Report Finds Marines Experience Highest Rates of Exercise-Related Heat-Related Illnesses

### Rise in Exercise-Related Medical Conditions Among U.S. Service Members

Cases of two dangerous exercise-related medical conditions, rhabdomyolysis and hyponatremia, have increased among U.S. service members in the past four years, with the Marine Corps experiencing the highest rates, according to reports from the Defense Health Agency. Rhabdomyolysis is a breakdown of muscle cells that can lead to organ damage, while hyponatremia is a sodium imbalance often caused by overconsumption of fluids during vigorous exercise.

### Rates Among Different Service Branches

The study revealed that rates of rhabdomyolysis in the Marine Corps were significantly higher than in the Air Force, Navy, and Coast Guard. The Army also had a high rate of rhabdomyolysis, particularly among recruits and combat-arms specialties. Additionally, the Marine Corps had the highest incidence rates of exertional hyponatremia, with women, troops older than 40, and those in combat-arms occupations being most affected.

### Factors Contributing to High Rates

Researchers did not pinpoint the exact reasons for the Marine Corps’ high rates of both conditions. However, factors such as the service’s demanding physical fitness test, long-distance runs, and training in warm climates where Marines are often outdoors could contribute to the increased incidence of these medical issues.

### Preventative Measures and Recommendations

Given that both rhabdomyolysis and hyponatremia are largely preventable, the authors emphasized the importance of leadership vigilance in monitoring environmental conditions, troop fitness, and hydration. They also recommended careful preconditioning before strenuous training and ensuring that all personnel working with troops can identify symptoms of these conditions to prevent severe consequences.

### Associated Risks and Related Health Issues

In addition to rhabdomyolysis and hyponatremia, the reports highlighted the risks of heat-related illnesses among service members. While rates of heatstroke declined, incidents of heat exhaustion rose, affecting hundreds of service members in 2023. The researchers stressed the importance of implementing effective countermeasures, such as adjusting activity levels based on environmental heat, maintaining proper hydration, and gradually acclimatizing to the local heat environment.

### Conclusion

Overall, the rise in exercise-related medical conditions among U.S. service members underscores the importance of proactive measures to prevent these illnesses and ensure the health and well-being of military personnel during physical training and operations. Vigilance, education, and appropriate interventions can help mitigate the risks associated with strenuous exercise and environmental factors.

Original Story at www.military.com – 2024-05-14 20:05:00

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