Regional differences in BMI, obesity, and exercise frequency in a large veteran service organization: A secondary analysis of new veteran member surveys from Team Red, White &amp; Blue

McDaniel, Justin T.; Thomas, Kate Hendricks; Angel, Caroline M.; Erwin, Michael S.; Nemec, Louis P.; Young, Brandon B.; Armstrong, Nicholas J.; Smith, Blayne P.; Pinter, John M.

doi:10.1016/j.pmedr.2018.09.001

Cited by 7 publications

(6 citation statements)

References 17 publications

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“…For example, in their study of obesity prevalence among U.S. service members and Veteran, Rush et al (38) reported obesity rates of 35 and 26% in male and female Veterans, respectively. Similar findings were reported by McDaniel et al (32) in their study of regional differences in BMI and physical activity among U.S. Veterans, in which 33.4% of men and 22.8% of women were classified as obese.…”

Section: Discussionsupporting

confidence: 90%

Obesity Risk Among West Point Graduates Later in Life

Szivak

Thomas

Pietrzak

et al. 2023

Journal of Strength and Conditioning Research

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Szivak, TK, Thomas, MM, Pietrzak, RH, Nguyen, DR, Ryan, DM, and Mazure, CM. Obesity Risk Among West Point Graduates Later in Life. J Strength Cond Res 37(6): 1284–1291, 2023—The purpose of this investigation was to evaluate sex differences in health and fitness outcomes among United States Military Academy (USMA) graduates (class years 1980–2011). Subjects (n = 701 men, 641 women, age: 45.7 ± 9.3 years) were surveyed as a part of a larger investigation on risk and resiliency factors among USMA graduates. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ) short form and calculation of weekly metabolic equivalents (METs). Overweight and obesity status were assessed by body mass index (BMI). Significance for the study was set at p ≤ 0.05. Obesity rates for men (30.1%) were significantly higher than for women (16.6%). Men reported significantly higher (p = 0.01) vigorous METs·wk−1 (1,214.6 ± 1,171.6) than women (1,046.8 ± 1,133.2) despite significantly higher (p = 0.00) BMI values (28.75 ± 4.53 kg·m−2) than women (25.90 ± 5.48 kg·m−2). Women were 89% more likely to have ever been on a diet and reported higher (15.2%) Army Body Composition Program enrollment rates than men (6.3%). Obesity rates among men reflect trends seen in the broader military, Veteran, and U.S. adult populations, whereas obesity rates among women were lower. Men may be at a greater risk for obesity later in life despite higher self-reported physical activity; however, lean body mass and self-report bias should be considered. Because lifetime obesity may be influenced by factors other than physical activity, health initiatives should use a comprehensive approach early in the career of military officers.

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Section: Discussionsupporting

confidence: 90%

Obesity Risk Among West Point Graduates Later in Life

Szivak

Thomas

Pietrzak

et al. 2023

Journal of Strength and Conditioning Research

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“…Our study of veterans coincides with other studies which have shown (a) that veterans have higher rates of chronic disease than nonveterans 20 and (b) that the distribution of chronic disease varies by geographic location. 21,22 Specifically, as we found in our study, areas that are less urbanized are more likely to have higher prevalence rates of chronic disease than areas that are highly urbanized. However, our study advances the literature in that we examine veteran-nonveteran differences in chronic disease prevalence by geographic location, instead of examining these differences only in the national aggregate or by only looking at veterans in isolation.…”

Section: Discussionsupporting

confidence: 62%

Examining the geographic distribution of six chronic disease risk factors for severe COVID-19: Veteran–nonveteran differences

McDaniel

2021

Chronic Illness

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Objectives We aimed to better understand where the prevalence of risk factors for severe COVID-19 occur, especially among veterans and nonveterans – populations that are given the opportunity to seek healthcare from separate entities. Methods In this cross-sectional study, we use data from the SMART Behavioral Risk Factor Surveillance System to estimate the prevalence (i.e., survey-weighted %) of six risk factors for severe COVID-19 (i.e., chronic obstructive pulmonary disorder [COPD], asthma, diabetes, obesity, cardiovascular disease, and kidney disease) for veterans and nonveterans at the national level, in 155 metropolitan/micropolitan statistical areas, and in Veteran Integrated Service Networks (veterans only). We examine differences in these outcomes among veterans and between geographic areas using chi-square analysis or multivariable logistic regression. Results In the national aggregate, veterans exhibited higher prevalence rates of COPD, diabetes, cardiovascular disease, and kidney disease than nonveterans, but not asthma and obesity. However, we show significant variation in the prevalence of risk factors for severe COVID-19 among veterans by geographic location. Discussion This study provides a dataset that can be used by healthcare providers in order to prioritize prevention programming for veterans who may be at higher risk for COVID-19 due to their increased risk for certain chronic diseases.

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“…Finally, cigarette smoking cessation among military veterans may be aided by veteran service organizations, such as The Mission Continues and Team Red, White, and Blue. These veteran service organizations exist to help veterans reintegrate into civilian society by providing social connection opportunities and encouraging a healthy lifestyle, among other things, following military service 8,9 . These veteran service organizations maintain chapters in many states in the United States.…”

Section: Discussionmentioning

confidence: 99%

State-specific cigarette use rates among service members and veterans, United States, 2017

McDaniel¹,

Klesges²

2019

Tob. Prev. Cessation

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INTRODUCTION Little is known about the geographical distribution of cigarette use among military service members and veterans. In this study, we estimated statespecific rates of current cigarette use for service members and veterans and compared these to the current cigarette use rates of civilians. METHODS We used data from the 2017 Behavioral Risk Factor Surveillance System to generate survey-weighted percentages with 95% confidence intervals of current cigarette use among service members and veterans (SMVs) and civilians. Respondents (n=450016) were classified as an SMV if they answered in the affirmative to the following question: 'Have you ever served on active duty in the United States Armed Forces, either in the regular military or in a National Guard or military reserve unit?'. Current cigarette users were persons who reported having smoked 100 cigarettes in their lifetime and smoked 'some days' or 'every day' at the administration of the survey. RESULTS Nationally, 17.3% (95% CI: 16.6-18.0) of SMVs reported current cigarette use, while 16.2% (95% CI: 16.0-16.5) of civilians reported current cigarette use. By state, current cigarette use rates ranged from 10.0% in Utah (95% CI: 7.5-12.5) to 23.7% in Indiana (95% CI: 20.9-26.5) among service members and veterans, and from 8.8% in Utah (95% CI: 8.0-9.6) to 27.0% in West Virginia (95% CI: 25.3-28.6) among civilians. CONCLUSIONS Resources and interventions directed at cigarette smoking cessation should consider military status and geography when recruiting participants.

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Regional differences in BMI, obesity, and exercise frequency in a large veteran service organization: A secondary analysis of new veteran member surveys from Team Red, White & Blue

Cited by 7 publications

References 17 publications

Obesity Risk Among West Point Graduates Later in Life

Obesity Risk Among West Point Graduates Later in Life

Examining the geographic distribution of six chronic disease risk factors for severe COVID-19: Veteran–nonveteran differences

State-specific cigarette use rates among service members and veterans, United States, 2017

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