Deydre S Teyhen1,2, Daniel I Rhon2,3, Robert J Butler4, Scott W Shaffer2, Stephen L Goffar2,5, Danny J McMillian6, Robert E Boyles6, Kyle B Kiesel7,8, Phillip J Plisky7,8. 1. Defense Health Headquarters, US Army Medical Command, Falls Church, VA. 2. Doctoral Program in Physical Therapy, US Army-Baylor University, Joint Base San Antonio-Fort Sam Houston, TX. 3. Department of Physical Medicine & Rehabilitation, Madigan Army Medical Center, Joint Base Lewis-McChord, WA. 4. Doctoral Program in Physical Therapy, Duke University, Durham, NC. 5. School of Physical Therapy, University of Incarnate Word, San Antonio, TX. 6. Doctoral Program in Physical Therapy, University of Puget Sound, Tacoma, WA. 7. Doctoral Program in Physical Therapy, University of Evansville, IN. 8. ProRehab, PC, Evansville, IN.
Abstract
CONTEXT: Although inactivity, being overweight, smoking, and a history of injury are identified as risk factors for poor health and injury, few authors have examined their association on physical performance. Young adults may be more likely to adopt healthier lifestyles if they understand the effect of health behaviors on performance. OBJECTIVE: To determine the association of being overweight, smoking, inactivity, and a history of injury with physical performance. DESIGN: Cross-sectional study. SETTING: Military population. PATIENTS OR OTHER PARTICIPANTS: Active-duty service members (N = 1466; 1380 men, 86 women; age = 24.7 ± 5.0 years; body mass index = 26.7 ± 3.4 kg/m2). MAIN OUTCOME MEASURE(S): Participants performed 8 measures (the triple-crossover hop for distance, the 6-m timed-hop test, the Functional Movement Screen, the Lower Quarter Y-Balance Test, the Upper Quarter Y-Balance Test, and the 3-event Army Physical Fitness Test) for evaluation of endurance, strength, muscular endurance, power, agility, balance, and motor control. Participants were categorized based on the number of health risk factors present. Using an analysis of covariance, we assessed the relationship between risk factors and physical performance with age and sex as covariates. RESULTS: Compared with those who had no risk factors (27.9% of men, 34.9% of women), physical performance was worse in those who had 1, 2, or 3 to 4 risk factors present by 4.3%, 6.7%, and 10.3%, respectively. Decrements in performance for those with 3 to 4 risk factors ranged from 3.3% to 14.4%. CONCLUSIONS: An unhealthy lifestyle habit or a history of injury was negatively associated with physical performance. Physical performance decrements were associated with the number of risk factors present. Understanding how risk factors contribute to decreased physical performance may enable clinicians to improve compliance with injury-prevention programs in occupational settings in which a young and relatively healthy workforce may be more concerned about performance than health.
CONTEXT: Although inactivity, being overweight, smoking, and a history of injury are identified as risk factors for poor health and injury, few authors have examined their association on physical performance. Young adults may be more likely to adopt healthier lifestyles if they understand the effect of health behaviors on performance. OBJECTIVE: To determine the association of being overweight, smoking, inactivity, and a history of injury with physical performance. DESIGN: Cross-sectional study. SETTING: Military population. PATIENTS OR OTHER PARTICIPANTS: Active-duty service members (N = 1466; 1380 men, 86 women; age = 24.7 ± 5.0 years; body mass index = 26.7 ± 3.4 kg/m2). MAIN OUTCOME MEASURE(S): Participants performed 8 measures (the triple-crossover hop for distance, the 6-m timed-hop test, the Functional Movement Screen, the Lower Quarter Y-Balance Test, the Upper Quarter Y-Balance Test, and the 3-event Army Physical Fitness Test) for evaluation of endurance, strength, muscular endurance, power, agility, balance, and motor control. Participants were categorized based on the number of health risk factors present. Using an analysis of covariance, we assessed the relationship between risk factors and physical performance with age and sex as covariates. RESULTS: Compared with those who had no risk factors (27.9% of men, 34.9% of women), physical performance was worse in those who had 1, 2, or 3 to 4 risk factors present by 4.3%, 6.7%, and 10.3%, respectively. Decrements in performance for those with 3 to 4 risk factors ranged from 3.3% to 14.4%. CONCLUSIONS: An unhealthy lifestyle habit or a history of injury was negatively associated with physical performance. Physical performance decrements were associated with the number of risk factors present. Understanding how risk factors contribute to decreased physical performance may enable clinicians to improve compliance with injury-prevention programs in occupational settings in which a young and relatively healthy workforce may be more concerned about performance than health.
Authors: Neville Owen; Phillip B Sparling; Geneviève N Healy; David W Dunstan; Charles E Matthews Journal: Mayo Clin Proc Date: 2010-12 Impact factor: 7.616
Authors: Francis G O'Connor; Patricia A Deuster; Jennifer Davis; Chris G Pappas; Joseph J Knapik Journal: Med Sci Sports Exerc Date: 2011-12 Impact factor: 5.411
Authors: Jennifer M Hootman; Carol A Macera; Barbara E Ainsworth; Cheryl L Addy; Malissa Martin; Steven N Blair Journal: Med Sci Sports Exerc Date: 2002-05 Impact factor: 5.411
Authors: Deydre S Teyhen; Mark A Riebel; Derrick R McArthur; Matthew Savini; Mackenzie J Jones; Stephen L Goffar; Kyle B Kiesel; Phillip J Plisky Journal: Mil Med Date: 2014-04 Impact factor: 1.437
Authors: Kinsey Pebley; Alexis Beauvais; Leslie A Gladney; Mehmet Kocak; Robert C Klesges Klesges; Marion Hare; Phyllis A Richey; Karen C Johnson; Ann Hryshko-Mullen; G Wayne Talcott; Rebecca A Krukowski Journal: Mil Med Date: 2020-06-08 Impact factor: 1.437
Authors: Garrett Bullock; Albert Prats-Uribe; Charles A Thigpen; Lisa Boyer; Kate Varnado; Jason Pequette; Ellen Shanley Journal: Sports Health Date: 2022-06-29 Impact factor: 4.355
Authors: Deydre S Teyhen; Scott W Shaffer; Stephen L Goffar; Kyle Kiesel; Robert J Butler; Daniel I Rhon; Phillip J Plisky Journal: Sports Health Date: 2020-03-05 Impact factor: 3.843
Authors: Daniel I Rhon; Deydre S Teyhen; Kyle Kiesel; Scott W Shaffer; Stephen L Goffar; Tina A Greenlee; Phillip J Plisky Journal: Arthrosc Sports Med Rehabil Date: 2022-01-28