Science behind policy: implementing a modern circumference-based body fat equation with a physical fitness threshold is associated with lower musculoskeletal injury risk

Int J Obes (Lond)Published Cross-sectional validation and cohort study

Authors' conclusion

A single-site BF equation (%BFTM) maintained similar accuracy across the Soldier population by sex, age, and R/E. Implementing a PF score threshold in lieu of passing Army BF standards was associated with lower MSKI risk.

Study context

Population
Active-duty Soldiers representing Army demographics by sex, race/ethnicity and age643 F
Participants
1,904 participants
Comparison
Expedient %body fat (BF) methods vs DXA; BF and physical fitness (PF) vs musculoskeletal injury (MSKI) risk
Outcome
Accuracy of estimated %BF vs %BFDXA

Performance

As reported in the abstract

Mean difference (M; F)

4.38; 4.59

%BFTM

Mean difference (M; F)

5.88; 4.39

%BFHE

Further findings

MSKI with failing BF standards

OR of MSKI if failed BF standards
1.32

MSKI risk with Army Combat Fitness Test (ACFT) total score ≥ 540 vs lower score · following 12 months

Lower MSKI risk with ACFT ≥ 540
31% (95% CI: 0.52, 0.92)

Original publication

Science behind policy: implementing a modern circumference-based body fat equation with a physical fitness threshold is associated with lower musculoskeletal injury risk. Int J Obes (Lond). Published 27 February 2025. doi:10.1038/s41366-024-01701-5

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