Progress toward Healthy People 2000 objectives among U.S. military personnel

Bray, Robert M.; Olmsted, Kristine Rae; Williams, Jeffrey; Sanchez, Rebecca Polley; Hartzell, Michael

doi:10.1016/j.ypmed.2006.01.009

Cited by 15 publications

(21 citation statements)

References 13 publications

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“…Current opinion concurs with the findings of Grotto et al [38] and is supportive of a relationship between lower educational attainment and higher levels of obesity [17]. Bray et al [20] suggested that 'pay group' status of military personnel was correlated with obesity in that those on lower pay displayed higher levels of obesity. There is a direct correlation between the hierarchical system of rank employed within the military and 'pay-group', with higher rank commanding higher wages.…”

Section: Correlates Demographic and Biological Factorssupporting

confidence: 84%

“…Table 3 follows a similar factors were represented by a single correlate, as was PA characteristics. The information offered by Bray et al [20] represents the strongest evidence as data is derived from large-scale probability samples from three separate surveys (1995, 1998 and 2002). This study concluded that age, education, gender, pay group, marital status, and ethnicity were all significant (p < 0.05) correlates of obesity.…”

Section: Correlatesmentioning

confidence: 99%

“…Bray et al [20] concluded that Navy personnel, as opposed to individuals serving in the army, airforce and marine corps, displayed a higher prevalence of obesity. One paper has suggested that snacking and a lack of fresh food, which may be specific to ship-bound personnel, may offer an explanation for this finding [34].…”

Section: Social and Cultural Factorsmentioning

confidence: 99%

“…Bray et al [20] concluded that a higher educational level was correlated with obesity prevalence in US armed forces personnel. Yet in a study based on the Israeli military [38], lower, but not higher educational level (for study subject and male parent) was correlated to obesity.…”

Section: Correlates Demographic and Biological Factorsmentioning

confidence: 99%

“…Therefore, a greater understanding of the correlates of obesity could offer a means to mediate the effect on the military, allowing for specific prevention and treatment interventions. Given the established links between obesity and the major causes of morbidity and mortality [19] and their impact on personal and collective 'operational effectiveness' [20], the aim of this paper was to systematically review the current evidence in respect of the correlates and treatment of obesity in the armed forces.…”

Section: Introductionmentioning

confidence: 99%

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The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

Sanderson

Clemes

Biddle³

2011

Obes Facts

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Objective: The emergence of obesity as a distinct disease could have far reaching consequences for an organisation where optimum health and physical fitness are required for personnel to perform their occupational roles effectively. The objectives of this paper are to systematically review the literature concerning correlates and treatment of obesity in military populations. Methods: Through computerised searches of English language studies, 17 papers were identified (treatment (13), correlates (4)). Results: Successful treatment interventions incorporated exercise, healthy eating information, behavioural modification, self-monitoring, relapse prevention, and structured follow-up and were supported by trained personnel. Efficacy due to physical activity was underreported. Reduction in body fat rather than body weight was the most significant outcome. The major significant correlates of obesity were being enlisted personnel, male, ≧35 years of age, African-American/Hispanic ethnicity, and married (with spouse present). Conclusion: This systematic review highlights the deficit in knowledge concerning treatment and the lack of engagement in relation to the specific correlates of obesity in military populations.

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Section: Correlates Demographic and Biological Factorssupporting

confidence: 84%

Section: Correlatesmentioning

confidence: 99%

Section: Social and Cultural Factorsmentioning

confidence: 99%

Section: Correlates Demographic and Biological Factorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

Sanderson

Clemes

Biddle³

2011

Obes Facts

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Small-unit water purifiers for remote military outposts: A new application of multicriteria decision analysis

Koban

Gibson

2017

J. Multi-Crit. Decis. Anal.

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During the U.S. military's first 145 years, waterborne and other infectious diseases caused more casualties than battlefield injuries, underscoring the importance of clean drinking water to military success. Ensuring drinking water safety poses special challenges to the U.S. Army Special Operations Forces, because treatment equipment used in the conventional Army is too heavy and operationally complex to deploy to remote outposts. Due to the lack of purpose-built water purifiers, Special Forces often rely on commercial-off-the-shelf systems, but guidelines on selecting optimal systems for specific deployment contexts are lacking. To fill this gap, this research examines whether multicriteria decision analysis (MCDA) can provide an operational framework for selecting water purifiers for Special Forces. Our objectives are to apply MCDA to help an officer preparing for village stability operations in Afghanistan select a water purifier and to assess whether other Army stakeholders agree with the officer's choice. In addition, because previous research has suggested that alternative MCDA methods can yield different rankings of decision alternatives, we test whether the MCDA method used is as important as who conducts the ranking. Toward these objectives, we use 4 MCDA approaches for eliciting preferences among 4 water purifiers from the deploying officer and 6 other Army stakeholders.The results show that regardless of method, the officer and 5 of the 6 stakeholders identified the same preferred alternative, although rankings for the less preferred water purifiers varied by method (intermethod rank-order correlation = .57). In responses to survey questions, stakeholders indicated that they would support using the results to support decisions about water purifier acquisition (average support = 5.3 on a 0-6 Likert scale with 6 indicating strongest support).

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Obesity and the US military family

Tanofsky‐Kraff

Sbrocco

Theim

et al. 2013

Obesity

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Objective: This review discusses the current knowledge and future directions regarding obesity within the US military family (i.e., active-duty servicemembers, as well as military spouses, children, retirees, and veterans). The increasing rates of overweight and obesity within the US military adversely impact military readiness, limit recruitment, and place a significant financial burden on the Department of Defense. Design and Methods: The following topics are reviewed: 1) The prevalence of and the financial, physical, and psychological costs associated with overweight in military communities; 2) military weight regulations, and challenges faced by the military family related to overweight and disordered eating; 3) the continued need for rigorous program evaluations and new intervention development. Results: Overweight and its associated sequelae impact the entire military family. Military families share many similarities with their civilian counterparts, but they face unique challenges (e.g., stress related to deployments and relocations). Although the military has weight management resources, there is an urgent need for rigorous program evaluation and the development of enhanced obesity prevention programs across the lifespan of the military family-several of which are proposed herein. Conclusions: Interdisciplinary and collaborative research efforts and team-based interventions will continue to inform understanding of obesity treatment and prevention within military and civilian populations.

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Progress toward Healthy People 2000 objectives among U.S. military personnel

Cited by 15 publications

References 13 publications

The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

Small-unit water purifiers for remote military outposts: A new application of multicriteria decision analysis

Obesity and the US military family

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