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- W2044691959 abstract "PURPOSE: To compare the risk of musculoskeletal injury among female Army recruits who were over body fat (OBF) standards on accession and were able pass a pre-accession physical fitness test, to those who met body fat standards (fully qualified, FQ) and were not required to pass a fitness test. Overuse injuries (OUI) in general and stress fractures (StFx) in particular are among the most common and serious training related injuries among men and women in the military, leading to substantial morbidity, direct medical costs, and indirect personnel and administrative costs. Trainees developing OUI and StFx are more likely to receive an early discharge from the military. METHODS: Each incident OUI and StFx event was identified from electronic medical records and was defined as the first outpatient encounter with an OUI or StFx diagnosis. The risk of OUI and StFx at 90 days was compared between 319 OBF subjects who passed a pre-accession physical fitness test and the population of 1656 FQ recruits. The fitness test comprised a 5-minute step test and a 1-minute push-up test, with results on each scored as pass or fail. The association between OBF status and injury was expressed as the relative risk (RR) with the 95 percent confidence interval (95% CI). RESULTS: Within the first 90 days of service, there were 172 first OUI among OBF (54%), and 836 among FQ (50%). There were 14 first StFx among OBF (4.4%), and 132 among FQ (8.0%). For OBF the OUI relative risk was 1.07 (0.95-1.20), and for StFx the relative risk was 0.55 (0.32-0.94). CONCLUSIONS: In the first 90 days of military service we observed a slight but not statistically significant (p=0.14) increase in risk of OUI, and a significantly decreased risk of StFx among OBF females. These patterns differ somewhat from those seen among men. The decrease in risk of stress fracture among OFB women may be physiologically plausible given the association of increased risk of stress fracture among individuals with low body mass index. The findings associated with OBF women and these injuries present interesting challenges for Army accession policy makers in balancing increased accessions of females with lower stress fracture risk, while controlling for costs to include possibly more overuse injuries and weight control programs." @default.
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- W2044691959 date "2009-05-01" @default.
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- W2044691959 title "Risk Of Overuse Injury And Stress Fracture Among Female U.S. Army Recruits Exceeding Body Fat Limits" @default.
- W2044691959 doi "https://doi.org/10.1249/01.mss.0000356085.38362.9c" @default.
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