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Association of Weight at Enlistment With Enrollment in the Army Weight Control Program and Subsequent Attrition in the Assessment of Recruit Motivation and Strength Study

机译:入伍时体重与陆军重量控制计划中的入学率以及随后的征兵动机和力量评估中的减员关系

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摘要

The ongoing obesity epidemic has made recruiting qualified Army applicants increasingly difficult. A cohort of 10,213 Army enlisted subjects was enrolled in the Assessment of Recruit Motivation and Strength (ARMS) study from February 2005 through September 2006. Overweight recruits obtained a waiver for enlistment (n = 990) if they passed a screening physical fitness test. Recruits were evaluated for enrollment into the Army Weight Control Program (AWCP) and discharged during the 15 months following enlistment. Enrollment was higher among overweight recruits than recruits who met entrance standards (men: adjusted OR = 13.3 [95% CI: 10.3, 17.2]; women: adjusted OR = 3.6 [3.3, 3.9]). Although the discharge frequency was higher in the waiver group than in those who met standards (25.4% versus 19.9%, p < 0.001), there were only 10 (0.5% of total) discharges directly attributed to weight. Granting overweight waivers through the ARMS program increases enrollment to the AWCP but has little effect on weight-related attrition.
机译:持续的肥胖病流行使招募合格的陆军申请者变得越来越困难。从2005年2月至2006年9月,共有10213名陆军入伍受试者参加了招募动机与力量评估(ARMS)研究。如果超重的新兵通过了筛查体能测验,则可以豁免入伍(n = 990)。对新兵进行了评估,以纳入陆军体重控制计划(AWCP),并在入伍后的15个月内将其解雇。超重的人员的入学率高于达到入学标准的人员(男性:调整后的OR = 13.3 [95%CI:10.3、17.2];女性:调整后的OR = 3.6 [3.3,3.9])。尽管豁免组的放电频率高于那些达到标准的组(25.4%比19.9%,p <0.001),但只有10次放电(占总数的0.5%)直接归因于体重。通过ARMS计划授予超重豁免可增加AWCP的入学人数,但对与体重相关的损耗几乎没有影响。

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    《Military Medicine》 |2010年第3期|p.188-193|共6页
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    MAJ Sheryl A. Bedno, MC USA*, MAJ Christine E. Lang, MC USA[dagger] William E. Danieli, MD, MPH[double dagger] COL Andrew R. Wiesen, MC USA[dagger], Bennett Datu, PhD, MPH*, COL David W. Niebuhr, MC USA** Division of Preventive Medicine, Walter Reed Army Institute of Research, 503 Robert Grant Road, Silver Spring, MD 20910.[dagger] Public Health Residency, Madigan Army Medical Center, ATTN: MCHJ-PV, Tacoma, WA 98431.[double dagger] Department of Environmental and Occupational Health Sciences, School of Public Health, Box 357234, University of Washington, Seattle, WA 98 195-7234.The views expressed are those of the authors and should not be construed to represent the positions of the Department of the Army or Department of Defense.,;

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