TSAC Report 32 | Page 6

GUY LEAHY, MED, CSCS,*D produced an average caloric expenditure of 260.6 +/- 59.3 kcals. The exercise intensity of “Cindy” would place this protocol within the lower range of “vigorous intensity” exercise (64 to 90% of VO2max) based on ACSM guidelines (12). One study compared the physiological responses of untrained individuals in a CrossFit training program to a traditional combined cardiovascular/RT training program. The study lasted four weeks in duration. The subjects were tested for body fat percentage, systolic/diastolic blood pressure, and resting HR. At the end of the study, no significant differences in any of these physiologic measures were found. The short duration of the study, however, does limit interpretation of the results (17). MILITARY STUDY One of the greatest concerns regarding ECPs is the potential for injury. Isolated case reports of rhabdomyolysis and retinal detachment resulting from ECP exercises have been reported, though no large-scale study looking at ECP injury rates has been published previously (7,10). A recent study presented the first data regarding injury rates of ECPs in a military cohort (6). This study utilized a survey delivered to 1,393 soldiers in a light infantry brigade. The survey collected data related to personal characteristics, tobacco use, unit/personal physical readiness training, Army physical fitness test (APFT) results, and injuries. The survey revealed that 1,032 soldiers participated in an ECP or related programs such as the Advanced Tactical Athlete Conditioning (ATAC) program, or the Ranger Athlete Warrior (RAW) program. The remaining 340 soldiers did not participate in any of these programs. The survey results indicated that risk factors for injury included gender (female), body mass index (BMI) greater than 25, smoking, running mileage greater than 16 miles per week, and slow run times (greater than 15:51 on the APFT). Factors protective of injury include resistance training, agility drills, and participating in unit physical training at least five days per week. When comparing the injury rates of soldiers who participated and those who did not participate in ATAC/ECPs, overall rates of injury were similar, though the ATAC/ECP group did exhibit a significantly greater increase in overuse injuries after the programs were initiated (6). The soldiers who did not participate in ATAC/ECPs for the duration of the study did not display increases in overuse injuries. 6 FINDINGS AND CONCLUSION What can be said at this point regarding the efficacy of ECP training programs such as CrossFit, P90X, and Insanity? Clearly, much additional research needs to be conducted before f