Meyer Stephanie, Cole Renee
Army Medical Department Center and School, Health Readiness Center of Excellence, 3630 Stanley Road, Fort Sam Houston, TX.
Military Nutrition Division, US Army Research Institute of Environmental Medicine, 10 General Greene Ave, Natick, MA.
Mil Med. 2019 Mar 1;184(Suppl 1):400-408. doi: 10.1093/milmed/usy302.
Whether implementation of the Army Body Composition Program (ABCP) is meeting readiness objectives is unknown.
This study sought to primarily describe the extent of Active Duty Soldiers' over-fatness when attending the initial ABCP nutrition class at an Army Nutrition clinic in Washington State; and secondarily to describe the proportion of these Soldiers meeting metabolic syndrome (MS) criteria.
Soldiers (189) in this cross-sectional study completed the following: a questionnaire developed for this study, anthropometric measurements, body fat assessment via AR 600-9 standards, and a laboratory blood draw for fasting glucose and lipid panel.
Soldiers were predominantly male (76%), obese (BMI 32 kg/m2 for males and 30 kg/m2 for females), exceeded body fat standards by 3.8% for males and 7.3% for females, and 16% had three or more risk factors meeting MS diagnostic criteria. Waist circumference was the predominant MS risk factor for males and females.
Soldiers in this study had higher body fat percentages than expected with a majority of Soldiers classified as obese. Achieving and maintaining ABCP standards may be more challenging for obese Soldiers. To maintain Soldier readiness, commanders should consider intervening earlier when signs of weight gain are observed.
陆军身体成分计划（ABCP）的实施是否达到战备目标尚不清楚。
本研究主要旨在描述华盛顿州一家陆军营养诊所参加ABCP初始营养课程的现役军人超重的程度；其次是描述这些军人中符合代谢综合征（MS）标准的比例。
在这项横断面研究中的189名军人完成了以下内容：为本研究开发的一份问卷、人体测量、根据陆军条例600-9标准进行的体脂评估，以及一次空腹血糖和血脂检测的实验室抽血。
军人主要为男性（76%），肥胖（男性BMI为32kg/m²，女性为30kg/m²），男性体脂超标3.8%，女性超标7.3%，16%的人有三个或更多符合MS诊断标准的风险因素。腰围是男性和女性MS的主要风险因素。
本研究中的军人体脂百分比高于预期，大多数军人被归类为肥胖。对于肥胖军人来说，达到并维持ABCP标准可能更具挑战性。为保持军人的战备状态，指挥官应在观察到体重增加迹象时更早地考虑进行干预。
