Physiological employment standards IV: integration of women in combat units physiological and medical considerations

被引:75
作者
Epstein, Yoram [1 ,2 ]
Yanovich, Ran [1 ,3 ]
Moran, Daniel S. [4 ]
Heled, Yuval [1 ,3 ]
机构
[1] Chaim Sheba Med Ctr, Heller Inst Med Res, IL-52621 Tel Hashomer, Israel
[2] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel
[3] IDF Med Corps, Inst Mil Physiol, Tel Hashomer, Israel
[4] Ariel Univ, Ctr Samaria, Ariel, Israel
关键词
Soldiers; Combat; Females; Physiological strain; Adaptation; FEMALE MILITARY RECRUITS; MAXIMAL OXYGEN-UPTAKE; FUNCTIONAL HYPOTHALAMIC AMENORRHEA; TRAINING-RELATED INJURIES; SEX-RELATED DIFFERENCES; IRON-DEFICIENCY ANEMIA; COLD-WATER IMMERSION; BONE-MINERAL DENSITY; STRESS-FRACTURE RISK; GENDER-DIFFERENCES;
D O I
10.1007/s00421-012-2558-7
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Anthropometric and physiological factors place the average female soldier at a disadvantage relative to male soldiers in most aspects of physical performance. Aerobic and anaerobic fitness levels are lower in women than in men. Thus, women have a lower overall work capacity and must therefore exert themselves more than men to achieve the same output. The lower weight and fat-free mass and the higher body fat of women are associated with lower muscle strength and endurance, placing them at disadvantage compared with men in carrying out military tasks such as lifting and carrying weights or marching with a load. Working at a higher percentage of their maximal capacity to achieve the same performance levels as men, women tire earlier and are at increased risk of overuse injuries. Their smaller size, different bone geometry and lower bone strength also predispose women to a higher incidence of stress fractures. Although training in gender-integrated groups narrows the gaps in fitness, significant differences between the genders after basic training still remain. Nevertheless, integration of women into military combat professions is feasible in many cases. Some 'close combat roles' will still be an exception, mainly because of the extreme physical demands that are required in those units that are beyond the physiological adaptability capacities of an average female. There is no direct evidence that women have a negative impact on combat effectiveness. Once the gender differences are acknowledged and operational doctrines adjusted accordingly, female soldiers in mixed-gender units can meet the physical standards for the assigned missions.
引用
收藏
页码:2673 / 2690
页数:18
相关论文
共 169 条
[1]   Hyponatremia among runners in the Boston Marathon [J].
Almond, CSD ;
Shin, AY ;
Fortescue, EB ;
Mannix, RC ;
Wypij, D ;
Binstadt, BA ;
Duncan, CN ;
Olson, DP ;
Salerno, AE ;
Newburger, JW ;
Greenes, DS .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (15) :1550-1556
[2]   Heat Tolerance in Women-Reconsidering the Criteria [J].
Amit, Druyan ;
Makranz, Chen ;
Moran, Daniel ;
Yanovich, Ran ;
Epstein, Yoram ;
Yuval, Heled .
AVIATION SPACE AND ENVIRONMENTAL MEDICINE, 2012, 83 (01) :58-60
[3]  
Armed Forces Health Surveillance Center, 2011, MSMR, V18, P14
[4]   Exertional heat illness during training and competition [J].
Armstrong, Lawrence E. ;
Casa, Douglas J. ;
Millard-Stafford, Mindy ;
Moran, Daniel S. ;
Pyne, Scott W. ;
Roberts, Wiliam O. .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2007, 39 (03) :556-572
[5]   Could women outrun men in ultramarathon races? [J].
Bam, J ;
Noakes, TD ;
Juritz, J ;
Dennis, SC .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1997, 29 (02) :244-247
[6]   Comparison of stress fractures of male and female recruits during basic training in the Israeli anti-aircraft forces [J].
Bar-Dayan, Y ;
Gam, A ;
Goldstein, L ;
Karmon, Y ;
Mintser, I ;
Grotto, I ;
Guri, A ;
Goldberg, A ;
Ohana, N ;
Onn, E ;
Levi, Y ;
Bar-Dayan, Y .
MILITARY MEDICINE, 2005, 170 (08) :710-712
[7]   Effects of age and gender on sweating pattern during exercise [J].
Bar-Or, O .
INTERNATIONAL JOURNAL OF SPORTS MEDICINE, 1998, 19 :S106-S107
[8]   PHYSICAL GROWTH AND DEVELOPMENT DURING PUBERTY [J].
BARNES, HV .
MEDICAL CLINICS OF NORTH AMERICA, 1975, 59 (06) :1305-1317
[9]   Stress fracture in military recruits: Gender differences in muscle and bone susceptibility factors [J].
Beck, TJ ;
Ruff, CB ;
Shaffer, RA ;
Betsinger, K ;
Trone, DW ;
Brodine, SK .
BONE, 2000, 27 (03) :437-444
[10]  
Beckett M. B., 1987, 8726 NAV HLTH RES CT