Clinical Effectiveness of the LE3AN Program: A Military Healthy Lifestyle Program

Earles, Jay Edward; Kerr, Burton; James, Larry C.; Folen, Raymond A.

doi:10.1007/s10880-007-9052-0

Cited by 10 publications

(26 citation statements)

References 15 publications

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“…The majority of the interventions [24,25,[27][28][29][30][31]34] delivered the intervention through a combination of group and individual therapy; 4 programmes relied on individual, oneto-one treatment; group therapy alone was utilized by 1 intervention [32]. In general the interventions that used a combined approach were more successful.…”

Section: Correlatesmentioning

confidence: 99%

The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

Sanderson

Clemes

Biddle³

2011

Obes Facts

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Objective: The emergence of obesity as a distinct disease could have far reaching consequences for an organisation where optimum health and physical fitness are required for personnel to perform their occupational roles effectively. The objectives of this paper are to systematically review the literature concerning correlates and treatment of obesity in military populations. Methods: Through computerised searches of English language studies, 17 papers were identified (treatment (13), correlates (4)). Results: Successful treatment interventions incorporated exercise, healthy eating information, behavioural modification, self-monitoring, relapse prevention, and structured follow-up and were supported by trained personnel. Efficacy due to physical activity was underreported. Reduction in body fat rather than body weight was the most significant outcome. The major significant correlates of obesity were being enlisted personnel, male, ≧35 years of age, African-American/Hispanic ethnicity, and married (with spouse present). Conclusion: This systematic review highlights the deficit in knowledge concerning treatment and the lack of engagement in relation to the specific correlates of obesity in military populations.

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Section: Correlatesmentioning

confidence: 99%

The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

Sanderson

Clemes

Biddle³

2011

Obes Facts

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“…Ten studies included recruits during basic military training [21, 25, 43, 44, 47, 48, 50, 52, 55, 56], while 28 included fully qualified military personnel [14, 17, 22–24, 26–42, 45, 46, 49, 51, 53, 54]. Included studies were conducted in different military branches, including the Navy [14, 22, 26, 32], Air Force [17, 23, 30, 31, 34, 40–42], Army [33, 35–38, 49, 51, 53, 54], Defense Force [46], multiple military branches [24, 26–29] and military service/basic military training [21, 25, 43, 44, 47, 48, 50, 52, 55, 56]. Twelve studies were RCTs [14, 23, 25, 30, 32, 33, 35–37, 41, 51, 52], nine studies were nonrandomized control trials or quasi-experimental studies [17, 26, 31, 43, 44, 46, 47, 50, 52], 13 studies were longitudinal studies [21, 22, 24, 28, 38–40, 45, 48, 49, 54–56], and four studies were retrospective studies […”

Section: Resultsmentioning

confidence: 99%

“…The sample size of the participants ranged from 18 to 68,591, and ages were 18 years or older. Study duration ranged from six weeks to five years; 23 studies conducted follow-up measurements for six months or less [14, 23, 24, 26, 27, 30–36, 38, 40–42, 44, 46, 47, 50, 52, 55, 56], and 14 studies conducted follow-up for more than six months [17, 21, 22, 28, 29, 37, 39, 43, 45, 48, 49, 51, 53, 54]. The follow-up duration was not stated by one study [25] (see Additional file 2).…”

Section: Resultsmentioning

confidence: 99%

Dietary, physical activity, and weight management interventions among active-duty military personnel: a systematic review

2018

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BackgroundResearch has been conducted to assess the effectiveness of weight management, dietary and physical activity interventions in military settings. However, a recent and comprehensive overview is lacking. The aim of this systematic review is to examine the evidence and describe key components of effective interventions in terms of improving body composition, dietary behaviors, and physical activity among active-duty military personnel.MethodsPubMed, PsycInfo, and CINAHL were searched on the 17th of November 2017 to identify interventions that promoted diet and/or physical activity among active-duty military personnel. Studies were included if they assessed outcomes related to anthropometric measurements, dietary behaviors, or fitness/physical activity levels. There were no restrictions regarding publication date, follow-up duration, and sex. After screening, a total of 136 studies were eligible. Of these studies, 38 included an educational and/or behavioral change component, and 98 had only physical or fitness training as part of basic military training. Only studies that included an educational and/or behavioral change component were assessed for quality using the Effective Public Health Practice Project tool and included in the qualitative synthesis of the results.ResultsBased on consistent evidence from studies that were rated as moderate or strong, there is good evidence that military weight management interventions are effective in improving body composition for durations of up to 12 months. Effective interventions are more likely to be high intensity (have a greater number of sessions), are more often delivered by specialists, and use theoretical base/behavioral change techniques and a standardized guideline. Dietary interventions can potentially reduce total fat and saturated fat intake. Dietary interventions that target the kitchen staff and/or increase the availability of healthy food are more likely to be effective in the short term. The results regarding military physical fitness interventions were inconclusive.ConclusionDespite limitations such as the diversity and heterogeneity of the included interventions, outcome measurements, and follow-up duration, this systematic review found good evidence that weight management interventions are effective, especially in terms of weight loss. More studies are needed to acquire solid evidence for effectiveness for durations longer than 12 months and to identify key components of the effective dietary and physical activity educational and/or behavioral change interventions, especially in countries outside Europe and the US.Electronic supplementary materialThe online version of this article (10.1186/s40779-018-0190-5) contains supplementary material, which is available to authorized users.

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“…This type of research has included implementing intervention programs in several populations. These programs include LEAN [21–24], lifestyle change, individual readiness, fitness excellence and eating healthy (LIFE) [25] and fat loss and exercise (FLEX) [26]. Research that evaluated these programs found that they were developed for a U.S. population and may not be suitable for other military populations [20].…”

Section: Body Compositionmentioning

confidence: 99%

A review of the physiological and psychological health and wellbeing of naval service personnel and the modalities used for monitoring

2017

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Naval cohorts rely heavily on personnel to ensure the efficient running of naval organisations. As such, the wellbeing of personnel is essential. In an occupational setting, naval service personnel experience a variety of physiological and psychological stressors. Most naval services arrange annual physical fitness and body composition tests to ensure the physical readiness of personnel. However, these tests only evaluate a small amount of physiological capabilities. Components such as aerobic and strength capabilities are assessed, however, other components of physical fitness such as speed, agility, anaerobic capacity and flexibility are not. In addition to the physical capabilities, personnel are impacted by fatigue, nutrition and psychological stressors such as copping in stressful situations or dealing with time away from family and friends. This review will discuss the physiological and psychological factors that affect personnel’s wellbeing. In addition to this, it will also evaluate the methods that are used to assess both physiological and psychological wellbeing.

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Clinical Effectiveness of the LE3AN Program: A Military Healthy Lifestyle Program

Cited by 10 publications

References 15 publications

The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

Dietary, physical activity, and weight management interventions among active-duty military personnel: a systematic review

A review of the physiological and psychological health and wellbeing of naval service personnel and the modalities used for monitoring

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