{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T01:07:25Z","timestamp":1792458445422,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016156","name":"U.S. Army Medical Research and Development Command","doi-asserted-by":"publisher","award":["20300"],"award-info":[{"award-number":["20300"]}],"id":[{"id":"10.13039\/100016156","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the association between weight loss before joining the U.S. Army and rates of musculoskeletal injury (MSKI) during physically demanding Basic Combat Training (BCT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Self\u2010reported weight loss was collected on 3168 Army trainees who were followed through electronic medical records for diagnosis of any and region\u2010specific MSKI. Cox regression models were stratified by sex and COVID\u201019 pandemic and adjusted for age, height, maximum\u2010ever BMI, race\/ethnicity, smoking history, prior physical activity, and history of injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 829 trainees (26.16%) reported losing weight to enter the Army with mean (SD) weight loss of 9.06 (8.62) kg, most commonly through exercise (83.72%). Trainees who lost weight to enter the Army had lower rates of any (HR: 0.86; 95% CI: 0.74, 0.99) and lower extremity (HR: 0.84; 95% CI: 0.72, 0.98) MSKI during BCT compared to trainees who did not lose weight. Rate of weight loss (mean [SD]: 1.27 [1.06] kg\/week) was not associated with any or region\u2010specific MSKI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results indicate that losing excess weight before military training may minimize injuries during training and the relatively gradual rate of weight loss in these trainees did not pose a higher risk of injury.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.24364","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T04:33:52Z","timestamp":1753936432000},"page":"1977-1983","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Weight Loss Before Basic Combat Training and Musculoskeletal Injuries Among U.S. Army Trainees: The <scp>ARMI<\/scp> Study"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5961-6987","authenticated-orcid":false,"given":"Vy T.","family":"Nguyen","sequence":"first","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley A.","family":"Donovan","sequence":"additional","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7013-1848","authenticated-orcid":false,"given":"Kathryn M.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5676-9260","authenticated-orcid":false,"given":"Katelyn","family":"Guerriere Aaron","sequence":"additional","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila A.","family":"Walker","sequence":"additional","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent P.","family":"Pecorelli","sequence":"additional","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Zeppetelli","sequence":"additional","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4158-7349","authenticated-orcid":false,"given":"Colleen M.","family":"Castellani","sequence":"additional","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan P.","family":"Proctor","sequence":"additional","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie M.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen A.","family":"Foulis","sequence":"additional","affiliation":[{"name":"Military Performance Division U.S. Army Research Institute of Environmental Medicine  Natick Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2022.08.008"},{"key":"e_1_2_9_3_1","unstructured":"Centers for Disease Control and Prevention \u201cUnfit to Serve \u201d(2022) https:\/\/www.cdc.gov\/physicalactivity\/downloads\/unfit\u2010to\u2010serve\u2010062322\u2010508.pdf."},{"key":"e_1_2_9_4_1","unstructured":"G.Loten\u2010Beckford;U.S. Army \u201cInvesting in Our Youth: Army Develops Future Soldier Preparatory Course \u201d(2022) https:\/\/www.army.mil\/article\/258753\/investing_in_our_youth_army_develops_future_soldier_preparatory_course."},{"key":"e_1_2_9_5_1","volume-title":"Fighting Weight: How Military Recruiters Take on Obesity, Case by Case","author":"Noguchi Y.","year":"2021"},{"issue":"3","key":"e_1_2_9_6_1","first-page":"295","article-title":"Influence of Weight Loss on Musculoskeletal Pain: Potential Short\u2010Term Relevance","volume":"36","author":"Kotowski S. 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