Vy T. Nguyen, Ashley A. Donovan, Kathryn M. Taylor, Katelyn Guerriere Aaron, Leila A. Walker, Vincent P. Pecorelli, David J. Zeppetelli, Colleen M. Castellani, Susan P. Proctor, Julie M. Hughes, Stephen A. Foulis
{"title":"美国陆军受训者在基本战斗训练和肌肉骨骼损伤前的体重减轻：ARMI研究。","authors":"Vy T. Nguyen, Ashley A. Donovan, Kathryn M. Taylor, Katelyn Guerriere Aaron, Leila A. Walker, Vincent P. Pecorelli, David J. Zeppetelli, Colleen M. Castellani, Susan P. Proctor, Julie M. Hughes, Stephen A. Foulis","doi":"10.1002/oby.24364","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To investigate the association between weight loss before joining the U.S. Army and rates of musculoskeletal injury (MSKI) during physically demanding Basic Combat Training (BCT).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Self-reported weight loss was collected on 3168 Army trainees who were followed through electronic medical records for diagnosis of any and region-specific MSKI. Cox regression models were stratified by sex and COVID-19 pandemic and adjusted for age, height, maximum-ever BMI, race/ethnicity, smoking history, prior physical activity, and history of injury.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 829 trainees (26.16%) reported losing weight to enter the Army with mean (SD) weight loss of 9.06 (8.62) kg, most commonly through exercise (83.72%). Trainees who lost weight to enter the Army had lower rates of any (HR: 0.86; 95% CI: 0.74, 0.99) and lower extremity (HR: 0.84; 95% CI: 0.72, 0.98) MSKI during BCT compared to trainees who did not lose weight. Rate of weight loss (mean [SD]: 1.27 [1.06] kg/week) was not associated with any or region-specific MSKI.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Results indicate that losing excess weight before military training may minimize injuries during training and the relatively gradual rate of weight loss in these trainees did not pose a higher risk of injury.</p>\n </section>\n </div>","PeriodicalId":215,"journal":{"name":"Obesity","volume":"33 10","pages":"1977-1983"},"PeriodicalIF":4.7000,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/oby.24364","citationCount":"0","resultStr":"{\"title\":\"Weight Loss Before Basic Combat Training and Musculoskeletal Injuries Among U.S. Army Trainees: The ARMI Study\",\"authors\":\"Vy T. Nguyen, Ashley A. Donovan, Kathryn M. Taylor, Katelyn Guerriere Aaron, Leila A. Walker, Vincent P. Pecorelli, David J. Zeppetelli, Colleen M. Castellani, Susan P. Proctor, Julie M. Hughes, Stephen A. Foulis\",\"doi\":\"10.1002/oby.24364\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To investigate the association between weight loss before joining the U.S. Army and rates of musculoskeletal injury (MSKI) during physically demanding Basic Combat Training (BCT).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Self-reported weight loss was collected on 3168 Army trainees who were followed through electronic medical records for diagnosis of any and region-specific MSKI. Cox regression models were stratified by sex and COVID-19 pandemic and adjusted for age, height, maximum-ever BMI, race/ethnicity, smoking history, prior physical activity, and history of injury.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A total of 829 trainees (26.16%) reported losing weight to enter the Army with mean (SD) weight loss of 9.06 (8.62) kg, most commonly through exercise (83.72%). Trainees who lost weight to enter the Army had lower rates of any (HR: 0.86; 95% CI: 0.74, 0.99) and lower extremity (HR: 0.84; 95% CI: 0.72, 0.98) MSKI during BCT compared to trainees who did not lose weight. Rate of weight loss (mean [SD]: 1.27 [1.06] kg/week) was not associated with any or region-specific MSKI.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Results indicate that losing excess weight before military training may minimize injuries during training and the relatively gradual rate of weight loss in these trainees did not pose a higher risk of injury.</p>\\n </section>\\n </div>\",\"PeriodicalId\":215,\"journal\":{\"name\":\"Obesity\",\"volume\":\"33 10\",\"pages\":\"1977-1983\"},\"PeriodicalIF\":4.7000,\"publicationDate\":\"2025-07-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/oby.24364\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Obesity\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/oby.24364\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obesity","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/oby.24364","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
Weight Loss Before Basic Combat Training and Musculoskeletal Injuries Among U.S. Army Trainees: The ARMI Study
Objective
To investigate the association between weight loss before joining the U.S. Army and rates of musculoskeletal injury (MSKI) during physically demanding Basic Combat Training (BCT).
Methods
Self-reported weight loss was collected on 3168 Army trainees who were followed through electronic medical records for diagnosis of any and region-specific MSKI. Cox regression models were stratified by sex and COVID-19 pandemic and adjusted for age, height, maximum-ever BMI, race/ethnicity, smoking history, prior physical activity, and history of injury.
Results
A total of 829 trainees (26.16%) reported losing weight to enter the Army with mean (SD) weight loss of 9.06 (8.62) kg, most commonly through exercise (83.72%). Trainees who lost weight to enter the Army had lower rates of any (HR: 0.86; 95% CI: 0.74, 0.99) and lower extremity (HR: 0.84; 95% CI: 0.72, 0.98) MSKI during BCT compared to trainees who did not lose weight. Rate of weight loss (mean [SD]: 1.27 [1.06] kg/week) was not associated with any or region-specific MSKI.
Conclusions
Results indicate that losing excess weight before military training may minimize injuries during training and the relatively gradual rate of weight loss in these trainees did not pose a higher risk of injury.
期刊介绍：
Obesity is the official journal of The Obesity Society and is the premier source of information for increasing knowledge, fostering translational research from basic to population science, and promoting better treatment for people with obesity. Obesity publishes important peer-reviewed research and cutting-edge reviews, commentaries, and public health and medical developments.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
