BUMEDINST 10110'6

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BUMEDINST 10110.6

• CHAPTER 2

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NUTRITION STANDARDS AND EDUCATION

• Establishes nutritional standards, military
  dietary reference intakes (MDRIs), Nutritional
  standards for operational rations (NSORs).
• Defines nutritional responsibilities of Army,
  Navy and Air force Surgeon Generals.
• Applies to active/reserve components of Army,
  Navy, Air force, Marine Corps, Air and Army
  National Guard.
• Distributed by Army

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BUMEDINST 10110.6 REPONSIBILITIES

• SURGEON GENERAL, US ARMY exercises DOD
  responsibility for nutritional standards and
  education.
• DEPUTY CHIEF OF STAFF FOR LOGISTICS(DCSLOG)
  establishes policy to ensure adjustments to
  planned menus will be meet nutritional standards.
• THE COMMANDER, NAVAL SUPPLY SYSTEMS COMMAND, USN
  establishes and implements mechanisms to ensure
  menus meet nutritional standards.

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DOD INSTALLATIONS AND HOSPITAL FACILITIES

• Serve as models to help military members, family
  members and DOD employees meet recommended
  nutritional guidelines.
• Incorporate principles of Dietary guidelines for
  Americans (U.S. Departments of Agriculture and
  Health and Human Services) and the Food Guide
  Pyramid (U.S. Department of Agriculture)
• Each meal should contain 500 calories.
• 600-700 calories for high energy needs (initial
  trainees).
• Calorie is a unit that describes amount of energy
  released by foods.

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ENERGY REQUIREMENTS

• Energy requirement factors physical activity,
  environmental factors temperature climate, and
  altitude.
• Vigorous physical training requirements may
  exceed 125 of MDRI.
• Cold environment 32-57 degrees F increase
  requirements 5-10. Requirements depend on size,
  clothing (54cal/kg), activity level and
  maneuvering for prolonged periods 2 hours
  (62cal/kg).
• Hot environment 86-104 degrees F increase
  requirements 2.5-10.
• Altitude 10,000ft (3050m), work in high
  mountain areas 6,000-7,000cal/day. Moderate
  activity 50-55cal/kg. Prolonged work in full cold
  gear 60cal/kg.
• Loss of appetite occurs at high altitude.

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NUTRIENT REQUIREMENTS

• At 68-86 degrees F no adjustments needed.
• Light to moderate activity 1 quart of
  beverage/1,000cals expended.
• High altitude exposure (4-6 quarts/day), first
  few days 2-3 quarts w/50-100g of cabs to minimize
  hypohydration and altitude sickness.
• Carbs 50-55 of total cal from food and
  beverages.
• Protein MDRIs based on levels established in
  RDAs (recommended dietary allowance) and on
  requirements during intense physical activity
  (0.8-1.5g/kg), equates to 63-119g/day for men and
  50-93g/day for women.
• Fat in MDF 30 or less total cal from fat.
  Saturated fats are found in meat, dairy products
  and some vegetables, eating large amounts raises
  blood cholesterol levels. Saturated fat 10 of
  total cal and no more than 300mg/day of
  cholesterol.
• Operational and restricted rations higher fat
  may be necessary to increase caloric density and
  minimize ration weight, approved by TSG and DA.
• Sodium is replace by food and beverages and added
  salt to food. Salt tabs not recommended.
• Hydrate with plain cool water and flavored cool
  water.

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NUTRIENT REQUIREMENTS cont

• Warm Weather 4-6 quarts of beverage/day.
  Personnel wearing nuclear, biological, chemical
  clothing produce 1-2 quarts of sweat/hour.
• Carbohydrate-electrolyte beverage 3 hours of
  continuous physical activity, poor nutritional
  intake/sustain energy deficit of 1,000cal/day or
  more, or when sweat loss is high and not
  adequately replaced by diet.
• Carbohydrate-electrolyte beverage criteria carbs
  from sugar/starch 5-12 concentration, and
  electrolyte 10-30mEq of sodium/liter and 2-5 mEq
  of potassium/liter.
• Sodium and Potassium dont have established RDA
  or DRI.

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MILITARY DIETARY REFERENCE INTAKE

• Adapted from FNBs Recommended Dietary
  Allowances, Tenth Addition (Revised) 1989.
• Dont reflect the needs of Pregnant/Lactating
  military women, or individuals w/illness, injury,
  infection, chronic disease and trauma.
• Will be met over 5-10 day period.

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NUTRITIONAL STANDARDS FOR OPERATIONAL AND
RESTRICTED RATIONS

• Designed for military personnel in a wide variety
  of operations.
• MRE individual ration, meal, ready-to-eat, can
  be sole ration for up to 21 days.
• T-ration, unitized B ration, and Unitized Group
  Ration (UGR-A and UGR-HS (heat and serve) group
  feeding rations, designed to be nutritionally
  adequate, fat should not exceed 35 of calories
  for this ration.
• Restricted Rations (food packet, long-range
  patrol ration) nutritionally incomplete , used on
  long-range patrol and reconnaissance, minimal
  weight carry for short periods up to 10 days.
• Survival Rations (food packet, survival, general
  purpose, improved (GP-I) ration, abandon ship,
  aircraft/life raft ration) GP-I 1447 cal. Food
  packet, survival abandon ship, aircraft/life raft
  ration 300 cal and strictly short term survival
  rations.

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REFERENCE BODY SIZE MEASURES

• Represent 50th percentile of military men and
  women.
• Male 174lbs (79kg) and 69inches (175cm).
• Female 136lbs (62kg) and 64inches (163cm).
• Larger and smaller individuals will require
  slightly higher or lower calories than the MDRIs
  for energy.

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FINISHED

• SPECIAL THANKS TO
• HM3 VANESSA SNIDER
• HM3 JOEZETTE JULIEN
• HM3 CARLOS PINERA
• HM3 ALEXIS NOMENY
• HM3 AMY SMITH
• AND ALL OF YOU