Relationship between military test scores and obesity-related health risk scores in air defense troops

Keywords: fitness test, military personnel, age, gender, body mass index


Purpose: To study the relationship between the results of the Army Combat Fitness Test and the age, gender, body mass index, waist circumference, and health risk index in the military personnel of the Ukrainian army.

Design: The analysis was based on data collected in 2020 for 306 military personnel (255 men and 51 women).

Methods: To compare the number of the Army Combat Fitness Test performed and not performed by military personnel by age, Body Mass Index group, and non-obese and risk groups. Pearson χ2 test was used. Odds ratios were calculated to assess the risk factors for failing the Army Combat Fitness Test. These analyses were performed depending on gender. Loglinear and Receiver Operating Characteristic – these data were used to determine success within military personnel

Results: The incidence of non-compliance with the Army Combat Fitness Test in men and women was statistically different in all groups (p = 0.000). The results show 23.529% of male soldiers failed the test. Obese male soldiers did not pass this test (83.333%) while non-obese soldiers (20.576%). Among women, the number of those who did not pass the test was 78.431%. Male and female soldiers classified as "at-risk" had the highest test failure rates (54.255% and 97.436%).

The observed dependence is statistically significant (p <0.001). The relative risk index indicates a direct relationship between obesity and failing the test (p <0.001). Loglinear analysis yielded a meaningful model (χ2 (3) = 169.182; p = 0.000). Wald allows you to determine the statistical significance of individual indicators such as gender. Body Mass Index, risk. These indicators have a great impact on the success of the test. We can talk about a fairly high-quality predictive model with fairly high specificity and excellent classification.

Conclusions. The Army Combat Fitness Test is age-tolerant, and Body Mass Index and Waist Circumference are useful indicators for fitness test results for the Grounded forces.


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Author Biographies

Alexander Piddubny, Ivan Kozhedub Kharkiv National Air Force University, Ukraine

Ivan Kozhedub Kharkiv National Air Force University.

61023, Kharkiv-23, Sumskaya Street 77/79, Ukraine


Serhii Palevych, Ivan Kozhedub Kharkiv National Air Force University, Ukraine

Ivan Kozhedub Kharkiv National Air Force University.

61023, Kharkiv-23, Sumskaya Street 77/79, Ukraine

Vitaliy Kirpenko, Харківський національний університет Повітряних Сил імені Івана Кожедуба. кафедра фізичної підготовки. спеціальної фізичної підготовки і спорта, Україна

Ivan Kozhedub Kharkiv National Air Force University.

61023, Kharkiv-23, Sumskaya Street 77/79, Ukraine

Michael Anthonny Martinez Velez, Naval Educational Unit "Comandante Cesar Endara Penaherrera" Naval School, Ecuador

Naval Educational Unit "Comandante Cesar Endara Penaherrera" Naval School, Ecuador, Quito 170111, Ecuador

Federico Anibal Martinez Velez, Universidad Nacional Mayor de San Marcos. Lima. Peru

Comando de educacion y doctrina del Ejercito Ecuatoriano

Universidad Nacional Mayor de San Marcos. Lima. Peru


Fogelholm M. Malmberg J. Suni J. Santinala M. Kyröläinen H. Mäntysaari M. Waist circumference and BMI are independently associated with the variation of cardio-respiratory and neuromuscular fitness in young adult men. International Journal of Obesity. 2006 Jan;30:962–969.

Paul M. Vanderburgh. EdD. Nicholas S. Mickley BS. Philip A. Load-Carriage Distance Run. and Push-Ups Tests: No Body Mass Bias and Occupationally Relevant. Military Medicine. 2011 Sep;176(9):1032–1036.

Pierce JR. DeGroot DW. Grier TL. Hauret KG. Nindl BC. East WB. et al. Body mass index predicts selected physical fitness attributes but is not associated with performance on military relevant tasks in U.S. Army Soldiers. Journal of science and medicine in sport. 2017 Nov;20(4):79–84.

Vanderburgh. Paul M. Occupational Relevance and Body Mass Bias in Military Physical Fitness Tests. Medicine & Science in Sports & Exercise. 2008 Aug;40(8):1538-1545. DOI: 10.1249/MSS.0b013e31817323ee

Palevych S. Kyrpenko V. Piddubny A. Bozhko S. Tzymbaliyk Zh. Michael Anthony Martinez Velez. et al. Structural validity of the physical fitness test battery. Health. Sport. Rehabilitation. 2021Dec;7(4):84-97.

WHO. World Health Organization: Obesity and overweight. facts and figures. [On-line].; 2020. Available at:

Jensen MD. Ryan DH. Apovian CM. Ard JD. Comuzzie AG. Donato KA. et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Journal of the American College of Cardiology. 2014 Jul;63(25):3029-303.

Management of Overweight and Obesity Working Group. VA/DoD clinical practice guideline for screening and management of overweight and obesity. Washington (DC): Department of Veterans Affairs. Department of Defense. 2014:178.

National Health and Medical Research Council. Clinical practice guidelines for the management of overweight and obesity in adults. adolescents. and children in Australia. Melbourne (Australia): National Health and Medical Research Council. 2013:202.

Academy of Nutrition and Dietetics. Adult weight management evidence-based nutrition practice guideline. Chicago (IL): Academy of Nutrition and Dietetics. 2014

Kenny GP. Groeller H. McGinn R. Flouris AD. Age. human performance. and physical employment standards. Applied physiology. nutrition. and metabolism. 2016 Jun;41(6):92–107.

Palevych SV. Piddubny OG. Tkachuk OA. Zolochevsky VV. The state of the problem and directions for improving the special physical training of servicemen of the Air Force of the Armed Forces of Ukraine. Sportyvna nauka Ukrayiny. 2018;1(83):15-25.

Norwegian Armed Forces. Physical requirements for education and service in the Armed Forces. 2020. Available from:

US Army Public Health Command. Public Health Report No. 12-02-0614. Correlations Between Physical Fitness Tests and Performance of Military Tasks: A Systematic Review and Meta-Analyses. Prepared by Hauschild VD. DeGroot D. Hall S. et al. Aberdeen Proving Ground (MD): USAPHC. 2014. Available from DTIC:

Appendix 2 to Annex A. HQDA EXORD 219-18 [quoted 25.05.2020]. Available from:

ARMY COMBAT FITNESS TEST 3.0: Exploring a more inclusive scoring assessment. planks stay [quoted 20.04.2021]. Available from:

Altman DG. Practical statistics for medical research. London: 1991. Chapman and Hall.

Pagano M. Gauvreau K Principles of biostatistics. 2nd ed. Belmont. CA: Brooks/Cole. 2000. ISBN: 0534229026 9780534229023 9812435174 9789812435170

COL. Karl E. Friedl.Diabetes Technology & Therapeutics.Oct 2004.732-749.

Friedl. Karl E. Body Composition and Military Performance—Many Things to Many People. Journal of Strength and Conditioning Research. 2012 Jul;26:87-100. https://doi: 10.1519/JSC.0b013e31825ced6c

Member services [quoted 24.09.2020]. Available from:

Heinrich KM. Jitnarin N. Suminski RR. Berkel L. Hunter CM. Alvarez L. et al. Obesity classification in military personnel: a comparison of body fat. waist circumference. and body mass index measurements. Military medicine. 2008; 173(1):67–73.

Phillips CM. Metabolically healthy obesity: definitions. determinants. and clinical implications. Rev Endocr Metab Disord. 2013; 14:219–227.

Samocha-Bonet D. Dixit VD. Kahn CR. Leibel RL. Lin X. Nieuwdorp M. et al. Metabolically healthy and unhealthy obese--the 2013 Stock Conference report. Obesity reviews: an official journal of the International Association for the Study of Obesity. 2014; 15(9):697–708.

Seo MH. Rhee EJ. Metabolic and cardiovascular implications of a metabolically healthy obesity phenotype. Endocrinology and metabolism (Seoul. Korea).2014;29(4):427434.

Scott PA. Ramabhai L. Comparison of male and female responses to carrying absolute and relative loads while on a three-hour military march. Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 2000; 44(17): 161-164.

Flegal KM. Carroll MD. Ogden CL. Curtin LR. Prevalence and trends in obesity among US adults 1999-2008. JAMA. 2010 Jan; 303(3):235–241.

Trappe SW. Costill DL. Vukovich MD. Jones J. Melham T. Aging among elite distance runners: a 22-yr longitudinal study. Journal of applied physiology 1985 Jan; 80(1):285–290.

Santtila M. Kyröläinen H. Vasankari T. Tiainen S. Palvalin K. Häkkinen A. et al. Physical fitness profiles in young Finnish men during the years 1975-2004. Medicine and science in sports and exercise. 2006 Nov; 38(11):1990–1994.

Helmhout P. Health-related fitness in the Royal Netherlands Army. Contract No.: RTO-MP-HFM-181-P7. Utrecht. 2009

Thom JM. Morse CI. Birch KM. Narici MV. Influence of muscle architecture on the torque and power-velocity characteristics of young and elderly men. European journal of applied physiology. 2007 May; 100(5):613–619.

Heath G. W. Hagberg JM. Ehsani AA. Holloszy JO. A physiological comparison of young and older endurance athletes. Journal of applied physiology: respiratory. environmental and exercise physiology. 1981 Sep; 51(3):634–640.

Walter M. Bortz IV. Walter M. Bortz IP. How fast do we age? Exercise performance over time as a biomarker. The journals of gerontology. Series A. Biological sciences and medical sciences. 1996 Sep; 51(5):223–225.

McLaughlin R. Wittert G. The obesity epidemic: implications for recruitment and retention of defense force personnel. Obesity reviews: an official journal of the International Association for the Study of Obesity. 2009Oct; 10(6): 693–699.

Naghii MR. The importance of body weight and weight management for military personnel. Military medicine. 2006 Jun; 171(6): 550–555.

Gantt CJ. Neely JA. Villafana IA. Chun CS. Gharabaghli SM. Analysis of weight and associated health consequences of the active-duty staff at a major Naval medical center. Military medicine. 2008 May; 173(5): 434-440.

Cowan DN. Bedno SA. Urban N. Yi B. Niebuhr DW. Musculoskeletal injuries among overweight army trainees: incidence and health care utilization. Occupational medicine (Oxford. England). 2011 Jun;61(4):247-252.

Riaz H. Khan MS. Siddiqi TJ. Usman MS. Shah N. Goyal A. et al. Association Between Obesity and Cardiovascular Outcomes: A Systematic Review and Meta-analysis of Mendelian Randomization Studies. JAMA network open. 2018 Nov;1(7):e183788.

Lyall DM. Celis-Morales C. Ward J. Iliodromiti S. Anderson JJ. Gill J. et al. Association of Body Mass Index With Cardiometabolic Disease in the UK Biobank: A Mendelian Randomization Study. JAMA cardiology. 2017 Aug; 2(8): 882–889.

Lyons J. Allsopp A. Bilson. J. Influences of body composition upon the relative metabolic and cardiovascular demands of load-carriage. Occupational medicine (Oxford. England). 2005 Apr;55(5):380384.

How to Cite
Piddubny, A., Palevych, S., Kirpenko, V., Velez, M. A. M., & Velez, F. A. M. (2022). Relationship between military test scores and obesity-related health risk scores in air defense troops. Health, Sport, Rehabilitation, 8(1), 71-84.
Original articles. Physical education