCESS FLATUS Company K Ration 10-in-1 C Ration C.M.T. E 3B - - - G 1 11 5 - H - 22 - - X 4 9 4 TABLE 2 AVERAGE DAILY NUMBER OF BOWEL MOVEMENTS PER MAN WHILE SUBSISTING ON DIFFERENT RATIONS Company New C Expt .C K C.k.T. 10-in-l All Rations 1 E 1.14 1.14 G 1.23 1.18 1.16 1.24 1.20 H 1.38 1.38 X 1.38 1.21 1.01 1.30 1.19 y 1.30 1.08 1.31 1.22 All Companies 1.23 1.30 1.13 1.01 1.34 1.23 TABLE 3 AVERAGE NUMBER OF HOURS SLEPT PER MAN WHILE SUBSISTING ON DIFFERENT RATIONS Company New C Expt.C K C.f'.T. 10-in-1 All Rations E 7.36 7.36 G 7.69 7.23 7.32 7.70 7.49 H 7.56 7.56 X 7.53 7.A6 7.60 7.80 7.62 Y 7.72 7.73 7.45 7.66 All Companies 7.69 7.59 7.45 7.60 7.60 TABLE 4 AMOUNT OF FLUID INGESTED ON DIFFERENT RATIONS Average Number of Canteens (Quarts) per Man per Day Company Kew C Expt.C K G.M.T. 10-in-l All Rations E 2.96 2.96 •vJ 1.41 i.57 4.29 4.20 4.33 H 3.71 3.71 X 4.31 i*.31 3.34 4.18 3.90 y 3.51 4.30 3.82 3.87 Ail Companies 4.41 3.91 3-73 3.34 3.86 3.81 Appendix D VI Inclosure #4f (160) APPENDIX D Section VII BIOCHEMICAL STUDIES SUMMARY OF RESULTS (As Judged by Chemical Status of Test Subjects) Ration Ration Issue per man per day Period Salt Vitamin Bi Vitamin b2 Vitamin C Niacin C (Experimental) 1-1/3 3 wks. Adequate High Adequate High Adequate C (New) C (Experimental) 1 1 2 wks. 1 wk. Adequate Adequate Adequate High Adequate K 1-2/3 3 wks. Adequate Adequate Adequate Adequate Adequate Canadian Mess 1-1/3 3 wks. Adequate High Possibly High Adequate Tin Low Possibly Adequate 10-in-1 1-1/4 8 wks. Adequate Adequate Adequate Low B Supplemented 4800 Cals. 8 wks. Adequate High High High Adequate 1. INTRODUCTION. Chemical studies are a valuable adjunct to ration tests, since it is generally accepted that when a diet is seriously deficient in some respect, biochemical changes may precede by a considerable time changes in the subjects’ morale or physical fitness, which in turn may deteriorate long before there is diagnostic evi- dence of deficiency disease. Therefore, it is important to follow the general trend of the body’s stores of im- portant substances, especially when tests last only a relatively short period. 2. PROCEDURE The general organization of the test is described in Appendix A. Chemical observations were made the day of arrival in the test area and at the end of Periods I, II and III. Three platoons from each company were studied, a total of 615 men on the first examination. Losses as described in Appendix A cut this num- ber to 532 by the last examination. During test periods, 1 company was examined each day. The subjects adhered approximately to the following schedule: 0430 hours Reveille 0445 hours Empty bladders into latrine 0450 hours Drink % canteen cup water, (J« pint) in order to insure diuresis. 0500 hours Weighing 0615 hours Empty bladders into paper cups. (This is the "fasting specimen.”) 0620 hours Each man of the first platoon and the first half of second platoon drinks 150 ml. of water containing 5 mg. thiamine hydrochloride, 5 mg. of ribo- flavin, 50 mg. nicotinamide and 500 mg. ascorbic acid. 0630 hours Breakfast of the ration appropriate to the test period. 0745 hours Venepunctures started on Platoon 1. 0915 hours Venepunctures all completed on Platoons 1, 2 and 3. 1020 hours First platoon and first half of second platoon empty bladders into paper cups. (This is the “loaded specimen.”) The following chemical estimations were carried out in a field laboratory in the headquarters area: a. Whole blood hemoglobin. b. Serum protein. c. Serum chloride. d. Fasting urinary vitamin C (ascorbic acid). Appendix D VII Inclosure #4g e. Fasting urinary vitamin Bi (thiamine). f. Fasting urinary vitamin B2 (riboflavin). g. Fasting urinary vitamin Factor F2 (probably N-methylnicotinamide) h. Excretion of test dose of vitamin C. i. Excretion of test dose of vitamin Bi. j. Excretion of test dose of vitamin B2. k. Excretion of test dose of nicotinamide as Factor F2. The methods used in the field have been described and discussed in a report to the Office of Scien- tific Research and Development (“Assessment of Nutritional and Metabolic Condition in the Field” by John- son, Sargent, Robinson and Consolazio, Serial No. 114, Report No. 28 under Contract OEMcmr-328( May 20, 1944). 3. RESULTS a. Biochemical Adequacy of the Rations as Judged by Company Averages Interpretation of the results should take into account not only absolute levels on single examina- tions, but also trends throughout the whole 2 months. We consider that either excessively low values on a single examination or a progressive and continuous drop from examination to examination are suggestive that the ration under consideration is inadequate in the nutrient measured. It may happen that levels fall for a time, and then become relatively constant, lower than they were on the first examination. Unless this new stable level is in a dangerously low range, we consider that the ration is adequate. Interpretation of data will be facilitated by reference to Table 1, which presents normal ranges and levels suggestive of deficiency serious enough to impair morale and physical fitness and to affect general health deleteriously if maintained long enough. They are derived from repeated examination of approximately 50 men in New England, 80 men in Saskatchewan in winter, the present battalion in the Colorado Rockies in summer, and from single ex- aminations of 149 men in the Desert Training Center in summer. The lower levels of normality listed in Table 1 were all found in men whose physical fitness, morale and general health were satisfactory as judged by their line and medical officers. (See the report previously referred to, and also a report to the O.Q.M.G., Oct. 15, 1943, by Johnson, Sargent, Robinson and Consolazio, O.Q.M.G. Report No. 19 from the Harvard Fatigue Laboratory, “The Nutritional Status of Enlisted Men in the Desert Training Area”). A summary of the biochemical data is presented in Table 2 by companies, periods and rations; the averages are for all subjects tested at a given time, regardless of men who dropped out after 1, 2 or 3 ex- aminations. Table 3 presents the same type of data for men who were examined in each of the 4 test periods. It will be seen that the averages are not essentially different. Judgment of the biochemical adequacy of the various rations as issued and eaten in this test are presented in the Summary of Results, which is based on the data of Tables 2 and 3, the criteria of Table 1, and the first paragraph of this section. The following conclusions are drawn concerning the vitamin C, vitamin Bi, vitamin B2 and niacin provided by the various rations: (1) Supplemented B Ration maintained a high level in all respects for 2 months. No satisfactory explanation has been found for the abnormally high hemoglobin level in the first examination. This dropped to a normal level and then remained there. The level of Vitamin Ba in the fasting urine of the company on this ration was consistently lower than in all other companies, but not dangerously so. The load test fluctuated somewhat erratically, but was always at a safely high level. A possible explanation for these results is that synthetic riboflavin or yeast had been added to all rations except B. In addition, a change was made in the dried eggs in B Ration in the middle of the test. These 2 factors perhaps influenced markedly the levels of Vitamin B2 in F Company in comparison with the other companies. During 2 weeks on the Supplemented B Ration E Company showed a general increase in vitamin stores. (2) Experimental C Ration, 1-1/3 rations per day, maintained a high level in all respects for 3 weeks (Y Company). (3) New C Ration for 2 weeks plus Experimental C Ration for 1 week, 1 ration per day, main- tained a satisfactory level in all respects with the possible exception of Vitamin Bi which took a slight drop. (G Company). Appendix D VII Inclosure #4g (4) K Ration, 1-2/3 rations per day, maintained a high level in all respects for 3 weeks (E, G, and Y Companies). (5) Canadian Mess Tin Ration, 1-1/3 rations per day, allowed the maintenance of satisfactory levels of Vitamin C, Vitamin Bi, and niacin for 3 weeks (X Company). The results for Vitamin B2 are difficult to interpret. This company started at a very high level, apparently because their ordinary garrison ration was supplemented by extra milk purchased with company funds. After 3 weeks on Canadian Mess Tin Ration they showed a large drop in stores of Vitamin B2, but were still at a fairly high level. Many of the test subjects ate but little of the sardines and powered milk issued in the ration. It must be concluded that as eaten, the ration was probably low in Vitamin B2. (6) 10-in-l Ration, 1-1/4 rations per day, was satisfactory for 8 weeks with respect to Vitamin Bi, Vitamin B2 and niacin (H Company). In this test it did not sustain altogether satisfactorily the level of vita- min C. The statement that 10-in-l provided relatively low amounts of vitamin C is corroborated by: (a) the fact that 13 test subjects in H Company showed very low levels after 8 weeks, as contrasted with only 2 at the start, at a time when there was an improvement in all other companies; and (b) a downward trend in 2 weeks on 10-in-l in X and Y Companies at a time when B Ration was improving in the Vitamin C stores of E Com- pany. In the case of G Company, a slight improvement in Vitamin C stores was observed in 2 weeks of 10-in-l. b. Biochemical Adequacy of the Rations as Judged by Individual Test Subjects A matter of considerable practical importance was established in this test when the biochemical results for individual test subjects were examined, in contrast to the company averages. It is obvious that if a considerable percentage of subjects reaches a dangerously low level, the ration they are eating cannot be con- sidered adequate, even if the group average is satisfactory. Examination of Tables 2 and 3 shows that on the average over the whole 2 months the battalion: improved with respect to Vitamin Bi (as indicated by load test), Vitamin B2 and Vitamin C; showed no significant change in chloride, serum protein or hemoglobin; and showed a moderate decrease in Factor F2. With regard to the individual subjects Table 4 lists the percentage of men in each company who were chemically low at the start and at the finish of the test by the criteria listed in Table 1. The following points should be noted: (1) There were no subjects low in hemoglobin or serum protein. (2) A tendency in 3 companies for salt stores to be low in the last week was presumably due to the 90 mile march. Sweating may have been more profuse in that week than any other. (3) Stores of Vitamin C improved in all companies except H, which was on 10-in-l Ration. A con- siderable percentage of the battalion was low at the beginning. (4) Stores of vitamin Bi were good at the beginning, and improved in the few subjects who were low at the start. (5) Stores of niacin, as measured by Factor F2 remained above the danger level in a great majority of subjects, but were apparently not significantly improved. (6) Stores of Vitamin B2 were good at the start, but a few men were low at the beginning as well as at the end. (7) The general conclusion to be drawn is that under the present conditions, the chemical status of the battalion was in general improved by subsistence on the rations tested. The finding can be explained by 2 factors. (a) The choice of items is limited in the field rations, and food likes and dislikes are less likely to prevent the intake of foods high in vitamins than when the men are on garrison ration. (b) The test subjects worked harder than they did in camp previous to the test. Their gross intake of food presumably increased during the test, and the intake of many of the vitamins increased accordingly. c. Findings in Y Company after Eleven Days of Moderate Calorie Deficiency The effects of moderate calorie deficiency were observed in Y Company when they received K Ration (1 ration per day) for 11 days at a time when they were expending about 4000 calories a day. In this company, there were constant complaints of hunger and a progressive loss of weight averaging 4 pounds in Appendix D VII Inclosure #4g the 11 days (See Appendix D, Section II). They were brought to headquarters area on the 11th day and were subjected to the usual battery of physical fitness tests. In the afternoon, after the last test, specimens of urine were collected from the first 3 platoons. These were examined by the nitroprusside reactions of Rothera. Of 89 specimens, none showed the reaction of true acetone bodies. Therefore, there was no significant degree of acidosis, such as one finds in acute severe calorie deficiency. (See the report of the Prince Albert Canadian Army Winter Ration Trials, 1944, for an example of acute calorie deficiency.) Twenty-one of the 89 specimens showed a positive reaction for the nitroprusside positive substances which appear after ingestion of- biscuits containing powdered milk. This percentage is far less than has been seen in previous trials on K Ration. d. Chemical Effects of Administering U. S. Army Vitamin Tablets to Subjects on Supplemented B Ration During the last 3 weeks of the test, 3 vitamin tablets were administered daily to every man in Platoons 2 and 4 of F Company, and placebos to every man in Platoons 1 and 3. The whole company con- tinued to receive Supplemented R Ration. At the end of 3 weeks of this regime vitamin load tests were ad- ministered to the whole of the first and second platoons, instead of to the whole first platoon and half of the second as had been done on the previous examinations. The biochemical results are summarized in Table 5. It is clear from the data given in this table that the pills and placebos had been dispensed properly. It is of some theoretical interest that under the present experimental conditions the fasting level was a more sensitive indication that the subjects had been receiving vitamins than was the load test. Statistically significant differences between the groups of subjects were found in fasting urinary ascorbic acid, thiamine, riboflavin and Factor F2 and small but statistically insignificant differences in the ascorbic acid, thiamine and riboflavin load tests. The nicotinamide load test was actually smaller in the group that had received vitamins. The difference between groups, however, was present also in earlier tests. As has been emphasized above the assay of Factor F2 is not altogether satisfactory as a measure of niacin metabolism. The present evidence is suggestive but the conclusions should not be extended to subjects under a regime different from the present one, i.e., a very good diet, high in all vitamins, supplemented with mod- erate doses of synthetic vitamins over a period of 3 weeks. e. Reliability of Vitamin Load Tests Repeated at Frequent Intervals Some of the conclusions in the present test are based on load tests administered to subjects who had already received such tests in the previous 2 or 3 weeks. Such a procedure might be criticised on the theo- retical ground that load tests at frequent intervals on the same subjects alter their nutritional status so far as to vitiate the results. This fundamental question was studied in the present test, and the results to be pre-f sented below support the view that frequent load tests can be used safely in the case of men with a relatively high daily intake of vitamins in their diet. The subjects were 96 enlisted men in Company X who had subsisted on Canadian Mess Tin Ration for 3 weeks, followed by 10-in-l Ration for 2 weeks. The approximate daily intake during the 5 weeks was: ascorbic acid-70 mg.; riboflavin—2.0 mg.; thiamine—1.5 mg.; and nicotinic acid-25 mg. Load tests were ad- ministered to 50 of the subjects on the first day of the test, again 3 weeks later and finally at the end of the 5 weeks. A load test was administered to the remaining 46 subjects only once, at the end of the 5 weeks. The vitamin load consisted of an oral dose of 150 ml. of water containing 500 mg. of ascorbic acid, 5 mg. of thia- mine hydrochloride, 5 mg. of riboflavin, and 50 mg. of nicotinamide. Urine was collected for an hour in the morning before breakfast; the subjects drank the load, ate their usual breakfast and collected urine for 4 hours after ingesting the vitamins. The reasons for using this short oral test are purely practical. Intravenous or intramuscular injection on a large scale requires apparatus and facilities not readily available in the field; breakfast has to be allowed if the morale of the enlisted man is not to suffer with detriment to the relia- bility of the fitness tests; a short collection period is necessary because of the difficulty of quantitative col- lection of urine and also because the men have to be released in time for lunch. The results for fasting urine are summarized in Table 6. The averages for ascorbic acid, thiamine and Factor F2 were not significantly different and the average for riboflavin was higher in the group that Appendix D VII Inclosure #4g had never previously received a load test. The range tended to extend a little higher in the group that had received 2 previous load tests, but the distribution curves were not significantly different. The results for the load tests were similar to those for the fasting specimens collected before breakfast. The averages for the groups that had and had not received load test were: for ascorbic acid—54 and 61 mg. in 4 hours after the test dose; for thiamine—405 and 400 micrograms in 4 hours; for Factor F2 — 95 and 95 micrograms (quinine units) in 4 hours and for riboflavin—1575 and 1600 micrograms in 4 hours. In- spection of the distribution curves presented in Figure 1 shows a fairly wide spread in both groups, but curves that are very similar in shape. From this set of observations, it may be concluded that in the case of men on similar diets of reasonably high vitamin content, assays of the fasting urine before breakfast and of oral load tests of short duration are not significantly affected by load tests administered at intervals of 2 or 3 weeks. This conclu- sion should not be extended without further evidence to subjects on frankly deficient diets or to types of load test different from that used in this study. f. Statistical Examination of the Data All data were examined statistically by analysis of variance methods (described more fully in the sta- tistical section). The “error mean square” thereby obtained for each type of chemical analysis was used in calcu- lating the smallest differences required for significance (P<.05) between 2 companies on any given test, between 2 tests on the same company and between the trends of 2 different companies from one test to another. These data are presented in Table 7. Coefficients of variation were calculated for each set of determinations by dividing the mean of the entire set by the square root of the “error mean square”. These coefficients (Table 8) give some indica- tion of the relative unexplainable variation in the data. It will be seen that the results are reasonably consistent. One precaution should be enjoined in the interpretation of the statistical treatment; a sharp distinction must be made between differences that are statistically significant and those that are significant from a purely physiological point of view. It is clear that so long as a given company remained well within normal limits their ration should be regarded as adequate, even though another company showed values that were higher from a statistical standpoint. It has yet to be demonstrated that excessively bigh levels of nutrients in the body are either necessary or desirable. a. On the basis of company averages: (1) Supplemented B Ration was adequate for 8 weeks in salt, iron, protein, Vitamins C, B1} B2, and niacin (See F and E Companies). (2) Experimental C Ration was adequate for 3 weeks in the same respects (See Y Company). (3) New C Ration was adequate for 3 weeks in the same respects (See G Company). (4) K Ration was adequate for 3 weeks in the same respects (See E, G and Y Companies). (5) The company on Canadian Mess Tin appeared low in riboflavin intake, but normal in all other respects (See X Company). (6) The company on 10-in-l Ration for 8 weeks showed a progressive decrease in Vitamin C for 5 weeks and then leveled off at this low value. In all other respects, they were normal (See H Company, and for the same trend, X and Y Companies. G Company showed the reverse). b. On the basis of individual results, the battalion was in better biochemical condition at the end of the test than at the beginning. c. Adding vitamins to the Supplemented B Ration for 3 weeks led to a significantly increased excre- tion of vitamins C, Bi, B2 and perhaps niacin. d. Under the present test conditions, load tests administered to the same men at intervals of 2 or 3 weeks were demonstrated not to vitiate subsequent assays of vitamin stores as judged by urinary vitamin levels and by load tests. e. Statistical evaluation of the data demonstrated good internal consistency in the biochemical ob- servations. 4. SUMMARY OF BIOCHEMICAL RESULTS: Appendix D VII Inclosure #4g TABLE 1 Normal ranges'* and levels suggestive of deficiency serious enough to impair morale, physical fitness, and general health if continued long enough. Normal Range Level Suggestive of Serious Deficiency Whole blood hemoglobin (Gm./lOO ml.) 15 to 19 Below 12 Serum protein (Gms./lOO ml.) 5.8 to 7.0 5.2 Serum chloride (Meq./l.) 96 to 114 “ 96 Urinary chloride (Gms. NaCl/hr.) 0.2 to 1.0 “ 0.2 Fasting urinary Vitamin C (Mg./hr.) 0.3 to 1.0 “ 0.3 Vitamin C load test (Mg./4 hr.) 5 to 150 5 Fasting urinary Vitamin Bi ( i /hr.) 2 to 25 2 Vitamin By load test ( i hr.) 50 to 800 “ 50 Fasting urinary Factor F2 ( i /hr.) 2 to 15 “ 2 Nicotinamide load test ( i /4 hr.) 20 to 200 “ 20 Fasting urinary Vitamin B2 ( ■( /hr.) 10 to 100 “ 10 Vitamin B2 load test ( i /4 hr.) 0 See text, page 2, for derivation. 200 to 2500 “ 200 TABLE 2 SUMMARY OF BIOCHEMICAL DATA BY COMPANIES, INCLUDING ALL SUBJECTS (Each figure in the case of whole blood, serum and fasting urine is the average of approximately 100 subjects. In the case of load tests, each figure is the average of approximately 50 subjects.) Supplemented Supplemented Supplemented F Company Start B Ration B Ration B Ration 3 weeks 5 weeks 8 weeks Whole blood hemoglobin (Gms./lOO ml.) 19.0 16.7 17.1 16.8 Serum protein (Gms./lOO ml.) 6.5 5.9 6.1 6.2 Serum chloride (Meq./l.) 103 103 104 107 Urinary chloride (Gms. NaCl/hr.) 0.7 0.6 0.6 0.4 Fasting urinary Vitamin C (Mg./hr.) 0.5 1.0 0.8 0.8 Vitamin C load test (Mg./4 hr.) 38 103 58 103 Fasting urinary Vitamin Bx ( 1 /hr.) 11 9 17 13 Vitamin Bj load test ( ( /4 hr.) 265 340 620 500 Fasting urinary Factor F2 ( ■( /hr.) 11 8 6 6 Nicotinamide load test ( \ /4 hr.) 130 165 120 130 Fasting urinary Vitamin B2 ( i /hr.) 24 17 22 26 Vitamin B2 load test ( i Yin.) 1070 1950 1060 1850 10-in-1 10-in-1 10-in-1 H Company Start (as 8-in- ■1 except for one week) 3 weeks 5 weeks 8 weeks Whole blood hemoglobin (Gms./lOO ml.) 18.8 16.7 17.4 16,8 Serum protein (Gms./lOO ml.) 6.2 6.0 6.3 6.5 Serum chloride (Meq./l.) 102 105 107 107 Urinary chloride (Gms. NaCl/hr.) 0.6 0.5 0.5 0.5 Fasting urinary Vitamin C (Mg./hr.) 0.7 0.4 0.7 0.6 Vitamin C load test (Mg./4 hr.) 32 26 17 23 Fasting urinary Vitamin Bx ( ■( /hr.) 13 11 11 13 Vitamin Bx load test ( f /4 hr.) 440 490 550 455 Fasting urinary Factor F2 ( ■( /hr.) 14 7 8 6 Nicotinamide load test (-( /4 hr.) 160 105 120 100 Fasting urinary Vitamin B2 ( i /hr.) 36 22 36 28 Vitamin B2 load test ( '( ■'/hr.) 1510 1635 1765 1590 Appendix D VII Inclosure #4g TABLE 2 (Continued) K Ration Supplemented K Ration E Company Start (5 bxs./day) B Ration (5 bxs./day) 3 weeks 2 weeks 3 weeks Whole blood hemoglobin (Gms./lOO ml.) 16.6 17.1 17.3 Serum protein (Gms./lOO ml.) 6.5 6.0 6.4 6.2 Serum chloride (Meq./l.) 103 104 107 109 Urinary chloride (Gms. NaCl/hr.) 0.5 0.4 0.8 0.4 Fasting urinary Vitamin C (Mg./hr.) 0.4 0.6 1.2 0.7 Vitamin C load test (Mg./4 hr.) 38 56 125 68 Fasting urinary Vitamin Bi (1 /hr.) 14 14 16 16 Vitamin Bi load test ( i /4 hr.) 510 610 675 640 Fasting urinary Factor F2 ( i /hr.) 11 8 5 5 Nicotinamide load test ( \ /4 hr.) 160 130 85 135 Fasting urinary Vitamin B2 ( i /hr.) 52 26 30 28 Vitamin B2 load test ( 2210 2010 2220 2300 / K Ration 10-in-1 New C Ration G Company Start (5 bxs./day) (as 8-in-l) (6 cans/day) 3 weeks 2 weeks 3 weeks Whole blood hemoglobin (Gms./lOO ml.) 17.2 16.9 17.2 17.1 Serum protein (Gms./lOO ml.) 6.2 6.0 6.1 6.1 Serum chloride (Meq./l.) 105 106 107 109 Urinary chloride (Gms. NaCl/hr.) 0.5 0.4 0.6 0.5 Fasting urinary Vitamin C (Mg./hr.) 0.4 0.7 0.6 0.8 Vitamin C load test (Mg./4 hr.) 42 41 46 78 Fasting urinary Vitamin Bi ( i /hr.) 17 20 17 12 Vitamin Bi load test ( i /4 hr.) 515 580 400 360 Fasting urinary Factor F2 ( i /hr.) 12 8 6 7 Nicotinamide load test { i /4 hr.) 115 160 70 95 Fasting urinary Vitamin B2 ( i /hr.) 26 27 45 26 Vitamin B2 load test ( iA/hr.) 1170 1455 -1520 1635 7 Canadian Mess Tin 10-in-1 X Company Start (4 bxs. for 3 men) 3 weeks (as 8-in-l) 2 weeks Whole blood hemoglobin (Gms./lOO ml.) 16.5 16.6 16.6 Serum protein (Gms./lOO ml.) 6.2 6.0 6.2 Serum chloride (Meq./l.) 105 105 106 Urinary chloride (Gms. NaCI/hr.) 0.8 0.4 0.5 Fasting urinary Vitamin C (Mg./hr.) 0.5 0.8 0.7 Vitamin C load test (Mg./4 hr.) 20 61 54 Fasting urinary Vitamin Bi ( i /hr.) 12 18 12 Vitamin Bi load test ( \ /4 hr.) 250 490 405 Fasting urinary Factor F2 ( i /hr.) 13 11 6 Nicotinamide load test ( i / 4 hr.) 145 100 95 Fasting urinary Vitamin Bo ( i /hr.) 77 • 51 25 Vitamin B2 load test ( i fi/hr.) 2520 1685 1670 / Y Company Start Expr. C Ration 10-in-1 (8 cans/day) (as 8-in-l) 3 weeks 2 weeks K Ration (3 bxs./ (5 bxs./ day) day) 11 days 10 days Whole blood hemoglobin (Gms./lOO ml.) 17.2 16.8 16.7 17.1 Serum protein (Gms./lOO ml.) 6.4 6.2 6.6 6.4 Serum chloride (Meq./l.) 105 107 109 103 Urinary chloride (Gms. NaCl/hr.) 0.4 0.6 0.5 0.4 Fasting urinary Vitamin C (Mg./hr.) 0.5 0.6 0.6 0.7 Vitamin C load test (Mg./4 hr.) 34 112 51 45 Fasting urinary Vitamin B1 ( i /hr.) 9 23 13 18 Vitamin Bi load test ( /4 hr.) 185 680 390 505 Fasting urinary Factor F2 ( i /hr.) 8 8 5 4 Nicotinamide load test ( i /4 hr.) 125 125 85 85 Fasting urinary Vitamin B2 ( i /hr.) 32 33 34 38 Vitamin B2 load test ( i//hr.) 1190 1725 1605 1615 Appendix D VII Inclosure #4g (167) TABLE 3 SUMMARY OF BIOCHEMICAL DATA BY COMPANIES INCLUDING ONLY MEN EXAMINED AT EACH OF THE FOUR TEST PERIODS B Ration B Ration B Ration F Company Start 3 weeks 5 weeks 8 weeks Whole blood hemoglobin (Gms./lOO ml.) 19.1 16.7 17.2 17.1 6.2 108 0.4 0.8 106 12 545 6 115 Serum protein (Gms./lOO ml.) 6.5 5.9 6.1 Serum chloride (Meq./l.) 103 103 104 Urinary chloride (Gms. NaCl/hr.) Fasting urinary Vitamin C (Mg./hr.) 0.8 0.5 0.6 1.0 0.6 0.8 Vitamin C load test (Mg./4 hr.) 42 102 61 Fasting urinary Vitamin Bi ( 1 /hr.) Vitamin Reload test ( i /4 hr.) 11 280 9 355 16 645 Fasting urinary Factor F2 ( i /hr.) 10 8 5 Nicotinamide load test ( /4 hr.) 150 175 130 Fasting urinary Vitamin B2 ( i /hr.) 27 21 27 26 Vitamin Reload test ( i //hr.) 1180 2090 1020 1965 10-in-l 10-in 1 10-in-l H Company Start (as 8-in- ■1 except for one week) 3 weeks 5 weeks 8 weeks Whole blood hemoglobin (Gms./lOO ml.) 18.7 16.6 17.4 16.8 Serum protein (Gms./lOO ml.) 6.2 6.0 6.3 6.5 Serum chloride (Meq./l.) 102 104 106 107 Urinary chloride (Gms. NaCl/hr.) 0.5 0.5 0.6 0.5 Fasting urinary Vitamin C (Mg./hr.) 0.7 0.4 0.6 0.6 Vitamin C load test (Mg./4 hr.) 34 30 19 24 Fasting urinary Vitamin Bi ( i /hr.) 15 10 10 12 Vitamin Bi load test { i /4 hr.) 430 525 510 460 Fasting urinary Factor F2 ( i /hr.) 13 6 7 5 Nicotinamide load test (1 /4 hr.) 155 105 115 105 Fasting urinary Vitamin B2 ( 1 /hr.) 44 27 52 31 Vitamin B2 load test ( ( /hr.) 1435 1725 1775 1605 K Ration Supplemented K Ration E Company Start (5 bxs./day) B Ration (5 bxs./day) 3 weeks 2 weeks 3 weeks Whole blood hemoglobin (Gms./lOO ml.) - 16.6 17.2 17.3 Serum protein (Gms./lOO ml.) 6.5 6.0 6.4 6.2 Serum chloride (Meq./l.) 103 104 108 109 Urinary chloride (Gms. NaCl/hr.) 0.5 0.4 0.9 0.4 Fasting urinary Vitamin C (Mg./hr.) 0.4 0.5 1.1 0.7 Vitamin C load test (Mg./4 hr.) 34 57 129 73 Fasting urinary Vitamin Bi ( 1 /hr.) 16 13 16 16 Vitamin Bi load test (1 /4 hr.) 490 590 695 620 Fasting urinary Factor F2 ( i /hr.) 11 7 5 5 Nicotinamide load test { \ /4 hr.) 110 140 85 140 Fasting urinary Vitamin B2 ( i /hr.) 52 24 31 27 Vitamin B2 load test ( i ;Vhr.) 2200 1990 2280 2280 Appendix D VII Inclosure #4g TABLE 3 (Continued) K Ration 10-in-1 New C Ration G Company Start (5 bxs./day) ( as 8-in-l) (6 cans/day) 3 weeks 2 weeks 3 weeks Whole blood hemoglobin (Gms./lOO ml.) 17.1 16.8 17.2 17.1 Serum protein (Gms./lOO ml.) 6.2 6.0 6.1 6.1 Serum chloride (Meq./l.) 105 106 106 w&yof Urinary chloride (Gins. NaCl/hr.) 0.5 0.4 0.6 0.5 ' Fasting urinary Vitamin C (Mg./hr.) 0.4 0.6 0.6 0.8 Vitamin C load test (Mg./4 hr.) 45 38 49 83 Fasting urinary Vitamin Bi ( f /hr.) 18 21 17 12 Vitamin Bii load test ( i /4 hr.) 530 615 420 365 Fasting urinary Factor Fp.( i /hr.) 12 8 5 7 Nicotinamide load test ( i /4 hr.) 110. 170 100 95 Fasting urinary Vitamin B2 ( i /hr.) 27 25 45 27 Vitamin B2 load test ( i yhr.) 1095 1530 1790 1610 Canadian Mess Tin 10-in-l X Company Start (4 bxs. for 3 3 weeks men) (as 8-in-l) 2 weeks Whole blood hemoglobin (Gms./lOO ml.) 16.6 16.9 16.6 Serum protein (Gms./lOO ml.) 6.2 6.0 6.2 Serum chloride (Meq./l.) 105 105 106 Urinary chloride (Gms. NaCI/hr.) 0.8 0.4 0.5 Fasting urinary Vitamin C (Mg./hr.) 0.4 0.7 0.7 Vitamin C load test (Mg./4 hr.) 23 62 54 Fasting urinary Vitamin Bi ( i /hr.) 13 18 12 Vitamin Byt load test ( i /4 hr.) 265 495 410 Fasting urinary Factor Fp ( i /hr.) 13 10 6 Nicotinamide load test ( i /4 hr.) 150 105 95 Fasting urinary Vitamin Bp, ( ■( /hr.) 79 49 25 Vitamin Bp load test ( ) 2400 1705 1700 K Ration Expr. C Ration 10-in-l (3 bxs./ (5 bxs./ Y Company Start (8 cans/day) ( as 8-in-l) dav) davi 3 weeks 2 weeks utV / / 11 days 10 days Whole blood hemoglobin (Gms./lOO ml.) 17.0 16.8 16.7 17.0 Serum protein (Gms./lOO ml.) 6.3 6.2 6.6 6.4 Serum chloride (Meq./l.) 105 107 108 103 Urinary chloride (Gms. NaCl/hr.) 0.4 0.6 0.5 0.4 Fasting urinary Vitamin C (Mg./hr.) 0.4 0.5 0.5 0.7 Vitamin C load test (Mg./4 hr.) 37 120 •tft 44 Fasting urinary Vitamin By /hr.) 8 23 17. Vitamin By load test ( i /4 hr.) 195 675 410 530 Fasting urinary Factor F2 ( i /hr.) 7 8 5 4 Nicotinamide load test ( i /4 hr.) 130 125 85 85 Fasting urinary Vitamin Bp ( /hr.) 27 34 33 37 Vitamin Bp load test ( hr.) / 1140 1755 1730 1715 Appendix D VII Inclosure #4g TABLE 4 PERCENTAGE OF MEN IN EACH COMPANY CHEMICALLY LOW AT BEGINNING AMD END OF TEST Y flnrrtnanv X Como any G Connany E Comoanv iL F Company Measurement Start End Start End of 5 wkso Start End Start End Start End Start End Hemoglobin 0 0 0 0 0 0 Lost 0 0 0 0 0 Serum Protein 0 0 0 0 0 0 0 0 0 0 0 0 Serum Chloride 0 4 0 0 0 0 0 0 0 0 2, 0 Urinary Chloride 5 1 0 2 3 2 4 2 0 3 1 10 Fasting Urinary 19 0 1 0 1 0 14 1 0 1 7 3 Vitamin C 12 10 0 Vitamin C load 0 4 4 0 8 0 6 0 2 Fasting Urinary Vitamin 1 0 0 0 0 0 0 0 0 0 0 6 0 Vitamin load 8 2 2 0 0 0 0 0 0 0 0 Fasting Urinary 0 0 0 0 0 0 0 0 0 0 0 2 Factor F2 8 Nicotinamide load 3 4 2 4 4 6 2 2 2 2 2 Fasting Urinary 6 0 0 0 1 1 0 1 0 0 2 2 Vitamin B2 0 0 0 0 Vitamin B2 load 2 2 2 0 2 0 0 2 TABLE 5 COMPARISON OF VITAMIN LEVELS IN THE URINE OF PLATOON 2, WHO HAD RECEIVED VITAMIN PILLS FOR THREE WEEKS AND PLATOON 1, WHO HAD RECEIVED PLACEBOS Placebo Vitamin** Start of Period End of Period Start of Period End of Period Fasting Urinary Vitamin C (Mgo/hr.)* 08 »8 08 1.4 Vitamin C load test (Mg«/4 hrQ) 61 103 59 113 Fasting urinary Vitamin * 17 12 14 23 Vitamin load test ( /4 hr.) 670 530 600 570 Fasting urinary Factor F2 ( Y/hr#) * 6 6 5 8 Nicotinamide load test (f /4 hr0) U5 130 105 85 Fasting urinary Vitamin B2 ( Y /hr0 )'* 21 26 23 56 Vitamin B2 load test (/4 hr.) 970 1860 1120 2190 * Statistically significant differences between groups in trends between the two tests reported hereQ Over and above the amounts provided by supplemented B Ration, the 3 Gel. vitamin pills provided daily: Vitamin A, 7500 U0S,P. units; Vitamin D, 600 U0S.P. units; thiamine hydrochloride, 3o0 mg.; riboflavin, 4o5 mgc; ascorbic acid, 112„5 mg.; and nicotinamide, 30 mgc Appendix DVII Inclosure FASTING URINARY LEVELS IN MEN WHO HAD AND HAD NOT BEEN SUBJECTED TO VITAMIN LOAD TESTS TABLE 6 (All subjects had subsisted for three weeks on Canadian Mess Tin Ration followed for two weeks by 10-in-l Ration) No Previous Load Test (46 Subjects) Mean Range Load Tests 5 and 2 Weeks Previously (50 Subjects) Mean Range Ascorbic Acid (Mg./hr.) 0.6 0.4 to 1.8 0.8 0.4 to 1.8 Thiamine ( i /hr.) 11 6 to 24 12 6 to 42 Factor P2 ( i /hr.) 5 2 to 10 6 2 to 17 Riboflavin ( /hr.) 27 12 to 68 22 8 to 93 TABLE 7 APPROXIMATE LEAST SIGNIFICANT DIFFERENCES REQUIRED FOR SIGNIFICANCE Between Companies or between Tests on the Same Company Between Gains (or losses) of Two Companies Whole blood hemoglobin (Gms./lOO ml.) .21 .29 Serum protein (Gms./lOO ml.) .15 .22 Serum chloride (Meq./l.) 1.1 1.5 Urinary chloride (Gms. NaCl/hr.) .08 .12 Fasting urinary Vitamin C (Mg./hr.) .11 .15 Vitamin C load test (Mg./4 hr.) 16 23 Fasting urinary Vitamin Bi ( i /hr.) 2.4 3.3 Vitamin Bi load test ( i /4 hr. 98 139 Fasting urinary Factor F2 ( i /hr.) 1.4 1.9 Nicotinamide load test ( j /4hr.) 35 49 Fasting urinary Vitamin Bfc ( -( /hr.) 6.2 8.8 Vitamin B2 load test ( f /4 hr.) 336 475 COEFFICIENTS OF VARIATION OF BIOCHEMICAL DATA TABLE 8 Coefficient of 0 Variation (%) Whole blood hemoglobin (Gms./lOO ml.) 4 Serum protein (Gms./lOO ml.) 7 Serum chloride (Meq./l) 3 Urinary chloride (Gms. NaCl/hr.) 47 Fasting urinary Vitamin C (Mg./hr.) 50 Vitamin C load test (Mg./4 hr.) 65 Fasting urinary Vitamin Bi ( i /hr.) 48 Vitamin Bi load test { i /4 hr.) 45 Fasting urinary Factor F2 ( i /hr.) 52 Nicotinamide load test { i /4 hr.) 46 Fasting urinary Vitamin B2 ( 1 /hr.) «4 6^ Vitamin Bjj load test ( ■( /4 hr.) 43 0 V Error mean square/mean Appendix D VII Inclosure #4g PER CENT PER CENT GROUP PER CENT PER CENT ’MICROGRAMS EXCRETED IN 4 HOURS 'aFTER TEST DOSE I l I i I i l i NO PREVIOUS LOAD TESTS (46 SUBJECTS) LOAD TESTS 5 AND 2 WEEKS PREVIOUSLY (50 SUBJECTS) MICROGRAMS (QUININE UNITS) EXCRETED IN 4 HOURS AFTER TEST DOS^ iti.iii.ii i MICROGRAMS EXCRETED InTa HOURS AFTER TEST i i I I ii ' MICROGRAMS EXCRETED'lN 4 HOURS AFTER I TEST ' DOSE I EFFECTS OF REPEATED LOAD TESTS 2} P Appendix D VII Inclosure #Lg FIG.I (172) APPENDIX E STATISTICAL METHODS AND TABLES OF DATA All measurement data (physical fitness and chemical) were treated by analysis of variance methods, and enumeration data (clinical) by chi-square methods. Changes within companies or any differences be- tween companies with respect to physical fitness, clinical, or biochemical findings have been designated in the text as changes or differences only when they were found to be statistically significant (P<.05). There were, of course, some differences of statistical significance which could not be considered of any real import- ance in this test. For example, company average fasting urinary thiamin excretion changed significantly from one test to another but such fluctuations are of no practical consequence since the level at all times was above the level thought to indicate a deficiency state. The following general procedure was followed in the analysis of variance of physical fitness and biochemical data. The total sum of squares of the data for any series of tests (e.g. AAF Test) was separated into 5 parts attributable to (1) differences among company means, (2) differences among test period means, (3) company by test period interaction, (4) differences among means for different men in the same company, and (5) men by test period interaction within companies. The latter statistic, when divided by its number of degrees of freedom, is an estimate of error appropriate for testing the significance of any apparent difference between any 2 or more means calculable from the particular body of data from which “error” was obtained. The least significant (P<.05) differences between means for biochemical tests have been presented in Appendix D, Section VII. The same is true of coefficients of variation. Corresponding dafa for physical fitness tests are presented in Tables 1 and 2. The detailed analysis of variance of Step Test scores is presented in Table 3 as an illustration of the analysis used on all physical fitness and biochemical data. The chi-square test of significance of differences among companies, among examinations of the same company on different days, and among relative changes of companies from one test to another was effected by (1) calculating the results to be expected if there were no differences, (2) determining deviations of actual results from expected, (3) dividing squared deviations by expected values, and (4) summing the quotients there- by obtained. The last value is chi-square, and its magnitude is a measure of the probability that differences of the magnitude observed would occur in samples from a homogeneous population. 1. METHODS TABLE 1 LEAST SIGNIFICANT (P<.05) DIFFERENCES IN PHYSICAL FITNESS TESTS Between companies on same test or between 2 tests on same company. Between 2 company gains (or losses) from 1 test to another. Step Test (score) 2.6 3.6 AAF Test (score) 1.3 1.8 AGF Test (score) 1.5 2.1 Sum of scores (3 tests) 3.4 4.8 Body Weight (lb.) 0.8 1.1 TABLE 2 COEFFICIENTS OF VARIATION {%) OF PHYSICAL FITNESS TESTS {\JError mean square/mean) Step Test 11.9 AAF Test 10.4 AGF Test 6.2 Sum of 3 Tests 5.9 Body Weight 1.8 Appendix E Inclosure #5 TABLE 3 ANALYSIS OF VARIANCE OF STEP TEST SCORES Source of Variation Degrees of Freedom Sum of Squares Mean Squares* Total 2,954 643,681 — Men Within Companies 585 346,831 595 Companies 5 16,695 3,339 Test Periods 4 77,516 19,379 Companies x Test Periods 20 6,597 330 Within Company Men x Test Periods (error) 2,340 96,042 84 “The significance of the various mean squares may be tested by comparing them with “error”. Each of these above are significant at the 1% level. 2. SUMMARY QUESTIONNAIRES were discussed in Appendix D, Section I. They were used to get additional information on acceptability, to test the memory of likes and dislikes, and to obtain suggestions and comments which summarized the soldier’s reactions to various rations. They were filled out in accordance with the schedule appended below. On the dates underlined a special form of questionnaire for the 10-in-l Ration was used. Company Ration First Second Third E K 7 Jul 11 Aug G C, Expt 8 Jul 22 Jul 8 Aug C, New 22 Jul 8 Aug 10-in-l 8 Aug K 8 Aug H 10-in-l 23 Jul 8 Aug 10 Aug X C.M.T. 7 Jul 23 Jul 10-in-l 21 Jul 9 Aug C, Expt 31 Jul K 4 Aug Y C, Expt 6 Jul 20 Jul 6 Aug 10-in-l 20 Jul 6 Aug 8 Aug K 6 Aug Tables 4-13 present the information obtained from summary questionnaires. TABLE 4 EXPERIMENTAL C RATION MEAT ITEM LISTED AS FIRST CHOICE WHEN ONLY ONE COULD BE CHOSEN (Y Company Summary Questionnaires) Item 6 July Number of Men0 20 July 8 Aug. Meat & beans 3 3 5 Meat & vegetable hash 2 1 0 Meat & vegetable stew 0 3 0 Meat & spaghetti 0 1 0 Chicken & vegetable 34 35 43 Beans & franks w/molasses 6 5 7 Pork & beans w/tomato 4 3 1 Pork & beans w/molasses 0 0 0 Beef & noodles 2 2 1 Ham & lima beans 27 22 29 “Questionnaires returned by 135, 133, and 135 men on the dates above. Appendix E Inclosure #5 TABLE 5 PREFERENCE RATINGS OF EXPERIMENTAL C RATION MEAT ITEMS (Reported in Y Company Siuamary Ouestionnaires) Meat Item Date 1st Preference (Number of Men*) Rating 2nd 3rd 9th 10th 11th 6 Jul 7 5 4 8 10 15 Meat & beans 2C " 5 3 5 19 8 9 6 Aug 5 3 3 21 13 10 HTjul 0 2 1 21 32 Meat & vegetable hash 20 " 0 1 2 18 30 52 6 Aug 0 1 3 18 34 48 6 Jul 2 1 3 28 43 21 Meat & vegetable stew 20 " 0 3 l 24 39 28 6 Aug 0 3 1 31 32 17 6 Jul 3 5 4 33 19 14 Meat & spaghetti 20 " 2 5 6 26 18 8 6 Aug 0 4 4 11 18 13 6 Jul 53 16 18 2 2 3 Chicken & vegetable 20 " 45 14 7 0 3 3 6 Aug 43 10 10 3 2 5 .... 6 Jul 36 41 23 2 0 0 Beans & franks w/tomato 20 " 51 34 22 0 3 1 6 Aug 49 .31. 20 2 1 1 6 Jul 4 24 36 3 3 0 Beans & franks w/molasses 20 « 6 36 36 3 0 2 6 Aug 7 37 40 2 1 0 6 Jul 0 8 13 16 7 3 Pork & beans w/tomato 20 " 23 11 15 5 4 24 6 Aug 1 12 27 7 1 2 6 Jul 0 0 5 5 12 14 Pork & beans w/molasses 20 » 2 12 8 15 8 7 ... . 6 Aug 0 3 8 5 5 3_ 6 Jul 2 4 7 7 5 13 Beef & noodles 20 " 2 1 6 15 14 17 6 Aug 1 3 7 16 18 15 6 Jul 28 29 21 10 3 6 Ham & lima beans 20 " 18 13 15 8 7 3 6 Aug 29 -24 J2_ 6 2 4 * Questionnaires were returned by 135, 133 and 135 men on the above dates * Appendix E Inclosure TABLE 6 PREFERENCE RATING OF EXPERIMENTAL C RATION BEVERAGES (Reported in Y Company Summary Questionnaires) Beverage Date 1st Preference ( Rat Hot 2nd 3rd Number of Men) ing Cold 1st 2nd 3rd 6 Jul 94 38 2 i 56 32 44 Cocoa 20 « 74 53 1 55 21 24 6 Aug 62 67 1 65 —36— 24 6 Jul 39 91 4 1 4 22 Coffee 20 " 53 70 5 3 1 3 6 Aug 67 63 0 12 14 26 6 Jul 1 5 98 0 0 1 Bouillon 20 " 2 5 119 36 4 11 6 Aug 1 0 129 0 0 2 6 Jul 63 60 8 Orange 20 " 32 61 31 6 Aug 49 ., ?6_ 22 6 Jul 12 42 57 Lemon 20 " 8 47 68 4 25 _5L_ TABLE 7 PREFERENCE RATING OF EXPERIMENTAL C RATION BISCUITS (Reported in Y Company Summary Questionnaires) Biscuit Date Preference (Number Rating Is t 2nd of Men) 3rd 6 Jul 89 23 23 Soda Cracker 20 " 76 16 41 6 Auk 91 23 ... 18 6 Jul 15 81 38 Neutral Biscuit 20 " 34 83 16 6 Aug 26 92 14 6 Jul 30 30 73 Whole Wheat Bis, 20 " 23 34 76 6 Auk ii_ 17 100 Appendix E Inclosure #5 TABLE 8 PREFERENCE RATING OF EXPERIMENTAL C RATION CANDIES (Reported in Y Company Summary Questionnaires) Preference (Niunber of Men) Candies Date Rating 1st 2nd 3rd 6 Jul 49 31 28 Caramels 20 " 54 28 27 6 Aug 50 36 27 6 Jul 37 32 29 Hard candy 20 " 29 27 38 ... 6 Aug - 30 33 24 6 Jul 26 33 28 Jelly beans 20 " 23 34 27 6 Aug 22 22 27 6 Jul 18 23 30 Candy coated peanuts 20 " 29 28 24 6 Aug 13 25 28 6 Jul 4 14 15 Candy coated raisins 20 " 5 8 15 6 Aug 5 22 TABLE 9 EXPERIMENTAL C RATION CEREAL ITEM LISTED A3 FIRST CHOICE (Reported in Y Company Summary Questionnaires) Cereal 6 Jul 20 Jul 8 Au£ General Mills 112 114 100 General Foods 22 18 25 TABLE 10 EXPERIMENTAL C RATION B UNIT LISTED AS FIRST CHOICE (Reported in Y Company Summary Questionnaires) B Unit 6 Jul 20 Jul 8 Aug D-l 14 16 B-2 i 0 1 B-3 110 106 103 B-4 2 2 3 B-5 2 3 2 B-6 __5 6 7 Appendix E Inclosure #5 TABLE 11 OPINION OF K RATION (Reported in G Company Summary Questionnaires#) Item Liked item 8 22 8 Jul Jul Aug Liked best 8 22 8 Jul Jul Aug Should remove from ration 8 22 8 Jul Jul Aug ill 8 Jul Caused effects* 22 8 Jul Aug Pork & egg yolk 105 76 88 72 52 38 2 5 3 4 2 2 Ham & eggs - 100 60 0 15 46 - - - - - -• American cheese 20 72 16 5 4 6 75 74 47 35 48 21 Am. cheese w/bacon 28 16 24 1 2 1 12 - 46 - - - Pork & beef 9 64 36 0 9 10 - 3 - - - - Corned pork loaf 98 68 76 30 12 11 15 11 13 3 2 2 Lemon juice 90 44 24 34 5 19 3 14 9 - - 1 Orange juice 121 120 108 49 26 28 - - 1 - — - Bouillon 65 48 8 6 3 2 16 67 29 3 6 3 Coffee 92 116 112 46 31 53 1 - 1 - - - Fruit bar 104 68 76 36 15 17 - 7 8 - 1 1 Caramels 120 116 112 33 16 31 2 - 1 - - - Sweet choc, bar 119 120 116 73 57 65 - - - - - - D Ration choc bar 76 116 72 15 11 13 8 7 9 1 - 1 K-1A 22 16 24 2 2 1 25 12 16 - - - K-2 14 20 28 1 0 - 35 13 26 - - - K-3 42 36 36 3 1 - 16 5 -9 - - - K-4 107 80 92 28 8 8 4 3 4 - - - K-5 20 32 40 1 1 1 25 8 13 - - - Camels (cigarettes) - - - 1 - - - - - - - - Gum - - - 1 - - - - - - - - Sugar - - - - - 1 - - - - - - Chelsea (cigarettes) - - - - - 1 - - - - - A Questionnaires \>ere returned by 126, 123 and 118 men on 8 July, 22 July and 8 August, respectively,, * 111 effects were constipation, nausea. Appendix E Inclosure #5 OPINION OF C. ui. T. RATION ITEMS TABLE 12 Item Good 6 July Fair Poor Good 22 July Fair Poor Sardines 24 53 58 17 55 55 Pork loaf 62 58 15 50 64 13 Beef 72 59 4 64 58 5 Cheese 79 45 11 73 43 11 Butter 118 15 2 118 8 1 Biscuits 25 76 34 27 52 •48 Sugar 102 23 10 105 17 5 Jam 134 0 1 125 2 0 Milk & sugar powder 20 62 53 19 63 45 Gandy 124 10 1 113 14 0 Chocolate bar 115 18 2 106 18 3 Tea 66 50 13 76 35 9 Coffee 44 59 29 62 44 14 Chocolate drink 96 29 9 99 24 3 Pea soup . 26 68 22 26 2L_ TABLE 13 PREFERENCE FOR 10-IN-l ITEM AND MENU (Reported in I Company Summary Questionnaires) First Choice Item 20 Jul 6 Aug Pork sausage meat 14 15 Breakfast meat Bacon 96 82 Ham & eggs 17 32 Chopped pork & egg yolk 6 2 Coffee 78 78 Beverage Cocoa 51 52 Lemon 1 0 Orange 0 2 Grape 2 2 Dehydrated meat & rice 6 Supper meat English style stew 13 13 Canned corned beef 41 33 Roast beef 70 31 Dehydrated corned beef hash 3 2 Menu #1 3 7 Menu number Menu #2 26 22 Menu #3 19 22 Menu #4 85 81 Menu #5 0 2 K-1A 12 13 Dinner biscuit K-2 12 16 K-3 46 22 K-4 21 71 K-5 38 12 Peanuts 46 31 Supper dessert Fruit bar 13 6 Hard candy 23 10 D Ration choc, bar 30 24 Tropical sweet choc, bar 19 60 Appendix E Enclosure #5 3. Acceptability Data from the daily Questionnaires are presented in Tables 14-27 in more detail than in Appendix D, Section I. TABLE 14 ACCEPTABILITY OF EXPERIMENTAL C RATION GROUPS BY COMPANIES* Item G G Company 4-10 Aug F P Total 21- G X Company -27 Jul 5-9 Aug F P Total Y Company 14 Jun - 5 Jul G F P Total Leats 79 16 5 2456 88 11 1 3732 65 29 6 7933 Cereals 91 9 1 850 94 6 1 1808 82 16 2 2504 Drinks 83 11 5 2344 91 8 2 5038 79 15 5 7973 Confections 97 2 1 4875 97 2 1 10187 94 6 1 13159 Crackers 91 8 1 3243 87 12 1 6650 69 25 6 10585 * Figures represent per cent. G - Good; F » Fair; P = Poor. TABLE 15 RELATIVE ACCEPTABILITY OF EXPERIMENTAL C RATION ITEMS DURING ALL PERIODS (G, X & Y Companies Item G F P Total Meats Meat & beans 68 26 5 1871 Meat & vegetable hash 55 31 14 1251 Meat & vegetable stew 64 30 6 1340 Meat & spaghetti 75 21 4 1600 Chicken & vegetables 86 13 1 2159 Beans & franks w/tomato 88 12 1 1126 leans & frankfurters 34 14 1 1058 Pork & beans w/tomato 79 19 2 980 Pork & beans 76 21 4 1087 Beef & noodles 70 25 6 1601 Ham & lima beans 81 16 2 2048 Cereals General Mills 90 9 1 2799 General Foods 86 13 1 2245 Drinks Coffee 79 17 4 5220 Cocoa 95 5 1 3206 Lemon juice 83 14 3 2853 Orange juice 94 6 1 3021 Bouillon 49 21 30 1055 Confections Sugar 97 3 1 8028 Jam 98 2 1 4943 Candy coated peanuts 94 5 1 2936 Candy coated raisins 93 6 1 2741 Caramels 96 3 1 4280 Jelly beans 96 4 1 2648 Hard candy 93 6 1 2645 Biscuits Cream center cookie 98 2 0 2095 Compressed choc, cookie 95 4 1 2034 Concentrated fruit cake 90 8 2 181 Plain biscuits Bl or B4 71 24 5 5538 Plain biscuits B2 or B5 71 26 3 5471 Plain biscuits B3 or B6 80 _1Z_ _2_ 3159 Figures in the "Total" column give number of times an item was rated. Per cent figures may not total 100 because each was calcu- lated to the nearest whole number. Appendix E Inclosure #5 •— Item G 14-19 Jun F FJ Total G 20-24 Jun Total n1 jr 25-29 F Jun P Total 30 G Jun F - 5 P Jul Total i.1 eats Meat & beans 47 46 7 296 43 42 16 229 48 43 9 139 44 48 8 191 Meat 6 vegetable hash 31 49 20 197 53 47 20 98 34 44 23 62 25 45 30 64 Meat & vegetable stew 41 49 10 191 38 43 19 103 45 49 6 63 29 52 19 79 Meat & spaghetti 61 31 9 232 50 40 10 16? 57 34 9 150 56 34 10 126 Chicken & vegetables 83 15 2 351 79 19 2 252 85 14 2 338 83 16 1 347 Beans & franks w/tomato 76 23 1 182 82 17 1 153 8 4 16 0 193 90 9 1 131 Beans & frankfurters 70 27 3 131 76 22 2 130 76 22 2 143 80 17 3 178 Pork & beans w/tooato 67 31 3 117 52 40 8 105 66 30 4 148 77 22 2 131 Pork & beans 59 32 10 135 54 36 10 125 63 36 1 89 63 32 5 135 Beef & noodles 56 40 4 238 52 36 12 178 54 37 9 138 55 32 13 161 Ham & lima beans 76 21 3 313 76 20 4 232 80 18 3 265 32 17 1 337 Cereals General Mills 74 21 5 334 80 IS 2 287 91 7 r* dC 323 90 10 1 443 General Foods Drinks 63 32 5 221 72 25 4 250 81 IS 1 251 86 13 1 345 Coffee 55 32 13 635 68 26 6 595 75 21 5 603 77 19 4 769 Cocoa 88 11 1 475 94 6 1 393 96 4 0 423 97 3 1 508 Lemon juice 74 20 6 412 77 18 5 349 83 15 3 325 88 10 2 384 Orange juice 88 11 2 430 90 10 1 381 93 7 1 376 94 6 1 471 Bouillon 37 20 43 179 23 25 53 39 37 29 34 79 45 27 28 97 Confections Sugar 94 6 1 735 95 4 1 725 97 3 1 7a6 96 4 1 1012 Jam 96 4 1 603 97 3 0 533 98 2 0 603 93 2 1 739 Candy coated peanuts 88 11 1 367 38 12 1 298 95 6 0 312 93 7 1 i36 Candy coated raisins 86 12 2 341 86 12 3 314 88 10 2 331 91 8 i 415 Caramels 91 8 1 499 94 5 1 456 96 4 1 479 95 4 1 609 Jelly beans' 88 11 1 344 96 4 0 289 94 6 1 28? 96 4 1 366 Hard candy 88 11 1 332 94 6 0 302 95 5 1 293 96 4 1 383 Biscuits Cream center cookies 95 5 1 239 97 3 0 207 100 1 0 230 100 1 0 324 Compressed choc, cake 87 10 4 215 91 8 1 180 95 5 1 221 98 2 0 280 Concentrated fruit cake 78 19 3 31 86 10 5 21 93 7 0 14 89 7 4 27 Plain biscuits Bl or B4 46 41 13 56 34 10 657 64 30 6 657 70 24 6 827 Plain biscuits B2 or B5 47 50 8 756 58 37 .6 675 64 32 5 671 68 23 4 815 Plain biscuits B3 or B6 _iL _22. ? 700 JS. 26 5 JlL 20 _L_ 673 81 15 780 TREND IN ACCEPTABILITY OF EXPERIMENTAL C RATION ITEMS (Y Company; TABLE 16 Appendix E Inclosure ITEM G F P Total Meats Chopped pork & egg 53 29 8 11133 yolk Ham & eggs 70 27 3 331*0 Processed Amer* cheese Sh 36 10 3798 Processed Amer* cheese w/bacon h6 143 11 7511 Processed Amerc & Swiss cheese 57 33 10 600 Beef & pork loaf 55 36 9 Uoio Corned pork loaf w/C & A flakes 514 36 10 9U55 Drinks Lemon juice 65 29 6 836U Orange juice 83 15 2 1*995 Bouillon h9 37 Ik 8595 Coffee 76 11*388 Confections Sugar 92 7 1 21*913 Jam 92 7 1 31*19 Gum 92 7 1 28760 Fruit bar 75 22 3 12925 Caramels 88 10 2 1U283 Sweet chocolate 88 11 1 11736 D Ration Bar 73 22 5 11*36. Biscuits K-lA " 514 36 10 8286 K-2 U5 37 18 5859 K-3 50 39 11 1*822 K-U 6$ 30 5 19336 K-5 _Jk 8 11961 ACCEPTABILITY OF K RATION ITEMS - ALL PERIODS (E, G, X & Y Companies) Appendix EL Inclosur© #5 TABLE 18 ITEM 21 G - 27 July F P Total 5 F - 9 Aug F P 1 o Total Meats kkh 89 281; Meat Sc beans 92 8 1 11 1 Meat Sc vegetable hash 76 20 3 3U9 71 2h 5 187 Meat Sc vegetable stew 81 18 1 382 78 20 2 252 Meat & spaghetti 93 7 1 U09 91 9 0 l68 Chicken Sc vegetables 9h 6 1 h 20 95 5 0 171 Beans Sc franks w/tomato 99 1 0 168 96 h 0 76 Beans & Frankfurters 98 2 0 2UU 95 5 0 102 Pork Sc beans w/tomato 97 3 0 176 9h 6 0 162 Pork Sc beans 91 8 1 186 92 8 0 250 Beef Sc noodles 89 11 1 313 78 18 3 32U Ham Sc lima beans 89 9 2 325 80 18 2 3U0 Cereals 95 General Mills 9U 5 1 579 5 0 392 General Foods 9U 6 1 U5U 93 7 0 350 Drinks 7U2 Coffee 85 13 2 ioUo 93 7 1 Cocoa 96 h 1 581 97 2 1 I; 00 Lemon juice 89 9 1 570 92 8 1 U06 Orange juice 98 2 0 555 97 3 6 Uo6 Bouillon 71 16 1U 258 66 28 _k_ 30 Confections 1375 Sugar 97 3 1 1811 93 2 i Jam 99 1 0 951 99 1 i 706 Candy coated peanuts 97 2 1 606 98 2 i Ut>9 Candy coated raisins 97 1 1 555 97 2 1 1*13 Caramels 99 1 0 8Ui 98 2 i 615 Jelly beans 99 1 0 59U 98 2 l 396 Hard candy 9h 6 1 519 96 _k_ i 333 Biscuits 261 Cream center cookie 98 2 0 U35 LOO 0 0 Compressed choco cookie 97 2 1 ust> 98 2 0 300 Cone, fruit cake 98 2 0 57 88 12 0 26 Plain B1 or BU 81 18 1 1113 35. 15 1 701 Plain B2 or B5 81 18 1 1016 83 17 1 717 Plain B3 or B6 88 12 1 900 98 1 1 668 DIFFERENCES IN ACCEPTABILITY OF EXPERIMENTAL C RATION ITEMS IN TWO PERIODS (X Company) TABLE 17 17 - 22 Jun 23 - 27 Jun 28 Jun - 2 Jul 3 - TjUI Item G F P Total G F P Total n ur F P Total j F p Total Meats Chopped pork & egg yolk 44 48 8 776 44 49 7 816 47 49 4 853 41 42 17 997 Ham & eggs 56 40 4 25 67 33 0 3 100 0 0 2 0 100 0 1 Proc. Amer. cheese 47 45 8 83 52 44 4 64 35 15 0 108 36 57 7 47 Proc. Amer. cheese w/bacon 52 40 8 608 40 50 10 625 36 55 9 614 30 57 13 729 Proc, Amer, & Swiss ch. 47 47 6 30 20 73 7 15 33 54 13 24 9 55 36 22 Beef & pork loaf 55 42 3 84 58 42 0 24 77 23 O' 13 5 1 94 75 Corned pork loaf w/c & A flakes 49 44 7 758 50 45 . ? 813 ?? 4? 2 830 41 44 15 906 Drinks Lemon juice 41 48 11 239 39 49 12 217 38 44 18 218 47 41 12 210 Orange juice 75 23 2 394 75 20 5 336 71 24 5 350 70 27 3 330 Bouillon 32 56 12 508 38 48 14 377 37 49 14 36u 42 49 9 397 Coffee 71 25 4 697 74 23 3 655 75 22 3 651 77 21 2 600 Confections Sugar B7 12 1 1251 86 12 2 1224 86 12 2 1189 87 11 2 1131 Jam 100 0 0 6 89 2 9 348 91 8 1 872 91 8 1 878 Gum 88 11 1 1562 88 11 1 15U 88 11 1 1541 89 10 1 166a Fruit bar 57 34 9 576 60 33 7 598 66 29 5 563 66 29 5 558 Caramels 78 19 3 808 77 18 5 728 76 20 4 681 80 16 4 571 Sweet choc, bar 78 19 3 492 75 24 1 525 79 20 1 536 78 20 2 2118 D Ration choc, bar 4? 42 9 98 56 28 16 50 45 5 22 58 42 0 12 Biscuits K-1A 43 47 10 . 120 40 45 15 207 42 43 15 229 47 39 14 220 K-2 29 36 35 108 34 56 10 70 36 42 22 171 50 38 12 201 K-3 27 68 5 19 36 46 18 61 42 45 13 117 59 37 4 126 K-4 57 38 5 1114 55 39 6 1047 52 42 6 969 58 39 3 1019 K-5 58 38 4 1033 55 38 7 151 53 37 10 704 59 34 7 6A3 ■ Item E Company 17 Jun-8 Jul; 23 Jul-3 Aug F P Total G Company 16 Jun - 7 Jul G F ? Total X Company 28 Jul - 4 Aug G F P Total Y Company 2 Jul - 8 Aug G F P Total oc i*eats Drinks Confections Biscuits 45 46 9 i$884 61 32 7 15815 84 14 2 46654 48 42 10 21313 58 33 9 11015 72 22 6 9711 91 8 1 22082 51 37 12 13147 48 40 12 3247 77 19 4 2790 93 6 1 8440 70 25 4 4030 o9 27 4 $701 76 17 7 7976 94 5 1 20296 78 18 4 11774 RELATIVE ACCEPTABILITY OF K RATION FOOD GROUPS (E, 5, X & Y Companies) TREND IN ACCEPTABILITY OF K RATION ITEMS (E Company.) TABLE 20 TABLE 19 Appendix E Inclosure #5 Item G 23 - F 27 P Jul Total 28 G Jul F - 1 Aug * P Total G 2 - F 6 Aug P Total G 7 - F 11 Aug P Total Meats Chopped pork & egg yolk 32 52 16 264 36 51 13 288 36 54 10 358 42 49 9 243 Ham & eggs 67 29 4 426 70 27 3 372 70 28 2 281 70 28 2 369 Proc. Amer. cheese 30 57 13 320 30 59 11 303 45 42 13 317 48 35 17 386 Proc. Amer. cheese w/bacon 24 57 19 202 27 50 23 184 30 49 21 156 37 31 32 74 Proc. Amer. & Swiss ch. 27 46 27 15 25 63 12 8 50 25 25 12 75 14 11 36 Beef & pork loaf 44 48 8 428 45 46 9 371 42 50 8 252 47 47 6 293 Corned pork loaf w/C & A flakes _2L 52 11 221 37 50 13 250 38 51 11 301 46 45 9 206 Drinks Lemon juice 67 28 5 693 58 37 5 633 57 37 6 642 53 41 6 750 Orange juice 84 13 3 169 81 18 1 . 171 85 15 0 194 30 16 4 168 Bouillon 52 30 18 556 46 44 10 534 48 44 8 576 40 41 19 545 Coffee 65 28 7 822 72 26 2 858 74 25 1 922 57 29 14 1009 Confections Sugar 94 5 1 1318 * 91 9 0 1552 90 10 0 1734 35 12 3 1916 Gum 91 8 1 1849 90 9 1 2233 89 10 I 2480 88 11 1 2763 Fruit bar 69 26 5 745 64 33 3 742 66 33 i 799 65 31 4 951 Caramels 90 9 1 809 86 13 1 833 83 16 1 870 81 18 1 979 Sweet choc, bar 85 14 1 722 84 15 1 777 84 15 1 8 67 82 17 1 954 D Ration choc, bar 78 19 3 90 59 36 5 101 71 21 8 68 58 38 4 73 Biscuits K-1A 34 46 20 528 47 38 15 482 46 43 11 551 38 44 13 596 K-2 38 44 18 658 46 42 12 435 45 41 14 503 44 39 17 598 K-3 35 46 19 471 46 43 11 395 51 41 8 460 45 45 10 554 K-4 45 41 14 826 49 43 8 941 49 46 5 1020 50 42 8 1188 K-5 37 45 18 411 40 52 8 566 40 9 604 38 ?2 10 69,7.. TREND IN ACCEPTABILITY OF K RATION ITEMS (E Company) TABLE 21 Appendix E Inclosure #5 (184) ■“— Item G 20 - F 24 P Jul Total G 25 - F 29 P Jul Total 30 G Jul F - 3 Aug P Total G 4 - F 8 Aug P Total Leats Chopped pork & egg yolk 58 39 3 449 70 29 1 333 74 25 1 535 75 23 2 350 Ham & eggs 60 37 3 240 74 24 2 329 82 17 1 320 86 14 0 498 Proc. Arner, cheese 68 28 4 287 73 21 6 346 75 24 1 338 64 31 5 421 Proc, Amer. cheese w/bacon 12 25 3 317 78 20 *2 268 73 23 4 404 71 26 3 307 Proc. Araer0 & Swiss ch. 77 23 0 50 81 19 0 43 81 19 0 47 77 23 6 44 Beef & pork loaf 60 34 6 324 63 30 7 395 68 27 5 375 69 28 3 539 Corned pork loaf w/c & A flakes 61 29 10 340 62 29 9 268 £3 33 14 327 56 32 12 207 Drinks Lemon juice 57 32 11 465 63 28 9 333 72 25 3 258 75 19 6 143 Orange juice 88 10 2 185 88 11 1 325 92 7 1 552 90 9 1 610 Bouillon 43 30 27 520 50 31 19 606 50 30 20 487 52 30 18 434 Coffee 85 12 3 6?2 91 8 1 682 98 6 1 889 93 6 1 855 Confections Sugar 96 4 0 1123 97 2 1 1237 98 2 1 1465 98 2 0 1472 Jam 100 0 0 23 87 13 0 15 100 0 0 3 100 0 0 12 Gum 96 3 1 1487 96 3 1 1705 97 2 1 1697 96 4 0 1681 Fruit bar 72 23 5 665 81 15 4 672 86 11 3 569 87 10 3 674 Caramels 95 4 1 644 96 3 1 636 96 3 1 1097 95 4 1 935 Sweet choc, bar 94 5 1 480 96 3 1 524 97 3 0 519 95 4 1 588 D Ration choc, bar su 13 3 191 81 17 2 130 88 6 6 31 94 6 0 16 Biscuits K-1A 70 26 4 391 78 22 0 110 67 26 7 949 68 24 8 1499 K-2 60 24 16 62 73 23 4 60 69 21 10 244 71 21 8 348 K-3 81 12 7 85 70 30 0 57 72 23 5 168 81 15 4 237 K-4 83 15 2 1316 36 13 1 15 88 83 15 2 980 79 18 3 397 I K-5 82 16 2 1105 84 14 2 1379 83 15 2 697 78 21 1 102 i TREND IN ACCEPTABILITY OF K RATION ITEMS (Y Company) TABLE 22 Appendix E Inclosurt ' T6“ 21 Jun 22 - 26 Jun 27 - 31 Jun 1 - 6 j nl Total Item G F P Total G F P Total G F P Total G F p Heats Chopped pork & egg yolk 57 36 7 88? 62 33 5 937 69 28 3 1042 56 30 L n 14 A 1201 £ Ham & eggs Proc. Amer0 cheese 67 20 13 30 0 100 0 3 — — •• 33 67 0 O 49 37 14 132 58 29 13 62 60 34 6 50 35 22 43 37 Proc. Amer. cheese w/bacon Proc. Amer. & Swiss ch. 55 38 7 625 a 48 11 546 45 43 12 609 36 49 15 824 61 29 10 38 30 56 14 27 26 63 11 27 29 42 29 38 Beef & pork loaf 63 30 7 136 67 32 1 66 77 17 6 53 80 18 2 45 Corhed pork loaf w/G & A flakes 68 27 5 747 6? 25 6 863 69 25 6 911 54 29 17 1073 Drinks Lemon juice Orange juice Bouillon 74 30 24 20 2 0 709 174 79 86 20 14 1 0 696 1C3 80 90 17 10 3 0 697 136 76 76 21 24 3 0 937 123 56 29 15 527 63 29 8 512 66 27 7 537 51 33 16 629 Coffee 70 25 5 311 30 17 *L- 906 33 1 * 2_ 1C21 65 20 _15_ 1143 Confections Sugar Gum WVni'h bar 93 6 1 979 96 4 0 1350 97 3 0 1712 94 4 2 2071 92 7 1 779 96 4 0 1140 96 3 1 1346 97 3 0 1503 80 18 2 779 82 17 1 890 84 15 1 1013 82 17 1 1186 Caramels 93 6 1 707 91 8 1 763 92 *7 ♦ 1 840 90 10 0 1080 Sweet choc, bar 88 10 2 689 93 7 0 774 95 5 0 918 93 6 1 1048 D Ration choc, bar 69 19 12 89 70 23 7 158 S3 13 4 104 76 21 3 131 Biscuits K-1A K-2 K-3 K-4 K-5 32 46 22 256 39 44 17 393 44 46 10 556 43 45 12 664 29 40 31 545 35 43 22 452 43 39 18 506 39 37 24 614 38 48 14 357 46 42 12 375 55 38 7 390 43 43 9 487 59 34 7 1011 68 29 3 1152 73 25 2 1406 71 26 3 1672 33 45 22 522 34 46 20 506 43 3 553 33 47 20 730 TREND IN ACCEPTABILITY OF K RATION ITEMS (G Company) TABLE 23 Appendix E Inclosure #5 Appendix E Inclosure #5 ■THEM) IK ACCS1 CF K IUTICE ITJ1S (X Company) TABLE 24 ITj3J G 28 July F - 31 duly P Total G 1 - F 4 August P Total Heats Chopped pork & egg yolk 35 49 16 376 50 41 9 kZh Ham & eggs 46 45 9 254 55 39 6 181 Processed Amer, cheese 52 37 11 288 53 37 10 209 Processed Amer. cheese w/bacon 47 45 8 192 56 36 a u 229 Processed Amer. & Swiss 40 43 17 37 74 19 7 87 cheese > Beef & porl loaf 46 39 13 326 55 38 7 211 corned pork loaf 37 44 19 195 47 36 17 234 w/C & A flakes Drinks Lemon juice 74 23 3 336 72 26 2 186 Orange juice 90 9 1 4H 68 11 1 231 Bouillon 44 356 21 193 62 29 9 243 Coffee 76 16 4 642 81 IS 1 543 Confections Sugar 92 7 1 1194 93 7 0 992 Jam 93 4 1 624 95 5 0 546 Gum 96 4 0 1056 96 4 0 933 Fruit bar 65 12 3 531 66 11 1 414 Caramels 95 4 1 727 93 6 1 575 Sweet chocolate bar 93 6 1 436 94 5 1 320 D Ration chocolate bar 63 11 6 46 86 12 0 42 Biscuits *- K-1A 57 33 10 150 66 11 1 365 K-2 53 31 16 207 74 20 6 277 K-3 54 36 10 206 70 23 7 257 K-4 70 26 4 960 70 26 2 730 k-5 71 25 4 426 74 21 5 430 TABU 25 R3LATIV3 ACCEPTABILITY COLD VS. HOT K RATION ITELS G« ■£.& Y Companies) Era* G F HOT P Total G F GOLD F Total Keats Chopped pork & egg yolk 44 37 19 2776 56 40 4 8357 Han & eggs 61 33 6 594 72 26 2 2746 Processed Amsr0 cheese 54 36 10 3290 56 41 3 508 Froos cheese w/bacon 45 43 12 6306 52 43 5 1205 I:roc* Amer, & Swiss cheese 52 37 11 465 76 19 5 115 Beef & pork loaf 53 37 10 991 56 36 6 3019 Worried pork loaf w/G & A flakes 47 35 IS 3010 57 37 6 6445 Brinks Lemon juice 65 30 5 6167 79 19 2 197 Orange juice 84 1$ 1 4895 78 19’ 3 100 Bouillon 36 32 32 1689 52 38 10 6906 ■ Coffee 50 28 22 1711 80 18 2 12627 : TABLE 26 RELATIVE ACCEPTABILITY BY MEALS OF K RATION ITEMS (E, G, X & Y Companies) Breakfast Dinner Supper Item G F P Total G F P Total G F p Total Meats Chopped pork & egg yolk 53 39 • 8 9355 51 42 7 718 59 35 6 1060 Ham & eggs 70 28 2 2762 64 28 8 246 74 23 3 332 Proc0 Araer0 cheese 72 23 5 175 53 37 10 3207 59 37 4 416 ProCo Amer. cheese w/bacon 59 35 6 152 46 43 11 6519 46 44 10 840 Proc. Amer. & Swiss cheese 77 19 4 26 52 37 11 441 68 23 9 133 Beef & pork loaf 64 28 8 112 45 35 20 531 57 37 6 3367 Corned pork loaf w/C & A flakes 65 28 7 277 55 5? 8 1160 54 56 10 8018 Prinks Lemon juice 76 20 4 127 65 30 5 7216 67 30 3 1021 Orange juice 86 14 0 84 83 15 2 4183 84 14 2 728 Bouillon 77 13 10 273 47 42 11 675 48 37 15 7647 Coffee 76 20 4 12069 67 26 7 587 82 15 _2_ 1682 Confections Jam 92 6 2 1734 90 9 1 797 93 6 1 888 Gum 94 5 1 10045 92 7 1 9636 91 8 1 9079 Fruit bar 75 22 3 10842 76 22 2 1039 74 23 3 1044 Caramels 90 8 2 982 89 10 1 11263 85 14 1 2038 Sweet choc, bar 94 5 1 428 85 14 1 1407 88 11 1 9901 D Ration choc, bar 75 23 2 52 67 27 6 177 75 22 5 1207.... Biscuits K-1A 53 34 13 3087 63 30 7 1698 49 40 11 3501 K-2 42 39 19 3262 52 34 14 773 50 33 17 1824 K-3 51 38 11 1883 50 36 14 839 50 42 8 2110 K-4 65 31 4 7824 67 29 4 4007 64 31 5 7505 K-5 75 21 4 2086 42_ 40 11 6672 64 ■JO 6 3203 In some instances wnere an item is rated much higher at one meal than at another (c,p0 American cheese at breakfast and dinner) relatively few ratings account for the higher score. Study of the original data shows that these ratings came from a few subjects who liked cheese and ate it for breakfast. Those who did not like cheese well did not eat it for breakfast. Appendix E Inclosure #5 TABLE 2? TREND IN ACCEPTABILITY OF 10-IN-l ITEMS (G, X & Y Companies) ITEMS Periods (days) 1-5 6-10 11-14 — Meats fork sausage 2.78 2.81 2.70 Bacon 2.94 2.89 2.89 Ham & eggs 2.84 2.74 2.75 Pork & egg yolk 2.76 2.76 — Egg & meat (K) 2.62 2.63 2.49 Cheese (K) 2.56 2.49 2.39 Meat product (K) 2.39 2.39 2.36 Meat & rice 2.75 2.70 2.69 Stew, English 2.72 2.66 2.67 Corned beef 2.86 2.83 2.79 Roast beef 2.91 2.87 2.03 Corned beef hash 2,68 2.67 — Vegetables Tomatoes 2.93 2.90 2.90 Snap beans 2.89 2.87 2.87 Peas 2.91 2.90 2.87 Com 2.94 2.93 2.91 Lima beans 2oB5 2.84 - Drinks Coffee, soluble 2.92 2.92 2.91 Lemon powder 2.73 2.72 2.64 Orange powder 2.73 2.67 2.61 Cocoa 2.87 2.83 2.90 Confections Peanuts 2o91 2.90 2.88 Fruit bar 2.77 2.76 2.74 Hard candy 2.89 2.87 2.85 Chocolate bar 2.85 2.83 - Caramels 2.87 2.85 2.84 Sweet chocolate 2o82 2.80 2.77 Biscuits C 2.56 2.53 2.52 Whole Vibe at 2.52 2.38 2.44 K-1A 2.42 2.35 2.39 K-2 2.18 2.26 2.26 K-3 2.34 2.34 2.36 K-4 2.64 2.60 2,56 K-5 . .... 2.60 2.61 2.54 Cereal 2.75 2.81 2.80 Evaporated milk 2.95 2.95 2.95 Jam 2.96 2.96 2.96 Army spread 2.81 2.83 2.84 Appendix E Inclosure #5 TABLE 28 COMPARISON OF ISSUE, CONSUMPTION AND WASTE EXPERIMENTAL C RATION MEAT COMPONENTS (Y Company, 1 1/3 Rations, 14 Jun - 5 Jul 1944) Item. Cans Issued Unaccounted for Per cent Total Kill can Waste waste Plate waste Meat & beans 1400 3o4 40.9 37o9 3-0 Meat & vegetable hash 1400 3o3 71.6 68.6 3-0 Meat & vegetable stew 1400 9o9 62.6 60.7 1.9 Meat & spaghetti 1396 7-3 46.1 42.4 3o9 Chicken & vegetables 1396 6,3 5.2 3-1 2d Beans & frankfurters 1396 5-2 5.4 2.7 2.7 Pork & beans 1300 2.6 18.6 15,8 2.8 Beef & noodles 1300 5-7 42.8 37,8 5-0 Ham & lima beans 1300 6.5 10o5 5-5 5 *0 TABLE 29 TIME SPENT IN PREPARING AND EATING RATIONS Min/Man/Meal Average All Meals Breakfast Company Expto C New C K 10-in-l C.M.T. E 22 G 29 30 27 26 H 28 X 33 27 27 32 Y 25 23 . ___2_5_ All Cos 28 30 .. 24 27 32 Company Expt. C0 New C K 10-in-l C.M.T. E 21 G 29 30 26 27 H 32 X 31 26 29 28 I 24 22 27 All Cos 27 . JSP— M. 28 Company Expta C New C K 10-in-1 CoMoTo E 21 G 27 28 24 23* H 18 X 29 23 19 30 Y _ 24 21 18 All Cos 26 28 22 19 30 Dinner Company Expt. C, New C K 10-in-l C.M.To £ 25 G 31 32 30 29 H 34 X 38 32 32 37 Y 27 26 30 All Cos 2i 32 ZL 2i_ 37 Supper * This meal in the 10-in-l Ration is tantamount to a K Ration dinner. Appendix E Inclosure #5 E Company No. Aver. Date Men Wt. F Company No. AVer. Date Men Wt, G Date Company No. Aver. Men Wt. H Company Mo. Aver. Date Men Wt. X Company No. Aver. Date Men Wt. Y Company No. Aver. Date Men Wt. Jun Jun Jun Jun Jun Jun 13 130 153.3 15 129 153.8 12 139 153.1 14 141 152.1 11 145 152.8 10 146 151.6 16 130 156.1 18 129 153.5 15 139 153.1 17 141 152.5 14 142 153.5 13 146 151.3 23 125 150.3 25 127 153.2 22 133 151.9 24 138 I5I.3 21 136 149.5 20 144 150.6 28 123 150.4 28 123 152.8 25 131 151.8 27 138 150.1 26 136 148.5 23 140 150.9 Jul Jul 29 129 149.3 30 138 150.2 30 135 148.5 26 137 150.3 2 123 149.7 3 122 152.6 Jul Jul Jul 29 137 149.0 5 119 148.6 7 122 152.8 3 126 149.9 4 140 150.0 3 135 148.3 Jul 8 117 U 8.5 10 122 152.2 7 126 150.0 9 140 149.2 6 132 148.1 5 I36 149.1 12 115 150.4 13 122 152.1 10 125 150.9 11 140 146.7 10 132 148.5 10 135 147.9 16 115 150.9 17 122 151.1 14 125 150.1 14 138 147.1 14 131 148.2 14 135 148.2 19 115 151.9 21 122 152.0 18 123 150.5 18 138 145.9 17 130 149.8 17 135 149.0 22 115 151.5 24 121 152.9 21 123 150.4 23 137 .148.1 20 130 149.4 19 135 149.0 27 114 149.9 31 119 152.8 24 121 150.6 26 136 147.6 25 130 149.7 24 134 146.8 30 114 148.9 Aug 28 122 149.9 28 136 147.9 31 130 148.6 27 134 145.1 Aug 4 114 152.8 Aug Aug Aug 30 134 U6.9 2 114 148.1 7 114 152.4 1 121 149.0 1 136 146.4 3 130 148.2 Aug 5 114 147.9 11 113 152.0 4 119 148.6 3 134 146.3 7 130 147.8 2 134 147.2 9 109 146 6 14 113 151.3 8 118 146.6 6 128 147.2 10 130 148.6 6 134 145.9 12 109 146. a 11 _Ui_ 146.9 10 128 145.4 9 133 U6.3 TABLE 30 AVERAGE COMPANY WEIGHTS Appendix S Inclosure #5 APPENDIX F PHOTOGRAPHS 1. TABLE OF CONTENTS a. Typical Bivouac Area b. U. S. Army Ration C, Experimental c. U. S. Army Ration K d. U. S. Army Ration 10-in-l e. Canadian Army Mess Tin Ration f. Central Ration Dump, Topside Headquarters g. Filling in Questionnaires h. Field Issue of Ration and Questionnaires i. Field Messing in Bivouac j. Field Messing in Fox Hole k. Road March l. Range Firing m. Digging Foxholes n. Step Test o. Sit-ups, AAF Test p. Shuttle-Run, AAF Test q. Zig-Zag, AGF Test r. Zig-Zag, ACF Test s. Chemical Laboratory t. Clinical Examination' 2. DESCRIPTION OF PHOTOGRAPHS a. Typical Bivouac Area—The typical bivouac area was chosen because of its suitability for camping purposes. Drainage, natural protection against wind and rain were factors that entered into the selection. Al- though none of the camp sites was in a smooth and cleared area, all were situated in ideal locations for the tests. Snow-capped mountains of the Continental Divide stood out in the background. b. U. S. Army Ration C, New—This picture shows a case of Ration C, new, which contains 8 rations and is packed so that a row of 6 cans contains the food for one man for one day. In the foreground are opened sample cans, 2 meat units and 1 biscuit unit. Also shown are the accessory packet which goes with the ra- tion-toilet paper, matches, cigarettes, halazone tablets and other articles. c. U. S. Army Ration K — The packing case holds 12 rations (36 meals). A sample of the unopened breakfast, dinner, and supper meals can be seen on top of the packing case. Also there is a dinner unit which has been removed from its center camouflage wrapping, exposing the wax-dipped inner carton. The com- ponents of the noon meal package can be seen in the foreground. d. U. S. Army Ration, 10-in-l A 10-in-l Ration in its outer shipping case has been used as a base upon which to exhibit the contents of a similar case. In the background are 2 of the 4 inner cartons which are packed together in the outer shipping case. In the foreground can be seen the contents of 2 such cartons. The one labeled ‘First Half of the Five Rations’ contains the food items packed in paperboard. The carton labeled Second Half of Five Rations’ contains all the canned items. Two of each of these inner cartons packed into the outer case was designed to supply 10 men with a day’s food. e. Canadian Army Mess Tin Ration—Showing: The packing case for 24 rations. 2. On top of the case, the cartoon for 1 ration with its component food items exhibited. f. Central Ration Dump, Topside Headquarters—Looking down this ration dump, one can see 3 stacks of 10-in-l cases segregated by menus. Further away are the Canadian Mess Tin Rations in the heavy cubical packing cases. In the extreme background K Ration cases can be seen. g. Filling in Questionnaires-The sergeant devotes his attention to filling in the form questionnaire concerning his likes, dislikes and quantities of the rations he has just finished eating. Questionnaires were Appendix F Inclosure *6 made as simple as possible to facilitate clear answers, and space was left for the test subjects particular com- ment. (There were many.) h. Field Issue of Rations and Questionnaire—This group of test subjects on Army Field Ration C draw their next day’s meals. They are receiving at the same time their issue of cigarettes. (20 cigarettes per man per day) and the questionnaires to be filled in after they have eaten the ration. The man in the foreground establishes another use for the steel helmet. i. Field Messing in Bivouac—This chow call entails no standing in line—it means opening a can, and getting to work. The food being consumed with obvious appetite and pleasure is the Experimental C Ration. j. Field Messing in Foxhole—This corporal finds living in a small-sized grave no hindrance to eat- ing. His menu for the day is spread on the ground, and he gets to work on the supper unit of a K Ration. Making the best of life* this test subject happily thinks: “at least there’s no mess gear to wash!!” k. Road March—This is one of the easier road marches, routed over a highway, with the reservoir at one side. Packs and rifles are carried, and a steady pace is maintained. The water at the left looks cool and inviting, which was no consolation to the hikers since swimming was forbidden. l. Range Firing—Each company had its own firing range, and although they were as much alike as possible, natural differences in terrain made it impossible to standardize ranges. As this line is firing, another platoon in the rear is preparing to fire. Range firing was held in the morning and afternoon, before and after marches. m. Digging Foxholes—Foxhole periods played an important part in the training schedule. The troops dug their foxholes, then spent 24 hours in them, rain or shine. In the case of C, K, and CMT Rations, meals were eaten in the foxholes. For B and 10-in-l Ration, the men withdrew from the foxholes, a platoon at a time, for messing. n. Step Test—This picture shows the various processes of the Step Test in operation. In the fore- ground the test subject has begun his 5 minutes of stepping, paying strict attention to the swinging pendulum. The officer observer has started this subject as he begins the pulse count on the man exactly 60 seconds after he finished. Behind, the next man is preparing for his turn at the box. The enlisted observer, seated at the table, is keeping the fitness score sheets in order, and recording data on each test subject. o. Sit-ups, AAF Test—Three test subjects are in the process of doing their sit-ups, under the watch- ful eye of a test observer. If the ground had been damp or dusty, shelter halves or blankets would have been spread on the ground. As many as 8 men can be run at a time, if the necessity arises. The men in the background are waiting their turns at the sit-ups, all confident that they can do at least 10 more than these soldiers. p. Shuttle Run, AAF Test—This man is nearing the turn on the AAF shuttle run. The officer ob- server with the stop watch checks his time as he completes the run. In the background a 2nd subject, who started his run 10 seconds after the first man began, is coming down the stretch. When the subject has com- pleted the run, the officer will tell him his time, and he will then report it to an enlisted observer, who will enter the time on the fitness score sheet. Note the sandy track. q. Zig-Zag, AGF Test—“AW this for 50 bucks a month!” this test subject is no doubt thinking as he starts crawling on his belly in the zig-zag course. The ground was dusty and dry, which added to the dis- comfort, but most of the test subjects were able to complete the course in less than the 30-seconds required for a perfect score. r. Zig-Zag, AGF Test—The final stage of the zig-zag test, the jumps. The test subjects were required to leap from one island to the next, keeping both feet together. This man is having no trouble, and even ap- pears to be enjoying himself. s. Chemical Laboratory—This photograph shows the interior of the chemical laboratory, established in a hospital ward tent. The portable equipment for analyzing specimens was set up here where the chemical staff did all the determinations and calculations, t. Clinical Examination—The Examiners Group begins work on the physical examination of the test subjects. Outside the tent, the skin, mouth and neurological examinations are done by 3 examiners in the sun- light. Inside the tent the eyes are examined. Appendix F Inclosure #6 Project No. 30 June-August 1944 TYPICAL BIVOUAC AREA ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. * 1 (A) B) IZ RATIC3NS VS/T 45 C LI. 1.3 (C) MENU #1 FIRST HALF OF 5 RATIONS FOR S COMPLETE RATIONS WSE THIS BOX AND ONE MARKED “SECOND HALF Of 5 RATIONS" uruntti menu I tONT. W11009 QM 696 ration 10 - ", ' ' ;■ WT 45 CU1.4 (D) CONTENTS 24 CANADIAN ARMV RATIONS (E) (F) (G) Project No. 30 June-August 1944 FIELD ISSUE OF RATION AND QUESTIONNAIRE ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. # g (H) Project No. 30 June-August 1944 FIELD MESSING IN BIVOUAC ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. # 9 (I) Project No. 30 June-August 1944 FIELD MESSING IN FOXHOLE ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. # 10 (J) (K) (L) Project No. 30 June-August 1944 DIGGING FOXHOLES ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. # 13 (Ml Project No. 30 i . » .... 1 June-August 1944 20 INCH STEP TEST ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. # 14 (N) Project No. 30 June-August 1944 SIT-UPS, AAF TEST ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. # 15 (O) (P) Project No. 30 June-August 1944 ZIG-ZAG, AGF TEST ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. # 17 (Q) Project No. 30 June-August 1944 ZIG-ZAG, AGF TEST ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. # 18 (R) Project No. 30 June-August 1944 CHEMICAL LABORATORY ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. # (S) June-August 1944 # 20 CLINICAL EXAMINATION ARMORED MEDICAL RESEARCH LABORATORY FORT KNOX, KY. Project No. 30 APPENDIX G FORMS AND QUESTIONNAIRES 1. INTRODUCTION Before the beginning of the ration study it was recognized that the amount of collected data would be massive. Therefore the questionnaires were integrated with a machine records card filing system. The data were readily the questionnaires to the cards by the Machine Records Division, 7th Serv- ice Command Headquarters, Omaha, Nebraska. The numbers in the columns and horizontal lines were to aid in punching the cards. The Ration Acceptability questionnaires were originally designed for one ration per man per day. When more than one ration was issued, one questionnaire was filled out after each meal in order to facilitate punching the cards. The number of machine records for the entire test ran well over 100,000, For each ration studied a questionnaire was designed and a general questionnaire used to record the pertinent facts of a historical nature on each subject. Special forms were used to collect the data from the bio- chemical tests, the clinical examinations and fitness tests. In addition to the forms and questionnaires described above, it was necessary to make up a few ad- ditional questionnaires after the trials had started and as soon as their desirability became evident. That had been anticipated and a mimeograph machine was brought to Topside so the additional forms could be made in the field by the Tabulating Section. Several of the actual forms are submitted. The first eight, numbered MR #1 through MR #8 were the machine recorded forms. The others were compiled and tabulated in the field and at Fort Knox, Kentucky. A total of 35 different mimeographed forms were used. 2. LIST OF FORMS. a. Master Form—In practice the men in a platoon were numbered 1 thru 40 rather than by squads as indicated in paragraph 4 in order to have the numbers related to the weight. b. Physical Examination Form c. Physical Fitness Score Sheet—Line 20 was not filled in because it gave no useful additional in- formation. d. Experimental C Ration Questionnaire e. New C Ration Questionnaire f. K Ration Questionnaire g. Canadian Army Mess Tin Ration Questionnaire h. 10-in-1 Ration Questionnaire—Data on quantity were not obtained individually on this ration. i. Biochemical Data Sheet j. New C Ration Summary Questionnaire k. K Ration Summary Questionnaire l. Suplemented B Ration Questionnaire—Two forms were printed to a page to conserve paper. They were issued singly. m. Data Sheet for calculating calorie consumption on Supplemented B Ration. The form inclosed is in error in columns K & L. “A. P.” should be substituted for “E. P.” The entry in column K is “J x C” rather than “J x K’. F C Appendix G Inclosure #7 12 3 4 Test Subject Number MR #1 !h a - o >h cS C _ D CL o x> e* o 3 cs a c +2 o s 5 o JS S ct1 U S Ow Z MASTER FORM Please Print (Col. 5) Serial No Name Age 6-13 Last 14-34 First Initial 35-36 State of Origin (abb.) Time in Army (mo.) 37-39 40-42 Time on Present Duty (mo.) Combat Experience: Yes No 43-44 45 • 46 Rank or Grade* COS MOS AGCT No. Yrs. School 47-48 49-51 52-54 55-57 58-59 Have you ever lived on C Ration? K Ration? 10-in-l Ration? (Check if answer is yes) 60 61 62 NOTES One to be filled in for every test subject. MASTER FORM GUIDE 1. The numbers below each space to be filled in are to be disregarded by the observers. They are for the guidance of the Machine Records Unit only. 2. This is the only Machine Record Form which will have full name and grade. Others have enough for iden- tification only. 3. All dope on line 4 (COS, MOS, AGCT, & Yrs. School) get from Form 20, Bn. Hq. On AGCT, use actual score rather than Group (I, II, III etc.) into which the score falls. 4. Use letters E, F, G, H, X and Y for Company designation. Platoons are numbered 1 through 4; squads or groups are numbered 1 through 4. The individual numbers run 0 through 9. The test subject number is per- manent throughout the test. • Code of Bank or Grade as follows: Buck Pvt. I Pfc 2 T/5 3 Corporal 4 T/4 5 Sgt. 6 T/3 7 Staff Sgt. 8 Tech. Sgt. 9 1st Sgt. 10 Master Sgt. 11 W.O. 12 2nd Lt. 13 1st Lt. 14 Captain 15 Major 16 Lt. Col. 17 Colonel 18 Brig. Gen. 19 Maj. Gen. 20 Lt. Gen. 21 General 22 (236) PHYSICAL EXAMINATION (Col. 5) MR #2 MR #2 Da. Mo. : Test Subject’s Number Date (Col. 1-4) (Col. 6-8) : ASN : Name : Weight Last First Initial (Col. 9-11) Eyes: (Col. 12) No abnormalities (13) Dryness (14) Gross changes in opacity sclera (1) slight; (2) moderate; (3) severe (15) Gross changes in opacity cornea (16) Vascularization (slit lamp) grade 2 or more (17) If positive, there is evidence of old corneal injury (18) Gross conjunctivitis (1) slight; (2) moderate; (3) severe (19) Night blindness (20) Night blindness not tested (21) Pterygia (22) Pingeculae (23) Not examined Skin: (Col. 24) No abnormality (25) Follicular hyperkeratosis (1) slight; (2) moderate; (3) severe (26) Acneiform eruption (1) slight; (2) moderate; (3) severe (27) Dermatitis of Riboflavin Deficiency (28) Petechial Hemorrhages (29) Purpura (30) Pellagrous Dermatitis (1) acute; (2) chronic; (3) slight; (4) moderate; (5) severe (31) Not examined Lips and Mouth: (Col. 32) No abnormality (33) Angular fissure in absence of false teeth (34) Cheilosis (35) Red glossitis of pellagra (1) slight; (2) moderate; (3) severe (36) Pellagrous stomatitis (1) slight; (2) moderate; (3) severe (37) Gingivitis of pellagra (38) Active acute inflammation of dental margin with or without swelling of interdental papilae with or without bleeding, spontaneous or on slight trauma. (39) Oral hygiene good (40) Oral hygiene fair (41) Oral hygiene poor (42) Not examined Neuro-muscular: (Col. 43) No abnormality (44) Muscular weakness (45) Knee jerks absent (1) rt.; (2) It.; (3) both (46) Ankle jerks absent (1) rt.; (2) It.; (3) both (47) Tenderness of belly of calf muscle (48) Nerve tenderness (49) Vibratory sense lost on malleoli (50) muscular atrophy in extremities (51) Preftibial pitting edema (52) Pitting edema of feet (53) Pitting edema over sacrum (54) Not examined PHYSICAL FITNESS SCORE SHEET (Col. 5) MR #3 7 Test Subject Mattel- (Col. 1-4) • ASM : Namft ; Weight Last First ■ Initial (6-8) Test Number 9 1 2 3 4 5 6 Date (Da.. Mn. Yr ) 10-14 Last Ration 15 Weight to nearest lb. 16-18 Test Run First— Indicate by No. Harvard-1; AAF-2; AGF-3 19 How Does Subject Feel after last test; Indicate by No. Poor-1; Fair-2; Good-3 20 C/o Opinion Subject’s Fitness—Indicate by No. Poor-1; Average-2; Good-3 21 HARVARD Time—Min., Sec. 22-24 Pulse (60-90 Sec.) 25-27 Score 28-30 A A F Sit-Ups-No. 31-33 Chins-No. 34-35 Run—Sec. 36-37 FINAL SCORE 38-40 - AGF Push-Ups No. 41-42 300 yd.—Run—Sec. 43-44 Burpee—No. 45-46 75 yd. Pig-a-back Sec. 47-48 70 yd. Zig-Zag Sec 49-50 4 Mile hike, Mil. 1 51-52 2 53-54 3 55-56 4 57-58 FINAL SCORE 59-60 SUM OF THREE SCORES 61-62 U. S. ARMY FIELD RATION C (Col. 5) MR #4 Day: Month: : Test Subject’s Number .: Date (Col. 1-4) (Col. 6-8) : ASN : Name Last First Initial MARK IN THE SQUARES BELOW THE PROPER ANSWERS USING (B for Breakfast) (L for Lunch) (S for Supper) FOR EACH AND EVERY ITEM OF FOOD WHICH YOU EAT AT EACH MEAL. Break Lund Suppt fast was prepared and eaten in minutes. WHEN? TASTE? HOW MUCH? HOW? t Jol. 9) GOOD FAIR POOR Cr was prepared and in minutes. BREAKFAST LUNCH SUPPER (Cols. 10-11) (Punch Card Col.) 12 13 14 15 16 17 18 19 20 21 22 M-l Meat and Beans 1 M-2 Meat & Vegetable Hash 2 M-3 Meat & Vegetable Stew 3 C/5 M-4 Meat & Spaghetti 4 H M-5 Chicken & Vegetables 5 w M-6a Beans & Frankfurters w/lomato 6 S M-6b Beans & Frankfurters 7 M-7a Pork & Beans w/tomato 8 M-7b Pork and Beans 9 M-8 Beef & Noodles 11 M-9 Ham & Lima Beans 12 c/3 (Punch Card Col.) 23 24 25 26 27 28 29 30 31 32 33 < Red Label 1 w Blue Label 2 w General Mills 3 u General Foods 4 (Punch Card Col.) 34 35 36 37 38 39 40 41 42 43 44 75 Coffee z Cocoa HH « Lemon Juice Q Orange Juice Bouillon C/2 (Punch Card Col.) 45 46 47 48 49 50 51 52 53 54 55 z Sugar 1 sj Jam 2 u Candy Coated Peanuts 3 w Candy Coated Raisins 4 z Caramels 5 o u Jelly Beans 6 Hard Candy 7 (Punch Card Col.) 56 57 58 59 60 61 62 63 64 65 66 C/} Cream Center Cookie 1 w Compressed Chocolate Cookie 2 u Concentrated Fruit Cake 3 < c£ Plain Biscuits B1 or B4 4 u Plain Biscuits B2 or B5 5 Plain Biscuits B3 or B6 6 Number of full canteens of water used for eating and drinking in past 24 hours (Col. 67) Number of hours slept in past 24 hours (Col. 68-69) Number of bowel movements in past 24 hours .(Col. 70) U. S. ARMY FIELD RATION C (Col. 5) MR #4a Day: Month: : Test Subject’s Number : Date (Col. 1-4) (Col. 6-8) : ASN : Name Last First Initial MARK IN THE SQUARES BELOW THE PROPER ANSWERS USING (B for Breakfast) (L for Lunch) (S for Supper) FOR EACH AND EVERY ITEM OF FOOD WHICH YOU EAT AT EACH MEAL. WHEN? TASTE? HOW MUCH? HOW? Break Lund Suppt fast was prepared and eaten in minutes. (Col. 9) POOR ALL (1) Tf N CO HALF NONE HOT COLD (PUNCH CODE) i was prepared and eaten in minutes. 3r was prepared and eaten in minutes. (Cols. 10-11) BREAKFAST LUNCH SUPPER GOOD FAIR MEATS (Punch Card Col.) 12 13 14 15 16 17 18 19 20 21 22 1 M-l: Meat and Beans M-3: Meat & Vegetable Stew 2 M-4: Meat & Spaghetti * 3 M-5: Ham-Egg-Potato 4 M-6: Meat and Noodles 5 M-7: Pork and Rice 6 M-8: Frankfurters & Beans 7 M-9: Pork & Beans 8 M-10: Ham & Lima Beans 9 10 11 12 CEREALS (Punch Card Col.) 23 24 25 26 27 28 29 30 31 32 33 1 Cereal, Compressed \ 2 3 4 DRINKS (Punch Card Col.) 34 35 36 37 38 39 40 41 42 43 44 1 Coffee Cocoa 2 Lemon Juice 3 Orange Juice 4 5 CONFECTIONS (Punch Card Col.) 45 46 47 48 49 50 51 52 53 54 55 1 Sugar Jam 2 Candy Coated Peanuts 3 Candy Coated Raisins 4 Caramels 5 Hard Candy 6 7 CRACKERS (Punch Card Col.) 56 57 58 59 60 61 62 63 64 65 66 1 Biscuits, Type IV Biscuits, Type V 2 Biscuits, Type I 3 4 5 6 Number of full canteens of water used for eating and drinking in past 24 hours (Col. 67) Number of hours slept in past 24 hours (Col. 68-69) Number of bowel movements in past 24 hours (Col. 70) To be filled in by Observer. Calories Issued (Col. 71-74) Calories Eaten (Col. 75-78) Fitness: Good Average Poor Not Noted (Col. 79) 12 3 4 Loss of Appetite Nausea Vomiting Excess Flatus (Col. 80) 12 3 4 Observer’s Initials U. S. ARMY FIELD RATION K (Col 5) MR #5 Day: Month: : Test Subject’s Number : Date (Col. 1-4) (Col. 6-8) : ASN — : Name Last First Initial MARK IN THE SQUARES BELOW THE PROPER ANSWERS USING (B for Breakfast) (L for Lunch) (S for Supper) FOR EACH AND EVERY ITEM OF FOOD WHICH YOU EAT AT EACH MEAL. Breakfast was prepared and eaten in minutes. Lunch was prepared and eaten in minutes. Supper was prepared and eaten in minutes. (Cols. 10-11) WHEN? TASTE? HOW MUCH? HOW? (PUNCH CODE) (Col. 9) GOOD FAIR POOR eq ALL (1) 3/4 HALF -sr N r-H NONE HOT COLD BREAKFAST LUNCH SUPPER (Punch Card Col.) 12 13 14 15 16 17 18 19 20 21 22 CANNED ITEMS Chopped Pork & Egg Yolk 1 Ham & Eggs 2 Processed American Cheese 3 Processed American Cheese w/Bacon 4 Processed American & Swiss Cheese 5 Beef & Pork Loaf 6 Corned Pork Loaf with C & A Flakes 7 DRINKS (Punch Card Col.) 23 24 25 26 27 28 29 30 31 32 33 Lemon Juice 1 Orange Juice 2 Bouillon 3 Coffee 4 CONFECTIONS (Punch Card Col.) 34 35 36 37 38 39 40 41 42 43 44 Sugar 1 Jam 2 Gum 3 Fruit Bar 4 Caramels 5 Sweet Chocolate Bar 6 D Ration Chocolate Bar 7 CRACKERS (Punch Card Col.) 45 46 47 48 49 50 51 52 53 54 55 1 Package K1A Biscuits 1 1 Package K2 Biscuits 2 1 Package K3 Biscuits 3 1 Package K4 Biscuits 4 1 Package K5 Biscuits 5 Number of full canteens of water used for eating and drinking in past 24 hours Number of hours slept in past 24 hours Number of bowel movements in past 24 hours (Col. 56) (Col. 57-58) (Col. 59) :243) To be filled in by Observer (Col. 60-63) Calories Issued— (Col. 64-67) Calories Eaten (Col. 68) Fitness: Good _ Average __Poor— Not Noted (Col. 69) Loss of Appetite —— Nausea ——Vomiting __—Excess Flatus Observer’s Initials CANADIAN ARMY MESS TIN RATION (Col. 5) MR #6 Day: Month; : Test Subject’s Number : Date (Col. 1-4) (Col. 6-8) : ASN : Name Last First Initial MARK IN THE SQUARES BELOW THE PROPER ANSWERS USING (B for Breakfast) (L for Lunch) (S for Supper) FOR EACH AND EVERY ITEM OF FOOD WHICH YOU EAT AT EACH MEAL. Breakfast was prepared and eaten in minutes. Lunch was prepared and eaten in minutes. Supper was prepared and eaten in minutes. (Cols. 10-11) WHEN? TASTE? HOW MUCH? HOW? (PUNCH CODE) (Col. 9) GOOD FAIR POOR ALL (1) 3/4 HALF N t-H NONE HOT COLD BREAKFAST LUNCH SUPPER {Punch Card Col.) 12 13 14 15 16 17 18 19 20 21 22 GROUP I Sardines 1 Pork Loaf 2 Spiced Beef 3 Cheese 4 Butter 5 Biscuits 6 GROUP II (Punch Card Col.) 23 24 25 26 27 28 29 30 31 32 33 Sugar 1 Jam 2 Milk and Sugar 3 Hard Candy 4 Chocolate Bar 5 Tea 6 Coffee 7 Chocolate Drink 8 Pea Soup 9 Number of full canteens of water used for eating and drinking in past 24 hours (Col. 34) Number of hours slept in past 24 hours (Col. 35-36) Number of bowel movements in past 24 hours (Col. 37) To be filled in by Observer. (Col. 38-41) Calories Issued Calories Eaten (Col. 42-45) Fitness: Good Average Poor Not Noted . (Col. 46) Loss of Appetite (Col. 47) Nausea Vomiting Excess Flatus Observer’s Initials- RATION, TEN IN ONE (Col. 5) MR #7 Day: Month: : Test Subject’s Number : Date (Col. 1-4) (Col. 6-8) : ASN -i ■ ■ . .. : Name Last First Initial MARK IN THE SQUARES BELOW THE PROPER ANSWERS USING (B for Breakfast) (L for Lunch) (S for Supper) FOR EACH AND EVERY ITEM OF FOOD WHICH YOU EAT AT EACH MEAL. Breakfast was prepared and eaten in — minutes. Lunch was prepared and eaten in minutes. Supper was prepared and eaten in _____ minutes. Menu Number (Col. 12) WHEN? TASTE? HOW? (PUNCH CODE) Col. 9 GOOD FAIR HOOd HOT COLD BREAKFAST LUNCH SUPPER BREAKFAST (Punch Card Col.) 13 14 15 16 17 18 19 20 Biscuits, Type C 1 Biscuits, Whole Wheat 2 Cereal 3 Meat Item 4 Evaporated Milk 5 Coffee 6 Jam 7 LUNCH (Punch Card Col.) 21 22 23 24 25 26 27 28 Biscuits, K-1A 1 Biscuits, K-2 2 Biscuits, K-3 3 Biscuits, K-4 4 Biscuits, K-5 5 Meat or Cheese Item 6 Beverage 7 Confection 8 SUPPER (Punch Card Col.) 29 30 31 32 33 34 35 36 Biscuits, Type C 1 Biscuits, Whole Wheat 2 Meat Item (Main Dish) 3 Vegetable 4 Beverage * 5 Confection 6 Army Spread 7 Number of full canteens of water used for eating and drinking in past 24 hours (Col. 37) Number of hours slept in past 24 hours (Col. 38-39) Number of bowel movements in past 24 hours (Col. 40) To be filled in by observer. (Col. 41) Fitness: Good Average Poor Not Noted ('Col. 42) Loss of Anoetite — Nausea Vomiting Excess Flatus BIOCHEMISTRY ( ) 10 MR #8 Da. Mo. Yr. Test Subject No. 1 2 3 4 5^9 SERIAL NO NAME Last First Initial To be filled in by Head of Chemical Section. Whole Blood: Hemoglobin (Gm per 100 ml) ( ) 11-13 Blood Sugar (Mg per 100 ml) ( ) 14-16 Serum: Total Protein (Gm per 100 ml) ( ) 17-18 Chloride (Meq per L) ( ) 19-21 Ascorbic Acid (Mg per 100 ml) ( ) 22-23 Urine — fasting: Chloride (Gm. per hr) ( ) 24-25 Ascorbic Acid (Mg per hr) ( ) 26-27 Thiamine (Meg per hr) ( ) 28-29 Riboflavin (Meg per hr) ( ) 30-32 Factor F (Meg per hr) ( ) 33-34 Urine — after test dose: Ascorbic Acid (Mg) ( ) 35-37 Thiamine (Meg) ( ) 38-41 Riboflavin (Meg) ( ) 42-45 Factor F (Meg) ( ) 46-48 Urine — qualitative: Albumin (01234) ( ) 49 Sugar (01234) ( ) 50 Acetore bodies (01234) ( ) 51 N.P.P.U. (01234) ( ) 52 TEN IN ONE RATION SUMMARY QUESTIONNAIRE Test Subject’s Number Date 1. Of all the breakfast meats, I prefer: (Write 1, 2, 3 & 4 for first, second, third & fourth choices.) ( ) Pork sausage meat ( ) Bacon ( ) Ham and Eggs ( ) Chopped Pork & Egg Yolk 2. Of all drinks in this/K&ln|Zk I prefer: (Write 1, 2, 3, 4 & 5 for first, second, third, fourth & fifth choices.) ( ) Coffee ( ) Cocoa ( ) Lemon ( ) Orange ( ) Grape • 3. Of all the supper meats, I prefer: (Write 1, 2, 3, 4 & 5 for first, second third, fourth & fifth choices.) ( ) Dehydrated Meat & Rice ( ) English Style Stew ( ) Canned Corned Beef ( ) Canned Roast Beef ( ) Dehydrated Corned Beef Hash 4. If I had to live on one menu only for a period of two weeks, I would choose Menu Number 5. Of all the biscuits in the noon meal, I prefer: (Write in 1, 2, 3, 4, 5, for your first, second, third etc. choices.) ( ) K1A Biscuit ( ) K2 Biscuit ( ) K3 Biscuit ( ) K4 Biscuit ( ) K5 Biscuit 6. Of the supper desserts, I prefer: (Write in 1, 2, 3, etc. for your first, second, third etc. choices.) ( ) Canned Peanuts ( ) Fruit Bar ( ) Hard Candy ( ) D Ration Chocolate Bar ( ) Tropical Sweet Chocolate Bar 7. In regards to my choices listed above, if I were responsible for planning the Ten-in-One Ration, here are some other things I would do: (Include suggestions here as to what you would add, how you would change anything and so forth.) • “C” RATION (NEW) SUMMARY QUESTIONNAIRE Test No. Serial No. Date 1. Place a 1, 2, or 3 before the “M” cans you prefer best HOT. (The one (1) will indicate your first choice, the two (2) your second choice, etc.) M-l ( ) Meat and Beans M-3 ( ) Meat and Veg. Stew M-4 ( ) Meat & Spaghetti M-5 ( ) Ham-Egg-Potatoes M-6 ( ) Meat and Noodles M-7 ( ) Pork and Rice M-8 ( ) Frankfurters & Beans M-9 ( ) Pork and Beans M-10 ( ) Ham and Lima Beans 2. Place a 1, 2, or 3 before the “M” cans you prefer COLD. M-l ( ) Meat and Beans M-3 ( ) Meat & Veg. Stew M-4 ( ) Meat and Spaghetti M-5 ( ) Ham-Egg-Potatoes M-6 ( ) Meat and Noodles M-7 ( ) Pork and Rice M-8 ( ) Frankfurters and Beans M-9 ( ) Pork and Beans M-10 ( ) Ham and Lima Beans 3. If I had only one single “M” can to choose, it would be; (Indicate by number, M-l, M-3 etc.) 4. Of the HOT drinks, I prefer (Indicate choice by 1 and 2 for first and second choice.) ( ) Coffee ( ) Cocoa 5. Of the COLD drinks, I prefer: (Write 1, 2, and 3 for first, second and third choices.) ( ) Lemon ( ) Orange ( ) Coffee ( ) Cocoa 6. Of all the biscuits, the best are: (Write 1, 2, 3 for your choice.) ( ) Type IV ( ) Type V ( ) Type I 7. Of the candies, I like best: (Write 1, 2, 3 for your choice.) ( ) Candy-coated Peanuts and Raisins ( ) Caramels ( ) Hard Candy 8. If I had only one single “B” can to choose, it would be: (The number of the can, B-l, B-2, B-3 etc.) 9. In addition to my choices listed above, if I was responsible for planning the “C” Ration, here are some other things I would do. (Include suggestions here as to what you would add, how you would change any- thing, etc.) TOPSIDE, COLORADO “K” RATION (period 15 June-7 July) Test Subject No. Name Serial No Date 1. Check the items in the “K” ration which you like or dislike. Check also whether you like the items hot or cold, or both. Like Dislike Hot Cold Chopped Pork & Egg Yolk Ham & Eggs Processed American Cheese Processed American Cheese with Bacon Beef and Pork Loaf Corned Pork Loaf with C & A Flakes Lemon Juice Orange Juice • Boullion Coffee Fruit Bar Caramels Sweet Chocolate Bar D Ration Chocolate K IA Biscuits K2 K3 K4 K5 2. What items do you like best? 3. What items would you like to see eliminated? 4. Do any items have a particularly bad effect upon you? If so, what items? 5. What would you like to see added to the ration? 6. If you have any additional suggestions for improving the ration, state them here. (Use space below if you need more room.) 7. Has the ration affected you in any way physically, other than loss of weight? If so, explain fully. 8. How much weight have you lost, if any, since going on “K” ration? lbs. 9. Approximately how much of the ration issued to you do you eat daily? 10. Have you moved your bowels regularly while on the ration? If not, explain. 11. Have you had any unusual bowel movements? Explain fully. 12. If you have anything else to say about the ration, of whatever nature, this is the place to say it. USA “B” RATION (SUPPLEMENTED) Da. Mo. TEST SUBJECT NO DATE Serial No Name 1. What foods did you not eat? 2. What foods did you dislike, but eat? 3. What foods were excellent? 4. Was there more than enough to eat? Just enough? Less than enough? 5. How many meals did you miss? 6. Which meals? Breakfast? Dinner? Supper? 7. Why? 8. Number of bowel movements in last 24 hours Was this number unusual for you? 9. Did you pass an unusual amount of gas? 10. Did you have any stomach upsets? USA “B” RATION (SUPPLEMENTED) Da. Mo. TEST SUBJECT NO DATE Serial No. Name 1. What foods did you not eat? 2. What foods did you dislike, but eat? 3. What foods were excellent? 4. Was there more than enough to eat? Just enough? Less than enough? 5. How many meals did you miss? 6. Which meals? Breakfast? Dinner? Supper? 7. Why? 8. Number of bowel movements in last 24 hours Was this number unusual for you? 9. Did you pass an unusual amount of gas? 10. Did you ’have any stomach upsets? :257'