Welcome to the HPRC Blog. We've got lots of information here, from quick tips to in-depth posts about detailed human performance optimization topics.
HPRC Fitness Arena: Total Force Fitness
The American Academy of Orthopaedic Surgeons defines a stress fracture as a tiny crack in a bone that occurs when fatigued muscles lose their ability to absorb shock and then transfer stresses to the bone. Most stress fractures occur in the lower extremities, and more than half occur in the lower leg and foot.
A stress fracture is an overuse—sometimes referred to as chronic—injury, which means that it develops over a long period of time—from weeks to months. According to a 2011 systematic review published in Military Medicine, stress fracture incidence is high among U.S. military recruits, ranging anywhere from 3% for men to 9.2% for women.
Since it can take several weeks or months for a stress fracture to heal, the best approach is to avoid getting one. Here are some tips for prevention:
- Apply the progression principle of training—gradually increase your training intensity. Slowly incorporate higher-stress activities such as jumping and interval training into your workout. Setting incremental goals can be helpful in carrying out your training routine in a gradual way. And check out HPRC’s Physical Fitness Resources for more information on training and ways to avoid injury.
- Check your footwear and make sure it matches your training. Replace footwear that is old or worn.
- Pay attention to the surface where you train, since some are easier on the bones and joints of the lower extremities. For example, it is better to jog on softer surfaces such as rubber track or grass rather than on concrete. Also, it’s better to begin training on a flat surface and then progress to hills.
- Monitor your diet, specifically calcium and vitamin D intake, and read the National Institute of Health’s Dietary Supplement Fact Sheet on calcium. To learn more about nutrition take a look at HPRC’s Nutrition Resources.
Do you buy dietary supplements when you want to lose weight, improve your performance, or give yourself a boost to get through a long day or hard workout? Then watch for this soon-to-be-released service-wide educational campaign by the Department of Defense in collaboration with the Human Performance Resource Center. Operation Supplement Safety (OPSS) will help Warfighters and their families make informed decisions when choosing dietary supplements. See HPRC’s new OPSS link for an introductory article on supplement safety.
Children grow and change over the course of a deployment, and service members can sometimes miss events and milestones. Here are some practical strategies you can keep in mind during reintegration to help your children and teenagers.
Week #4 tips: Strategies you can use during reintegration.
- When a deployed parent returns, slowly transition the roles and responsibilities of each family member at home, but don’t forget the individual needs of each person as well as the family as a whole.
- Let your children know that you love them unconditionally, but still provide clear expectations and boundaries.
- Brainstorm a list of fun activities to do as a family.
- Devote one-on-one time with each child when you return home in order to get reacquainted with your children.
- Demonstrate how to cope well with emotions. For example, children can be taught emotion management. One tool is called a “feeling thermometer.” Family members can monitor and control their feelings using the picture of a temperature thermometer to manage stress when the temperature is too high.
National Nutrition Month is still going strong, bringing lots of healthy eating information to the attention of Americans. The Academy of Nutrition and Dietetics is weighing in with their “Get Your Plate in Shape” campaign, which focuses on getting the right nutrition without too many calories. Their Eat Right website page offers snack ideas, recipes, weight management tips, and exercise nutrition advice.
This week we offer some practical strategies to help you to keep the lines of communication open with your teens about deployment and post-deployment reintegration.
Week #3 tips: Maintain open communication with your teenager.
- The most important strategy to use especially with teens is to maintain open communication about concerns, emotions, and questions.
- Encourage your teens and children to speak out about their thoughts and feelings to their loved ones. It not only helps manage their emotions, but it also helps foster closer family relationships.
- Stay close to your teen or child while you are deployed using the technology they love: smartphones, Twitter, Facebook, email, etc.
- Reinforce your teenager’s growing autonomy while you rebuild and maintain your relationship in new and flexible ways. Let your teen choose how much he or she wants to stay in touch; take a hint from how—and how often—they respond to you reaching out.
- You also can encourage your teens and children to create a “scrapbook” of videos, pictures, stories, and relevant events that took place while their parent was deployed so experiences can be shared during and after deployment.
The goal of National Nutrition Month is to remind Americans to eat healthy and choose foods with good nutrition. The FDA’s theme for 2012 is “Remember to Use the Nutrition Facts Label.” One tool you can use to help make good food choices is the Nutrition Facts label that appears on all packaged foods and beverages. To learn how to read labels, visit the FDA’s web page “Nutrition Facts Label Programs and Materials.”
Here are some additional practical strategies and tips you as a parent can use to help your children and teens cope with deployment and the post-deployment reintegration process.
Week #2 tips: Easing deployment and reintegration
- Before deployment: If you’re being deployed, try recording your own audio books so your child can listen to your voice during your deployment. This also will help your child stay connected to you by continuing family routines such as reading before bed.
- During deployment: Depending on their age, kids don’t understand timeframes as well as adults do. If you continue to remind them of future plans during and after the deployed parent’s return, it will help them deal with the separation and reunion.
- Try referring to the deployed parent’s absence as work instead of just saying that he or she is gone. This helps children realize that the absent parent didn’t simply choose to leave them, which could make for a better reunion.
- Before the deployed parent returns, talk about what issues to address when he or she does. And plan activities you can share together.
- Throughout the deployment cycle: Be aware of mental health symptoms for children of all ages. If needed, join your children or teenagers in group counseling; it can be a helpful forum where everyone can discuss experiences, feelings, and thoughts.
Grab your headphones and learn effective relaxation strategies for performance optimization and stress reduction with the Relax Relax Toolkit from the Navy and Marine Corps Public Health Center (NMCPHC). Featuring audio instruction from experts and links to evidence-based information on each technique, this toolkit covers a number of strategies including breathing exercises, muscle relaxation strategies, meditation styles, and combination and advanced strategies. To help meditation, Relax Relax also presents a variety of relaxing music to help you meditate. Visit the HPRC’s Stress Control Tools for more information on relaxation strategies.
HPRC has received a number of questions about whether dietary supplements—especially those used for bodybuilding and weight loss—could result in a positive result on military drug tests.
Military drug testing begins with urine, which is first screened and then followed by additional tests depending on the outcome of the screen. You can get extensive information about the DoD drug policy and drug testing from the TRICARE website section on the Drug Demand Reduction Program (DDRP), including military testing. And for answers about the potential effects of specific dietary supplements on drug screening tests, you can contact your service’s military drug testing laboratory by phone or email at:
- U.S. Army, Fort Meade, MD – (301)-677-7085 FTDTL_MSupport@amedd.army.mil
- U.S. Army, Tripler AMC, HI – (808)-433-5176 FTDTLWeb.Portal@amedd.army.mil
- U.S. Navy, Great Lakes, IL – 847-688-2045, press 2 or ext 113 NDSLGLfirstname.lastname@example.org
- U.S. Navy, San Diego, CA – 619-532-5180 NDSLSDemail@example.com
- U.S. Navy, Jacksonville, FL – 904-542-7755, press 2 or ext 104 DLJAX@dlj0ndsl.med.navy.mil
- U.S. Air Force, Lackland AFB, TX – (210) 292-3089 firstname.lastname@example.org
Positive urinalysis results due to dietary supplement use can occur because products on the market may contain undeclared drug ingredients—that is, controlled substances that are not stated/listed on the product label. More information can be found in the FDA News Release from 2010 in which this was brought to the public’s attention. There is no way to know if a particular supplement contains an undeclared drug without laboratory testing, but the FDA does keep track of such products once identified through its MedWatch program. One of the best ways to check for such products—and other potential health issues related to dietary supplements—is through the FDA website’s Dietary Supplements Alerts section.
The Department of Defense (DoD) currently has no formal policy on the use of dietary supplements and no list of either banned or safe supplements. For more on this topic, read HPRC’s article “Is there a list of dietary supplements/substances banned by the military?”
Many children and teenagers born and raised in military families learn to adapt to their parent’s deployment and return and become more resilient as a result. However, no family is immune to stress. Learning what strategies work best for your family—and each family member—is important for optimal performance over the long run.
Over the next five weeks, HPRC will suggest some practical strategies that you can use as a parent to help your children and teens to cope with deployment and post-deployment reintegration.
Week #1 tips: Try talking with your child about any phase of deployment.
- Help your children stay in touch with their deployed parent—whether through phone calls, videos, or email. Keeping the absent parent up-to-date with events on the home front helps make the homecoming easier.
- Talk about changes that occur during deployment. If your child doesn’t want to talk, encourage expression through playing or drawing.
- Allow and encourage your children to ask any questions they may have regarding deployment—before, during, and after—and give them open, honest, and age-appropriate answers.