Experience from the selection and nutritional preparation for Expedition ICE MAIDEN: the first successful all-female unassisted Antarctic traverse.

Autor:	Taylor N; Academic Department of General Practice, Defence Medical Services Research and Clinical Innovation, Birmingham, UK., Gifford RM; University/ British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK r.gifford@ed.ac.uk.; Academic Department of Military Medicine, Defence Medical Services Research and Clinical Innovation, Birmingham, UK., Cobb R; PND Consulting, Birmingham, UK., Wardle SL; Army Personnel Research Capability, Army Headquarters, Andover, UK., Jones S; Antarctic Logistics and Expeditions, Salt Lake City, Utah, USA., Blackadder-Weinstein J; Academic Department of General Practice, Defence Medical Services Research and Clinical Innovation, Birmingham, UK., Hattersley J; Human Metabolic Research Unit, Universities of Coventry and Warwickshire NHS Trust and University of Warwick, Warwick, UK., Wilson A; Human Metabolic Research Unit, Universities of Coventry and Warwickshire NHS Trust and University of Warwick, Warwick, UK., Imray C; Human Metabolic Research Unit, Universities of Coventry and Warwickshire NHS Trust and University of Warwick, Warwick, UK., Greeves JP; Army Personnel Research Capability, Army Headquarters, Andover, UK., Reynolds R; University/ British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK., Woods DR; Academic Department of Military Medicine, Defence Medical Services Research and Clinical Innovation, Birmingham, UK.; Research Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, Leeds, UK.
Jazyk:	angličtina
Zdroj:	BMJ military health [BMJ Mil Health] 2021 Feb; Vol. 167 (1), pp. 27-32. Date of Electronic Publication: 2019 May 15.
DOI:	10.1136/jramc-2019-001175
Abstrakt:	Introduction: Expedition ICE MAIDEN (Ex IM) was the first all-female unsupported crossing of Antarctica. We describe the prerequisite selection and training, comparing those who formed the final team with other participants, and discuss how the expedition diet was established. Methods: All women serving in the British Army were invited to participate. Following initial assessments, successful women completed three training/selection ski expeditions. Between expeditions 1 and 2, participants completed 6 months rigorous UK-based training. Weight was measured before and after the 6 months UK-based training, expeditions 2 and 3, and body composition by skinfold before and after expedition 2. Participant feedback, body composition and weight changes were applied to modify the expedition diet and provide weight gain targets prior to Ex IM. Results: Following 250 applications, 50 women were assessed and 22, 12 and seven women attended training expeditions 1, 2 and 3, respectively. The final team of six women lost more weight than other participants during UK-based training (mean (SD) change -1.3 (1.5) kg vs -0.5 (1.6) kg, respectively, p=0.046) and during training expedition 2 (-2.8 (0.8) kg vs -1.7 (0.4) kg, respectively, p=0.048), when they also gained more lean mass (+2.1 (0.8) kg vs +0.4 (0.7) kg, respectively, p=0.004). The Ex IM diet provided 5000 kCal/day, comprising approximately 45% carbohydrate, 45% fat and 10% protein. Median (range) weight change between expedition 3 and Ex IM was +8.7 (-1.9 to +14.3) kg. Conclusions: The selected Ex IM team demonstrated favourable training-associated body composition changes. Training-associated weight loss informed the expeditionary diet design. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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