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RESEARCH PRODUCT

Effects of baseline fitness and BMI levels on changes in physical fitness during military service.

Tommi OjanenJani P. VaaraMatti SanttilaTommi VasankariHeikki KyröläinenKai PihlainenKari Tokola

subject

AdultMalemedicine.medical_specialtyAdolescentconscriptMilitary servicePhysical fitnessPhysical Therapy Sports Therapy and RehabilitationliikuntaBody Mass Index03 medical and health sciencesYoung Adult0302 clinical medicinekansanterveysharjoitteluAerobic exerciseMedicineHumansOrthopedics and Sports Medicine030212 general & internal medicineLongitudinal StudiesBaseline (configuration management)readinessRetrospective StudiessuorituskykyvalmiudetexerciseAnthropometrybusiness.industryPublic healthpublic healthphysical performance030229 sport sciencesAnthropometryHealthy VolunteersTest (assessment)varusmiehetMilitary PersonnelPhysical FitnessbusinessBody mass indexDemographyFollow-Up Studies

description

Objectives The purpose of the present study was to investigate how aerobic fitness, muscle fitness and body mass index (BMI) change in relation to their baseline levels during 6-12 months of military service. Design Retrospective longitudinal follow-up study. Methods The study group consisted of 249 279 healthy young male conscripts (age 19.1 ± 0.4 yrs.) who completed their military service between the years 2005-2015. Anthropometrics (body mass, height, BMI), aerobic fitness (12-minute running test) and muscle fitness (sit-ups, push-ups, standing long jump) were measured. Results A 12-minute running test improved by 5% (107 ± 292 m), standing long jump 1% (2.1 ± 16.2 cm), 1-min sit-ups 19% (4 ± 8 repetitions/min) and 1-min push-ups 33% (5 ± 10 repetitions/min) (p < 0.001 for all). Baseline fitness and baseline BMI levels were inversely associated with their changes (r = −0.37 - −0.47, p < 0.001). Performance improved in conscripts in the lowest two baseline fitness quartiles in all tests, while it decreased in conscripts in the highest fitness quartiles. In addition, in conscripts who were obese at baseline, body mass decreased on average by 4.9 ± 7.0 kg (p < 0.001). Conclusions On average, the physical fitness of conscripts improved during their compulsory military service. In particular, conscripts with a lower baseline fitness level or higher BMI showed the largest improvements, which may be significant findings from both a military readiness and national health perspective. However, the decline in physical performance of high-fit conscripts highlights the importance of individualization of physical training and military training load during military service. peerReviewed

10.1016/j.jsams.2020.02.006https://pubmed.ncbi.nlm.nih.gov/32067916