Evidence map›Paper›PMID 34095602›Full record

ArticleContemporary clinical trials communications2020

Despite an improved aerobic endurance, still high attrition rates in initially low-fit recruits-results of a randomised controlled trial.

I Dijksma, W O Zimmermann, D Bovens, C Lucas, M M Stuiver

Open access · goldAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 20% of its field
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
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

5 authors at 2 institutions in 2 countries.

I DijksmaEpidemiology and Data Science, Master Evidence Based Practice in Health Care, University of Amsterdam, Amsterdam, the Netherlands.
W O ZimmermannDepartment of Sports Medicine, Royal Netherlands Army, Utrecht, the Netherlands.
D BovensDepartment of Healthcare, Headquarters Royal Netherlands Army, Utrecht, the Netherlands.
C LucasEpidemiology and Data Science, Master Evidence Based Practice in Health Care, University of Amsterdam, Amsterdam, the Netherlands.
M M StuiverEpidemiology and Data Science, Master Evidence Based Practice in Health Care, University of Amsterdam, Amsterdam, the Netherlands.
University of Amsterdam · NLUniformed Services University of the Health Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow baseline fitness of recruits entering basic military training (BMT) is associated with an increased risk of musculoskeletal injuries (MSIs) and attrition from training.

objectiveTo determine the effects of a pre-training conditioning program (PCP) on aerobic endurance, incidence of musculoskeletal injuries (MSIs), and attrition rates in BMT of a special infantry unit of the Netherlands Armed Forces.

participantsRecruits were considered eligible for this study when they were 'low-fit' at the start of BMT (time to complete a 2.7-km run ≥ 12'23″).

interventions'Low-fit' recruits were deferred to a seven to twelve week-depending on the time between two consecutive training platoons-PCP consisting of functional training to improve several fitness domains. The control (CON) group started regular BMT without delay.

resultsForty-nine recruits were included in this study; 26 in the PCP-group and 23 in the CON-group. Recruits who followed the PCP started BMT with better aerobic endurance than the CON-group who started BMT immediately (2.7 km run timings: PCP 11'32″, CON 13'16″). The risk of dropout was lower in the PCP-group (incidence density ratio (IDR) 0.63, 95%CI 0.32; 1.26), but dropout due to training-related MSIs was more frequent (IDR 1.23, 95%CI 0.32; 4.76 (per-protocol 0.94, 95%CI 0.24; 3.63), without statistically significant differences between the groups.

conclusionAlthough a PCP was effective to improve aerobic endurance in low-fit recruits to return to meet pre-enlistment fitness criteria, we could not demonstrate an effect on dropout from military training.

trial registrationDutch trial register Trial NL6791 (NTR6977) https://www.trialregister.nl/trial/6791.

Indexed as

Cardiovascular enduranceComplex system approachInjury preventionMilitary traineesPre-training conditioning program

Identifiers

PMID34095602
PMCPMC8164132
OpenAlexW3107387764

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Registered trials

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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.