Skip main navigation

Military Health System

Clear Your Cache

Health.mil has undergone a recent update. For the best user experience we recommend clearing your browser cache.

TFF: A holistic approach to health and performance

Image of Silhouette of man climbing a hill. Air Force Senior Airman Erick Requadt climbs a dirt incline during the 2019 Moody Mud Run in Ray City, Ga. For service members to meet and excel in their performance, it’s important for them to pay attention to all eight life domains, including physical fitness. (Photo by Air Force Airman 1st Class Eugene Oliver.)

What does it take to reach and sustain an optimal level of military fitness, health, and performance?

As with any journey, a roadmap can point out the best path. Total Force Fitness provides the military community with that roadmap to reach their peak performance.

Introduced to the Department of Defense in 2009, Total Force Fitness is a framework that helps warfighters, their family members, and military units reach and sustain optimal, holistic health and performance in a way that aligns with their mission, culture, and identity. By taking a holistic approach to improving warfighter performance, Total Force Fitness also serves as the Military Health System’s connection to first line of effort in the current National Defense Strategy – building a more lethal force.

“The DOD is increasingly recognizing that people represent our greatest asset, and the human weapon system is the priority investment to ensure readiness, said retired Army Col. (Dr.) Francis O’Connor, professor in the Department of Military and Emergency Medicine at the Uniformed Services University and the medical director of the Consortium for Health and Military Performance. “Total Force Fitness is the framework that links the vision with practical implementation.”

Total Force Fitness suggests you reconsider what it means to be healthy beyond just physical fitness by focusing on your whole self and those life domains that are key to holistic military wellness. Your total fitness includes eight domains: social, physical, environmental, medical and dental preventive care, ideological and spiritual, nutritional, psychological, and financial health.

In any given situation, you may draw on each Total Force Fitness domain to perform well. For example, if you’re getting ready to take your physical fitness and physical readiness tests, the emphasis is on your muscular strength and cardiovascular endurance. However, many other things — such as the quality of your sleep, what you’re eating, and reactions to any supplements you might be taking—can impact your performance. Your mental focus, environment, and support system of training partners play a role too.

“Total Force Fitness has become a priority across the DOD because leaders understand the importance of looking at our people as the greatest asset,” said Dr. Patricia Deuster, professor at the Uniformed Services University and executive director of the Consortium for Health and Military Performance (CHAMP). “That means taking care of them in every domain of TFF – from nutritional and physical fitness to social and spiritual fitness – as they service and sacrifice for our country.”   

Total Force Fitness gets away from a one-size-fits-all model for health and performance. It allows your identity, culture, and mission to shape your quest for total fitness. Everyone’s mission demands, occupational risks, culture, and mission-essential skills are different, so their approaches to sustaining health and performance need to be different.

"For service members to meet and excel in their performance, it’s important for them to pay attention to all eight life domains. Understanding the intersection of the Total Force Fitness domains is crucial to optimizing performance and readiness,” said O’Connor. “For example, it’s possible to assist in the management of depression by leveraging your social relationships, changing your diet, and getting more exercise. In addition, your mental health can boost your cardiovascular health and physical fitness—mental imagery can help.”

The Human Performance Resources by CHAMP (HPRC), at the Uniformed Service University of Health Sciences in Bethesda, Maryland, is one great resource for TFF information. Its website is there to support your fitness needs, and even boasts an “Ask the Expert” feature if you don’t find answers to your question right away.

As a warfighter, participating in your own total fitness contributes to your readiness and helps achieve Total Force Fitness. You’ll know you’ve reached peak performance when you’re performing at your best and thriving in all aspects of your life. When you have great relationships with the people around you, and you feel happy and fulfilled.

And when you’re physically healthy and fit, you feel a sense of purpose in the things you do, and you’re able to bounce back and grow from the curve balls life throws at you.

You also may be interested in...

Policy
Sep 11, 2015

Instruction: #DODI 6490.13, Comprehensive Policy on Traumatic Brain Injury-Related Neurocognitive Assessments by the Military Services

This instruction establishes policy, assigns responsibilities, and prescribes standard elements, pursuant to section 722 of Public Law 111-383, requiring the implementation of a comprehensive neurocognitive assessment policy in the military services.

  • Identification #: DODI 6490.13
  • Type: Instruction
Policy
Oct 31, 2014

Memorandum: Pre-Deployment, Deployment, and Post-Deployment Training, Screening, and Monitoring Guidance for Department of Defense Personnel Deployed to Ebola Outbreak Areas

.PDF | 8.96 MB

Department of Defense personnel (Service members and civilian employees)deployed to Centers for Disease Control and Prevention defined Ebola outbreak areas will complete pre and post-deployment screening and training requirements outlined in this memorandum and supplemented by United States Africa Command (USAFRICOM) guidance.

  • Identification #: N/A
  • Type: Memorandum
Policy
Oct 20, 2014

Memorandum: #13-006, Addendum to Guidance on the Establishment of Department of Defense Standardization for Ordering and Procurement of Hearing Devices Prostheses 13-006

.PDF | 94.68 KB

This memorandum clarifies procedures relating to Health Affairs' "Guidance on the Establishment of Department of Defense Standardization for Ordering and Procurement of Hearing Devices/Prosthesis," dated August 15, 2013, which remains in effect.

  • Identification #: 13-006
  • Type: Memorandum
Policy
Apr 28, 2014

Instruction: #DODI 1010.10, Health Promotion and Disease Prevention

This instruction reissues DOD Directive 1010.10 (Reference (a)) as a DOD instruction (DoDI) in accordance with the authority in DODD 5124.02 (Reference (b)) to establish policy and assign responsibilities for health promotion and disease prevention in accordance with References (c) through (f).

  • Identification #: DODI 1010.10
  • Type: Instruction
Policy
Sep 18, 2012

Instruction: #DODI 6490.11, DOD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting

This instruction establishes policy, assigns responsibilities, and provides procedures on the management of mild traumatic brain injury (mTBI), also known as concussion, in the deployed setting.

  • Identification #: DODI 6490.11
  • Type: Instruction
Policy
Apr 20, 2012

Memorandum: Guideline for Tuberculosis Screening and Testing

.PDF | 119.55 KB

Because accessions come from widely diverse geographic backgrounds, the Services should determine the need for tuberculin skin tests for accessions while Service members are at the training base, based on the needs of the specific accessions environment and operational mission requirements. DOD will implement targeted testing rather than universal ...

  • Identification #: N/A
  • Type: Memorandum
Policy
May 11, 2011

Instruction: DCoE Clinical Recommendations Post Injury NCAT

.PDF | 252.30 KB

In accordance with Section 1673 of the NDAA HR 4986, signed into law in January of 2008, the Secretary of Defense was instructed to establish a protocol for the pre-deployment assessment and documentation of the cognitive functioning of Service Members deployed outside the United States. In advance of definitive evidence of superiority for any single ...

  • Identification #: N/A
  • Type: Instruction
Skip subpage navigation
Refine your search
Last Updated: February 25, 2025
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery