Bmj Military Health最新文献

Contraception in the Royal Navy: a service evaluation of the lived experience of serving women. 英国皇家海军的避孕：服役妇女生活经历的服务评估。

IF 1.7 4区医学

Bmj Military Health Pub Date : 2025-09-27 DOI: 10.1136/military-2025-003036

Isabel S Austin, C E Moore, F Crowsley-Allen, R Guest

引用次数: 0

Large-scale combat operations: French lessons on prolonged casualty care in the Sahel. 大规模作战行动：萨赫勒地区长期伤员护理的法国经验。

IF 1.7 4区医学

Bmj Military Health Pub Date : 2025-09-27 DOI: 10.1136/military-2025-003108

Cyril Pernod, J Schmitt, C Dubecq, E Meaudre, P Pasquier

引用次数: 0

Cold operational readiness in the military: from science to practice. 军队的冷兵器作战准备：从科学到实践。

IF 1.7 4区医学

Bmj Military Health Pub Date : 2025-09-22 DOI: 10.1136/military-2024-002740

Tommi Ojanen, L Margolis, K van der Sanden, F Haman, B Kingma, G Simonelli

{"title":"Cold operational readiness in the military: from science to practice.","authors":"Tommi Ojanen, L Margolis, K van der Sanden, F Haman, B Kingma, G Simonelli","doi":"10.1136/military-2024-002740","DOIUrl":"10.1136/military-2024-002740","url":null,"abstract":"Cold weather operations are logistically difficult to orchestrate and extremely challenging for soldiers. Decades of research and empirical evidence indicate that humans are extremely vulnerable to cold and that individual responses are highly variable. In this context, it may be necessary to develop personalised strategies to sustain soldiers' performance and ensure overall mission success in the cold. Systematic cold weather training is essential for soldiers to best prepare to operate during, and recover from, cold weather operations. The purpose of this review is to highlight key aspects of cold weather training, including (1) human responses to cold, (2) nutrition, (3) sleep and (4) protective equipment requirements. Bringing science to practice to improve training principles can facilitate soldiers performing safely and effectively in the cold. Cold weather training prepares soldiers for operations in cold, harsh environments. However, decreases in physical, psychological and thermoregulatory performance have been reported following such training, which influences operational ability and increases the overall risk of injuries. When optimising the planning of field training exercises or operational missions, it is important to understand the soldiers' physical and cognitive performance capacity, as well as their capacity to cope and recover during and after the exercise or mission. Even though the body is fully recovered in terms of body composition or hormonal concentrations, physical or cognitive performance can still be unrecovered. When overlooked, symptoms of overtraining and risk of injury may increase, decreasing operational readiness.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"428-432"},"PeriodicalIF":1.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fatigue and management of warfighter mental endurance. 战士心理耐力的疲劳与管理。

IF 1.7 4区医学

Bmj Military Health Pub Date : 2025-09-22 DOI: 10.1136/military-2025-002963

Arnaud Rabat, J Van Cutsem, S M Marcora, A Lambert, R Markwald, A G Kubala, K E Friedl

{"title":"Fatigue and management of warfighter mental endurance.","authors":"Arnaud Rabat, J Van Cutsem, S M Marcora, A Lambert, R Markwald, A G Kubala, K E Friedl","doi":"10.1136/military-2025-002963","DOIUrl":"10.1136/military-2025-002963","url":null,"abstract":"Mental fatigue (MF) is a psychobiological state induced by prolonged exertion that has the potential to reduce performance. In military operations, MF coincides with inadequate sleep, circadian disruption and other stressors, further increasing the risk of fatigue-related errors of judgement and reduction in physical and psychological performance. Experienced leaders can detect MF, but multimodal monitoring and assessment technologies still cannot duplicate this capability. Experiments to define signals that cue this human percept could inform future technologies. Countermeasures include engagement strategies, brain endurance training to extend physical endurance, and caffeine and modafinil to temporarily sustain performance. An infrastructure for physiological monitoring and integrated analyses will advance team performance enhancement, along with the use of explainable and interpretable artificial intelligence modelling, refined through iterative experimentation. More precise definitions that distinguish MF from other types of fatigue will help advance the development of monitoring technologies and countermeasures by targeting the right physiological and behavioural metrics.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"447-451"},"PeriodicalIF":1.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clothing and individual equipment for the female soldier: developing a framework to improve the evidence base which informs future design and evaluation. 女兵的服装和个人装备：制定一个框架，以改进为未来设计和评估提供依据的证据基础。

IF 1.7 4区医学

Bmj Military Health Pub Date : 2025-09-22 DOI: 10.1136/military-2024-002735

Nicola C Armstrong, S A Rodrigues, K M Gruevski, K B Mitchell, A Fogarty, S Saunders, L Bossi

引用次数: 0

Holistically assessing dismounted warfighter military performance: bridging science and operational relevancy. 全面评估下马作战人员的军事表现：桥接科学与作战相关性。

IF 1.7 4区医学

Bmj Military Health Pub Date : 2025-09-22 DOI: 10.1136/military-2024-002748

Jennifer Sperlein, K Hinde, T Karakolis, S D Myers, M O'Donovan, B Sheffield

引用次数: 0

Novel approaches to evaluate characteristics that affect military load carriage. 评估影响军用载荷运输特性的新方法。

IF 1.7 4区医学

Bmj Military Health Pub Date : 2025-09-22 DOI: 10.1136/military-2024-002899

Ryan B Graham, A Mir-Orefice, M P Mavor, V G Bode, T L A Doyle, K R Kelly, A K Silverman, P H Sessoms

{"title":"Novel approaches to evaluate characteristics that affect military load carriage.","authors":"Ryan B Graham, A Mir-Orefice, M P Mavor, V G Bode, T L A Doyle, K R Kelly, A K Silverman, P H Sessoms","doi":"10.1136/military-2024-002899","DOIUrl":"10.1136/military-2024-002899","url":null,"abstract":"Carrying heavy body-borne loads, an essential component of a service member's duties, is a significant injury risk factor. Physiological and biomechanical data can help illuminate the relationship between load carriage and injuries for service members. This review highlights characteristics that affect load carriage performance and summarises novel approaches to evaluate associated biomechanical changes. Personal characteristics, such as physical fitness and body composition, are good predictors of injury risk and load carriage ability. Effective training programmes can improve load carriage ability by altering fitness and body composition; however, careful planning is needed to integrate training with regular duties to prevent overtraining and, consequently, reduce injury risk in service members. Recent research supports the need for sex-specific training programmes since men and women achieve different training outcomes from similar stimuli. To further minimise injury risk, it is necessary to consider the effects of equipment characteristics (eg, load distribution, form and comfort) on physiological and biomechanical responses. Moreover, novel approaches to evaluate the effects of the various characteristics on load carriage performance are summarised in this review. Markerless motion capture and inertial measurement units have recently been used to evaluate kinematic changes while wearing various combat ensembles. Musculoskeletal modelling can complement kinematic analyses by evaluating internal joint mechanics during dynamic movements. By using frameworks that can leverage modelling approaches in real-time, service members can receive data-driven biofeedback on their load carriage performance and understand the loading experienced by their tissues to ultimately help mitigate their injury risks.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"458-462"},"PeriodicalIF":1.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

MSKI reduction strategies: evidence-based interventions to reduce musculoskeletal injuries in military service members. 减少 MSKI 战略：减少军人肌肉骨骼损伤的循证干预措施。

IF 1.7 4区医学

Bmj Military Health Pub Date : 2025-09-22 DOI: 10.1136/military-2024-002747

Hans Christian Tingelstad, E Robitaille, T J O'Leary, M-A Laroche, P Larsen, T Reilly

{"title":"MSKI reduction strategies: evidence-based interventions to reduce musculoskeletal injuries in military service members.","authors":"Hans Christian Tingelstad, E Robitaille, T J O'Leary, M-A Laroche, P Larsen, T Reilly","doi":"10.1136/military-2024-002747","DOIUrl":"10.1136/military-2024-002747","url":null,"abstract":"Musculoskeletal injuries (MSKI) are one of the biggest challenges for military services globally, contributing to substantial financial burdens and lost training and working days. Effective evidence-based intervention strategies are essential to reduce MSKI incidence, and research has shown the positive effect of both nutritional interventions and physical training (PT) interventions on reducing MSKI incidence. Levels of vitamin D metabolites have been associated with MSKI and bone stress fracture risk, while calcium and vitamin D supplementation has been shown to reduce the incidence of stress fractures during military training. Protein and carbohydrate supplementation during arduous military training (high volume, high intensity) has also been shown to reduce MSKI risk and the number of limited/missed duty days. PT has played a key role in soldier development to meet the occupational demands of serving in the armed forces. Paradoxically, while PT is fundamental to enhancing soldier readiness, PT can also be a major contributor to MSKI; emerging evidence suggests that the nature of the PT being performed is a risk factor for MSKI. However, strategies like reducing training load and implementing PT programmes using evidence-based training principles can reduce MSKI incidence among military service members by 33-62%, and reduce the financial burdens for military services. This review provides a summary of effective MSKI reduction interventions and provides strategies to enhance the success and adoption of such interventions.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"418-422"},"PeriodicalIF":1.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Holistic Health and Fitness Management System (H2FMS): a modernised software capability for optimising soldier readiness and performance. 整体健康和健身管理系统（H2FMS）：一种现代化的软件能力，用于优化士兵的准备和表现。

IF 1.7 4区医学

Bmj Military Health Pub Date : 2025-09-22 DOI: 10.1136/military-2024-002945

Andrew G Thompson, N A Rinaldi, C L Smith, K A Bigelman

{"title":"The Holistic Health and Fitness Management System (H2FMS): a modernised software capability for optimising soldier readiness and performance.","authors":"Andrew G Thompson, N A Rinaldi, C L Smith, K A Bigelman","doi":"10.1136/military-2024-002945","DOIUrl":"10.1136/military-2024-002945","url":null,"abstract":"The Holistic Health and Fitness Management System (H2FMS) is a secure, cloud-based platform designed to assess, understand and improve soldier health, fitness and performance across five readiness domains: physical, mental, spiritual, nutritional and sleep. By leveraging automated support actions, domain-specific tools, role-based dashboards and integrated analytics, H2FMS empowers the interdisciplinary Holistic Health and Fitness (H2F) Performance Teams (HPTs) to effectively develop, employ and retain talented soldiers within the US Army.H2FMS unifies data from advanced biometric technologies, performance assessments, self-reported psychometrics and existing systems, ensuring every soldier has on-demand access to HPT support through guided education, interactive coaching, expert-informed training and personalised biofeedback. The platform enhances awareness for individual soldiers, HPT staff and cadre/command teams, driving optimal resource allocation and enabling data-informed interventions that boost performance, reduce injuries, expedite rehabilitation and significantly enhance quality of life and service. H2FMS represents a cost-efficient strategy for scaling HPT access across the Total Army, providing an equitable framework that maximises individual and organisational return on investment.Critically, H2FMS aligns with the Army's modernisation and national defence objectives by supporting multidomain overmatch through superior human performance management. It advances the long-term goal of generating and maintaining a lethal, adaptable and enduring force. This review details the requirements for H2FMS capabilities and illustrates how it can guide optimisation strategies while creating institutional efficiencies essential for modern force management. Ultimately, H2FMS marks a strategic milestone investment in modernising the foundation of the Army's 'human advantage,' ensuring sustained effectiveness and resilience in current and future conflicts.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"438-446"},"PeriodicalIF":1.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nutrition as a military capability to deliver human advantage: more people, more ready, more of the time. 将营养作为一种军事能力，提供人类优势：更多的人、更多的准备、更多的时间。

IF 1.7 4区医学

Bmj Military Health Pub Date : 2025-09-22 DOI: 10.1136/military-2024-002738

Joanne L Fallowfield, J P McClung, E Gaffney-Stomberg, B Probert, R Peterson, A Charlebois, H Boilard, J Carins, H Kilding

{"title":"Nutrition as a military capability to deliver human advantage: more people, more ready, more of the time.","authors":"Joanne L Fallowfield, J P McClung, E Gaffney-Stomberg, B Probert, R Peterson, A Charlebois, H Boilard, J Carins, H Kilding","doi":"10.1136/military-2024-002738","DOIUrl":"10.1136/military-2024-002738","url":null,"abstract":"Soldiers must achieve high-level mission-preparedness to endure extended periods of physical and cognitive activity, with unpredictable recovery, in all environments. Nutrition provides the foundation for health and performance. Militaries have not maximised the strategic and financial value that considering nutrition as a military capability could deliver. A whole system approach to military nutrition, based on the prepare-perform-recover human capability cycle phases, is presented. Trainee nutrition requirements, through to very-high-readiness forces undertaking arduous roles at reach, must be specifically addressed. Promoting military performance diets in the prepare phase, through practitioner-supported nutrition education and food provision, will ensure mission readiness and mitigate ill health. Delivering nutrition in field settings in the perform phase-through smaller/lighter, nutritionally optimised rations and smart packaging technologies-will improve utility and minimise waste. Strategic dietary supplement use can provide a mission performance-enhancing adjunct to a food-first philosophy. Impact value chain analysis of military nutrition capability investments could support cost-benefit measurement.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"402-407"},"PeriodicalIF":1.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0