Startseite Effect of cardiovascular and muscular endurance is not associated with stress fracture incidence in female military recruits: a 12-month follow up study
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Effect of cardiovascular and muscular endurance is not associated with stress fracture incidence in female military recruits: a 12-month follow up study

  • Mickey Scheinowitz , Ran Yanovich , Nurit Sharvit , Michal Arnon und Daniel S. Moran EMAIL logo
Veröffentlicht/Copyright: 21. Februar 2017

Abstract

Background:

Stress fracture (SF) is a common injury among military recruits, especially among women, during the army basic training (ABT). The purpose of this study was to evaluate the effects of health habits and physical activity before recruitment on the fitness level and the incidence of SF during the 4-month ABT.

Methods:

We screened 226 female recruit volunteers (weight: 60.5±10 kg; height: 163±6 cm) from an integrated combat unit and 124 aged-matched female controls (weight: 57.0±8.3 kg, height 162±7 cm) from a non-combat unit. A self-report questionnaire on their habits pertaining to smoking, physical activity, and orthopedic injuries prior to recruitment were analyzed in relation to the incidences of SF during ABT.

Results:

Aerobic fitness was similar between the two groups. The overall incidence of SFs was 10.2%. Physical training prior to recruitment had no significant effect on the incidence of SF during ABT (11.7% vs. 9.6% in those who trained and did not train before recruitment, respectively) (Odds ratio, OR)=1.24, p=0.236). Nearly 42% of the female recruits smoked regularly, and the incidence of SFs among smokers was 10.5% compared with 9.9% among the non-smokers (OR=1.07, p=0.188). The overall incidence of SFs 12 months after recruitment was 1.78%. The use of contraceptive medication did not affect the incidence of SF: 10.0% among prior-trained vs. 6.4% in non-prior trained (p>0.05) recruits. SFs were not correlated to these variables at the end of the ABT program and 16 months after recruitment.

Conclusions:

In the present female cohort, physical activity prior to recruitment had no protective effect against SF during or after ABT. The incidence of SFs during the 12-month period after ABT was negligible.


Corresponding author: Prof. Daniel S. Moran, PhD, FACSM, Ariel University, Ariel, Israel

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved its submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

References

1. Friedl KE, Evans RK, Moran DS. Stress fracture and military medical readiness: bridging basic and applied research. Med Sci Sports Exerc 2008;40:S609–22.10.1249/MSS.0b013e3181892d53Suche in Google Scholar PubMed

2. Finestone A, Milgrom C, Evans RK, Yanovich R, Constantini N, Moran DS. Overuse injuries in female infantry recruits during low intensity basic training. Med Sci Sports Exerc 2008;40:S630–5.10.1249/MSS.0b013e3181892ff9Suche in Google Scholar PubMed

3. Hod N, Ashkenazi I, Levi Y, Fire G, Drori M, Cohen I, et al. Characteristics of skeletal stress fractures in female military recruits of the Israel defense forces on bone scintigraphy. Clin Nucl Med 2006;31:742–9.10.1097/01.rlu.0000246632.11440.70Suche in Google Scholar PubMed

4. Moran DS, Evans RK, Hadad E. Imaging of lower extremity stress fracture injuries. Sports Med 2008;38:345–56.10.2165/00007256-200838040-00005Suche in Google Scholar PubMed

5. Moran DS, Evans R, Arbel Y, Luria O, Hadid A, Yanovich R, et al. Physical and psychological stressors linked with stress fractures in recruit training. Scand J Med Sci Sports 2013;23:443–50.10.1111/j.1600-0838.2011.01420.xSuche in Google Scholar PubMed

6. Shaffer RA, Rauh MJ, Brodine SK, Trone DW, Macera CA. Predictors of stress fractures susceptibility in young female recruits. Am J Sports Med 2006;34:108–15.10.1177/0363546505278703Suche in Google Scholar PubMed

7. Yanovich R, Evans RK, Israeli E, Constantini N, Epstein Y, Moran DS. Differences in physical fitness of males and females recruits in gender integrated army basic training. Med Sci Sports Exerc 2008;40:S654–9.10.1249/MSS.0b013e3181893f30Suche in Google Scholar PubMed

8. Lappe J, Cullen D, Haynatzki G, Recker R, Ahlf R, Thompson K. Calcium and vitamin d supplementation decreases incidence of stress fractures in female navy recruits. J Bone Miner Res 2008;23:741–9.10.1359/jbmr.080102Suche in Google Scholar PubMed

9. Friedl KE, Knapik JJ, Häkkinen K, Baumgartner N, Groeller H, Taylor NA, et al. Perspectives on aerobic and strength influences on military physical readiness: report of an international military physiology roundtable. J Strength Cond Res 2015;29(Suppl 11):S10–23.10.1519/JSC.0000000000001025Suche in Google Scholar PubMed

10. Milgrom C, Simkin A, Eldad A, Nyska M, Finestone A. Using bone’s adaptation ability to lower the incidence of stress fractures. Am J Sports Med 2000;28:245–51.10.1177/03635465000280021701Suche in Google Scholar PubMed

11. Armstrong DW, Rue JP, Wilckens JH, Frassica FJ. Stress fracture injury in young military men and women. Bone 2004;35:806–16.10.1016/j.bone.2004.05.014Suche in Google Scholar

12. Niemeyer P, Weinberg A, Schmitt H, Kreuz PC, Ewerbeck V, Kasten P. Stress fractures in adolescent competitive athletes with open physis. Knee Surg Sports Traumatol Arthrosc 2006;14:771–7.10.1007/s00167-005-0003-8Suche in Google Scholar

13. Frisch A, Croisier JL, Urhausen A, Seil R, Theisen D. Injuries, risk factors and prevention initiatives in youth sport. Brit Med Bull 2009;92:95–121.10.1093/bmb/ldp034Suche in Google Scholar

14. Kang L, Belcher D, Hulstyn MJ. Stress fractures of the femoral shaft in women’s college lacrosse: a report of seven cases and a review of the literature. Br J Sports Med 2005;39:902–6.10.1136/bjsm.2004.016626Suche in Google Scholar

15. Beck TJ, Ruff CB, Shaffer RA, Betsinger K, Trone DW, Brodine SK. Stress fracture in military recruits: gender differences in muscle and bone susceptibility factors. Bone 2000;27:437–44.10.1016/S8756-3282(00)00342-2Suche in Google Scholar

16. Moran DS, Israeli E, Evans RK, Yanovich R, Constantini N, Shabshin N, et al. Prediction model for stress fracture in young female recruits during basic training. Med Sci Sports Exerc 2008;40:S636–44.10.1249/MSS.0b013e3181893164Suche in Google Scholar PubMed

17. Durnin JV, Rahaman MM. The assessment of the amount of fat in the human body from measurements of skinfold thickness. Br J Nutr 1967;21:681–9.10.1079/BJN19670070Suche in Google Scholar PubMed

18. Zwas ST, Elkanovitch R, Frank G. Interpretation and classification of bone scitigraphic findings in stress fractures. I Nucl Med 1987;28:452–7.Suche in Google Scholar

19. Hadid A, Moran DS, Evans RK, Fuks Y, Schweitzer ME, Shabshin N. Tibial stress changes in new combat recruits for special forces: patterns and timing at MR imaging. Radiology 2014;273:483–90.10.1148/radiol.14131882Suche in Google Scholar PubMed

20. Warden SJ, Burr DB, Brukner PD. Stress fractures: pathophysiology, epidemiology, and risk factors. Curr Osteoporos Rep 2006;4:103–9.10.1007/s11914-996-0029-ySuche in Google Scholar PubMed

21. Gam A, Goldstein L, Karmon Y, Mintser I, Grotto I, Guri A. Comparison of stress fractures of male and female recruits during basic training in the Israeli anti-aircraft forces. Mil Med 2005;170:710–12.10.7205/MILMED.170.8.710Suche in Google Scholar PubMed

22. Altarac M, Gardner JW, Popovich RM, Potter R, Knapik JJ, Jones BH. Cigarette smoking and exercise-related injuries among young men and women. Am J Prev Med 2000;18:96–102.10.1016/S0749-3797(99)00166-XSuche in Google Scholar

23. Pope RP. Prevention of pelvic stress fractures in female army recruits. Mil Med 1999;164:370–3.10.1093/milmed/164.5.370Suche in Google Scholar

24. Jones BH, Knapik JJ. Physical training and exercise-related injuries. Surveillance, research and injury prevention in military populations. Sports Med 1999;27:111–25.10.21236/ADA370930Suche in Google Scholar

25. Knapik JJ, Darakjy S, Hauret KG, Canada S, Scott S, Rieger W, et al. Increasing the physical fitness of low-fit recruits before basic combat training: an evaluation of fitness, injuries, and training outcomes. Mil Med 2006;171:45–54.10.7205/MILMED.171.1.45Suche in Google Scholar PubMed

26. Evans RK, Negus C, Antczak AJ, Yanovich R, Israeli E, Moran DS, et al. Sex differences in parameters of bone strength in new recruits: beyond bone density. Med Sci Sports Exerc 2008;40:S645–53.10.1249/MSS.0b013e3181893cb7Suche in Google Scholar PubMed

27. Jepsen KJ, Evans R, Negus CH, Gagnier JJ, Centi A, Erlich T, et al. Variation in tibial functionality and fracture susceptibility in healthy, young adults arises from the acquisition of biologically distinct sets of traits. J Bone Mineral Res 2013;28:1290–300.10.1002/jbmr.1879Suche in Google Scholar

28. Evans RK, Antczak AJ, Lester M, Yanovich R, Israeli E, Moran DS. Effects of a four-month recruit training program on markers of bone metabolism. Med Sci Sports Exerc 2008;40:S660–70.10.1249/MSS.0b013e318189422bSuche in Google Scholar

29. Reynolds KL, Heckel HA, Witt CE, Martin JW, Pollard JA, Knapik JJ, et al. Cigarette smoking, physical fitness, and injuries in infantry soldiers. Am J Prev Med 1994;10:145–50.10.1016/S0749-3797(18)30610-XSuche in Google Scholar

30. Finestone AS, Milgrom C, Yanovich R, Evans R, Constantini N, Moran DS. Evaluation of the performance of females as light infantry soldiers. Biomed Res Int 2014;2014:572953.10.1155/2014/572953Suche in Google Scholar PubMed PubMed Central

31. Kelly EW, Jonson SR, Cohen ME, Shaffer R. Stress fractures of the pelvis in female navy recruits: an analysis of possible mechanisms of injury. Mil Med 2000;165:142–6.10.1093/milmed/165.2.142Suche in Google Scholar

32. Winfield AC, Moore J, Bracker M, Johnson CW. Risk factors associated with stress reactions in female Marines. Mil Med 1997;162:698–702.10.1093/milmed/162.10.698Suche in Google Scholar

33. Knapik JJ, Cosio-Lima LM, Reynolds KL, Shumway RS. Efficacy of functional movement screening for predicting injuries in coast guard cadets. J Strength Cond Res 2015;29:1157–62.10.1519/JSC.0000000000000704Suche in Google Scholar PubMed

Received: 2016-8-9
Accepted: 2017-1-13
Published Online: 2017-2-21
Published in Print: 2017-5-1

©2017 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Review
  3. Isolated heart models for studying cardiac electrophysiology: a historical perspective and recent advances
  4. Reproduction
  5. Sub-chronic indomethacin treatment and its effect on the male reproductive system of albino rats: possible protective role of black tea extract
  6. The effect of extracellular ATP on rat uterine contraction from different gestational stages and its possible mechanisms of action
  7. Cardiovascular Function
  8. Effect of cardiovascular and muscular endurance is not associated with stress fracture incidence in female military recruits: a 12-month follow up study
  9. Cardiovascular-Pulmonary Interactions
  10. Comparison of structured and unstructured physical activity training on predicted VO2max and heart rate variability in adolescents – a randomized control trial
  11. Oxidative Stress
  12. Aminoguanidine pretreatment prevents methotrexate-induced small intestinal injury in the rat by attenuating nitrosative stress and restoring the activities of vital mitochondrial enzymes
  13. Anti-aging effects of M2000 (β-D-mannuronic acid) as a novel immunosuppressive drug on the enzymatic and non-enzymatic oxidative stress parameters in an experimental model
  14. Metabolism
  15. Long-term exposure to a butter-rich diet induces mild-to-moderate steatosis in Chang liver cells and Swiss albino mice models
  16. Effect of adrenocorticotropic hormone on UCP1 gene expression in brown adipocytes
  17. Phytotherapy
  18. Antidiabetic effect of Ruta montana L. in streptozotocin-induced diabetic rats
  19. Ethnopharmacological investigation of the aerial part of Phragmites karka (Poaceae)
Heruntergeladen am 13.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/jbcpp-2015-0098/html
Button zum nach oben scrollen