PMID- 31004433 OWN - NLM STAT- MEDLINE DCOM- 20200630 LR - 20200630 IS - 1930-613X (Electronic) IS - 0026-4075 (Linking) VI - 184 IP - 11-12 DP - 2019 Dec 1 TI - Factors Affecting Performance on an Army Urban Operation Casualty Evacuation for Male and Female Soldiers. PG - e856-e862 LID - 10.1093/milmed/usz075 [doi] AB - INTRODUCTION: This study was conducted to determine what physical and physiological characteristics contribute to the performance of an urban operation casualty evacuation (UO) and its predictive test, FORCE combat (FC) and describe the metabolic demand of the UO in female soldiers. METHODS: Seventeen military members (9 M and 8 F) completed a loaded walking maximal aerobic test, the UO and FC. Heart rate reserve (HRR) and completion time were used as efficiency/performance measures. Oxygen consumption (VO2) was directly measured for UO on five female participants with a portable indirect calorimetry system, and analyzed using descriptive statistics. Stepwise multiple regression analysis was used to determine the contribution of the non-modifiable (age, sex, height) and modifiable characteristics (lean body mass to dead mass ratio (LBM:DM), VO2max corrected for load (L.VO2max), peak force (PF) measured on an isometric mid-thigh pull (IMTP) and medicine ball chest throw distance (Dist) on to the performance of each exercise. RESULTS: LBM:DM and PF were the only factors included in the stepwise regression model for UO, predicting 70% of UO performance (p < 0.01). For FC, L.VO2max only was included in the stepwise regression model predicting 54% of FC performance (p < 0.01). Sex, age and height were not included in the regression model. The average metabolic cost of UO was 21.4 mL of O2*kg-1*min-1 in female soldiers while wearing PPE. CONCLUSION: This study showed that modifiable factors such as body composition, PF on IMTP and L.VO2max are key contributors to performance on UO and FC performance. CI - (c) Association of Military Surgeons of the United States 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Chasse, Etienne AU - Chasse E AD - Human Performance Research and Development, Canadian Forces Morale and Welfare Services, Department of National Defence, 4210 Labelle Street, On.K1J 1J8, Canada. FAU - Tingelstad, Hans Christian AU - Tingelstad HC AD - Human Performance Research and Development, Canadian Forces Morale and Welfare Services, Department of National Defence, 4210 Labelle Street, On.K1J 1J8, Canada. FAU - Needham-Beck, Sarah C AU - Needham-Beck SC AD - Occupational Performance Research Group, Institute of Sport, University of Chichester, College Lane, Chichester, P019 6PE, UK. FAU - Reilly, Tara AU - Reilly T AD - Human Performance Research and Development, Canadian Forces Morale and Welfare Services, Department of National Defence, 4210 Labelle Street, On.K1J 1J8, Canada. LA - eng PT - Journal Article PL - England TA - Mil Med JT - Military medicine JID - 2984771R SB - IM MH - Adult MH - Calorimetry/instrumentation/methods MH - Exercise/*physiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Military Personnel/*statistics & numerical data MH - Nova Scotia MH - Oxygen Consumption/physiology MH - *Physical Functional Performance MH - Urban Population/statistics & numerical data OTO - NOTNLM OT - Military personnel OT - body composition OT - cardiorespiratory fitness OT - female OT - muscle strength OT - oxygen consumption EDAT- 2019/04/21 06:00 MHDA- 2020/07/01 06:00 CRDT- 2019/04/21 06:00 PHST- 2018/10/30 00:00 [received] PHST- 2019/01/22 00:00 [revised] PHST- 2019/04/21 06:00 [pubmed] PHST- 2020/07/01 06:00 [medline] PHST- 2019/04/21 06:00 [entrez] AID - 5475542 [pii] AID - 10.1093/milmed/usz075 [doi] PST - ppublish SO - Mil Med. 2019 Dec 1;184(11-12):e856-e862. doi: 10.1093/milmed/usz075.