Pasiakos Stefan M, Sepowitz John J, Deuster Patricia A
J Spec Oper Med. 2015 Winter;15(4):89-95. doi: 10.55460/J1H4-1EYT.
Military recommendations for dietary protein are based on the recommended dietary allowance (RDA) of 0.8 g of protein per kilogram of body mass (BM) established by the Food and Nutrition Board, Institute of Medicine (IOM) of the National Academies. The RDA is likely adequate for most military personnel, particularly when activity levels are low and energy intake is sufficient to maintain a healthy body weight. However, military recommendations account for periods of increased metabolic demand during training and real-world operations, especially those that produce an energy deficit. Under those conditions, protein requirements are higher (1.5-2.0 g/kg BM) in an attempt to attenuate the unavoidable loss of muscle mass that occurs during prolonged or repeated exposure to energy deficits. Whole foods are recommended as the primary method to consume more protein, although there are likely operational scenarios where whole foods are not available and consuming supplemental protein at effective, not excessive, doses (20-25 g or 0.25-0.3 g/kg BM per meal) is recommended. Despite these evidence-based, condition-specific recommendations, the necessity of protein supplements and the requirements and rationale for consuming higher-protein diets are often misunderstood, resulting in an overconsumption of dietary protein and unsubstantiated health-related concerns. This review will provide the basis of the US military dietary protein requirements and highlight common misconceptions associated with the amount and safety of protein in military diets.
美国国家科学院医学研究所食品与营养委员会制定的膳食蛋白质推荐摄入量(RDA)为每千克体重(BM)0.8克蛋白质,军事领域的膳食蛋白质建议即基于此。对于大多数军事人员来说,该RDA可能是足够的,尤其是在活动水平较低且能量摄入足以维持健康体重的情况下。然而,军事建议考虑到了训练和实际作战期间代谢需求增加的时期,特别是那些会导致能量不足的情况。在这些情况下,蛋白质需求量更高(1.5 - 2.0克/千克BM),以试图减轻在长期或反复处于能量不足状态时不可避免的肌肉量损失。建议以天然食物作为摄入更多蛋白质的主要方式,不过在一些实际作战场景中可能无法获取天然食物,此时建议以有效而非过量的剂量(每餐20 - 25克或0.25 - 0.3克/千克BM)摄入补充蛋白质。尽管有这些基于证据的、针对具体情况的建议,但蛋白质补充剂的必要性以及食用高蛋白饮食的要求和基本原理常常被误解,导致膳食蛋白质摄入过量以及一些毫无根据的健康相关担忧。本综述将阐述美军膳食蛋白质需求的依据,并突出与军事饮食中蛋白质含量和安全性相关的常见误解。