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Preventing Obesity in the Military Community (POMC): the development of a clinical trials research network

Elena A Spieker1,2,3, Tracy Sbrocco4, Kelly R Theim5,6

  • 1Department of Family Medicine, Madigan Army Medical Center, 9040 Fitzsimmons Avenue, Joint Base Lewis-McChord, Tacoma, WA 98431, USA. elena.a.spieker.ctr@mail.mil.

International Journal of Environmental Research and Public Health
|February 5, 2015
PubMed

Insights

The Preventing Obesity in Military Communities (POMC) program uses pilot randomized trials to address unhealthy weight gain in military families from birth through young adulthood. These studies aim to improve health and readiness across the U.S. military.

Area of Science:

  • Military Health
  • Obesity Prevention
  • Public Health Research

Background:

  • Obesity poses significant risks to the health and readiness of U.S. military personnel and their families.
  • Existing healthcare infrastructure within Patient Centered Medical Homes (PCMHs) provides a foundation for intervention.
  • Targeting critical developmental periods is essential for effective obesity prevention.

Purpose of the Study:

  • To describe three pilot randomized controlled trials within the Preventing Obesity in Military Communities (POMC) research program.
  • To evaluate obesity prevention strategies during key high-risk periods: pregnancy/infancy, adolescence, and early career.
  • To develop and implement state-of-the-art obesity prevention programs within military PCMHs.

Main Methods:

  • Three distinct pilot randomized controlled trials (POMC-Mother-Baby, POMC-Adolescent, POMC-Early Career) were conducted.
  • Each trial employed a two-group design comparing a treatment/prevention program against a control.
  • Follow-up assessments were conducted to evaluate the effectiveness of the interventions.

Main Results:

  • The studies targeted critical high-risk periods for unhealthy weight gain.
  • Interventions were designed for implementation within PCMHs at Military Training Facilities.
  • Data from pilot trials will inform future large-scale obesity prevention efforts.

Conclusions:

  • The POMC program integrates research and clinical expertise for comprehensive obesity prevention.
  • This research has the potential for immediate clinical benefits to the Department of Defense (DoD).
  • POMC offers an economical model for widespread obesity prevention in military and civilian communities.

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