Police Body Composition 1 Journal of Exercise Physiologyonline (JEPonline) Volume 11 Number 6 December 2008 Managing Editor Tommy Boone, PhD, MPH Editor-in-Chief Jon K. Linderman, PhD Review Board Todd Astorino, PhD Julien Baker, PhD Tommy Boone, PhD Larry Birnbaum, PhD Lance Dalleck, PhD Dan Drury, DPE Hermann Engals, PhD Eric Goulet, PhD Robert Gotshall, PhD M. Knight-Maloney, PhD Len Kravitz, PhD James Laskin, PhD Derek Marks, PhD Cristine Mermier, PhD Daryl Parker, PhD Robert Robergs, PhD Brent Ruby, PhD Jason Siegler, PhD Greg Tardie, PhD Chantal Vella, PhD Lesley White, PhD Ben Zhou, PhD Official Research Journal of the American Society of Exercise Physiologists (ASEP) ISSN 1097-9751 Body Composition A LONGITUDINAL OBSERVATION OF POLICE: BODY COMPOSITION CHANGES OVER 12 YEARS WITH GENDER AND RACE COMPARISONS ROBERT BOYCE1, GLENN JONES2, CAMERON LLOYD1, EDWARD BOONE3 1 University of North Carolina at Wilmington, NC, USA Charlotte Mecklenburg Police Department, Charlotte, NC, USA 3 Virginia Commonwealth University, Richmond, VA, USA 2 ABSTRACT Boyce RW, Jones GR, Lloyd CL, Boone EL. A longitudinal study of police: Body composition changes over 12 years with gender and race comparisons. JEPonline 2008;11(6):1-13. Body composition changes over time have implications for police officer selection, physical performance, and health. The major purposes of this research were to 1) report the changes in body composition from initial-recruit to after 12 years service and 2) compare differences between genders and races, and among low to high body composition groups. Sample included 327 police; 30 females (13 black, 17 white), 297 males (41 black, 238 white, and 18 others). Average number of years between tests was 12.5±2.0 years. Mean age at initial-recruit was 24.6±3.4 years and at in-service was 37.1±3.7 years. The dependent variables included body mass, percent body fat, fat mass, and lean mass. Each male variable was divided into quintiles based on initial-recruit measurement, ranging from lowest (group 1) to highest (group 5). Body composition variables increased significantly regardless of gender or race. Black males increased significantly more than white males. Black females gained considerably less body mass than reported in other studies. Males gained significantly more lean mass than females. Low to high body composition groups had relatively consistent changes over time. In the percent fat groups the lowest group gained most and highest gained least. Percent becoming obese was markedly greater in highest percent fat group. Through this longitudinal observation, exercise physiologists are given insight into an on-going police physical fitness program and its impact on body composition of legally protected groups of sex and race. Key Words: Body Weight, Body Fat, Sex Differences, Race Differences, Obesity. Police Body Composition 2 INTRODUCTION The occupation of police officer is primarily sedentary, though mentally challenging, with occasional periods of maximal exertion (1). The physical demands of this job are often inadequate to maintaining necessary physical fitness to perform the infrequent but possibly life-saving tasks (2). Low levels of physical activity promote increases in weight, body fat and potential health issues (3, 4). Weight gain can also account for decline in an officer's physical performance (1) and is associated with decreases in cardiopulmonary fitness (5). Furthermore, those in the highest quartile of body weight (6), as well as overweight and obese individuals, have been found to gain more weight over time (7, 8). Therefore, heavier and obese officers may be decreasing in their ability to physically perform their job at a higher rate than their lower weight counterparts. Reduction in physical performance due to weight gain may be ameliorated, because weight gain is comprised of both lean and fat mass (9). Lean mass gain is associated with increases in muscular strength (10, 11). Also, the rate of weight gain may be related to the subject's starting weight and the composition of the tissue gained (12). Few longitudinal studies, over one year, have been conducted on changes in body composition of police (1, 13-15), and no longitudinal work was found that included black officers or followed fat and lean mass changes. No other studies were found on female officers. Also, no studies were found that compared officers at recruitment with low body composition values with those of high values to their eventual body composition status as an in-service officer. The need exists to investigate police body composition changes over time. Police officers have a specific socio-economic and occupational status, allowing for comparisons with other groups to study the numerous factors influencing weight gain, including interactions between fat and lean mass. Furthermore, administrators gain insight regarding officer selection to ensure optimal physical performance of duties (16, 17) and design programs to foster weight management and health. This report describes and compares body composition and weight changes, including gender and race comparisons, within the Charlotte Mecklenburg, North Carolina Police Department from entrance into recruit school to in-service status approximately 12.5 years later. Also, low to high body composition groups of male officers, determined at the initial week of recruit training, were compared to determine changes within and among groups. METHODS Subjects The sample included 327 police officers, 30 females (13 black, 17 white) and 297 males (41 black, 238 white and 18 other) participating in recruit classes between 1990 and 1995. Ninety-nine percent of the in-service fitness tests were conducted between the years of 2003 to 2006. Mean values with standard deviations are provided in the text as mean±SD. The mean age at initial-recruit test was 24.6±3.4 years and for in-service was 37.1±3.7 years. The average number of years between tests was 12.5±2.0 years. There were no significant difference between genders and races for age and time between the two tests. Officers were primarily college-educated and their socio-economic status ranged from lower-middle to upper-middle class. An officer's physical capacity was a consideration at hiring. However, while physical fitness tests were a factor in selection for some recruit classes, this was not consistent over the duration of this study. Police Body Composition 3 Procedures Physical fitness test records were obtained from the Charlotte Mecklenburg Police Department, a large metropolitan police department in the southeastern United States of America. Body mass and percent body fat scores were retrieved for officers in the 1990 to 1995 recruit classes. Officers' recruit scores were paired to their most recent scores on the 2006 in-service fitness records. Scores for officers in the recruit records that were not in the in-service records were discarded. Emphasis was placed on encouraging recruits to continue healthy exercise habits following completion of the 16 - 20 week recruit training. The same physical fitness coordinator, certified by the American College of Sports Medicine (ACSM), administered tests over the study period. Sworn officers (in-service) received an annual fitness test. The physical fitness coordinator suggested nutritional and/or exercise programs for officers, following evaluations and when requested. Included in the physical fitness test battery for recruits and sworn officers was body mass and percent body fat, using a skinfold caliper (18). The skinfold test utilized a three-site formula. The sites for males were chest, abdomen, and thigh. The sites for females were triceps, suprailiac, and thigh (19). The testing protocol was based upon ACSM’s Guidelines for Exercise Testing and Prescription (20). Tests were administered the first week of recruit training (initial-recruit test). Body mass and percent body fat tests remained consistent during the study period. Lean mass percentage was calculated from mean body mass and lean mass values with the formula: (lean mass/body mass)*100. The University of North Carolina at Wilmington Institutional Review Board approved this study following the Office of Human Research Protection Requirements. Because this research involved existing and unidentifiable data, it was exempt from applicable human subject regulation. The tests and measurements were required as a part of conditions of their employment. Statistical Analyses The Statistical Package for Social Sciences (SPSS, Inc) version 15.0 was used to analyze data. Paired-sample t tests compared mean differences between initial-recruit to in-service test for age, body mass, fat percentage, fat mass and lean mass. Analysis of variance (ANOVA) procedures compared gender and race (black/white) in the amount of change from initial-recruit to in-service tests in these same variables. Fisher exact tests were used to test for differences in the percentage that were obese between initial recruit to in-service tests, differences between gender and race groups at initial-recruit and in-service tests and differences in amount of change between gender and race groups from initial-recruit to in-service tests. Obesity was defined as ≥ 25% body fat for males and ≥ 30% body fat for females. High to low groups within each variable were tracked and changes among groups were compared. The male sample was subdivided into 5 equal groups based on initial-recruit measurements. The cut point for the 5 male groups corresponded to the 20th, 40th, 60th and 80th percentiles. Group 1 represented the lowest values progressing to group 5, the highest. Gender or race comparisons were discontinued as further dividing the female, n=30, and black race, n=41, into smaller groups would have considerably weakened comparisons. Analysis included paired-sample t-tests to test mean differences between initial-recruit and in-service evaluation for each group. ANOVA and Tukey multiple comparison procedures were used to compare amount of changes among groups from initialrecruit to in-service tests for each variable. Police Body Composition 4 RESULTS Table I provides the results of body composition tests at initial-recruit and after 12.5 year-service with comparison between races and genders. Body mass and lean mass were significantly higher in males than females and females had significantly higher percent body fat than males for both initial-recruit and in-service tests. No differences were found in the amount of fat mass between genders. However, this may be due to the low number of females that participated in the study. The percent of officers classified as obese was low for all genders and races at the initial-recruit evaluation with both gender and race groups significantly (p< 0.05) increasing in obesity percentage by the inservice test. Values from initial-recruit to in-service were: Black female, 8% to 23%; white female, 6% to 18%; black males, 5% to 22%; and white males, 5% to 18%. No significant differences in the percentage that were classified as obese were found between genders or between races at either of the testing periods or in amount the groups changed from initial-recruit to in-service. Table I, comparing races, found no significant differences in initial-recruit and in-services tests for females. However, lean mass was significantly higher in black males than white males at initial-recruit test and in-service test. Body mass was significantly higher in black males than white males at the in-service test. No significant differences were found between black and white males in percent fat and fat mass. Body mass, percent body fat, fat mass and lean mass significantly increased (p ≤ 0.001) from initial-recruit to in-service tests within genders and races. Twenty percent of the officers gained at least 18.8 kg with comparable values for females vs. males being 11.4 kg vs. 19.1 kg and black vs. white males being 23.4 kg vs. 18.0 kg and black vs. white females being 13.1 kg vs. 11.4 kg. Police Body Composition 5 Table 2. Comparisons of changes in body composition from initial-recruit to 12.5 year-service in police officers between genders and races Change Variable Body Mass (kg) Fat % Fat Mass (kg) Lean Mass (kg) Race Black White Total Black White Total Black White Total Black White N 13 17 30 13 17 30 13 17 30 13 17 Female Mean SD p-valueR 9.2 6.7 6.2 5.5 0.194 7.5 6.1 5.7 3.2 4.6 5.1 0.511 5.1 4.3 6.0 3.8 4.2 4.2 0.230 5.0 4.1 3.2 3.5 2.0 2.7 0.318 2.5 3.1 N 41 246 Male Mean SD 16.5 8.9 11.7 9.1 p-valueR 0.002 287 41 245 12.3 6.6 4.5 4.8 9.3 6.1 0.007 Total 30 287 = p-value for race comparison G =p-value for gender comparison ANOVA Comparison between genders: *p ≤ 0.05; **p ≤ 0.01; ***p ≤ 0.001 6.6 7.2 5.4 0.683 ** 6.3 5.5 4.7 0.193 0.029 5.7 4.9 ** ** 4.8 6.1 6.2 0.003 286 41 246 ** 9.2 4.8 4.8 0.010 286 41 245 p-valueG * 0.001 *** R Table 2 further compares genders in amount of change in these variables from initial-recruit to inservice tests. No significant differences were found between males and females in the amount gained in percent fat and fat mass. However, males gained significantly more body mass and lean mass than females. Average gain per year in body mass was 1.0 ±0.7 kg for males and 0.6±0.5 kg for females. Average gain per year for lean mass was 0.4 ±0.4 kg for males and 0.2±0.2 kg for females. Body mass gain attributed to lean mass was higher in males, 46%, than females, 34%. Percent of body mass gain that was lean mass was: Black female, 35%, white female, 33%, black male, 44%, white male, 47%. Table 2 also compares changes in body composition between races from initial-recruit to in-services tests. No differences were found between black and white females in any body composition variables. However, black males gained significantly more than white males from initial-recruit to in-service tests in body mass, percent fat, fat mass, and lean mass. The body mass gain attributed to lean mass was higher in white males, 47%, than black males, 44%. No race differences were found in the percentage that became obese. Police Body Composition 6 Figure 1 compares the changes in body mass among low to high body mass groups of male police officers from initial-recruit to in-service over 12.5 years. Body mass significantly (p ≤ 0.001) increased from initial-recruit to in-service tests in all groups. However, change among groups was consistent as there were no significant differences in amount of change among groups. This same pattern occurred in fat mass with no significant differences found among groups with gain in fat mass of the 5 groups ranging from 6.7±7.4 kg to 6.1±7.0 kg. Figure 2 compares the changes in percent body fat among low to high percent body fat groups of male police officers from initialrecruit to in-service over 12.5 years. Percent body fat significantly (p ≤ 0.001) increased in all low to high percent body fat groups. A different pattern occurred in male mean values as opposed to body mass. The lowest percent fat group gained the most and the highest percent fat group gained the least, with a significant (p < 0.05) difference between groups 4 and 5 and groups 1, 2 and 3. Figure 3 compares the changes in lean mass among low to high lean mass groups of male police officers from initial-recruit to in-service over 12.5 years. Lean mass also increased in all groups. The higher lean mass groups, 4 and 5, tended to gain less lean mass than the lower lean groups, 1, 2, and 3 with group five gaining significantly less lean mass than group 3 (p < 0.05). Relative changes of lean body mass from lowest to highest groups remained consistent, as seen in all targeted body composition variables. Figure 4 depicts the change in percent of male officers who were obese from initial-recruit to inservice tests over 12.5 years among low to high percent fat groups. The highest percent fat group had a marked and significantly (p ≤ 0.001) greater mean difference in the percentage that became obese. DISCUSSION This unique longitudinal data of changes in body composition with a large sample size of police officers revealed the following. Targeted body composition variables increased significantly regardless of gender or race. Gender and racial differences occurred in the amount of body mass change. Black females gained considerably less mass than reported in general population studies. Black males increased in targeted variables significantly more than white males except the percent that become obese. Gains were relatively similar between genders in percent fat, fat mass and percent that become obese, with males gaining significantly more lean mass than females. Body composition groups (low to high) revealed a relatively consistent change over time among all groups. However, in the percent fat groups, the lowest group gained the most and the highest gained the least. Also, the highest percent fat group showed a marked increase in the percent that became obese. Police Body Composition 7 Table 1. The results of body composition tests at initial-recruit and after 12.5 yearservice with comparisons between races and genders Initial Recruit: Female Mean SD 24.9 3.7 23.9 2.5 Age (yrs) Race Black White N 13 17 Body Mass (kg) Total Black White 30 13 17 24.3 59.3 57.8 3.1 7.9 6.6 Fat % Total Black White 30 13 17 58.4 19.8 20.5 7.1 4.4 5.0 Fat Mass (kg) Total Black White 30 13 17 20.2 12.0 12.0 4.7 4.2 3.7 Lean Mass (kg) Total Black White 30 13 17 12.0 47.3 45.8 3.8 4.7 4.8 Total 30 46.4 4.7 Age (yrs) Race Black White N 13 17 Body Mass (kg) Total Black White 30 13 17 37.0 68.5 64.0 3.4 11.8 5.0 Fat % Total Black White 30 13 17 66.0 25.5 25.1 8.7 6.1 6.4 Fat Mass (kg) Total Black White 30 13 17 25.3 18.0 16.2 6.1 7.0 4.7 Lean Mass (kg) Total Black White 30 13 17 17.0 50.5 47.8 5.8 5.9 4.8 p-valueR Male SD 3.6 3.5 N 41 238 Mean 25.1 24.5 279 41 238 24.6 84.9 82.0 3.5 10.3 12.9 279 41 238 82.4 13.2 14.6 12.6 6.0 5.7 279 41 238 14.4 11.3 12.4 5.8 5.4 6.4 279 41 238 12.2 73.6 69.6 6.3 9.4 8.7 279 70.2 8.9 N 41 238 Mean 38.0 37.0 Male SD 3.6 3.8 279 41 238 37.1 101.4 93.4 3.8 14.0 15.9 279 41 238 94.6 19.8 19.0 15.9 5.8 5.9 279 41 238 19.1 20.6 18.4 5.9 8.1 8.5 279 41 238 18.7 80.8 75.0 8.5 8.7 9.5 0.399 0.331 0.570 *** 0.000 *** 0.292 0.398 p-valueR 0.000 0.157 0.992 Female Mean SD 37.5 3.2 36.6 3.6 0.626 0.167 0.712 In-Service: p-valueG p-valueR 0.750 0.007 0.495 ** 0.000 p-valueR *** p-valueG 0.125 0.168 0.770 0.003 0.859 ** 0.000 *** 0.000 *** 0.420 0.398 0.130 0.188 Total 30 49.0 5.4 279 75.9 G = p-value to compare genders R = p-value to compare races ANOVA Comparisons between races and genders: **p ≤ .01; ***p ≤ .001 0.247 0.000 9.6 *** 0.000 *** Police Body Composition 8 Strengths and Potential Weaknesses of This Study The primary strengths of this study in comparison to other police studies were the number of subjects, the duration, variety of body composition factors targeted, and the gender and race (black and white) comparisons. It is the first study, to our knowledge, in the continental United States, following officers for more than three years. Other police studies included only males (1, 14, 15). This study is unique for including females, contrasting racial and gender differences. The low number of female subjects is a potential weakness. However, the increasing role of females in police and this study's findings, that contradict existing general population literature, underline the importance of including them. Also, this study involved only one regional police department, albeit a large one and the results may not extrapolate to other samples. Consistent data collection by a single certified test administrator, a professional exercise physiologist, strengthened this study. The test administrator used skinfold measurements during all test periods, as opposed to BMI (21). However, inherent errors exist in skinfold measurements, such as when subjects are extremely obese or lean (20, 22) or have large amounts of visceral fat (23). There are also racial variations in skinfold formulas and obesity cut off points (24). It is reported that fat free body density is higher in blacks than in whites (25). This can result in an over estimation of body fat percentages and obesity percentages in blacks. There are racial differences in the distribution of subcutaneous fat between blacks and whites which can create errors when using generalized skinfold formulas in predicting the percent body fat between blacks and whites. However, it is still unclear, whether generalized prediction equations yield inaccurate results for blacks (25). Research has shown that the generalized skinfold-thickness equations of Jackson and Pollack (26, 27) are appropriate for estimating the percent body fat of black men and women. However, other researchers have reported errors when using generalized formulas to estimate the body composition of black samples and recommend the development of race specific equations (28). As a result of these conflicting views further cross validation of race specific equations has been recommended (25) and these race specific cross validation studies need to be conducted within specific occupations such as police officer. Another reason for the need to cross validate the skinfold equations is that socio-economic status and environmental background is another confounding variable which can effect fat free body density (25), thus impacting occupational body composition studies. The job characteristics and the department selection process in the police department created a level of homogeneity in regards to education level and socio-economic status of the sample. Further research is recommended using DXA to estimate percent body fat as it bypasses the need to use skinfold formulas. Further research is needed in regards to body composition of police officers in relation to body mass index. Prior to the collection of the data utilized in this research, the Charlotte-Mecklenburg Police Department made the decision to refrain from gathering body height data as part of the physical fitness testing program. This was a result of legal proceedings within the profession challenging the minimum height hiring requirement for police officers. Consequently, no height data was available for this longitudinal observation. Comparisons to Other Research Our findings were similar to other studies, police (1, 13-15) and non-police (6, 29, 30) in that all gender and racial groups gained body mass. In police, male body mass increased in our study, 1.0 kg per year, which was higher than the two studies conducted on Finnish officers, approximately .8 to .5 kg per year (1) but less that than a Hawaiian police study (15) 1.8 kg per year. No body Police Body Composition 9 composition studies on female police were found in the literature which negated comparisons with the current female sample in relation to body mass gain per year. Non-police studies comparing white men and women in Finland (31) and Holland (32) and the United States (33), found that men gained more body mass than women, which supports our study. The Finnish men had more than twice the risk of major body mass gain than women. Conversely, other United States studies found women gained more than men (30, 34) and major body mass gain was nearly twice as high in women than men (30). Our results deviate considerably from other racial observations in that our black females gained much less body mass than the black females in these other studies. In these other non-police studies, black women had greater body mass gain than all other groups with a magnitude of approximately 1.5 to 2.5 times that of white females (6, 33, 35). Our black female officers gained only approximately 60% of the body mass reported by black females in the CARDIA studies (6, 35) and they gained less body mass per year than black and white males in our study. Other research suggests body mass gain (34) varied more in black than white females especially at the 90th body mass percentile. However, the police physical selection process reduced variability in body mass profiles as our subjects started with comparatively lower body mass. These differences in body mass gain compared to other samples may have connections to socioeconomic status and the selection process. Our subjects had middle to higher income status and were college educated. Only 5% were classified as obese at hire. Negative associations have been observed with education (4, 36-39), employment grade (40) and income (41) with BMI, and also with education and increases in body mass (6). However, in a longitudinal study, black men showed no differences between body mass gain and education level (6). Further research is needed to determine why the black male officers in our study gained more body mass than the black females and as to why they had higher body mass gains per year than any other research we found, including both police and general populations (6, 33, 35). In cross-sectional studies, black females had higher mean BMI values over that of white females at comparable education and income levels (38) and a negative association with education and body mass status was seen in white women but not in black women (36). Another cross-sectional study, adjusting for baseline BMI and multiple demographic, social and behavioral variables, found BMI differences in black and white female were not reduced (42). The results of our longitudinal study were dissimilar enough from these to indicate a need for more research on female police. Our results support other evidence that lean and fat tissues are interdependent (9, 43, 44). Body mass increases include both fat and lean. As in the literature, lean mass increased most in males (9). No other longitudinal works were found comparing racial differences in lean mass gain related to body mass increase. The relationship of lean body mass to body mass gain requires further research regarding its role in performance of physical duties. Nearly half the total body mass gain in our male officers and a third in our female officers was lean mass. A review of over-feeding studies reported the mean composition of body mass gain was 44% lean (45), which was within the values of our study: 34% for females and 46% for males. Our study found no significant differences between racial groups for the percent that were obese at recruitment or in-service within either gender. This outcome goes against population surveys that overwhelmingly report black females have considerably higher obese rates, as measured by BMI, than white females (29, 36, 37, 46, 47). Police Body Composition 10 When considering the male officers in five low to high body composition groups, as determined at recruit training, the highest groups remained highest and the lowest groups the lowest after 12 years. This has two primary implications. First, as no significant differences were found in the amount of body mass or fat mass gained, increased health risks related to body mass gain (33, 48, 49) may be equal among the groups. Second, obesity, with its implications for cardiovascular health and organizational cost risks (21, 50), became considerably more prevalent in the highest percent fat group because they were closer to obesity levels when hired. Further longitudinal research, involving low to high body composition groups, is suggested to investigate the affect of body mass gain and level of percent fat upon health risks and organizational costs. In addition, research is warranted concerning the tendency for the lowest percent fat groups to gain the most and the highest, the least. CONCLUSIONS The results of this study have multiple implications for police and related occupations. Clearly, officers will, on average, increase in body composition values over the first decade of employment. Also, body composition levels upon hire do not seem to greatly affect the amount of change over time. Since job performance and health are connected to body composition factors, and those factors are themselves, interdependent, it is unrealistic to simply require an officer to avoid body mass gain. Exercise physiologists and health professionals can play an essential role in organizations by identifying the optimal body composition for this occupation and its relationship to officer selection, training, job performance, and health. Address for correspondence: Boyce RW, PhD., Department of Health and Applied Human Sciences, University of North Carolina at Wilmington, Wilmington, NC, USA 28403. Phone (910) 9627824; FAX: (910) 962-7073; Email: boycer@uncw.edu. REFERENCES 1. Sorensen L, Smolander J, Louhevaara V, Korhonen O, Oja P. Physical activity, fitness and body composition of Finnish police officers: a 15-year follow-up study. Occup Med (Lond) 2000;50:3-10. 2. Stamford BA, Weltman A, Moffatt RJ, Fulco C. Status of police officers with regard to selected cardio-respiratory and body compositional fitness variables. Med Sci Sports 1978;10:294-7. 3. Blair SN, Jacobs DR, Jr., Powell KE. Relationships between exercise or physical activity and other health behaviors. 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