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Table 9 Summary of studies that focused on secondary amenorrhea, sex, plantar pressure assessment (of walking gait), range of tibial rotation, tibia length, and waist circumference as risk factors for MskIs

From: Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model

Study

Publication year

Country

Branches

Unit/training

Study type

n

Risk factor*

Secondary amenorrhea

       

 Canham-Chervak [52]

2006

USA

Army

Recruits

P

746 F

No

 Kelly [80]

2000

USA

Navy

Recruits BCT

R

86 F

No

 Knapik [81]

2010

USA

Air Force

Recruits BCT

P

375 F

No

 Knapik [82]

2013

USA

Army

Army military police training

P

553 F

Yes

 Knapik [87]

2008

USA

Army

Recruits BCT

P

920 F

No

 Knapik [88]

2009

USA

Marines

Recruits BCT

P

571 F

No

 Rauh [186]

2006

USA

Marines

 

P

824 F

Yes

 Shaffer [109]

2006

USA

Marines

Recruits BCT

R

2962 F

Yes

Sex (female)

       

 Allsopp [159]

2003

UK

Navy

Recruits

R

1287 M, 354 F

Yes

 Anderson [71]

2017

USA

Army

Light Infantry

R

4384 M, 363 F

No

 Bell [27]

2000

USA

Army

Recruits

P

861

No

 Billings [160]

2004

USA

Air Force

Recruits BCT

R

2006

Yes

 Blacker [161]

2008

UK

Army

Recruits

R

11,937 M, 1480 F

Yes

 Bulathsinhala [49]

2017

USA

Army

Active duty

R

1,299,332

Yes

 Burne [170]

2004

Australia

Military Academy

 

P

122 M, 25 F

Yes

 Canham-Chervak [141]

2000

USA

Army

Recruits BCT

P

655 M, 498 F

Yes

 Craig [40]

2000

USA

Army

Airborne Division

R

242,949 aircraft exits

Yes

 Darakjy [8]

2006

USA

Army

Active duty

P

4101 M, 413 F

Yes

 Fallowfield [77]

2018

UK

Air Force

Recruits

P

990 M, 203 F

Yes

 Finestone [167]

2008

Israel

Army

Light infantry training

P

36 M, 99 F

No

 Finestone [190]

2014

Israel

Army

Cadets

P

78 M, 227 F

Yes

 Gam [191]

2005

Israel

n/a

Recruits

P

375 M, 138 F

Yes

 Garnock [113]

2018

Australia

Navy

Recruits

P

95 M, 39 F

Yes

 Gemmell [192]

2002

UK

Army

Recruits

R

11,907 M, 1483 F

Yes

 George [114]

2012

USA

Army

Combat medics

P

1230

Yes

 Havenetidis [143]

2011

Greece

n/a

Recruits

P

253

Yes

 Hill [115]

2013

USA

Army

Active duty

R

83,323

No

 Itskoviz [32]

2011

Israel

Army

Recruits

R

n/a

Yes

 Knapik [81]

2010

USA

Air Force

Recruits BCT

P

1042 M, 375 F

No

 Knapik [82]

2013

USA

Army

Army military police training

P

1838 M, 553 F

Yes

 Knapik [83]

2013

USA

Army

Brigade Combat Team#

P

805

Yes (to be male)

 Knapik [84]

2007

USA

Army

Band

R

159 M, 46 F

No

 Knapik [85]

2001

USA

Army

Recruits

P

182 M, 168 F

Yes

 Knapik [46]

2018

USA

Army

Recruits BCT

R

475,745 M, 107,906 F

Yes

 Kupferer [164]

2014

USA

Air Force

Trainees

R

141

Yes

 Mattila [37]

2007

Finland

n/a

Conscripts

R

133,943 M, 2044 F

Yes

 Mattila [38]

2007

Finland

Army

Conscripts

P

149,750 M, 2345 F

Yes

 Montain [45]

2013

USA

Army

Recruits BCT

R

421,461 M, 90,141 F

Yes

 Nye [151]

2016

USA

Air Force

Recruits BCT

R

67,525

Yes

 Owens [128]

2009

USA

Army, Marines, Navy, Air Force

Active duty

R

19,730

Yes

 Roy [133]

2012

USA

Army

Brigade Combat Team#

P

246 M, 17 F

Yes

 Scott [122]

2015

USA

Army

Reserve Officer Training

R

165 M, 30 F

No

 Snedecor [193]

2000

USA

Air Force

Recruits

R

8656 M, 5250 F

Yes

 Sormaala [39]

2006

Finland

n/a

Recruits

R

118,149

No

 Waterman [165]

2010

USA

Military Academy

 

R

10,511 person years

Yes

 Waterman [31]

2016

USA

Multiple

Active Duty

R

5,580,875

Yes

 Yates [176]

2004

UK

Navy

Recruits

P

84 M, 40 F

Yes

Plantar pressure assessment (of walking gait)

       

 Finestone [112]

2011

Israel

Army

Elite infantry soldier

P

77 M

No (M)

 Mahieu [148]

2006

Belgium

n/a

Recruits Royal Military Academy

P

69 M

Yes (M)

 Nunns [150]

2016

UK

Marines

Recruits

P

160 M

No (M)

 Rice [120]

2017

UK

Marines

Recruits

P

147 M

Yes$ (M)

 Sharma [103]

2011

UK

Army

Infantry recruits

P

468 M

Yes (M)

Range of tibial rotation during running (lower)

       

 Nunns [150]

2016

UK

Marines

Recruits

P

160 M

Yes (M)

Tibia length (shorter)

       

 Beck [140]

2000

USA

Marines

 

P

624 M, 693 F

Yes

 Finestone [112]

2011

Israel

Army

Elite infantry soldier

P

77 M

Yes (M)

 Goss [194]

2006

USA

Military Academy

Cadets

R

1100

No##

 Moran [149]

2013

Israel

Army

Recruits

P

44

No

 Zhao [108]

2016

China

Army

Recruits

P

1398 M

No (M)###

Waist circumference (higher)

       

 Kupferer [164]

2014

USA

Air Force

Trainees

R

141

No

 Nye [151]

2016

USA

Air Force

Recruits BCT

R

67,525

No

 Taanila [123]

2010

Finland

n/a

Conscripts

P

944 M

Yes (M)

 Taanila [59]

2012

Finland

Army

Conscripts

P

982 M

No (M)

 Taanila [104]

2015

Finland

Army

Conscripts

P

1411 M

Yes (M)

  1. BCT basis combat training; IET initial entry training; n/a not available; R retrospective study; P prospective study; M male; F female; (M) risk factor only for males; (F) risk factor only for females
  2. *Risk factor for musculoskeletal injuries (MSkI); #Deployment; ##Limb length inequality; ###Leg length; $Pressure on digital V