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Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel This PDF is available from The National Academies Press at http://www.nap.edu/catalog.php?record_id=13121 Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel ISBN John Erdman, Maria Oria, and Laura Pillsbury, Editors; Committee on 978-0-309-21008-9 Nutrition, Trauma, and the Brain; Institute of Medicine 444 pages 7 x 10 PAPERBACK (2011) Visit the National Academies Press online and register for... Instant access to free PDF downloads of titles from the NATIONAL ACADEMY OF SCIENCES NATIONAL ACADEMY OF ENGINEERING INSTITUTE OF MEDICINE NATIONAL RESEARCH COUNCIL 10% off print titles Custom notification of new releases in your field of interest Special offers and discounts Distribution, posting, or copying of this PDF is strictly prohibited without written permission of the National Academies Press. Unless otherwise indicated, all materials in this PDF are copyrighted by the National Academy of Sciences. Request reprint permission for this book Copyright © National Academy of Sciences. All rights reserved. Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel Nutrition and Traumatic Brain Injury Improving Acute and Subacute Health Outcomes in Military Personnel Committee on Nutrition, Trauma, and the Brain Food and Nutrition Board John Erdman, Maria Oria, and Laura Pillsbury, Editors Copyright © National Academy of Sciences. All rights reserved. Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. W911QY-10-C-0010 between the National Academy of Sciences and the Department of Defense. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number-13: 978-0-309-21008-9 International Standard Book Number-10: 0-309-21008-9 Additional copies of this report are available from the National Academies Press, 500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu. For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu. Copyright 2011 by the National Academy of Sciences. All rights reserved. Printed in the United States of America Cover credit: “Pavement” created by Matthew A. Ping (www.visionaryveteran.blogspot.com) for Vet Art Project. The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin. Suggested citation: IOM (Institute of Medicine). 2011. Nutrition and Traumatic Brain Injury: Im- proving Acute and Subacute Health Outcomes in Military Personnel. Washington, DC: The National Academies Press. Copyright © National Academy of Sciences. All rights reserved. Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel “Knowing is not enough; we must apply. Willing is not enough; we must do.” —Goethe Advising the Nation. Improving Health. Copyright © National Academy of Sciences. All rights reserved. Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences. The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its ad- ministration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also spon- sors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Charles M. Vest is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is presi- dent of the Institute of Medicine. The National Research Council was organized by the National Academy of Sciences in 1916 to as- sociate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of the National Research Council. www.national-academies.org Copyright © National Academy of Sciences. All rights reserved. Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel COMMITTEE ON NUTRITION, TRAUMA, AND THE BRAIN JOHN W. ERDMAN (Chair), Professor Emeritus, Department of Food Science and Human Nutrition, University of Illinois at Urbana-Champaign ELDON WAYNE ASKEW, Professor and Director, Division of Nutrition, University of Utah, Salt Lake City BRUCE R. BISTRIAN, Professor, Harvard Medical School, Boston, Massachusetts JOSEPH G. CANNON, Professor, College of Allied Health Sciences, Georgia Health Sciences University, Augusta XIANG GAO, Research Scientist and Assistant Professor, Departments of Nutrition and Medicine, Harvard School of Public Health, Boston and Harvard Medical School, Boston, Massachusetts MICHAEL S. JAFFEE, Past National Director, Defense and Veterans Brain Injury Center, Wilford Hall Medical Center, San Antonio Uniformed Services Health Education Consortium, Texas ROBIN B. KANAREK, Professor, Department of Psychology, Tufts University, Medford, Massachusetts CATHY W. LEVENSON, Associate Professor, Department of Biomedical Sciences and Program in Neuroscience, Florida State University College of Medicine, Tallahassee ESTHER F. MYERS, Chief Science Officer, Research & Strategic Business Development, American Dietetic Association, Chicago, Illinois LINDA J. NOBLE, Professor, Departments of Neurological Surgery and Physical Therapy and Rehabilitation Science, University of California, San Francisco ROSS D. ZAFONTE, Professor and Chair, Department of Physical Medicine & Rehabilitation, Harvard Medical School, Boston, Massachusetts Study Staff MARIA ORIA, Study Director LAURA PILLSBURY, Associate Program Officer GUI LIU, Senior Program Assistant LEANN BARDEN, Intern ANTON BANDY, Financial Officer GERALDINE KENNEDO, Administrative Assistant, Food and Nutrition Board LINDA D. MEYERS, Director, Food and Nutrition Board Consultant HILARY RAY, Copyeditor v Copyright © National Academy of Sciences. All rights reserved. Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel Copyright © National Academy of Sciences. All rights reserved. Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel Reviewers This report has been reviewed in draft form by individuals chosen for their diverse per- spectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report: Luke R. Bucci, Vice President of Research,
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