Haddock C Keith, Pyle Sara A, Poston Walker S C, Bray Robert M, Stein Risa J
University of Missouri-Kansas City, School of Medicine, Kansas City, MO 64110, USA.
Mil Med. 2007 May;172(5):527-32. doi: 10.7205/milmed.172.5.527.
Both tobacco and overweight present serious threats to public health. Although the military has targeted both health issues, only weight status is included in tests of fitness. This study contrasted the relative utility of body weight and smoking as markers for fitness for duty.
Using data from the 2002 Department of Defense Survey of Health-Related Behaviors among Military Personnel (N = 12,149; 24.7% female), troops were categorized according to weight (underweight, healthy weight, overweight, or obese) and smoking status (never smoker, former smoker, or current smoker).
Logistic models were developed to examine the usefulness of smoking status and weight status as predictors of items assessing four domains of military fitness for duty, namely, physical health, mental health, substance abuse, and legal problems. Smoking status was a consistent and strong predictor of items within all four fitness domains. In contrast, weight status was not a consistent predictor of fitness.
The military should consider adding smoking status to assessments of military fitness. Also, given that underweight and not overweight status predicted negative outcomes among military members, the services should consider revising their weight status fitness standards.
烟草和超重均对公众健康构成严重威胁。尽管军方已针对这两个健康问题采取行动，但体能测试中仅纳入了体重状况。本研究对比了体重和吸烟作为服役体能指标的相对效用。
利用2002年国防部军事人员健康相关行为调查的数据（N = 12,149；24.7%为女性），将军人按体重（体重过轻、健康体重、超重或肥胖）和吸烟状况（从不吸烟、曾经吸烟或当前吸烟）进行分类。
建立逻辑模型以检验吸烟状况和体重状况作为评估军事服役体能四个领域（即身体健康、心理健康、药物滥用和法律问题）指标的有用性。吸烟状况是所有四个体能领域指标的一致且强有力的预测因素。相比之下，体重状况并非体能的一致预测因素。
军方应考虑将吸烟状况纳入军事体能评估。此外，鉴于体重过轻而非超重状况预示着军事人员的负面结果，各军种应考虑修订其体重状况体能标准。
