Article Text
Introduction
US Army Initial Entry Training (IET) aims to develop general fitness and conditioning among large groups of trainees. Despite group mean improvement in physical fitness during IET, some trainees experience substantial gains and others experience no improvement or even declines in fitness. The purpose of this study was to examine the associations between trainee baseline fitness (Army Physical Fitness Test (APFT), the primary fitness assessment at the time of data collection) or estimated baseline body fat (%BF) and the change in fitness by the end of IET.
Methods Trainee (n=774 men, 195 women) APFT performance data were obtained, and baseline anthropometrics were used to estimate %BF. APFT performance change (final−baseline) was analysed directly (t-tests) or by quartiles of baseline APFT performance or %BF (analysis of variance). Cochran-Armitage χ2 for linear trend test and risk ratios allowed for comparison against the lowest initial performance referent quartile (Q1), providing the likelihood of fitness improvements. Significance was set at p≤0.05.
Results Performance improved (p<0.01) on all final APFT events for men and women, respectively (push-ups: +38.4% and +91.8% repetitions; sit-ups: +26.8% and +33.5% repetitions; 2-mile run: −9.6% and −10.4% time). Significant trends in both sexes indicated that moving from low-to-high initial APFT fitness quartiles, trainees were increasingly less likely to improve their fitness. Specifically, men and women in the highest initial fitness quartiles (Q4) were 22%–32% and 25%–34% less likely (p<0.01) to improve, respectively, versus the within-sex lowest initial fitness quartiles (Q1). Only the male trainee’s 2-mile run time change was related to the initial %BF.
Conclusions Although most trainees’ fitness improved by the end of IET, the likelihood and magnitude of improvement were clearly associated with initial fitness levels. Attention to individualised conditioning and training intensity in the physical readiness training programme of instruction may optimise training strategies across all trainee conditioning levels.
- EPIDEMIOLOGY
- OCCUPATIONAL & INDUSTRIAL MEDICINE
- PUBLIC HEALTH
- SPORTS MEDICINE
Data availability statement
No data are available.
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Footnotes
Collaborators Not applicable.
Contributors JRP collected and analysed the data and drafted the original manuscript. BC collected the data and drafted the original manuscript. KH collected data, reviewed and edited the manuscript. MS, JR and SF designed the research protocol, collected data, reviewed and edited the manuscript. BJ reviewed and edited the manuscript. All authors read and approved the final manuscript. JRP is the guarantor for this manuscript.
Funding This study was funded by the Military Operational Medicine Research Programme (Grant #21600), US Army Medical Research and Development Command. This research was supported in part by appointments to the Postgraduate Research Participation Programme at the DHA-PH and USARIEM administered by the Oak Ridge Institute for Science and Education (ORISE) through interagency agreements between the US Department of Energy (DoE) and DHA-PH and the DoE and USARIEM.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.