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This study examined demographic and physical risk factors for stress fractures in a large cohort of basic trainees. New recruits participating in US Army BCT from 1997 through 2007 were identified, and birth year, race/ethnicity, physical characteristics, body mass index, and injuries were obtained from electronic databases. Injury cases were recruits medically diagnosed with inpatient or outpatient stress fractures. There were 475 745 men and 107 906 women. Stress fractures incidences were 19.3 and 79.9 cases/1 000 recruits for men and women, respectively. Factors that increased stress fracture risk for both men and women included older age, lower body weight, lower BMI, and race/ethnicity other than black. Compared to Asians, those of white race/ethnicity were at higher stress fractures risk. In addition, men, but not women, who were taller or heavier were at increased stress fracture risk. Stress fracture risk generally increased with age (17-35 year range) at a rate of 2.2 and 3.9 cases/1 000 recruits per year for men and women, respectively. This was the largest sample of military recruits ever examined for stress fractures and found that stress fracture risk was elevated among recruits who were female, older, had lower body weight, had lower BMI, and/or were not of black race/ethnicity.

A sensitive, reliable, field-expedient test may be valuable for monitoring interventions during periods of anticipated physical performance decline. The purpose of this study was to determine the capabilities of unloaded jumping tests for detecting decrements in physical performance following eight days of military sustained operations. Twenty-nine U. S. Marines (24 +/- 1 y; 180 +/- 6 cm; 82.5 +/- 8.2 kg) performed 1, 5 and 30 repetition(s) of unloaded countermovement jumps (UJ) before and after eight days of sustained operations (SUSOPS). Jump performance data was collected simultaneously using a switch mat (SM) and a linear position transducer (LPT). Jump height (m) and power (W) were highest using 1 UJ and declined 4.9 and 8.9%, respectively after SUSOPS. Jump power (JP) declined progressively over 30 UJ (20%). Five UJ offered no advantages over 1 UJ and was inadequate to examine changes in muscle fatigability (pre: 1294 +/- 138 W; post: 1250 +/- 165 W). The SM and a LPT were in agreement and had a high correlation (r = 0.92). One UJ was a sensitive, easy to implement test for monitoring the collective impact of high physical, nutritional, cognitive, and environmental stress on an individuals' physical performance before and after 8 days of SUSOPS, suggesting decrements in physical performance associated with overreaching can be detected by simply administered field-expedient jumping tests.

During exercise in the heat, sweat output often exceeds water intake which results in a body water deficit (hypohydration) and electrolyte losses. Daily water losses can be substantial and persons need to emphasize drinking during exercise as well as at mealtime. Aerobic exercise tasks are likely to be adversely affected by heat stress and hypohydration; and the warmer the climate the greater the potential for performance decrements. Hypohydration increases heat storage and reduces one's ability to tolerate heat strain. The increased heat storage is mediated by reduced sweating rate (evaporative heat loss) and reduced skin blood flow (dry heat loss) for a given core temperature. Hyperhydration (increased total body water) has been suggested to reduce physiologic strain during exercise heat stress, however, data supporting that notion are not robust.

This study determined the effects of exercise intensity on the physiologic (thermal and cardiovascular) strain induced from hypohydration during heat stress. We hypothesized that the added thermal and cardiovascular strain induced by hypohydration would be greater during high intensity than low intensity exercise. Nine heat-acclimated men completed a matrix of nine trials: three exercise intensities, 25%, 45% and 65% VO2 max; and three hydration levels, euhydration and hypohydration at 3% and 5% body weight loss (BWL). During each trial, subjects attempted 50 min of treadmill exercise in a hot room (30 degrees C db, 50% rh) while body temperatures and cardiac output were measured. Hypohydration was achieved by exercise and fluid restriction the day preceding the trials. Core temperature increased (P