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Santee, William R.

Publications and source records attributed to Santee, William R..

Body surface area equations for physically active men and women

Abstract Objectives To improve predictive formulae for estimating body surface area (BSA) in healthy men and women using a modern three‐dimensional scanner technology. Methods Body surface areas were obtained from a convenience sample of 1267 US Marines (464 women and 803 men) using a whole body surface scanner (Size Stream SS20). The reliability of SS20 measures of total and regional BSA within participants was compared across triplicate scans. We then derived a series of formulae to estimate SS20‐measured BSA using various combinations of sex, height, and mass. We also assessed relationships between percent body fat measured by dual‐energy x‐ray absorptiometry and sex‐specific formulae errors in Marines. Results Body surface areas recorded by the SS20 were highly reliable whether measured for the total body or by region (ICC ≥ .962). Formulae estimates of BSA from sex, height, and mass were precise (root‐mean‐square deviation, 0.031 m 2 ). Errors from the Marine Corps formulae were positively associated with percent body fat for men ( p = .001) but not women ( p = .843). Conclusions Clinicians, military leaders, and researchers can use the newly developed BSA formulae for precise estimates in healthy physically active men and women. Users should be aware that height‐ and mass‐based BSA estimates are less accurate for individuals with extremely low or high percent body fat.

Looney, David P.↗

Modeling the Metabolic Costs of Heavy Military Backpacking

Existing predictive equations underestimate the metabolic costs of heavy military load carriage. Metabolic costs are specific to each type of military equipment, and backpack loads often impose the most sustained burden on the dismounted warfighter. This study aimed to develop and validate an equation for estimating metabolic rates during heavy backpacking for the US Army Load Carriage Decision Aid (LCDA), an integrated software mission planning tool. Thirty healthy, active military-age adults (3 women, 27 men; age, 25 ± 7 yr; height, 1.74 ± 0.07 m; body mass, 77 ± 15 kg) walked for 6–21 min while carrying backpacks loaded up to 66% body mass at speeds between 0.45 and 1.97 m·s -1 . A new predictive model, the LCDA backpacking equation, was developed on metabolic rate data calculated from indirect calorimetry. Model estimation performance was evaluated internally by k-fold cross-validation and externally against seven historical reference data sets. We tested if the 90% confidence interval of the mean paired difference was within equivalence limits equal to 10% of the measured metabolic rate. Estimation accuracy and level of agreement were also evaluated by the bias and concordance correlation coefficient (CCC), respectively. Estimates from the LCDA backpacking equation were statistically equivalent ( P < 0.01) to metabolic rates measured in the current study (bias, -0.01 ± 0.62 W·kg -1 ; CCC, 0.965) and from the seven independent data sets (bias, -0.08 ± 0.59 W·kg -1 ; CCC, 0.926). The newly derived LCDA backpacking equation provides close estimates of steady-state metabolic energy expenditure during heavy load carriage. These advances enable further optimization of thermal-work strain monitoring, sports nutrition, and hydration strategies.

59 BASIC BIOLOGICAL SCIENCES↗

Verification of Maximal Oxygen Uptake in Active Military Personnel During Treadmill Running

Figueiredo, PS, Looney, DP, Pryor, JL, Doughty, EM, McClung, HL, Vangala, SV, Santee, WR, Beidleman, BA, and Potter, AW. Verification of maximal oxygen uptake in active military personnel during treadmill running. J Strength Cond Res 36(4): 1053–1058, 2022—It is unclear whether verification tests are required to confirm “true” maximal oxygen uptake ($\dot{V}_{o2}$max) in modern warfighter populations. Our study investigated the prevalence of $\dot{V}_{o2}$max attainment in U.S. Army soldiers performing a traditional incremental running test. In addition, we examined the utility of supramaximal verification testing as well as repeated trials for familiarization for accurate $\dot{V}_{o2}$max assessment. Sixteen U.S. Army soldiers (1 woman, 15men; age, 21±2 years; height, 1.73±0.06m; body mass, 71.6±10.1 kg) completed 2 laboratory visits, each with an incremental running test (modified Astrand protocol) and a verification test (110% maximal incremental test speed) on a motorized treadmill. We evaluated $\dot{V}_{o2}$max attainment during incremental testing by testing for the definitive $\dot{V}_{o2}$ plateau using a linear least-squares regression approach. Peak oxygen uptake ($\dot{V}_{o2}$peak) was considered statistically equivalent between tests if the 90% confidence interval around the mean difference was within 62.1 ml·kg -1 ·min -1 . Oxygen uptake plateaus were identified in 14 of 16 volunteers for visit 1 (87.5%) and all 16 volunteers for visit 2 (100%). Peak oxygen uptake was not statistically equivalent, apparent from the mean difference in $\dot{V}_{o2}$peak measures between the incremental test and verification test on visit 1 (2.3 ml·kg -1 ·min -1 , [1.3–3.2]) or visit 2 (1.1 ml·kg -1 ·min -1 [0.2–2.1]). Interestingly, $\dot{V}_{o2}$peak was equivalent, apparent from the mean difference in $\dot{V}_{o2}$peak measures between visits for the incremental tests (0.0ml·kg -1 ·min -1 [-0.8to 0.9]) but not the verification tests (-1.2 ml·kg -1 ·min -1 [-2.2 to -0.2]). Modern U.S. Army soldiers can attain $\dot{V}_{o2}$max by performing a modified Astrand treadmill running test. Additional familiarization and verification tests for confirming $\dot{V}_{o2}$max in healthy active military personnel may be unnecessary.

60 APPLIED LIFE SCIENCES↗