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  • Title: Weight change, lifestyle, and dietary behavior in the US military's Warrior in Transition Units.
    Author: Kieffer AJ, Cole RE.
    Journal: US Army Med Dep J; 2012; ():6-13. PubMed ID: 23007930.
    Abstract:
    OBJECTIVE: To identify lifestyle factors that may contribute to weight changes experienced by Warfighters assigned to Warrior in Transition Units (WTU). DESIGN: Multicenter, cross-sectional, descriptive study at 4 military installations (Fort Hood, TX; Fort Bliss, TX; Fort Sam Houston, TX; and Fort Gordon, GA). Participants completed a self-reported questionnaire regarding environmental, social, and dietary lifestyle behaviors. Study participants were recruited and data collected from February through July 2009. RESULTS: Four hundred twelve wounded Warfighters (97.6% Soldiers) participated; 51% indicated they were overweight and 61% desired weight loss. About 51% exceeded a normal body mass index (18.5 to 27.4 kg/m2) according to Army height and weight standards. Roughly 85% of all participants experienced weight change following their injury. Limited activity was self-reported as the main reason for weight gain (66.2%), and deployment as the main reason for weight loss (21.7%). Lifestyle factors that changed included skipping meals, eating snacks, eating at sit-down restaurants, performing aerobic and anaerobic physical activity. The majority of participants (more than 70%) consume 3 standard meals per day, with 25% reporting that the meal typically skipped was breakfast. CONCLUSION: The WTU Soldiers saw themselves as overweight, desired to lose weight, and reported several changes in lifestyle factors upon entry into the WTU. There is a need for more focused nutrition-related and physical fitness-oriented interventions to aid Warrior recovery, promote rehabilitation, and decrease length of time in the WTU.
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