ArticleBMC musculoskeletal disorders2019
A prospective field study of U.S. Army trainees to identify the physiological bases and key factors influencing musculoskeletal injuries: a study protocol.
Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Circulating sex hormones, specifically estrogen in females and testosterone in males, are associated with ambient environmental temperature during prolonged physical training.Temperature (Austin, Tex.) · 2026Article
- Weight Loss Before Basic Combat Training and Musculoskeletal Injuries Among U.S. Army Trainees: The ARMI Study.Obesity (Silver Spring, Md.) · 2025Article
- Repeated bouts of load carriage alter indirect markers of exercise-induced muscle damage, liver enzymes, and oxygen-carrying capacity in male soldiers.Physiological reports · 2025Article
- Model for Musculoskeletal Injury Risk Factors Among US Army Basic Combat Trainees.JAMA network open · 2025Article
- Sex- and age-related differences in kinetics and tibial accelerations during military-relevant movement tasks in U.S. Army trainees.European journal of sport science · 2024Article
- US Army basic combat training alters the relationship between body mass index and per cent body fat.BMJ military health · 2023Article
- Musculoskeletal Injury Risk Stratification: A Traffic Light System for Military Service Members.Healthcare (Basel, Switzerland) · 2023Article
- Changes in Distal Tibial Microarchitecture During Eight Weeks of U.S. Army Basic Combat Training Differ by Sex and Race.JBMR plus · 2023Article
- Body composition changes during 8 weeks of military training are not accurately captured by circumference-based assessments.Frontiers in physiology · 2023Article
- Body mass does not reflect the body composition changes in response to similar physical training in young women and men.International journal of obesity (2005) · 2021Observational
- Designing criterion measures for physically demanding jobs.Military psychology : the official journal of the Division of Military Psychology, American Psychological AssociationReview
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Authors and funding
17 authors.
Funding
Abstract
backgroundMusculoskeletal injuries (MSKIs) are common in military trainees and present a considerable threat to occupational fitness, deployability, and overall military readiness. Despite the negative effects of MSKIs on military readiness, comprehensive evaluations of the key known and possible risk factors for MSKIs are lacking. The U.S. Army Research Institute of Environmental Medicine (ARIEM) is initiating a large-scale research effort, the ARIEM Reduction in Musculoskeletal Injury (ARMI) Study, to better understand the interrelationships among a wide range of potential MSKI risk factors in U.S. Army trainees in order to identify those risk factors that most contribute to MSKI and may be best targeted for effective mitigation strategies.
methodsThis prospective study aims to enroll approximately 4000 (2000 male and 2000 female) U.S. Army trainees undergoing Basic Combat Training (BCT). Comprehensive in-person assessments will be completed at both the beginning and end of BCT. Participants will be asked to complete surveys of personal background information, medical history, physical activity, sleep behaviors, and personality traits. Physical measurements will be performed to assess anthropometrics, tibial microarchitecture and whole body bone mineral density, muscle cross-sectional area, body composition, and muscle function. Blood sampling will be also be conducted to assess musculoskeletal, genetic, and nutritional biomarkers of risk. In addition, participants will complete weekly surveys during BCT that examine MSKI events, lost training time, and discrete risk factors for injury. Participants' medical records will be tracked for the 2 years following graduation from training to identify MSKI events and related information. Research hypotheses focus on the development of a multivariate prediction model for MSKI. DISCUSSION: Results from this study are expected to inform current understanding of known and potential risk factors for MSKIs that can be incorporated into solutions that optimize Soldier health and enhance military readiness.
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