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BOOT CAMP ABS


Charla McMillian, J.D., CSCS

[Fair Winds Press, MA 2005
ISBN: 1-59233-125-4]

REFERENCE CITATIONS


Support for the facts, claims, and science cited throughout the book are found below, organized by chapter from the book and accompanied by either the quotation supported or a general topic reference to facilitate searching.



ABOUT THE AUTHOR:

     Marine Corps pull-ups - change to standards
          Marine Corps Order 6100.3J w/Changes 1-3, TDE34/0574, 29 Feb
          1988 Section 9a


ORIENTATION:

     Tests of commercial ab training devices shows most are no more effective than
     traditional exercises
          Sternlicht E; Rugg S "Electromyographic analysis of abdominal muscle
          activity using portable abdominal exercise devices and a traditional
          crunch." J Strength Cond Res 2003 Aug;17(3):463-8

     Bioelectrical Impedance Analysis (BIA) is extremely reliable except with the
     extremely obese and the extremely lean, and BIA seriously underestimates body
     fat in females who carry most of their excess weight in the lower body.

          NIH Consensus Statement. "Bioelectrical impedance analysis in body 
          measurement" National Institutes of Health Technology Assessment
          Conference Statement. December 12-14, 1994. Reported in Nutrition,
          12(11-12); 749-62 1996 Nov-Dec

          Kujawa, K. And Hodgdon, J.A. "Comparison of Circumference- and
          Skinfold-Based Body Fat Estimation Equations" NHRC Publication
          98-34, Naval Health Research Center, San Diego, California. - although
          this test was designed to show that circumference testing using the Navy
          standard was statistically comparable to the more popular skinfold caliper
          and bioimpedance tests, part of the result indicated that all methods were
          similarly as reliable as hydrostatic weighing.

          Brodie, D, et al. "Body Composition Measurement: A Review of
          Hydrodensitometry, Anthropometry, and Impedance Methods"
          Nutrition, 14(3):296-310 1998 (specifically notes 168-201


     BIA can also be affected by your body position, presence of metallic jewelry, body
     temperature, use of oral contraceptives, and recent exercise.

          Swan, PD and KE McConnell "Anthropometry and bioelectrical
          impedance inconsistently predicts fatness in women with regional
          adiposity" Med Sci Sports Exerc 1999 Jul; 31(7):1068-75

          Gallagher, M., Walker, KZ, O'Dea, K "The influence of a breakfast meal
          on the assessment of body composition using bioelectrical impedance"
          European Journal of Clinical , 25(2):94-97 1998 Feb

          Saunders, M.J. Blevins, J.E., Broeder, C.E. "Effects of hydration
          changes on bioelectrical impedance in endurance trained individuals"
          Medicine and Science in Sports and Exercise, 30(6):885-92 1998 Jun

     
     Body Mass Index (BMI) guidelines, supported by the National Institutes for Health
     (NIH) and the National Heart, Lung, and Blood Institute (NHLBI), are used to
     identify individuals potentially at risk for obesity-related health problems and
     premature death.

          "Clinical Guidelines on the Identification, Evaluation, and Treatment of
          Overweight and Obesity in Adults" National Heart, Lung, and Blood
          Institute, National Institutes of Health. Available online at:
          http://www.nhlbi.nih.gov/guidelines/obesity/ob_home.htm


     The waist-to-hip ratio test (WtH) indicates where body fat is primarily located and
     may be a good predictor of potential health risks. However, WtH does not
     indicate percentage of body fat, may be even less reliable for determining the
     distribution of body fat in obese individuals, and is difficult to determine without
     assistance.

          Egger, G "The case for using waist to hip ratio measurements in routine
          medical checks" Med J Aust 1992 Feb 17;156(4):280-5

          Tichet, J et al "Android fat distribution by age and sex. The waist to hip
          ratio" Diabet Metab 1993 Mar-Apr;19(2):273-6

          Zamboni, M et al "Evaluation of regional body fat distribution:
          comparison between W/H ratio and computed tomography in obese
          women" J Intern Med 1992 Oct; 232(4):341-7

          Freudenheim, J et al "Accuracy of self-measurement of body fat
          distribution by waist, hip, and thigh circumferences" Nutr Cancer
          1991;15(3-4):179-86


MISSION START
The Concept

     To fire up that metabolic furnace, you need aerobic exercise for twenty minutes to
     an hour, continuously, on 3-5 days each week

          "The Recommended Quantity and Quality of Exercise for Developing
          and Maintaining Cardiorespiratory and Muscular Fitness in Healthy
          Adults" American College of Sports Medicine, Position Stand, 1990

          Aerobic exercise guidelines. Georgia State University, Department of
          Kinesiology and Health, The Exercise and Physical Fitness [Web] Page, 
          March 4, 1998 Online at:http://www.gsu.edu/~wwwfit/


KNOWLEDGE
Briefing #1 Feeding Frequency

     When your body doesn't get the fuel it needs (like when you starve yourself on
     extremely low calorie or monotonous diets), you will simply lose your appetite
     within 2-4 days.

          Aesoph, L "Anorectic and Mood-Altering Effects of Ketosis During
          Ketogenic Diets" J Naturo Med 1:1 (1990)

          Rosen, J "Mood and appetite during minimal-carbohydrate and
          carbohydrate-supplemented hypocaloric diets" Am J Clin Nutr 1985
          Sep;42(3):371-9

          Lappalainen, R et al "Hunger/craving responses and reactivity to food
          stimuli during fasting and dieting" Int J Obes 1990 Aug;14(8):679-88

     Frequent feedings are key to losing body fat while maintaining lean muscle mass.

          Iwao, S, Mori, K. And Sato, Y. "Effects of meal frequency on body 
          during weight control in boxers" Scandinavia J of Med and Sci in
          Sports 6:265-72 1996

          Brainum, Jerry "When Eating is Anabolic" All-Natural Muscular
          Development, vol. 34, 8 August 1997

Nutrient Purpose: Carbohydrates

     Short-term studies have found that people do lose weight on [low carb] diets; but the
     consensus from comparing these studies is that the weight loss comes from reducing total
     calories over longer periods of time,  not from reducing the carbs.

          Bravata, DM et al, "Efficacy and safety of low-carbohydrate diets: a         
          systematic review"  JAMA 2003 Apr 0; 289(14):1837-50

     The brain relies on carbohydrate alone for fuel.

          "Mapping Human Brain Function"  U.S. Department of Energy, Office of
          Science - News Archives  updated March 2001 Available online at:
          http://www.er.doe.gov/Sub/Accomplishments/Decades_Discovery/92.html

          "Medical Encyclopedia: Glucose Test"  Medline Plus the online health
          information source from the U.S National Library of Health and the National
          Institutes of Health. Update date: 11/3/2002  Available online at: 
          http://www.nlm.nih.gov/medlineplus/ency/article/003482.html

          Davis, J.M. "Brain Fuel: Carbohydrates, Exercise, and CNS Function"  Gatorade
          SportsScience Institute 2002. Available online at: 
          http://www.gssiweb.com/sportssciencecenter


     Studies show diminished short term memory performance with low blood glucose levels
     after insufficient carbohydrate intake of only a few hours.

          Wesnes, KA, et al "Breakfast reduces decline s in attention and memory over
          the morning in schoolchildren"  Appetite 2003 Dec; 41(3):329-31

          Benton, D., Owens, DS "Blood glucose and human memory"
          Psychopharmacology (Berl) 1993; 113(1):83-8

          Bendon, D., Sargent J "Breakfast, blood glucose and memory"Biol
          Psychol 1992 Jul;33(2-3):207-10

          Greenwood, CE "Dietary carbohydrate, glucose regulation, and cognitive
          performance in elderly persons"  Nutr Rev 2003 May;61(5 Pt 2):S68-74

     
Fiber: The Carb Cousin

     Dietary fiber helps even high-GI carbs and fats move more slowly through your digestive
     system.

          Cherbut, C et al "Involvement of small intestine motility in blood glucose
          response to dietary fibre in man" Br J Nutr 1994 May;71(5):675-85

          Bjorck, I et al "Food properties affecting the digestion and absorption of
          carbohydrates" Am J Clin Nutr 1994 Mar;59(3 Suppl):699S-705S

          Stephen, AM "Whole grains - impact of consuming whole grains on
          physiological effects of dietary fiber and starch" Crit Rev Food Sci Nutr
          1994;34(5-6:449-511


     Fiber helps move waste from your colon without straining and helps prevent colon
     cancer, diverticulitis, hernias, and varicose veins.

           W Enker, M.D., F.A.C.S. "Dietary Fiber & Bowel Function" Continuum
          Health Partners, Inc. Available online at: http://www.wehealny.org


Nutrient Purpose: Protein

     Although your body can manufacture 11 of the amino acids required to make protein,
     there are 9 that it cannot make and must get from food. The 9 essential amino acids,
     those that the body cannot manufacture, are: isoleucine, leucine, lysine, methionine,
     phenylalanine, threonine, tryptophan, valine, and histidine (in some people). Arginine is
     also essential for children and for some adults for normal growth; some individuals may
     also acquire a need for ornithine, cysteine, tyrosine, and taurine.

          Laidlaw, S "Newer Concepts of the indispensable amino acids" Am J Clin
          Nutr 1987 Oct;46)4):593-605 

     Sources of Protein

     Some of the components of soy (isoflavones) are now suspected to actually increase the
     risk of cancer in women, and another main ingredient (genistein) significantly drops the
     testosterone concentration in male rats.

          Willet, W et al "Postmenopausal estrogens - opposed, unopposed, or none of
          the above." JAMA 2000; 283: 534-35

          Burros, M. "Doubts Cloud Rosy News on Soy" New York Times, January
          26, 2000

          Strauss E. Et al. "Genistein exerts estrogen-like effects in the male mouse
          reproductive tract." Mol Cell Endocrinol 1988; 25.144(1-2):83-93


     Whey protein has been known for its health benefits since about 400 B.C. when
     Hippocrates pointed them out.

          Brink, W  "Fighting Cancer with Whey" Life Extension Magazine. The
          Life Extension Foundation Nov. 1997


     Whey contains all of the essential amino acids, has been shown to prevent the formation
     of cancer tumors and reduce the progress of existing tumors in both rats and humans,
     improves immune function and helps fight infection, and lowers bad cholesterol.

          McIntosh, G. Et al. "Dairy proteins protect against dimethylhydrazine-induced
          intestinal cancers in rats" J Nutr  1995 Apr;125(4):809-16

          Hakkak, R, et al "Diets containing whey proteins or soy protein isolate protect
          against 7,12-dimethylbenz(a)anthracene-induced mammary tumors in female
          rats" Cancer Epidemiol Biomarkers Prev 2000 Ja;9(1):113-7

          Bounous, G, et al "Dietary whey protein inhibits the development of
          dimethylhydrazine induced malignancy" Clin Invest Med 1998 Jun;
          11(3):213-7

          Kennedy, RS, et al "The use of whey protein concentrate in the treatment of
          patients with metastatic carcinoma: a phase I-II clinical study" Anticancer
          Res 1995 Nov-Dec;15(6B):2643-9

          Bounos, G et al "The immunoenhancing property of dietary whey protein
          concentrate" Clin Invest Med  1988 Aug;11(4):271-8

          Zhang X. Et al "Lowering effect of dietary milk-whey protein v. casein on
          plasma and liver cholesterol concentrations in rats" Br J Nutr 1993
          Jul;70(1):139-46


     Those who do not consume any animal sources of proteins (i.e., vegans) may have diets
     deficient in zinc, iron, calcium, and vitamin B-12 

          "Position of the American Dietetic Association and the Canadian Dietetic
          Association: Nutrition for physical fitness and athletic performance for
          adults." The American Dietetic Association, 1998


     High Protein Fads

     If you enlisted in one of the low-carb-diet-with-a-name cults, you've pretended that
     dizziness, nausea, fatigue, bad breath and losing water weight and lean muscle instead of
     body fat are positive things.

          Yancy, WS, et al "A low-carbohydrate, ketogenic diet versus a low-fat diet to
          treat obesity and hyperlipidemia: a randomized, controlled trial" :  Ann Intern
          Med 2004 May 18;140(10):769-77


     Some side effects of quack diets which supply too much protein and eliminate adequate
     supplies of other nutrients: 
      - Not enough energy to train hard. So you can't take advantage of the faster metabolism
     that would normally come from improving your physique

          Riley R "Popular weight loss diets: health and exercise implications" Nutr
          Aspects of Exer Clinics in Sports Med Vol. 18, No. 3 Jul 1999

          Maughan R et al "Diet composition and the performance of high-intensity
          exercise" J Sports Sci, 15(3):265-75 1997 Jun

      - It's possible to strain your kidneys, poison your blood, and become susceptible to
     cancers and other kidney diseases, especially if you have any compromised kidney
     functioning as is estimated for 1 in 4 Americans 

          "American Kidney Foundation Warns About Impact of High-Protein Diets on
          Kidney Health" American Kidney Fund News Release, April 25, 2002.
          Available online at: 
          http://www.kidneyfund.org/AboutAKF/Newsroom_020425.htm

          Goldfarb, DS., Coe, FL "Prevention of recurrent nephrolithiasis"  Am Fam
          Phys 1999 Nov 15;60(8):2269-76

          Knight, EL, et al "The impact of protein intake on renal function decline in
          women with normal renal function or mild renal insufficiency"  Ann Intern
          Med 2003 Mar 18;138(6)460-7

          Handa, K., Kreiger, N "Diet patterns and the risk of renal cell carcinoma"
          Publ  Health Nutr 2002 Dec; 5(6):757-67

          Rao, GN "Diet and kidney diseases in rats" Toxicol Pathol 2002 Nov-Dec;
          30(6):651-6


      - Recent studies confirm that people on high protein, carb restricted diets lose weight at
     the same rate or VERY slightly faster than those on other diets -- for up to six months.
     But after a year they lose no more weight than subjects on other restricted calorie diets;
     they do not have lower levels of bad cholesterol (in fact, in some cases, higher); and they
     gain just as much of the weight back as those on every other fad diet when they can no
     longer sustain the ridiculous regimen.

          Brehm, BJ et al "A randomized trial comparing a very low carbohydrate diet
          and a calorie-restricted low fat diet on body weight and cardiovascular risk
          factors in healthy women"  J Clin Endocrinol Metab 2003 Apr; 88(4):1617-23

          Layman, DK, et al "A reduced ratio of dietary carbohydrate to protein
          improves body composition and blood lipid profiles during weight loss in adult
          women"  J Nutr 2003 Feb; 133(2):411-7

          Dansinger, ML, et al "One year effectiveness of the Atkins, Ornish, Weight
          Watchers, and Zone diets in decreasing body weight and heart disease risk."
          Presented at American Heart Association Scientific Sessions, November 12, 2003
          Orlando, FL

          Samaha, FF, et al "A low-carbohydrate as compared with a low-fat diet in
          severe obesity"  N Engl J Med 2003 May 22;348(21):2074-81

          Meckling, KA, et al "Comparison of a low-fat diet to a low-carbohydrate diet
          on weight loss, body composition, and risk factors for diabetes and cardiovascular
          disease in overweight men and women"  J Clin Endocrin Metabol 

          Volek, JS, et al "Comparison of a very low-carbohydrate and low-fat diet" 
          J Am Coll Nutr 2004 Apr; 23(2):177-84


     Starting any training session without enough glycogen loaded in your muscles (because
     your new fad diet doesn't let you eat enough carbs), your body will take some of the
     energy it needs from its protein supply  Since the most accessible protein is now part of
     the very muscles you need to use when training, you'll actually burn some of that muscle
     tissue, along with the protein you recently consumed, for fuel.

          Maughan, R "Diet composition and the performance of high-intensity
          exercise" J  Sports Sci 1997 Jun;15(3):265-75


     If your body has to switch from running on carbs to running on protein, it cannibalizes
     lean muscle rather than sacrifice vital organ functioning on insufficient energy from
     carbohydrate.

          Coyle, E "Substrate utilization during exercise in active people" Am J
          Clin Nutr 1995;Apr;61(4 Suppl):968S-979S

          Hargreaves,M "Carbohydrates and exercise" J Sports Sci 1991 Summer; 9
          Spec No: 17-28

          Burke, L et al "Carbohydrate and exercise" Curr Opin Clin Nutr Metab
          Care 1999 Nov; 2(6):515-20


Briefing #3 
Nutrient Purpose: Fats

     Increasing fat intake without maintaining adequate carb stores, will hurt your training
     performance; you won't have the physical energy to keep working for long.
          Helge, J "Interaction of training and diet on metabolism and endurance
          capacity during exercise in man" J Physiol (Lond) 1996 Apr 1; 492 (Pt 1):
          293-306


     Consuming monounsaturated fats and eliminating saturated fats helps raise HDL levels
     and lower LDL.

          Nolte, LJ et al "Effect of dietary fat reduction and increased aerobic exercise
          on cardiovascular risk factors" Clin Exp Pharmacol Physiol, 24(11):901-3
          1997 Nov


     Although short term studies show positive training effects and a lack of increased cardiac
     risk with higher fat intake, these tests have been done on highly trained, very active
     individuals who showed no signs or family history of obesity.

          Dietschy, JM "Dietary fatty acids and the regulation of plasma low density
          lipoprotein cholesterol concentrations" J Nutr, 128(2 Suppl):444S-448S 1998
          Feb

          Leddy, J et al. "Effect of a high or low fat diet on cardiovascular risk factors in
          male and female runners" Med Sci Sports Exer 29(1): 117-25 1997

          Pendergast, DR et al "The role of dietary fat on performance, metabolism, and
          health" Am J Sports Med, 24(6 Suppl): S53-8   1996

          J'equier, E "Response to and range of acceptable fat intake in adults" Eur
          J Cin Nutr, 53 Suppl (1): S84-8; discussion S88-93 1999 Apr

          Goedecke, J et al "Metabolic adaptations to a high fat diet in endurance
          cyclists" Metabolism, 48(12):1509-17 1999 Dec

          Brown, R and CM Cox "Effects of high fat versus high carbohydrate diets on
          plasma lipids and lipoproteins in endurance athletes" Med Sci Sports Exer,
          30(12):1677-83 1998 Dec


     Studies done on overweight subjects show an increase in the levels of LDL cholesterol
     with low carb, high protein/high fat diets

          Hoppeler, H et al "Muscle structure with low- and high-fat diets in
          well-trained male runners"  Int J Sports Med, 20(8):522-6 1999 Nov

          Volek, JS, et al "An isoenergetic very low carbohydrate diet improves serum
          HDL cholesterol and triacylglycerol concentrations, the total cholesterol to HDL
          cholesterol ratio and postprandial pipemic responses compared with a low fat diet
          in normal weight, normolipidemic women."  J Nutr 2003 Sep;133(9):2766-61

          Sharman, MJ, et al "Very low carbohydrate and low-fat diets affect fasting
          lipids and postprandial lipemia differently in overweight men"  J Nutr 2004
          Apr;134(4):880-5


Briefing #4
Staying Hydrated

 Percentage of major body parts that is water**
   Sources:  Colgan, M "Optimum Sports Nutrition" Advanced Research Press NY 1993

   Multi-Pure Drinking Water Systems, Las Vegas, NV  
   http://www.multipureco.com


 Phosphoric acid found in many sodas may lead to kidney stones 

 Jacobsen, Michael F, Ph.D. "Liquid Candy: How soft drinks are harming Americans'
 health"  Center for Science in the Public Interest, Available online at: http://www.cspinet.org/sodapop/liq
 uid_candy.htm


Briefing #5
Nutrient Balance: How Much Do You Need

 RDA guidelines typically recommended too many calories for most people's activity levels
 (2200 calories a day for adult females and 2900 calories a day for males), miniscule amounts
 of protein (8-9% of total caloric intake), far too much fat (30% of total calories), and high
 carbs regardless of activity level (about 61%). 

   1989 Recommended Dietary Allowances (RDA) 10th Edition , National Academy
   of Sciences. National Academy Press, Washington, DC 1989

   "RDA should not be confused with requirements for a specific individual."
   Recommended Dietary Allowances.  Food & Nutrition Board, Washington, D.C.: National
   Academy of Sciences, 1980: 1


 The old RDA listed the minimum amount of specific nutrients needed to prevent nutritional
 deficiencies in population groups; the new DRI shows the minimum amounts necessary to
 prevent chronic disease along with estimated safe upper limits for daily intake.

   Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids,
   Cholesterol, Protein, and Amino Acids (Macronutrients)  (2002) Food and Nutrition
   Board (FNB), Institute of Medicine (IOM) available online at: http://books.nap.edu/books/0309085
   373/html/

   "Recommended Dietary Intakes"  from "Recommended Dietary
   Allowances" National Academy of Sciences, Wash., D.C. 1997
   http://www.nas.edu/new

   "Frequently Asked Questions About the DRIs"  National Academy of Sciences,
   Wash., D.C. 1999  http://www.nas.edu/new


 Calculating Total Caloric Requirements

 Estimate your energy requirements using a standard formula, called the Harris-Benedict
 formula The Harris-Benedict formula was developed in 1919 under the direction of renowned
 chemist Francis Benedict at the Nutrition Laboratory of the Carnegie Institution of
 Washington in Boston, MA. It remains one of the most common methods for calculating
 energy expenditure rates for clinical and research purposes.  

   Sources:  J Am Diet Assoc 1998; 98:439-45 and biography of Francis Benedict
   Available online at: 
   http://www.sportsci.org/news/history/benedict/benedict.html


 You lose protein through sweat, the death of red blood cells, and your body's own need for
 more energy when you train.

   Lemon, PW "Protein and exercise: update 1987" Med Sci Sports Exerc, 19(5
   Suppl): S179-90  1987 Oct

   Lemon, P "Effects of exercise on dietary protein requirements" Int J Sports Nutr,
   8(4):426-47 1998 Dec


 Once you're in training, you need more protein than the minimum requirements to stay alive.

   Lemon, P "Is increased dietary protein necessary or beneficial for individuals with a
   physically active lifestyle?"  Nutr Rev, 54(4 Pt 2):S169-75 1996 Apr

   Tipton, K and RR Wolfe "Exercise-induced changes in protein metabolism" Acta
   Physiol Scand, 162(3):377-87 1998 Mar

   Sparkman D "Bodybuilders need more protein" article for All Natural Muscular
   Development Magazine, vol. 34, No. 9 Sep 1997


 [The recommended target requirements] are based on averages of the lowest amounts of
 protein that have been shown to adequately support combined strength and endurance
 athletes. 

   Lemon P "RDA for protein inadequate with exercise" Int J Sports Nutr,8:426-47
   1999

   Lemon P "Effects of exercise on dietary protein requirements" Int J Sports Nutr,
   8(4):426-47 1998 Dec


 The formerly obese who have lost the weight don't appear to use fat efficiently, so they
 continue to store more of the fat they eat.

   Golay A and E Bobboni "The role of dietary fat in obesity" Int J Obes Relat Metab
   Disord, 21 Suppl 3:S2-11 1997 Jun

   Shick S et al "Persons successful at long-term weight loss and maintenance continue to
   consume a low-energy, low-fat diet" J Am Diet Assoc, 98(4):408-13 1998 Apr

   Data from National Weight Control Registry, University of Colorado Center for Human
   Nutrition, University of Colorado Health Sciences Center web site: 
   http://www.uchsc.edu/nutrition/nwcr.htm


 Consume no more than 15% of your daily calories from fat and work to reduce or eliminate
 the saturated fats.

   J'Equier E "Response to and range of acceptable fat intake in adults" Eur J Clin
   Nutr, 53 Supl 1:S84-8 1999 Apr

   Colgan, M "Optimum Sports Nutrition"


 [Most recreational athletes'] carb requirements add up to approximately  50-65% of their total
 target calories, which is important for maintaining proper brain and muscle functioning while
 fueling training efforts.

   MacDonald, I "Carbohydrate as a nutrient in adults: range of acceptable intakes"
   Eur J Clin Nutr 1999 Apr;53 Suppl 1:S101-6

   Colgan, M "Optimum Sports Nutrition"


 Food Labelling - Nutrition Facts Chart
   U.S. Food and Drug Administration, Office of Nutritional Products, Labeling, and Dietary
   Supplements. Food labeling information. Available online at: 
   http://www.cfsan.fda.gov/~dms/foodlab.html


Briefing #6
Dietary Supplements

 Vitamin "O" Hoax

   http://www.healthnbeauty.com/vito.htm
    (web site advertising Vitamin O)
      Note: web site now also cites a 1999 "study" by John Heinerman, Ph.D. who
      publishes the result of a single 6-month study of this saline solution showing
      miraculous results. The study was allegedly performed on a group of 60 anemic
      members of a North American religious group called the "Hutterian Brethren," a
      colony that apparently shuns the outside world. The study is purported to demonstrate
      - once and for all - that "Vitamin O" increases oxygen supplies in the blood while
      improving energy levels, alleviating anemia, improving mental cognition, and
      generally restoring hope in those who have suffered a host of ailments. The "study"
      was funded by the company that distributes "Vitamin O" (Staff of Life d/b/a R-Garden,
      Inc. of Palm Beach,FL). Neither the "Vitamin O" study nor anything else ever
      published by Dr. Heinerman could be located in any any peer reviewed journal

   Federal Trade Commission (FTC)  News Release May 1, 2000 "Marketers of 'Vitamin
   O' Settles FTC Charges of Making False Health Claims."

   Federal Trade Commission v. Rose Creek Health Products, et al Consent Decree
   Civ. No. CS-99-0063-EFS Apr. 28, 2000 Wash.

   2/18/2005 - U.S . Food and Drug Administration Warning Letter #SEA 05-14 -
   warns manufacturers of "Vitamin O" to stop making unsubstantiated claims about the
   products, to correct the false or misleading labelling of the products, and to immediately
   cease distribution of these violative products. FDA cites label and "testimonial" claims that
   the company's products have been responsible for everything from clearing skin infections
   to curing hepatitis, lung cancer, and cataracts . . . among others. 
   http://www.fda.gov/foi/warning_letters/g5187d.htm


 Real ginseng does help boost athletic performance, energy levels, endurance, brain power,
 and physical recovery. 
   D'Angelo L, et al "A double-blind, placebo controlled clinical study on the effect of
   standardized ginseng extract on psychomotor performance in healthy volunteers." J
   Ethnopharmacology 1986: 16:15-22

   Avakian, EV, Sugimoto BR. "Effect of panax ginseng on energy substrates during
   exercise" Fed Proc 1980:39:287

   Dorling E, et al "Do ginsenocides influence performance. Results of a double-blind
   study." Notabene Medici 1980: 10:241-46

   Ziemba, AW et al "Ginseng treatment improves psychomotor performance at rest and
   during graded exercise in young athletes" Int J Sport Nutr 1999 Dec;9(4):371-7


 Controlled studies have shown legitimate and promising effects of ginseng supplementation
 using real ginseng herb standardized to deliver 200 mg per day of the effective ingredient,
 known as ginsenosides. 

   D'Angelo L, et al "A double-blind, placebo controlled clinical study on the effect of
   standardized ginseng extract on psychomotor performance in healthy volunteers." J
   Ethnopharmacology 1986: 16:15-22


 One analyst tested 54 "ginseng" products from store shelves and found that nearly 60%
 contained only small amounts - if any - ginsenosides.

   Tyler VE. The New Honest Herbal.  George F. Stickley, Philadelphia  1987


 The internationally renowned Colgan Institute for Sports Nutrition got similar results from
 several brands of "ginseng" tea.

   Colgan, M "Optimum Sports Nutrition"


 Random tests of 18 [ginseng supplement] products found 2 of them high in contaminants or
 far less of the active ingredient than labeled.

   Results of ConsumerLab.com testing of Asian & American Ginseng Products.  Available
   (by subscription) online at: http://www.consumerlab.
   com/results/ginseng.asp#results


 The government is currently working to develop a more informative system [than the
 discontinued Adverse Events Reports) for presenting reliable information on dietary
 supplements)

   U.S. Food and Drug Administration, Center for Food Safety and Applied Nutrition, August
   29, 2002. Available online at: http://vm.cfsan.fda.gov/%7Edms/aems
   .html


RECRUIT FIELD JOURNAL
FITNESS TEST SCORING INSTRUCTIONS

Height/Weight Chart

 The American Heart Association and National Institutes of Health identify a major problem
 with [the higher ranges of acceptable body weight contained in the 1983 revisions of the
 Metropolitan Life Insurance Company's weight standards for men and women]: "such
 increased body weight may contribute to high blood pressure, hypercholesterolemia, and
 glucose intolerance or similar risk factors, apart from the impact of weight on mortality."

   Health Implications of Obesity. NIH Consensus Statement Online 1985 Feb 11-13;
5(9):1-7. http://consensus.nih.
gov/cons/049/049_statement.htm#4_What_Ar

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