Bodyblade™ Training in Athletes with Traumatic Anterior Shoulder Instability.

Background: The Bodyblade™ has the potential of enhancing conservative management of Traumatic Anterior Shoulder Instability (TASI). Purpose: The purpose of this study was to compare three different protocols: Traditional, Bodyblade™, and Mixed (Traditional & Bodyblade™) for shoulder rehabilitation on athletes with TASI. Study Design: Randomized-controlled longitudinal training study. Methods: Thirty-seven athletes (age = 19.9±2.0 years) were allocated into Traditional, Bodyblade™, and Mixed (Traditional/Bodyblade™) training groups (3×week for 8-weeks). The traditional group used resistance bands (10-15 repetitions). The Bodyblade™ group transitioned from classic to the pro model (30-60-s repetitions). The mixed group converted from the traditional (weeks 1-4) to the Bodyblade™ (weeks 5-8) protocol. Western Ontario Shoulder Index (WOSI) and the UQYBT were evaluated at baseline, mid-test, post-test, and at a three-month follow-up. A repeated-measures ANOVA design evaluated within and between-group differences. Results: All three groups significantly (p=0.001, eta2: 0.496) exceeded WOSI baseline scores (at all timepoints) with training (Traditional: 45.6%, 59.4%, and 59.7%, Bodyblade™: 26.6%, 56.5%, and 58.4%, Mixed: 35.9%, 43.3% and 50.4% respectively). Additionally, there was a significant (p=0.001, eta2: 0.607) effect for time with mid-test, post-test and follow-up exceeding baseline scores by 35.2%, 53.2% and 43.7%, respectively. The Traditional and Bodyblade™ groups (p=0.049, eta2: 0.130) exceeded the Mixed group UQYBT at post-test (8.4%) and at three-month follow-up (19.6%). A main effect (p=0.03, eta2: 0.241) for time indicated that WOSI mid-test, post-test and follow-up exceeded the baseline scores by 4.3%, 6.3% and 5.3%. Conclusions: All three training groups improved their scores on the WOSI. The Traditional and Bodyblade™ groups demonstrated significant improvements in UQYBT inferolateral reach scores at post-test and three-month follow-up compared to the Mixed group. These findings could lend further credibility to the role of the Bodyblade as an early to intermediate rehabilitation tool. LEVEL OF EVIDENCE: 3.

Using the Load-Velocity Profile for Predicting the 1RM of the Hexagonal Barbell Deadlift Exercise.

ABSTRACT: Lopes dos Santos, M, Mann, JB, Berton, R, Alvar, B, Lockie, RG, and Dawes, JJ. Using the load-velocity profile for predicting the 1RM of the hexagonal barbell deadlift exercise. J Strength Cond Res 37(1): 220-223, 2023-The aim of this study was to determine whether bar velocity can be used to estimate the 1 repetition maximum (1RM) on the hexagonal bar deadlift (HBD). Twenty-two National Collegiate Athletic Association Division I male ice hockey players (age = 21.0 ± 1.5 years, height = 182.9 ± 7.3 cm, and body mass = 86.2 ± 7.3 kg) completed a progressive loading test using the HBD at maximum intended velocity to determine their 1RM. The mean concentric velocity was measured for each load through a linear position transducer. The a priori alpha level of significance was set at p = 0.05. The mean concentric velocity showed a very strong relationship to %1RM (R2 = 0.85). A nonsignificant difference and a trivial effect size (ES) were observed between the actual and predicted 1RM (p = 0.90, ES = -0.08). Near-perfect correlations were also discovered between the actual and predicted 1RM (R = 0.93) with low typical error and coefficient of variation (5.11 kg and 2.53%, respectively). This study presented results that add the HBD to the list of exercises with established load-velocity relationships. The predictive ability for 1RM HBD indicates that this is a viable means of prediction of 1RM.

Longitudinal Changes in Health and Fitness Measures Among State Patrol Officers by Sex.

ABSTRACT: Dawes, JJ, Lopes dos Santos, M, Kornhauser, C, Holmes, RJ, Alvar, BA, Lockie, RG, and Orr, RM. Longitudinal changes in health and fitness measures among state patrol officers by sex. J Strength Cond Res 37(4): 881-886, 2023-Research suggests that police officers lose fitness as a result of their policing vocation with occupational factors like stress, shift work, poor sleep, and poor diet all contributors to this loss The purpose of this research was to measure changes in fitness test scores of qualified police officers over a 5-year period. Archived fitness data for 523 state patrol officers ( n = 494 men; 29 women) from one agency were used for this analysis. These tests included 60-second sit-up [SU] and push-up [PU] scores (muscular endurance), vertical jump height [VJ] (lower-body power), and 20-m multistage fitness test (aerobic capacity). A series of paired-samples t-tests and effect size calculations were used to investigate mean differences in fitness tests score at the beginning and end of a 5-year period. The paired-samples t test showed significant tests score decreases among male officers over the 5-year period in VJ, PU, and V̇ o2 max , , with no differences observed in SU performance. Small effect sizes were observed in both VJ ( g = -0.20) and PU ( g = -0.27) with a trivial effect size observed in changes to V̇ o2 max ( g = -0.14). In contrast, significant improvements in performance were observed in SU performance among female officers, with a small effect size ( g = 0.38). No other significant differences were found in female measures. Whether at an organizational or individual level, annual fitness assessments for police officers can serve to educate and motivate officers regarding their personal fitness and potentially slow the negative impact of aging on health, fitness, and performance in these populations.

Impact of Low Volume Velocity-Controlled vs. Repetition to Failure Resistance Training Session on Measures of Explosive Performance in a Team of Adolescents Basketball Players.

This study examined the short-term effects (post 6 h and 24 h) of two equated (70% of 1 repetition maximum (1-RM)) low volume resistance exercise protocols: (i) velocity-controlled (VC) and (ii) repetition to failure (RTF) on upper and lower body performance in competitive adolescent male basketball players. Following a randomized, counterbalanced design, ten participants (age: 16 ± 0.5 years) completed either VC or RTF separated by 72 h. VC consisted of 4 sets of 5 explosive repetitions (≥90% of the maximum velocity). RTF involved 2 sets of 10-RM (with no velocity control). Measurements of 20-m sprint, countermovement jump (CMJ) and medicine ball toss (MBT) were collected before (baseline), post 6 h and 24 h after either VC or RTF. Increases of CMJ post 6 h (VC, +6.7%; RTF, +2.4%) and MBT post 24 h (VC, +4.6%; RTF, +4.2%) were observed after both VC and RTF. Only VC potentiated CMJ after 24 h (+2.0 ± 2.3%). No other changes or differences between protocols were observed. Performing a low volume exercise protocol, either VC or RTF, induced similar potentiation effects on the vertical jump (post 6 h) and medicine ball toss (post 24 h) in adolescent basketball players. Only the VC protocol was still effective to potentiate CMJ performance after 24 h.

Exploring associations between physical fitness tests and a law enforcement specific Physical Ability Test using principal components analysis.

The purpose of this study was to determine relationships between components of physical fitness on performance in an occupation-specific physical ability test (PAT) for state patrol officers (women, n = 19; men, n = 256) using archived data. Physical fitness was assessed by 2.4 km run time (2.4 R), body fat % (BF), 1 min sit-up (SU), 1-min push-up (PU), the vertical jump (VJ), and the sit-and-reach test (SR). Principal components analysis (PCA) of the entire sample revealed that dynamic fitness (DF), related 2.4 R, SU, PU, VJ, & BF, explained 49% of variance in performance in the PAT. Lower back and hamstring flexibility explained a further 18% of variance. Law-enforcement agencies using a standard job-specific test to screen the occupational fitness of its members may use fitness tests to make fitness recommendations. Officers should prioritize developing aerobic fitness, muscular endurance, lower-body power, and flexibility to help meet the demands of occupational performance.

Impact of Preceding Workload on Team Performance in Collegiate Men's Ice Hockey.

ABSTRACT: Neeld, KL, Peterson, BJ, Dietz, CC, Cappaert, TA, and Alvar, BA. Impact of preceding workload on team performance in collegiate men's ice hockey. J Strength Cond Res 35(8): 2272-2278, 2021-Although the workload-injury relationship has received ample research attention, the relationship between prior workload and performance in team sport remains poorly understood. The purpose of this study was to determine if preceding workloads influence competition performance in men's ice hockey. On-ice workload data were collected from all players on a NCAA Division I men's ice hockey team for 2 consecutive seasons. Training and match workloads were characterized using 7 variables (player load, skating load, explosive efforts, high force strides, player load·min-1, skating load·min-1, and average stride force·lb-1). Team performance was calculated as the difference between the subject and opposing teams' shots on goal. Nine separate ANCOVAs were performed to assess the effect of workload across quartiles of 5 different time spans (1,3,5,7 and 28 days), and low, typical, and high zones of 4 time ratios (1/28, 3/28, 5/28, and 7/28) days) on team shot differential, accounting for season quarter and rank differential between the subject and opposing team. Alpha was set a priori to 0.05. Of all workload measures included in each analysis, only 7-day high force strides (p < 0.01, eta2 = 0.72), and 7-day player load·min-1 (p < 0.05, eta2 = 0.50) had a significant effect on shot differential. Measures of skating intensity in the week preceding competition have the largest impact on team performance. These results can be used by performance coaches to examine tests of speed, power, strength, and conditioning to identify potential limiting factors to high-intensity skating, design training programs with specific need-based emphases, and make recommendations for weekly management of high-intensity skating loads.

Stress in Academic and Athletic Performance in Collegiate Athletes: A Narrative Review of Sources and Monitoring Strategies.

College students are required to manage a variety of stressors related to academic, social, and financial commitments. In addition to the burdens facing most college students, collegiate athletes must devote a substantial amount of time to improving their sporting abilities. The strength and conditioning professional sees the athlete on nearly a daily basis and is able to recognize the changes in performance and behavior an athlete may exhibit as a result of these stressors. As such, the strength and conditioning professional may serve an integral role in the monitoring of these stressors and may be able to alter training programs to improve both performance and wellness. The purpose of this paper is to discuss stressors experienced by collegiate athletes, developing an early detection system through monitoring techniques that identify the detrimental effects of stress, and discuss appropriate stress management strategies for this population.

Heart Rate Responses during Simulated Fire Ground Scenarios among Full-Time Firefighters.

Simulated fire ground scenarios (SFGS) provide firefighters with an opportunity to maintain skills, receive feedback, and optimize performance. Although there is extensive research on heart rate (HR) changes in the firefighter population, few examine the differences between positions. Firefighters are primarily responsible for fire suppression and control (23), officers for emergency operations and organizational management, paramedics for providing on-scene emergency medical care, and drivers are responsible for driving the fire apparatus. Utilizing HR analysis to quantify the physical demands of SFGS among firefighting crews by position. Sixty-seven male (age: 38.97 ± 9.17; ht: 177.99 ± 6.45 cm. wt: 88.83 ± 13.55 kg) firefighters (FF) participated in this investigation. FF crews performed two SFGS involving the suppression and control of a structural fire. Participants were outfitted with heart rate (HR) monitors and average heart rate (HRavg) and maximum heart rate (HRmax) data were collected for each of the two SFGS. Significant differences were observed for Age (P = 0.01), APMHR (P = 0.01), HRmax1 (P = 0.04), and HRmax2 (P = 0.04) in which firefighters had higher values for Age-predicted maximal heart rate (APMHR), HRmax1, HRmax2 compared to the officers. SFGS can be very physically demanding events that may elicit maximal or near maximal HR responses regardless of position. Based on the metabolic demands of these events and the individual firefighter's capabilities, this information can be used to develop resistance training and conditioning programs that optimize performance at maximal or near maximal heart rates.

Effects of Lifestyle Physical Activity on Vascular Function in Asymptomatic Peripheral Arterial Disease.

PURPOSE: The purpose of this study was to examine the effects of a 12-wk in-home self-monitored physical activity (PA) program targeting a combination of lifestyle PA program on changes in endothelial reactivity, arterial stiffness, sedentary behaviors, and upright and stepping activities in individuals with asymptomatic peripheral arterial disease (APAD). METHODS: Participants (n = 38) with APAD (ages 52-87 yr) were randomized to attention control (AC) or a PA sedentary reduction (PASR) group using an interactive online 3-month program focusing on increasing lifestyle PA and decreasing sedentary behaviors. The ActivPal™ PA monitor was used to measure postural and stepping parameters. Endothelial reactivity (peripheral arterial tone-reactive hyperemia index [PAT-RHI]) and augmentation index (AIx) were measured using the EndoPAT™ system at baseline and 3 months. RESULTS: The PASR group significantly decreased daily sit/lie hours (-0.80 ± 0.87 vs 0.18 ± 0.77 P = 0.001), increased sit-to-stand transitions per day (7.1 ± 10.5 vs -1.4 ± 5.71, P < 0.001), and increased daily step counts (2814 ± 1753 vs 742 ± 1321, P < 0.001). The PASR group also increased steps per day accumulated within specific cadence bands 61-80 steps per minute (1252 ± 447 vs 177 ± 359, P < 0.001), 81-100 steps per minute band (919 ± 511 vs -98 ± 697, P < 0.001), and within the 101-120 steps per minute band (415 ± 625 vs -327 ± 467, P < 0.001) versus the AC group. PAT-RHI significantly increased in the PASR group (0.179 ± 0.180 vs 0.0.044 ± 0.101, P = 0.019), whereas no significant changes were observed in PAT-AIx. CONCLUSIONS: Modest improvements in microvascular reactivity, PA, sedentary behavior, but not arterial stiffness were demonstrated after a 12-wk intervention targeting sedentary behavior reduction and increased lifestyle PA in individuals with APAD.

Short-term Effects of Thoracic Spine Thrust Manipulation, Exercise, and Education in Individuals With Low Back Pain: A Randomized Controlled Trial.

OBJECTIVE: To determine the short-term effectiveness of thoracic manipulation when compared to sham manipulation for individuals with low back pain (LBP). DESIGN: Randomized controlled trial. METHODS: Patients with LBP were stratified based on symptom duration and randomly assigned to a thoracic manipulation or sham manipulation treatment group. Groups received 3 visits that included manipulation or sham manipulation, core stabilization exercises, and patient education. Factorial repeated-measures analysis of variance and multiple regression were performed for pain, disability, and fear avoidance. The Mann-Whitney U test was used to analyze patient-perceived improvement, via the global rating of change scale, at follow-up. RESULTS: Ninety participants completed the study (mean ± SD age, 38 ± 11.5 years; 70% female; 72% with chronic LBP). The overall group-by-time interaction was not significant for the Modified Oswestry Disability Questionnaire, numeric pain-rating scale, and Fear-Avoidance Beliefs Questionnaire outcomes. The global rating of change scale was not significantly different between groups. CONCLUSION: Three sessions of thoracic manipulation, education, and exercise did not result in improved outcomes when compared to a sham manipulation, education, and exercise in individuals with chronic LBP. Future studies are needed to identify the most effective management strategies for the treatment of LBP. LEVEL OF EVIDENCE: Therapy, level 1b. J Orthop Sports Phys Ther 2020;50(1):24-32. Epub 6 Dec 2019. doi:10.2519/jospt.2020.8928.

A Comparison of Increases in Volume Load Over 8 Weeks of Low-Versus High-Load Resistance Training.

BACKGROUND: It has been hypothesized that the ability to increase volume load (VL) via a progressive increase in the magnitude of load for a given exercise within a given repetition range could enhance the adaptive response to resistance training. OBJECTIVES: The purpose of this study was to compare changes in volume load (VL) over eight weeks of resistance training (RT) in high-versus low-load protocols. MATERIALS AND METHODS: Eighteen well-trained men were matched according to baseline strength were randomly assigned to either a low-load RT (LOW, n = 9) where 25 - 35 repetitions were performed per exercise, or a high-load RT (HIGH, n = 9) where 8 - 12 repetitions were performed per exercise. Both groups performed three sets of seven exercises for all major muscles three times per week on non-consecutive days. RESULTS: After adjusting for the pre-test scores, there was a significant difference between the two intervention groups on post-intervention total VL with a very large effect size (F (1, 15) = 16.598, P = .001, ηp(2) = .525). There was a significant relationship between pre-intervention and post-intervention total VL (F (1, 15) = 32.048, P < .0001, ηp(2) = .681) in which the pre-test scores explained 68% of the variance in the post-test scores. CONCLUSIONS: This study indicates that low-load RT results in greater accumulations in VL compared to high-load RT over the course of 8 weeks of training.

Executive Summary From the National Strength and Conditioning Association's Second Blue Ribbon Panel on Military Physical Readiness: Military Physical Performance Testing.

The National Strength and Conditioning Association's tactical strength and conditioning program sponsored the second Blue Ribbon Panel on military physical readiness: military physical performance testing, April 18-19, 2013, Norfolk, VA. This meeting brought together a total of 20 subject matter experts (SMEs) from the U.S. Air Force, Army, Marine Corps, Navy, and academia representing practitioners, operators, researchers, and policy advisors to discuss the current state of physical performance testing across the Armed Services. The SME panel initially rated 9 common military tasks (jumping over obstacles, moving with agility, carrying heavy loads, dragging heavy loads, running long distances, moving quickly over short distances, climbing over obstacles, lifting heavy objects, loading equipment) by the degree to which health-related fitness components (e.g., aerobic fitness, muscular strength, muscular endurance, flexibility, and body composition) and skill-related fitness components (e.g., muscular power, agility, balance, coordination, speed, and reaction time) were required to accomplish these tasks. A scale from 1 to 10 (10 being highest) was used. Muscular strength, power, and endurance received the highest rating scores. Panel consensus concluded that (a) selected fitness components (particularly for skill-related fitness components) are currently not being assessed by the military; (b) field-expedient options to measure both health-based and skill-based fitness components are currently available; and

Long-term athletic development, part 2: barriers to success and potential solutions.

The first installment of this two-part commentary reviewed existing models of long-term athletic development. However, irrespective of the model that is adopted by practitioners, existing structures within competitive youth sports in addition to the prevalence of physical inactivity in a growing number of modern-day youth may serve as potential barriers to the success of any developmental pathway. The second part of this commentary will initially highlight common issues that are likely to impede the success of long-term athletic development programs and then propose solutions that will address the negative impact of such issues.

Comparison of concentric and eccentric bench press repetitions to failure.

Eccentric muscle actions (ECC) are characterized by muscle lengthening, despite actin-myosin crossbridge formation. Muscles acting eccentrically are capable of producing higher levels of force compared with muscles acting concentrically. The purpose of this study was to determine whether ECC bench press yields greater strength than concentric (CON) as determined by 1 repetition maximum (1RM). Additionally, a comparison was made examining differences in the number of repetitions to failure at different relative intensities of 1RM. Thirty healthy men (age = 24.63 ± 5.6 years) were tested for 1RM in CON and ECC bench press and the number of repetitions completed at 60, 70, 80, and 90% 1RM. For CON repetitions, the weight was mechanically lowered to the chest, and the participant pressed it up until the elbows were fully extended. The ECC bench press consisted of lowering a barbell from a fully extended elbow position to the chest in a continuous controlled manner for 3 seconds as determined by electronic metronome. Paired t-tests showed that ECC 1RM (115.99 ± 31.08 kg) was significantly (p ≤ 0.05) greater than CON 1RM (93.56 ± 26.56 kg), and the number of repetitions completed at 90% 1RM was significantly (p ≤ 0.05) greater in ECC (7.67 ± 3.24) as compared with CON (4.57 ± 2.21). There were no significant differences in number of completed repetitions during CON and ECC bench press at 60, 70, and 80% 1RM. These data indicate that ECC actions yield increased force capabilities (∼120%) as compared with CON in the bench press and may be less prone to fatigue, especially at higher intensities. These differences suggest a need to develop unique strategies for training eccentrically.

Long-term athletic development- part 1: a pathway for all youth.

The concept of developing talent and athleticism in youth is the goal of many coaches and sports systems. Consequently, an increasing number of sporting organizations have adopted long-term athletic development models in an attempt to provide a structured approach to the training of youth. It is clear that maximizing sporting talent is an important goal of long-term athletic development models. However, ensuring that youth of all ages and abilities are provided with a strategic plan for the development of their health and physical fitness is also important to maximize physical activity participation rates, reduce the risk of sport- and activity-related injury, and to ensure long-term health and well-being. Critical reviews of independent models of long-term athletic development are already present within the literature; however, to the best of our knowledge, a comprehensive examination and review of the most prominent models does not exist. Additionally, considerations of modern day issues that may impact on the success of any long-term athletic development model are lacking, as are proposed solutions to address such issues. Therefore, within this 2-part commentary, Part 1 provides a critical review of existing models of practice for long-term athletic development and introduces a composite youth development model that includes the integration of talent, psychosocial and physical development across maturation. Part 2 identifies limiting factors that may restrict the success of such models and offers potential solutions.

Effects of different volume-equated resistance training loading strategies on muscular adaptations in well-trained men.

Regimented resistance training has been shown to promote marked increases in skeletal muscle mass. Although muscle hypertrophy can be attained through a wide range of resistance training programs, the principle of specificity, which states that adaptations are specific to the nature of the applied stimulus, dictates that some programs will promote greater hypertrophy than others. Research is lacking, however, as to the best combination of variables required to maximize hypertophic gains. The purpose of this study was to investigate muscular adaptations to a volume-equated bodybuilding-type training program vs. a powerlifting-type routine in well-trained subjects. Seventeen young men were randomly assigned to either a hypertrophy-type resistance training group that performed 3 sets of 10 repetition maximum (RM) with 90 seconds rest or a strength-type resistance training (ST) group that performed 7 sets of 3RM with a 3-minute rest interval. After 8 weeks, no significant differences were noted in muscle thickness of the biceps brachii. Significant strength differences were found in favor of ST for the 1RM bench press, and a trend was found for greater increases in the 1RM squat. In conclusion, this study showed that both bodybuilding- and powerlifting-type training promote similar increases in muscular size, but powerlifting-type training is superior for enhancing maximal strength.

Posicionamiento sobre el entrenamiento de fuerza en jóvenes. Consenso Internacional de 2014 / Position statement on youth resistance training: the 2014 International Consensus

El manuscrito actual es la traducción del Posicionamiento sobre el Entrenamiento de Fuerza para Jóvenes: el Consenso Internacional de 2014. El consenso original es a su vez una adaptación del posicionamiento de la United Kingdom Strength and Conditioning Association. Ha sido revisado y respaldado por organizaciones profesionales relevantes en los campos de la medicina del deporte, la ciencia de la actividad física y la pediatría. Los autores de este articulo fueron seleccionados entre los campos de la ciencia del ejercicio pediátrico, la medicina pediátrica, la educación física, la preparación física y la medicina del deporte. El manuscrito fue publicado originalmente en el British Journal of Sports Medicine y representa el documento final ratificado oficialmente a nivel ejecutivo por cada organización que lo respalda. Para enlazar con la versión original del manuscrito en ingles diríjanse a: http://bjsm.bmj.com/content/early/2013/09/20/bjsports-2013-092952.full

The current manuscript is a translation of the Position statement on youth resistance training: the 2014 International Consensus. The original manuscript was adapted from the oficial position statement of the UK Strength and Conditioning Association on youth resistance training. It was subsequently reviewed and endorsed by leading professional organisations within the fields of sports medicine, exercise science and paediatrics. The authorship team for this article was selected from the fields of paediatric exercise science, paediatric medicine, physical education, strength and conditioning and sports medicine

Position statement on youth resistance training: the 2014 International Consensus.

The current manuscript has been adapted from the official position statement of the UK Strength and Conditioning Association on youth resistance training. It has subsequently been reviewed and endorsed by leading professional organisations within the fields of sports medicine, exercise science and paediatrics. The authorship team for this article was selected from the fields of paediatric exercise science, paediatric medicine, physical education, strength and conditioning and sports medicine.

Influence of training frequency on fitness levels and perceived health status in deployed National Guard soldiers.

While studies have examined changes in body composition, fitness, and other measures pre- and postdeployment, it is more difficult to characterize physical training practices during deployment. The purpose of this study was to evaluate the association between training frequency during deployment and changes in physical performance, body composition, and perceived health. Eighty-eight Soldiers (men, 76 and women, 12) from the National Guard performed 1 repetition maximum (1RM) bench press, 1RM back squat, and VO2peak testing within 30 days before and 10 days after deployment to Iraq or Afghanistan. Soldiers completed a questionnaire pertaining to aerobic and strength training frequency, as well as perceived changes to health. Soldiers experienced significant (p ≤ 0.05) improvements in upper (11%) and lower body strength (14%), declines in body fat percent (-16%), but no change in VO2peak. About 57% of Soldiers reportedly performed aerobic training ≥3 times per week, whereas 67% performed strength training ≥3 times per week. Soldiers performing aerobic training ≥3 times per week responded differently than those who conducted aerobic training <3 times per week in VO2peak values (2 vs. -8%, p = 0.016). About 42% of Soldiers reported that their health improved, 36% reported no change to their health, and 22% reported that their health had declined. There was a significant association between training frequency and perceived health. About 50-58% of Soldiers who trained ≥3 times per week reported improvements in health during deployment, whereas only 21-24% of Soldiers who trained <3 times per week reported improvements in health for the same period of time. It seems that Soldiers who train ≥3 times per week experience a more advantageous response in terms of fitness levels and perceived health during deployments.

Injuries, changes in fitness, and medical demands in deployed National Guard soldiers.

PURPOSE: To characterize noncombat injury/illness, determine changes in physical fitness, and evaluate the influence of these changes on medical resource utilization by National Guard (NG) Soldiers. METHODS: Fifty-four Soldiers from the Arizona NG completed pre- and postdeployment fitness testing. Additionally, individual deployment medical records were inventoried. RESULTS: The majority of noncombat-related medical visits (41%) were musculoskeletal in nature, followed by miscellaneous (33%) and respiratory (13%). Soldiers experienced significant decreases in percent fat mass (-11.1%, p < 0.001) and VO2 peak (-10.8%, p < 0.001). There were significant increases in push-ups (16.4%, p < 0.001), sit-ups (11.0%, p = 0.001), bench-press (10.2%, p < 0.001), and back squat (14.2%, p < 0.001) measures. VO2 peak was inversely correlated to medical resource utilization (r = -0.45 to -0.28, p < or = 0.05). The tertile of Soldiers experiencing the sharpest declines in VO2 peak had significantly more medical visits over the course of the deployment than the other two tertiles (8.0 vs. 2.6 vs. 3.1 medical visits/Soldier, p < or = 0.05). CONCLUSION: The predominate noncombat medical issue was musculoskeletal injury. NG Soldiers improved their body composition, strength, and endurance but experienced significant declines in aerobic fitness while deployed. These data document the association between declining aerobic fitness and increased utilization of medical resources.