Tr. Kramer et al., EFFECTS OF FOOD RESTRICTION IN MILITARY TRAINING ON T-LYMPHOCYTE RESPONSES, International journal of sports medicine, 18, 1997, pp. 84-90
In a stress model which included food restriction, we examined the eff
ects of physically rigorous military training and increased caloric in
take on T-lymphocyte responses and lymphocyte subsets. T-lymphocyte pr
oliferation and release of soluble receptor for interleukin-2 (sIL-2R)
in vitro were measured in two separate training classes of male U.S.
Army ranger course (RC) trainees at the start and during the RC. Train
ees in group 1 (n = 55) and 2 (n = 50), respectively, had mean (+/- SD
) energy intakes of 11.8 +/- 7.0 and 13.6 +/- 6.7 MJ/d, averaged total
daily energy expenditures of 16.7 and 17.6 MJ/d, and experienced body
weight losses of 15.6% and 12.6%. Both groups showed decreased T-lymp
hocyte responses in vitro: proliferation to phytohemagglutinin (PHA) a
nd tetanus toroid (TT), and released sIL-2R to PHA. Group 2 with an in
tended 15% increase in energy during the RC over group 1 showed 22% an
d 26% less severe suppressions of T-lymphocyte proliferation and relea
sed sIL-2R, respectively, in vitro. Group 2 also showed that short-ter
m (9 days) removal of the food restriction stressor allowed for correc
ted body weight, total lymphocyte and T-lymphocyte subset counts but n
ot suppressed T-lymphocyte responses in vitro. These results demonstra
te that soldiers in physically rigorous military training are at risk
of suppressed T-lymphocyte immunocompetence, and this is greater if th
ey also experience inadequate energy intake.