military rank and obesity: a cross-sectional study of military dependents cared for at mamc

Military Rank And Obesity: A Cross-Sectional Study of Military Dependents Cared for at MAMC Objective This study examines BMI data of military spouses based on the rank of their sponsor. Background •BMI is routinely measured at all clinic encounters to screen for obesity. •Demographics of obesity in military dependents is unknown •USPSTF recommends referral of all adults with a BMI 30 or higher to intensive, multi-component, behavioral interventions Results • Female spouses of enlisted soldiers have statistically higher mean BMI in all age groups • No difference in mean BMI of male spouses however averages were near a BMI of 30 and more data needed • BMI generally increases with age in both enlisted and officer female spouse CPT James H Winegarner, MD. Madigan Army Medical Center Department of Family Medicine, Fort Lewis, WA BMI is consistently higher in female spouses of enlisted soldiers compared to similar aged officer spouses. Male spouse BMI data underpowered to show difference. This data can be used to target interventions to address obesity. Conclusio n Discussion •Female enlisted spouses are, on average, 2.6-4.8 BMI points heavier than their age matched officer counterparts. •BMI difference unlikely due to access to health care or exercise facilities, and possibly food costs as military benefits partially control for these variables •Possible confounders: Size of families, normal BMI patients less likely to see physicians, number of deployments and low number of male visits •Main socioeconomic status difference between groups: income and education in household The opinions or assertions contained herein are the private views of the author(s) and are not to be construed as oﬃcial or as reﬂecting the views of the Department of Defense. Methods •Single retrospective query the Electronic Health Record (CHCS) •Data on random subjects of each military rank E1-E8 and O1-O6 collected Jan 2011-Jan2012. •Goal of at least 100 subjects at each rank •Data collected: rank of sponsor, age, gender, BMI •Analysis using IBM SBSS Version 18 (Chicago): • Independent T-Test, Two way ANOVA, Female Dependents Age Group Rank of Sponsor N Mean BMI Std. Dev Mean Differenc e* (95% CI) Sig 18-23 Enlisted 1355 27.2 6.3 3.9 (2.1- 5.7) <0.001 Officer 23 23.3 4.0 24-28 Enlisted 1815 28.3 6.7 4.1 (3.4- 4.8) <0.001 Officer 174 24.2 4.3 29-33 Enlisted 1264 29.3 7.1 4.0 (3.3- 4.7) <0.001 Officer 230 25.3 4.3 34-38 Enlisted 811 30.1 6.9 4.1 (3.2- 5.0) <0.001 Officer 181 26.0 5.1 39-43 Enlisted 538 30.7 7.2 4.8 (3.9- 5.7) <0.001 Officer 170 25.8 4.7 >43 Enlisted 294 29.8 7.0 2.6 (1.4- 3.7) <0.001 Officer 162 27.3 5.3 Total Enlisted 6077 Officer 940 Male Dependents Age Group Rank of Sponsor N Mean BMI Std. Dev Mean Difference (95% CI) Sig 18-23 Enlisted 8 32.9 8 N/A N/A Officer 0 - - 24-28 Enlisted 26 29.8 6.9 0.8 (-6.5- 4.9) 0.78 Officer 9 30.6 8.2 29-33 Enlisted 34 29.7 6.7 0.3 (-3.7- 4.2) 0.879 Officer 14 29.4 4.5 34-38 Enlisted 18 29.9 4.1 3.0 (-1.6- 7.6) 0.193 Officer 4 26.9 3.2 39-43 Enlisted 32 31.2 8.9 3.3 (-2.3- 9.0) 0.241 Officer 11 27.8 4.3 >43 Enlisted 34 30.2 6.4 0.1 (-3.7- 3.5) 0.958 Officer 19 30.3 6 Total Enlisted 152 Officer 57

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Background BMI is routinely measured at all clinic encounters to screen for obesity. Demographics of obesity in military dependents is unknown USPSTF recommends referral of all adults with a BMI 30 or higher to intensive, multi-component, behavioral interventions. Objective - PowerPoint PPT Presentation

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Military Rank And Obesity: A Cross-Sectional Study of Military Dependents Cared for at MAMC

ObjectiveThis study examines BMI data of military spouses based on the rank of their sponsor.

Background• BMI is routinely measured at all clinic encounters to screen for obesity. • Demographics of obesity in military dependents is unknown• USPSTF recommends referral of all adults with a BMI 30 or higher to intensive, multi-component, behavioral interventions

Results• Female spouses of enlisted soldiers have

statistically higher mean BMI in all age groups• No difference in mean BMI of male spouses

however averages were near a BMI of 30 and more data needed

• BMI generally increases with age in both enlisted and officer female spouse

CPT James H Winegarner, MD. Madigan Army Medical Center Department of Family Medicine, Fort Lewis, WA

BMI is consistently higher in female spouses of enlisted soldiers compared to similar aged officer spouses. Male spouse BMI data underpowered to show difference. This data can be used to target interventions to address obesity.

Conclusion

Discussion• Female enlisted spouses are, on average, 2.6-

4.8 BMI points heavier than their age matched officer counterparts. • BMI difference unlikely due to access to health

care or exercise facilities, and possibly food costs as military benefits partially control for these variables• Possible confounders: Size of families, normal

BMI patients less likely to see physicians, number of deployments and low number of male visits • Main socioeconomic status difference between

groups: income and education in household

The opinions or assertions contained herein are the private views of the author(s) and are not to be construed as official or as reflecting the views of the Department of Defense.

Methods

• Single retrospective query the Electronic Health Record (CHCS)• Data on random subjects of each military rank E1-E8 and O1-O6 collected Jan 2011-Jan2012. • Goal of at least 100 subjects at each rank• Data collected: rank of sponsor, age, gender, BMI• Analysis using IBM SBSS Version 18 (Chicago):

• Independent T-Test, Two way ANOVA, Post Hoc Bonferroni

Female Dependents

Age GroupRank of Sponsor N Mean BMI Std. Dev

Mean Difference*

(95% CI) Sig18-23 Enlisted 1355 27.2 6.3

3.9 (2.1-5.7) <0.001Officer 23 23.3 4.0

24-28 Enlisted 1815 28.3 6.74.1 (3.4-4.8) <0.001Officer 174 24.2 4.3

29-33 Enlisted 1264 29.3 7.14.0 (3.3-4.7) <0.001Officer 230 25.3 4.3

34-38 Enlisted 811 30.1 6.94.1 (3.2-5.0) <0.001Officer 181 26.0 5.1

39-43 Enlisted 538 30.7 7.24.8 (3.9-5.7) <0.001Officer 170 25.8 4.7

>43 Enlisted 294 29.8 7.02.6 (1.4-3.7) <0.001Officer 162 27.3 5.3

Total Enlisted 6077