Changes in lipoprotein profiles during intense military training.

The effects of intense military training on lipoprotein concentrations were monitored in a group of 44 Navy trainees. Dietary intakes and lipoprotein profiles were obtained before and after 5 weeks of physical conditioning and after 5 days of continuous, extremely intense physical and psychological stress. Body weight did not change significantly and dietary intakes were consistently high in saturated fat and cholesterol. After physical conditioning, serum total cholesterol and triglyceride concentrations were unchanged, while high-density lipoprotein (HDL) concentrations increased 31% (p less than 0.05). After 5 days of severe stress, total cholesterol and low-density lipoprotein concentrations decreased 17.2% and 30%, respectively (p less than 0.05), whereas HDL concentrations increased 12.1%. These data indicate that marked changes in lipoprotein profiles occur, not only with long-term physical conditioning, but also with strenuous training that lasts several days, despite high energy, fat, and cholesterol intakes.

Training success in U.S. Navy special forces.

Several aspects of success in an intensive military training experience on a select group of military trainees were studied. The primary dependent variables were differences in questionnaire scores between graduates and those who drop, and questionnaire score changes from pretest to posttest in graduates. A total of 336 trainees at the U.S. Navy 's Basic Underwater Demolition/SEALS (BUD/S) training school were tested at the beginning of their training period; 6 months later, all successful trainees were retested on graduation. The total sample was divided into two groups for replication. Results indicated that graduates differed consistently from drops on the Estimation scale of the Physical Estimation and Attraction Scale (PEAS), and four scales on the Hogan Personality Inventory (HPI); graduates showed consistent posttest changes in the Estimation scale, three out of six scales on the Profile of Mood States (POMS), plus four scales on the HPI. Differences between graduates and drops suggested that some aspects of the PEAS and HPI could be used as a screening device in order to reduce attrition. Posttest changes on the PEAS, POMS, and HPI in Graduates were in part consistent with previous work and in part somewhat new, indicating both general and unique features of the BUD/S training experience.

Orthopedic history and examination in the etiology of overuse injuries.

Overuse injuries, and stress fractures in particular, afflict many runners and military recruits. This investigation sought to identify pretraining factors which may predispose to overuse injuries. Orthopedic and running history questionnaires and an orthopedic examination were administered to 505 trainees entering an intensive military training school. A novel method for evaluating ankle dorsiflexion was developed, and alignment measures, in units of centimeters rather than degrees, were obtained. Over 10% of the trainees were removed from the school for overuse-related injuries, and over half of these were tibial stress fractures. The incidence of clinically diagnosed stress fractures was 6.3%. No single orthopedic history question or combination of questions could discriminate between trainees who did or did not subsequently incur overuse injuries. Results from the running history indicated that those running 25 or more miles.wk-1 (mpw) had a significantly (P less than 0.027) lower incidence of stress fractures (3.0%) than those running 4 or fewer mpw over the previous year (11.5%). The orthopedic examination did not identify any predisposing alignment characteristics, perhaps due to the low incidence of overuse injuries. Population means are presented for future use in comparative studies.

Changes in nutrient intakes of conditioned men during a 5-day period of increased physical activity and other stresses.

Nutrient intakes and selected blood and urinary constituents of 16 Navy servicemen were obtained before and during a period of 113 hours of physical activity, sleep deprivation, and psychological stress, to document the dietary adaptation of physically conditioned men to an extended period of hard physical work and other stresses. Food intakes were monitored by 1-day diet records prior to and by direct observation during the period. The factorial method was used to calculate energy expenditure. Carbohydrates provided 45 and 43% of the total energy intake before and during the experiment. Protein intakes and intakes of all the vitamins and minerals studied exceeded the Recommended Dietary Allowances, both before and during the period. Total energy intake averaged 18.7 MJ.d-1 before and 24.4 MJ.d-1 during the experiment. Body weight increased significantly by 2.7 +/- 0.4 kg (mean +/- s.e.) during the experiment (p less than 0.0001). There was a significant correlation (r = 0.74; p less than 0.001) between the change in body weight and urinary sodium from before to after the experiment suggesting that increased dietary sodium may have contributed to the weight gain. A significant increase in plasma volume (11.9 +/- 3.2%; p less than 0.0003) provided further support that the observed weight gain was due to sodium intake rather than a positive energy balance. In conclusion, conditioned men increased food consumption adequately to meet increased energy demands.

Serum creatine kinase activity following repeated bouts of isometric exercise with different muscle groups.

The purpose of this study was to examine the relationship between the muscle mass involved in exercise and post-exercise serum creatine kinase (CK) elevation. Twelve untrained college-aged men completed three isometric exercises: one arm flexion (OAF), two arm flexion (TAF) and one leg knee extension (OLE). These exercises were balanced over subjects and days and separated by two week intervals. Each exercise consisted of 40 maximal isometric concentrations lasting for 10 s with a 20 s rest between contractions. Relative increases in serum CK for OAF, TAF, and OLE were 181 +/- 70% (SD), 222 +/- 69% and 297 +/- 67%, respectively. An ANOVA using a latin square design for analysis of carry over effects showed that these CK increases were not significantly different (p greater than 0.05). However, the increase in serum CK following the first exercise (379 +/- 90%), regardless of what it was (OAF, TAF, or OLE), was significantly greater (p less than 0.05) than those following bouts 2 and 3 (155 +/- 29%; 167 +/- 54%). Regression analysis indicated that post-exercise serum CK elevation was not related to the amount of muscle mass involved in the exercise (r = 0.30, p greater than 0.05) nor to muscle tension developed (r = 0.28, p greater than 0.05). We conclude that post-exercise serum CK elevation is not necessarily related to the muscle mass involved in the exercise. Because each exercise involved the use of different muscle groups, factors outside the exercising muscle may contribute to post-exercise serum enzyme activity.