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From page 243... ... Index A Alcohol consumption enlistment standards, 4, 152�153, 159, Accessions Medical Standards Analysis 191 and Research Activity, 14, 16, 23, 50, enlistment waivers, 153, 159 63�64, 85, 98 patterns and trends, 4�5, 153�156, 192 ADHD. See Attention deficit hyperactivity See also Substance use disorder Anorexia nervosa, 143 Adjustment disorder Anterior cruciate ligament, 78 among military personnel, 141 Antidepressant medications, 137�139 as disqualifying condition, 142 Antisocial personality disorder, 140, 188 medications for, 138 Anxiety disorders Age factors among military personnel, 140, 141 asthma patterns, 127, 131 enlistment disqualifications, 142, 144 injury and attrition risk, 98�99 epidemiology, 136, 137 mental health history cutoff standards, pharmacotherapy, 138 143, 147, 149�150, 188�189 recommendations for assessment, 9, Agoraphobia, 142 150, 190, 195 Air Force recommendations for enlistment asthma waivers, 128�131 standards, 147, 149�150, 189 attrition patterns, 80 Appearance and bearing of individual body weight and composition soldiers, 186 standards, 117, 118 Aptitudes and abilities, 10, 11, 12 delayed entry program, 31 assessment in recruiting process, 37�39, mental disorder patterns, 141, 145 49 occupational specialty placement, 40 cost-performance trade-off analysis, 53 recruiting goals, 11�12, 21 evaluation methodology, 48 substance use policies, 153 Armed Forces Qualification Test, 37�38, 39 tobacco use in, 163, 167, 168, 174 Armed Services Vocational Aptitude waiver authority, 29 Battery, 37�38 Air Force Strength Aptitude Test, 31, 32 Arm injuries/conditions, 79 243 Read the entire page →
From page 244... ... , 31, 50 substance use outcomes, 159�161, 192� Asthma, 2 193 attrition patterns, 8, 131�132, 133�134, tobacco use and, 8, 168�172, 193�194, 187 196 cost of care, 8, 132, 187 of tobacco use standards, 172�174 as dichotomous assessment criteria, 48 waivers of disqualification and, 7�8, 17, as disqualifying condition, 3, 128, 131� 159, 160�161, 192�193 132, 134, 187 epidemiological patterns and trends, 3, 127, 133, 187 B medical management, 132�133 medical outcomes, 128, 133, 187 Back pain, 109 in military population, 128�132, 133�134 Basic training recommendations for enlistment body composition changes in, 123�125 standards, 10, 134, 188, 196 delayed entry program, 19 research needs, 134, 187�188 functional capacity assessment for risk risk factors, 131 reduction in, 100 waiver requests, 128�131 gender-specific training programs, 105� Attention deficit hyperactivity disorder 106, 184 (ADHD) , 143 group exercises, 103 enlistment disqualifications, 144 injury and attrition in, 7�8, 14, 79�80 enlistment standards, 142, 145, 188 injury and attrition risk reduction pharmacotherapy, 138, 139, 140 strategies, 100�106 prescreening, 150, 190 injury risk factors, 80�85, 181 prevalence, 4, 136, 140 physical fitness assessment during, 2, substance use risk and, 4, 136 19, 32, 66 Attitudes toward enlistment, 10, 12 physical training in, 66�67, 181 Attrition purpose, 66, 102�103, 181 asthma-related, 131�132, 133�134, 187 recommendations for redesigning, 9, body composition risk factors, 119�121, 106, 195 185�186 tailored to fitness levels of recruits, 9, cost-performance trade-off analysis, 57� 14, 101, 102�105, 107, 195 58 Bipolar disorder, 142, 150, 190 costs, 49, 54 Read the entire page →
From page 245... ... INDEX 245 Blood pressure testing, 39 C Blood testing, 39 Body fat. See Body weight and composition Cardiorespiratory fitness Body mass index attrition risk and, 87�88 asthma risk, 131 body composition and, 119 current military population, 111�117 current military profile, 73�74 current standards, 3, 185 current population profile, 73, 74�77 injury and attrition rates and, 7�8, 17, data sources, 17 186 disqualifications for service, 15, 109 population profile, 110, 111 as predictive of military service recommendations for fitness performance, 7 assessment, 9, 126�127, 186, 187, risk of injury and, 80�81, 82, 86 195 See also Endurance, cardiorespiratory retention standards, 187 Chief medical officer, MEPS, 26 See also Body weight and composition Chronic pain disorder, 143 Body weight and composition, 3 Cigarette use body fat measurement, 113, 117�119 associated behavioral problems, 8, 170� changes in basic training, 123�125 172, 194 cost-performance trade-off analysis of cost-performance trade-off analysis of standards for, 56�59 standards for, 172�174 current military population, 113�119 educational attainment and, 174�176 current population profile, 3, 110�111 enlistment standards, 5, 152, 163 current standards, 3, 185 historical military policy, 162 data sources, 17 implications for enlistment screening, in definition of physical fitness, 68 174�176 demographic differences, 110, 111�113 injury and attrition risk, 8, 99, 167�172, disqualification for service based on, 3, 193�194, 196 15, 109, 185 in military population, 162�163, 165� height and weight tables, 117 167, 193, 194 MEPS screening, 26, 28�29, 178 patterns and trends, 5, 163�167 military job performance and, 52, 122� research needs, 9, 176, 194, 196 123 Combat experience, mental health rationale for enlistment standards, 119, outcomes, 141 122�123, 185�186 Combat readiness recommendations for fitness components of, 18 assessment, 9, 126�127, 186, 195 as physical fitness standard, 6, 14 recruiting station assessment, 25, 177 Conduct disorder, 138, 142 retention standards, 117, 127, 185, 186� Contract, enlistment, 41 187 Costs risk of injury and attrition, 80, 81�82, asthma care, 8, 132 96, 119�121, 185�186 attrition, 49, 54 waivers of disqualification, 7�8, 17 benefits of injury reduction programs, See also Body mass index; Obese and 103�105 overweight persons cost-performance trade-off analysis, 53� Bone injuries, 79. Read the entire page →
From page 246... ... 246 INDEX physical and medical outcome physical and medical condition trends, measures, 50 13, 71�73, 74�77 recruiting, 55�56 population of interest, 1�2, 13�14 smoking-related, 162, 168�170 recruitment goals, 22 Credit check, 40 See also Age factors; Gender differences; Cumulative impact injury, 92�94 Race/ethnicity Depression among military personnel, 140, 141, 188 D clinical course, 149, 189 as disqualifying condition, 142, 145�147, Data collection 189 connectivity and compatibility of epidemiology, 136, 137 databases, 60�61 pharmacotherapy, 137�139, 189 for evaluating predictive validity of recommendations for assessment, 9, enlistment standards, 6�7, 9, 14, 50 150, 190 individual medical and mental health recommendations for enlistment data, 9, 30, 59�60, 178 standards, 147, 149�150, 189 on injury and attrition, 15�16, 17 treatment, 145 management databases, 62 Developmental disorders, 138 medical prescreening, 4, 9, 25, 36, 41�46 Diabetes, 117 mental health, 143�144, 151, 191 Dial-A-Medic Program, 25 privacy protections, 59, 60 Dichotomous assessment criteria, 6, 48 recommendations for, 9, 36, 61, 151, 178, Directive 1304.26 (DoD) , 152 191, 195�196 Disqualifying conditions, 14 research needs, 9 asthma, 3, 128, 131�132, 134, 187 sources, 14, 16�17, 62�65 body weight and composition, 3, 15, surveillance databases, 62�63 109, 185 Defense Manpower Data Center, 17, 61, 64 current distribution, 109 Defense Medical Surveillance System, 62 current standards, 19, 21 Delayed entry program, 19, 31, 41, 101 data sources, 17 Demands of military service dichotomous assessment criteria, 48 attrition and injury risk, 16 medical, 2, 15, 17, 19, 24�25, 78�79, 109 body weight and composition effects, military entrance processing, 26 122�123 psychiatric disorders, 4, 15, 19, 109, combat readiness, 6, 14, 18, 178�179 142�143, 144�147, 149�150, 188, 189 cross-service requirements, 36�37, 179, recruitment station processing, 26 195 retention standards, 71, 117, 127, 185, functional capacity assessment for, 99� 186�187 100 standards based on, 48�49 mental and emotional stress in, 3�4, standards evaluation methodology, 52 135�136, 188 substance use, 5, 15, 78, 109, 153 musculoskeletal injury risk factors, 89 trade-off analysis of tobacco use PULHES system of physical standards, 172�174 examination for, 30�31 Disruptive behavior disorders, 136 research needs, 9, 13, 37, 179 Dissociative disorders, 143 substance use effects, 159�161 Drug use. Read the entire page →
From page 247... ... INDEX 247 Economic factors influencing enlistment, 1, body weight and composition, 110, 111, 11 112�113 applicant's financial problems, 40 cardiorespiratory fitness, 2, 35, 74, 77 unemployment rate, 12 current military population, 18 Educational attainment gender-specific physical training attrition and, 38�39, 49, 51�52, 54 programs, 105�106, 184 cost-performance trade-off analysis, 53� injury and attrition patterns, 7, 14, 79� 56 80, 105�106, 181, 183 Department of Defense classification, 38 injury and attrition risk, 82, 87, 96�98, enlistment outcome linkage, 39, 49, 51� 108 52 musculoskeletal injury during training, evaluation methodology, 48 79�80, 105�106, 183 recruitment goals, 39 overweight and obese youth, 3 smoking patterns and, 174�176 physical fitness testing and, 35�36 Encopresis, 143 psychological disorder patterns, 136, Endurance, cardiorespiratory, 2 137, 141 in definition of physical fitness, 68 recommendations for research, 108, 184, demographic differences, 2, 35, 74, 77 195 measurement, 69 recruitment goals, 22 trends, 2 substance use patterns, 5, 156�159 See also Cardiorespiratory fitness tobacco use patterns and trends, 165� Endurance, muscular, 2 166 Army Physical Fitness Test, 71 Goals, recruitment, 1, 11�12, 21 in definition of physical fitness, 68 demographic diversity, 22 functional capacity assessment, 99�100 educational attainment of recruits, 39 measurement, 69 See also Shortfalls, recruiting Enlistment standards. See Standards, Group training, 103 enlistment Enuresis, 143, 188 Existing prior to service discharges, 145 H Health Examination Survey Cycle II, 77 F Health Insurance Portability and Accountability Act (1996) Read the entire page →
From page 248... ... , 33 assessment methodology, 48 Instruction 6130.4 (DoD) , 19, 23�24, 131 cost-performance trade-off analysis of International comparisons, physical fitness, standards for, 56�59 74�77 data collection in recruitment process, 9, 25, 30, 177 data sources, 59�60 J disqualifying conditions and waivers, 2, 14, 15, 17, 24�25, 48�49, 78�79, 178, Job performance evaluation 188 challenges, 6�7, 16 enlistment outcome evaluations, 50, 52 outcome selection and linkage, 49�53 enlistment standards, 23�24, 47 See also Attrition; Injuries; Trade-off military entrance processing, 26�31, model for assessing standards 177�178 Physical Profile Serial System, 30�31 K prescreen, 24�25, 41�46, 177, 178 recommendations for data collection, 9, Knee problems, 78, 97, 98 178, 195 recruiting station assessment, 24�26, 177 See also Asthma; Body weight and L composition; Mental health; Obese and overweight persons; Physical Learning disorders, 142, 188 fitness Legal challenges to preemployment, 35�36 Medical professionals, in MEPS, 26 Load-tolerance relationship, 89�90 Mental health attrition and injury risk, 16, 140�141, 142, 144, 188 M combat experience and, 141 Marijuana use common disorders, 4. Read the entire page →
From page 249... ... multifactorial causation, 89, 106 costs, 29 prevalence in applicant population, 77� detection of musculoskeletal injuries in, 79 77�78 racial/ethnic patterns, 98�99 examinations performed, 29 risk factors, 89�99, 181, 182�183 medical and physical assessments, 19, risk reduction strategies, 99�106, 182 26�31, 39, 177�178, 195 See also Muscular strength; Orthopedic medical disqualifications and waivers, screening 17, 78�79 medical personnel in, 26 mental health assessment, 9, 143, 150� N 151, 190, 195 substance use disqualifications during, National Guard, 2, 14 5 National Health and Nutrition transportation to, 25�26 Examination Survey, 71�73, 77 Military occupational specialties Naval Recruiting Command, 29 applicant's selection and placement, 40 Navy different enlistment standards for, 5�6, asthma waivers, 132 14 attrition patterns, 80 physical fitness requirements, 32, 36, body weight and composition 178�179 standards, 117, 118 MIRS. Read the entire page →
From page 250... ... 250 INDEX Neurological screening, 26 cross-Service requirements, 36�37, 179, Neurotic disorders, 144�145 195 data sources, 17, 59�60 definition and components, 2, 33, 67�68, O 70 demographic patterns, 13, 71�73, 74�77 Obese and overweight persons disqualifying conditions, 48�49 current prevalence, 3, 110�111, 185 enlistment outcome indicators, 50 definition, 3, 110, 185 enlistment standards, 2, 6, 9, 18�19, 31� disqualification for service, 78 33, 70�71, 85, 88, 100, 178�179 effectiveness of weight control failure to maintain, 71 programs, 123�126, 186�187 gender-specific training programs, 105� enlistment outcome evaluations, 50 106, 184 health outcomes, 110, 185 goals of basic training, 66�67, 102�103 opportunity for MEPS reevaluation, 28� health-related components, 68 29 injury and attrition risk reduction population trends, 111, 185 strategies, 99�106, 182 See also Body mass index; Body weight legal challenges to employment testing, and composition 35�36 Obsessive-compulsive disorder, 142 measurement approaches, 13, 48, 68�69 Occupational area counseling, 40 MEPS testing, 31, 39 Orthopedic screening, 109 as predictive of job performance, 7, 13, disqualification for service, 78, 79 17, 35, 36 enlistment outcome measures, 50 PULHES assessment system, 30�31 MEPS, 26 recommendations for assessment and Oxygen consumption. See VO2max measurement, 9, 36�37, 106�107, 195 recommendations for assessment prior P to basic training, 183 recommendations for measurement, 9 Panic disorder, 142 requirements of different military Paranoid disorder, 142 occupational specialties, 5�6, 13, 14, Paraphilias, 143 32, 36, 178�179 Patella, 78 research needs, 9, 36, 107, 179, 183�184 Peacekeeping missions, 135�136, 188 risk of injury in training and, 80�85, 96, Penalties for failure to maintain physical 182 fitness, 71 of soldiers entering service, 66 Personality disorders, 138, 140, 143, 145, test components of military Services, 33, 188 70 Pharmacotherapy, psychiatric, 4, 137�139, testing in basic training, 2, 19, 32, 66 140 training programs prior to basic Phobias, 142 training, 19, 31, 101�102, 107 Physical fitness See also Body weight and composition; assessment during recruitment process, Cardiorespiratory fitness; 100�101, 183 Endurance, cardiorespiratory; attrition risk factors, 80�82, 85�89 Endurance, muscular; Medical basic training outcomes, 66�67 condition(s) Read the entire page →
From page 251... ... INDEX 251 mental health, 4, 9, 148�149, 190 Repetitive motion injuries, 92�94 recommendations for, 9, 36, 178, 190 Reserve Officers' Training Corps, 2, 14 President's Council on Physical Fitness, 74 Reserve units, 2, 14 Primary Care Evaluation of Mental Retention standards, 71, 117, 127, 185, 186� Disorders, 148 187 Privacy Act (1974) , 60 Risk-taking behavior, 171 Privacy and confidentiality, health data, 59, Rotator cuff conditions, 79 60 Running Private sector employment, 12 body composition and, 119, 120 physical fitness testing, 33�36 injury reduction strategies, 103�105 Psychosexual disorders, 143 Psychosocial context as injury risk factor, 89, 95�96, 181, 182� S 183 stresses of military service, 3�4, 135�136 Schizophrenia, 140, 142, 150, 188, 190 See also Mental health Sensitivity of tests, 50�51 Psychotic disorders, 138, 142, 150, 190 Shortfalls, recruiting PULHES assessment system, 30�31 causes of, 12 enlistment standards and, 11, 12 recent history, 11�12, 21 R Shoulder problems, 78�79 Sleepwalking, 143, 188 Race/ethnicity, 14 Smokeless tobacco, 163 applicants for service, 18 Social phobia, 142 asthma patterns, 3, 127, 128, 131�132, Somatoform disorders, 143, 145 134, 187 Specificity of tests, 50, 51 asthma waivers, 128 Spine, 95 body weight and composition profiles, Standards, enlistment 111�113, 185 asthma, 10, 134, 188, 196 cardiorespiratory fitness, 74 based on disqualifying conditions, 48 considerations in design of enlistment body mass index, 3, 111�119 standards, 18 combat readiness, 6, 14 current military population, 17�18 current predictive validity, 6�8, 13 injury and attrition patterns, 86, 98�99 design procedures, 47, 48, 53 physical fitness patterns, 73 for different military occupational population trends, 18 specialties, 5�6, 14, 179 prevalence of overweight youth, 3 issues of concern, 1�2, 11, 12�13 psychological diagnosis patterns, 136, medical, 23�31, 47 137 mental health, 142�143, 145�147, 149� recruitment goals, 22 150, 188�189 substance use patterns, 5, 156�159, 192 methodology for evaluating. Read the entire page →
From page 252... ... Air Force Research Laboratory, 16 Substance use U.S. Army Accession Command, 16 attention deficit hyperactivity disorder U.S. Read the entire page →
From page 253... ... INDEX 253 for psychiatric conditions, 4, 7, 141, 144, Weight. See Body mass index; Body weight 145 and composition; Obese and subsequent attrition and, 7�8, 17, 159, overweight persons 160�161 Weight loss programs, 125�126 for substance use, 153, 159�161 Wolff's law, 94�95 Women. Read the entire page →

From page 243...

... Index A Alcohol consumption enlistment standards, 4, 152�153, 159, Accessions Medical Standards Analysis 191 and Research Activity, 14, 16, 23, 50, enlistment waivers, 153, 159 63�64, 85, 98 patterns and trends, 4�5, 153�156, 192 ADHD. See Attention deficit hyperactivity See also Substance use disorder Anorexia nervosa, 143 Adjustment disorder Anterior cruciate ligament, 78 among military personnel, 141 Antidepressant medications, 137�139 as disqualifying condition, 142 Antisocial personality disorder, 140, 188 medications for, 138 Anxiety disorders Age factors among military personnel, 140, 141 asthma patterns, 127, 131 enlistment disqualifications, 142, 144 injury and attrition risk, 98�99 epidemiology, 136, 137 mental health history cutoff standards, pharmacotherapy, 138 143, 147, 149�150, 188�189 recommendations for assessment, 9, Agoraphobia, 142 150, 190, 195 Air Force recommendations for enlistment asthma waivers, 128�131 standards, 147, 149�150, 189 attrition patterns, 80 Appearance and bearing of individual body weight and composition soldiers, 186 standards, 117, 118 Aptitudes and abilities, 10, 11, 12 delayed entry program, 31 assessment in recruiting process, 37�39, mental disorder patterns, 141, 145 49 occupational specialty placement, 40 cost-performance trade-off analysis, 53 recruiting goals, 11�12, 21 evaluation methodology, 48 substance use policies, 153 Armed Forces Qualification Test, 37�38, 39 tobacco use in, 163, 167, 168, 174 Armed Services Vocational Aptitude waiver authority, 29 Battery, 37�38 Air Force Strength Aptitude Test, 31, 32 Arm injuries/conditions, 79 243

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From page 244...

... , 31, 50 substance use outcomes, 159�161, 192� Asthma, 2 193 attrition patterns, 8, 131�132, 133�134, tobacco use and, 8, 168�172, 193�194, 187 196 cost of care, 8, 132, 187 of tobacco use standards, 172�174 as dichotomous assessment criteria, 48 waivers of disqualification and, 7�8, 17, as disqualifying condition, 3, 128, 131� 159, 160�161, 192�193 132, 134, 187 epidemiological patterns and trends, 3, 127, 133, 187 B medical management, 132�133 medical outcomes, 128, 133, 187 Back pain, 109 in military population, 128�132, 133�134 Basic training recommendations for enlistment body composition changes in, 123�125 standards, 10, 134, 188, 196 delayed entry program, 19 research needs, 134, 187�188 functional capacity assessment for risk risk factors, 131 reduction in, 100 waiver requests, 128�131 gender-specific training programs, 105� Attention deficit hyperactivity disorder 106, 184 (ADHD) , 143 group exercises, 103 enlistment disqualifications, 144 injury and attrition in, 7�8, 14, 79�80 enlistment standards, 142, 145, 188 injury and attrition risk reduction pharmacotherapy, 138, 139, 140 strategies, 100�106 prescreening, 150, 190 injury risk factors, 80�85, 181 prevalence, 4, 136, 140 physical fitness assessment during, 2, substance use risk and, 4, 136 19, 32, 66 Attitudes toward enlistment, 10, 12 physical training in, 66�67, 181 Attrition purpose, 66, 102�103, 181 asthma-related, 131�132, 133�134, 187 recommendations for redesigning, 9, body composition risk factors, 119�121, 106, 195 185�186 tailored to fitness levels of recruits, 9, cost-performance trade-off analysis, 57� 14, 101, 102�105, 107, 195 58 Bipolar disorder, 142, 150, 190 costs, 49, 54

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From page 245...

... INDEX 245 Blood pressure testing, 39 C Blood testing, 39 Body fat. See Body weight and composition Cardiorespiratory fitness Body mass index attrition risk and, 87�88 asthma risk, 131 body composition and, 119 current military population, 111�117 current military profile, 73�74 current standards, 3, 185 current population profile, 73, 74�77 injury and attrition rates and, 7�8, 17, data sources, 17 186 disqualifications for service, 15, 109 population profile, 110, 111 as predictive of military service recommendations for fitness performance, 7 assessment, 9, 126�127, 186, 187, risk of injury and, 80�81, 82, 86 195 See also Endurance, cardiorespiratory retention standards, 187 Chief medical officer, MEPS, 26 See also Body weight and composition Chronic pain disorder, 143 Body weight and composition, 3 Cigarette use body fat measurement, 113, 117�119 associated behavioral problems, 8, 170� changes in basic training, 123�125 172, 194 cost-performance trade-off analysis of cost-performance trade-off analysis of standards for, 56�59 standards for, 172�174 current military population, 113�119 educational attainment and, 174�176 current population profile, 3, 110�111 enlistment standards, 5, 152, 163 current standards, 3, 185 historical military policy, 162 data sources, 17 implications for enlistment screening, in definition of physical fitness, 68 174�176 demographic differences, 110, 111�113 injury and attrition risk, 8, 99, 167�172, disqualification for service based on, 3, 193�194, 196 15, 109, 185 in military population, 162�163, 165� height and weight tables, 117 167, 193, 194 MEPS screening, 26, 28�29, 178 patterns and trends, 5, 163�167 military job performance and, 52, 122� research needs, 9, 176, 194, 196 123 Combat experience, mental health rationale for enlistment standards, 119, outcomes, 141 122�123, 185�186 Combat readiness recommendations for fitness components of, 18 assessment, 9, 126�127, 186, 195 as physical fitness standard, 6, 14 recruiting station assessment, 25, 177 Conduct disorder, 138, 142 retention standards, 117, 127, 185, 186� Contract, enlistment, 41 187 Costs risk of injury and attrition, 80, 81�82, asthma care, 8, 132 96, 119�121, 185�186 attrition, 49, 54 waivers of disqualification, 7�8, 17 benefits of injury reduction programs, See also Body mass index; Obese and 103�105 overweight persons cost-performance trade-off analysis, 53� Bone injuries, 79.

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From page 246...

... 246 INDEX physical and medical outcome physical and medical condition trends, measures, 50 13, 71�73, 74�77 recruiting, 55�56 population of interest, 1�2, 13�14 smoking-related, 162, 168�170 recruitment goals, 22 Credit check, 40 See also Age factors; Gender differences; Cumulative impact injury, 92�94 Race/ethnicity Depression among military personnel, 140, 141, 188 D clinical course, 149, 189 as disqualifying condition, 142, 145�147, Data collection 189 connectivity and compatibility of epidemiology, 136, 137 databases, 60�61 pharmacotherapy, 137�139, 189 for evaluating predictive validity of recommendations for assessment, 9, enlistment standards, 6�7, 9, 14, 50 150, 190 individual medical and mental health recommendations for enlistment data, 9, 30, 59�60, 178 standards, 147, 149�150, 189 on injury and attrition, 15�16, 17 treatment, 145 management databases, 62 Developmental disorders, 138 medical prescreening, 4, 9, 25, 36, 41�46 Diabetes, 117 mental health, 143�144, 151, 191 Dial-A-Medic Program, 25 privacy protections, 59, 60 Dichotomous assessment criteria, 6, 48 recommendations for, 9, 36, 61, 151, 178, Directive 1304.26 (DoD) , 152 191, 195�196 Disqualifying conditions, 14 research needs, 9 asthma, 3, 128, 131�132, 134, 187 sources, 14, 16�17, 62�65 body weight and composition, 3, 15, surveillance databases, 62�63 109, 185 Defense Manpower Data Center, 17, 61, 64 current distribution, 109 Defense Medical Surveillance System, 62 current standards, 19, 21 Delayed entry program, 19, 31, 41, 101 data sources, 17 Demands of military service dichotomous assessment criteria, 48 attrition and injury risk, 16 medical, 2, 15, 17, 19, 24�25, 78�79, 109 body weight and composition effects, military entrance processing, 26 122�123 psychiatric disorders, 4, 15, 19, 109, combat readiness, 6, 14, 18, 178�179 142�143, 144�147, 149�150, 188, 189 cross-service requirements, 36�37, 179, recruitment station processing, 26 195 retention standards, 71, 117, 127, 185, functional capacity assessment for, 99� 186�187 100 standards based on, 48�49 mental and emotional stress in, 3�4, standards evaluation methodology, 52 135�136, 188 substance use, 5, 15, 78, 109, 153 musculoskeletal injury risk factors, 89 trade-off analysis of tobacco use PULHES system of physical standards, 172�174 examination for, 30�31 Disruptive behavior disorders, 136 research needs, 9, 13, 37, 179 Dissociative disorders, 143 substance use effects, 159�161 Drug use.

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From page 247...

... INDEX 247 Economic factors influencing enlistment, 1, body weight and composition, 110, 111, 11 112�113 applicant's financial problems, 40 cardiorespiratory fitness, 2, 35, 74, 77 unemployment rate, 12 current military population, 18 Educational attainment gender-specific physical training attrition and, 38�39, 49, 51�52, 54 programs, 105�106, 184 cost-performance trade-off analysis, 53� injury and attrition patterns, 7, 14, 79� 56 80, 105�106, 181, 183 Department of Defense classification, 38 injury and attrition risk, 82, 87, 96�98, enlistment outcome linkage, 39, 49, 51� 108 52 musculoskeletal injury during training, evaluation methodology, 48 79�80, 105�106, 183 recruitment goals, 39 overweight and obese youth, 3 smoking patterns and, 174�176 physical fitness testing and, 35�36 Encopresis, 143 psychological disorder patterns, 136, Endurance, cardiorespiratory, 2 137, 141 in definition of physical fitness, 68 recommendations for research, 108, 184, demographic differences, 2, 35, 74, 77 195 measurement, 69 recruitment goals, 22 trends, 2 substance use patterns, 5, 156�159 See also Cardiorespiratory fitness tobacco use patterns and trends, 165� Endurance, muscular, 2 166 Army Physical Fitness Test, 71 Goals, recruitment, 1, 11�12, 21 in definition of physical fitness, 68 demographic diversity, 22 functional capacity assessment, 99�100 educational attainment of recruits, 39 measurement, 69 See also Shortfalls, recruiting Enlistment standards. See Standards, Group training, 103 enlistment Enuresis, 143, 188 Existing prior to service discharges, 145 H Health Examination Survey Cycle II, 77 F Health Insurance Portability and Accountability Act (1996)

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From page 248...

... , 33 assessment methodology, 48 Instruction 6130.4 (DoD) , 19, 23�24, 131 cost-performance trade-off analysis of International comparisons, physical fitness, standards for, 56�59 74�77 data collection in recruitment process, 9, 25, 30, 177 data sources, 59�60 J disqualifying conditions and waivers, 2, 14, 15, 17, 24�25, 48�49, 78�79, 178, Job performance evaluation 188 challenges, 6�7, 16 enlistment outcome evaluations, 50, 52 outcome selection and linkage, 49�53 enlistment standards, 23�24, 47 See also Attrition; Injuries; Trade-off military entrance processing, 26�31, model for assessing standards 177�178 Physical Profile Serial System, 30�31 K prescreen, 24�25, 41�46, 177, 178 recommendations for data collection, 9, Knee problems, 78, 97, 98 178, 195 recruiting station assessment, 24�26, 177 See also Asthma; Body weight and L composition; Mental health; Obese and overweight persons; Physical Learning disorders, 142, 188 fitness Legal challenges to preemployment, 35�36 Medical professionals, in MEPS, 26 Load-tolerance relationship, 89�90 Mental health attrition and injury risk, 16, 140�141, 142, 144, 188 M combat experience and, 141 Marijuana use common disorders, 4.

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From page 249...

... multifactorial causation, 89, 106 costs, 29 prevalence in applicant population, 77� detection of musculoskeletal injuries in, 79 77�78 racial/ethnic patterns, 98�99 examinations performed, 29 risk factors, 89�99, 181, 182�183 medical and physical assessments, 19, risk reduction strategies, 99�106, 182 26�31, 39, 177�178, 195 See also Muscular strength; Orthopedic medical disqualifications and waivers, screening 17, 78�79 medical personnel in, 26 mental health assessment, 9, 143, 150� N 151, 190, 195 substance use disqualifications during, National Guard, 2, 14 5 National Health and Nutrition transportation to, 25�26 Examination Survey, 71�73, 77 Military occupational specialties Naval Recruiting Command, 29 applicant's selection and placement, 40 Navy different enlistment standards for, 5�6, asthma waivers, 132 14 attrition patterns, 80 physical fitness requirements, 32, 36, body weight and composition 178�179 standards, 117, 118 MIRS.

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From page 250...

... 250 INDEX Neurological screening, 26 cross-Service requirements, 36�37, 179, Neurotic disorders, 144�145 195 data sources, 17, 59�60 definition and components, 2, 33, 67�68, O 70 demographic patterns, 13, 71�73, 74�77 Obese and overweight persons disqualifying conditions, 48�49 current prevalence, 3, 110�111, 185 enlistment outcome indicators, 50 definition, 3, 110, 185 enlistment standards, 2, 6, 9, 18�19, 31� disqualification for service, 78 33, 70�71, 85, 88, 100, 178�179 effectiveness of weight control failure to maintain, 71 programs, 123�126, 186�187 gender-specific training programs, 105� enlistment outcome evaluations, 50 106, 184 health outcomes, 110, 185 goals of basic training, 66�67, 102�103 opportunity for MEPS reevaluation, 28� health-related components, 68 29 injury and attrition risk reduction population trends, 111, 185 strategies, 99�106, 182 See also Body mass index; Body weight legal challenges to employment testing, and composition 35�36 Obsessive-compulsive disorder, 142 measurement approaches, 13, 48, 68�69 Occupational area counseling, 40 MEPS testing, 31, 39 Orthopedic screening, 109 as predictive of job performance, 7, 13, disqualification for service, 78, 79 17, 35, 36 enlistment outcome measures, 50 PULHES assessment system, 30�31 MEPS, 26 recommendations for assessment and Oxygen consumption. See VO2max measurement, 9, 36�37, 106�107, 195 recommendations for assessment prior P to basic training, 183 recommendations for measurement, 9 Panic disorder, 142 requirements of different military Paranoid disorder, 142 occupational specialties, 5�6, 13, 14, Paraphilias, 143 32, 36, 178�179 Patella, 78 research needs, 9, 36, 107, 179, 183�184 Peacekeeping missions, 135�136, 188 risk of injury in training and, 80�85, 96, Penalties for failure to maintain physical 182 fitness, 71 of soldiers entering service, 66 Personality disorders, 138, 140, 143, 145, test components of military Services, 33, 188 70 Pharmacotherapy, psychiatric, 4, 137�139, testing in basic training, 2, 19, 32, 66 140 training programs prior to basic Phobias, 142 training, 19, 31, 101�102, 107 Physical fitness See also Body weight and composition; assessment during recruitment process, Cardiorespiratory fitness; 100�101, 183 Endurance, cardiorespiratory; attrition risk factors, 80�82, 85�89 Endurance, muscular; Medical basic training outcomes, 66�67 condition(s)

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From page 251...

... INDEX 251 mental health, 4, 9, 148�149, 190 Repetitive motion injuries, 92�94 recommendations for, 9, 36, 178, 190 Reserve Officers' Training Corps, 2, 14 President's Council on Physical Fitness, 74 Reserve units, 2, 14 Primary Care Evaluation of Mental Retention standards, 71, 117, 127, 185, 186� Disorders, 148 187 Privacy Act (1974) , 60 Risk-taking behavior, 171 Privacy and confidentiality, health data, 59, Rotator cuff conditions, 79 60 Running Private sector employment, 12 body composition and, 119, 120 physical fitness testing, 33�36 injury reduction strategies, 103�105 Psychosexual disorders, 143 Psychosocial context as injury risk factor, 89, 95�96, 181, 182� S 183 stresses of military service, 3�4, 135�136 Schizophrenia, 140, 142, 150, 188, 190 See also Mental health Sensitivity of tests, 50�51 Psychotic disorders, 138, 142, 150, 190 Shortfalls, recruiting PULHES assessment system, 30�31 causes of, 12 enlistment standards and, 11, 12 recent history, 11�12, 21 R Shoulder problems, 78�79 Sleepwalking, 143, 188 Race/ethnicity, 14 Smokeless tobacco, 163 applicants for service, 18 Social phobia, 142 asthma patterns, 3, 127, 128, 131�132, Somatoform disorders, 143, 145 134, 187 Specificity of tests, 50, 51 asthma waivers, 128 Spine, 95 body weight and composition profiles, Standards, enlistment 111�113, 185 asthma, 10, 134, 188, 196 cardiorespiratory fitness, 74 based on disqualifying conditions, 48 considerations in design of enlistment body mass index, 3, 111�119 standards, 18 combat readiness, 6, 14 current military population, 17�18 current predictive validity, 6�8, 13 injury and attrition patterns, 86, 98�99 design procedures, 47, 48, 53 physical fitness patterns, 73 for different military occupational population trends, 18 specialties, 5�6, 14, 179 prevalence of overweight youth, 3 issues of concern, 1�2, 11, 12�13 psychological diagnosis patterns, 136, medical, 23�31, 47 137 mental health, 142�143, 145�147, 149� recruitment goals, 22 150, 188�189 substance use patterns, 5, 156�159, 192 methodology for evaluating.

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From page 252...

... Air Force Research Laboratory, 16 Substance use U.S. Army Accession Command, 16 attention deficit hyperactivity disorder U.S.

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From page 253...

... INDEX 253 for psychiatric conditions, 4, 7, 141, 144, Weight. See Body mass index; Body weight 145 and composition; Obese and subsequent attrition and, 7�8, 17, 159, overweight persons 160�161 Weight loss programs, 125�126 for substance use, 153, 159�161 Wolff's law, 94�95 Women.

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Index Pages 243-254

Index
Pages 243-254