Energy availability and nutrition during a Special Force Qualification Course (Q-Course)

J R Army Med Corps. 2019 Oct;165(5):325-329. doi: 10.1136/jramc-2018-001059. Epub 2018 Nov 14.

Abstract

Introduction: The Special Forces (SF) are an elite military group usually engaged in physically demanding field operations, resulting among others in high daily energy requirements. Optimising energy supply and nutritional requirements is therefore mandatory for success. The aim of this study was to estimate energy availability and nutrition during a Qualification Course (Q-Course) for Belgian SF.

Methods: 21 participants recorded all foods and beverages consumed during four days in a structured food diary. Energy expenditure was measured with an accelerometer and fat mass measured with quadripolar impedance. Energy availability was calculated by the following formula: (energy intake by foods and beverages - energy expenditure for physical activity)/kg FFM/day (FFM, fat-free mass).

Results: The mean (SD) total energy expenditure was 4926 kcal/day (238), with a minimum of 4645 kcal/day and a maximum of 5472 kcal/day. The mean (SD) total energy consumption was 4186 kcal/day (842), giving an energy balance ranging from -2005 kcal/day to 1113 kcal/day. The mean (SD) energy availability was 17 kcal/kg FFM/day, with a minimum of 1 kcal/kg FFM/day and a maximum of 44 kcal/kg FFM/day. The mean (SD) intake of carbohydrates was 6.8 g/kg body weight/day (1.5).

Conclusions: During this studied Q-Course, energy intake was not optimal as demonstrated by an overall negative energy balance and low energy availability. High interindividual variations in energy intake were found, highlighting the importance of providing SF members nutritional education.

Keywords: energy balance; energy expenditure; nutritional epidemiology.

MeSH terms

  • Accelerometry
  • Adult
  • Energy Metabolism / physiology*
  • Exercise / physiology*
  • Humans
  • Male
  • Military Health
  • Military Medicine
  • Military Personnel* / education
  • Military Personnel* / statistics & numerical data
  • Nutritional Status / physiology*
  • Young Adult