美国陆军学员在基本战斗训练前减肥和肌肉骨损伤:ARMI研究
Vy T Nguyen1, Ashley A Donovan1, Kathryn M Taylor1
1Military Performance Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts, USA.
Obesity (Silver Spring, Md.)
|July 31, 2025
概括
在陆军基本作战训练 (BCT) 之前减肥与肌肉骨损伤 (MSKI) 的减少有关. 在这个苛刻的训练期间,减肥率并没有显著影响受伤风险.
科学领域:
- 军事医学 军事医学
- 运动医学运动医学
- 预防伤害的预防.
背景情况:
- 军事新兵经常在基本战斗训练 (BCT) 期间进行大量的体力炼.
- 在寻求满足军人入伍标准的个人中,训练前减肥很常见.
- 肌肉骨损伤 (MSKI) 在体力苛刻的军事训练中是一个重大问题.
研究的目的:
- 检查美国陆军BCT期间预入伍体重减轻和MSKI发病率之间的关系.
- 为了确定减肥的速度是否会影响新兵的MSKI风险.
主要方法:
- 对3168名陆军学员的回顾性队列研究.
- 自我报告的训练前减肥数据收集.
- 通过电子医疗记录追踪的肌肉骨损伤诊断.
- 考克斯回归模型根据共变量进行调整,并按性别和流行病状况分层.
主要成果:
- 26.16%的受训者报告说,在训练前体重减轻 (平均9.06公斤),主要是通过炼.
- 在BCT期间,减肥的受训者在整体MSKI (HR:0.86) 和下肢MSKI (HR:0.84) 的比率显著降低.
- 每周减肥率与MSKI风险没有关联.
结论:
- 在接受BCT的军事新兵中,训练前减肥可能会降低MSKI的风险.
- 在训练之前逐渐减肥似乎不会增加受伤风险.
- 这些发现支持用于预防军事人员受伤的体重管理策略.
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