Exertional Heat Illness Among Overweight U.S. Army Recruits In Basic Training

Bedno, Sheryl A.; Li, Yuanzhang; Wei, Han; Cowan, David N.; Scott, Christine T.; Cavicchia, Melinda A.; Niebuhr, David W.

doi:10.3357/asem.2623.2010

Cited by 65 publications

(69 citation statements)

References 12 publications

(13 reference statements)

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“…This study was approved by the Walter Reed Army Institute of Research Institutional Review Board. Data sources and methods have been previously described [27][28][29][30][31][32][33]. The ARMS fitness test included a 5-minute modified Harvard…”

Section: Methodsmentioning

confidence: 99%

A prospective study of physical fitness, obesity, and the subsequent risk of mental disorders among healthy young adults in army training

Gubata

Urban

Cowan

et al. 2013

Journal of Psychosomatic Research

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Section: Methodsmentioning

confidence: 99%

A prospective study of physical fitness, obesity, and the subsequent risk of mental disorders among healthy young adults in army training

Gubata

Urban

Cowan

et al. 2013

Journal of Psychosomatic Research

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“…Data sources have been previously described. 2,[31][32][33] Because only OBF women who passed the step test were included in the ARMS study, they were excluded from these analyses.…”

mentioning

confidence: 99%

Step Test Performance and Risk of Stress Fractures Among Female Army Trainees

Cowan

Bedno

Urban

et al. 2012

American Journal of Preventive Medicine

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Background: Stress fractures and other musculoskeletal injuries are major sources of morbidity among female military trainees. Several risk factors have been postulated, particularly pre-existing fıtness, usually assessed with post-entry run time for Ն1.0 mile.Purpose: Physical fıtness is not formally evaluated prior to Army entry. If a valid and simple test that identifıed women at increased risk of stress fracture were available and could be applied prior to entry, it would facilitate cost-benefıt studies of deferral or interventions. These analyses were undertaken to determine if a 5-minute step test conducted before entry identifıed women at increased risk.Methods: A prospective study was conducted of weight-qualifıed women entering the Army in [2005][2006], with analyses completed in 2011. At the pre-entry examination, information was collected on age, BMI, smoking, race, and activity level. Everyone took the step test. All outpatient medical encounters were captured, and stress fractures and other musculoskeletal injuries identifıed. Women with stress fractures and those with other musculoskeletal injuries were evaluated separately.Results: 1568 women were included in the study; 109 developed stress fractures and 803 other musculoskeletal injury. Women who failed the step test had a 76% higher stress fracture incidence and a 35% higher incidence of other musculoskeletal injuries. There was effect modifıcation between age and test failure for stress fracture.Conclusions: A step test that can be administered before military entry identifıes women with increased incidence of stress fracture and other musculoskeletal injury. This test could be used pre-entry to defer or target high-risk recruits for tailored fıtness training before or after military entrance. (Am J Prev Med 2012;42(6):620 -624)

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“…Other data from the US military show that overweight military personnel have a higher risk for sustaining heat injuries. 22 Low aerobic fitness has been cited as a predisposing factor for EHS. 24 Poorly conditioned athletes must work harder to keep up with fit teammates and thus may ignore warning signs such as dehydration, tachycardia, or sweating cessation.…”

Section: Intrinsic Risk Factorsmentioning

confidence: 99%

“…6,16,22,23 Military training includes the indoctrination of military culture, such as "mission first," which can lead motivated persons to ignore important physiological warning signs. Other data from the US military show that overweight military personnel have a higher risk for sustaining heat injuries.…”

Section: Intrinsic Risk Factorsmentioning

confidence: 99%

Exertional Heat Stroke in Navy and Marine Personnel: A Hot Topic

Goforth

Kazman

2015

Critical Care Nurse

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Although exertional heat stroke is considered a preventable condition, this life-threatening emergency affects hundreds of military personnel annually. Because heat stroke is preventable, it is important that Navy critical care nurses rapidly recognize and treat heat stroke casualties. Combined intrinsic and extrinsic risk factors can quickly lead to heat stroke if not recognized by deployed critical care nurses and other first responders. In addition to initial critical care nursing interventions, such as establishing intravenous access, determining body core temperature, and assessing hemodynamic status, aggressive cooling measures should be initiated immediately. The most important determinant in heat stroke outcome is the amount of time that patients sustain hyperthermia. Heat stroke survival approaches 100% when evidence-based cooling guidelines are followed, but mortality from heat stroke is a significant risk when care is delayed. Navy critical care and other military nurses should be aware of targeted assessments and cooling interventions when heat stroke is suspected during military operations. (Critical Care Nurse. 2015;35[1]:52–59)

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Exertional Heat Illness Among Overweight U.S. Army Recruits In Basic Training

Cited by 65 publications

References 12 publications

A prospective study of physical fitness, obesity, and the subsequent risk of mental disorders among healthy young adults in army training

A prospective study of physical fitness, obesity, and the subsequent risk of mental disorders among healthy young adults in army training

Step Test Performance and Risk of Stress Fractures Among Female Army Trainees

Exertional Heat Stroke in Navy and Marine Personnel: A Hot Topic

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