Publications by authors named "Stephen A Foulis"

Objective: Less than half of servicewomen report loss of menses during initial military training. However, self-reported menstrual status may not accurately reflect hypothalamic-pituitary-ovarian (HPO) axis suppression and may underestimate reproductive health consequences of military training. Our aim was to characterise HPO axis function during US Army Basic Combat Training (BCT) in non-hormonal contraceptive-using women and explore potential contributors to HPO axis suppression.

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Lower extremity injuries are prevalent in military trainees, especially in female and older trainees. Modifiable factors that lead to higher injury risk in these subgroups are not clear. The purpose of this study was to identify whether external loading variables during military-relevant tasks differ by age and sex in U.

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Purpose: The purpose of this study is to optimize a dMS-based urinary proteomic technique and evaluate the relationship between urinary proteome content and adaptive changes in bone microarchitecture during BCT.

Methods: Urinary proteomes were analyzed with an optimized dMS technique in two groups of 13 recruits ( N = 26) at the beginning (Pre) and end (Post) of BCT. Matched by age (21 ± 4 yr), sex (16 W), and baseline tibial trabecular bone volume fractions (Tb.

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Roberts, BM, Staab, JS, Caldwell, AR, Sczuroski, CE, Staab, JE, Lutz, LJ, Reynoso, M, Geddis, AV, Taylor, KM, Guerriere, KI, Walker, LA, Hughes, JM, and Foulis, SA. Sex does not affect changes in body composition and insulin-like growth factor-I during US Army basic combat training. J Strength Cond Res 38(6): e304-e309, 2024-Insulin-like growth factor 1 (IGF-I) has been implicated as a biomarker of health and body composition.

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Peak tibial accelerations (TAs) during running are strongly related to early stance vertical ground reaction forces (GRFs), which are associated with musculoskeletal injury. However, few studies have examined these correlations during walking, and none have evaluated them during walking with loads, a relevant activity for military personnel. Our purpose was to determine the relationships between GRFs and TAs in US Army trainees (n = 649) walking with loads.

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Article Synopsis
  • In 1981, the US military developed body fat standards using circumference-based equations for men and women to encourage physical readiness and combat obesity, but these equations were known to underestimate body fat percentage (%BF).
  • A study involving young adult recruits assessed the validity of these circumference-based methods against more accurate Dual-energy X-ray absorptiometry (DXA) measurements before and after an 8-week Army Basic Combat Training (BCT).
  • Results showed that circumference measurements not only underestimated %BF both at the start and during BCT but also failed to detect changes in women's body fat, indicating these methods may not be reliable for tracking body composition changes in short training periods.
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  • Basic combat training (BCT) leads to significant changes in the bone microarchitecture of soldiers, particularly in the tibia, and is influenced by factors like sex and race.
  • A study analyzed 1,605 trainees, measuring bone density and thickness before and after 8 weeks of BCT, finding increases across all groups but notable differences in the degree of change based on sex and race.
  • Female trainees showed greater improvements in trabecular bone metrics compared to males, while white trainees had better outcomes than black trainees in certain bone density measures.
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  • - The study investigates how basic training (BCT) affects menstruation in female trainees, specifically looking at whether changes in body mass, composition, or physical activity are linked to menstrual interruptions.
  • - Female trainees were divided into two groups based on their menstrual history: those with regular cycles and those with missed cycles, with assessments done before and after BCT.
  • - Results showed that a significant majority (86%) experienced menstrual changes, with those having regular cycles more likely to retain menstrual periods. Additionally, gaining body mass and lean mass may increase the chances of missing a period during training.
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Spiering, BA, Clark, BC, Schoenfeld, BJ, Foulis, SA, and Pasiakos, SM. Maximizing strength: the stimuli and mediators of strength gains and their application to training and rehabilitation. J Strength Cond Res 37(4): 919-929, 2023-Traditional heavy resistance exercise (RE) training increases maximal strength, a valuable adaptation in many situations.

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Exercise can be both anabolic and catabolic for bone tissue. The temporal response of both bone formation and resorption following an acute bout of exercise is not well described. We assayed biochemical markers of bone and calcium metabolism for up to 3 days after military-relevant exercise.

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Cohen BS, Redmond JE, Haven CC, Foulis SA, Canino MC, Frykman PN, Sharp MA. Occupational Experience Effects on Physiological and Perceptual Responses of Common Soldiering Tasks. J Strength Cond Res 37(4): 894-901, 2023-This study measured the impact of occupational experience (i.

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Background: In 2013 the U.S. Army began developing physical tests to predict a recruit's ability to perform the critical physically demanding tasks (CPDTs) of combat arms jobs not previously open to women.

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Introduction/background: As a proxy for adiposity, body mass index (BMI) provides a practical public health metric to counter obesity-related disease trends. On an individual basis, BMI cannot distinguish fat and lean components of body composition. Further, the relationship between BMI and body composition may be altered in response to physical training.

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Maintaining physical performance: the minimal dose of exercise needed to preserve endurance and strength over time, Spiering, BA, Mujika, I, Sharp, MA, and Foulis, SA. J Strength Cond Res 35(5): 1449-1458, 2021-Nearly every physically active person encounters periods in which the time available for exercise is limited (e.g.

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Article Synopsis
  • The U.S. Army Occupational Physical Assessment Test (OPAT) is designed to evaluate recruits' physical capabilities to match them with suitable Military Occupational Specialties (MOSs), featuring tests like the seated power throw (SPT) and strength deadlift (SDL).
  • A study was conducted with 32 participants to compare two variants each of the SPT and SDL, focusing on performance differences when seated on the ground versus in a chair, and using a hex-bar versus dumbbells for the deadlift.
  • Results showed a significant increase in performance for the SPT when done from a chair compared to the ground and for the SDL using a hex-bar versus dumbbells, indicating that test variants can impact physical performance measurements.
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Objective: To examine the sleep health of incoming Army trainees and how it is impacted during basic combat training (BCT).

Design: Prospective.

Setting: BCT site (Fort Jackson, SC).

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Introduction: This study compared the relationship between height (HT), body mass (BM), and body mass index (BMI) of female trainees and active duty female soldiers and their performance on simulated common soldiering tasks (CSTs) with high physical demands.

Methods: Female trainees (n = 133) and soldiers (n = 229) completed the following CSTs: sandbag carry, move under fire, casualty drag, casualty evacuation, and road march. Quartiles were created among HT, BM, and BMI by which task performance was compared using ANOVAs with Tukey post hoc comparisons.

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Introduction: There are many ways to quantify the training loads required to perform soldiering tasks. Although indirect calorimetry may provide the most accurate measures, the equipment can be burdensome and expensive. Simpler measures may provide sufficient data, while being more practical for measuring soldiers in the field.

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Background: Beginning in 2017, successfully passing the four-part pre-enlistment Occupational Physical Assessment Test (OPAT) became a requirement for all U.S. Army recruits.

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Background: Musculoskeletal injuries (MSKIs) are common in military trainees and present a considerable threat to occupational fitness, deployability, and overall military readiness. Despite the negative effects of MSKIs on military readiness, comprehensive evaluations of the key known and possible risk factors for MSKIs are lacking. The U.

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Introduction: Musculoskeletal injuries (MSKIs) pose a significant threat to military readiness and are difficult to monitor due to Soldiers' reluctance to seek medical treatment. There is high risk of developing MSKIs while going through initial entry training (IET), many of which go unreported. The purposes of this study were to identify the contributing factors that influence US Army trainees to not seek medical care for self-reported symptoms of musculoskeletal injury (SMSKI) and establish how those factors may differ by sex, training school, and installation site.

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