Abstract:
BACKGROUND:Studies suggest that women are at greater risk than men for sports and training injuries. This study investigated the association between gender and risk of exercise-related injuries among Army basic trainees while controlling for physical fitness and demographics. METHODS:Eight hundred and sixty-one trainees were followed during their 8-week basic training course. Demographic characteristics, body composition, and physical fitness were measured at the beginning of training. Physical fitness measures were taken again at the end of training. Multivariate logistic regression analysis was used to evaluate the association between gender and risk of injury while controlling for potential confounders. RESULTS:Women experienced twice as many injuries as men (relative risk [RR] = 2.1, 1.78-2.5) and experienced serious time-loss injuries almost 2.5 times more often than men (RR = 2.4, 1. 92-3.05). Women entered training at significantly lower levels of physical fitness than men, but made much greater improvements in fitness over the training period.In multivariate analyses, where demographics, body composition, and initial physical fitness were controlled, female gender was no longer a significant predictor of injuries (RR = 1.14, 0.48-2.72). Physical fitness, particularly aerobic fitness, remained significant. CONCLUSIONS:The key risk factor for training injuries appears to be physical fitness, particularly cardiovascular fitness. The significant improvement in endurance attained by women suggests that women enter training less physically fit relative to their own fitness potential, as well as to men. Remedial training for less fit soldiers is likely to reduce injuries and decrease the gender differential in risk of injuries.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Bell NS,Mangione TW,Hemenway D,Amoroso PJ,Jones BHdoi
10.1016/s0749-3797(99)00173-7subject
Has Abstractpub_date
2000-04-01 00:00:00pages
141-6issue
3 Suppleissn
0749-3797issn
1873-2607pii
S0749379799001737journal_volume
18pub_type
杂志文章abstract:BACKGROUND:The accuracy of reports made by male primary care patients of previous screening for prostate cancer with the prostate-specific antigen (PSA) assay is important for clinical practice, surveillance, and research. METHODS:As part of a clinical trial that evaluated a decision aid for prostate cancer screening,...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(01)00397-x
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:The contributions of community health workers (CHWs) in the delivery of culturally relevant programs for hypertension control have been studied since the 1970s. This systematic review examines the effectiveness of CHWs in supporting the care of people with hypertension. METHODS:Computerized searches were co...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2007.01.011
更新日期:2007-05-01 00:00:00
abstract:INTRODUCTION:Self-administered lifestyle interventions have been suggested as an alternative to face-to-face delivery modes, although their efficacy remains uncertain. The aim of this study was to evaluate the efficacy of the Type 2 diabetes mellitus Prevention Using LifeStyle Education (PULSE) Program, a self-administ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2015.08.020
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION:Successful strategies are needed to address parental vaccine hesitancy, a significant public health issue. The study objective was to assess whether an Internet-based platform with vaccine information and interactive social media components improved parents' vaccine-related attitudes. STUDY DESIGN:A three...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2018.04.010
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:The Council of State and Territorial Epidemiologists (CSTE) implemented the Applied Epidemiology Fellowship (AEF) in 2003 to train public health professionals in applied epidemiology and strengthen applied epidemiology capacity within public health institutions to address the identified challenges. The CSTE ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.07.022
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:To systematically review the quantitative literature on factors associated with youth non-agricultural work injury. METHODS:Seven electronic databases were searched for studies published between 1980 and 2005. In addition, reference lists from each potentially eligible study were checked and experts in the ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2006.10.007
更新日期:2007-02-01 00:00:00
abstract:PURPOSE:The purpose of this study was to estimate the total medical expenditures attributable to physical inactivity patterns among members of a large health plan, Blue Cross Blue Shield of Minnesota. METHODS:The study used a cost-of-illness approach to attribute medical and pharmacy costs for specific diseases to phy...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.07.014
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:To review eHealth intervention studies for adults and children that targeted behavior change for physical activity, healthy eating, or both behaviors. DATA SOURCES:Systematic literature searches were performed using five databases: MEDLINE, PsychInfo, CINAHL, ERIC, and the Cochrane Library to retrieve articl...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2007.05.007
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:Physical activity recommendations for older adults with poor health needs to be understood. PURPOSE:This study aims to examine the association between the frequency of physical activity and mortality among a sample of elderly subjects, most of whom were under treatment for pre-existing disease. METHODS:Dat...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.12.033
更新日期:2010-04-01 00:00:00
abstract:INTRODUCTION:Unmet social and economic needs are associated with poor health outcomes, but little is known about how these needs are predictive of future healthcare utilization. This study examined the association of social and economic needs identified during medical visits with future hospitalizations and emergency d...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.10.004
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Subclinical inflammation is a novel risk factor of cardiovascular diseases and type 2 diabetes. An inverse association between plasma adiponectin and insulin resistance has been previously shown. Elevated levels of high-sensitivity C-reactive protein (hs-CRP) predict future cardiovascular events. Smoking has...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.09.011
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:It is possible that nurses can help close the gap between the Healthy People 2000 clinical preventive services goals and current cancer screening rates by collecting Pap test specimens in clinical practices. The purpose of this analysis was to determine whether nurses can collect high-quality Pap tests. DES...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(97)00062-7
更新日期:1998-04-01 00:00:00
abstract::The effectiveness of a class-wide lecture coupled with small group discussions was compared to the outcome of clinical instruction provided by patient instructors (PIs) who were specially trained to teach behavioral counseling skills for health promotion and lifestyle risk-factor modification. PIs are nonprofessionals...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract:INTRODUCTION:Both medication and surgical interventions can be used to treat obesity, yet their use and effectiveness in routine clinical practice are not clear. This study sought to characterize the prevalence and management of patients with obesity within a large U.S. academic medical center. METHODS:All patients ag...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.01.018
更新日期:2020-06-01 00:00:00
abstract:INTRODUCTION:Urban form characteristics intended to support pedestrian activity, collectively referred to as neighborhood walkability, are thought to increase total physical activity. However, little is known about how neighborhood walkability influences utilization of neighborhood space by residents and their overall ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.07.033
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:To determine the age-specific prevalence of Lyme disease and whether preventive behaviors on Nantucket Island correlate with Lyme disease, we surveyed island residents. METHODS:A survey with questions on Lyme disease symptoms, history, and preventive behaviors was mailed to all residents. Respondents were s...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(00)00315-9
更新日期:2001-04-01 00:00:00
abstract:INTRODUCTION:Physicians have a unique role to play in the prevention of elder suicide, yet they may not be sufficiently attentive to the prominence of firearms in the rising trend in suicide by elder persons. This study sought to examine the extent to which physicians inquired about firearms with their depressed and su...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(98)00019-1
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Knowledge of the association between the neighborhood physical environment and adults' readiness to encourage children's use of local playgrounds, and the extent to which perceived safety acts as a mediator, can inform efforts to increase children's physical activity. METHODS:Data were obtained from seven E...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.01.007
更新日期:2008-04-01 00:00:00
abstract::The disparity in health status between black and white Americans exists chiefly because of an excess of preventable disease in blacks. This situation calls for an increase in preventive services for blacks, services which might best be implemented or directed by black specialists in preventive medicine. However, there...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:INTRODUCTION:Injuries inflict the largest health impact on military populations in terms of hospitalization. Hospitalized injuries result in the largest direct costs of medical care and the most lost workdays, include the largest proportion of disabling injuries, and have the largest impact on troop readiness. Efforts ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(99)00171-3
更新日期:2000-04-01 00:00:00
abstract:INTRODUCTION:Infant mortality rates are higher in nonmetropolitan areas versus large metropolitan areas. Variation by race/ethnicity and cause of death has not been assessed. Urban-rural infant mortality rate differences were quantified by race/ethnicity and cause of death. METHODS:National Vital Statistics System lin...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.09.010
更新日期:2020-02-01 00:00:00
abstract:CONTEXT:The effectiveness of personalized-feedback interventions to reduce problem drinking has been evaluated in several RCTs and systematic reviews. A meta-analysis was performed to examine the overall effectiveness of brief, single-session personalized-feedback interventions without therapeutic guidance. EVIDENCE A...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.amepre.2008.10.016
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate the effects of enrollment in a community-based public health nursing program, Communities Caring for Children (CCC), on infant immunization rates in rural Minnesota. The program involved health education, a registry, and a reminder system. DESIGN:The evaluation was a...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(98)00144-5
更新日期:1999-04-01 00:00:00
abstract:CONTEXT:Osteoporosis is a common and costly disease that is associated with high morbidity and mortality. There is a lack of direct evidence supporting the benefits of bone mineral density (BMD) screening on osteoporosis outcomes. However, there is indirect evidence to support screening for osteoporosis given the avail...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,实务指引,评审
doi:10.1016/j.amepre.2009.01.013
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Planners have relied on the urban development boundary (UDB)/urban growth boundary (UGB) and central business district (CBD) to encourage contiguous urban development and conserve infrastructure. However, no studies have specifically examined the relationship between proximity to the UDB/UGB and CBD and walk...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.05.008
更新日期:2014-10-01 00:00:00
abstract:INTRODUCTION:The purpose of this study is to identify whether weather-related factors moderate the effect of a physical activity (PA) intervention. METHODS:Participants (N=204, 77% female, mean age 33 [SD=11] years, mean BMI 28.2 [SD=7.1]) from the Make Better Choices 1 trial, enrolled April 2005 to April 2008, were r...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2018.01.025
更新日期:2018-05-01 00:00:00
abstract:INTRODUCTION:Hepatocellular carcinoma disproportionately affects minorities. Southern states have high proportions of black populations and prevalence of known risk factors. Further research is needed to understand the role of southern geography in hepatocellular carcinoma disparities. This paper examined racial dispar...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.05.030
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION:Tobacco contributes to multiple cancers, and it is largely preventable. As overall smoking prevalence in California declines, smoking has become concentrated among high-risk groups. Targeting social/cultural groups (i.e., "peer crowds") that share common values, aspirations, and activities in social venues...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.03.026
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION:Adolescents' use of electronic cigarettes (e-cigarettes) and exposure to e-cigarette TV advertising have increased in recent years, despite questions about their safety. The current study tests whether exposure to e-cigarette TV advertisements influences intentions to use e-cigarettes in the future and rel...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2015.05.010
更新日期:2015-11-01 00:00:00
abstract::Identification and application of appropriate analytic methods are critical pieces of the foundation of science. Because of the increasingly complex issues federal agencies face and the increasing importance of addressing those issues with multi-disciplinary teams that offer knowledge and skills in many methods areas,...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(00)00174-4
更新日期:2000-07-01 00:00:00