Department of Psychology, University of Memphis, Memphis, TN.
Brooke Army Medical Center, Joint Base San Antonio-Lackland Air Force Base, San Antonio, TX.
Mil Med. 2020 Jun 8;185(5-6):e781-e787. doi: 10.1093/milmed/usz371.
Overweight and obesity are a major public health concern in the United States, including among active duty military personnel. Approximately 51% of active duty personnel are classified as overweight and 15% are classified as obese. This may impact military readiness. The current study aimed to determine if a weight loss intervention impacted fitness test scores among Air Force personnel.
From 2014 to 2016, 204 Air Force members with overweight/obesity were randomized into either a Self-paced or counselor-initiated arm in a weight loss program. Study procedures were approved by the Institutional Review Board of the 59th Medical Wing in San Antonio and were acknowledged by the Institutional Review Board at the University of Tennessee Health Science Center. Fitness test scores from before, during, and after the intervention were used to determine if the intervention resulted in improvements in overall fitness test ratings and scores on individual components of the test.
Participants who lost at least 5% of their weight had better fitness ratings during the intervention compared to individuals who did not lose 5%. However, in the overall sample, fitness ratings worsened from preintervention to during the intervention, and from during to postintervention. Participants with overweight had better aerobic scores pre- and postintervention as well as better abdominal circumference scores and better fitness test ratings preintervention, during the intervention and postintervention compared to participants with obesity.
Behavioral weight management interventions that achieve 5% weight loss may help improve military fitness test ratings.
超重和肥胖是美国的一个主要公共卫生问题,包括现役军人。大约 51%的现役人员超重,15%的现役人员肥胖。这可能会影响军队的战备能力。本研究旨在确定减肥干预是否会影响空军人员的体能测试成绩。
在 2014 年至 2016 年间,204 名超重/肥胖的空军人员被随机分为自我指导或顾问指导的减肥计划组。该研究程序得到了圣安东尼奥第 59 医疗联队机构审查委员会的批准,并得到了田纳西大学健康科学中心机构审查委员会的认可。使用干预前后的体能测试成绩来确定干预是否导致总体体能测试评级和测试各个组成部分的分数提高。
至少减轻 5%体重的参与者在干预期间的体能评级比未减轻 5%体重的参与者要好。然而,在整个样本中,体能评级从干预前到干预期间以及从干预期间到干预后都恶化了。与肥胖参与者相比,超重参与者在干预前后的有氧能力评分以及腹部周长评分和干预前、干预期间和干预后的体能测试评级都更好。
体重管理行为干预如果能减轻 5%的体重,可能有助于提高军事体能测试评级。