Psychological and Physical Performance Factors Associated with Attrition in Explosive Ordnance Disposal Training

Author(s):  
J. Hogan ◽  
R. Hogan ◽  
S. Briggs
2020 ◽  
Vol 77 (4) ◽  
pp. 231-237
Author(s):  
Nadine Lebde ◽  
Joshua Burns ◽  
Martin Mackey ◽  
Jennifer Baldwin ◽  
Marnee McKay

ObjectivesTo establish normative reference values for work ability in healthy Australian adults using the Work Ability Score and investigate the association of physical performance factors.MethodsThe Work Ability Score was collected from 720 participants aged 18–101 years from the 1000 Norms Project. Physical performance was evaluated by assessing isometric strength of 13 muscle groups; flexibility of six joints; and 11 functional measures categorised as gross motor, fine motor and balance tasks. Correlations and multiple regression analyses were performed to identify physical performance factors independently associated with work ability.ResultsAge-stratified reference values were generated for work ability. Work ability increased during young adulthood (18–44 years) and declined from middle adulthood (45–64 years) into older adulthood (≥65 years), with no sex differences. Greater gross motor function and balance correlated with work ability (r=−0.498 to −0.285; p<0.001). Multiple regression identified younger age, being employed and a faster timed up and down stairs test as significant independent factors associated with work ability (r2=0.333, p<0.001).ConclusionsReference data can be used to identify individuals with low work ability. This study has identified physical factors associated with work ability that can potentially be targeted to maintain longevity in work. Physical tests such as the timed up and down stairs test may assist in the development of objective job-specific screening tools to assess work ability, supplementing subjective evaluation.


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 59
Author(s):  
Diego Urrunaga-Pastor ◽  
Fernando M. Runzer-Colmenares ◽  
Tania M. Arones ◽  
Rosario Meza-Cordero ◽  
Silvana Taipe-Guizado ◽  
...  

Background: Physical performance in the older adult has been extensively studied. However, only a few studies have evaluated physical performance among older adults of high Andean populations and none have studied the factors associated with it. The objective of this study was to evaluate factors associated with poor physical performance by using the Short Physical Performance Battery (SPPB) in older adults living in 11 Peruvian high Andean communities. Methods: An analytical cross-sectional study was carried out in inhabitants aged 60 or over from 11 high-altitude Andean communities of Peru during 2013-2017. Participants were categorized in two groups according to their SPPB score: poor physical performance (0-6 points) and medium/good physical performance (7-12 points). Additionally, we collected socio-demographic, medical, functional and cognitive assessment information. Poisson regression models were constructed to identify factors associated with poor physical performance. Prevalence ratio (PR) with 95% confidence intervals (95 CI%) are presented. Results: A total of 407 older adults were studied. The average age was 73.0 ± 6.9 years (range: 60-94 years) and 181 (44.5%) participants had poor physical performance (0-6 points). In the adjusted Poisson regression analysis, the factors associated with poor physical performance were: female gender (PR=1.29; 95%CI: 1.03-1.61), lack of social support (PR=2.10; 95%CI: 1.17-3.76), number of drugs used (PR=1.09; 95%CI: 1.01-1.17), urinary incontinence (PR=1.45; 95%CI: 1.16-1.82), exhaustion (PR=1.35; 95%CI: 1.03-1.75) and cognitive impairment (PR=1.89; 95%CI: 1.40-2.55). Conclusions: Almost half of the population evaluated had poor physical performance based on the SPPB. Factors that would increase the possibility of suffering from poor physical performance were: female gender, lack of social support, number of drugs used, urinary incontinence, exhaustion and cognitive impairment. Future studies with a larger sample and longitudinal follow-up are needed to design beneficial interventions for the high Andean population.


2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 9014-9014
Author(s):  
Supriya Gupta Mohile ◽  
Lin Fan ◽  
Jennifer S. Gewandter ◽  
Karen Michelle Mustian ◽  
Luke Joseph Peppone ◽  
...  

9014 Background: CIPN impairs quality of life in cancer survivors. Little is known about the prevalence of falls, physical performance (PP) deficits, and functional losses or their association with CIPN toxicities in cancer survivors. Methods: We conducted an analysis of baseline assessments from a phase III randomized clinical trial in cancer survivors with CIPN self reported pain scores of > 4 reflecting leg and foot pain from neuropathy over the past 24 hours on a scale from 0 (“no pain”) to 10 (“pain as bad as you can imagine”). Patients also completed EORTC QLQ-CIPN-20 sensory and motor scales for neuropathy toxicities and self reported falls in the previous 3 months. A PP deficit was defined as “a lot of difficulty” or “unable to do” any of 6 physical tasks (e.g., lifting objects, walking a quarter of a mile). Functional losses were defined as “a lot of difficulty” or “unable to do” any of 5 functional tasks (e.g., managing money, bathing). We examined the association of baseline characteristics and CIPN toxicities with falls, PP deficits and functional losses using logistic regression. Results: Of 421 patients, 11.9% experienced recent falls, 58.6% reported a PP deficit, and 26.6% reported a functional loss. Patients with falls and/or PP deficits were more likely to be older (mean age 60.9 vs 58.9, p=0.02), female (75.3% vs 65.2%, p=0.03) and have less education (<high school: 7.1% vs 0.6%, p<.01). Cancer and chemotherapy history were not different between groups. Patients with falls and/or PP deficits reported higher severity of CIPN toxicities: pain (6.82 vs 6.05, p<0.01), sensory (23.3 vs 19.6, p<0.01), and motor (17.4 vs 12.7, p<0.01). In multivariable analysis, factors associated with having a fall and/or PP deficit included: older age (OR 1.03, p=0.04), low education (OR 9.34, p=0.04), and motor toxicity (OR 1.21, p<0.01). Factors associated with functional losses included: non-white race (OR 3.16, p=0.01), Hispanic ethnicity (OR 5.32, p=0.05), motor toxicity (OR 1.19, p<0.01), and PP deficit (OR 4.94, p<.01). Conclusions: CIPN toxicities, primarily motor, are significantly associated with falls, physical performance deficits, and functional losses.


2009 ◽  
Vol 15 (2) ◽  
pp. 39-40
Author(s):  
T. Hahn ◽  
S.L. Smiley ◽  
W. Tan ◽  
G. Wilding ◽  
J. Thomas ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 430-430
Author(s):  
Dottington Fullwood ◽  
Roger Fillingim ◽  
Alisa Johnson ◽  
Nancy Gell

Abstract Pain interference (PI) is an indicator of pain impact and is associated with physical performance (PP). However, factors associated with PI among older adults are not well described, including associations with PP and racial differences. This study explored PI among older adults by race. Data were obtained from the 2013 Pain Supplement of the National Health and Aging Trends Study (N= 1,202; 59.9% female, 23.0% Black non-Hispanic). Interviews included questions on sociodemographics, multi-morbidities, pain intensity (0-10 scale), and PI overall. Participants were also asked “In the last month, how much did pain interfere with ADLs, household activities, going outside, shopping, social activities and walking, which was used to create a PI index (Range 0-18). Physical performance measures assessed balance, gait speed, and chair stands (Short physical performance battery; SPPB). Logistic and multivariable regression analyses were conducted to determine associations among PI with PP, pain intensity, and race. Older Black adults experienced higher pain intensity (3.90 vs. 3.03) and demonstrated greater PP limitations (5.4 vs. 7.1 SPPB score) compared to older White adults (p&lt;0.001). Higher scores on the PI index were associated with worse PP, higher pain intensity, depression, multi-morbidity, and White race (p &lt;0.001), independent of confounders. Similarly, more PI overall was associated with White race, higher pain intensity, worse PP, and multi-morbidity (p&lt;0.001). Despite higher pain intensity and worse physical performance, older Black adults reported lower PI than White older adults. Additional exploration is needed to discern the paradoxically lower PI among older Black adults, including potential resilience factors.


2018 ◽  
Vol 13 (10) ◽  
pp. 1386-1391 ◽  
Author(s):  
Arturo Casado ◽  
Andrew Renfree

Purpose:To assess tactical and performance factors associated with progression from qualification rounds in the 800-m and 1500-m running events at the 2017 International Association of Athletics Federations World Championships.Methods:Official results were used to access final and intermediate positions and times, as well as performance characteristics of competitors. Shared variance between intermediate positions and rank order lap times with finishing positions were calculated, along with probability of automatic qualification, for athletes in each available race position at the end of every 400-m lap. Differences in race positions and lap times relative to season’s best performances were assessed between automatic qualifiers, fastest losers, and nonqualifiers.Results:Race positions at the end of each 400-m lap remained more stable through 800-m races than 1500-m races. Probability of automatic qualification decreased with both race position and rank order lap times on each lap, although rank order lap times accounted for a higher degree of shared variance than did intermediate position. In the 1500-m event, fastest losers ran at a higher percentage of season’s best speed and adopted positions closer to the race lead in the early stages. This was not the case in the 800-m.Conclusions:Intermediate positioning and the ability to produce a fast final race segment are strongly related to advancement from qualification rounds in middle-distance running events. The adoption of a more “risky” strategy characterized by higher speeds relative to season’s best may be associated with an increased likelihood of qualification as fastest losers in the 1500-m event.


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