Weight Loss Clinical Trial
Official title:
Effect of Protein Supplementation on Lean Body Mass Recovery and Physiological Resilience Following Survive, Evade, Resist, Escape (SERE) School
The purpose of this study is to evaluate the physiological consequences of extreme military
training and determine whether protein supplementation enhances recovery by promoting gains
in lean body mass. This study will be conducted at the US Marine Survive, Evade, Resist,
Escape (SERE) school at Camp Lejeune, North Carolina.
SERE school may be an ideal setting to assess nutritional interventions that promote recovery
from severe military operational stress, and identify innate or experiential variables that
may lead to increased levels of resilience in Warfighters. Our laboratory has recently
demonstrated the detrimental effects and stressful nature of SERE. Heart rates and
stress-related hormones increased dramatically, with concomitant reductions in circulating
anabolic hormones. Additionally, SERE causes significant weight loss (15-20 lbs), which
probably included lean body mass. The effects of severe operational stress induced by SERE,
particularly the loss of lean mass, may degrade physical performance, increase injury risk,
and compromise military readiness. Under controlled laboratory conditions, consuming high
protein diets or supplemental high-quality protein promotes muscle protein retention,
enhances muscle protein synthesis, and protects lean body mass in response to stress. Whether
consuming supplemental protein promotes lean mass recovery and physiological resilience
following a 'real-world' military stress has not been determined. Further, the level of
supplemental protein necessary to optimize recovery from extreme military operational stress
has not been elucidated.
Up to 90 US Marines will be enrolled in a 46-day double-blind, placebo-controlled trial.
Using complex body composition measurements, kinetic modeling of human metabolism, blood
sampling and cognitive and nutrition questionnaires, the consequences of SERE and the
efficacy of protein recovery nutrition on lean mass accretion and Warfighter resilience will
be assessed.
We hypothesize that consuming a specially formulated, high-quality supplemental protein
ration item will speed recovery of lean body mass, physiological, and psychological
resilience following extreme military operational stress.
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