Evidence map›Paper›PMID 39673397›Full record

ArticleMilitary medicine2025

Valuing Health and Performance: A Case for Prioritizing Nutrition.

Julia Carins, Ben Fisher, Bianka Probert, Joanne L Fallowfield

Abstract read
In one paragraph

Article in Military medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

4 authors.

Julia CarinsSocial Marketing @ Griffith, Griffith Business School, Griffith University, Brisbane, Queensland 4111, Australia.ORCID 0000-0001-7181-5651
Ben FisherDefence Medical Services, Ministry of Defence, Staffordshire WS14 9PY, UK.
Bianka ProbertFood and Nutrition, Defence Science and Technology Group, Scottsdale, Tasmania 7260, Australia.
Joanne L FallowfieldInstitute of Naval Medicine, Ministry of Defence, Alverstoke PO12 2DL, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImproving the dietary behaviors of personnel can result in positive impact beyond the individual, creating benefits for their organization and wider society. Military personnel endure extended periods of physical and cognitive activity. Healthful dietary behaviors by military personnel support preparedness; yet poor diet behaviors remain common and persistent, and adversely impact health and physical and cognitive performance. Urgent and effective action is needed to improve diet behaviors, but this action has not been prioritized. This study aimed to estimate the value that could be realized from improved diet behaviors to support prioritization of investment in this area for policy and program change. MATERIALS AND

methodsValue estimations (via Social Return on Investment methods) were performed to determine the potential financial benefit derived from improved diet behaviors for 2 military organizations: Australia and the UK. Estimations focused on benefits of reduced attrition and separation, improved productivity, mitigation of musculoskeletal injury (MSKI) risk, and reduced medical claims.

resultsThe value of 5 outcomes was estimated for Australia and 3 for the UK. Conservative estimates were of the order of ∼£30 million in the UK (MSKI alone) and ∼$24 million in Australia. These are not insignificant sums of money and could deliver more when invested in health and performance compared with how far they would go toward alleviating attrition, productivity losses, and MSKI.

conclusionThese estimates were constructed using the best available data and transparency within the calculations, but they remain estimates. The collection of additional data would enable the calculation of further outcomes and increase the usefulness of Social Return on Investment estimation in this area. Militaries should invest greater effort and funding in achieving, maintaining, and optimizing personnel health and performance. Promoting healthy diet behaviors should be prioritized as a cost-effective preventive action that supports productivity and performance, in comparison with the costs of remediating treatment. Conceptualizing the value of improving diet behaviors in monetary terms may refocus efforts on prevention rather than treatment.

Indexed as

Diet, HealthyMilitary PersonnelAustraliaEfficiencyHumansPhysical Functional PerformanceUnited Kingdom

Identifiers

PMID39673397
PMCPMC12208068

What OpenQuestion holds

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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.