Evidence map›Paper›PMID 23497620›Full record

ArticleJournal of occupational medicine and toxicology (London, England)2013

A prospective investigation of injury incidence and risk factors among army recruits in combat engineer training.

Joseph J Knapik, Bria Graham, Jacketta Cobbs, Diane Thompson, Ryan Steelman, Bruce H Jones

Abstract read
In one paragraph

Article in Journal of occupational medicine and toxicology (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Risk factors for musculoskeletal injuries in military personnel: a systematic review with meta-analysis.International archives of occupational and environmental health · 2021
    Pooled it
  3. Article
  4. Article
  5. Factors Predicting Training Delays and Attrition of Recruits during Basic Military Training.International journal of environmental research and public health · 2022
    Article
  6. Article
  7. The Use of Fitness Testing to Predict Occupational Performance in Tactical Personnel: A Critical Review.International journal of environmental research and public health · 2021
    Review
  8. Article
  9. Article
  10. Observational
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  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Joseph J KnapikUS Army Institute of Public Health, Epidemiology and Disease Surveillance Portfolio, ATTN: MCHB-IP-DI, 5158 Blackhawk Rd, Aberdeen Proving Ground, MD 21010, USA. joseph.knapik@us.army.mil.
Bria Graham
Jacketta Cobbs
Diane Thompson
Ryan Steelman
Bruce H Jones

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnited States Army combat engineer (ENG) training is an intense 14-week course designed to introduce new recruits to basic soldiering activities, Army values and lifestyle, and engineering skills and knowledge. The present investigation examined injury rates and injury risk factors in ENG training.

methodsAt the start of their training, 1,633 male ENG recruits were administered a questionnaire containing items on date of birth, height, weight, tobacco use, prior physical activity, and injury history. Injuries during training were obtained from electronic medical records and the training units provided data on student graduation and attrition. Risk factors were identified using Cox regression.

resultsNinety-two percent of the recruits successfully graduated from the course and 47% of the recruits experienced one or more injuries during training. Univariate Cox regression demonstrated that recruits were at higher injury risk if they reported that they were older, had a higher or lower body mass index, had smoked in the past, had performed less exercise (aerobic or muscle strength) or sports prior to ENG training, had experienced a previous time-loss lower limb injury (especially if they had not totally recovered from that injury), or had a lower educational level.

conclusionsThe present investigation was the first to identify injury rates and identify specific factors increasing injury risk during ENG training. The identified risk factors provide a basis for recommending future prevention strategies.

Identifiers

PMID23497620
PMCPMC3599111

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.