{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T19:52:09Z","timestamp":1778701929463,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T00:00:00Z","timestamp":1546905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>There is significant concern about the respiratory health of deployed military service members given the reported airborne hazards in southwest Asia, which range from geologic dusts, burn pit emissions, chemical exposures, and increased rates of smoking. There has been no previous comparison of pre- and post-deployment lung function in these individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Military personnel who deployed to southwest Asia in support of ongoing military operations were recruited from the Soldier Readiness Processing Center at Fort Hood, Texas, from 2011 to 2014. The participants were asked to complete a brief survey on their respiratory health and perform both spirometry and impulse oscillometry studies at baseline with repeated survey and testing after deployment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Of the 1,693 deployed personnel who completed baseline examinations, 843 (50%) completed post-deployment testing. Post-deployment values demonstrated no statistical or clinical change in spirometry, with an increase in mean \u00b1 SD FEV\n                      <jats:sub>1<\/jats:sub>\n                      (% predicted) from 95.2 \u00b1 12.6 to 96.1 \u00b1 12.4 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .14), increase in mean \u00b1 SD FVC (% predicted) from 95.9 \u00b1 11.8 to 96.4 \u00b1 11.9 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .32), and increase in mean \u00b1 SD FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC from 81.5 \u00b1 5.9 to 81.8 \u00b1 6.1 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .29). Impulse oscillometry values showed statistical improvement with reduction in resistance (at 5 Hz and 20 Hz) and reactance (at 5 Hz). The presence of pre-deployment obstruction, self-reported asthma, smoking history, or increased body mass index also did not change spirometry values after deployment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>To our knowledge, this was the first prospective evaluation of deploying military by using spirometry as an indicator for the possible development of pulmonary disease related to environmental exposures. Pre-deployment testing with spirometry and impulse oscillometry was unable to detect any significant change. In those with abnormal spirometry pre-deployment or asthma history, there was also not identifiable change that indicated worsening lung function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Utilization of spirometry for the deploying military population had little benefit and did not identify individuals with lung disease after deployment. Routine use was not warranted before or after deployment in the absence of pulmonary symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.06396","type":"journal-article","created":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T17:35:16Z","timestamp":1546968916000},"page":"536-544","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Study of Active Duty Military Personnel for Environmental Deployment Exposures: Pre- and Post-Deployment Spirometry (STAMPEDE II)"],"prefix":"10.1177","volume":"64","author":[{"given":"Michael J","family":"Morris","sequence":"first","affiliation":[{"name":"Pulmonary\/Critical Care Service, Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, San Antonio, Texas."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J","family":"Skabelund","sequence":"additional","affiliation":[{"name":"Pulmonary Disease Service, Wilford Hall Ambulatory Surgical Center, Lackland Air Force Base, San Antonio, Texas."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"Frederic A","family":"Rawlins","sequence":"additional","affiliation":[{"name":"Pulmonary\/Critical Care Service, Keesler Medical Center, Keesler Air Force Base, Biloxi Mississippi."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger A","family":"Gallup","sequence":"additional","affiliation":[{"name":"St. Francis Medical Center, Tulsa, Oklahoma."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James K","family":"Aden","sequence":"additional","affiliation":[{"name":"Graduate Medical Education, Brooke Army Medical Center, Fort Sam Houston, San Antonio, Texas."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron B","family":"Holley","sequence":"additional","affiliation":[{"name":"Pulmonary\/Critical Care Service, Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, San Antonio, Texas."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,8]]},"reference":[{"issue":"2","key":"e_1_3_3_2_2","first-page":"173","article-title":"Deployment-related respiratory issues","author":"Morris MJ","year":"2016","unstructured":"Morris MJ, , Rawlins FA, , Forbes DA, , Skabelund AJ, , Lucero PF. Deployment-related respiratory issues. US Army Med Dep J, 2016:Apr-Sep;(2-16):173\u2013178.","journal-title":"US Army Med Dep J"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/08958370802672891"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201402-0372OC"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2500\/aap.2010.31.3383"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3109\/02770903.2014.973502"},{"key":"e_1_3_3_7_2","unstructured":"Armed Forces Health Surveillance Center. Epidemiological studies of health outcomes among troops deployed to burn pit sites. Silver Spring MD; 2010."},{"key":"e_1_3_3_8_2","unstructured":"Institute of Medicine. Long-term health consequences of exposure to burn pits in Iraq and Afghanistan. Washington DC: The National Academies Press; 2011."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2005.73.713"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwp287"},{"key":"e_1_3_3_11_2","first-page":"33","article-title":"Trends in rates of chronic obstructive respiratory conditions among US military personnel, 2001-2013","author":"Abraham JH","year":"2014","unstructured":"Abraham JH, , Clark LL, , Sharkey JM, , Baird CP. Trends in rates of chronic obstructive respiratory conditions among US military personnel, 2001-2013. US Army Med Dep J, 2014:Jul-Sep; 33\u201343.","journal-title":"US Army Med Dep J"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e31825297ba"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e31824fe102"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05438"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.159.1.9712108"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02112"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.03.00089403"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-1875"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usx195"},{"key":"e_1_3_3_20_2","first-page":"95","volume-title":"Airborne hazards related to deployment","author":"Morris MJ","year":"2015","unstructured":"Morris MJ, , Eschenbacher W. Discussion summary: recommendation for surveillance spirometry in military personnel. In: Baird CP, , Harkins DK. editors. Airborne hazards related to deployment. Fort Sam Houston, Texas: Office of the Surgeon General, Borden Institute; 2015:95\u2013102."},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-200003000-00003"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/167.4.281"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED.172.12.1264"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-14-00066"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.1991223"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000000675"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.06396","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.06396","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.06396","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:13:23Z","timestamp":1775466803000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.06396"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,8]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.4187\/respcare.06396"],"URL":"https:\/\/doi.org\/10.4187\/respcare.06396","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2019,1,8]]}}}