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AD-A261 459 Obesity ana its Relation to Physical Fitness in the U.S. MilitaryjT I C I ELECTE 93-03899 ,AMI A. VOGEL 1 FEB 2 5193 0 besitv and physical fitness are commonly thought to be antithetical. One only has to consider certain categories of elite athletes -such as Olympic weight lifters and football defensive linemen-to rcco•nize that the relationship may be more complex. While not typically concerned with elite athletic performance in the military services. we are concerned with a wide variety of occupational demands that do vary in their relation- ship to body fatness and other body composition components. The intent i• ,_ of this article is to present the relationships between the body composition z) components, particularly fatness, and the various aspects of physical fit- ness in the military. See Table I for summary of definitions. Obesity, or excess fatness, so prevalent in American society also exists in the military services. As in the civilian community, this issue P recently has received considerable emphasis, leading to established upper " limits (standards) for body fat content and special programs for weight control and health promotion. S.: Prior to World War 1i, concern focused on inadequate body weight for those entering the service, while excess weight was considered cor- rectable by training after entering the service.' Since World War i1 the emphasis has gradually shifted to a concern for overweight, or overfatness. as its prevalence increased in new accessions and became more evident in "career personnel. In 1960, for the first time, the Army established a maxi- mum allowable limit for body weight for those entering recruit training. ,, However, no comparable retention or on-the-job standard existed until a standard more restrictive than the entrance equivalent was passed in 1)76. "The major turning point in this emphasis came in 1980 when Presi- JAMES A. VOGEL is an applied physiologist, member of the Federal Senior Executive Service and director of the Occupational Health and Performance Directorate. U.S. Army Research Institute of Environmental Medicine. tie received his Ph.D in physiology from Rutgers University. Address for correspondence: Dr. James A. Vogel, Occupational Health and Performance Directorate, U.S. Army Research Institute of Environmental Medicine, Natick, MA 01 760--5(K07. ARMED FORCES & SO(IETY, Vol. I KNo. 4, Summer 1Q02, pp. 407 5 B3
Transcript
Page 1: Obesity ana its Relation to Physical Fitness in the U.S ... · fitness wkith aige). hormonal changes acco mpan% ing iicing make it inc tAble that muscle mass will he lost and fat

AD-A261 459

Obesity ana its Relation to PhysicalFitness in the U.S. MilitaryjT I C

I ELECTE

93-03899 ,AMI A. VOGEL 1 FEB 2 5193

0 besitv and physical fitness are commonly thought to be antithetical.One only has to consider certain categories of elite athletes -such

as Olympic weight lifters and football defensive linemen-to rcco•nizethat the relationship may be more complex. While not typically concernedwith elite athletic performance in the military services. we are concernedwith a wide variety of occupational demands that do vary in their relation-ship to body fatness and other body composition components. The intent

i• ,_ of this article is to present the relationships between the body compositionz) components, particularly fatness, and the various aspects of physical fit-

ness in the military. See Table I for summary of definitions.Obesity, or excess fatness, so prevalent in American society also

exists in the military services. As in the civilian community, this issueP recently has received considerable emphasis, leading to established upper

" limits (standards) for body fat content and special programs for weight

control and health promotion.S.: Prior to World War 1i, concern focused on inadequate body weight

for those entering the service, while excess weight was considered cor-rectable by training after entering the service.' Since World War i1 the

emphasis has gradually shifted to a concern for overweight, or overfatness.as its prevalence increased in new accessions and became more evident in

"career personnel. In 1960, for the first time, the Army established a maxi-mum allowable limit for body weight for those entering recruit training.

,, However, no comparable retention or on-the-job standard existed until astandard more restrictive than the entrance equivalent was passed in 1)76.

"The major turning point in this emphasis came in 1980 when Presi-

JAMES A. VOGEL is an applied physiologist, member of the Federal Senior Executive

Service and director of the Occupational Health and Performance Directorate. U.S. ArmyResearch Institute of Environmental Medicine. tie received his Ph.D in physiology from

Rutgers University. Address for correspondence: Dr. James A. Vogel, Occupational Healthand Performance Directorate, U.S. Army Research Institute of Environmental Medicine,

Natick, MA 01 760--5(K07.

ARMED FORCES & SO(IETY, Vol. I KNo. 4, Summer 1Q02, pp. 407 5 B3

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498 Armed Forces & SocertSummer 1"92

Table 1

_pfinition of Terms

" composition: con qituent makeup of the hod>, usual! e,,prc.,,td i,, Ow rthlitive proportions of its components - such as bone, Awater. fat. ta" frcc mays. ind

muscle

Bodyfatness): the portion of the total bod. w eight that i, made up of fat. expr:,,.codin absolute weight terms or as a percent of btodl ,. eighl

Body fat standard. the upper linii of acceptable hod,, fat cimlenicinI of hod.weight) permitted for accession or retcntion in the ser ic

Body mass minde: the ratio of hod% %eight to height, cxprcssLd a, %% Cil et' d, c1dby height squared

Body %eight: total hody mass

Body ,eight standard. the upper and lower lintit,, of acceptahle hodo wseight forheight permitted for accession or retention in the scr; ice

Ohbesiti, excess bod, fatness redtie •o• an acepted ntn-natts ,,andard, bestexpressed as a bodo. fat percent, but also as a bod, mass index, or a' a %,eight foirheight

(-,icrivjht. excess bod", sAeight rlati.c tet rormatie .tand rdaa . UNualls cx -prcsed asý a weight for height or hodý mass indcx

PhMsicaltfitn's5ý. the capacit> (maximal abilits ito perform ph_ sical effort

dent Carter called for a studo. of military fitness that resulted in a Depart-ment of Defense directive calling for the assessment of hod,, fatness aswell as body "eight, and setting challenging body fatnes goals in addt-tion to. or in lieu of, body ,eight standards.- An excellent detailed reviewof the history of body weight and fat standards in the Army has recently

been reported by KI.. Friedl)

Currently all branches of the U.S. armed forces emphasize and en-force weight or body fat control programs. As a result, obesity as it iscommonly perceived, has largely disappeared from the services, A goodillustration of this is in the Army, where body fat standards have beenstrictly enforced since 1986.' In 1985, 470 enlisted personnel were forciblyseparated from the Army for being overfat, but by 1989, the number ofthose separated had reached 2,084. These separations came from about15,000 enlisted personnel placed on a mandatory weight control program.5

In an independent assessment of fatness in the Army. the first quarterFY 19901 Health Risk Appraisal Report (an Army-wide periodic assess-ment of major risks to health) indicated that 20 percent of men and 30percent of women exceeded the weight for height limits at the time oftheir appraisal.' Thus, even though marked obesity has largely been elimi-

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Vogel 1

nated from the Army, many personnel still exceed the Arm,"s e,,tabhlshedacceptable limits for body weight and body fat and arc placed on a weightcontrol program. They are then subject to separation from the ser ,ice itthey fail to show satisfactory progress, toward meeting the standards-

Some have argued that the Army is overemphasi/ing weight controlat the expense of losing otherwise Scood soldiers who can perform neededtechnical jobs, or even phsicall. demanding job., despite being overfatby existing standards, This is of particular concern among highly ,pecial-ized servicemen in whom many \ears of training and experience have

been invested. If a person can adequately perform his or her occupationaltasks, or even pass the minimum physical fitnes, tests. how important ismeeting the bodyv weight or body fat standard? Advocates for demandingfatness standards list a number of reasons including: wartime readinessconsiderations beyond the basic occupational requirem,:nts, military bear-ing and appearance. esprit de corps. discipline, attitude and leadership.and health considerations. This article w.ill address the e% idence regardingthe relationship between body fatness and physical fitnes,. hoth occupa-tional and mission r.!ited. in the military environment.

Background

Body weight, as a measurement, has imitations in expressing thedegree of fatness. Total body weight is, composed of fat, hone. muscle.water, and other fat-free tissue. Two of these components can be signifi-cantly increased over the long term -fat by enhanced caloric intake andmuscle by muscular training. Thus excess weight can potentially be inter-preted as either excess fat, "excess" muscle, or a combination of both.The addition of "excess" muscle tissue, and therefore body mass, throughphysical training would usually be considered desirable in the militarybecause it enhances one's capacity fior physical performance. Adding excess body fat, on the other hand. has little advantage and many disadvan-

tages. Excess fat does provide added insulation for cold environments andincreased buoyancy in water, but these advantages are significantly out-

weighed by its disadvantages for most types of physical performance.Principle disadvantages are the added "dead" weight that must be carriedat the expense of energy-generating muscle tissue7 and the adverse effecton heat dissipation in hot environments leading to increased strain on the

body." Thus it is important to distinguish between excess fat and excessweight.

To differentiate between overfat and overmuscled in an overweight

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500 Armed Forcs & Socin,-Summer 1"92

individual, the services were instructed in the above noted DoD directiveto implement body fat standards to replace or supplement body weightstandards. In conjunction with this, each service developed and imple-mented "field" methods of asse.,sing body fatness of its personnel throughthe use of simple and expedient anthropometric procedures validated bylaboratory methodology.'

The term "obesity," as commonly used in the civilian community, isan arbitrary value of relative fatness of the body, suggested to be five

percent above the population norm.' For young (ages 17 through 25)servicemembers in the Army, this equates to five percent over the malenorm of 15 percent, or 20 percent, and the over the female norm of 25percent, or 30 percent-values now used as the upper limits in the Army.although they would increase some with age. A.R. Behnke and J.H.Wilmore defined obesity as exceeding 20 percent body fat (in males)since data indicate that fat cells are fully saturated at this point.' For thepractical use of the military, it is more appropriate to discuss overfatnessin terms of established standards or limits, cather than an arbitrarv obesityvalue borrowed from the civilian setting.

The term "physical fitness" is used in this discussior to denote thecapacity to perform physically demanding tasks. Fitness is not a singleentity but is composed of several diverse elements. Each component rep-resents a distinct type of muscular activity based upon the duration, inten-sity, and energy source of the muscular contractions employed in theperformance of the activity. Thus, physical fitness is generally consideredto be composed of aerobic fitness, muscular strength, and muscular en-durance. These differentiations in fitness are important in the context ofthis article because excess fat or expanded muscle mass will affect theseelements differently.

Body Fat Demographics

Comprehensive population statistics of body fat in the military ser-vices are not available. While such measurements are commonly retainedat the unit level, they are not p-ovided in any central data base. We must,then, rely upon studies of large groups in order to gain a picture of bodyfat and the factors that affect it. Table 2 presents such data from a seriesof Army studies.' 2 Comparable data from the other services are not avail-able. The distinct gender difference of about 10 percent body fat units,representing the difference in sex-specific fat, is shown in these data as isthe inevitable rise in body fat with age. Although intense physical training

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Vogel •l

Table2 '

Mean Body Fat (%.- of Body Weight) ± Standard Dc\ iationin Armx, Populations as a Function of Age. Gender,Ethnicitv, Occupational Demands, and Type of As,,inmcnt

Nilitarv Group Choracteristic M4lc, Facrn11c

N'ev Recruits

Age:

1 "0 15 ;4 7

2o-.30 I1 1• ' r ,

('ombat and Crombat Support

Age:

2 I ' -7 -

Race:\ ht,! c, 1- if.5 ii .' J

BLack-4t- 2|t I1",, )r ic 4 ,, • !

InfanIr-Agce

17 20 1 3 .21 25, r0% ,

31 -35 2(11,5 M

Occupational rating

Ileav,, 17 2±',OModerate 19.6±-6 7

Light 19 9 ±'. 3

Source Concerning nero recruit, J1J Knapik. R I. Rurse. and J A \+mgel, 'Ileight. "krivht.Percent Bod&, I-a, and Indices of Adiposity for Young Men and Women Fntering the V SArmy," A atimon, Spuce, and Fnc'ronmi.ntal .i-'t,,tin, 54 (March lgKI) 223 ;1. ConCern-

ing comhat and comhat support: P.T Fit.gtrald, J.A. Vogel, W.L. Danels., I I ),- iados.

M A Tees,. R 1. Mello. and P.1 Reich, Thn BRdy (nniposition Proji'ct 41 Surnmari Report

and DOc- ripitve Data, I.S. Army Research Institute of Environmental Medicine. I.echnical

Report no T5 87 (Natick, Mass., December t086): concerning infantry- TA Vogel. J,-

Patton. R P. Mello, and W . Daniel. "An Analysis of Aerobic Capacitv in a I arge United

Slaies Population," Journal of Applied Physiology6 W. (February, 1486): 40.- 500,.

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i02 .Xriltid Fortn & ýmrt Sumnri 1912

can retard some of the atec-related incrciase t',iiilar Iii the dechne infitness wkith aige). hormonal changes acco mpan% ing iicing make it inc tAblethat muscle mass will he lost and fat mass, will incrca,,c.

The Ix pe of unit (infantry vs. support) and Occupational voisgirricn!(physical activity ratini!) is also reflected in percent body fat lcefel. This.howev er. is not necessarily a consistcnt finding because of1 thile ribicin trainine progyram intensit% that can be exerted lix the unit c.ommaknde2r.[bus,. for example, an infantry unit', miission %kill usuatl l dictate t moreintense ph\ sical training program than a conlm~nicaition uniC's Vhi' wkOUtdtie reflected in lmwer body fat lxtsfor thle int~inlrN Unit Unle'," thc coT11-m unicanonsim unit com-mander elcc! ed to ichievc J verv fit a ntl can unit

fo ther rcawsons ,uch as morale. L es,, well km iwn is, tile sinai iclr i%,raernc

hod% fat values, of blac~k mailes in the \rxcompaircd it, thei r v hiteco0unterpAr.,s. [1his rrmaillr bod%, fat content is accompanied hk a lair~crfit-tree nias', beliecx d ý,cons it t1 rcatcr holic mas as~l Jýct i m n'-ile

IBioph% sical (nsIidrrationMS

liefore e son inirigz the fi tneNss relaitionships, wit Oh latness. it is appropri-ate to examine thle pti% sicat and ph,,Niolorzical effects, of bod.\ fat ;ndmnuscle on physical aciit )crfatncss cannot tie directl associatedwith less, fitness. What max he considered an acceptable or opti mum 1ev el

of fatness, inl one occupation or physical actiivitN may be unacceptable inanother. Therefore, \,%hen considering the relation of" fatness to physicalfitness, or the capaci!% to perform a physical task, the type of' activ ity orthe fitness, component invol eid must be examined.

Adiposec tisýsue i' desi&tncd for energy storage aind has no force-pener-aling capacity. [bhus it does, not contribute to producing muscular force,serx ing onlN as, a passive energy ,tore. But because it has mass, it in-creases, the force-eeneratitig requirements oif the musculature for bothsupporting the body against gravity and to overcome inertia during accel-eration. Thus, as fat mass is added, the body's ability to accelerate willdecrease. [or example, as body fatness increases, the muscular powerrequired in running to raise the body with each step increases. Runningperformance decreases as bodY weight increases, independent of aerobiccapacity."4 The relative detrimental effect of added fatness on body pro-pulsion diminishes as external weight is carried, as in backpacking, sincefat weight makes up a smaller portion of the total weight being acceler-ated. T[he effect of excess fatness on body mobility then is most apparent

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Vogel S03

in unloaded running or walking, but diminishes in relative importance incarrying or backpacking types of tasks, far more common activities in themilitary.

When muscle mass is added to the body, we add mass to lie pro-pelled, but mass that generates muscular power. Again. the cost benefitratio of adding muscle mass will depend upon the type of actiit,, Inshort, maximal sprint efforts, added muscle mass is, beneficial while ilbecomes a handicap to the long-distance runner. For tasks of mo'ingexternal weights. such as lifting, pushing, pulling, and carrying, perfor-mance is positively related to muscle mass and largelý unrelated to fatmass. In these cases the advantage of added power-generating capacitymore than compensates for the added weight to be supported_ When thenumber of muscle-strength-type tasks as opposed to body-mobility tsksin military occupations are considered, one must question the emphasisplaced on maximal body fat standards without any provision for a mini-mal muscle mass standard. Fxamplcs of predominantly strength-demand-ing occupations include artillery crewmen, tank mechanics, combat engi-neers, stevedores, ship deck crewmen, and runway repairers-

Body Fat Standards

How much excess fat is considered undesirable from the standpointof physical performance? Some body fat is necessary to cushion vitalorgans and serve as an energy source, referred to as "essential fat." How-ever, probably only enough fat to equal about 3 percent of body weight isconsidered essential fat in men and 12 percent in women." The level ofbody fat considered to be "optimum" is a matter of conjecture but i'srelated to such factors as desired body appearance (texture of the skin andbody contours), needed energy reserves for survival, the desired type andintensity of physical activity, and in the case of women, the necessarysex-specific fat. What is "'optimum" will differ tor such extremes in occu-pation as the fashion model and the construction worker. In the militaryenvironment, the span of occupations is as extreme, ranging from eliteNavy Seals to the personnel clerk. On the average, body fat of 10 to 15percent for men and 20 to 25 percent for women could be consideredoptimum."' These levels would meet all requirements, even though ob-served population values are generally higher.

While overfatness was once considered by the military to be correct-able by training and diet, it is currently realized that genetic tendenciestoward fatness and the establishment of life patterns of overeating and

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50.4.rmed Forces & Societ.Summer 1992

inactivity by the age of 18 are difficult to change and, at best. consume

considerable personnel resources for the services to correct. Thus, the

contemporary services find it more manpower-efficient to screen out those

individuals wh,. appear to be at risk of becoming overfat once in the

service. This is done by imposing an entrance (accession) standard for

weight and/or fat that is generally more liberal than the desired target

body fat level for retention (on-the-job). The current retention standards

employed by the services are presented in [able 3. The Army is the onl%

service that has specifically used objective physical fitness criteria in

airiving at its standards.1" The Army's fat standards have been set to be

compatible with acceptable scores on a three-event physical fitness test."

The Navy decided to set its upper limits for body fat based on health

criteria since a good relationship between fatness and the performance of

typical Navy shipboard tasks could not be established.' Shipboard tasks are

predominantly strength fitness tasks and therefore fatness would not ,erve

as a good correlate, as will be discussed later. Since healtmi criteria are not

as demanding as occupational fitness criteria, the resulting NavN stan-

dards are less demanding than the Army's. The Air Force has used ap-

pearance as its principal criterion"t' while the Marines state that their bod%

fat standards are based primarily on health and appearance requirements,'

although they are obviously sufficiently demanding to coincide with their

demanding fitness standards.

Derivation of Bodv Fat Standards FromFitness Requirements

The Army's initial body fat standards, established in 1982, were based

on subjective estimates of the level of percent body fat commensuratewith a desired level of aerobic fitness. This was supported by the ob-

served relationship between percent of body fat and maximal oxygen

uptake. (VOmý,,2), the marker for aerobic fitness. as depicted in F'g. 1. As

can been seen from this figure, a desirable level of aerobic fitness of 50

ml oxygen uptake per kg body weight per minute for young male soldiers

is equivalent to a body fat percentage of 20. Thus, a value of 20 percent

was used as the base for the standard, adding an upward adjustment of 2

percent body fat units per agc group as well as a gender adjustment of 10

percent. Subsequent research has offered supporting evidence for thesefigures, but only for aerobic fitness. 22 Fig. 2 illustrates that in the Army's

youngest age group for males, the aerobic fitness standard for the two-

mile run test of 18 min. :54 secs., (equiv,. -it to a VOma, of 48 ml

I

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Table 3

Current Retertion Body Fat Standards (Upper MaximalAllowable Limits) Employed by the Services

Service/Age Group Males Femalts

Armvy

17-20 20 3021-27 3228-39 24 34

-10 26 36

Navy

All 22- 30WAll 26c 36,

Marines

All IS 2h

Air Force

<30 20 2I-30 26 34

'Army female values were revised as of 3 Mas 10-41. Previous values were 2; Ier

"If this value is exceeded. a service member is automaticali\ placed on a fat 1,'s program

If this value is exceeded. administrative action is taken

Source: Army Regulation 600--9, Arm% Weight Control Program. Headquarter,. Depart

ment of the Army (Washington, D.C.. September 1986); Air Force Regulation 31--t 1. AirForce Weight and Fitness Programs, Headquarters, Department of the Air Force (Washing-

ton, D.C_. 10 April 1985): Marine Corps Order 610(X IOa. Headquarters. Department ol theNavy (Washington. D.C. 24 July 1986); Office of the Chief of Nas al Operation,. Instruc-

tion no. 61 10.Ic. Physical Readiness Program. H-eadquarters. Department of the Na',

(Washington, D.C.. 1 August t986).

kg-t.min t) corresponds to the established standard of 20 percent bodyfat.

It should be remembered that percent body fat standards establishedin this way reflect an association with a largely arbitrary physical fitnesstest standard, and not an occupational physical performance requirement.The Army's physical fitness test requirements, the two-mile run for timeand the maximum number of push-ups and sit-ups within two minutes,are based on a perceived level of fitness needed for military duties, aswell as one that will present a physical and motivational challenge andtraining incentive to the service member. Thus. the Army has establisheda body fatness standard based on a perceived fitness requirement ratherthan an objectively based need. Furthermore, it is based upon only one

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506 krmed Forcts & SoiervSummer 1992

Figure Ia a...

Scatter Plot of the Relationship Between ViO',mX and% Body Fat in Male Soldiers. •'Omj,, = 58.2154 - .544%BF. R = - 0.60. SEE 5.02

70

0 .

40" - Z'-

,* o •• •-.... ,:.,.. ..-

E ."'I "" -• .. ,a

30

10 20 30 40 50

Percent body fat

aspect of fitness, and ignores the categories of strength and muscularendurance.

As noted, strength fitness has little relationship to body fat content

but is related to muscle mass.23 The relationship between maximum liftcapacity and fat-free mass is shown in Fig. 3. Physiologically, it followsthat separate fat and muscle mass standards are desirable to reflect theindividual capacities of aerobic fitness as well as muscle strength fitness.None of the services to date have attempted to implement such a system

due to its perceived complexity, The practical application may be at en-trance screening where it may be possible to establish a minimum level offat-free mass commensurate with a minima! acceptable level of muscularstrength required for the service. From Fig. 3 it can be seen, for example,that in men a fat-free mass of about 50 kg is the minimum needed toachieve a lift performance of 1(X) lbs. The data in Fig. 4 take this one stepfurther: showing the minimal acceptable body weight, at various percentbody fat standards, that are necessary to yield a fat-free mass of at least

50 kg. Thus by using fat-free mass, or the body weight to percent body fat

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Vogel S0

Figure lbScatter Plot of the Relationship Between VOm,,, and"% Body Fat in Female Soldiers. VO a,, = 50.637 -. 422"%BF. R =- 0.55, SEE 3.77

70

CL

E

=

2

a 00 • 3 4"

S. .. .

•: •. -" ~

U .

010 20 30 40 50

Percent body fat

relation, new accessions could also be screened for their strength capacityat the Military Entrance Processing Stations faster and more safely thanactually performing lift or other strength tests.

Fatness and Job Performance

This review has suggested that body fat is generally related to aerobiccapacity while fat-free mass is related to strength capacity. These rela-tionships could then be used to set appropriate fatness (and fat-free mass)standards. However, individual fitness capacity is not necessarily equiva-lent to individual physical performance. Establishing the relationship offat and muscle mass to military duty performance is difficult because ofthe variety of tasks and the diverse nature in which they may be carriedout. One usually reverts to examining the relationship of body composi-tion to certain critical job tasks and some recent research has been done inthis area.

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508 krmed Forcm & Simet •,ummrr 1992

Figure 2 .. . . . .. . ..

Histogram of 'VO-, (Per kg Body Weight) Versus% Body Fat Showing the Minimum 2-Mile Run TestScore Equivalent,

MAXIMAL OXYGEN UPTAKE17-20 YEAR OLD MALES

VO2max (ml/kg/min)

r =-0,48-N 13058r

} 2 MILE RUN TIME EQUIVALENT

54-

52

50

48

46

44

42

408 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

% BODY FAT (AR 600-9)

M.B. Beckett and J.A. Hodgon examined the relationship of fat per-centage and fat-free mass to the performance of simulated Navy ship-board lifting and carrying tasks."4 In agreement with the above discussion.

the lift task was poorly correlated with body fat percentage but was highlycorrelated with fat-free mass. The carrying task, a mixture of aerobic andstrength demands, was moderately correlated with both body composition

components.J.1. Knapik et al. examined the correlation coefficients between infan-

try heavy load carriage performance and body composition values." Per-

cent body fat was unrelated, and fat-free mass only moderately related totiiis task performance. Although this analysis was probably affected bystudying homogeneously fit and lean infantryman, it also points out thedifficulty with such field task studies since so many other variables comeinto play, particularly motivation, making it diffictu, to factory out suchvariables as body composition. Nevertheless, it was obvious that soldierswith large muscle masses to support the heavy load (46 kg) had a distinct

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Vogel soq

Figure 3a

Scatter Plot of the Relationship Between Maximal LiftCapacity and Fat-Free Mass in Male Soldirs.M[ C = 0.502 + 2.107 FFM. R 0.62. SEE - 20.55

200 .....

'75

50 •

- 125

5•0

30 40 50 60 70 s0 go

Fat-fre. mass (kg)

advantage in propelling it over a long distance (20) kin). In another stud%that simulated the repetitive lifting task of artillery projectiles (maximallifts made over 10 min.), M.A. Sharp et al., found that fat-free mass wasstrongly correlated with this task performance while percen°, hodv fat was

Summary and Conclusions

As already noted, a Department of Defense directive in l19l placednew emphasis and attention on body fatness in the military. The directive

recognized the important difference between overfatness and overweightand called for challenging body fat standards to be established by eachservice. Since the implementation of this directive, significant obesity orexcess fatness has largely disappeared from the military. Nevertheless,body fatness retains considerable attention in all services due to its per-

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Fig ire 3b

Scatt,-, Plot of the Relationship Between Maximal LiftCapacity and Fat-FreC Mass in Female SoldiersMLC - 23.158 + 0.945 FFM. R 0.38. SEE = 11.75

200

00

50

30 40 so so 70 60 90Fat-free mass (kg)

ceive-d relation to physical perfornmance. military appearance. and healthmaintenance.

In establishing fatness limits for mnifitary personnel to either replaceor supplement weight for height standards, each s 'rvicý! has chosen differ-ent combinations of these three criteria: fitness, appearance. and health.Only the Army has actually used specific physical fitness criteria as abasis for setting their standirds.

TPhe two modifiable components of hdy composition, fat and muscle.intluenc-_ fitness or the capacity for physicai performance differently.Body fatness particularly influences aerobic per brmance task e,, un-loaded running) and has little association with strength-type tasks suich aslifting and carrying. The fat-free component, or muscle mass, is highlyrelated to strength and strength performance hut unrelated to pure aerobicperformance, suggesting the appropriateness of establishing separate stan-dards for fatness and muscularity.

Current anthropometric equations used by all services to estimatebody fatness for retention and, in som, cases for acc'.ssior., could also be

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Vogel

Figure 4

Nomogram for Allowable Body Weights as a Function oftthe %c Body Fat Standard. Based on the l)esircd ILcxcI of50 kg Fat-Free Mass

Maximal Upper Limit

for % Body Fat

15 20 25 30 35

L.2t 65

0oJ > AcceptableJ 70

70

, 75

80 .... .

employed to screen for minimal levels of muscularit\ and therefore strengthfitness. In many occupations throughout the milioar\. the extent of muscu-larity may provide as much or more useful information aboiut physicalcapacity and successful job performance as does body fatness. Neverthe-less. challenging fatness standards and conscientious enforcemrent havevirtually eliminated ,iignificant obesity in the armed forces and advanced

the fitness and health oif a sizeahle segment of the military population andthereby made an important contribution to combat readiness and conser-vation of manpower.

Notes

At ,F'OR'S NOTE: The tevoi, opnions, and finding% in this rT'po ora u, thos' of the

author and should not In, consirued as official l)epartment of the .4rm% polttion, ptphic, orderis~ion, unlesk No designated hy other official documentation. The author iratrfully rc'c-

Page 16: Obesity ana its Relation to Physical Fitness in the U.S ... · fitness wkith aige). hormonal changes acco mpan% ing iicing make it inc tAble that muscle mass will he lost and fat

ý12 Ar~nre Font, &~ SwieiNr `umrncr 1992

r, 1/ie, ir a ssi ranrV lf/J 1,Karl P rid in r/1' "Ir cb'bprnew "f mim n cip'''thii ret ic.,

I K F Friedl. Co o mpositlion 'Ind %11li'rir I'Crfriormt i " gi.:1P A

sift " and l''f rrati s1-0hrurirs iI(\ hae )C i X d '

Sciene, InI press

U .S Departmcnt ot ees hvlta i, anld tV1 it(,:,,( rno ~ .Fidt.tr.Depatrtrnri~ to Deeten,. -'jre~ j ~

4. The A rmI Weig~ht Control Pr,), ram, Atrms Rq :l it in t00 1t. F IIadjo.Pc' I j t. 2-

ment if the Arm,% (W~ashington. D C . I Septemhrlir i)

SUniptblished data %kere pros idd to author by F1O. Depar~mew ot !hc.\rni. Ithe 1)epur'ý Chief (if Staff for Personnel.

t i. bid.

K.P Cureion and P R. Sparling. "Distance Running. Perfo'mance ind Rca ýta i

splinses ito Running in enIT and Women \k ith Fxcess Wtiuht F spermimen'd fil FquivteV-edicini and Sf tem I tit Sp(irt% andit Eer'rus I2 ' Iluts Xiwtiet VNIiIý 4t

ý 0.Bar-Or. H \1 I undegren and F R. Rii'kirk, 14eat Folerantýe of Isr ('nc L

and lecan Women." ftimrnal i~f App/i I Ph\ mibilc%' 26~ IAprti ,N 1. :031 4N,

Q. 1. A. linidgdon. Rtdt ( omptwr in hu o th filrransSr Iit ~. s"natanlirt id *ife~, ti s/.

Naval Health Rese'arch (enter Reprrt n',, 01 21 [San Dwigo. (alit . 19911

101 W.f) McArdle, I I1 Katch. anti VF. Katch. Fiwrri Pitsi in u I nrr~'s.Vrifttn.

andfHuman Pertortnanr e. 2 d ed. (P'hitladelIphia I ea &- F el'iger, I 9yl' ichap 2"

11. A R Behnke and 1.11 Wilmtrre. lt'aiuation and Rcoedazion )f Boi/t 11mt!U and (i,,rm.pimtriitn (F~nglewtiiud Cliffs. N J.- Prentice-i~ali. I 94 V

12 PT1 Fitzgerald, J.A. Vogel. A,[I.. Daniels. J.F Flciadi's, M A Ic' cx. R.P. el andPT Reich. The' fodv Composi tion f~tl'ra t A Surninrar Repourt andi l ) riptit Dam.U.S. Arms Researc:h Institute if Fmirsronenticia Medicine. TIechnical Report noi. 1587 (Natick, Mass.. D~ecember l96). J J Knapi-k. R.1- Burse anti T.A Vogel. Fl1eight.Weight. Percent Bods Vat, and Indices if Adiposisrr for YOUng Men and WomenEnitering the L' S. Arm%." 4tiartion. Spare andi JFitironmental itedu ine 54 (March

i9X83): 223 .31: IA. Vogel. I F Patton, R.P. Mello, and WIT Daniels, *An Analissofi Aerubic (apicitN in a Large United State,, Fopulaiion. Jfournal of .pp:wd bs id,,o~ 6il (February 1986) 494 .500,1

13 I.1!. Schutte, .J LI ownsend, 3. Flagg, R 1: Shour, R.M. Malina. and (". Blomq~s it,

"FDenitv otf Lean Body Mass is Greater in Blacks than in Whites.-Iiiarna! ofAppliedPhi% I i.-dog) 56 (June F1984)- 1647 -4).

14, Cureton and Sparling, "Distance Running," 7.

15. McArdle et al-, Fxeer( tse Phys~iology. M(.

16. [hid.

Page 17: Obesity ana its Relation to Physical Fitness in the U.S ... · fitness wkith aige). hormonal changes acco mpan% ing iicing make it inc tAble that muscle mass will he lost and fat

VogelSI

17. 3 A. Vogel and K.F. Friedi. A-rnis Data fHodj C(orportnoni rind Ph-i j <i qi iicoriProceeding~s, Natio nal .cidern% Of "rnc(sfc'n- n Plids or, (sEftin ii ndPerformance. 6 Fehruars IiQQO. Washington. D)C (National Ataderrns, o S:certke. if!

press).

18. K.E. Fried] and JIA Vogel, The Rasiv t'f( rireentA4emv R,0% /-a: I•u~~'t S .\rn'.

Research Institute of Fn% ironmental Medicine, I ehnical Rvpwlrt'sm kla- , \1inpress)

19. Hodgdon. Rods (ompmaorrn. 9

20, The Ate Force Weig'ht and 1'tnvvs Pr 'urfns, IDerprtrncnt ot tie Air Reidcc w35;-- 11. Headquarters. Department (of the Air Force. V5 ashingron. 1) ( f1 AprO

21 Weight Control and Mfilitary .Appcaritnc.. Marine C orps Order 610II) ;11. , lit:rters. Department o~f the NavN, Washington. 1) (' .24 htlv lI 9,f

2 2. Fitzgerald et a] , Rodv Composition Pror'c i. Knapil, et dl . -Indcc of *\diprositVogel et al , AeTmbiC (CpaCi[N." n. 12

23 Vogel and Fniedi. "Arm% Data." 12 Since muscle mass is kiifficuiri !i mneasut se 'lratelIs it is corn mnonlsý e~st mrated from the swi ir readil J eterntmtned (a I- ree m as'Mlhou)gh iat-free Mass alo ckinlains, bone. confieclisc im and nct \tructur~i visue,

only muscle is readi! altered. antd therefore fat-free mnass srpeeti n i of themuscle mass% present.

24. M4 B Beckett aid ).A Fodgdon. liffing and ( arrsini.' (apaiiirwN R, lan ie t, Phi, ia]Fitnesi Measures. Naval Health Research Center Report no 8ý 't, fs~an Diego, -

25. .1. Knapik. J Staab. M. Ffahrlc. J O()ortnor. \4 Sharp, P. F-rskrrtan, R Mlello. K.Re> nolds. and J %ogel. Rrlarwn~shij ,f Soldw, L.oad ( Caruera to Phi si,gnal I ac -tors. Xfilitars frperience and Woodl Srati, C S. Arms Research nstoitut oif In ronrw-mental Miedicine 'Technical Repiort no Tl^7 91) INatick. Mass.. Mas 19ttMl

26 MOA, Sharp. [-.A Hlarman, H F., Houtiler, MW\ Flosce and WA J Kraemer. *A Pro-greesive Resistance Training Prsigraim for Impros org Manual Materials Handling Per-foirmance," U S Arms Research Institute oif Ertsironmental Medicine (Natick, \M,,,

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