ArticleBMC musculoskeletal disorders2018
Association between stress fracture incidence and predicted body fat in United States Army Basic Combat Training recruits.
Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Incidence and Risk Factors for the Development of Stress Fractures in Military Recruits and Qualified Personnel: A Systematic Review.International journal of environmental research and public health · 2025Pooled it
- Non-Modifiable Risk Factors for Stress Fractures in Military Personnel Undergoing Training: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model.Military Medical Research · 2021Pooled it
- Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques.Sensors (Basel, Switzerland) · 2021Pooled it
- Risk factors for injuries in female soldiers: a systematic review.BMC sports science, medicine & rehabilitation · 2022Article
- Simultaneous bilateral posteromedial tibial epiphysis stress fractures in a healthy young man: A case report.Journal of musculoskeletal & neuronal interactions · 2021Article
- Effects of foam rolling for delayed onset muscle soreness on loaded military task performance and perceived recovery.Journal of exercise science and fitness · 2021Article
- Experimental study protocol of the project "MOtor function and VItamin D: Toolkit for motor performance and risk Assessment (MOVIDA)".PloS one · 2021Article
- Trauma Exposure and Functional Movement Characteristics of Male Tactical Athletes.Journal of athletic training · 2020Article
- A Comparative Analysis of Army Body Composition Standards for Women.International journal of exercise science · 2020Article
- The Association between Increased Body Mass Index and Overuse Injuries in Israel Defense Forces Conscripts.Obesity facts · 2020Article
- Nonsteroidal Anti-Inflammatory Drug Prescriptions Are Associated With Increased Stress Fracture Diagnosis in the US Army Population.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2019Article
- Age and Female Sex Are Important Risk Factors for Stress Fractures: A Nationwide Database Analysis.Sports healthArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA stress fracture (SF) is a highly debilitating injury commonly experienced in United States Army Basic Combat Training (BCT). Body fat (BF) may be associated with this injury but previous investigations (in athletes) have largely used SF self-reports and lacked sufficient statistical power. This investigation developed an equation to estimate %BF and used that equation to examine the relationship between %BF and SF risk in BCT recruits.
methodsData for the %BF predictive equation involved 349 recruits with BF obtained from dual-energy X-ray absorptiometry. %BF was estimated using body mass index (BMI, weight/height
resultsThe equation was %BF = - 7.53 + 1.43 ● BMI + 0.13 ● age - 14.73 ● sex, with sex either 1 for men or 0 for women (r = 0.88, standard error of estimate = 4.2%BF). Among the men, SF risk increased at the higher and lower %BF deciles: compared to men in the mean %BF decile, the risk of a SF for men in the first (lowest %BF) and tenth (highest %BF) decile were 1.27 (95%confidence interval (95%CI) = 1.17-1.40) and 1.15 (95%CI = 1.05-1.26) times higher, respectively. Among women, SF risk was only elevated in the first %BF decile with risk 1.20 (95%CI = 1.09-1.32) times higher compared to the mean %BF decile.
conclusionsLow %BF was associated with higher SF risk in BCT; higher %BF was associated with higher SF risk among men but not women.
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