Renee E. Cole

Renee E. Cole
U.S. Army Research Institute of Environmental Medicine · Military Nutrition Division

Doctor of Philosophy

About

51
Publications
4,771
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486
Citations
Citations since 2016
37 Research Items
401 Citations
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Introduction
Research interest focus on eating behaviors within the military and how the military culture and environment, along with other external factors influence eating behaviors and if they ultimately effect health outcomes. Developing a military-specific eating behavior survey to capture a holist assessment of to include physical activity, sleep, stress, nutrition knowledge, body image, and environment.

Publications

Publications (51)
Article
Introduction Go for Green® (G4G) is an evidence-based, multi-component nutrition program for military dining facilities (DFAC) to improve nutritional fitness among Service Members. The program evolved from supporting “fueling” during initial Army training into a robust intervention across all U.S. Military branches. The current G4G program consists...
Article
Objective Identify potential revisions to the Healthy Eating Score (HES–5) that improve associations with the Healthy Eating Index (HEI) –2015 total and component scores. Methods Pearson r correlations were determined from soldiers’ (n = 433) survey data, including the HES, proposed additional questions, and the Block Food Frequency Questionnaire....
Article
Full-text available
Objective: To describe the Military Eating Behavior Survey (MEBS), developed, and validated for use in military populations. Design: Questionnaire development using a 6-phase approach that included item generation, subject matter expert review, cognitive interviewing, factor analysis, test-retest reliability testing, and parallel forms testing....
Article
Negative body image is more often identified in individuals with overweight or obesity. More than 65% of U.S. soldiers have a body mass index (BMI) that classifies them with overweight or obesity. Additionally, all soldiers must meet body composition and physical fitness standards which may increase the risk of negative body image. This cross-secti...
Article
Objective Examine associations between soldiers’ eating behaviors, compliance with body composition and fitness standards, and physical performance. Design Cross-sectional study. Setting Eight Army installations. Participants US Army Soldiers (n = 1,591; 84% male). Main Outcome Measures Characteristics, eating behaviors, compliance with body co...
Article
Full-text available
Background Dietary supplement (DS) use by Army personnel is high and is a safety and readiness issue. Objective Our aim was to examine factors motivating use of DSs among US Army personnel and preferred safety education strategies. Design This mixed-method study used a validated DS questionnaire and subsequent focus groups that were formed based...
Article
Full-text available
Introduction: Interventions that encourage good nutrition-related behaviors in the dining environment can potentially influence the health of large numbers of military personnel. Thus, the Army has studied the effectiveness of implementing nutrition education and dining facility (DFAC) changes that included healthier recipes, revised menus, and pop...
Article
Introduction Interventions that encourage good nutrition-related behaviors in the dining environment can potentially influence the health of large numbers of military personnel. Thus, the Army has studied the effectiveness of implementing nutrition education and dining facility (DFAC) changes that included healthier recipes, revised menus, and popu...
Article
BACKGROUND: Caffeine-containing products and dietary supplements are widely used by military populations, but little is known about their use by aviation personnel. This study assessed self-reported sleep, fitness, work-schedules, and caffeine/energy drink use.METHODS: A standardized survey was conducted in person by study personnel using tablet co...
Article
Objectives Vitamin D deficiency (VDD) and iron deficiency (ID) are associated with injury risk and performance, respectively, in military recruits during initial military training (IMT). Breakfast skipping is prevalent among young adults and contributes to decreased intakes of vitamin D and iron. However, whether breakfast skipping is associated wi...
Article
Full-text available
Background: In civilians, overweight and obesity are associated with emotional eating behaviors such as eating in response to stress, but this association has not been examined in Soldiers, a population with unique stressors. This cross-sectional study examined the relationship between perceived stress (PS), emotional eating (EE), and outcomes of...
Poster
Full-text available
Objectives: US Army Soldiers must comply with body composition (BC) and physical fitness (PF) standards as a condition for military entry and retention. Whether eating behaviors are associated with meeting these standards is unknown. This cross-sectional study aimed to determine the specific eating behaviors associated with failing BC and PF stand...
Article
Introduction Military personnel use dietary supplements (DS) more frequently and in a higher quantity than the general population. Patterns of DS used and the motivation for use among the military population are different than those of the civilian population. Soldiers are much more likely to use potentially dangerous DS purported to enhance physic...
Article
Objective: To assess the impact of the Special Operations Forces Human Performance Program dining facility (DFAC) intervention on patron diet quality and meal satisfaction. Design: Nonrandomized, controlled time series study using digital food photography and surveys pre-post intervention (0, 4, 8, and 12 months). Setting: Two Fort Bragg, NC m...
Article
Full-text available
Background: Faced with increasing health care costs, it is incumbent to discern whether managing dyslipidemia with medical nutrition therapy (MNT) by a registered dietitian nutritionist (RDN) is clinically and cost effective. Objective: To systematically examine evidence on the clinical effectiveness and cost benefit of MNT by an RDN for the tre...
Article
Full-text available
Karl, J. Philip, Renee E. Cole, Claire E. Berryman, Graham Finlayson, Patrick N. Radcliffe, Matthew T. Kominsky, Nancy E. Murphy, John W. Carbone, Jennifer C. Rood, Andrew J. Young, and Stefan M. Pasiakos. Appetite Suppression and Altered Food Preferences Coincide with Changes in Appetite-Mediating Hormones During Energy Deficit at High Altitude, B...
Article
In this 2-phase randomized controlled study, we examined whether consuming a higher-protein (HP) diet would attenuate fat-free mass (FFM) loss during energy deficit (ED) at high altitude (HA) in 17 healthy males (mean ± sd: 23 ± 6 yr; 82 ± 14 kg). During phase 1 at sea level (SL, 55 m), participants consumed a eucaloric diet providing standard prot...
Article
Background: The US Military-Baylor Graduate Program in Nutrition (GPN) has a 10% 7-year attrition rate representing wasted military resources. Evidence-based selection criteria for dietetics masters of science (MS) programs do not exist, nor does descriptive information of successful students. Objective: Identify GPN student characteristics pred...
Article
Objective: Military members may be in a unique position to misperceive their weight status because of the expectations of military service-specific body composition standards and sex-specific ideals of body image. Two-thirds of military service members are overweight or obese, costing the Department of Defense over $1 billion/year. This study asse...
Article
The purpose of this study was to determine the relationship between individual weight status and intuitive eating or motivation for eating characteristics. Participants were predominantly white (57%), Army (91%), enlisted (72%), males (71%), with a mean age of 30 ± 9 years and mean body mass index (BMI) of 27.0 ± 4.2 kg/m(2). The cross-sectional, d...
Article
Relocation from a cool to a hot climate is a frequent occurrence in military service. Acclimatization requires time and exposure to heat. Nonacclimatized individuals frequently consume inadequate fluid leading to hypohydration, which can quickly result in dehydration with increased risk of heat illness/injury. This descriptive cross-sectional study...
Article
Nonalcoholic fatty liver disease (NAFLD) is now recognized as part of the metabolic syndrome, and is specifically related to obesity and insulin resistance. Lifestyle modification is advocated for the treatment of NAFLD, but few studies have evaluated its impact on liver histology. The purpose of this study was to investigate which, if any, specifi...
Article
PurposeThe purpose of this study is to evaluate the effectiveness of a nutrition-based shared medical appointment (SMA) intervention in the treatment of prediabetes compared to the individualized counseling standard of care.MethodsA randomized controlled trial design comparing health outcomes in patients with prediabetes attending either an individ...
Article
To identify lifestyle factors that may contribute to weight changes experienced by Warfighters assigned to Warrior in Transition Units (WTU). Multicenter, cross-sectional, descriptive study at 4 military installations (Fort Hood, TX; Fort Bliss, TX; Fort Sam Houston, TX; and Fort Gordon, GA). Participants completed a self-reported questionnaire reg...
Article
Assess body mass index (BMI) reduction through a multidisciplinary intervention with sibutramine in adolescents of military parents and examine characteristics and behavioral traits as predictors of successful weight loss. A prospective study where participants received sibutramine daily for 6 months. Adolescents ages 12 to 18 with BMI-for-age and...
Article
Although implementing a regular exercise program may initially seem overwhelming to individuals attempting weight loss, increasing walking with a focus on steps-per-day may be a more realistic means for encouraging physical activity. This study evaluated the effectiveness of pedometer use for motivating an increase in physical activity among overwe...
Article
To evaluate the effectiveness of the "My Body Knows When" intuitive-eating (IE) program tailored to assist Fort Drum military spouses in rejecting the dieting mentality. Randomized prospective study (N = 61) evaluating dieting mentality and health indicators for a 10-week intervention based on 10 IE principles. The program was developed through the...
Article
To describe the use of a consolidated version of the PRECEDE-PROCEED participatory program planning model to collaboratively design an intuitive eating program with Fort Drum military spouses tailored to their readiness to reject the dieting mentality and make healthful lifestyle modifications. A consolidated version of PRECEDE-PROCEED guided demog...
Article
Thesis (PH.D.) -- Syracuse University, 2006 "Publication number AAT 3251799." Microfilm of typescript.
Article
Military spouses have limited access to installation weight management programs compared to soldiers. Many military spouses turn to commercial weight loss facilities or fad diets that focus on losing weight quickly without necessarily fostering healthy lifestyle behaviors. A 10-week non-dieting approach to weight management program was conducted, f...

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Projects (2)
Project
Characterize skeletal muscle, physical and mental performance responses to prolonged negative energy balance, dietary protein and carbohydrate manipulations during high altitude acclimatization (4300 m).