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Are you at risk for Female Athlete Triad?

Learn how the Female Athlete Triad affects health and performance and how you can prevent it.

The Female Athlete Triad is a health condition that commonly affects physically active girls, teens, and women, especially those involved in activities that have a heavy emphasis on weight and physical appearance. It’s characterized by energy deficiency, amenorrhea (menstrual disturbances), and osteoporosis (bone loss), which can leave you tired, anxious, and unmotivated—an equation for poor performance. It can also put you at risk for serious health problems such as muscle loss, dehydration, and stress fractures.

Female service members can be at risk for developing the Triad if they don’t get enough calories (underfueling) and if training is too intense. But you can prevent it easily by focusing on your overall health and nutrition rather than your weight and by following these tips:

  • Eat when you’re hungry and include a variety of nutrient-rich foods such as lean sources of protein—lean fish, poultry, beans, nuts, and low-fat dairy products—along with whole grains, fruits, and vegetables. Skipping meals and snacks or severely restricting your food intake will keep you from getting enough calories and other important nutrients such as protein, vitamins, and minerals.
  • Eat a recovery snack that consists of carbs and protein after your workout. Carbs are your body’s primary fuel source to keep you energized, and you need protein to build and repair your muscles.
  • Talk to a registered dietitian (RD) for an individual nutrition plan. An RD who specializes in sports nutrition can help you choose the best foods and the right amounts to optimize your performance.

Remember, food is the fuel that helps you to perform at your best. For more, read this handout from the Female Athlete Triad Coalition.

Make your meals a veggie victory

HPRC Fitness Arena: Nutrition, Total Force Fitness
Learn ways to give your meal a nutrient-packed punch by increasing your veggie intake.

There is no consensus on a “perfect diet,” but the healthiest diets have one thing in common: plenty of vegetables daily. However, “I don’t like them,” “I don’t have enough time to prepare them,” and “I don’t know how to prepare them” are common complaints when it comes to vegetables in your or your kids’ meals. So here are some tips to help brighten up your plate with a variety of vegetables to optimize your health and performance.

  • Be sneaky. Add vegetables to foods you already love. Shred vegetables and add them to omelets, rice, pasta, soups, stews, and sauces. Puree vegetables such as carrots, spinach, to add oomph to sauces and casseroles.
  • Time crunch? Buy frozen or low-sodium canned (rinsed well with water) to cut down on prep time.
  • Challenge your taste buds. Do you truly not like broccoli, or have you just never had it prepared in a way you like? Change your cooking technique and try again. Try baking, roasting, grilling, sautéing, steaming, or eating vegetables raw for a different flavor and texture.
  • Flavor it up. A little flavor goes a long way with vegetables. Prepare veggies using a pinch of sea salt, fresh or dried herbs or spices, a sprinkle of Parmesan cheese, or a swirl of balsamic vinegar to turn up the flavor.

For more ideas and recipes for vegetables, visit More Matters. The recommended intake of vegetables varies depending on your weight, age, and calorie needs. Young children need about a cup, men need up to 3 cups, and women need a bit less. Find out how many vegetables you need.  

Where to go for dietary supplement information

Visit OPSS—for the first time or again—for new FAQs, videos and PSAs, and print materials with information about dietary supplements.

Searching for reliable information about dietary supplements and don’t know where to go? Operation Supplement Safety (OPSS) has answers for you. OPSS has a comprehensive “Frequently Asked Questions (FAQs)” section with subcategories about general and miscellaneous topics, dietary supplement ingredients, performance, and weight loss. Or if you’re an educator and need some videos or short PSAs, click on “Tools for Warfighters,” and then search the “Video” tab. We also have materials that can be printed for distribution or ordered through the USAPHC Health Information Products e-catalog.

Didn’t find what you’re looking for while in OPSS? Use our Ask the Expert button located on the OPSS home page

30-second breaks help your body!

HPRC Fitness Arena: Mind Tactics, Total Force Fitness
Taking 30-second breaks is a great way to ease the physical strain of sitting in front of a computer.

Take plenty of 30-second microbreaks to ease computer-related physical discomfort. Do you spend hours in front of your computer? Then you’ve probably noticed that your neck, low back, shoulders, and wrists can feel tired and sore afterwards. A great strategy that can help these discomforts is to take “microbreaks”—30-second breaks from your computer. They can help even if you’re just working for 3 hours at a computer—much less a full workday! Some tips to consider:

  • Take a microbreak every 20 minutes when working in front of a computer.
  • Don’t wait until you feel the need for a break. It’s more helpful to create a specific break schedule than to wait until it feels like time to take one.
  • Don’t worry about taking micro breaks and getting less done. For most tasks, microbreaks actually don’t negatively impact productivity.


The foundations of Total Force Fitness

Get back to basics with the foundations of Total Force Fitness: health, resilience, and performance optimization. What are they and how do they go together?

Have you heard the terms “resilience” and “Total Force Fitness,” but you’re not quite sure what they mean or where they fit into the health and performance picture? Read on.

Your health is the foundation. The 2010 article "Why Total Force Fitness?" states, “nothing works without health.” Health is not just physical and not just something to worry about when you’re sick. Health is a combination of physical, mental, spiritual, and social well-being and includes practices that promote wellness in addition to those that help you recover from sickness or injury.

Resilience is next. Resilience is the ability to bounce back—or even better, forward—and thrive after experiencing hardship. It is not the ability to completely withstand hardship but rather the ability to come back from it and grow stronger through the experience.

Next is human performance optimization (HPO). Unlike resilience, which typically requires the experience of hardship, HPO involves performing at your best for whatever goal or mission you have (whether that is your PT test, a combat mission, or raising children). It goes beyond simply resisting challenges; it means functioning at a new optimal level to face new challenges.

Health, resilience, and optimal performance are the foundations of Total Force Fitness, which is defined in the “Physical Fitness” chapter of “Total Force Fitness for the 21st Century” (see link above) as a “state in which the individual, family, and organization can sustain optimal well-being and performance under all conditions.” Being totally fit requires a holistic approach—that is, an approach that doesn’t focus on just one aspect alone such as nutrition or physical fitness, but on multiple domains of fitness. It means attending to your mind (including psychological, behavioral, spiritual, and social components) and your body (including physical, nutritional, medical and environmental components). In order to achieve Total Force Fitness, these factors come together to enhance your resilience and/or performance.

This is where HPRC can help you on your quest for total fitness. By visiting each of our domains—Physical Fitness, Environments, Nutrition, Dietary Supplements, Family & Relationships, and Mind Tactics—you can get evidence-based information on a variety of holistic topics to help you achieve and sustain total fitness. But remember that total fitness is a life-long process that will ebb and flow. And it isn’t just about you; your loved ones are an important piece of the picture, too.

To learn more, check out HPRC’s "What is 'Total Force Fitness'?" and for in-depth information, visit the Total Force Fitness Articles section of HPRC’s website.

The battle with eating disorders

May is Mental Health Month. Eating disorders are nutrition-related mental health conditions with serious consequences for a service member, spouse, child, or an entire family.

An eating disorder can impact your performance, both physically and mentally. But you can take steps to overcome it.

Eating disorders are serious conditions involving a person’s attitudes and behaviors toward food, weight, and body image. People with eating disorders eat extremely small or excessive amounts of food and usually feel embarrassment, disgust, and depression.

Eating disorders can be triggered by a number of causes, including genetic, biologic, behavioral, emotional, psychological, and social factors. Service members must meet certain physical requirements and often set even higher expectations for themselves. Pressure to be at an ideal weight or have the best physique can contribute to an eating disorder.

Even the most resilient service members are not immune to these triggers, and female service members are affected more than males. In addition, the number of diagnosed eating disorders in the military seems to be increasing, and many military members with eating disorders may go undiagnosed.

Not getting enough food or not eating healthy, consistent amounts of food means that your body is not being optimally fueled. And even worse, eating disorders can take a serious toll on your physical and emotional health, and your relationships.

The key to overcoming an eating disorder is seeking help as soon as you can and putting in the time. (It doesn’t go away overnight.) Research shows that psychotherapy is often the most successful approach, but treatment is complex and draws on expertise from other fields such as nutrition and medicine.

For more information on eating disorders and links to other helpful resources, visit Military OneSource and HPRC’s Eating disorders: Know the symptoms and risks

National Nutrition Month® 2015

HPRC Fitness Arena: Nutrition, Total Force Fitness
Filed under: Diet, Health, Nutrition
It’s that time of year again! Celebrate the Academy of Nutrition and Dietetics’ National Nutrition Month® and take a “Bite into a Healthy Lifestyle.”

March is National Nutrition Month®, and this year’s theme is “Bite into a Healthy Lifestyle.” Sponsored by the Academy of Nutrition and Dietetics, this month-long nutrition education campaign focuses on showing you how to make informed food choices and promoting healthy eating and physical activity patterns to help you maintain a healthy weight, reduce your risk of chronic disease, and support your overall health. Be sure to check out their resources on food and health, and visit HPRC’s ABCs of Nutrition section too.

Eat smart for a healthy heart

HPRC Fitness Arena: Nutrition, Total Force Fitness
February is American Heart Month. Show your heart some love, and follow these tips for heart health.

Heart disease is the leading cause of death in the United States for both men and women. But making positive lifestyle choices, especially when it comes to food, can help keep your heart strong and healthy. Keep the following tips in mind whenever you eat out or cook at home:

  • Eat more fiber. Fiber from fruits, vegetables, whole grains, beans, and legumes can help lower your cholesterol and reduce your risk for heart disease. High-fiber foods also contain minerals that help manage your blood pressure.
  • Choose your fats wisely. Liquid fats such as olive oil and canola oil are considered “heart healthy” fats, whereas solid fats such as butter and animal fat contribute to clogged arteries. Another fat that is good for your heart is omega-3 fatty acid, which is found in salmon and walnuts.
  • Monitor your sodium intake. Diets high in sodium put you at risk for high blood pressure, stroke, and heart attack. Instead of using salt, try spices and herbs to season your food. Salt isn’t the only source of sodium though. Other foods high in sodium include canned soups and sauces, fast food, restaurant food, and deli meats.

A healthy eating plan is just one factor in reducing your risk for heart disease. For information on other ways to improve your heart health, visit

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. 

Laughter: Great for mind, body, and relationships

Heard any good jokes lately? If so, just remembering them probably has you smiling and feeling better. Did you know there is scientific evidence to support those feelings?

Laughing can be more than just fun in the moment. It also can also have positive mental, physical, and social benefits. The research into the effects of positive mood, or happiness, includes how laughter and humor affect our well-being. The results show that positive emotions aren’t just superficial feelings. Brain imaging, for example, shows that reward areas in the brain “light up” during positive emotional experiences such as laughter. 

A positive mood also can impact your physical health, specifically your heart. It’s been established that long-term negative emotions can damage your physical health. Positive moods, on the other hand, can protect your cardiovascular system. One 10-year study found that those who express more positive emotions (either in words or in actions such as smiling or laughing) have a lower risk of coronary heart disease. Other studies have found that positive emotions, including optimism and a sense of humor, can enhance your immunity and might even help you live longer.

But these positive benefits aren’t just limited to your body. Humor and positive emotions can strengthen relationships, foster communication, and reduce feelings of isolation. However, the key to these social effects is to use humor appropriately. For example, laughing in the middle of a funeral ceremony may not be appropriate, but laughing at a funny movie is.

Share a joke or a smile with someone today.

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