Need for Routine Vitamin D Screening in Military Personnel

Dinicola, Albert F.; DiNicola, Peter J.; Sánchez, Lucía

doi:10.7205/milmed-d-16-00115

Cited by 4 publications

(5 citation statements)

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“…The lack of exposure to the sun when living and working in a warship or a submarine also increases the risk of vitamin D deficiency 32. For these reasons, vitamin D levels should be routinely assessed on all active duty Navy military personnel, especially those in predeployment and postdeployment mobilisation phases 33…”

Section: Introductionmentioning

confidence: 99%

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Vitamin D status in the active duty Navy military personnel: protocol for a systematic review

et al. 2022

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IntroductionVitamin D is critical for bone health and its deficiency has been linked to increased incidence and severity of multiple diseases. Even so, vitamin D inadequacy is a major public health problem worldwide. The main source of vitamin D is endogenous cutaneous synthesis through exposure to solar ultraviolet B radiation, which is influenced by several factors, including occupational. The active duty Navy military personnel may be prone to vitamin D inadequacy, but a worldwide overview of vitamin D status in this specific population is still lacking.Methods and analysisThe CoCoPop mnemonic will be used for determining the inclusion criteria. Scopus, Web of Science and PubMed/Medline will be searched for all studies including 25-hydroxyvitamin D concentrations of the active duty Navy military personnel. Data extraction and quality assessment (Joanna Briggs Institute’s and Downs and Black checklists) will be performed by two reviewers and data will be synthesised in narrative, tabular and map formats.Ethics and disseminationThis study will not involve human or animal subjects and, thus, does not require ethics approval. The outcomes will be disseminated via publication in a peer-reviewed scientific journal and presentation at a scientific conference.PROSPERO registration numberCRD42022287057.

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Section: Introductionmentioning

confidence: 99%

“… 32 For these reasons, vitamin D levels should be routinely assessed on all active duty Navy military personnel, especially those in predeployment and postdeployment mobilisation phases. 33 …”

Section: Introductionmentioning

confidence: 99%

Vitamin D status in the active duty Navy military personnel: protocol for a systematic review

et al. 2022

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“…As regards vitamin D, the high incidence of D hypovitaminosis in the global population has gained remarkable interest [ 22 , 23 , 24 , 25 , 26 ], as it has been found even in young people and associated with higher percentages of stress fractures [ 21 , 27 , 28 , 29 ] or with alterations of muscle function [ 28 , 30 , 31 , 32 , 33 ]. In military populations, there is a significant predisposition to develop low levels of vitamin D mainly due to low exposure to sunlight and the lack of adequately supplemented food [ 18 , 27 , 34 ]. The potential interference is still to be clarified between vitamin D levels and physical training [ 17 , 28 , 32 , 35 , 36 ] when the latter is either excessive or too poor or missing due to reduced mobility, as in the case of veterans.…”

Section: Introductionmentioning

confidence: 99%

Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques

Bustos

Belluscio

Camomilla

et al. 2021

Sensors

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Overuse-related musculoskeletal injuries mostly affect athletes, especially if involved in preseason conditioning, and military populations; they may also occur, however, when pathological or biological conditions render the musculoskeletal system inadequate to cope with a mechanical load, even if moderate. Within the MOVIDA (Motor function and Vitamin D: toolkit for risk Assessment and prediction) Project, funded by the Italian Ministry of Defence, a systematic review of the literature was conducted to support the development of a transportable toolkit (instrumentation, protocols and reference/risk thresholds) to help characterize the risk of overuse-related musculoskeletal injury. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach was used to analyze Review papers indexed in PubMed and published in the period 2010 to 2020. The search focused on stress (overuse) fracture or injuries, and muscle fatigue in the lower limbs in association with functional (biomechanical) or biological biomarkers. A total of 225 Review papers were retrieved: 115 were found eligible for full text analysis and led to another 141 research papers derived from a second-level search. A total of 183 papers were finally chosen for analysis: 74 were classified as introductory to the topics, 109 were analyzed in depth. Qualitative and, wherever possible, quantitative syntheses were carried out with respect to the literature review process and quality, injury epidemiology (type and location of injuries, and investigated populations), risk factors, assessment techniques and assessment protocols.

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“…Overuse injuries (bone fractures, musculoskeletal injuries), occurring when involved structures fail to adapt to increased mechanical stress [1][2][3][4][5], mostly affect resistance athletes, athletes involved in pre-season preparation, and military populations [3,[5][6][7][8][9][10][11][12][13][14][15]. In the army, most injuries occur both during the training of new recruits and in special training contexts (incidence up to �7% for men and 21% for women [16]) [3,10,11,13,[15][16][17]. The implications in terms of patient morbidity, recurrence, reduced military performance, and dropout rates do represent a relevant public health problem and a demand for efficient surveillance, prevention and treatment plans [3,11,15].…”

Section: Introductionmentioning

confidence: 99%

“…In the army, most injuries occur both during the training of new recruits and in special training contexts (incidence up to �7% for men and 21% for women [16]) [3,10,11,13,[15][16][17]. The implications in terms of patient morbidity, recurrence, reduced military performance, and dropout rates do represent a relevant public health problem and a demand for efficient surveillance, prevention and treatment plans [3,11,15].…”

Section: Introductionmentioning

confidence: 99%

Experimental study protocol of the project “MOtor function and VItamin D: Toolkit for motor performance and risk Assessment (MOVIDA)”

et al. 2021

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Musculoskeletal injuries, a public health priority also in the military context, are ascribed to several risk factors, including: increased reaction forces; low/reduced muscle strength, endurance, body mass, Vitamin D level, and bone density; inadequate lifestyles and environment. The MOVIDA Project–funded by the Italian Ministry of Defence—aims at developing a transportable toolkit (assessment instrumentation, assessment protocols and reference/risk thresholds) which integrates motor function assessment with biological, environmental and behavioural factors to help characterizing the risk of stress fracture, stress injury or muscle fatigue due to mechanical overload. The MOVIDA study has been designed following the STROBE guidelines for observational cross-sectional studies addressing healthy adults, both militaries and civilians, with varying levels of physical fitness (sedentary people, recreational athletes, and competitive athletes). The protocol of the study has been designed and validated and is hereby reported. It allows to collect and analyse anamnestic, diagnostic and lifestyle-related data, environmental parameters, and functional parameters measured through portable and wearable instrumentation during adapted 6 minutes walking test. The t-test, one and two-way ANOVA with post-hoc corrections, and ANCOVA tests will be used to investigate relevant differences among the groups with respect to biomechanical parameters; non-parametric statistics will be rather used for non-normal continuous variables and for quantitative discrete variables. Generalized linear models will be used to account for risk and confounding factors.

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Need for Routine Vitamin D Screening in Military Personnel

Cited by 4 publications

References 0 publications

Vitamin D status in the active duty Navy military personnel: protocol for a systematic review

Vitamin D status in the active duty Navy military personnel: protocol for a systematic review

Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques

Experimental study protocol of the project “MOtor function and VItamin D: Toolkit for motor performance and risk Assessment (MOVIDA)”

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