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Total Force Fitness

Welcome to Total Force Fitness, a program that focuses on your entire health throughout your military career. Readiness is measured in more than just physical fitness and medical status. Through Total Force Fitness, we’re going to talk about other areas in your life – like social, spiritual, environmental, and financial – to make sure you and your community are ready for you to do your job.

Because we’re changing the way we talk about health, we created this portal to give you the latest news in Total Force Fitness and information on how its dimensions affect total health.


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How to develop a new relationship path after a TBI

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When you or your partner suffer a traumatic brain injury (TBI), changes to your relationship are likely.


What are the Total Force Fitness Dimensions?

By bringing attention to the eight dimensions of total health, Total Force Fitness makes sure your and your community are ready for you to do your job.


image of physical dimension

 

Physical Fitness is your ability to physically accomplish all aspects of you tasks while avoiding injury.

 

 

 

 

 

image of environmental dimension

 

Environmental Fitness is the ability to perform your tasks in any operational environment.

 

 

 

 

 

image of medical dimension

 

Medical and Dental Preventive Care Fitness is your ability sustain your health and wellness and facilitate restoration to meet medical and dental standards for fitness for duty, return to duty, and medical readiness.

 

 

 

 

 

image of nutritional dimension

 

Nutritional Fitness is your ability to sustain your performance through foods, dietary supplements, and beverages in adequate quantities, quality, and proportions.

 

 

 

 

 

image of spiritual dimension

 

Ideological and Spiritual Fitness refers to your beliefs and practices that strengthen connectedness with sources of hope, meaning, and purpose.

 

 

 

 

 

image of psychological dimension

 

Psychological Fitness is your ability to integrate and improve cognitive, emotional, and behavioral practices.

 

 

 

 

 

image of social dimension

 

Social Fitness is your ability to engage in productive personal and professional relationships, positively interact with unit and command networks, and use resources that promote overall well-being.

 

 

 

 

 

image of financial dimension

 

Financial Fitness is the combination of attitude, knowledge, and skills to make and exercise money management decisions that best support your life circumstances.

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Smoking Cessation 2020

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5/28/2020
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Holiday Food Safety Tip: Keep Cold Food Cold

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10/16/2019
Food Safety Tip: Keep cold food cold

Don't let your cold dishes sit out on a counter for more than 2 hours. Keep it chilled at 40 degrees or less.

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Holiday Food Safety Tip: Cook Food Thoroughly

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Use a thermometer to ensure your food is cooked to the right minimum internal temperature.

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Holiday Food Safety Tip: Marinate Meat Safely

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10/16/2019
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Marinate your food in the refrigerator, and keep it there until you're ready to cook it.

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Holiday Food Safety Tip: Wash Your Hands

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10/16/2019
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National Nutrition Month 2019

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2/25/2019
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Absolute and Relative Morbidity Burdens Attributable to Various Illnesses and Injuries, Active Component, U.S. Armed Forces, 2016

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6/19/2017
Did you know  … ? In 2016, essential hypertension accounted for 52,586 encounters for health care among 29,612 active component service members in the U.S. Armed Forces. Of all cardiovascular diseases, essential hypertension is by far the most common specific condition diagnosed among active duty service members. Untreated hypertension increases the risks of subsequent ischemic heart disease (heart attack), cerebrovascular disease (stroke), and kidney failure. CHART: Healthcare burdens attributable to cardiovascular diseases, active component, U.S. Armed Forces, 2016 Major condition: •	For all other cardiovascular the number of medical encounters was 70,781, Rank 29, number of individuals affected was 35,794 with a rank of 30. The number of bed days was 4,285 with a rank of 21. •	For essential hypertension the number of medical encounters was 52,586, rank 35, number of individuals affected was 29,612 with a rank of 35. The number of bed days was 151 with a rank of 86. •	For cerebrovascular disease the number of medical encounters was 7,772, rank 79, number of individuals affected was 1,708, with a rank of 96. The number of bed days was 2,107 with a rank of 32. •	For ischemic heart disease the number of medical encounters was 6,629, rank 83, number of individuals affected 2,399 with a rank of 87. The number of bed days was 1,140 with a rank of 42. •	For inflammatory the number of medical encounters was 2,221, rank 106, number of individuals affected 1,302 with a rank of 97. The number of bed days was 297 with a rank of 72. •	For rheumatic heart disease the number of medical encounters was 319, rank 125, number of individuals affected 261, with a rank of 121. The number of bed days was 2 with a rank of 133. Learn more about healthcare burdens attributable to various diseases and injuries by visiting Health.mil/MSMRArchives. #LoveYourHeart Infogaphic graphic features transparent graphic of a man’s heart illuminated within his chest.

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Medical Encounters for Tobacco Dependence, U.S. Armed Forces 2015 and 2016

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5/30/2017
•	In 2016, there were 11,617 medical encounters for tobacco dependence with 7,209 individuals affected from the U.S. Armed Forces. •	In 2015, there were 16,985 medical encounters for tobacco dependence, with 10,244 individuals affected from the U.S. Armed Forces. PIE CHART: •	10,244 individuals affected from the U.S. Armed Forces in 2015. •16,985 medical encounters for tobacco dependence in 2015. •7,209 individuals affected from the U.S. Armed Forces in 2016. •11,617 medical encounters for tobacco dependence in 2016.  That’s a 31.60% decrease of medical encounters; 29.63% less individuals affected from the U.S. Armed Forces between 2015 and 2016. Background behind pie chart shows used cigarettes on the ground.  Don’t forget to text MIL to 47848 on World No Tobacco Day (May 31st) to receive advice on being tobacco free. This is a great resource for service members wanting to quit tobacco. Pictured below this text is a service member sending a text message for tips on quitting tobacco. #JoinTheMovement #NoTobacco Source: Defense Health Agency, Armed Forces Health Surveillance Branch. Absolute and Relative Morbidity Burdens Attributable to Various Illnesses and Injuries, Active Component, U.S. Armed Forces, 2016. MSMR. 2017; 24 (4): 2-8. Source: Defense Health Agency, Armed Forces Health Surveillance Branch. Absolute and Relative Morbidity Burdens Attributable to Various Illnesses and Injuries, Active Component, U.S. Armed Forces, 2015. MSMR. 2016; 23(4): 2-7.

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Update: Exertional Rhabdomyolysis Active Component, U.S. Armed Forces, 2012 – 2016

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4/4/2017
Rhabdomyolysis is characterized by the rapid breakdown of overworked intracellular muscle, skeletal muscle cells and the release of toxic fibers into the bloodstream. It is a significant threat to U.S. military members during physical exertion, particularly under heat stress. This report summarizes numbers, rates, trends, risk factors and locations of occurrences for exertional heat injuries, including exertional rhabdomyolysis for 2012-2016. In 2016, there were 525 incident diagnoses of rhabdomyolysis between 2013 and 2016 rates increased 46.2 percent – 69.7 percent of cases occurred during May through September. Risk factors for exertional rhabdomyolysis include being male, younger than 20 years of age, black, non-Hispanic, low level of physical fitness, prior heat injury and exertion during warmer months. Additional information about the causes and prevention of exertional rhabdomyolysis can be found in the MSMR at www.Health.mil/MSMR

Rhabdomyolysis is characterized by the rapid breakdown of overworked intracellular muscle, skeletal muscle cells and the release of toxic fibers into the bloodstream. It is a significant threat to U.S. military members during physical exertion, particularly under heat stress. This report summarizes numbers, rates, trends, risk factors and locations of occurrences for exertional heat injuries, including exertional rhabdomyolysis for 2012-2016.

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Update: Exertional Hyponatremia U.S. Armed Forces, 2001-2016

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4/4/2017
Exertional Hyponatremia occurs during or up to 24 hours after prolonged physical activity. It is defined by a serum, plasma or blood sodium concentration below 135 millequivalents per liter. This infographic provides an update on Exertional Hyponatremia among U.S. Armed Forces, information on service members at high risk. Exertional hyponatremia can result from loss of sodium and/or potassium as well as relative excess of body water. There were 1,519 incident diagnoses of exertional hyponatremia among active component service members from 2001 through 2016. 86.8 percent were diagnosed and treated without having to be hospitalized. 2016 represented a decrease of 23.3 percent from 2015. In 2016, there were 85 incident diagnoses of exertional hyponatremia among active component service members and 77.6 percent of exertional hyponatremia cases affected males.  The annual rate was higher among females. Service members age 40 and over were most affected by exertional hyponatremia. High risk service members of exertional hyponatremia were: •	Females •	Service members aged 19 years or younger •	White, non-Hispanic and Asian/ Pacific Islander service members •	Recruit Trainees •	Marine Corps members Learn more at www.Health.mil/MSMR

Exertional Hyponatremia occurs during or up to 24 hours after prolonged physical activity. It is defined by a serum, plasma or blood sodium concentration below 135 millequivalents per liter. This infographic provides an update on Exertional Hyponatremia among U.S. Armed Forces, information on service members at high risk. Exertional hyponatremia can result from loss of sodium and/or potassium as well as relative excess of body water.

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What is Rhabdomyolysis?

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3/21/2017
Although regular exercise is good for the body, too much physical activity can do more harm than good. Rhabdomyolysis is the rapid breakdown of overworked muscle cells, following the release of toxic fibers into the bloodstream, causing many complications during physical exertion. This infographic provides information about the symptoms of Rhabdomyolysis, prevention and treatment.  How to avoid: •	Thoughtfully plan out your exercise routines •	Drink adequate amounts of fluid •	Minimize your workout time in extreme heat conditions How to treat: •	IV fluids/ fluid replacement •	Urinary Alkalization •	Blood transfusion  Symptoms of Rhabdomyolysis •	Difficulty in arm motion / trouble lifting objects •	Muscle weakness, muscle swelling and leg fatigue •	Fever, confusion, loss of consciousness •	Nausea and vomiting •	Dark colored urine or lack of urine  Learn more at Health.mil/MSMR

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Obstructive Sleep Apnea Diagnosis Treatment Guide Active Duty U.S. Military

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3/13/2017
This infographic provides information on Obstructive sleep apnea (OSA) diagnosis and treatment of active duty U.S. Armed Forces to help primary care providers screen high-risk individuals and encourage patients to explore OSA treatment options for managing this burden of disease. The data comes from an analysis of sleep apnea conducted from 2004 through 2016.  With appropriate diagnosis and treatment of OSA, this growing health concern for military populations can be effectively managed. OSA symptoms include snoring, gasping for breath during sleep, headaches, insomnia and daytime fatigue. During the surveillance period, OSA were highest in those aged 40 years or older, male non-Hispanic  black, obese, army service members, married, had more than one prior deployment or had completed 18 years or more of service.  The incidence rate among individuals aged 40 years or older was more than 3-fold higher in 2015 compared to 2004. Individuals serving 18 or more years had a 3-fold higher incidence rate of OSA in 2015, compared to 2004. The 12-year incidence rate in service members serving 18 years or more was more than 2-fold higher than those with 11-17 years of service.  Improved screening, referral, and treatment have been recommended for individuals who may suffer from post-traumatic stress disorder (PTSD) and depression, in which OSA-associated fatigue and poor sleep quality can exacerbate symptoms.  Additionally, the STOP-BANG questionnaire for sleep apnea may help primary care providers to screen high-risk individuals and identify those whose symptoms warrant further evaluation. Individuals who suffer from OSA have increased rates of cardiovascular disease, chronic fatigue, motor vehicle accidents, cognitive impairment, and post-traumatic stress disorder.  Learn more about OSA and treatment options for managing this burden of disease by visiting Health.Mil/AFHSB

This infographic provides information on Obstructive sleep apnea (OSA) diagnosis and treatment of active duty U.S. Armed Forces to help primary care providers screen high-risk individuals and encourage patients to explore OSA treatment options for managing this burden of disease.

Obstructive Sleep Apnea Rates by Service, U.S. Armed Forces

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3/13/2017
This infographic documents an increase in the incidence of Obstructive sleep apnea (OSA) diagnoses and associated attrition among U.S. service members over a 12-year surveillance period from 2004-2015. It also examines time to separation from military service after an incident of OSA diagnosis. Here are key facts about the OSA incidence rates by service: •	Rates of OSA were lowest in young service members, white non-Hispanics, Marines, air crew, and in those with less than five-years of service or no prior deployments. •	The category of pilots/ air crew consistently had the lowest OSA incidence rates, compared to all other occupations •	The annual incidence rates for the Army rose steadily from 2008 to 2015 and were higher during this period than the rates of the other services  The high percentage of cases diagnosed prior to separation from service is a concern because OSA as a large health and economic burden for the armed services is a treatable and partially preventable disease. For more information on OSA, appropriate screening and prevention strategies to improve both individual health and mission performance, visit Health.mil/AFHSB

This infographic documents an increase in the incidence of Obstructive sleep apnea (OSA) diagnoses and associated attrition among U.S. service members over a 12-year surveillance period from 2004-2015. It also examines time to separation from military service after an incident of OSA diagnosis.

Schedule Your Power Nap

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3/13/2017
Need to recharge? Don't lean on caffeine -- a power nap will boost your memory, cognitive skills, creativity and energy level.

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Signs of Mental Health Distress

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3/3/2017
Signs of Mental Health Distress

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