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士兵心肺适能对负重长途行军期间生理反应及退出率的影响

Influence of Soldiers' Cardiorespiratory Fitness on Physiological Responses and Dropouts During a Loaded Long-distance March.

作者信息

Oeschger Regina, Roos Lilian, Wyss Thomas, Buller Mark J, Veenstra Bertil J, Gilgen-Ammann Rahel

机构信息

Swiss Federal Institute of Sport Magglingen SFISM, Magglingen CH-2532, Switzerland.

U.S. Army Research Institute of Environmental Medicine, Natick, MA 01760, USA.

出版信息

Mil Med. 2023 Jul 22;188(7-8):e1903-9. doi: 10.1093/milmed/usab540. Epub 2022 Jan 7.

Abstract

INTRODUCTION

In military service, marching is an important, common, and physically demanding task. Minimizing dropouts, maintaining operational readiness during the march, and achieving a fast recovery are desirable because the soldiers have to be ready for duty, sometimes shortly after an exhausting task. The present field study investigated the influence of the soldiers' cardiorespiratory fitness on physiological responses during a long-lasting and challenging 34 km march.

MATERIALS AND METHODS

Heart rate (HR), body core temperature (BCT), total energy expenditure (TEE), energy intake, motivation, and pain sensation were investigated in 44 soldiers (20.3 ± 1.3 years, 178.5 ± 7.0 cm, 74.8 ± 9.8 kg, body mass index: 23.4 ± 2.7 kg × m-2, peak oxygen uptake ($\dot{\rm{V}}$O2peak): 54.2 ± 7.9 mL × kg-1 × min-1) during almost 8 hours of marching. All soldiers were equipped with a portable electrocardiogram to record HR and an accelerometer on the hip, all swallowed a telemetry pill to record BCT, and all filled out a pre- and post-march questionnaire. The influence of aerobic capacity on the physiological responses during the march was examined by dividing the soldiers into three fitness groups according to their $\dot{\rm{V}}$O2peak.

RESULTS

The group with the lowest aerobic capacity ($\dot{\rm{V}}$O2peak: 44.9 ± 4.8 mL × kg-1 × min-1) compared to the group with the highest aerobic capacity ($\dot{\rm{V}}$O2peak: 61.7 ± 2.2 mL × kg-1 × min-1) showed a significantly higher (P < .05) mean HR (133 ± 9 bpm and 125 ± 8 bpm, respectively) as well as peak BCT (38.6 ± 0.3 and 38.4 ± 0.2 °C, respectively) during the march. In terms of recovery ability during the break, no significant differences could be identified between the three groups in either HR or BCT. The energy deficit during the march was remarkably high, as the soldiers could only replace 22%, 26%, and 36% of the total energy expenditure in the lower, middle, and higher fitness group, respectively. The cardiorespiratory fittest soldiers showed a significantly higher motivation to perform when compared to the least cardiorespiratory fit soldiers (P = .002; scale from 1 [not at all] to 10 [extremely]; scale difference of 2.3). A total of nine soldiers (16%) had to end marching early: four soldiers (21%) in the group with the lowest aerobic capacity, five (28%) in the middle group, and none in the highest group.

CONCLUSION

Soldiers with a high $\dot{\rm{V}}$O2peak showed a lower mean HR and peak BCT throughout the long-distance march, as well as higher performance motivation, no dropouts, and lower energy deficit. All soldiers showed an enormous energy deficit; therefore, corresponding nutritional strategies are recommended.

摘要

引言

在军事任务中,行军是一项重要、常见且对体能要求很高的任务。尽量减少掉队情况、在行军过程中保持作战准备状态并实现快速恢复是很有必要的,因为士兵们有时在完成一项艰巨任务后不久就必须随时待命。本实地研究调查了士兵的心肺适能对长达34公里的艰苦行军过程中生理反应的影响。

材料与方法

对44名士兵(年龄20.3±1.3岁,身高178.5±7.0厘米,体重74.8±9.8千克,体重指数:23.4±2.7千克×米-2,最大摄氧量($\dot{\rm{V}}$O2peak):54.2±7.9毫升×千克-1×分钟-1)在近8小时的行军过程中进行了心率(HR)、体核温度(BCT)、总能量消耗(TEE)、能量摄入、动机和疼痛感觉的调查。所有士兵均配备了便携式心电图仪以记录心率,并在髋部佩戴了加速度计,所有人都吞下了一颗遥测药丸以记录体核温度,并且所有人都填写了行军前后的问卷。根据士兵的最大摄氧量将他们分为三个适能组,以研究有氧能力对行军过程中生理反应的影响。

结果

与有氧能力最高的组(最大摄氧量:61.7±2.2毫升×千克-1×分钟-1)相比,有氧能力最低的组(最大摄氧量:44.9±4.8毫升×千克-1×分钟-1)在行军过程中的平均心率(分别为133±9次/分钟和125±8次/分钟)以及最高体核温度(分别为38.6±0.3和38.4±0.2°C)显著更高(P<0.05)。在休息期间的恢复能力方面,三组在心率或体核温度上均未发现显著差异。行军过程中的能量亏空非常高,因为在低、中、高适能组中,士兵们分别只能补充总能量消耗的22%、26%和36%。与心肺适能最差的士兵相比,心肺适能最佳的士兵表现出显著更高的执行任务动机(P = 0.002;评分范围为1[完全没有]至10[极其];分差为2.3)。共有9名士兵(16%)不得不提前结束行军:有氧能力最低的组中有4名士兵(21%),中间组有5名(28%),最高组中没有。

结论

最大摄氧量高的士兵在长途行军中平均心率和最高体核温度较低,同时表现出更高的执行任务动机、无掉队情况且能量亏空较低。所有士兵都表现出巨大的能量亏空;因此,建议采取相应的营养策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6133/10363014/d687bef41382/usab540f1.jpg

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