Introduction: The aim of the research was to analyze the - Introduced in 2015 as a new force protection capability - Hungarian Defence Forces Body Composition Program (HDF BCP) participants’ pattern of the measurement parameters and their relationship to each other, furthermore, to create a measurement protocol that can be used with large number of elements, which allows the estimation of strength and fat-free mass in the following.Methods: The examination was carried out between 2017 and 2020. Within the HDF BCP, the measured and estimated parameters of 283 volunteers between the ages of 18 and 67 years old. A total of 709 measures were made. A Premium Body Impedance Analyzer 500 (BIA) instrument was used for the examinations. In addition, a DYNA 16 strength meter (DYNA) was used which makes it possible to measure the grip strength of both hands at the same time. Statistical calculations are performed with R-Studio program.Results: An increase in the phase angle is accompanied by an increase in the maximum hand grip strength (p < 0.001). The full body strength increases with weight gain regarding both sexes in all age groups tested (p < 0.001). Our linear regression model is suitable for estimating maximum hand grip strength using body weight, fat-free mass, age, and gender values (R2 = 0,74) and to estimate fat-free mass percentage based on body weight, maximum hand grip strength, and gender values (R2 = 0,78).Conclusion: The use of phase angle is an important indicator of a lifestyle change program. In the created linear regression model we will be able to estimate body fraction in significant numbers with high accuracy after measuring minimum parameters.

Abstract Introduction The continuous collection, monitoring, and analysis of morbidity data enable health professionals to plan the capacity of the care system, to organise and optimise care, to measure the burden of diseases resulting from each morbidity, and to estimate its expected evolution. Material and methods In our study, we analyse the data of patient flow reports for the period 2011 to 2020 for the healing and preventive basic service defined as the basic task of the primary health care system (troop health service) of the Hungarian Defence Forces. Results Over 850,000 doctor-patient encounters over the ten-year period were mostly due to some form of acute care need, infection, and respiratory illness. The morbidity structure has not changed significantly over the period. In all cases, the top three were diseases of the respiratory system (J00-J99), diseases of the circulatory system (I00-I99), as well as musculoskeletal and connective tissue diseases (M00-M99). In 2020, the highest number of people with restrictions for health reasons in the period under review was 131 for diseases of the circulatory system and 179 for musculoskeletal disorders. In recent years, the time spent on medical leave or on sick leave has increased significantly in terms of the number of cases of incapacity to work. Conclusions Accurate knowledge of morbidity and health data can also provide the military leadership with important information on combat fitness, especially when the ever-increasing task load (mission activity, border tasks, Covid-19) has to be met by an armed corps selected from an ageing population.

Developing and maintaining a healthy lifestyle is an important and up-to-date topic for the Hungarian Defence Forces, too. A health-conscious lifestyle, which helps achieve the mental and physical well-being of the soldiers of the Hungarian Defence Forces and increases their deployability, may be adopted with the help of intervention programmes focusing on lifestyle change. The Hungarian Defence Forces Body Composition Programme (hereinafter referred to as HDF BCP) was introduced in 2015 in accordance with the above. According to Article 12 of Decree No. 10/2015 (VII.30.) of the Hungarian Ministry of Defence on medical, mental and physical fitness for military service and on the review procedure,1 a soldier who has different parameters than the physical recommendation must be offered a participation in the HDF BCP. Based on the starting body weight and body fat percentage of the soldier, a weight loss schedule is determined which is to be met every three months during a 12-month period. Within the framework of the Programme, this study examined the distribution of participants of the Programme according to the stages of the behavioural change process, on which the transtheoretical model (TTM) was based. According to the results of the literature, the effectiveness of the lifestyle change programs and the possible number of dropouts are greatly influenced by the stage of change in which participants are.

BackgroundThe observance of health behaviour recommendations is particularly important in the armed forces where about a certain level of the different physical abilities has to be given account of regularly during work too. The aim of the research is to analyse certain areas of the soldiers’ lifestyle how much they influence the reached scores on the physical tests used by the Hungarian Defence Forces.Sample and MethodDuring examination we compared the results of the prevention data sheet of the soldiers (n=490) appeared on the annual health screening in 2015 against their points obtained on the annual physical fitness test (PFT). The average age of the sample test was 34,1 years (+ 6,91 years) and the proportion of the women was 13,5%. In the test our participants’ average height was 177,64 cm (+7,49 cm), the average weight was 78,94 kg (+12,07 kg). According to the prevention data sheet we analysed the eating habits, frequency of psychosomatic waist pain, body mass index (BMI), the relationship between age and smoking status in relation to scores obtained by stamina and strength endurance practices. To assess the physical fitness of the cardio-vascular endurance we used the results of the 3200 m flat race and for the strength endurance survey we used the results of the scores from lying on the back sit-up with bent legs and arm bending in push-up performed within 2 minutes in a maximum repeat number.ResultsThe growth of the body mass index with 0,1 meant 2 points loss. Regarding the frequency of vegetable-, fruit-, cereal-, and dairy product consumption we found a significant difference (p <0,05) in correlation of the obtained scores on the PFT. The back pain as a symptom appearing monthly meant an advantage on the strength endurance tests, as for smoking on the physical fitness tests. Age did not influence the results of the physical tests significantly. ConclusionThe detection of the connection between certain health behaviour factors and the physical parameters can be one of the strategic tasks of the military supply service.

Az egészségmagatartás tényezőit, amelyek – a megelőzés szempontjából – mind az egyén, mind a közösség számára létfontosságúak, egy speciális populációban, a Magyar Honvédség személyi állománya körében vizsgáltuk, ahol az erő és az egészség egyaránt a szakma szimbóluma. A keresztmetszeti vizsgálatunk mintáját azok a katonák alkották (N = 5475), akik 2012 és 2015 között kötelező foglalkozás-egészségügyi alkalmasság felmérés keretében kitöltötték a prevenciós adatlapot. A vizsgálat alá vont egészségi és egészségmagatartási tényezők értékeléséhez a pontozási rendszert tudományos szakirodalom felhasználásával alakítottuk ki, majd a homogén csoportok kialakítása érdekében hierarchikus klaszteranalízist alkalmaztunk. 16 homogén, és egymástól megkülönböztethető egészségmagatartási csoportot (profilt) vizsgáltunk, amelyek közül 10 szignifikánsan (p <0,05) különbözött egymástól. Az összesen 24 vizsgált tényezőre adott válaszlehetőségeket lineáris skálán értékeltük, melynek minimuma -47,5, maximuma 48,5 pont lehetett. A legalacsonyabb pontszámú klaszter 3,1, a legmagasabb 26,2 pont volt. A legalacsonyabb pontszámú klaszterben (a minta 1,8% -a) volt a legmagasabb az átlagéletkor (43,5 + 7,2 év), és a legmagasabb a nők aránya (46%). A legmagasabb pontszámmal rendelkező két klaszterben (a minta 2,9% -a és 5,5% -a) volt a legalacsonyabb az átlagéletkor (33,7 + 7,1 év és 34,3 + 7,9 év). A vizsgálatban résztvevők közül a legjobb eredményeket elérők is több, mint 20 ponttal elmaradnak az elérhető maximális pontszámtól, továbbá elmondható, hogy az életkor növekedésével az egészségmagatartási tényezők jelentősen romlanak, különösen a nők körében. Az eredményekből kiderült, hogy minden klaszter esetében intervencióra van szükség, és megállapítható, hogy melyik egészségmagatartási faktorral érhetjük el a legnagyobb egészségügyi hozadékot.

Tudjuk, tudhatjuk-e pontosan, hogy milyen paraméterekkel írható le az egészség szempontjából a haderőt alkotó „katona”, ami a hosszútávú alkalmazhatóság, bevethetőség alappillére? Számos genetikai, fizikaiés szociális környezeti, életmódbeli stb. tényező befolyásolja az egészségi állapotunkat, mely tényezők kutatása kiemelt jelentőségű napjainkban, amikor a haláloki statisztikákat a krónikus nem fertőző megbetegedések vezetik. Az egyén életmódjából adódó (táplálkozás, testmozgás, alvás, stresszkezelés, társas kapcsolatok minősége), az egészségi állapotára pozitív és negatív hatások vizsgálatára számos kutatást végeztek [1, 2, 3, 4] amely mind az életmód pozitív irányú megváltoztatására, ezzel együtt a betegségek kialakulásának megelőzésre hívták fel a figyelmet. VizsgálaMH Egészségügyi Központ Védelemegészségügyi Igazgatóság, Egészségfejlesztési Osztály

Objectives:The main aim of this study was to examine the health behavior patterns of soldiers in the Hungarian Defense Forces and to introduce health behavior profiles according to the cluster analysis of lifestyle factors.Material and Methods:The soldiers (N = 5475) who underwent health tests in 2011–2015 participated in this cross-sectional study. The factors included in the analysis are the following: age, sex, diseases diagnosed, the body mass index, eating habits, the smoking status, daily physical activity, sporting habits, the presence of psychosomatic symptoms, mental toughness and sleep apnea. The response options for each factor were scored on a linear scale; the minimum number of points available was –47.5 pts and the maximum number was 48.5 pts according to the 24 factors. Finally, the authors created health profiles typical of the pattern with the cluster analysis of the data.Results:As a result of the cluster analysis, 16 distinct profiles were found, 10 of which differed significantly (p < 0.05) from each other. The lowest point value achieved was 3.1 pts and the highest was 26.2 pts. The lowest number of points was achieved by the cluster, 1.8% of the sample, with the highest average age (43.5±7.2 years) in which women showed the highest participation (46%). The 2 clusters with the highest numbers of points, 2.9% and 5.5% of the sample, were the 2 groups with the lowest average age (33.7±7.1 years and 34.3±7.9 years).Conclusions:The significance of the health profiles obtained during this examination with the Hungarian Defense Forces is that the health promotion intervention opportunities may be determined by clusters, the health behavior factor with which the authors can reach higher health benefits can be chosen and the effectiveness of the interventions carried out can be traced easily. Int J Occup Med Environ Health. 2019;32(1):99–114

A Magyar Honvedseg fontosnak tartja es kiemelten kezeli a honvedek fizikai es psziches allapotat, amelyek megőrzesehez, pozitiv iranyu valtoztatasahoz nelkulozhetetlen, hogy az egeszseges eletmod kialakitasara es fenntartasara kiemelt hangsulyt fektessunk. Ennek megvalosulasa erdekeben jott letre 2015-ben a Honved Testalkati Program, amelyet a munkahelyi egeszsegfejlesztes kereteben az MH Egeszsegugyi Kozpont (tovabbiakban: MH EK) prevencioval foglalkozo szakallomanya biztosit. A felnőttkori elhizas a magyar haderőt is erinti, amely nemcsak esztetikai problemat jelent (a katonas megjelenest rontja), hanem szamos betegseg kialakulasat is okozhatja. Jelen cikk a Honved Testalkati Programban resztvevők testosszetetel valtozasat vizsgalja. A 3. es 6. havi kontrollvizsgalatok adatai alapjan a Programban resztvevők testosszetetele kedvező iranyban valtozott, testtomeguk szignifikansan csokkent. = The physical and mental state of the soldiers is a very important thing for the Hungarian Defence Forces. Maintaining and improving the health of soldiers is a high priority of the military health protection. In order to achieve this, the Hungarian Defence Forces Body Composition Program (hereinafter referred to as HDF BCP) was established in 2015, which is provided as the workplace health promotion program by the HDF Medical Centre’s professional team. The adult obesity also affects to the HDF which is not only an aesthetic problem (spoil the military appearance) but it can cause many diseases as well. In this article we examine the participants body composition changes in the HDF BCP. Based on the data of the 3rd and 6th monthly control tests, the body composition of the participants changed in a favorable direction, their body weight decreased significantly.

Introduction Recent legislative amendments in Hungary have resulted in the possibility for early retirement being abolished in the Hungarian Defence Forces. The retirement age for professional soldiers has also increased to 65 years, thereby greatly increasing the average length of military service. This necessitates greater attention to the health and care of service personnel due to the increase of chronic non-communicable diseases with age. The aim of this research was to identify how health behaviours might potentially contribute to diseases in the Hungarian Defence Forces. Methods All members of the Hungarian Defence Forces undergoing health screenings between 2011 and 2015 were assessed. Health variables analysed were derived from the health screening data sheet which is collected from every member of the Hungarian Defence Forces undergoing a health screening since 2009. Items recorded were connected to health behaviour (physical activity, nutrition, smoking), subjective well-being (psychosomatic backache, fatigue and quality of waking up to describe the quality of sleep), sociodemographic data (age, gender) and the mental toughness quotient (MTQ). A logistic regression model was utilised to predict how health behaviour may affect the development of disease. Results Factors most associated with the development of disease included psychosomatic backache (P<0.000), age (P<0.001), frequency of undertaking sports (P<0.05), quality of sleeping and waking up (P<0.05) and the assessment of gender differences (P<0.05). Conclusions Extension of the length of active service will result in an increased burden of disease for members of the Hungarian Defence Forces. This includes both physical and psychological morbidity that could potentially be obstacles for service personnel to perform their military duties. Health behaviours such as psychosomatic backache, the frequency of performing sports and sleep quality may predict the development of disease and should be explored in health screening consultations.

A temavalasztas a hazai adatokat figyelembe veve meg mindig aktualis,es tekintettel a trendre valoszinűleg a hatekony intervencio hianyaban az is marad. Az OTAP 2014. vizsgalatok ramutattak arra, hogy a magyarorszagi felnőtt lakossag 65%-a tulsulyos vagy mar elhizott. Az elhizassal osszefuggő kronikus betegsegek kialakulasa sulyos terhet jelent nemcsak az egyenre, de a megvaltozott munkakepesseg miatt a tarsadalomra is. A tulsuly es az elhizas problemakore a Magyar Honvedsegben is tetten erhető, ennek kezelesere a jogszabalyban meghatarozott Honved Testalkati Program kereteben a szemelyi allomanynak is lehetősege nyilik. A Program egyik resztvevőjenek esettanulmanya alapjan mutatjuk be a mozgasterapias es etrendi kezelesek hatasat a testalkati mutatok megvaltozasara. The choice of subject is still relevant considering the Hungarian values and probably still remain in default of effective intervention in view of the trend. In 2014 Hungarian Food Safety Office performed that 65% of the Hungarian adult population is overweight or already obes. All of this on the grounds of obes-related chronic diseases development means a serious burden not only the individual but by the reason of the changing work ability the society also. The problem of the overweight and obes is detected within the Hungarian Defence Forces. Defined by law the Hungarian Army Body Composition Program what is available in order to the weight rehabilitaton for the military person. Introduce by the Program’s members’ positive effects on the physical changes by the excercise therapy and the dietetic guidelines.