{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T23:23:36Z","timestamp":1774394616730,"version":"3.50.1"},"reference-count":46,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2011,3,1]],"date-time":"2011-03-01T00:00:00Z","timestamp":1298937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2011,3,1]],"date-time":"2011-03-01T00:00:00Z","timestamp":1298937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T00:00:00Z","timestamp":1676937600000},"content-version":"vor","delay-in-days":4375,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Clinical Nutrition"],"published-print":{"date-parts":[[2011,3]]},"DOI":"10.3945\/ajcn.110.007070","type":"journal-article","created":{"date-parts":[[2011,1,20]],"date-time":"2011-01-20T03:51:15Z","timestamp":1295495475000},"page":"608-614","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":25,"title":["Body mass index, medical qualification status, and discharge during the first year of US Army service"],"prefix":"10.1016","volume":"93","author":[{"given":"Elizabeth R","family":"Packnett","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David W","family":"Niebuhr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheryl A","family":"Bedno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David N","family":"Cowan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.3945\/ajcn.110.007070_bib1","first-page":"325","article-title":"Obesity policy spotlight: New trends in obesity policy","volume":"4","author":"Lowery","year":"2009","journal-title":"Bariat Nurs Surg Pat"},{"key":"10.3945\/ajcn.110.007070_bib2","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1093\/phr\/115.1.12","article-title":"Halting the obesity epidemic: a public health policy approach","volume":"115","author":"Nestle","year":"2000","journal-title":"Public Health Rep"},{"key":"10.3945\/ajcn.110.007070_bib3","unstructured":"***"},{"key":"10.3945\/ajcn.110.007070_bib4","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1006\/pmed.2000.0771","article-title":"Trends in overweight and physical activity among US military personnel, 1995-1998","volume":"32","author":"Lindquist","year":"2001","journal-title":"Prev Med"},{"key":"10.3945\/ajcn.110.007070_bib5","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1097\/00043764-200212000-00014","article-title":"Relationship between cardiovascular disease morbidity, risk factors, and stress in a law enforcement cohort","volume":"44","author":"Franke","year":"2002","journal-title":"J Occup Environ Med"},{"key":"10.3945\/ajcn.110.007070_bib6","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1016\/j.jadohealth.2007.07.012","article-title":"Trends in overweight and obesity among 18-year-old applicants to the United States military, 1993-2006","volume":"41","author":"Hsu","year":"2007","journal-title":"J Adolesc Health"},{"key":"10.3945\/ajcn.110.007070_bib7","unstructured":"Niebuhr DW, Cavicchia MA, Bedno SA, et al. Accession medicalstandards analysis and research activity, annual report 2009. WalterReed Army Institute of Research. Silver Spring, MD, 2009. Availablefrom: http:\/\/oai.dtic.mil\/oai\/oai?verb=getRecord&metadataPrefix=html&identifier=ADA506472 (cited 31 July 2010)."},{"key":"10.3945\/ajcn.110.007070_bib8","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1093\/milmed\/166.7.641","article-title":"Discharges during US Army basic training: injury rates and risk factors","volume":"166","author":"Knapik","year":"2001","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib9","unstructured":"Friedl KE, Vogel JA, Bovee MW, Jones BH. Assessment of body weight standards in male and female army recruits. Exercise Physiology Division. Natlick, MA: US Army Research Institute of Environmental Medicine, 1989. (Technical report no. T15-90.)"},{"key":"10.3945\/ajcn.110.007070_bib10","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1097\/00043764-200210000-00013","article-title":"Association of body mass index and healthy status in firefighters","volume":"44","author":"Clark","year":"2002","journal-title":"J Occup Environ Med"},{"key":"10.3945\/ajcn.110.007070_bib11","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.1016\/j.amjcard.2009.07.009","article-title":"Impact of excess body weight on arterial structure, function, and blood pressure in firefighters","volume":"104","author":"Fahs","year":"2009","journal-title":"Am J Cardiol"},{"key":"10.3945\/ajcn.110.007070_bib12","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1093\/occmed\/kqm153","article-title":"Obesity and the risk of job disability in male firefighters","volume":"58","author":"Soteriades","year":"2008","journal-title":"Occup Med (Lond)"},{"key":"10.3945\/ajcn.110.007070_bib13","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1038\/oby.2009.63","article-title":"The obesity epidemic and future emergency responders","volume":"17","author":"Tsismenakis","year":"2009","journal-title":"Obesity (Silver Spring)"},{"key":"10.3945\/ajcn.110.007070_bib14","first-page":"40","article-title":"Correlation between physical activity, fitness, and musculoskeletal injuries in police officers","volume":"90","author":"Nabeel","year":"2007","journal-title":"Minn Med"},{"key":"10.3945\/ajcn.110.007070_bib15","doi-asserted-by":"crossref","first-page":"45","DOI":"10.7205\/MILMED.171.1.45","article-title":"Increasing the physical fitness of low-fit recruits before basic combat training: an evaluation of fitness, injuries, and training outcomes","volume":"171","author":"Knapik","year":"2006","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib16","doi-asserted-by":"crossref","first-page":"664","DOI":"10.7205\/MILMED.169.8.664","article-title":"Epidemiology of injuries and illnesses during the United States Air Force Academy 2002 Basic Cadet Training program: documenting the need for prevention","volume":"169","author":"Billings","year":"2004","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib17","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1093\/milmed\/167.6.585","article-title":"Are overweight and obese airmen at greater risk of discharge from the United States Air Force?","volume":"167","author":"Poston","year":"2002","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib18","doi-asserted-by":"crossref","first-page":"936","DOI":"10.7205\/MILMED.172.9.936","article-title":"Factors associated with discharge during Marine Corps basic training","volume":"172","author":"Reis","year":"2007","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib19","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1002\/ajim.20532","article-title":"Injuries and injury risk factors among members of the United States Army Band","volume":"50","author":"Knapik","year":"2007","journal-title":"Am J Ind Med"},{"key":"10.3945\/ajcn.110.007070_bib20","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1093\/occmed\/kqn010","article-title":"Physical fitness, BMI and sickness absence in male military personnel","volume":"58","author":"Kyr\u00f3l\u00e1inen","year":"2008","journal-title":"Occup Med (Lond)"},{"key":"10.3945\/ajcn.110.007070_bib21","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1093\/ije\/25.4.829","article-title":"Relationship between morbidity and extreme values of body mass index in adolescents","volume":"25","author":"Lusky","year":"1996","journal-title":"Int J Epidemiol"},{"key":"10.3945\/ajcn.110.007070_bib22","first-page":"25","article-title":"Work injuries","volume":"18","author":"Wilkins","year":"2007","journal-title":"Health Rep"},{"key":"10.3945\/ajcn.110.007070_bib23","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1089\/dia.2004.6.732","article-title":"Can you be large and not be obese? The distinction between body weight, body fat, and abdominal fat in occupational standards","volume":"6","author":"Friedl","year":"2004","journal-title":"Diabetes Technol Ther"},{"key":"10.3945\/ajcn.110.007070_bib24","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1038\/ijo.2008.70","article-title":"Association between obesity status in young adulthood and disability pension","volume":"32","author":"Neovius","year":"2008","journal-title":"Int J Obes (Lond)"},{"key":"10.3945\/ajcn.110.007070_bib25","doi-asserted-by":"crossref","first-page":"83","DOI":"10.7205\/MILMED.172.1.83","article-title":"Negative first-term outcomes associated with lower extremity injury during recruit training among female Marine Corps graduates","volume":"172","author":"Trone","year":"2007","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib26","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1093\/milmed\/164.4.269","article-title":"Prevalence and predictors of discharge in United States Air Force Base Military Training","volume":"164","author":"Talcott","year":"1999","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib27","unstructured":"National Institutes of Health\/National Heart, Lung, and Blood Institute. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. September 1998. Available from: http:\/\/www.nhlbi.nih.gov\/guidelines\/obesity\/ob_gdlns.pdf (cited 5 April 2010)."},{"key":"10.3945\/ajcn.110.007070_bib28","unstructured":"Army Regulation 40-501. Standards of medical fitness. Version current 14 January 2008. Available from: http:\/\/www.army.mil\/usapa\/epubs\/xml_pubs\/r40_501\/cover.xml (cited 5 April 2010)."},{"key":"10.3945\/ajcn.110.007070_bib29","unstructured":"Army Regulation 601-210. Active and reserve components enlistment program. Version current 7 July 2007. Available from: http:\/\/www.army.mil\/usapa\/epubs\/xml_pubs\/r601_210\/cover.xml (cited 5 April 2010)."},{"key":"10.3945\/ajcn.110.007070_bib30","doi-asserted-by":"crossref","unstructured":"Niebuhr DW, Powers TE, Li Y, Millikan AM. The enlisted accession medical process. In: DeKoning, ed. Textbook of military medicine. Recruit medicine. Falls Church, VA: Office of the Surgeon General, US Army, 2006:45\u201358.","DOI":"10.1037\/e629562011-004"},{"issue":"3 suppl","key":"10.3945\/ajcn.110.007070_bib31","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/S0749-3797(00)00108-2","article-title":"Prior knee injury and risk of future hospitalization and discharge from military service","volume":"18","author":"Cox","year":"2000","journal-title":"Am J Prev Med"},{"key":"10.3945\/ajcn.110.007070_bib32","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.7205\/MILMED.171.12.1235","article-title":"Attrition of military enlistees with a medical waiver for chronic headache, 1995-2000","volume":"171","author":"Jankosky","year":"2006","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib33","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.7205\/MILMED.171.11.1137","article-title":"Attrition of military enlistees with a medical waiver for myopia, 1999-2001","volume":"171","author":"Otto","year":"2006","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib34","doi-asserted-by":"crossref","first-page":"99","DOI":"10.7205\/MILMED.171.2.99","article-title":"Accession standards for attention-deficit\/hyperactivity disorder: a survival analysis of military recruits, 1995-2000","volume":"171","author":"Krauss","year":"2006","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib35","first-page":"147","article-title":"Quetelet\u2019s index (W\/H2) as measure of fatness","volume":"9","author":"Garrow","year":"1985","journal-title":"Int J Obes"},{"key":"10.3945\/ajcn.110.007070_bib36","doi-asserted-by":"crossref","first-page":"67","DOI":"10.7205\/MILMED.173.1.67","article-title":"Obesity classification in military personnel: a comparison of body fat, waist circumference, and body mass index measurements","volume":"173","author":"Heinrich","year":"2008","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib37","doi-asserted-by":"crossref","first-page":"266","DOI":"10.7205\/MILMED.173.3.266","article-title":"Evaluation of body fat estimated from body mass index and impedance in Belgian male military candidates: comparing two methods for estimating body composition","volume":"173","author":"Mullie","year":"2008","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib38","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1519\/JSC.0b013e318163441f","article-title":"Effect of intense military training on body composition","volume":"22","author":"Malavolti","year":"2008","journal-title":"J Strength Cond Res"},{"key":"10.3945\/ajcn.110.007070_bib39","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1093\/milmed\/155.3.120","article-title":"Fitness, performance, and anthropometric characteristics of 19,185 Canadian forces personnel classified according to body mass index","volume":"155","author":"Jette","year":"1990","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib40","doi-asserted-by":"crossref","unstructured":"Kaufman KR, Brodine S, Shaffer R. Military training-related injuries: surveillance, research, and prevention. Am J Prev Med 200;18(3 suppl):54\u201363.","DOI":"10.1016\/S0749-3797(00)00114-8"},{"key":"10.3945\/ajcn.110.007070_bib41","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1093\/milmed\/167.9.760","article-title":"Predictors of Navy attrition. I. Analysis of 1-year attrition","volume":"167","author":"Booth-Kewley","year":"2002","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib42","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1136\/tc.2006.016436","article-title":"Women\u2019s smoking history prior to entering the US Navy: a prospective predictor of performance","volume":"16","author":"Conway","year":"2007","journal-title":"Tob Control"},{"key":"10.3945\/ajcn.110.007070_bib43","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1136\/tc.10.1.43","article-title":"The association of smoking and the cost of military training","volume":"10","author":"Klesges","year":"2001","journal-title":"Tob Control"},{"key":"10.3945\/ajcn.110.007070_bib44","doi-asserted-by":"crossref","first-page":"9","DOI":"10.7205\/MILMED-D-03-7407","article-title":"Individual risk factors associated with premature discharge from military service","volume":"174","author":"Larsson","year":"2009","journal-title":"Mil Med"},{"key":"10.3945\/ajcn.110.007070_bib45","unstructured":"Cowan DN, Bedno SA, Urban N, Yi B, Niebuhr DW. Musculoskeletal injuries among overweight male Army trainees: incidence and healthcare utilization. Occup Med (in press)."},{"key":"10.3945\/ajcn.110.007070_bib46","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.7205\/MILMED.171.11.1142","article-title":"A review of initial entry training discharges at Fort Leonard Wood, MO for accuracy of discharge classification type: fiscal year 2003","volume":"171","author":"Niebuhr","year":"2006","journal-title":"Mil Med"}],"container-title":["The American Journal of Clinical Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002916523022256?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002916523022256?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3945\/ajcn.110.007070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:39:59Z","timestamp":1733963999000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002916523022256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,3]]},"references-count":46,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,3]]}},"alternative-id":["S0002916523022256"],"URL":"https:\/\/doi.org\/10.3945\/ajcn.110.007070","relation":{},"ISSN":["0002-9165"],"issn-type":[{"value":"0002-9165","type":"print"}],"subject":[],"published":{"date-parts":[[2011,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Body mass index, medical qualification status, and discharge during the first year of US Army service","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Clinical Nutrition","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.3945\/ajcn.110.007070","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2011 American Society for Nutrition. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}