Kai Pihlainen

Physical fitness, BMI and sickness absence in male military personnel

BACKGROUND In modern society, decreased physical activity and/or changes in quality and quantity of nutritional intake contribute to obesity and lifestyle diseases that result in economic costs, both to society and to individuals. AIMS To measure physical fitness and body mass index (BMI) and to assess their association with sickness absence in male soldiers. METHODS Data regarding BMI and physical fitness (aerobic endurance and muscle fitness) were collected for male Finnish military personnel and combined with sickness absence data collected in the year 2004. The duration and costs of sickness absence were obtained from the personnel administration. RESULTS A total of 7179 male military personnel (mean age 37, range 18-59; mean BMI 26.0, range 17-50) participated. There were large inter-individual variations in physical fitness and body mass. The group with the longest sickness absences (>7 days) exhibited lower muscle fitness in three of four tests and shorter running distance compared to the groups with shorter sickness absence (P < 0.001). In addition, high BMI, poor muscle fitness and poor aerobic endurance were associated with increased sickness absence. CONCLUSIONS The present results showed that poor muscle fitness and endurance as well as high BMI are risk factors for productivity loss causing additional costs for the employer. Therefore, workers at a greater risk should be offered more multifaceted information about potential health risks, as well as motivational support to improve their lifestyle.

Cardiorespiratory Responses Induced by Various Military Field Tasks

Typical military tasks include load carriage, digging, and lifting loads. To avoid accumulation of fatigue, it is important to know the energy expenditure of soldiers during such tasks. The purpose of this study was to measure cardiorespiratory responses during military tasks in field conditions. Unloaded (M1) and loaded (M2) marching, artillery field preparation (AFP), and digging of defensive positions (D) were monitored. 15 conscripts carried additional weight of military outfit (5.4 kg) during M1, AFP, and D and during M2 full combat gear (24.4 kg). Absolute and relative oxygen uptake (VO2) and heart rate (HR) of M1 (n = 8) were 1.5 ± 0.1 L min(-1), 19.9 ± 2.7 mL kg(-1) min(-1) (42 ± 7% VO2max), and 107 ± 8 beats min(-1) (55 ± 3% HRmax), respectively. VO2 of M2 (n = 8) was 1.7 ± 0.2 L min(-1), 22.7 ± 3.4 mL kg(-1) min(-1) (47 ± 6% VO2max) and HR 123 ± 9 beats min(-1) (64 ± 4% HRmax). VO2 of AFP (n = 5) and D (n = 6) were 1.3 ± 0.3 L min(-1), 18.0 ± 3.0 (37 ± 6% VO2max), and 1.8 ± 0.4 L min(-1), 24.3 ± 5.1 mL kg(-1) min(-1) (51 ± 9% VO2max), respectively. Corresponding HR values were 99 ± 8 beats min(-1) (50 ± 3% HRmax) and 132 ± 10 beats min(-1) (68 ± 4% HRmax), respectively. The mean work intensity of soldiers was close to 50% of their maximal aerobic capacity, which has been suggested to be maximal limit of intensity for sustained work.

Optimal Physical Training During Military Basic Training Period.

The goal for military basic training (BT) is to create a foundation for physical fitness and military skills of soldiers. Thereafter, more advanced military training can safely take place. Large differences in the initial physical performance of conscripts or recruits have led military units to develop more safe and effective training programs. The purpose of this review article was to describe the limiting factors of optimal physical training during the BT period. This review revealed that the high volume of low-intensity physical activity combined with endurance-type military training (like combat training, prolonged physical activity, and field shooting) during BT interferes with optimal development of maximal oxygen uptake and muscle strength of the soldiers. Therefore, more progressive, periodized, and individualized training programs are needed. In conclusion, optimal training programs lead to higher training responses and lower risks for injuries and overloading.

Physical Fitness in Young Men Between 1975 and 2015 with a Focus on the Years 2005-2015

Purpose The purpose of the present study was to investigate changes in physical fitness and anthropometry of young men entering the military service in Finland during the years 1975–2015. Methods The study included the fitness test results of 627,142 healthy young male conscripts (age 19.1 ± 0.4 yr). Data included results of aerobic capacity, muscle fitness tests, and anthropometric characteristics. Results The results show that the increase in mean body mass of young men has slowed down during the last 10 yr. However, the total increase in body mass was 6.8 kg (8.8%, P ⩽ 0.001) between 1993 and 2015. The mean distance achieved in the 12-min running test decreased by 337 m (12.2%, P ⩽ 0.001) between the peak in 1980 and 2015. The relative number of conscripts who ran less than 2200 m increased from 3.6% to 25.9% (P ⩽ 0.001) between 1980 and 2015, and the proportion who ran more than 3000 m decreased from 25.1% to 6.5% (P ⩽ 0.001). The relative number of conscripts who achieved an excellent or good muscle fitness index decreased from 66.8% to 40.1% (P ⩽ 0.001) between 1992 and 2000, and remained unchanged between 2000 and 2010. However, the proportion who achieved a poor muscle fitness index increased from 8.1% to 31.4% (P ⩽ 0.001) between 1992 and 2010. Discussion The present study shows that the increase in mean body mass of young male conscripts has slowed down during the last 10 yr. However, their aerobic capacity has still decreased during recent decades. In addition, the proportion of conscripts with poor muscle fitness has increased. From the national defense and health perspective, more initiatives are needed to encourage young men to increase their level of daily physical activity to be fit and ready for operations.

Evaluation of occupational physical load during 6-month international crisis management operation

OBJECTIVES Generally, operational military duties are associated with a variety of stressors, such as prolonged physical activity (PA). However, limited information is available on the occupational workload or changes in PA during international military operations. Thus, the aim of the study was to investigate the changes in body composition, stress biomarkers, PA, and heart rate (HR) responses of 79 male soldiers during a 6-month international crisis management operation. MATERIAL AND METHODS Measurements were conducted 3 times in South-Lebanon during the operation. Body composition was assessed by the bioelectrical impedance method. Blood samples were analyzed for serum testosterone, sex-hormone binding globulin (SHBG), cortisol and insulin-like growth factor. Saliva sampling was used for analyzing stress biomarkers, cortisol and α-amylase. Heart rate and physical activity were monitored by a recordable belt and tri-axial accelerometer, respectively. RESULTS Increases in muscle mass (39.2±4.1 vs. 39.5±4.2 kg, p < 0.05) and testosterone (15.9±4.6 vs. 17.2±4 nmol/l, p < 0.01), and reductions in PA variables (e.g., daily step count 9472±2547 vs. 8321±2720, p < 0.05) were observed during the first half (i.e., PRE-MID) of the study. The increase in muscle mass remained significant during the latter half (PRE-POST, 39.2±4.1 vs. 39.6±4.4 kg, p < 0.05), but also fat mass increased (MID-POST, 10.6±4.6 vs. 11.0±4.7 kg, p < 0.05) while SHBG (MID-POST, 31.8±12.1 vs. 26.6±13.2 nmol/l, p < 0.01) and cortisol (MID-POST, 445±116 vs. 400±123 nmol/l, p < 0.05) decreased. With the exception of increased concentration of salivary α-amylase (PRE-POST, 36.5±33.7 vs. 55.1±39.7 U/ml), the acute stress biomarkers and HR responses remained unchanged. Furthermore, the low quantity of PA, low HR values and subjective ratings of exertion refer to rather light physical workload. CONCLUSIONS Due to the operatively calm nature of the working environment, the present soldiers did not express any significant signs of physical overload during the study period. Int J Occup Med Environ Health 2018;31(2):185-197.

Physical Fitness and Body Anthropometrics Profiles of the Female Recruits Entering to Voluntary Military Service

Introduction The physical fitness of male conscripts has decreased, and body mass increased during the last few decades, especially in Nordic countries. However, limited research-based reports are available concerning the physical fitness profiles of female recruits. Therefore, the purpose of this study was to investigate changes in physical fitness and body composition of female recruits entering voluntary Finnish military service between the years 2005 and 2015. Materials and methods Data were collected from the initial fitness tests performed in military units during the first 2 weeks of military service. A total of 3,875 healthy female recruits (19.9 ± 2.1 year) participated in the fitness tests. Fitness tests consisted 12-minute running test and muscle fitness tests, which were sit-ups, push-ups, and standing long jump. Results Increases in mean body mass (4.2%, p ≤ 0.01) and body mass index (3.8%, p < 0.01) were observed between 2005 and 2015. In addition, the proportion of overweight and obese female recruits increased by 12% (p ≤ 0.001). Mean endurance performance and overall muscle fitness remained unaltered during the study period, except for a decline in push-ups performance. However, the proportion of female recruits with poor endurance performance increased from 19.6% to 27.8% (p ≤ 0.001) between 2005 and 2015. Body mass was inversely associated with 12-minute running test distance (r = -0.35, p ≤ 0.001) and muscle fitness index (r = -0.25, p ≤ 0.001). Conclusions In conclusion, the present study revealed that an increasing proportion of female recruits are overweight and/or have poor endurance performance, which are known risk factors for musculoskeletal injuries and premature discharge from military service. Therefore, specialized training programs should be designed specifically for female recruits with lower levels of fitness prior to military service.

Diet Macronutrient Composition, Physical Activity, and Body Composition in Soldiers During 6 Months Deployment

INTRODUCTION Optimal diet together with good physical fitness maintains readiness and military performance during longer deployments. The purpose of this study was to describe changes in dietary macronutrient and energy intake, total physical activity and body composition during a 6-month deployment in South Lebanon. Furthermore, associations of diet macronutrient intake and physical activity on body composition were also studied. MATERIALS AND METHODS Forty male soldiers kept a 3-day food diary and their body composition was measured via bioimpedance and ultrasonography. Total physical activity was evaluated by accelerometers in a subgroup of participants. Measurements were conducted in the PRE-, MID-, and POST-deployment. RESULTS Mean carbohydrate intakes were 39.5-42.6 E%, protein intakes 18.7-22.3 E%, and fat intakes 34.9-35.7 E%. Daily energy intake remained stable (10.1-10.3 MJ/D). Total physical activity was decreased during deployment (e.g., step count from 9,835 ± 2,743 to 8,388 ± 2,875 steps/day, p = 0.007). Skeletal muscle mass and subcutaneous fat increased by 1.3% (p = 0.019) and 1.9% (p = 0.006), respectively. Energy and fat intake associated positively with body mass and skeletal muscle mass (r = 0.31-0.48, p < 0.05-0.001). CONCLUSIONS Carbohydrate intakes and physical activity were low, compared with the general recommendations. Protein intakes were relatively high. Skeletal muscle mass and subcutaneous fat increased. Suboptimal diet together with low level of physical activity may have a negative impact on body composition, physical performance, and cardiometabolic health. Consequently, soldiers should be encouraged to consume more fiber-rich carbohydrates and less saturated fatty acids as well as maintain a high level of physical fitness to sustain military readiness during long-term deployments.

Associations of Physical Fitness and Body Composition Characteristics With Simulated Military Task Performance

Abstract Pihlainen, K, Santtila, M, Häkkinen, K, and Kyröläinen, H. Associations of physical fitness and body composition characteristics with simulated military task performance. J Strength Cond Res 32(4): 1089–1098, 2018—The purpose of this study was to evaluate the associations of physical fitness and body composition characteristics with anaerobic endurance performance, tested in the combat load using the occupationally relevant military simulation test (MST). Eighty-one male soldiers, deployed to a crisis management operation in the Middle East, volunteered for the study and participated in a test battery consisting measurements of muscle strength, body composition characteristics, endurance capacity, and MST. A Spearman correlational analysis revealed that the strongest variable, correlated with MST time, was the countermovement jump performed with the combat load (CMJ2) (rs = −0.66, p < 0.001). Among the individual body composition variables, the MST time had the strongest relationship with fat percentage (rs = 0.53, p < 0.001) and skeletal muscle mass (SMM) (rs = −0.47, p < 0.001). The use of the dead mass ratio, which was calculated dividing body mass by fat mass accompanied with the weight of the combat load, increased body composition-based associations significantly, and this variable turned out to be the best single predictor for the MST performance (rs = −0.67, p < 0.001). Significant predictors of the MST time in the stepwise multivariate regression analysis included CMJ2, 3000 m, SMM, and push-ups. Together, these variables explained 66% ( , model p < 0.001) of the variance in the MST time. In conclusion, the novel MST is a promising military specific assessment method of muscle power of the lower extremities and endurance capacity, which are crucial performance components in anaerobic combat situations.