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Activities and risk factors associated with fall-related injuries among US Army soldiers

Journal Article · · BMJ Military Health

Introduction

Falls/near falls are the second leading cause of hospitalisation and outpatient visits among US Army soldiers. While numerous studies have evaluated fall-related or near fall-related injuries among elderly adults, few have evaluated this association among young adults. The objective of this study is to describe the characteristics and risk factors associated with fall-related or near fall-related injuries among male US Army soldiers.

Methods

This is a cross-sectional study of male US Army Airborne Division soldiers (n=5187). Electronic surveys captured demographic, lifestyle, physical training (PT), fitness and injury data during spring/summer of 2016. Multiple logistic regression was used to identify independent risk factors of fall-related or near fall-related injuries, adjusting for potential confounders.

Results

Primary findings indicated that activities and risk factors associated with fall-related or near fall-related injuries among soldiers included younger age (≤35 years), holding a job that required minimal lifting activities, slower 2-mile run times and not running during personal PT.

Conclusions

The findings from this study suggest that male US Army soldiers and other physically active men may benefit from (1) obtaining and/or maintaining higher aerobic endurance and muscular strength, and (2) training focused on preventing fall-related injuries during PT, road marching and sports/recreational activities. Moreover, prevention strategies and education should further target younger soldiers (≤35 years old), as younger age is not modifiable.

Research Organization:
Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States)
Sponsoring Organization:
USDOE Office of Science (SC)
DOE Contract Number:
SC0014664
OSTI ID:
2425575
Journal Information:
BMJ Military Health, Journal Name: BMJ Military Health Journal Issue: 2 Vol. 169; ISSN 2633-3767
Publisher:
BMJ Publishing Group
Country of Publication:
United States
Language:
English

References (14)

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Effectiveness of muscle strengthening and description of protocols for preventing falls in the elderly: a systematic review journal April 2014
The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults journal October 2015
Identification of Fall Prevention Strategies for the Military: A Review of the Literature journal December 2015
Identifying modifiable causes of fall-related injury: An analysis of U.S. Army safety data journal January 2009
Frequency and Causes of Nonbattle Injuries Air Evacuated from Operations Iraqi Freedom and Enduring Freedom, U.S. Army, 2001–2006 journal January 2010
High injury rates among female Army trainees A function of gender? journal January 2000
Role of physical activity in the occurrence of falls and fall-related injuries in community-dwelling adults over 50 years old journal April 2013
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Circumstances of fall-related injuries by age and gender among community-dwelling adults in the United States journal May 2017
Injuries and Illnesses among Armor Brigade Soldiers during Operational Training journal November 2006
Incidence of fall-related injuries in Iran: A population-based nationwide study journal July 2016

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