Evidence map›Paper›PMID 40914885›Full record

ArticleMilitary medicine2026

Physical Activity and Exercise Patterns of Submariners in Land and Sea Environments.

Benjamin Kirk, Georgios Mavropalias, Anthony Blazevich, Jodie Cochrane Wilkie, Aus Molan, Kazunori Nosaka

Abstract read
In one paragraph

Article in Military medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Benjamin KirkSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0002-1189-2281
Georgios MavropaliasSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0001-7753-5693
Anthony BlazevichSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0003-1664-1614
Jodie Cochrane WilkieSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0003-1234-9579
Aus MolanPathWest Laboratory Medicine, Murdoch, WA 6150, Australia.ORCID 0000-0003-3219-0972
Kazunori NosakaSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.ORCID 0000-0001-7373-4994

Funding

Defence, Science and TechnologyDefence Science and Technology GroupDefence, Science and Technology GroupDepartment of Defence ABN 68 706 814 312
6 · The paper itself

Abstract

introductionSubmarine environments pose unique challenges to maintaining physical activity and exercise routines due to confined spaces, demanding schedules, and limited resources. This study investigated submariners' physical activity patterns, sleep quality, and perceived exercise barriers in both land- and sea-based settings, with the goal of informing targeted health interventions. MATERIALS AND

methodsEthics approval was granted by the Defence Science and Technology Group and Edith Cowan University review panels. This cross-sectional study surveyed 21 Royal Australian Navy submariners (25-48 years; 18 male) using a modified version of the International Physical Activity Questionnaire. Participants reported weekly engagement in general physical activity (e.g., walking, moderate- and vigorous-intensity activity) and structured exercise training (high-intensity interval training, moderate-intensity continuous training, and resistance training [RT]), as well as sitting time and sleep duration. Additional items assessed perceived barriers and motivations to exercise, time spent on land and at sea over the past 12 months (9 ± 3 and 3 ± 3 months, respectively), and their longest continuous deployment. Descriptive statistics and paired t-tests were used to compare outcomes between land and sea environments.

resultsTotal physical activity was lower (P < .001) at sea (118 ± 30 minutes/week) compared to land (745 ± 60 minutes/week), with the greatest reductions observed in walking (-86%, P < .001) and moderate-intensity cardiovascular training (-95%, P = .002). High-intensity interval training declined by 81% (P = .006), and RT dropped by 84% (P = .045). Reported barriers at sea included water usage restrictions (57%), limited space (43%), inadequate facilities (43%), time constraints (38%), fatigue (38%), and noise restrictions (19%). Sleep quality declined by 37% at sea (P < .001), though changes in sleep duration were not statistically significant. Sitting time increased by 51% on workdays (P = .014).

conclusionsSea deployments are associated with substantial declines in physical activity and sleep quality among submariners, accompanied by increased sitting time and widespread behavioral disengagement. These findings highlight the need for practical strategies to support health, well-being, and operational readiness in constrained environments. Strengths of the study include context-specific survey design and rich participant engagement, as reflected by detailed qualitative responses. Limitations include small sample size, variability in responses, potential recall bias, and the inability to assess survey reliability because of ethical constraints. Future research should prioritize longitudinal designs and explore implementable interventions to promote physical activity and sleep during deployment. These findings may also apply to other constrained environments, such as naval surface ships, remote field sites, or mining operations, where similar occupational barriers exist. Overall, these results offer valuable insight into how deployment conditions shape health behaviors in submariners and provide a foundation for developing evidence-based strategies to improve activity and well-being in this and similar populations.

Indexed as

ExerciseMilitary PersonnelAdultAustraliaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesexercise barriersoperational readinessphysical activitysedentary behaviorsleep qualitySubmariners

Identifiers

PMID40914885
PMCPMC13016685

What OpenQuestion holds

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LicenceCC BY
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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.