Overweight and Obesity in Military Personnel: Sociodemographic Predictors

Smith, Tracey J.; Marriott, Bernadette P.; Dotson, Laura; Bathalon, Gaston P.; Funderburk, LesLee; White, Alan; Hadden, Louise; Young, Andrew

doi:10.1038/oby.2012.25

Cited by 103 publications

(93 citation statements)

References 16 publications

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“…Figure 2 shows a cluster of studies with above-average obesity prevalence data among firefighters (7,35,83,112), although lower estimates were also reported (33,60). A cluster of studies for the military showed below-average estimates (49,65,107). Firefighters and law-enforcement personnel have previously displayed higher levels of risk related to cardiovascular disease, including overweight and obesity (100).…”

Section: Obesitymentioning

confidence: 97%

Fitness of the US Workforce

Pronk

2015

Annu. Rev. Public Health

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Fitness matters for the prevention of premature death, chronic diseases, productivity loss, excess medical care costs, loss of income or family earnings, and other social and economic concerns. The workforce may be viewed as a corporate strategic asset, yet its fitness level appears to be relatively low and declining. Over the past half-century, obesity rates have doubled, physical activity levels are below par, and cardiorespiratory fitness often does not meet minimum acceptable job standards. During this time, daily occupational energy expenditure has decreased by more than 100 calories. Employers should consider best practices and design workplace wellness programs accordingly. Particular attention should be paid to human-centered cultures. Research should address ongoing surveillance needs regarding fitness of the US workforce and close gaps in the evidence base for fitness and business-relevant outcomes. Policy priorities should consider the impact of both state and federal regulations, adherence to current regulations that protect and promote worker health, and the introduction of incentives that allow employers to optimize the fitness of their workforce through supportive legislation and organizational policies.

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Section: Obesitymentioning

confidence: 97%

Fitness of the US Workforce

Pronk

2015

Annu. Rev. Public Health

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“…Obesity prevalence was high compared to that of the general US population or military personnel, among whom obesity prevalence is estimated at 38% and 13%, respectively. 1,13 However, comparisons must be interpreted with the understanding that VHA data reflect a treatment-seeking population, who may be older and sicker than the general population. [14][15][16][17][18] Furthermore, while findings reflect the universe of veterans using VHA, they may not apply to veterans outside the VHA, who tend to be in better health.…”

Section: Discussionmentioning

confidence: 99%

The Obesity Epidemic in the Veterans Health Administration: Prevalence Among Key Populations of Women and Men Veterans

et al. 2017

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BACKGROUND: Most US adults are overweight or obese. Understanding differences in obesity prevalence across subpopulations could facilitate the development and dissemination of weight management services. OBJECTIVES: To inform Veterans Health Administration (VHA) weight management initiatives, we describe obesity prevalence among subpopulations of VHA patients. DESIGN: Cross-sectional descriptive analyses of fiscal year 2014 (FY2014) national VHA administrative and clinical data, stratified by gender. Differences ≥5% higher than the population mean were considered clinically significant. PARTICIPANTS: Veteran VHA primary care patients with a valid weight within ±365 days of their first FY2014 primary care visit, and a valid height (98% of primary care patients). MAIN MEASURES: We used VHA vital signs data to ascertain height and weight and calculate body mass index, and VHA outpatient, inpatient, and fee basis data to identify sociodemographic-and comorbidity-based subpopulations. KEY RESULTS: Among nearly five million primary care patients (347,112 women, 4,567,096 men), obesity prevalence was 41% (women 44%, men 41%), and overweight prevalence was 37% (women 31%, men 38%). Across the VHA's 140 facilities, obesity prevalence ranged from 28% to 49%. Among gender-stratified subpopulations, obesity prevalence was high among veterans under age 65 (age 18-44: women 40%, men 46%; age 45-64: women 49%, men 48%). Obesity prevalence varied across racial/ethnic and comorbidity subpopulations, with high obesity prevalence among black women (51%), women with schizophrenia (56%), and women and men with diabetes (68%, 56%). CONCLUSIONS: Overweight and obesity are common among veterans served by the VHA. VHA's weight management initiatives have the potential to avert long-term morbidity arising from obesity-related conditions. Highrisk groups-such as black women veterans, women veterans with schizophrenia, younger veterans, and Native Hawaiian/Other Pacific Islander and American Indian/ Alaska Native veterans-may require particular attention to ensure that systems improvement efforts at the population level do not inadvertently increase health disparities.

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“…como en México, China, Suecia y Australia se mantiene una preocupación prioritaria por los costes económicos del sistema sanitario. Coste que incluyen tanto la atención médica relacionada con la obesidad como las bajas por enfermedad y la productividad laboral, pues están creando potenciales efectos a largo plazo sobre la competitividad económi-ca y poniendo en peligro la propia seguridad nacional [44][45][46] . Vistas las consecuencias se está planteando valorar la obesidad a la hora de realizar los contratos laborales y el mantenimiento de los mismos para el personal de las FF.AA.…”

Section: Intervención Sobre Los Factores De Riesgo Vascularunclassified

Eficacia de la Sanidad Militar en la prevención cardiovascular del contingente de Melilla: relevancia de la Telemedicina

Guerrero¹,

Caballero²,

Urbano³

2014

Sanid. Mil.

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RESUMEN Antecedentes y Objetivos:La IGESAN (Inspección General de Sanidad) establece el protocolo del reconocimiento médico previo a la realización del test general de condición física que deben realizar los componentes del Ejército de Tierra. La Clínica Militar de Melilla participa en estos reconocimientos. Pretendemos estudiar el estado de salud cardiovascular del militar en Melilla; compararlo con otras muestras similares y valorar la eficiencia y eficacia de la telemedicina en la prevención de eventos cardiovasculares durante dicho test. Material y métodos: Historia clínica, exploración física, electrocardiograma, uso de telemedicina, recogida de datos y tratamiento estadístico. Resultados. Se estudiaron 634 varones entre 39 y 61 años con � = 47,8. En Melilla se consideraron patológicos 58 electrocardiogramas que tras remisión por telemedicina y estudio en Cardiología de Hospital Central de la Defensa se determinó que 20 no eran aptos para el test. La hipertensión arterial se asoció (p<0.005) con la no aptitud para las pruebas físicas. Se detectaron numerosos patrones electrocardiográficos propios de deportistas. El hábito de fumar fue el factor de riesgo prevalente. Más del 95% de los afectados por factores de riesgo vascular cumplen con el tratamiento farmacológico. Conclusiones: La guarnición militar de Melilla presenta una baja prevalencia de factores de riesgo vascular comparado con estudios similares probablemente por su alto nivel de actividad deportiva. La telemedicina es un instrumento eficiente para la valoración cardiológica previa a las pruebas físicas. La prevención cardiovascular y la formación en Medicina Deportiva son fundamentales para optimizar la eficiencia del test de condición física.PALABRAS CLAVE: Test general de condición física, Electrocardiograma, Prevención de enfermedades cardiovasculares, Guarnición de Melilla, Telemedicina, Medicina deportiva.Military health effectiveness in cardiovascular prevention of contingent in Melilla. Relevance of Telemedicine SUMMARY: Background and aims: The IGESAN (General Inspectorate of the Military Health Service) sets the protocol of the medical examination prior to the annual performing of the General Test of Physical Condition that all the military members of the Army must undergo. Melilla Military Clinic participates in the carrying out of these medicals. We intend to study the cardiovascular health condition of the military in Melilla garrison; to compare it with other similar samples and evaluate the efficiency of the use of telemedicine concerning the improvement in cardiovascular event prevention during the performing of the test. Material and methods: Medical history; physical examination; electrocardiogram; telemedicine; data collecting and statistical study. Results: 634 male adults with an age range from 39 to 61 ( � =47.8) were studied in Melilla. 58 electrocardiograms were considered pathological and they were sent, via telemedicine, to the Cardiology Department of the Armed Forces Central Hospital where 20 out of the 58 electrocardio...

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Overweight and Obesity in Military Personnel: Sociodemographic Predictors

Cited by 103 publications

References 16 publications

Fitness of the US Workforce

Fitness of the US Workforce

The Obesity Epidemic in the Veterans Health Administration: Prevalence Among Key Populations of Women and Men Veterans

Eficacia de la Sanidad Militar en la prevención cardiovascular del contingente de Melilla: relevancia de la Telemedicina

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