Health Assessment of U.S. Army Rangers

Deuster, Patricia A.; Sridhar, Anjali; Becker, William; Coll, Regina; O'Brien, Karen; Bathalon, Gaston P.

doi:10.1093/milmed/168.1.57

Military Medicine

2003

DOI: 10.1093/milmed/168.1.57

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Health Assessment of U.S. Army Rangers

Patricia A. Deuster

Anjali Sridhar

William Becker

et al.

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Cited by 11 publications

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“…Estimates for U.S. adults in 2006 have shown an increase to as high as 3.5% (7.6 million) ( 17 ). Moreover, ST use in the U.S. military and its subpopulations (i.e., special operations forces) is 4 to 15 times higher (14.5 -50.0%) than the general population ( 6,10,15 ). A recent large-scale survey of health-related behaviors in the military revealed a signifi cant increase in the percentage of military personnel who used ST in the past 30 d from 11.7% in 1998 to 14.5% in 2005 ( 1 ).…”

mentioning

confidence: 99%

Smokeless Tobacco Use Among Military Flight Personnel: A Survey of 543 Aviators

McClellan¹,

Olde²,

Freeman³

et al. 2010

aviat space environ med

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mentioning

confidence: 99%

Smokeless Tobacco Use Among Military Flight Personnel: A Survey of 543 Aviators

McClellan¹,

Olde²,

Freeman³

et al. 2010

aviat space environ med

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Prevalence of and Factors Associated with Dietary Supplement Use in a Stratified, Random Sample of US Military Personnel: The US Military Dietary Supplement Use Study

Knapik

Trone

Steelman

et al. 2021

The Journal of Nutrition

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Background About 50% of Americans and 70% of US military service members use dietary supplements (DSs). Objectives This cross-sectional survey examined current prevalence of and factors associated with DS use in service members. Methods A stratified random sample of 200,000 service members from the Air Force, Army, Marine Corps, and Navy was obtained from military manpower records, and these service members were asked to complete a questionnaire on their DS use and personal characteristics. Chi-square statistics and multivariable logistic regression examined differences across various strata of demographic, lifestyle, and military characteristics. Results About 18% of successfully contacted service members (n = 26,681) completed the questionnaire between December 2018 and August 2019 (mean ± SD age: 33 ± 8 y, 86% male). Overall, 74% reported using ≥1 DS/wk. Multivitamins/multiminerals were the most commonly used DSs (45%), followed by combination products (44%), proteins/amino acids (42%), individual vitamins/minerals (31%), herbals (20%), joint health products (9%), and purported prohormones (5%). In multivariable analysis, factors independently associated with DS use included female gender [OR (female/male): 1.91; 95% CI: 1.73, 2.11], older age [OR (≥40/18–24 y): 1.25; 95% CI: 1.08, 1.44], higher education level [OR (college degree/high school or less): 1.35; 95% CI: 1.19, 1.53], higher BMI [OR (≥30/<25 kg/m2): 1.37; 95% CI: 1.25, 1.52], more weekly resistance training [OR (>300/≤45 min/wk): 5.05; 95% CI: 4.55, 5.61], smokeless tobacco use [OR (user/nonuser): 1.30; 95% CI: 1.17, 1.44], higher alcohol intake [OR (≥72/0 mL/wk): 1.41; 95% CI: 1.29, 1.54], and higher military rank [OR (senior officer/junior enlisted): 1.26; 95% CI: 1.06, 1.51]. Conclusions Compared with civilian data from the NHANES, service members were much more likely to use DSs and used different types of DSs, especially combination products and proteins/amino acids often used to purportedly enhance physical performance. Comparisons with previous military data suggest DS use has increased over time.

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Dietary Supplements: Knowledge and Adverse Event Reporting Practices of Department of Defense Health Care Providers

2020

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Introduction The purpose of the study was to assess the knowledge of dietary supplements (DS) and adverse event (AE) reporting practices of the Department of Defense health care providers. AEs related to use of DS are not uncommon. However, it is estimated that less than 2% of AEs are reported. This is problematic given the Food and Drug Administration relies on AE reports to identify and ultimately remove unsafe products from the market. Inadequate reporting of AE puts all DS users at risk. Materials and Methods Cross-sectional design was used. Electronic surveys were sent to the Department of Defense health care professionals (HCPs) and Emergency Medicine (EM) physicians asking questions about practices regarding DS and AE knowledge and reporting behaviors. The surveys were open for 5 months. During this period of time, HCPs received three email reminders following the initial email to enhance participation. The computer package IBM SPSS version 25 software (IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 21.0, Armonk, New York) was used for statistical analysis. Frequency distributions of the responses were analyzed. Results Of the 1,700 surveyed, 270 HCPs and 68 EM physicians completed the surveys. At least 39% of HCPs reported never receiving formal DS training. Seventy-two percent of HCPs reported asking their patients about the use of DS. However, when asked if they knew where to report an AE, only 40% of HCPs knew where to report an AE and only 38% knew how to report an AE. Of the EM physicians, only 38% asked their patients about DS. However, a majority (78%) reported that they had encountered an AE. EM physicians also reported they lacked knowledge regarding where (87%) and how (87%) to report AE. Conclusions It is clear that physician and nonphysician HCPs would benefit from additional training about DS and how and where to report suspected AE. Providing regular training on risks, common AE, and how and where to report an AE would help fill the knowledge gap in the ever-changing DS industry. Addressing these issues and coming up with a solution to integrating AE reporting into clinical care could improve health care practices and increase AE reporting to the Food and Drug Administration, which would have a beneficial impact on patient care, public safety, and mission readiness.

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Health Assessment of U.S. Army Rangers

Cited by 11 publications

References 0 publications

Smokeless Tobacco Use Among Military Flight Personnel: A Survey of 543 Aviators

Smokeless Tobacco Use Among Military Flight Personnel: A Survey of 543 Aviators

Prevalence of and Factors Associated with Dietary Supplement Use in a Stratified, Random Sample of US Military Personnel: The US Military Dietary Supplement Use Study

Dietary Supplements: Knowledge and Adverse Event Reporting Practices of Department of Defense Health Care Providers

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