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HPRC Fitness Arena: Nutrition

Quit tobacco without gaining weight

HPRC Fitness Arena: Nutrition, Total Force Fitness
You gain a lot of things by quitting tobacco, but weight doesn’t have to be one of them. Learn ways to quit tobacco without gaining extra weight.

Cigarette smoking is the leading cause of preventable death and disability in the United States. The positive effects of quitting tobacco are numerous: Reduce your risk of lung and other cancers, improve wound healing, decrease risk of infection, and save money. However, a major concern among those who consider quitting tobacco is weight gain. Most people who quit tobacco gain less than 10 lbs, but others gain more than 20 lbs. Many factors contribute to this weight gain, including eating more due to improved sense of smell and taste, boredom, the need to do something with your hands, and metabolic changes that happen after nicotine leaves your body.

Being prepared is essential to preventing weight gain when you quit tobacco. Know your habits: If your hands will be bored without a cigarette, find something else besides food to occupy them. Play with stress balls, silly putty, crosswords, and puzzles to keep your hands busy. Dropping a bad habit such as smoking is also a great time to pick up something new to do with your hands: Knitting, playing an instrument, gardening, and writing are all healthy ways to exercise your hands and your mind.

If you’re craving snacks, reach for fresh fruits and vegetables. Fruits and vegetables are high in fiber and water, which help fill you up without a lot of calories. You may be confusing hunger with thirst; try a glass of water to see if that helps your cravings. Bored with plain water? Try calorie-free sparkling or seltzer water, or add lemon or lime slices, mint, berries, or cucumber to your water for a flavorful and refreshing drink.

And if you do find yourself eating more at or between meals, balance it out with exercise. Replace your usual smoking break with a walk outside or even around the office. Increase your usual gym routine; you may find exercise is easier after you quit tobacco.

For help quitting tobacco, or if you find yourself gaining weight no matter what you do, speak with your healthcare provider. And visit U Can Quit 2 and Tobacco-Free Living for additional information and resources. November is the Military Health System’s Tobacco Cessation month, so it’s a great time to make your own plan to quit tobacco. 

A military teen’s take on caffeine

Teens may be consuming more caffeine than they (or you) know. Learn from one military teen’s perspective about sources of caffeine and how teens can avoid consuming too much.

Coffee, energy drinks, energy shots, soda—we’re surrounded by these products, and many are marketed specifically to teens. Their advertisements make caffeine seem a harmless and effective boost to help teens meet the demands of school and after-school activities. Three of four U.S. children and young adults now consume some form of caffeine every day.

Teens shouldn’t consume more than 100mg of caffeine (roughly the amount in an average small cup of coffee) per day. That’s enough caffeine to give you energy and help you stay alert. But too much caffeine can be a serious problem. Signs that you’ve had too much caffeine can be jitters, nervousness, increased heart rate, and an upset stomach. For more about the symptoms of too much caffeine, read FDA’s article.

Many drinks and foods that contain caffeine don’t clearly say so on the label. Energy drinks, for example, can contain lots of different forms of caffeine, such as guarana, green tea extract, and yerba mate. Although you might see these listed on the label, you still might not see the total amount of caffeine listed. Energy drinks don’t have to report how much caffeine is in them. So think twice about how many of them you drink.

And for athletes: Don’t use energy drinks to replace sports drinks for extra energy. The same goes for other beverages with caffeine: sodas, coffee, and tea. Sports drinks are for hydrating and replacing electrolytes and other nutrients lost while exercising. Water is best in most cases!

Just because something contains caffeine doesn’t mean you have to completely eliminate it. Be aware of all the different sources of caffeine and try not to overdo it. And be sure to watch HPRC’s “Caffeine & Teens” video for more from a teenager’s perspective.

Based on a blog by HPRC intern Diana Smith. Diana is a military teen and high-school sophomore who is interested in science and enjoys drawing in her downtime. 

Food and color additives: What are they?

HPRC Fitness Arena: Nutrition, Total Force Fitness
If you read product labels, you know there are numerous “mystery” ingredients in many foods. This FDA brochure takes some of the mystery away.

Food and color additives exist in many of the foods that we eat. They are used to improve safety and freshness, maintain the nutritional value of foods, and improve texture and appearance. The Food and Drug Administration (FDA) has put together a helpful brochure reviewing how additives are approved for foods, types of food ingredients, and a description of food and color additives.

Woman up for Women’s Health Month

HPRC Fitness Arena: Nutrition
October is Women’s Health Month. Women have some health issues that men don’t. Check out some special nutritional needs.

The month of October is Military Health System’s Women’s Health Month. There are more than 350,000 female members of the military (16% of the total military force). While it’s important for all military members to consume nutritious diets, women have special nutrient needs: iron, folic acid, and calcium.

Iron. Iron deficiency is the most common nutritional deficiency among women. Poor dietary intake of iron combined with intense physical activity can lead to fatigue, weakness, and pale skin—all signs of iron-deficiency anemia (IDA). Iron-rich foods include meat, poultry, fish, spinach, beans, and fortified cereals. Consume these foods with vitamin C–rich foods such as strawberries and oranges for better iron absorption. HPRC discusses other reasons for IDA in this article on “Iron deficiency.”

Folic acid. Women of childbearing age need enough folic acid to reduce the risk of birth defects. But even if you’re not pregnant, folic acid helps make blood cells that boost your immune system. Folic acid can be found in leafy green vegetables, beans, peas, and fortified cereals and bread.

Calcium. Compared to men, women are at greater risk for osteoporosis, in which bones become weak and are more likely to break. Women need to start getting more calcium at an early age to keep bones strong. Calcium-rich foods include low-fat dairy products, tofu, kale, and fortified cereals and juices. Vitamin D is also important to help the absorption of calcium. Read more about vitamin D in HPRC’s Vitamin D, the sunshine vitamin.”

All of these nutrients can be found in supplement form, but as with any dietary supplement, consult your doctor first to determine if they are necessary and safe. For more information on supplements, read HPRC’s “Women's health and dietary supplements.” Remember, most people can achieve adequate intake of these nutrients with a balanced diet. Poor nutrition puts you at risk for injuries and makes it harder for you to perform at your best.

If you’d like to know more about women’s health, visit the Military Health System's web page.

Crazy for coconut water?

HPRC Fitness Arena: Nutrition, Total Force Fitness
Coconut water is touted as a “natural” drink and a possible alternative for rehydration, but you may need additional nutrients during strenuous exercise.

Coconut water, the flavorful liquid found in young green coconuts, has become a popular drink. It is often promoted for a variety of ailments—from curing bad skin to resolving hangovers. But coconut water is also touted as a fluid replacement alternative. For this reason, some Warfighters choose coconut water over sports beverages because coconut water is “natural” and contains carbohydrates and key electrolytes such as sodium and potassium. However, not all brands of coconut water are created equal. In fact, they can vary considerably in terms of their nutrient content, so read product labels to be sure you’re getting the right amounts of nutrients you need for optimal performance. In addition, many kinds of coconut water contain fruit juice for flavor, which can increase the sugar and calorie content of the drink.

One of the biggest appeals of coconut water is its naturally high potassium content. While the potassium content is high, the amounts of carbohydrate and sodium in coconut water are sometimes very low, and individuals who participate in prolonged, vigorous exercise (longer than an hour) may need more carbohydrate and sodium for proper hydration. For more information about hydration needs, see HPRC’s infosheet on fluids and exercise.

For periods of exercise less than one hour, water is always your best choice—about 3–8 ounces every 15–20 minutes. But for longer periods of exercise, sports beverages are a good choice because they are specially formulated to replenish carbohydrate, sodium, and potassium lost during extended and/or vigorous physical activity. If you choose sports beverages, drink 3–8 ounces every 15–20 minutes to stay hydrated. Again, be sure to read the product label to make sure your drink has what you need, and nothing more. For more information about proper fueling, read An Athlete’s Guide to Nutrient Timing.

And what about that coconut water? There simply isn’t enough evidence to support the use of coconut water as a remedy for any condition. And although it’s a tasty beverage, know what’s in it so you can replenish what your body needs—no more, no less.

Organic foods: Are they worth the cost?

HPRC Fitness Arena: Nutrition, Total Force Fitness
We all see organic foods at the store, hear people talking about them, and may make the choice to purchase and eat organic foods. But is all the hype about the benefits worth the cost?

Many of us have seen foods labeled as organic, but most people don’t know what that means. In order to be considered organic, foods must be certified by the United States Department of Agriculture (USDA) and meet certain standards. Generally, organic foods must be produced without the use of any artificial fertilizers, pesticides, growth hormones, antibiotics, sewage sludge, or genetically modified organisms. As a result, organic foods have become quite popular.

Because of the differences in production, organic foods tend to be more expensive than conventional foods. For example, the average price of a gallon of regular milk is $2.89, but the average price of a gallon of organic milk is $5.99. That’s more than double the cost, which may not be affordable for many people. For military families who prefer to buy organic foods, discounted prices may be available at their local commissary. Ask grocery stores and wholesale stores about military discounts and coupons. For those who qualify, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) allows organic fruits and vegetables to be purchased with cash-value vouchers. The eligibility of other foods is state-dependent, and each state’s approved food list can be found on USDA's WIC page.

The price difference between organic and conventional foods is clear, but the benefits of choosing organic are not as obvious. Organic foods are thought to be better for the environment and our bodies. However, from a nutritional standpoint, there is not enough evidence to suggest a clear benefit to purchasing organic foods over conventional foods. If pesticides are your concern, visit the Environmental Working Group website to learn more.

So, the next time you’re trying to decide between organic and non-organic, remember that nutritional differences don’t need to be a major factor in your decision because there don’t appear to be any. A diet rich in fruits, vegetables, and whole grains is beneficial no matter which option you choose.

For more information on organic foods, check out USDA's website.

Know the most common food allergens

HPRC Fitness Arena: Nutrition, Total Force Fitness
Keep yourself safe from food allergies

For some people, eating certain foods can cause serious allergic reactions, even death! The most common food allergens are milk, eggs, fish and shellfish, tree nuts (such as almonds, walnuts, and pecans), peanuts, wheat, and soy. Other food allergies are possible, so it’s important to read food labels for ingredient information if you are at risk. Click here for more information.

The ABCs (and Ds) of healthy, tempting school lunches

School has started up again, so it's time to start packing...

School has started, and the scramble to come up with interesting and appealing lunches for your children probably has, too. If you find you’re bored with the “ham sandwich, apple, and a cookie” routine shortly after the first bell, imagine how bored your child’s taste buds will be in a few weeks! Keeping your child interested in healthy eating is as easy as ABC (and D).

Adventure: Offer your child some variety. Choose high-fiber, whole-grain tortillas or breads for sandwiches and opt for tasty spreads such as salsa, hummus, or pesto for extra flavor. Lean roasted meats such as chicken or turkey are healthy, lean sources of protein; or try fat-free refried beans for an appealing vegetarian option. Tuck some lettuce and tomatoes in for fun, flavor, and nutrients. (Keep wraps and bread from getting soggy by wrapping veggies in meat slices.) Your child doesn’t care for the taste of whole-wheat breads? No problem. Whole-grain white-flour wraps and breads offer lots of fiber but have the taste and look of traditional white-flour choices.

Butters: If nuts aren’t off limits at your child’s school, try something different than the typical peanut butter and jelly: Almond or hazelnut butter topped with fresh fruit such as bananas or mango slices, or fruit spreads such as marmalade or apple butter. Nut butters are great sources of protein with healthy fats and don’t require refrigeration—a plus if cold storage isn’t available.

Cut-ups: Cut up fresh fruits and vegetables the night before and add some to your child’s lunchbox. Cantaloupe pieces, pineapple chunks, and kiwi slices are popular with kids and full of vitamins and other nutrients. Toss in some cauliflower or broccoli florets with a side of pre-packaged dip or salsa. If you’re short on time, pre-cut fruits and veggies are available from your local grocer, but they may be more expensive.

Dessert: Oatmeal cookies, dried fruit, or low-fat yogurt (if kept at 40ºF or less) are terrific, healthy choices.

Let your child dictate just how adventurous his or her lunchtime options should be—they might surprise you! For more great lunchtime ideas, the Healthy Lunchtime Challenge Cookbook features 54 kid-friendly recipes. And remember: Safety first! Keep lunchboxes clean and cool (store in the refrigerator overnight) and provide a moist, cleansing towelette in your child’s lunchbox so he or she can wash up before eating.

Download the OPSS app

Use the Operation Supplement Safety & Natural Data app to get information and safety ratings on commercially available dietary supplement products and ingredients.

Operation Supplement Safety (OPSS) is a joint military initiative between the Human Performance Resource Center (HPRC) and the Department of Defense (DoD) to educate service members and retirees, their family members, leaders, healthcare providers, and DoD clinicians about dietary supplements and how to choose them wisely.

OPSS has partnered with Natural Medicines Comprehensive Database (NMCD) to provide all DoD personnel with access to evidence-based information on dietary supplements, including Natural Medicines Brand Evidence-based Ratings (NMBER)®.

Now there is an Operation Supplement Safety & Natural Data (OPSS & ND) app available that can help you make an informed decision by giving you:

  • Dietary supplement safety and effectiveness (NMBER) ratings.
  • Interaction ratings between drugs and natural medicines, known as “adverse reactions.”
  • Effectiveness ratings for natural medicines by medical condition and more.

To access the app you must first visit HPRC’s link to NMCD and sign up for your free account. Click on the Warfighter version and use your valid .mil email address. Once you’ve created your free account you will have access to the full version of the app. Up-to-date reviews of commercially available products, Natural Medicines Brand Evidence-based Ratings (NMBER)® for commercially available products, an Effectiveness Checker, and more will be at your fingertips.

The OPSS & ND app is available at these links for Android and for iPhone/iPad, or go to the Google or iTunes stores and search for “Operation Supplement Safety.”

If you have questions, please use the “Ask the Expert” button on the OPSS home page.

FDA’s warning on caffeine powder

FDA issues a warning about caffeine powder and advises consumers to avoid powdered pure caffeine.

The Food and Drug Administration (FDA) is warning consumers about powdered pure caffeine, particularly as sold in bulk on the Internet. At least one death has been associated with the use of such products, and FDA advises consumers about the potency of powdered pure caffeine. See FDA’s Consumer Advice, which includes information about how to report an adverse event.

According to this consumer resource from FDA, you should limit your caffeine intake to just 100–200 mg per day (about 5–10 ounces of coffee). Taking large doses of caffeine—roughly 400–500 mg—at one time can result in a serious condition known as “caffeine intoxication.” Some symptoms of caffeine intoxication are minor and include nausea, vomiting, agitation, nervousness, or headache. Other symptoms can be more life-threatening, such as rapid heartbeat, electrolyte imbalance, very high blood sugar, or high levels of acid in the blood, which can cause seizures. See the OPSS FAQ to help you avoid hidden sources of caffeine. 

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