- The document discusses the importance of understanding the physiological responses to

negative energy balance and the severity of energy deficits in individuals exposed to
extreme environments. - Exposure to high-altitude, hot, and cold climates can alter dietary
requirements by upregulating energy expenditure, altering substrate metabolism, and
accelerating body water and muscle protein loss. - Sustained exposure to severe energy
deficits can lead to muscle function decline, impair physical performance, and degrade
survivability. - The dietary reference intakes (DRIs), which define individual nutrient
requirements for optimal health, may be inadequate for individuals operating in extreme
environments. - The document highlights the need for optimized nutrition strategies to
sustain health and performance in extreme environments, particularly in nonobese,
relatively lean individuals. This summary was created using www.anysummary.app