The Army Weight Control Program: a comprehensive mandated approach to weight control.

The Army Weight Control Program is a comprehensive, multidisciplinary, and mandated approach to weight control, designed to assist, educate, and motivate overweight individuals to reach their ideal body weight. The program objective is to ensure that Army personnel are able to meet the physical demands of their duties under combat conditions and is based on the assumption that the individual is ultimately responsible for exhibiting high standards of professional appearance. The history and the program philosophy are described. The Army Weight Control Program utilizes height-weight tables as an initial screen, followed by skinfold measurements, to identify overweight soldiers. Individuals who exceed established age and sex adjusted body fat standards (20% to 26% for men and 28% to 34% for women) and who do not have a pathological cause for their obesity are enrolled in the mandatory Army Weight Control Program. Entry into the program results in the withholding of favorable personnel actions. Noncompliance with established monthly weight-loss goals for a period of 6 months may result in separation from the Army. The rationale for the procedures and the methodologies of the program are reviewed and discussed. It is concluded that studies are required to evaluate the effectiveness of mandatory weight-control programs.