A prospective investigation of injury incidence and risk factors among army recruits in combat engineer training
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  • 作者：Joseph J Knapik (1)
    Bria Graham (2)
    Jacketta Cobbs (3)
    Diane Thompson (4)
    Ryan Steelman (1)
    Bruce H Jones (1)
  • 关键词：Age ; Body mass index ; Smoking ; Exercise ; Physical activity ; Prior injury ; Education
  • 刊名：Journal of Occupational Medicine and Toxicology
  • 出版年：2013
  • 出版时间：December 2013
  • 年：2013
  • 卷：8
  • 期：1
  • 全文大小：206KB
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  • 作者单位：Joseph J Knapik (1)
    Bria Graham (2)
    Jacketta Cobbs (3)
    Diane Thompson (4)
    Ryan Steelman (1)
    Bruce H Jones (1)

    1. Epidemiology and Disease Surveillance Portfolio, ATTN: MCHB-IP-DI, US Army Institute of Public Health, 5158 Blackhawk Rd, Aberdeen Proving Ground, MD, 21010, USA
    2. Hawaii Department of Health, Honolulu, HI, USA
    3. Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC, USA
    4. AIDS Resource Center of Wisconsin, Milwaukee, WI, USA
文摘
Background United States Army combat engineer (ENG) training is an intense 14-week course designed to introduce new recruits to basic soldiering activities, Army values and lifestyle, and engineering skills and knowledge. The present investigation examined injury rates and injury risk factors in ENG training. Methods At the start of their training, 1,633 male ENG recruits were administered a questionnaire containing items on date of birth, height, weight, tobacco use, prior physical activity, and injury history. Injuries during training were obtained from electronic medical records and the training units provided data on student graduation and attrition. Risk factors were identified using Cox regression. Results Ninety-two percent of the recruits successfully graduated from the course and 47% of the recruits experienced one or more injuries during training. Univariate Cox regression demonstrated that recruits were at higher injury risk if they reported that they were older, had a higher or lower body mass index, had smoked in the past, had performed less exercise (aerobic or muscle strength) or sports prior to ENG training, had experienced a previous time-loss lower limb injury (especially if they had not totally recovered from that injury), or had a lower educational level. Conclusions The present investigation was the first to identify injury rates and identify specific factors increasing injury risk during ENG training. The identified risk factors provide a basis for recommending future prevention strategies.

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